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U
S
A
Date: ................................... Technician: .....................................................................
MOBILETT Plus HP
Test certificate, MOBILETT Plus HP
Check for reproducibility
Fluctuation coefficient C: ........................................
Measurement
device
Type: .................................
Serial No.: ..........................
Date calibrated: ..................
Check the arm- and single tank movement
Check the turn plate
Check the brake
Light field relative to the x-ray field
(A+C)x100%
= ...................... %
SID
(B+D)x100%
= ...................... %
SID
Protective ground: ................
Measurement
device
Type: .................................
Serial No.: ..........................
Date calibrated: ..................
Substitute leakage current: .................... mA
Measurement
device
Type: .................................
Serial No.: ..........................
Date calibrated: ..................
O
SPR8-220.033.01
Rev. 05
05.01
Page 2 of 2
Siemens-Elema AB
SPS-UD
Solna, Sweden