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REMINDER: Please issue PO and WO form to HIOKI before sending the instrument.
Date: December 26, 2022 Model name: BATTERY TESTER
Distributor: VICTORY INSTRUMENT JSC Model no.: BT3554-50
Customer: COMPAL WISE Serial no.: 161222667
PO no.: (Please use another form for different model or job order)
Required documentation (CHARGEABLE, cancellation is not allowed once document has been issued)
Data sheet ✔ No Yes After calibration
Calibration certificate No Yes After adjustment
Traceability chart No ✔ Yes After calibration and adjustment
Included accessories: (Always include AC ADAPTER and BATTERY PACK of the unit upon shipment)
Carrying case Memory card Type:
Instruction manual Input module Type:
Test leads Type:
AC adapter Type:
Power cord Others
Page 1 of 2 AS-F05.00
5) What parameter was being measured during the failure?
Voltage ✔ Resistance Logic signals Rotation Pulse
Current Capacitance Temperature Frequency Others
Power Inductance Humidity Illumination
INSPECTION (To be filled out by HSIN Repair/Calibration Engineer upon arrival of the product)
Date received:
Inspection date:
Page 2 of 2 AS-F05.00