Oval ALTI mass CA00A - REPAIR REQUEST SHEET

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REPAIR REQUEST SHEET
◆
Unless the statements below are fully documented, returned equipment will not be processed.
◆IMPORTANT
If sensor tubes leak, make sure that no process fluids remain in the housing. To provide a safe working
environment for our employees and engineers, this form must be filled in completely and accurately.
Unless accurate and precise information about the process fluids is given, returned equipment will NOT
be processed. Include your instructions and conditions accurately and in detail.
NOTE: To avoid misunderstanding, completely fill in this form.
Company name
Address
Contact
Return (shipping)
Reason for return
(type of order)
□ Repair □ Calibration □ Replacement □ Return
□ Others
Delivery date
Date of
installation
Date of failure
Descriptions of
nonconformance (failure)
Model
Serial No.
Fluid name
Fluid density
Fluid temperature
Line pressure
Specification modification □ Yes □ No
Full scale flowrate
Pulse output ① □ Mass □ Volume (fixed) □ Volume □ Pulse unit: □ O.C. □ Voltage
Pulse output ② □ Mass □ Volume (fixed) □ Volume □ Pulse unit:
Analog output ① □ Mass □ Volume (fixed) □ Temperature □ Density to
Analog output ② □ Mass □ Volume (fixed) □ Temperature □ Density to
Sensor conditions
□ Tubes empty (no obstacles)
□ Sensor empty (no obstacles)
□ Tubes clogged / contaminated
Type of cleaning material used for sensor unit