S
IGNATURES
I
NSTALLER
Name:
Position:
Company:
Signed:
Service Request Order (or FSR#) : __________________________________________________
C
R
USTOMER
EPRESENTATIVE
Name:
Position:
Company:
Signed:
F
D
INAL
OCUMENTATION
In order to provide consistent analyzer service, Micromeritics retains records of installation,
operational verification, and calibration data in its Service Support Center in Norcross, GA, USA.
After completing the installation process, representatives of Micromeritics who install analyzers are
required to send the following documents to Micromeritics for inclusion in the customer's analyzer
history:
Completed Service Request Order or Field Service Report
n
Completed and signed Installation Checklist
n
R
ETURN THE COMPLETED CHECKLIST AND FORMS TO
Micromeritics Instrument Corporation
ATTN: Service Operations Manager
4356 Communications Drive
Norcross, GA / USA / 30093-2901
AccuPyc II 1345 Installation Instructions and Checklist
134-42875-02 (Rev A) — Jan 2021
:
Email: Service.Helpdesk@Micromeritics.com
Fax: 1-770-662-3604
Signatures
Date:
Date:
5 - 7
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