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10818 - September 27, 2023 -

Date

September 27, 2023

Repair Order

10818

Facility

Facility Name

El Camino Hospital

Contact Name

Siddique Raja

Billing Name

El Camino Hospital

Email Address

Siddique_Raja@elcaminohealth.org

Phone Number

Shipping Address

2500 Grant Road

Mountain View, California 94040

United States

Billing Address

Equipment

PO #

Manufacturer

Philips Healthcare

Model #

M2736AA

Serial #

DE43434600

Asset Tag #

N/A

Reported Failure

Unknown

Anything Else

I'm sending in a total of 16 cables. Item 10 has all of the cable information in the Reported Failure section.