Date: _______________
          
          Make: _______________    Model: ___________  S/N: ___________________
          
          Operating level: __________ nWb/m  Tape: ____________________________
          
          Tracks:   1  2  3  4    Speed:   3.75  7.5  15  30     EQ:  NAB
          Other: ________
          
          PB   Rec/PB    response @ _______ dB below operating level.
          
                    1              2              3              4
                    P/N: ________  P/N: ________  P/N: ________  P/N: _______
          
                    S/N: ________  S/N: ________  S/N: ________  S/N: _______
          
           16       ______         ______         ______         ______
          
           20       ______         ______         ______         ______
          
           32       ______         ______         ______         ______
          
           63       ______         ______         ______         ______
          
          125       ______         ______         ______         ______
          
          250       ______         ______         ______         ______
          
          500       ______         ______         ______         ______
          
           1K       ______         ______         ______         ______
          
           2K       ______         ______         ______         ______
          
           4K       ______         ______         ______         ______
          
           8K       ______         ______         ______         ______
          
          10K       ______         ______         ______         ______
          
          12.5K     ______         ______         ______         ______
          
          16K       ______         ______         ______         ______
          
          20K       ______         ______         ______         ______
          
          
          
          -3 dB @   ______         ______         ______         ______    Hz
          
          -3 dB @   ______         ______         ______         ______    KHz