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San,1,1247k Service Call Description <br />Service Technician: ,f i,-^� �� ' ;L Purchase Order <br />N 32;5 <br />Hospital Name and Location <br />Service Dates & Times <br />Special Instructions <br />l / •� r i I <br />` <br />iia\ i I �/. <br />r / J ;� �^ ...:� <br />-- -' <br />In: <br />Out: <br />Problem Description: 7`L -- <br />Problem Reason: <br />Problem Solution: <br />Parts Used: <br />Quantity Part Number Desc i tion Unit Price Extended i <br />I <br />I <br />Test Cycle <br />Preheat Temp: <br />Vacuum: `7 <br />Time to Temp: <br />Chamber Press: <br />Temperature: <br />Vent Time: <br />Discharge: <br />Jacket Press: f. <br />Service Charges <br />Airfare: <br />Rental Car: <br />Mileage: <br />Travel Time: U <br />Labor: <br />O.T. Labor: <br />Overni ht Stay: <br />Shipping: <br />Misc.: <br />Comments: I <br />J5 Act" <br />Uj <br />Signee accepts that unit is in proper working order: <br />x '� l <br />Please print facility contact's name & title: <br />San -1 -Pak, Inc. - 23535 S. Bird Road - P.O. Box 1183 - Tracy, CA 95378-1183 - Phone (209) 836-2310 - FAX (209) 836-2336 <br />