Weinmann ACCUVAC Basic - 13 Repair and Test Report

Repair and Test Report 29
13. Repair and Test Report
Keep a record of all tests or repairs performed (please copy attached form for use).
Device master data Maintenance and repair work carried out in accordance with service document
Manufacturers:
WEINMANN GmbH + Co. 22525 Hamburg
maintenance / repair / comments
Service performed in accordance with ACCUVAC- Service and Repair Instructions
Company
___________ ________________
Date Signature
Device mode: ACCUVAC
WM 10600 ACCUVAC Rescue WM 10700 ACCUVAC Basic
Device no.: _______________________
Company
___________ ________________
Date Signature
Production date: ___________________
Company
___________ ________________
Date Signature
Company
___________ ________________
Date Signature