MINI6600
Periodic Maintenance Inspection
Performed at:
(Hospital Name)
(Street Address)
(City) (State) (Zip)
Performed on: / / System S/N
(Date)
Performed by:
(Printed Name of Service Engineer) (Emp. # or Dealer Name)
Type of PMI Performed: Check One
❑ ❑
Semi-Annual Annual
Return this booklette with the Yellow copies intact and the Beam Alignment Films attached, to:
OEC Medical Systems, Inc.
384 Wright Brothers Dr.
Salt Lake City, UT. 84116
Attn: Technical Support Dept.
✉ ✉
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