Warranty application
44
Stepper Motor-driven Diaphragm Dosing Pump
MEMDOS SMART LB
© Lutz-Jesco GmbH 2014
Operating Instructions
BA-10100-02-V02
19 Warranty application
Warranty Application
Please copy and send it back with the unit!
If the device breaks down within the period of warranty, please return it in a cleaned condition with the complete warranty application,
filled out.
Sender
Company: ............................................................................................................... Phone: .................................. Date: ..........................
Address: ....................................................................................................................................................................................................
Contact person: .........................................................................................................................................................................................
Manufacturer order no.: .......................................................................................... Date of delivery: .........................................................
Device type: ............................................................................................................ Serial number: ...........................................................
Nominal capacity / nominal pressure: .........................................................................................................................................................
Description of fault:.....................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
Service conditions of the device
Point of use / system designation:...............................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
Accessories used (suction line etc.):............................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
...................................................................................................................................................................................................................
Commissioning (date): ................................................................................................................................................................................
Duty period (approx. operating hours): ........................................................................................................................................................
Please describe the specific installation and enclose a simple drawing or picture of the chemical feed system, showing materials of const-
ruction, diameters, lengths and heights of suction and discharge lines.