Industrial Tubes Warranty/Tube Service Report

Tubes must be prepaid with a completed Industrial Tube Service Report describing the reason for return, operating conditions, installed and removal dates in order to receive Warranty consideration.

* Required Fields
Salutation
* Name:
* Phone:
* Email:
* Date:
Dealer OEM User
* Company Name:
Address:
City:
State/Province:
Postal Code:
* Country:
Telephone:
* Institution:
(Where Tube Installed)
Address:
City:
State/Province:
Postal Code:
Country:
Fax:
Defective Tube
* Type and Varian catalog number/designation:
* Serial Number: * Date Installed: Ex. MM/DD/YYYY
* Target Material: * Date Removed: Ex. MM/DD/YYYY
* Total On-Time/Filament Hours: High Voltage Hours:
Tube operating factors prior to removal:
  * kV:    * mA:    * Time:

* Describe in detail the circumstances and reasons for the removal and return:

 
Equipment X-ray Generator
Manufacturer: Model Number:
Type of equipment: Type of power supply & circuit:

Other descriptive data/comments:

List any unusual circumstances, prior history of the equipment, or operating conditions which might have a bearing on the cause for removal of this tube from service:

 

    

Email by clicking Submit or Print and Fax to 801.973.5050

 
 
   

 

varian / us / xray
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