Public Works Laboratories Geotechnical Engineering Office, Hong Kong

For laboratory use only

Collection Request No. (CRN)

Test Request No. (TRN)

TEST REQUEST FOR MEASUREMENT OF COATING THICKNESS

Account No. (if available) Customer Test Request Ref. No.

(Please provide the following project information if account no. is not available)

Customer (Works Dept/Office) Contract No.

Job Title Job No.

Work/Site Location

Determination of coating thickness by magnetic method in accordance with BS EN ISO 2178 : 1995(1) (PWLTM No. MIS 7.1)

Customer

sample No. Sample description

No. of article in

an inspection

lot(2)

Significant surface

area for each article(3)

(mm2)

Number of test

specimens

Provided(4)

Remarks

Reference uncoated basis metal with flat/curved* surface provided Yes / No.

The sample was obtained in accordance with BS EN ISO 1461:2009 Yes / No.

Certificate from hot dip galvanizer available Yes / No.

Sample after test will be collected by the customer/Test on site* Yes / No.

Other information about the sample:

Notes:

(1) BS EN ISO 2178 is a non-destructive method of determining coating thickness as suggested by BS EN ISO 1461: 2009.

(2) The no. of article in single order or single delivery load.

(3) Clause 6.2.3 of BS EN ISO 1461:2009 specifies the number of reference areas required for testing, which depends on the size of the

significant surface area of individual articles. (For articles with less than 10 cm2 significant surface area, the reference area = sufficient

number of articles required to provide at least 10 cm2 surface area).

(4) Refer to Table 1 of BS EN ISO 1461:2009. (For a long article in the control sample, the reference areas shall be cut approximately 100

mm from each end and at the approximate centre and shall comprise the whole cross-section of the article).

(5) To be completed by a project works supervisor grade officer or above.

(6) To be completed by a project inspectorate grade officer or above (or his delegate).

* Delete as appropriate

Sample(s) delivery supervised by(5) Test(s) requested by(6)

Signature : Signature :

:Name : Name :

Post : Post :

Tel./Fax No. : Tel./Fax No. :

Date : Date :

Fill in the box below the name, mailing and e-mail address to which the test certificate(s) should be sent or else mark “To

be collected” if the customer requests to collect the certificate(s) from the laboratory in person.

C Eng D (GEO) 2411 Jan 2017

Preliminary results

Fax No.

ngkpNote“Marked”的設定者是“ngkp”

CEDDNoteEssential input fields are marked in red.

CEDDNoteUse Adobe Acrobat reader XI or later version to view or save this record.

CEDDNoteRegistration of a new contract to PWCL will be provided an Account No. Please contact PWCL to obtain the no.

CEDDNoteTo be assigned by client and limit to 12 digits for both characters and numeric.

ngkpNote“Marked”的設定者是“ngkp”

ngkpNote“Unmarked”的設定者是“ngkp”

ngkpNote“Unmarked”的設定者是“ngkp”

Collection Request No CRN: Test Request No TRN: Account No if available: Customer Test Request Ref No: Customer Works DeptOffice: Contract No: Job Title: Job No: WorkSite Location: Customer sample NoRow1: Sample descriptionRow1: No of article in an inspection lot 2Row1: Significant surface area for each article 3 mm 2 Row1: Number of test specimens Provided 4Row1: RemarksRow1: Customer sample NoRow2: Sample descriptionRow2: No of article in an inspection lot 2Row2: Significant surface area for each article 3 mm 2 Row2: Number of test specimens Provided 4Row2: RemarksRow2: Customer sample NoRow3: Sample descriptionRow3: No of article in an inspection lot 2Row3: Significant surface area for each article 3 mm 2 Row3: Number of test specimens Provided 4Row3: RemarksRow3: Customer sample NoRow4: Sample descriptionRow4: No of article in an inspection lot 2Row4: Significant surface area for each article 3 mm 2 Row4: Number of test specimens Provided 4Row4: RemarksRow4: Customer sample NoRow5: Sample descriptionRow5: No of article in an inspection lot 2Row5: Significant surface area for each article 3 mm 2 Row5: Number of test specimens Provided 4Row5: RemarksRow5: Customer sample NoRow6: Sample descriptionRow6: No of article in an inspection lot 2Row6: Significant surface area for each article 3 mm 2 Row6: Number of test specimens Provided 4Row6: RemarksRow6: Customer sample NoRow7: Sample descriptionRow7: No of article in an inspection lot 2Row7: Significant surface area for each article 3 mm 2 Row7: Number of test specimens Provided 4Row7: RemarksRow7: Customer sample NoRow8: Sample descriptionRow8: No of article in an inspection lot 2Row8: Significant surface area for each article 3 mm 2 Row8: Number of test specimens Provided 4Row8: RemarksRow8: Other information about the sample: be collected if the customer requests to collect the certificates from the laboratory in person: Fax No: Reference uncoated basis metal with flat/curved surface provided: OffCertificate from hot dip galvanizer available: OffSample after test will be collected by the customer/Test on site: OffTo be collected: OffThe sample was obtained in accordance with BS EN ISO 1461_2009: OffDelivererName: DelivererPost: DelivererTelorFax: DelivereDate: TestRequestName: TestRequestPost: TestRequestTelorFax: TestRequestDate: PreliminaryResult: OffForm Reset: Print Form: