Calibration request

Company

Company*

Additional address info

Street*

Postal code*

City*

Country*

TAX Number (EU)*

E-Mail*

Invoice Address

Companyname*

Additional address info

Street*

Postal code*

City*

Country*

TAX Number (EU)*

E-Mail*

Certificate holder

Name of the company*

Additional address info

Street*

Postal code*

City*

Country*

E-Mail*

Terms of Transport

Name of the company*

Additional address info

Street*

Postal code*

City*

Country*

E-Mail*

Delivery:
Please use a courier to deliver your appliances.

Return shipment:
For the return transport of your devices, please use a courier/forwarding agent of your choice, as PTB does not organise or commission any transport.

Contact Person

Last Name*

First Name*

Phone

E-Mail*

Order Number

System 1

General specifications

Type of test*

Device type*

Name*

Serial number*

Additional device

Serial number

Details of Detector

Reference point (mm)*

Potential*

Voltage (V)*

Build up cup*

Selection Radiation quality therapy

Selection X-ray radiation quality

You can search for the desired radiation qualities here

Selected radiation qualities according to PTB radiation qualities

Number of possible radiation qualities: 258

Number of selected radiation qualities: 0

Non-binding cost estimate

Would you like to calibrate another system?

Yes

No

System 2

General specifications

Type of test*

Device type*

Name*

Serial number*

Additional device

Serial number

Details of Detector

Reference point (mm)*

Potential*

Voltage (V)*

Build up cup*

Selection Radiation quality therapy

Selection X-ray radiation quality

You can search for the desired radiation qualities here

Selected radiation qualities according to PTB radiation qualities

Number of possible radiation qualities: 0Number of selected radiation qualities: 0

Non-binding cost estimate

Would you like to calibrate another system?

Yes

No

System 3

General specifications

Type of test*

Device type*

Name*

Serial number*

Additional device

Serial number

Details of Detector

Reference point (mm)*

Potential*

Voltage (V)*

Build up cup*

Selection Radiation quality therapy

Selection X-ray radiation quality

You can search for the desired radiation qualities here

Selected radiation qualities according to PTB radiation qualities

Number of possible radiation qualities: 0Number of selected radiation qualities: 0

Non-binding cost estimate

Would you like to calibrate another system?

Yes

No

System 4

General specifications

Type of test*

Device type*

Name*

Serial number*

Additional device

Serial number

Details of Detector

Reference point (mm)*

Potential*

Voltage (V)*

Build up cup*

Selection Radiation quality therapy

Selection X-ray radiation quality

You can search for the desired radiation qualities here

Selected radiation qualities according to PTB radiation qualities

Number of possible radiation qualities: 0Number of selected radiation qualities: 0

Non-binding cost estimate

Would you like to calibrate another system?

Yes

No

System 5

General specifications

Type of test*

Device type*

Name*

Serial number*

Additional device

Serial number

Details of Detector

Reference point (mm)*

Potential*

Voltage (V)*

Build up cup*

Selection Radiation quality therapy

Selection X-ray radiation quality

You can search for the desired radiation qualities here

Selected radiation qualities according to PTB radiation qualities

Number of possible radiation qualities: 0Number of selected radiation qualities: 0

Non-binding cost estimate

Captcha, Data protection

Remarks

Statement on Data Protection

I consent to the processing of my personal data for specific purposes.*

yes

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