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N
. _
MODEL
O
S E R I AL NO .
ADDRESS
[IJ
Des c r i be probl em and symptoms u s i ng qua n t i ta t i ve data whenever po ss i b l e ( encl ose
read i ngs , c h a r t reco rd i ngs , etc . )
Show a b l ock d i agram of your measurement system i nc l ud i ng a l l i n s truments connected
(whether power i s tu rned on or not ) .
L i s t the pos i t i o n s o f
the i n s trument .
m
Descr i be i n put s i g n a l source l ev e l s , frequenc i es , etc .
[[J
L i s t and desc r i be a l l cab l es u sed i n the exper iment ( l ength , s h i e l d i n g , etc . ) .
L i s t and descr i be a l l other e q u i pment used i n the exper i men t .
f o r each .
Env i ronment :
Where i s the measurement b e i n g performed?
ou t- of -door s , etc . )
What power 1 i n e v o l tage i s used?
Amb i e n t tempera ture?
Add i t i ona l I nforma t i on .
p l ea s e descri be be l ow . ) _ _ _
KEITHLEY I NSTRUMENT S , I NC .
28775 AURORA ROAD
CLEVELAN D , OH I O
S E R V I C E
P . O . N O .
A l s o des c r i be s i gn a l sourc e .
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contro l s and swi tches o n both front a nd rear pane l s o f
{ I f s pec i a l mod i f i c a t i o n s have been made by the u s er ,
44139
FO R M
C I T Y
( Attach add i t i o n a l sheets a s nec e s s a ry ) .
( Fa c tory , contro l l ed l aboratory ,
o f . Rel . Hum i d i ty ? _ _
STATE
Z I P
__
G i ve control s e t t i n g s
REV 0774
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