TSA PRM-470B - Configuration Tracking Sheet

APPENDIX D. CONFIGURATION TRACKING SHEET page 35
Model PRM-470B
D. CONFIGURATION TRACKING SHEET
TSA MODEL NUMBER:______________ SERIAL NUMBER:___________________
SOFTWARE VERSION:_______________ DATE RECEIVED:___________________
OPTIONS AND ACCESSORIES:__________________________________________________
______________________________________________________________________________
SYSTEM MODIFICATIONS
MODIFICATION:______________________________________________________________
______________________________________________________________________________
INSTALLED BY:________________________________ DATE:______________
MODIFICATION:______________________________________________________________
______________________________________________________________________________
INSTALLED BY:________________________________ DATE:______________
MODIFICATION:______________________________________________________________
______________________________________________________________________________
INSTALLED BY:________________________________ DATE:______________
MODIFICATION:______________________________________________________________
______________________________________________________________________________
INSTALLED BY:________________________________ DATE:______________