SMAR TT301 - Appendix B: Service Request Form

Appendix B
B.1
SRF–SERVICE REQUEST FORM
Proposal No.:
Company:
Unit:
Receipt of
Remittance:
Warranty
Yes ( )
Purchase Order:
No ( )
COMMERCIAL CONTACT
TECHNICAL CONTACT
Full name:
Full name:
Position:
Position:
Phone: Extension:
Phone: Extension:
Fax:
Fax:
Email:
Email:
EQUIPMENT DATA / TEMPERATURE SENSOR
Model:
TT301 ( )
TT302 ( )
TT303 ( )
TT400SIS ( )
TT411 ( )
TT421 ( )
Serial Number:
Sensor Type and Connection:
Measurement type:
( ) Double Sensor ( ) Average between Sensors
( ) Differential ( ) Backup ( ) Single
INFORMATION AND DESCRIPTION OF THE FAILURE
Environment Temperature (ºC)
Work Temperature (ºC)
Calibration Range
Min:
Max:
Min :
Max:
Min:
Max:
Operation Time:
Failure Data:
IMPORTANT COMMENTS ABOUT EQUIPMENT APPLICATION AND PROCESS
(Please, inform more details about the application, installation, etc.).
FAILURE DESCRIPTION OR BAD OPERATION
(Please, describe the behavior of the fail, if it is repetitive, how it exactly happens, and so on.)
NOTES
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.