Laserfiche WebLink
QISTRIBUTORS <br />Order <br />0 <br />B. W. S. DISTRIBUTORS, IRC. <br />P.O. BOX 6325 • SANTA ROSA, CALIFORNIA 95406.6325 <br />1847 PINER ROAD • SANTA ROSA, CALIFORNIA 95403-1990 <br />Customer Name _I j.aTwa.3-v <br />Date Received IL i N-13 Serial Number <br />Accessories received le i+: "L• 7 �<_ <br />Make/Model Number Am urtlk&„ <br />Visual / Functional check (by e"� ) <br />Are there any cracks or major damage on the Instrument case? nb <br />Is there any corrosion on the circuit boards? On <br />Are any ofthe sensors leaking? 03 <br />(note n/a if not applicable) <br />Note the EPROM number ,, I A <br />Dote the channel -settings: <br />Chi Ch2 Cha Ch4 .Ch5 <br />Gas nl)-_ L0( -- <br />Range i c MRYYi&CZ_ <br />Alarm 1 19_j 10 <br />Alarm 2 93•S SC> <br />Alarm 3 <br />Isthedisplayworkingproperly? NdA Yes ✓ No - <br />Is the buzzer working properly? N/A Yes No <br />Ls the-posrrrr,wad:inSproperty?" (>=hGscflrj N/A Flow -JV L.Atans <br />Is the data logger working properly? N/A ✓ Yes No <br />Estimate given date APprorve darta <br />A1-311 i <br />2 cam. -he 2c, ✓ ryx .?f <br />T <br />4 -- --- -- <br />Rtmi rkst.Make-snre-ai}-serews-are-mtalled ✓ — -- <br />2.Make sure the clips are installed on ribbon.cables ✓ <br />3.Make'sure all dirt and grime has been removed from instrument — <br />4,Attach calibration label and sold and serviced decal <br />Joh. done by �il Data fo 141 <br />Aecesserieswben-shipped- 1Ns,-T"*t.�&T SA �wse.k <br />(Instrument reading must be within +5% of gas concentradoh to pass) <br />CALIBRATION-CERTWICN ION <br />- When signed below, BWS Distributors Inc. hereby certifies that this product has been <br />tested, calibrated, petted and found to meet or exceed all published quality <br />specifications ani at s. <br />Certified by:Date: &-(9t-I 3 <br />Best With Safety Yki. <br />Full Line Safety Distrihutor Best With Service <br />TELEPHONE (707) 546.2484 IN CALIFORNIA (800) 862.4685 • FAX (707) 546-4804 <br />