Instruction manual

Repair and/or Warranty Request Sheet
Company: Contact:
Address:
Tel No: Fax No:
Reference / Order numbers Installation data
Customer reference Delivery date
Purchase order No
Date of installation
MMI No
Date of failure
Type of order
…
Repair … Calibration
…
Exchange
…
Return (after exchange)
…
No warranty
…
Replacement … Investigation/Quote
…
Report needed
…
Warranty
…
Other:
…
Extended warranty
Sensor information Transmitter information
Model Model
Serial No Serial No
Tag No Tag No
Flange type Power supply
Sensor condition Process conditions
Tubes empty
…
yes /
…
no Medium
Case empty
…
yes /
…
no Chemical formula
Decontamination statement
…
yes /
…
no Maximum temperature
Type of cleaning material
used
Operating pressure
Warning! For the health and safety of our goods handling/inspection department, a Decontamination Statement MUST be
filled in with this form. Please be specific with the information provided.
Calibration data
Maximum process flow
Primary output Units = 4mA = 20mA =
Secondary output Units = 4mA = 20mA =
Frequency output 1 pulse = Freq. = Rate =
Description of failure
Remarks/Instructions
Return (shipping) instructions
Ship to address:
Shipped by: Ship date:
Remarks
Please do not fill in the shaded areas
09rtrn2.fm Page 58 Tuesday, March 2, 1999 9:47 AM