ProMinent
®
Page 70
Company: .................................................................................. Tel. No.: ................................... Date: ........................................
Address: .........................................................................................................................................................................................
Authorised personnel: ....................................................................................................................................................................
Order number: ...................................................................Delivery date: ......................................................................................
gamma/ L type/identity code: ......................................... Serial number: ......................................................................................
Brief description of fault: .............................................................................................................................................................
........................................................................................................................................................................................................
........................................................................................................................................................................................................
Fault type
1 Mechanical fault 2 Electrical fault
q Unusual wear q Loose connectors, e.g. cables or plugs
q Worn part q Operating elements (e.g. switches)
q Break or other damage q Controller
q Corrosion
q Damaged in transit
3 Leakage 4 Poor/no chemical feed
q Connectors q Defective diaphragm
q Liquid end q Other
ProMinent
®
gamma/ L operating conditions:
Location/system description: .........................................................................................................................................................
Pump accessories used: ................................................................................................................................................................
........................................................................................................................................................................................................
........................................................................................................................................................................................................
........................................................................................................................................................................................................
Commissioned (Date): ....................................................................................................................................................................
Running time (approx. operating hours): ........................................................................................................................................
Please enclose customer specification form and sketch of system!
Guarantee Form
Please copy and send with the gamma/ L!
In the event of failure of the dosing gamma/ L within the guarantee period we request that you return the gamma/ L
(cleaned) with a fully completed guarantee application.
▼
Please complete all sections!
Dosing Pump Guarantee Form No.
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