Warranty application
35
© Lutz-Jesco GmbH 2016
Subject to technical changes.
160426
Vacuum Regulator for Chlorine Gas
C 2700-V
Operating Instructions
BA-21210-02-V05
15 Warranty application
In the event of a repair, copy the warranty application and complete it separately for each unit. Enclose one copy to the unit you are sending. Please
send the warranty application to us also in advance per fax or e-mail!
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.
