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10904 - November 2, 2023 -

Date

November 2, 2023

Repair Order

10904

Facility

Facility Name

UC DAVIS MEDICAL CENTER

Contact Name

JIMMY LOPEZ

Billing Name

UC DAVIS MEDICAL CENTER

Email Address

biolopez@ucdavis.edu

Phone Number

Shipping Address

2315 STOCKTON BLVD, SUITE 0630

SACRAMENTO, CA 95817

United States

Billing Address

UC DAVIS MEDICAL CENTER

United States

Equipment

PO #

CE9816-133123

Manufacturer

PHILIPS

Model #

M3001A

Serial #

DE907V0060

Asset Tag #

140000368

Reported Failure

ERROR: ECG MALFUNCTION

Anything Else