GLMedia — C10DA. Blank worksheet; no completed test results. Event / date / person responsible / off-air rehearsal: Distributor: AJA C10DA Mini-Converter / serial / label / power supply: Manual: v1.0r1, published September 27, 2016 / applicable edition / page / link: Do not apply OG-C10DA controls without its own documentation. Generator: manufacturer / model / version / output / exact reference signal: Reference path: generator → C10DA INPUT → OUT → cable → receiver: Separate picture path / separate LTC path: Receiver: exact model / firmware / connector / accepted reference formats and levels / manual: Input loads and termination / loops or T connections / measurement point: Initial DIP 4/3/2/1 positions / orientation and photo / rollback configuration: DIP 4 left 75 ohms or right open / reason for this path: DIP 3/2/1 / common gain / measured level justifying a change: Compatible source / power disconnected / BNC cables connected / power applied: Test ID / proposed or completed / one variable / before and after / evidence: Direct: receiver / cable / signal / lock / observed time: Distributed: OUT / cable / signal / lock / observed time: Measurement: instrument / settings / load / point / waveform / level / rate / evidence: Branches 1–6: receiver / OUT / cable / configuration / result / open items: Lock / picture / switching / latency: independent results: Manufacturer: model / manual / page / instruction: Restoration / all branches checked / open items: