Report form
Report form for late reported test results
Sample #20620 - 3 identical non-coated metal plates
|Determinations |Unit |Reference |Actual method used |’Unrounded’ |Rounded |
| | |method *) |*) |result *) |result cfr. used |
| | | | | |standard *) |
|Nickel release - plate 1 |µg/cm2/week | | | | |
|Nickel release - plate 2 |µg/cm2/week | | | | |
|Nickel release - plate 3 |µg/cm2/week | | | | |
|Nickel release - average |µg/cm2/week |EN1811 | | | |
|Surface area of the plates used for the |cm2 | | | | |
|calculation – average | | | | | |
*) Please see the letter of instructions before the start of the analysis at kpmd.co.uk/sgs-iis-cts/
Please answer the additional questions for sample #20620 on the next page.
The report form of sample #20621 is on the final page.
Report form for late reported test results
Additional Questions for sample #20620 - 3 identical non-coated metal plates
1 Is your laboratory accredited in accordance with ISO/IEC17025 for this test?
0 No
0 Yes
2 Did you pre-treat the test vessel(s)?
0 No, new/disposable test vessel(s) were used
0 No, the previously used test vessel(s) were not pre-treated
0 Yes, the previously used test vessel(s) were pre-treated
0 Other option, please describe: ___________________________________________________________________________
___________________________________________________________________________
3 If yes in question 2: please describe the pre-treatment procedure
___________________________________________________________________________
___________________________________________________________________________
4 What was the volume of test solution in mL added to the test vessel at the start of the test?
___________________________________________________________________________
5 Which ratio in mL/cm² was used for the test solution versus the sample surface area?
___________________________________________________________________________
Remarks on Additional Questions:
___________________________________________________________________________
The report form of sample #20621 is on the next (final) page.
Report form for late reported test results
Sample #20621 – one cufflink for surface determination only
|Determination |Unit |Test result |
|Total sample surface area |cm2 | |
*) Please see the letter of instructions before the start of the analysis at kpmd.co.uk/sgs-iis-cts/
Please, describe as detailed as possible how you have measured and calculated the total surface area
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Any remarks?
____________________________________________________________________________
____________________________________________________________________________
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