Filter
Top Products
A
ppendix 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
Customer
Information
Equipment
Information
Use
Information