Jesco MEMDOS E - Warranty Claim

Warranty claim
Please copy and enclose with the unit.
If the equipment fails during the warranty period, please clean it and return, accompanied by the completed warranty claim
form.
Sender
Company:
......................................................................... Phone: ........................................ Date: ..................................
Address: .........................................................................................................................................................................
Contact person: ..............................................................................................................................................................
Manufacturer order no.: ..................................................... Date of delivery: .....................................................................
Device type: ...................................................................... Serial number:........................................................................
Nominal delivery capacity / nominal pressure: ...................................................................................................................
Description of fault: .........................................................................................................................................................
......................................................................................................................................................................................
Type of fault:
1. Mechanical fault 2. Electrical fault
Premature wear Connections, connectors or cables loose
Wear parts Operating controls (e.g. switches / push-buttons)
Breakage / other damage Electronics
Corrosion
Damage in transit
3. Leaks 4. No or inadequate function
Connections Diaphragm defective
Dosing head Other
Operating conditions of the equipment
Location / description of installation: ................................................................................................................................
Accessories used if any: ..................................................................................................................................................
......................................................................................................................................................................................
......................................................................................................................................................................................
Start-up (date): ...............................................................................................................................................................
Running time (approx. operating hours): ...........................................................................................................................
Please indicate the specific features of the installation and enclose a simple sketch showing materials, diameters, lengths
and heights.
46 | Operation & Maintenance Instructions | Warranty claim