4
RA: Received:
Service Center Location:
Customer:
Phone: Email: Date of Purchase:
Y N Partial Authorized By:
Serial Number:
Used Misuse ------------
------------
Water Entry Motor Programming
Other:
Part # Qty Part # Qty
NC7102 Non Drive Wheel Tube NC7112
NC7103 Pump Motor NC7113
NC7104 Top Return Flap NC7114
NC7105 Top Shell NC7115
NC7106 Tracks NC7116
NC7107 Track Wheels NC7117
NC7108 Track Wheel Covers NC7118
NC7109 NC7120
NC7110 NC7122AU
NC7111 Cable NC7123
Test 1 Tank Number: Time In: Time Out: Pass Fail
Test 2 Tank Number: Time In: Time Out: Pass Fail
Filter Bag (Installation)
Fault (mark all that apply)
Power Supply Filter Bag Bottom Lid Caddy (Complete: Y N)
Wall Scrubber/Scrubber 60/Admiral Ultra
Please complete and fax or email this form (Along with Proof of Purchase) to: 732-719-9146/warrantyservice@smartpool.com
Address: City: State: Zip:
Voltage from Power Supply: Vdc
Voltage to Pump Motor: Vdc
Voltage to Drive Motor: Vdc
Voltage through Cable: Vdc