1、Designation: D 5063 90 (Reapproved 2004)Standard Guide forUse of Certification of Coating Conformance Form1This standard is issued under the fixed designation D 5063; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the year of last
2、 revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon (e) indicates an editorial change since the last revision or reapproval.1. Scope1.1 This certification of coating conformance form providesprocurement information concerning products being furnishedin acco
3、rdance with a specific coating specification and addi-tional requirements contained in the purchase order (see Fig.1).1.2 The completed form can be utilized to help evaluate theacceptability of the paint being furnished.2. Referenced Documents2.1 ASTM Standards:D 16 Terminology for Paint, Related Co
4、atings, Materials,and Applications23. Instructions for Completing Certification Form3.1 Use only known and industry accepted descriptions.Standard definitions of terms relating to paint, varnish, lacquer,and related materials are provided in Terminology D 16 (seeFig. 2).3.2 The sections are self-exp
5、lanatory. Applicable informa-tion in Section II should be provided by the buyer. Applicableinformation in Section III should be provided by the seller.3.3 For two-component coatings, separate forms should beprovided for each component, if appropriate.4. Keywords4.1 certification form; conformance fo
6、rm1This guide is under the jurisdiction of ASTM Committee D01 on Paint andRelated Coatings, Materials, and Applications and is the direct responsibility ofSubcommittee D01.45 on Marine Coatings.Current edition approved June 1, 2004. Published June 2004. Originallyapproved in 1990. Last previous edit
7、ion approved in 1998 as D 5063 90 (1998).2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For Annual Book of ASTMStandards volume information, refer to the standards Document Summary page onthe ASTM website.CERTIFICATION OF COA
8、TING CONFORMANCE FORM Number:Date:I. GENERAL TYPE AND DESCRIPTION:Generic Type:Manufacturers Designation:Specification Number:Formula Number:Number of Components:Component Identification (if applicable):Color:II. BUYER INFORMATION:Name and Address:Purchase Order Number:Release Number (if applicable)
9、:Part Number (if applicable):Item Number (if applicable):Stock Number (if applicable):III. SELLER INFORMATION:Name and Address:Sellers Representative:(Include Telephone Number)Batch Number:Lot No.:Date of Manufacture:Date of Expiration of Certification:IV. CERTIFICATION:This is to certify that the a
10、bove material being furnished has beenmanufactured in accordance with the specification and meets all specifica-tion requirements contained in the above purchase order.NAME AND TITLE SIGNATURE DATEFIG. 1 Certification Form1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Consho
11、hocken, PA 19428-2959, United States.ASTM International takes no position respecting the validity of any patent rights asserted in connection with any item mentionedin this standard. Users of this standard are expressly advised that determination of the validity of any such patent rights, and the ri
12、skof infringement of such rights, are entirely their own responsibility.This standard is subject to revision at any time by the responsible technical committee and must be reviewed every five years andif not revised, either reapproved or withdrawn. Your comments are invited either for revision of th
13、is standard or for additional standardsand should be addressed to ASTM International Headquarters. Your comments will receive careful consideration at a meeting of theresponsible technical committee, which you may attend. If you feel that your comments have not received a fair hearing you shouldmake
14、 your views known to the ASTM Committee on Standards, at the address shown below.This standard is copyrighted by ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959,United States. Individual reprints (single or multiple copies) of this standard may be obtained by
15、 contacting ASTM at the aboveaddress or at 610-832-9585 (phone), 610-832-9555 (fax), or serviceastm.org (e-mail); or through the ASTM website(www.astm.org).CERTIFICATION OF CONFORMANCE FORM Number: A001Date: 6/26/88I. GENERAL TYPE AND DESCRIPTION:Generic Type: Polyamide EpoxyManufacturers Designatio
16、n: Perfect Paint 1234Specification Number: MIL-P-24441Formula Number: Formula 150Number of Components: TwoComponent Identification: Component AColor: GreenII. BUYER INFORMATION:Name and Address: American Shipbuilders1234 Easy St.Anytown, USAPurchase Order Number: 0001-0002Release Number (if applicab
17、le): #1Part Number (if applicable): 11BItem Number (if applicable): #3Stock Number (if applicable): 4321III. SELLER INFORMATION:Name and Address: Perfect Paint Co.11 Profit St.Paint City, USASellers Representative: I.B. Responsive(Include Telephone Number) 703/123-4567Batch Number: 88-F-01Lot Number
18、: 0001Date of Manufacture: 6/20/88Date of Expiration of Certification: 6/19/89IV. CERTIFICATION:This is to certify that the above material being furnished has been manu-factured in accordance with the specification and meets all specification re-quirements contained in the above purchase order.I.M. Xpert, Tech Director 6/26/88NAME AND TITLE SIGNATURE DATEFIG. 2 Example of Completed FormD 5063 90 (2004)2
