HEWLETT-PACKARD 691A Instruction Manual

MICROWAVE TUBE WARRANTY CLAIM
INFORMATION FORM
IMPORTANT: Please answer all questions fully -- insufficient information may delay processing -
of your claim.
FROM: (Tube Owner) Date
Company FOR FURTHER INFORMATION CONTACT:
Address Name
Title
Company
Address
Tube type
Tube serial No.
Tube purchased from
Tube mfr.
Use in ($8 Model
On P. 0. number
Instrument serial no.
Tube is Original ( ) or Replacement ( )
Date tube received Hours use per day (average)
Date first tested Number of days in service
Date placed in service Total hours filament operation
Date of failure
SYMPTOMS: (Please describe conditions prior to and at time of failure, along with description of
tube?s defect, if known)
Were there other circuit component failures at time of failure? Which ones?
Signature
Title
10/15/62
01153-3
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