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Model No.
Name and Telephone No.
Company
List all control settings, describe problem and check boxes that apply to problem.
Intermittent
IEEE failure
Front panel operational
Display or output (check one)
Drifts
Unstable
Overload
Calibration only
Data required
(attach any additional sheets as necessary)
Show a block diagram of your measurement system including all instruments connected (whether power is turned on or not).
Also, describe signal source.
Where is the measurement being performed? (factory, controlled laboratory, out-of-doors, etc.)
What power line voltage is used?
Relative humidity?
Any additional information. (If special modifications have been made by the user, please describe.)
Be sure to include your name and phone number on this service form
Service Form
Serial No.
Analog output follows display
Obvious problem on power-up
All ranges or functions are bad
Unable to zero
Will not read applied input
Certificate of calibration required
Other?
.
Particular range or function bad; specify
Batteries and fuses are OK
Checked all cables
Ambient temperature?
Date
°F
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