SMAR TP303 - Appendix A - Srf - Service Request Form

Appendix A
A.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: 15 mm ( ) 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.