SMAR TP301 - APPENDIX B - SRF - SERVICE REQUEST FORM

Appendix B
B.1
SRF – Service Request Form
TP Position Transmitter
GENERAL DATA
Model:
TP290 ( )
Firmware Version: ______________________
TP301 ( )
Firmware Version: _______________________
TP302 ( )
Firmware Version: ______________________
TP303 ( )
Firmware Version: _______________________
Serial
Number:
_____________________________________
Sensor Number:
__________________________________________
TAG:
_________________________________________________________________________________________________
Remote
Position
Sensor?
Yes ( )
No ( )
Action:
Rotary ( )
Linear ( )
Travel:
30 mm ( )
50 mm ( )
100 mm ( )
Other: ___________ mm
Configuration:
Magnetic Tool ( )
Palm ( )
Psion ( )
PC ( )
Software: _________
Version: __________
INSTALLATION DATA
Type:
Valve + Atuador ( )
Other: ____________________________________________________________
Size:
_______________________________________________________________________________________________
Travel:
_______________________________________________________________________________________________
Manufacturer:
_______________________________________________________________________________________________
Model:
_______________________________________________________________________________________________
PROCESS DATA
Hazardous Área
Classification
Non-Classified ( )
Chemical ( )
Explosive ( )
Other: ________________________________
Interference
Types
Vibration ( )
Temperature ( )
Electromagnetic ( )
Others: _______________________________
SITUATION DESCRIPTION
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
SERVICE SUGGESTION
Adjustment ( )
Cleaning ( )
Preventive Maintenance ( )
Update / Up-grade ( )
Other: _________________________________________________________________________________________________________
USER INFORMATION
Company: _____________________________________________________________________________________________________
Contact: ______________________________________________________________________________________________________
Title: _________________________________________________________________________________________________________
Section: ______________________________________________________________________________________________________
Phone: _________ _________________________ _________ _________________________
Extension: ____________________
E-mail: ________________________________________________________________________
Date: _______/ _______/ _________
For warranty or non-warranty repair, please contact your representative.
Further information about address and contacts can be found on www.smar.com/contactus.asp.