1、Designation: D5063 90 (Reapproved 2012)Standard Guide forUse of Certification of Coating Conformance Form1This standard is issued under the fixed designation D5063; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the year of last r
2、evision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon () 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 accorda
3、nce 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:D16 Terminology for Paint, Related Coatin
4、gs, Materials, andApplications23. 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 D16 (seeFig. 23.2 The sections are self-explanator
5、y. 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 form1This
6、 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, 2012. Published August 2012. Originallyapproved in 1990. Last previous edition a
7、pproved in 2004 as D5063 90 (2004).DOI: 10.1520/D5063-90R12.2For 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.C
8、opyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States1CERTIFICATION OF COATING CONFORMANCE FORM Number:Date:I. GENERAL TYPE AND DESCRIPTION:Generic Type:Manufacturers Designation:Specification Number:Formula Number:Number of Components:Compo
9、nent Identification (if applicable):Color:II. BUYER INFORMATION:Name and Address:Purchase Order Number:Release Number (if applicable):Part Number (if applicable):Item Number (if applicable):Stock Number (if applicable):III. SELLER INFORMATION:Name and Address:Sellers Representative:(Include Telephon
10、e Number)Batch Number:Lot No.:Date of Manufacture:Date of Expiration of Certification:IV. CERTIFICATION:This is to certify that the above material being furnished has beenmanufactured in accordance with the specification and meets all specifica-tion requirements contained in the above purchase order
11、.NAME AND TITLE SIGNATURE DATEFIG. 1 Certification FormD5063 90 (2012)2ASTM 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
12、any such patent rights, and the riskof 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
13、 invited either for revision of this 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 rece
14、ived a fair hearing you shouldmake 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) o
15、f this standard may be obtained by 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). Permission rights to photocopy the standard may also be secured from the ASTM website (www.astm.org/COPYRIGHT
16、/).CERTIFICATION OF CONFORMANCE FORM Number: A001Date: 6/26/88I. GENERAL TYPE AND DESCRIPTION:Generic Type: Polyamide EpoxyManufacturers Designation: Perfect Paint 1234Specification Number: MIL-P-24441Formula Number: Formula 150Number of Components: TwoComponent Identification: Component AColor: Gre
17、enII. BUYER INFORMATION:Name and Address: American Shipbuilders1234 Easy St.Anytown, USAPurchase Order Number: 0001-0002Release Number (if applicable): #1Part Number (if applicable): 11BItem Number (if applicable): #3Stock Number (if applicable): 4321III. SELLER INFORMATION:Name and Address: Perfect
18、 Paint Co.11 Profit St.Paint City, USASellers Representative: I.B. Responsive(Include Telephone Number) 703/123-4567Batch Number: 88-F-01Lot Number: 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 FormD5063 90 (2012)3
