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Newport Corporation
U.S.A. Office: 949/863-3144
FAX: 949/253-1800
Service Form
Name ____________________________________
Return Authorization # _______________
Company _________________________________ (Please obtain prior to return of item)
Address __________________________________
Country __________________________________ Date _________________________________
P.O. Number ______________________________ Phone Number _______________________
Item(s) Being Returned:
Model # __________________________________ Serial # ______________________________
Description: _____________________________________________________________________
Reason for return of goods (please list any specific problems) ________________________
________________________________________________________________________________
Please complete the following, as appropriate:
List all control settings and describe problem: ______________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________ (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). Describe signal source. If source is a laser,
describe output mode, peak power, pulse width, repetition rate and energy density.
Where is the measurement being performed?
(factory, controlled laboratory, out-of-doors, etc.) ___________________________________
What power line voltage is used? __________________ Variation? ____________________
Frequency? ______________________________________ Ambient temperature? _________
Variation? _________________________
°
F. Rel. Humidity? _____ Other? _______________
Any additional information should be included either on back or a separate sheet.
(If special modifications have been made by the user, please describe).
5.3
Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com
Содержание 840-C
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