(8.5x11) 6000 Manual Cover - Newport Corporation
(8.5x11) 6000 Manual Cover - Newport Corporation
(8.5x11) 6000 Manual Cover - Newport Corporation
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Service Form<br />
<strong>Newport</strong> <strong>Corporation</strong><br />
U.S.A. Office: 949/863-3144<br />
FAX: 949/253-1800<br />
Name _____________________________________________________________________________________<br />
Company _______________________________________________________________________________<br />
RETURN AUTHORIZATION # _____________________________<br />
(Please obtain prior to return of item)<br />
Address _________________________________________________________________________________<br />
Country _________________________________________________________________________________<br />
P.O. Number ___________________________________________________________________________<br />
Date _________________________________________________________________<br />
Phone Number _________________________________________________<br />
Item(s) Being Returned:<br />
Model # ___________________________________________________________________<br />
Serial # ______________________________________________________________________________<br />
Description __________________________________________________________________________________________________________________________________________________________<br />
Reason for return of goods (please list any specific problems) ______________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
List all control settings and describe problem _______________________________________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
_______________________________________________________________________________________________________________(Attach additional sheets as necessary).<br />
Show a block diagram of your measurement system including all instruments connected (whether power is turned<br />
on or not). Describe signal source. If source is a laser, describe output mode, peak power, pulse width, repetition<br />
rate and energy density.<br />
Where is the Measurement Being Performed?<br />
(factory, controlled laboratory, out-of-doors, etc.) _________________________________________________________________________________________________<br />
What power line voltage is used? ________________________________________________<br />
Variation? ________________________________________________________<br />
Frequency? ___________________________________________________<br />
Ambient Temperature? ________________________________________________________________<br />
Variation? ________________________________________ °F. Rel. Humidity? ___________________________________<br />
Other? ________________________________________<br />
Any additional information. (If special modifications have been made by the user, please describe below).<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
____________________________________________________________________________________________________________________________________________________________________________<br />
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