Operation Verification Test Record - Two Channel
Test Facility ___________________________________________________________
Facility Address ________________________________________________________
Tested By _____________________________________________________________
Report Number_________________________________________________________
Customer Name________________________________________________________
Serial Number__________________________________________________________
Installed Options _______________________________________________________
Date _________________________________________________________________
Temperature___________________________________________________________
Humidity _____________________________________________________________
Power Line Frequency ___________________________________________________
Test Instruments Used
Instrument Model ID or Serial Number Calibration Due
AC Calibrator
Synthesizer 1
Synthesizer 2
Low-D Oscillator
Multimeter
Agilent 35670A Verifying Specifications
Operation Verification Test Record - Two Channel
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