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._____________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Intermittent
Analog output follows display
Particular range or function bad; specify
____________________________________________
IEEE failure
Obvious problem on power-up
Batteries and fuses are OK
Front panel operational
All ranges or functions are bad
Checked all cables
Display or output (check one)
Drifts
Unable to zero
Unstable
Overload
Will not read applied input
Calibration only
Certificate of calibration required
Data required
(attach any additional sheets as necessary)
Show a block diagram of your measurement 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? __________________________ °F
Relative humidity? ______________________________________ Other? _________________________________________
Any additional information. (If special modifications have been made by the user, please describe.)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Be sure to include your name and telephone number on this service form.
Summary of Contents for KPXI
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