A8
Model Number _________________________________ Serial Number ___________________________________
Ship Date _____________________________________ Installation Date __________________________________
Filter Type_____________________________________________________________________________________
Dust Being Collected ____________________________________________________________________________
Dust Properties: Kst _______________Pmax ______________ MIE ____________ MEC __________________
Accessories ___________________________________________________________________________________
Other ________________________________________________________________________________________
_____________________________________________________________________________________________
Collector Information
(Process Owner to complete and retain for your records)
Service Notes
Date
Service Performed
Notes