Specifications

purchased to repair your fountain for a cost of $60, and you may also elect to pay for

expedited return shipping.

SEPHRA MAINTENANCE SERVICE

MAINTENANCE SERVICE CHECKLIST

_______

Expedited

Serial Number ________________ Customer Name ________________

The following items have been checked and/or replaced for RMA # _________________

Date Received_________ Date Returned to Customer_________ Initials ____________

Checked

Replaced Notes

1.) Electrical connections and components ----------- ----------- ------------------

2.) Thermal Coupler Secure ----------- ----------- ------------------

3.) Motor Oil, Gear Lube ----------- ----------- ------------------

4.) Heating Element ----------- ----------- ------------------

5.) Thermostat ----------- ----------- ------------------

6.) Fuse Housing ----------- ----------- ------------------

7.) Capacitor ----------- ----------- ------------------

8.) Motor Brushes Replaced ---------- ----------- ------------------

9.) Seals Replaced (2) ----------- ------------------

10.) Bearings Replaced (2) ----------- ------------------

11.) Belt Replaced (N/A in all fountains) ----------- ------------------

12.) Shaft Replaced ----------- ------------------

Additional Notes: -------------------------------------------------------------------------------------

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Additional repairs needed:

1.) ____________________ 4.) ____________________

2.) ____________________ 5.) ____________________

3.) ____________________ 6.) ____________________

Additional Repairs Approved by:

Customer Name: ________________ Date: _____________