Fluid Components International ST50 - Manual (Page 33)

ST50 MASS FLOW FLUID COMPONENTS INTERNATIONAL LLC
This page is subject to proprietary rights statement on last page 33 Doc. No. 06EN003367 Rev. D
Visit FCI on the Worldwide Web: w ww.fluidcomponents.com
1755 La Costa Meadows Drive, San Marcos, California 92078 USA ‡ Phone: 760-744-6950 ‡ 800-854-1993 ‡ Fax: 760-736-6250
1. Return Customer Information
Returning Company’s Name:__________________________________ Phone# _______________
Return Contact Name: ______________________________________ Fax # _________________
Email Address: ____________________________________________________________________
2. Return Address
Bill To: _________________________________ Ship To: __________________________________
_______________________________________ _________________________________________
_______________________________________ _________________________________________
_______________________________________ _________________________________________
3. Mandatory End User Information
Contact: __________________ Company: ________________________ Country: _____________
4. Return Product Information
Model No: ______________________________ Serial No(s): ______________________________
Failure Symptoms (Detailed Description Required): ________________________________________
___________________________________________________________________________________
What Trouble Shooting Was Done Via Phone or Field Visit by FCI: ___________________________
___________________________________________________________________________________
FCI Factory Technical Service Contact: __________________________________________________
5. Reason For Return Sensor Element Electronics As Found Testing Credit
Recalibrate (New Data) Recalibrate (Most Recent Data) Other
(Note: A new Application Data Sheet (ADS) must be submitted for all recalibrations and re-certifications)
6. Payment Via Faxed Purchase Order
(Note: A priced quotation is provided for all Non-Warranty repairs after equipment has been evaluated. All
Non-Warranty repairs are subject to a minimum evaluation charge of $250.00)
Factory Return Shipping Address: Fluid Components International LLC
1755 La Costa Meadows Drive
San Marcos, CA 92078-5115
Attn:
Repair Department,
RA #____________
RA #___________
1755 La Costa Meadows Drive, San Marcos, CA 92078-5115 USA
760-744-6950 / 800-854-1993 / Fax: 760-736-6250
Web Site: www.fluidcomponents.com
E-mail: [email protected]
FCI Document No. 05CS000004C
Return Authorization Request