SERVICE
FORM
Model
No.
Name
Company
Address
City
Serial No.
state
P.O. No.
Data
Phone
ZiP
List all control settings and describe problem.
(Attach 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?
Variation?
Frequency?
Ambient Temperature?
Variation?
OF. Rel. Humidity?
Other?
OF.
Any additional
information.
(If special modifications
have been made by the user, please describe below.)
*Be sure to include your name and phone number on this service form.