Defective_Equipment_Report

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Appendix D 97 Appendix D: Defective Equipment Report (Print and Complete) THE UNIVERSITY OF TEXAS ELECTRICAL ENGINEERING LABORATORY DEFECTIVE EQUIPMENT REPORT (Bring equipment and report to ENS 220 for repair) Date______________________________________Time___________________ Room No.__________________________________ Pos. No._________________ MODEL or TYPE NO.________________________________________________ MANUFACTURER__________________________________________________ U.T. OR SERIAL NO. (or both)________________________________________ DEFECT__________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ SYMPTOMS (if defect not apparent)____________________________________
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Unformatted text preview: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ INSTRUCTOR'S SIGNATURE (NOT to be filled in by student) ____________________________________________________________ STUDENT NAME (PRINT )___________________________________________ COURSE NO. ______________________________________________________ REPAIR OR ADJUSTMENTS MADE______________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ TECHNICIAN_________________________________________________...
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