Service
Form
Newport Corporation
USA. Office:
714/86%3144
FAX:
7141253-1800
Name RETURN AUTHORIZATION
#
Company
(Please obtain prior to return of item)
Address
Country Date
P.O.
Number Phone Number
Item(s) Being Returned:
Model
#
Serial
#
Description
Reason for return of goods (please list any specific problems)
List all control settings and describe problem
(Attach additional sheets as necessary).
Show a block diagram of your measurement system including all instruments connected (whether power is turned
on or not). Describe signal source.
If
source is a laser, describe output mode, peak power, pulse width, repetition
rate and energy density.
Where
is
the Measurement Being Performed?
(factory, controlled laboratory, out-of-doors, etc.)
What power line voltage is used? Variation?
Frequency? Ambient Temperature?
Variation? OF. Rel. Humidity? Other?
Any additional information.
(lf
special modifications have been made by the user, please describe below).
Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com
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