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Sample Data

Fully Independent Lab Services


Sheet

Send Northern Technology & Testing, Inc.


Samples 8140 Industrial Parkway #8
to: Sacramento, CA 95824
http://www.nttworldwide.com

Toll Free: 1-800-590-0688


Tel: (916) 383-6800
Fax (916) 383-7794
info@nttworldwide.com

DGA EXPERT SYSTEMS TM

CUSTOMER INFORMATION
Contact Name

Contact Name

Company

Company

Address

Address

City, State, Zip

City, State, Zip

Phone/Fax/Email

Phone/Fax/Email

BILLING INFORMATION Same


Account #

P.O. #

TM
Dissolved
Gas Analysis-DGA PlusTM
D3612A
ml 1.7 oz
POWER TRANSFORMER
PACKAGES
NTT 50
TechCheck

Moisture in Oil
D1533B
20
0.7
1 - BASIC
2 - ANNUAL
3 -(IFT)
BASELINE
4 - FULL ANALYSIS 40
Interfacial Tension
D971
1.4
DGA & Oil Screen
Routine Maintenance
Newly Filled Equipment
Comprehensive/Investigative
Acid NumberCylinder/Syringe+16oz.bottle
D974
0.4
Cylinder/Syringe+16oz.bottle Cylinder/Syringe+16oz.bottle
Cylinder/Syringe+2x16oz.bottle 12
DGA Plus
DGA Plus
DGA
Plus Examination
DGA Plus
Color Number
& Visual
D1524
5
0.2
Moisture
Moisture
Moisture
Power Factor 100C Moisture
Power Factor 100C

Dielectric Breakdown Voltage


D877
200
7
Acid
Acid
Acid
Metal Content
Acid
Viscosity
Dielectric Breakdown
Voltage
D1816
500
17
IFT
IFT
IFT
PCB0.04"
Content
IFT
Metal Content
Color No.
Color No.
Color No.Voltage
Furanic
Analysis
Color No.
PCB Content
Dielectric Breakdown
0.08"
D1816
500
17
Visual Exam
Visual Exam
Visual
Visual Exam
Furanic100
Analysis 3.7
oC @ 100o C

Power Factor
@ 25Exam
D924
Dielectric D877
Dielectric D877
Dielectric D877
Dielectric D877 Oxidation Inhibitor
Specific Gravity
D1298
11
0.4
Specific
Gravity
Specific Gravity
Specific Gravity

Kinematic
Viscosity
D445
7
0.3
Power Factor 25C
Power Factor 25C
Power Factor 25C
Oxidation Inhibitor
D2668
7
0.3
LTC-OCB-REGULATOR-RECTIFIER
NETA Guildeline
Lubrication Fluids
Flash PointPACKAGES
Fire Point
D92
75
2.0

Trace
Silicone
in
Mineral
Oil
D2144
7
0.3 oz
1 - BASIC
2 - ANNUAL
4 - FULL
Basic7Analysis
Required
PCBs-in-Oil
EPA 600-4-81-045 Metals Analysis
0.3
TM
DGA
Plus
Package
#1
Package
#3
DGA Plus
Optional
Moisture
Specific Gravity
Viscosity
Metals(7
Metals:Ag,Al,Cu,Fe,Pb,Sn,Zn)
D3635
Particle5Count 0.2
Acid
Moisture
Acid
Power Factor
25C
Oxidation
Inhibitor
Acid Number
Furfural
Analysis
D5837
20
0.7
IFT
if >25kv or Silicone
Viscosity
IFT

3 - BASELINE

Corrosive
Sulphur
D1275
240
8
Color No.
Specific Gravity Color No.
Glycol/Anti-Freeze
Package #2

Laser Particle Count


ISO
100
3.7
Visual Exam Power Factor 25C
contamination
Visual Exam
Power Factor 100C
Other______________________________________________________________
Dielectric D877
Additives
Dielectric D877
Metal & PCB Content
TM

TM

TM

TM

TM

Date
Sampled

Container
No. & Type
DGA
PCE

DGA
PCE

DGA
PCE

DGA
PCE

Notes:

Location
Transformer No./Address

Serial No.

Nitrogen Blanket
Conservator
Free-Breathing Unit
Desiccant
Sealed
Other___________
Nitrogen Blanket
Conservator
Free-Breathing Unit
Desiccant
Sealed
Other___________
Nitrogen Blanket
Conservator
Free-Breathing Unit
Desiccant
Sealed
Other___________
Nitrogen Blanket
Conservator
Free-Breathing Unit
Desiccant
Sealed
Other___________

MFR
Yr Built/Rebuilt

Main/LTC
Bank/Phase

Main
OCB

KVA
Temp(C)

RUSH
Y/N

LTC
REG

Bank #

Temp

Phase #

Main
OCB

LTC
REG

Bank #

Temp

Phase #

Main
OCB

LTC
REG

Bank #

Temp

Phase #

Main
OCB
Bank #

LTC
REG
Temp

Phase #

__/___/__

Receive Date:
Delivery Method:
USPS Fedex UPS DHL
Drop-Off Other_____________

Send Additional Containers:


____Syringes _____Poly Bottles
____ Cylinders ______PCB Vials
Date Requested:____/____/____