Fluid Components International ST51 - Handbuch (Seite 38)

FLUID COMPONENTS INTERNATIONAL LLC ST51 MASS FLOW
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3 8 Doc. No. 06EN303389 Rev. -
Rücksende Autorisierungs Anfrage
1. Kundenrücksendeangaben
Firmenname :__________________________________ Fax Nr. ____________________________________
Ansprechpartner: ______________________________________ Tel. Nr. ___________________________
Emailadresse: _______________________________________________________________________
2. Rücksendeanschrift
Rechnung an: ________________________________ Versand an: ___________________________________
____________________________________________ _____________________________________________
____________________________________________ _____________________________________________
____________________________________________ _____________________________________________
3. Geräteinformation
Modellnr: ____________________________________ Seriennummer(n): _____________________________
Fehlerbeschreibung (Detaillierte Beschreibung erforderlich): ________________________________________
____________________________________________________________________________________________
Wurde Fehlersuche mit tel. Unterstützung der FCI Vertretung oder durch Besuch eines FCI Vertreters durchgeführt:
FCI Kontaktperson: ___________________________________________________________________________
4. Fehlerquelle Sensor Elektronik As Found Testing Kredit
Rekalibration(Alte Daten) Rekalibration (Neue Daten) Sonstiges
(Notiz: Ein neues Anwendungs Datenblatt ist bei einer Neukalibration und Neuzertifizierung notwendig)
5. Zahlung per Faxauftrag
(Notiz: Ein Reparaturangebot wird erstellt bei allen Reparaturen ( ohne Garantiefälle ) nach Überprüfung .
Die für die Überprung anfallende Kosten werden in Rechnung gestellt )
Sensor PVC Schutzrohr benötigt Anti Statische Verpackung für Elektronik benötigt
Decontamination Information !
This Section Must Be Completed !
Exposure to hazardous materials is regulated by Federal, State (California), County and City laws and regulations.
These laws provide FCI’s employees with the “Right to Know” the hazardous or toxic materials or substances in which
they may come in contact while handling returned products. Consequently, our employees must have access to data
regarding the hazardous or toxic materials or substances which the equipment has been exposed to in your process(es).
Accordingly, prior to returning your instrument for evaluation/repair, please read then sign the certification below and
thoroughly comply with the applicable instructions.
I certify that the returned item(s) has(have) been thoroughly and completely cleaned. If the returned item(s) has(have)
been exposed to hazardous or toxic materials or substances, the undersigned attests that the attached Material Safety
Data Sheet(s) (MSDS) which cover said materials or substances are complete and accompany the returned item(s).
Furthermore, I understand that this Certificate, or providing a MSDS, shall not waive our responsibility to provide a
neutralized, decontaminated, and clean product for evaluation/repair to FCI. Cleanliness of a returned item or the
acceptability of the MSDS shall be at the sole discretion of FCI. Any item returned which does not comply with these
instructions shall be returned to your location Freight Collect and at your risk.
Process Flow Media ___________________________________________________________________________________
Authorized Signature ________________________________ Date _____________________________________________
RA #
___________
1755 La Costa Meadows Drive, San Marcos, CA 92078-5115 USA
760-744-6950 / 800-854-1993 / Fax: 760-736-6250
Web Site: ww w.fluidcomponents.com / E-mail: [email protected]
FCI Document No. 05CS000004A