MINI6600
Periodic Maintenance Inspection
Performed at:
(Hospital Name)
(Street Address)
(City)
(State)
(Zip)
Performed on:
/
/
System S/N
(Date)
Performed by:
(Printed Name of Service Engineer)
(Emp. # or Dealer Name)
Type of PMI Performed:
Check One
❑
❑
Semi-Annual
Annual
Return this booklette with the Yellow copies intact and the Beam Alignment Films attached, to:
OEC Medical Systems, Inc.
384 Wright Brothers Dr.
Salt Lake City, UT. 84116
Attn: Technical Support Dept.
✉
✉
Print 3 Pages