Simplex 2120 - Page 22

2100/2120 Multiplex Life Alarm System
-Call Report Form M-1274 (Figure 17)
Each system is shipped with several copies of the call report form. While these report forms are not needed during
installation, they will be used for system checkout and all subsequent service calls. Therefore, do not discard these
sheets.
Simplex
2100 I2120 MULTIPLEX LIFE ALARM SYSTEM
CALL REPORT
Branch
Date 01 last report
TR Manager
Date
Customer name
TR signatue
Date placed in service
current status
Type of System
2100
7 2120
Type 01 Call
lnstallatlon C Inspection and Test 0 Program Change
Specify
Check which of the followlng caused the malfunction:
C.P.U./BMUX ;’ Pllnter C Remote Printer 0 Remote C.R.T.
0 CRT
BTIFABTITPR Serial Number(s)
Peripheral Dewces :: w,r,ng
0 Other, Explain
0 Malfunction
Explain what caused the malfunction. Be specific and use part numbers
Travel time Labor-
Total tome -
PARTS REPLACED
Description
PT NO
city.
PrlCe
Total
Description
PT. NO.
CJty. Price Tot.4
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TOP COPY: TO SERVICE SUPPORT
2ND COPY: REGIONAL SPECIALIST
3RD COPY: BRANCH COPY
4TH COPY: TO REMAIN WITH EQUIPMENT
2100/2120 Multiplex Life Alarm System Call Report Form
FIGURE 17
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