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GE
Direction 5370626-100, Revision 18
ULTRASOUND INSPECTION CERTIFICATE
Customer Name:
System Type
Probe 1:
Frequency:
Probe 2:
Frequency:
Probe 3:
Frequency:
Probe 4:
Frequency:
Probe 5:
Frequency:
* Scan Format: Phased Array, Linear Array, Curved Array, Mechanical Array or Other
FUNCTIONAL CHECKS
Functional Check (if applicable)
B-Mode Function
Doppler Modes Function
CF-Mode Function
M-Mode Function
Applicable Software Options
Applicable Hardware Options
Control Panel
LCD
Measurement Accuracy
GE Approved Peripherals
COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
LOGIQ e/LOGIQ e Vet/LOGIQ i/Vivid e Basic Service Manual
System ID:
Model Number:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
PHYSICAL INSPECTION AND CLEANING
OK? or
N/A
Console
LCD
External I/O
Cables and Connectors
GE Approved Peripherals (DVD-RW, Printer)
Labeling (see User Manual for Labeling)
Chapter 10 Care & Maintenance
Dispatch Number / Date Performed:
Serial Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Physical Inspection and Cleaning
(if applicable)
Warranty/Contract/HBS
Manufacture Date:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Inspect
Clean
10-19
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