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| TBE / Hastings Instruments |
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| 804 Newcombe Avenue |
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| Hampton, VA 23669 U.S.A. |
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| Describe problem: |
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Show a block diagram of your system including unit inlet and outlet pressures:
Calibration range |
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| Gas |
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| Cable length |
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Power line voltage |
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| Variation |
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Ambient temperature |
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| Gas Temperature |
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Other
(If special modifications have been made by user, please describe):
Application of product being returned
Has this product been used with a hazardous material? | YES | NO |
If YES, please list types of gas, chemicals (common names, specific chemical), biological materials, or other potentially harmful materials exposed to the product during its use (attach additional page if necessary)
PRODUCTS EXPOSED TO RADIOACTIVE MATERIAL CANNOT BE ACCEPTED BY HASTINGS INSTRUMENTS UNDER ANY CIRCUMSTANCES.
Signature of Hazards Control Officer:
For questions regarding use of the product and materials in contact with it:
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