Quality Assurance

EXTENSION OF CALIBRATION DUE DATE

DATE:

EQUIPMENT TYPE:

MANUFACTURER:

MODEL NUMBER:

SERIAL NUMBER (IF ANY):

CALIBRATION DUE DATE:

CALIBRATION DUE DATE EXTENDED TO:

REASONS FOR EXTENSION:

(If required evidence attached)

EXTENSION REQUESTED BY: (Location Incharge)

APPROVED BY :(Administrative Manager)

APPROVED BY :(QMR)

TPC-FZE PROCESS PACKAGES QA/FM/005ISSUE:01