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4
8
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REPAIR AND CALIBRATION
FORM
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; For
repair
or calibration,
please
fill
out
this
form
and return
it
with
your
instrument
to:
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Sales
Service
Department
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Keithley
Instruments,
1~.
R-
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28775
Aurora
Road
Do not
write
in
this
space.
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Cleveland,
Ohio
44139
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: User's
Name
Telephone
; company
Address
1 Division
City
; Date
Model
No.
Ext.
state
Zip
Serial
No.
j
1.
Reason
for
Return
2.
Calibration
Report
Desired
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0
Repair
and Recalibration
0
Report
of
Calibration
Certified
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Recalibration
only
(No report,
except
Traceable
to N.B.S.
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as specified
in
item
4 on reverse)*
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0
Calibration
Report
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*If
repairs
are
necessary
to meet
speci-
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fications,
they
will
be in
addition
to
~7
Certificate
of Compliance
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a
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the
calibration.
(for
details,
see reverse
side
of
this
form)
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z
3.
To help
repair
the
instrument,
briefly
describe
the
problem:
JJ 'L.
I
Is
the
problem
-
Constant
-
Intermittant
&
Under
what
conditions
does
the
problem
occur:
iif
=)
Control
setting
e) Line
voltage
2
f)
Other
(such
as line
transients,
a
line
variations,
etc.)
2
b)
Approx.
Temperature
OF
u
C)
Approx.
Temperature
variation
*
OF
d)
Approx.
Humidity
(high,
medium,
low)
5.
Please
draw
a block
diagram
of
the
system
using
the
Keithley.
List
any
other
perti-
nent
data
which
can help
in
the
repair.
Include
charts
or other
data
if
available.
Signal
Source
Source
Impedance
Readout
Device:
~Recorder
m
Oscilloscope
-Other
0
None
Lengths
& Types
of Connecting
Cables
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;
6.
What
repairs
or modifications
have
been
made on this
instrument
which
are
not
on file
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with
the
Keithley
Repair
Department?
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7.
Please
enclose
any other
pertinent
data
and charl;c
jvhich
you
feel
might
help
the
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Repair
and Calibration
Department
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,
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Signature
Title
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