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Verification 23

Table 2-6. Performance Test Record Form

Test Facility:

__________________________________________ Report No.__________________________________________

__________________________________________ Date______________________________________________

__________________________________________ Customer___________________________________________

__________________________________________ Tested By___________________________________________

Model_____________________________________ Ambient Temperature (°C)______________________________

Serial No.__________________________________ Relative Humidity (%)_________________________________

Options ___________________________________ Nominal Line Frequency (Hz)___________________________

Firmware Revision___________________________

Special Notes:

____________________________________________________________________________________________

Test Equipment Used:

Description Model No. Trace No. Cal. Due Date

1. AC Source _______________ _______________ _________________

2. DC Voltmeter _______________ _______________ _________________

3. RMS Voltmeter _______________ _______________ _________________

4. Oscilloscope _______________ _______________ _________________

5. Electronic Load _______________ _______________ _________________

6. Current Monitoring _______________ _______________ _________________

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