COSA Xentaur Xentaur LPDT - Manual (Page 52)

Appendices
page 45
Appendix J: Return Authorization Request
Xentaur must approve and assign a return authorization number (RAN) to any
instrument being returned. The RAN must appear on all paperwork and packag-
ing. The issuance of a RAN does not automatically imply that the instrument is
covered by our warranty.
In order to serve you better and protect our employees from any potentially haz-
ardous contaminants Xentaur must return unopened at the senders expense all
items that do not have a RAN.
To obtain a RAN fill out a copy of this form and fax to (516) 345-5349.
Customer Information
Equipment Information
Reason for return, failure and hookup description if applicable:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Process material(s) and/or environments (including radiation) to which the
equipment has been exposed:
_____________________________________________________________
_____________________________________________________________
Company Name: Address:
Contact Name:
Phone:
Fax:
Part or model number: LPDT Serial number:
Original Purchase date: P.O. number:
OSHA Hazard Communication Standard 29CFR 1910.1200 mandated that we
take specific steps to protect our employees from exposure to potential hazards.
Therefore, a letter certifying that the equipment has been decontaminated must
accompany all equipment exposed to hazardous contamination.
Return Authorization Request