Epson XDT ユーザーズマニュアル

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Appendix M: Return Authorization Number Request Form
 
Xentaur Return Authorization Number Request Form 
 
• 
Xentaur must approve and assign a Return Authorization Number (RAN) to any instrument being 
returned. 
• 
The RAN must appear on all paperwork and packaging. 
• 
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 hazardous contaminants 
Xentaur must return unopened at the senders expense all items that do not have a RAN. 
 
To obtain a RAN fill out this form and fax to (631) 345-5349. 
this document may be obtained in electronic format at www.xentaur.com and e-mailed back 
 
 
Company Name:   Address:   
Contact Name:   
   
Phone:   
   
Fax:   
   
 
 
 
Part or Model Number:   Serial 
Number:   
Original Purchase Date:   PO 
Number:   
 
 Reason for Return: 
 
 
Failure and hookup description if applicable:  
 
 
 
 
 
Process material(s) and/or environments (including radiation) to which the equipment has 
been exposed. An RAN will not be issued without this information. 
 
 
 
 
 
Certified by:  Name:   Title:   
Signature:   Date:   
 
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. 
________________________________________________________________________ 
Xentaur Corporation 84F Horseblock Road, Yaphank, NY, 11980 USA • tel: 631-345-3434 • fax: 631-345-5349 
 
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