ATTACHMENT 3 Paint Coating Form.pdf

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Emsworth Miter Gate Cylinders
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W911WN22Q0005
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Text version

Date: / / M T W Th F S Su

Project #:

Inspector:

QC Mgr Owner

Project/Client: Contr

Location:

Description: DFT Sheet NCR/CAR

Requirements:

Contractor: Spec # Revision #

1 Pre Surface Pep/Condition & Cleanliness 2 Surface Preparation Monitoring 3 Post Surface Preparation/Cleanliness & Profile 4 Pre Application Prep/Surface Cleanliness 5 Application Monitoring/Wet Film Thickness (WFT) 6 Post Application/Application Defects 7 Post Cure/Dry Film Thickness (DFT) 8 Nonconformance/Corrective Actions Follow-up 9 Final Inspection

Approved By:

New Maint Primer/Paint Age/Dry/Cure Time (Indicate AM or PM) : : : :

Steel Galvanize Concrete Other Dry Bulb Temp0 (C/F)

Hazard Sample Report # Wet Bulb Temp0 (C/F)

Degree of contamination: % Relative Humidity % % % % Test: Cl µg/cm2 / ppm Fe ppm pH Surface Temp0

(C/F) Min/Max / / / / Degree of Corrosion: Dew Point Temp0 (C/F)

Scale Pitting/Holes Crevices Sharp Edges Wind Direction/Speed Weld Moisture Oils Other Weather Conditions:

Painted Surface Condition:

Dry to: Touch Handle Recoat Start Time : Finish Time : Est. Sq/ft.

Dry/Over Spray Runs/Sags Pinholes Holidays Abrasion Fall Out Other Generic Type: Qty Mixed:

Manuf.: Mix Ratio:

Prod Name: Mix Method:

Solvent Clean Hand Tool Power Tool Prod #: Strain/Screen:

HP Wash PSI Other Color: Material Temp: F Abrasive Blast Abrasive Type Sample Kit Sz/Cond.: Sweat-in Time: Min/Hrs

Blast Hose Size Nozzle Size / PSI Shelf Life: Pot Life: Min/Hrs

Air Supply CFM Air Supply Cleanliness Reducer #:

Water/Oil Trap Check Equipment Condition Check (A) Qty Added: Pt/Qt/Gal

(B) % by Vol: %

(C) Specified WFT Avg: Mils

Job Specification SSPC/NACE - SP- Reducer: Achieved WFT Avg: Mils

SSPC/NACE Spec / Visual Stds Profile Check: Disc Tape Gauge Pump Pot Hose Dia. Air Check Specified mils avg. / Achieved mils Ratio/Size Hose Lng. SEP/Trap Surface effect on DFT Gauge/BMR mils GPM/CFM Spray Gun Filter

PSI Tip Sz. Agitator

Total Avg

DFT

Inspector's Signature Date

Airless/Conv. Spray Brush Roller Other

Dry Film Thickness DFT Last

Coat DFT This

Coat Spec Avg.

DFT

Gage Type /

Model Gage

Serial #

Batch #'s

Gage Calib.

Verified

Pg. Of COPY To:

Hold Point Inspections Performed

Ambient Conditions

Surface Cleanliness & Profile Measurement

Surface Preparation

Description of Areas & Work Performed

Attachments:

Paint Inspection:

Daily Coating Inspection Report

Primer Intermediate Topcoat Touch-up

Surface Conditions

Start Time: Finish Time: Est Sq/ft:

Application o o o o o o o o o o o o o o o o o

H4TSTJPP

Typewritten Text

ATTACHMENT 1

H4TSTJPP

Typewritten Text

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