Dryer Service Information Sheet
Distributor/Rep/End-User Name: Bobrick's best
Address: 12345 Your Street, Suite 100
City: Toon Town
Job Name: Fantasy Lane
Contact Name: Jessica Rabbit
Email: jrabbit@bobricksbest.com
Invoice #:35791
Dryer Model Information:
P
Automatic Dryer: __
__TouchButton Dryer:
P
Dryer: __
_ Dryer: _____ (check one)
Dryer model #/voltage: 700 115V
Quantity defective: 1
Date code (as seen on bottom edge of cover on dryer UL label. For example: 04A): ________________________
Dryer Information:
When did dryer problems first occur from date of installation?
(Circle one)
Upon
Installation
If dryer problem occurred within two months of installation, REPLACE dryer and return faulty dryer.
Does the dryer in any way function now? No (Yes or No)
Has the dryer been cleaned in the past 6 months? No (Yes or No). If No, send a cleaning sheet and await outcome.
Full description of fault: Unit would not start upon installation.
Reference to Diagnostic Sheets:
Problem and possible solution: Faulty controller
Problem number(s) (as seen in left margin on diagnostic sheet): # 1 F
Repair kit/parts required (if dryer needs to be returned write RETURN): Return
Part number(s) for replacements: Complete Unit
ANY DEFECTIVE PARTS MUST ACCOMPANY THIS COMPLETED SHEET TO BOBRICK'S SERVICE DEPARTMENT.
Information sheet completed by: Your Name
Branch/Rep Firm: _________________________________________________________
Form No. CSD-1196 ST Rev. 4/19
State: Your State
Telephone: (555) 555-3333
Account #: 99999
Invoice Date: 03/03/20
Quantity on job: 2
Date of installation: 06/03/20
0–2
Months
Bobrick Washroom Equipment, Inc.
Job Location: My Town
(check one)
2+
Out of
Months
Warranty
Replaced on SO #: ________________
Completion Date:6/6/20
Zip code: 98765
Fax: (555) 555-4444
Sales order #: 246810
Printed in U.S.A.
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