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
Will not read applied input
Overload
Calibration only
Calibration certificiate required
Data required
(attach any additional sheets as necessary)
Show a block diagram of your measurement system including all instruments connected
(whether power is turned on or not). Also, describe signal source.
Where is the measurement being performed (factory, controlled laboratory, outdoors)?
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 phone number on this service form
.
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