Defective Tube Report (Samsung) Dealer Information* or required Indicate Required FieldsYou must enter detailed information in the required fields.If you don't have a GSPN S/O number, support could be limited.Dealership Name*Submitter's Name*Submitter's Email Submitter's Phone*ReportHospital*Partner*System*GC85AGC80GC80V 80GC80V 65GU60GU60AGU60A-65GF50GR40GM60ACountry/City*GSPN Service Order*System Serial No.*Exposure CountSystem Installed Date* MM slash DD slash YYYY System S/W*Old TubeE7869XE7252XE7843XE7884XE7886XOld Tube Housing S/NOld Tube Insert S/NNew TubeE7869XE7252XE7843XE7884XE7886XNew Tube Housing S/NNew Tube Insert S/NDefect Type Defective small filament (Open or Tube Calibration Fail) Defective Large Filament (Open or Tube Calibration Fail) Damage (Housing, HVG Connector, and so on) Cooling Oil Leakage Arching Other Reason Defect DescriptionAdd all defect descriptions with error code(s)Required Information *Mandatory Examination Pattern Interview Tube Replacement Date Tube Resistance Check Required Data *Mandatory (Please attach these files with TDR) Event Log APR Data Base Generator Error Log and Backup (It depends on generator type between DRGEM and CPIS) Reject and Usage Analysis Report Event LogMax. file size: 50 MB.APR Data BaseMax. file size: 50 MB.Generator Error Log and BackupMax. file size: 50 MB.Reject and Usage Analysis ReportMax. file size: 50 MB.1. Examination Pattern InterviewHow many examinations in a day?*How many stitching examinations in a day?*Operational time in a day?*How many days in a week?*Other Comments:*2. Tube Replacement DateOld Tube Replaced Date:* MM slash DD slash YYYY New Tube Replaced Date:* MM slash DD slash YYYY 3. Tube Resistance CheckSmall-Common Resistance*Large-Common Resistance*Engineer's Signature*Signature Date* MM slash DD slash YYYY Form NotificationEnter the email address for the person who should receive this formEmail Confirmation* Enter Email Confirm Email Email Confirmation 2 Enter Email Confirm Email Email Confirmation 3 Enter Email Confirm Email Δ