BECKMAN FIELD SERVICE REPORT

COULTER.
Bockman CoultorIndla Pvt.Ltd. No. 30865 Dato: 1307
CUSTOMER NAME: AUMS Bhmbe1new MODEL Naw10S 2L6C
SERIAL NO: AWO!06.
WARRANTY ACTIVE OWNED OTL INSTANCE NO:
SERVICE REQUEST NO. (S.R NO.
TASK NO: o OI2. 170
DATE TIME TYPE OF CALL
DEPARTMENT:
cONTACT PERSON:
Pan ochenisp
G SAMAA4K COMPLAINT RECD INSTALLATION
ADDRESS: RESPONSE 1307 16;00DE-INSTALLATION
rdcmnnc Bu
| OMPLETION 13o2|n P M VISIT
HRS MINS BREAKDOWN
CITY/POSTAL CODE:_phnl annto w LABOUR HRS MODIFICATION
STATE COUNTRY: Odich TRAVEL HRS |APPLICATION
MOB.TEL. No. 3&28 4030 TOTAL HRS
E-MAIL:
PROBLEM REPORTED/ SYMPTOM: Mod TYP
de v 8 12
OBSERVATIONS/ CAUSE Cnttmt do hoNÝe hus SDdon
ppu(anm
ACTION TAKEN/RESOLUTION: -NA-

VERIFICATION OF REPAIR

OPTION
VERIFICATION STATEMENT: () THE COREECT Results meet published
the specified requirements as per established procedures.
Service activity performed is verifled to meet
performance speciflcations.
Verification in Service Report Debrief Notes.
Verified as per established procedures. Documented
LU
cOULTER OR CUSTOMER STOCK
HAVE BEEN REPLACED FROM BECKMAN
FOLLOVWING PARTS NS
DESCRIPTION UNIT PRICE QTY TOTAL
Sr. No. PARTNo.

(Taxes Extra) TOTAL Rs.

ADDITIONAL COMMENTS:

CF RAISED Y /N IF YES CF TYPE -

W e Bpprove the above charges.
certity that the above work has boon carrlod out to my satlsfaction.

ENGINEERS NAME 4 SIGNATURE CHECKED BY dhstMERSIGNADRESAHARLA

A OCIATEPROFESsOR