Sirona Dental Systems GmbH
2.3
Labels on the system
Labels on system
Date
(please enter month/year)
All all labels affixed?
Are all labels legible?
62 14 923 D 3507
D 3507.105.01.10.02
2 Annual inspection performed by the system owner or other authorized persons
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Please enter changes here:
X-ray tube unit
Serial no.
Serial no.
Serial no.
Tube
Serial no.
Serial no.
Serial no.
Radiation field limiter
blue 3x4 cm
Serial no.
Serial no.
Serial no.
Radiation field limiter
black 2x3 cm
Serial no.
Serial no.
Serial no.
300 mm (12") cone
Serial no.
Serial no.
Serial no.
300 mm (12") square cone
Serial no.
Serial no.
Serial no.
Wall adapter/Ceiling model
Serial no.
Serial no.
Serial no.
Date
Signature
7