11. 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 pressure
Discharge volume
Stroke
Suction side
Discharge side
□
Oil lubrication
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
MPa
L/min.
m
m
□
YES
NO
Name of person in charge
Department
Telephone
(
Fax
(
Date of product
SERIAL No.
(Lot No.)
Date of purchase
Name of dealer
Type of fluid pumped
Specific gravity
Viscosity
Fluid temperature
□
Slurry
YES
Density
Particulate diameter
□
NO
26
)
¯
)
¯
Pa•s
˚C / ˚F
wt%
mm