Emerson Rosemount Analytical 1054B C Instruction Manual page 45

RETURN OF MATERIALS REQUEST
FROM:
C
U
_____________________________
S
T
O _____________________________
M
E
_____________________________
R
CUSTOMER/USER MUST SUBMIT MATERIAL SAFETY SHEET (MSDS) OR COMPLETE STREAM COMPOSITION, AND/OR
N
O
LETTER CERTIFYING THE MATERIALS HAVE BEEN DISINFECTED AND/OR DETOXIFIED WHEN RETURNING ANY
S
T
E
PRODUCT, SAMPLE OR MATERIAL THAT HAVE BEEN EXPOSED TO OR USED IN AN ENVIRONMENT OR PROCESS THAT
I
N
C
CONTAINS A HAZARDOUS MATERIAL ANY OF THE ABOVE THAT IS SUBMITTED TO ROSEMOUNT ANALYTICAL WITH-
D
E
E
OUT THE MSDS WILL BE RETURNED TO SENDER C.O.D. FOR THE SAFETY AND HEALTH OF OUR EMPLOYEES. WE
R
T
THANK YOU IN ADVANCE FOR COMPLIANCE TO THIS SUBJECT.
O
SENSOR OR CIRCUIT BOARD ONLY:
(Please reference where from in MODEL / SER. NO. Column)
1. PART NO.__________________________1. MODEL_________________________________1. SER. NO. ________________
2. PART NO.__________________________2. MODEL_________________________________2. SER. NO. ________________
3. PART NO.__________________________3. MODEL_________________________________3. SER. NO. ________________
4. PART NO.__________________________4. MODEL_________________________________4. SER. NO. ________________
R
PLEASE CHECK ONE:
E
A
n
REPAIR AND CALIBRATE
S
O
n EVALUATION
N
F n REPLACEMENT REQUIRED?
O
R
DESCRIPTION OF MALFUNCTION:
R
______________________________________________________________________________________________________
E
T
U
______________________________________________________________________________________________________
R
N
______________________________________________________________________________________________________
R
WARRANTY REPAIR REQUESTED:
E
P
A n YES-REFERENCE ORIGINAL ROSEMOUNT ANALYTICAL ORDER NO. ________________________________________
I
R
S
T
n
NO-PROCEED WITH REPAIRS-INVOICE AGAINST P.O. NO. _________________________________________________
A
T
n NO-CONTACT WITH ESTIMATE OF REPAIR CHARGES: LETTER
U
S
NAME ____________________________________________________
ADDRESS ___________________________________________________________________________________________________
______________________________________________________________
RETURN AUTHORITY FOR CREDIT ADJUSTMENT [Please check appropriate box(s)]
n WRONG PART RECEIVED
n DUPLICATE SHIPMENT
n RETURN FOR CREDIT
WARRANTY DEFECT____________________________________________________________________________________
_____________________________________________________________________________________________________
24-6047
Emerson Process Management
Rosemount Analytical Inc.
2400 Barranca Parkway
Irvine, CA 92606 USA
Tel: (949) 757-8500
Fax: (949) 474-7250
http://www.RAuniloc.com
© Rosemount Analytical Inc. 2001
Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com
RETURN
_____________________________
_____________________________
_____________________________
n YES n NO
CUSTOMER PURCHASE ORDER NO. _________________________________________________
n REPLACEMENT RECEIVED
REFERENCE ROSEMOUNT ANALYTICAL SALES ORDER NO. _________
RETURN AUTHORIZED BY: ______________________________________
•IMPORTANT!
This form must be completed to ensure expedient factory service.
BILL TO:
_____________________________
_____________________________
_____________________________
n
DEMO EQUIPMENT NO. __________________________
n OTHER (EXPLAIN) _______________________________
_________________________________________________
n __________________________________________
n
PHONE ___________________________________________
PHONE _________________________________________
ZIP _________________________________________