BECKMAN FIELD SERVICE REPORT

COULTER.
Beckman CoulterIndia Pvt.Ltd. No.: 30879 pate: 241
CUSTOMER NAME: Tata Mad cal aweMODEL: DaPle
SERIAL NO:
WARRANTY: ACTIVE OWNED OTL
INSTANCE NO: 763 2g
AN1302
SERVICE REQUEST NO. (S.R NO.)_
TASK NO N -O3525T24
|DEPARTMENT: Hw me DATE TIME TYPE OF CALL
CONTACT PERSON: Mr.Samb'hh COMPLAINT RECD 2Ab8 INSTALLATION
ADDRESS: RESPONSE 28108 2'0D DE-INSTALLATION
Wes-tn COMPLETION 2g10&6:3D |PM VIsIT
HRS MINS BREAKDOWN
CITYI POSTAL CODE: Netmm- 700 1J6 LABOUR HRS 4 1D MODIFICATION
STATE/ COUNTRY: rB / La TRAVEL HRS |APPLICATION
MOB.TEL. No.: 7980 SOREIK TOTAL HRS
E-MAIL
PROBLEM REPORTED/SYMPTOM

|OBSERVATION`/CAUSE: T oU Cpa_s win i3 Dra o us Kauja

ACTION TAKEN/RESOLUTION: m a

benti de
VERIFICATION OF REPAIR beselo
VERIFICATION STATEMENT: (THE COREECT OPTION
perestablished procedures. Results meet published
Service activity performed is verified to meet the specified requirements
as

performance specifications.
Verified as per established procedures. Documented Venfication in Servicee Report
Debrief Notes.

FOLLOWING PARTS HAVE BEEN REPLACED FROM-BECKMAN COULTER YOR

CUSTOMER STOCK

Sr. No. PART No. DESCRIPTION UNIT PRICE QTY TOTAL NS

1
LMEO1

(Taxes Extra) TOTAL Rs.

| ADDITIONAL COMMENTS:

CF RAISED Y/N IF YES CFTYPE-

We approve the above charges.

I certify that the above work has been caried out to my satisfaction.

Byakmmara Aaanalaot
M
ENGINEERsAAMEA$IGNATURE CHECKED BY CUSTOMER SIGNATURE

Head Office: Unilt Nos.TH8-07(A) to 15 Third Floor, Wing B, Art Gulid House, Phoenia Market city, LBs Road, Kurta (West), Mumbak 400 070
Telephone: 6838 5000, Fax: 6838 5060/61