10. Trouble-Reporting FAX Sheet
Your information will be most helpful in our efforts to improve our service as well as checking into causes
of troubles and irregularities. Therefore, please, fill out the following FAX sheet and fax it to your
distributor or our regional office. Thank you.
Name of your firm
Address
MODEL/No. (Product name/Product No.)
Period of use
From
/
Operating conditions
□
□
Indoor
Outdoor
Frequency of operation
□
Continuous
□
Intermittent
Hours / day / week / month
Operating air pressure
Discharge volume
Stroke
Suction side
Discharge side
Condition of pump (nature of problem)
Draw a summary drawing of application
(size, length of piping, and component parts)
Trouble-Reporting FAX Sheet
to
/
MPa
kg/h.
m
m
Name of person in charge
Department
Telephone
(
Fax
(
Date of product
SERIAL No.
(Lot No.)
Date of purchase
Name of dealer
Type of material pumped
Specific gravity
Particulate diameter
20
)
¯
)
¯
mm