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HALIFAX, NOVA SCOTIA | CANADA B3H 4R2 | +1 (902) 494-2824

Dental Equipment Repair Request



Urgent
(Name of person reporting) (Cubicle Number) (Year of Student)


OPERATOR UNIT

ASSISTANT UNIT

Highspeed handpiece

Prophy angle

Handpiece hanger

Dry oral cup

Lowspeed handpiece

F.G. angle

Tri flow syringe

Saliva ejector

Titan S Scaler

Latch angle

Flow control

H.V.E.



DENTAL CHAIR
Base up-down Traverse Armrest
Back up-down Headrest Base swivel



FOREDOM LAB MOTOR OPERATOR LIGHT XRAY VIEWER
OPERATOR STOOL ASSISTANT STOOL other:

PART

Chuck Tip Switch or toggle On-off indicator
Bur tool Valve Handle or Lever Caster
Rear seal Knob or button Swivel Leg
Connector or tubing Foot control Light bulb other:

PROBLEM

No water coolant Water leaking Too loose Plugged
No air coolant Air leaking Too tight Not Working?
Missing Broken Stripped other: