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Service Form

Model No. ___________________________ Serial No. _____________ Date__________

Name and Telephone No. ________________________________________________________

Company ______________________________________________________________________

List all control settings, describe problem and check boxes that apply to problem. _________________________

__________________________________________________________________________________________

❑ Intermittent ❑ Analog output follows display ❑ Particular range or function bad; specify

_______________________________

❑ IEEE failure ❑ Obvious problem on power-up ❑ Batteries and fuses are OK

❑ Front panel operational ❑ All ranges or functions are bad ❑ Checked all cables

Display or output (check one)

❑ Drifts ❑ Unable to zero ❑ Unstable

❑ Overload ❑ Will not read applied input

❑ Calibration only ❑ Certiﬁcate of calibration required ❑ Data required

(attach any additional sheets as necessary)

Show a block diagram of your measurement including all instruments connected (whether power is turned on or

not). Also, describe signal source.

Where is the measurement being performed? (factory, controlled laboratory, out-of-doors, etc.)_______________

__________________________________________________________________________________________

What power line voltage is used?___________________ Ambient temperature?________________________°F

Relative humidity? ___________________________________________Other? __________________________

Any additional information. (If special modiﬁcations have been made by the user, please describe.)

__________________________________________________________________________________________

Be sure to include your name and phone number on this service form.

Keithley 6514 User Manual

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