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OrangeLink Battery Testing Report Form
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Email
*
Your email
What type of Pump are you using?
OmniPod
Medtronic 515
Medtronic 715
Medtronic 522
Medtronic 722
Medtronic 523
Medtronic 723
Medtronic 754
Other:
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Battery Manufacturer
*
Your answer
Battery Type
*
Alkaline
Lithium
Rechargeable NiCad
Rechargeable Lithium
Other:
Battery Start Date
*
MM
/
DD
/
YYYY
Battery Start Time
*
Time
:
AM
PM
Battery End Date
*
MM
/
DD
/
YYYY
Battery End Time
*
Time
:
AM
PM
Ending Battery Voltage
Your answer
Battery Purchase URL
Your answer
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