BLACKRIDGE & DISTRICT MODEL FLYING CLUB

 

CERTIFICATE OF MODEL NOISE COMPLIANCE No...
 
   

MEMBER -

 

CLUB No. -

 

MODEL -

 

ENGINE -

 

SILENCER -

 
PROP MAKE/SIZE -
 
 
 
 
NOISE READING dB
 
 

 

 
 
FRONT -
 
LEFT SIDE -
 
REAR -
 
RIGHT SIDE -
 
HIGHEST READING -
 
   
 
 
MAXIMUM READING 80dB
PASS -
 
FAIL -
 
 
 
 
 
TEST EXAMINER 1 --
 
 
 
TEST EXAMINER 2 --
 
 
 
DATE OF TEST --
 
 
 
 
  I AGREE TO SUBMIT THIS MODEL FOR RE-TESTING BEFORE OPERATING AT THE BLACKRIDGE CLUB SITE IF ANY CHANGES ARE MADE TO THE MODEL DETAILS ABOVE.  
 
Signed (Member)