Keithley 3910 Operator's Manual page 57

SERVICE FORM
Model No. Serial No. Date
Name and Telephone No.
Company
List all control settings, describe problem and check boxes that apply to problem.
ClIntennittent aAnalog output follows display OParticular range or function bad; specify
OIEEE failure OObvious problem on power-up n ~ a t t e r i e s and fuses are
OK
OFront pane1 operational UAll ranges or functions are bad OChecked all cables
Display or output (cirde one)
DDrifts OUnable to zero
nunstable DWill not read applied input
OOverload
OCalibration only OCertificate of Calibration required
OData 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? Ambient Temperature? O F
Relative
humidity? Other?
Any additional information. (If special modifications have been made by the user, please describe.)
Be sure t o include
your
name and
phone number
on this selvice form.