Polysoude PS 254

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MAN. PS 254 EN – Ind. 2 83

RETURN OF MATERIAL

Please fill out and join this sheet when returning materiel to

POLYSOUDE

Z.I du Bois Briand

2 rue Paul Beaupère

BP 41606

44606 Nantes Cedex 3

Reseller / Person in charge :

Customer / Person in charge / Tel. :

EQUIPMENT RETURNED :

! Power source Type : Serial number :

! Welding head Type : Serial number :

! Coolant Type : Serial number :

! Other (specify designation) :

taken from :

! Power source Type : Serial number :

! Welding head Type : Serial number :

! Coolant Type : Serial number :

! Other(to be specified) : Serial number :

REASON FOR RETURN :

! Return after loan / of demonstration material

! Return of hired equipment

! Deficient delivery / incorrect order

! Return for modification (to be specified) :

! Return for revision

! Return for calibration

! Return for repair

please specify the type of the error : ! systematically

! occasionally

Description of breakdown :

! Other (please specify) :

Polysoude PS 254 - Page 84