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CUSTOMER REQUEST FOR CORRECTIVE / PREVENTIVE / IMPROVEMENT ACTION
TO: AGILENT VACUUM PRODUCTS DIVISION TORINO – QUALITY ASSURANCE FAX
N°: XXXX‐011‐9979350
ADDRESS: AGILENT TECHNOLOGIES ITALIA S.p.A. – Vacuum Products Division –
Via F.lli Varian, 54 – 10040 Leinì (TO) – Italy
E‐MAIL: vpd‐qualityassurance_pdl‐ext@agilent.com
NAME COMPANY FUNCTION
ADDRESS:
TEL. N° : FAX N° :
E‐MAIL:
PROBLEM / SUGGESTION :
REFERENCE INFORMATION (model n°, serial n°, ordering information, time to failure after installation, etc.):
DATE
CORRECTIVE ACTION PLAN / ACTUATION LOG N°
(by AGILENT VPD)
XXX = Code for dialing Italy from your country (es. 01139 from USA; 00139 from Japan, etc.)