SonoSite C1.9 PLUS, Service Manual, Page: 94 / 98

86 C1.9 PLUS Ultrasound System Service Manual
Service Event Report
Service Provider
Name: Date:
Company:
Address:
Phone Number:
Fax Number:
E-mail address:
Device Description
Name: Serial Number:
Part Number: Lot Number: Revision:
Software Version: Other Identifiers:
Event Description
Diagnosis
Service Performed
Performed By: Date:
Actions:
Parts Removed
Part Name Part Number Serial Number Lot Number Rev Replaced By
Parts Installed
Part Name Part Number Serial Number Lot Number Rev Replaced By
Tests Performed (attach test data)
Test: Test:
Performed By: Performed By:
Result: Pass Fail Result: Pass Fail
Attach additional sheets as required
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