HP 3580A - Page 5

CATHODE-RAY TUBE FAILURE REPORT
(This form must accompany all warranty claims and MFR/HEART credit claims.)
Date
Submitted By (Name)
Name of Company
Address
1. HP Instrument Model No.
2. HP instrument Serial No.
3. Defective CRT Serial No.
------------Part No.
4. Replacement (New) CRT Serial No.
5. Please describe the failure and, if possible, show the trouble on the appropriate CRT face
below.
6. Type of Claim: Warranty
MFR.
HEART
7. HP Sales/Service Office
MFR/HEART or Customer Service Order No.
8/74
5950-7124