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‐[email protected]
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.)