PBI 86666, Инструкция по эксплуатации, Страница: 10 / 12

International pbi S.p.A Instruction Manual 29/08/05 Rev. 1
10
To the attention of: Technical department International pbi S.p.A.
Via Novara, 89 - 20153 - Milano - Tel + 39 02/48.779.1-Fax +39 02/400.900.10
AUTHORISATION RETURN NUMBER TO BE ASKED TO THE EXPORT DPT
Company:
Address:
City: Zip Code State
Phone Fax Email
Name to contact:
Lab/Division:
†
return
†
request of technical service
Equipment:
Model Serial Number:
for
†
calibration
†
repair
†
other (specify)
NOTE OF MALFUNCTIONING
†
ELECTRICAL PART
†
ELECTRONICAL PART
†
MECHANICAL PART
†
HYDRAULICS PART
NOTES:
ATTENTION: THE INSTRUMENT MUST BE SENT TO
INT.PBI C/O STATIM VIA SAN GIUSTO 85 20153 MILANO ITALY
SIGNATURE NAME DATE
Mod. PQ 09.9