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*Customer Name
City, State
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*Customer P.O.#
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*Atlas Job#
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*Customers Gage ID.#
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Contents of Atlas's Long Form Certification 
*Gage Type
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*Gage Tol. Class
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*Gage Description
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*Prescribed
Pitch Dia.
*Prescribed
Major Dia.
*Thd. Depth
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*Laboratory Name
& Address
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*Accredited 17025:2005
Certification
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Return to Home Page
*Actual Measurement
Front-Middle-Back
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*Results
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*Lab Tech. Initials
*Condition
Recieved & Returned
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*Addition Comments
or Findings
*Environment Condition
& Proceedure Used
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*Measurement
of Uncertainty
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*Equipment Used
Test# & Due Dates
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*Lab Tech. Signature
Printed Name/Title
*Date & Serial No.
*Go Member Actuals
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*Nogo Member Actuals
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*Atlas Form & Rev.#
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*Calibration Due Date
Based on Frequency & Conditions of Use
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*Major Dia. Actuals
*Depth Actuals
*Tolerance
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*Additional Customer
Requirements
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