HP 141A - Page 52

FROM: Date
NAME
COMPANY
ADDRESS
For additional information, contact:
TITLE
COMPANY
ADDRESS
1. @ INSTRUMENT a) MODEL
-
b) SERLALNO.
2. CRT a) TYPE (on bulb)
b) SERIAL NO. (on CRT base)
3. Is defective tube original. YES NO
4. Date purchased (if available)
5. Describe nature and/or symptoms of trouble.
6. Describe operating conditions prior to and at time of failure.
(Please estimate CRT "on- time" since purchase. )
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