Thermal Instrument Company - Landfill Flowmeter Recalibration Form

LANDFILL FLOWMETER RECALIBRATION / LOANER FORM

CUSTOMER INFORMATION

Need Loaner Meter?:	YES NO
Flowmeter Serial #:

Ship To:
Company:
Address:
City:
State:
Zip:
Name:
Phone #:
Fax #:
Email:

Bill To:
Company:
Address:
City:
State:
Zip:
Name:
Phone #:
Payment Method:	Visa MasterCard PO
PO #:

CALIBRATION DATA

Methane

CO2

Balance

Gas Mixture:

MIN.

MAX.

OPER.

Flow Range:		SCFM
Temperature:	F C
Pressure Range:
Line Size:	(Example: 12" SDR 17 or 10" SCH 40 or the Line I.D.)

Straight Run (10 and 5): Yes No (If no, what is the straight run available?)

Note: When returning a Model 62-9 Probe, it may have a Remote Electronics (Ex: Model 926). The Remote Electronics needs to be returned with the probe.

Typical turnaround time is 2 to 4 weeks depending on calibration load.

THERMAL INSTRUMENT COMPANY
217 STERNER MILL ROAD
TREVOSE, PA 19053
215.355.8400

NATIONAL INSTITUTE OF STANDARDS & TECHNOLOGY CERTIFIED CALIBRATIONS	ISA DIRECTORY OF INSTRUMENTATION