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Table 2-3 Performance Test Record Form
Test Facility:
__________________________________________ Report No.__________________________________________
__________________________________________ Date______________________________________________
__________________________________________ Customer___________________________________________
__________________________________________ Tested By___________________________________________
Model_____________________________________ Ambient Temperature
_________________________________________________
Serial No.__________________________________ Relative Humidty
________________________________________________
Options__________________________________ Nominal Line Frequency
(Hz) ____________________________________________
Firmware Revision ___________________________
Special Notes:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Test Equipment Used
Description Model No. Trace No. Cal. Due Date
1. Digital Voltmeter ________ ___________ ___________
2. Frequency Meter ________ ___________ ___________
3. Audio Meter ________ ___________ ___________
4. Ratio Transformer ________ ___________ ___________
5. ________ ___________ ___________