GE LOGIQ 200 Quality Assurance Manual page 195

GE Medical Systems certifies that the diagnostic imaging equipment listed below, located at:
(Hospital/Clinic Name and address)
Equipment Description Serial Number
has been thoroughly inspected by GE service technicians per the GE Service Engineering PM
checklist, calibrated as required and verified to meet electrical and mechanical specifications.
(GE Service Engineer) (Date)
GE Medical Systems, PO Box 414, Milwaukee, Wisconsin 53201 USA