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Problem Report Form
UVTOCForms.fm
Problem Report Form
Your name:
Company:
Telephone:
Fax:
E-mail _____________________________________
In the space below:
1. Identify where the problem (or symptom) was discovered.
2. Describe what actually happened.
3. Describe what you expected to happen.
Locate the service plate on the left side of the
analyzer and fill in the information needed below.
Enter values shown on the Main Screen:
__________________________________________
__________________________________________
__________________________________________
Enter values shown on the Current Calibration
Screen:
__________________________________________
__________________________________________
__________________________________________
Enter values shown on the Last versus
Primary Screen:
__________________________________________
__________________________________________
__________________________________________
Enter values shown on the Status Screen when 50%
FSD solution is applied:
__________________________________________
__________________________________________
__________________________________________
For analog output problems, report the CH1/CH2
“zero” and “span” values and mappings. For relay
output problems report the energized/de-energized
setting and mappings.
Hach Company
PO Box 389
Loveland, CO 80539-0389
Attn: Technical Support
Call: 1-800-227-4224 (U.S.A. only)
e-mail: techhelp@hach.com
Fax: 1-970-669-2932
PART NUMBER 4195 –
PREF PACK 4P95
SERIAL NUMBER
115V/230V, 50/60 Hz, 300W
THIS UNIT SET FOR
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