Operation Verification Test Record - Two Channel
Test Facility ___________________________________________________________
Facility Address ________________________________________________________
Tested By _____________________________________________________________
Report Number_________________________________________________________
Customer Name________________________________________________________
Serial Number__________________________________________________________
Installed Options _______________________________________________________
Date ________________________________________________________________ _
Temperature___________________________________________________________
Humidity ____________________________________________________________ _
Power Line Frequency ___________________________________________________
Test Instruments Used
Instrument Model ID or Serial Number Calibration Due
AC Calibrator
Synthesizer 1
Synthesizer 2
Low-D Oscillator
Multimeter
Agilent 35670A Verifying Specifications
Operation Verification Test Record - Two Channel
1 of 10