Appendix B
B.1
SRF
– Service Request Form
Converter from 4-20mA to Fieldbus
GENERAL DATA
Model:
IF302 ( )
IF303 ( )
Serial Number:
_______________________________________________________________________________________________________
TAG:
_______________________________________________________________________________________________________
How many
channels are
used in IF?
1 ( )
2 ( )
3 ( )
Configuration:
Magnetic Tool ( )
PC ( )
Software: _____________
Version: _______________________
INSTALLATION DATA
Type/Model/Manufacturer of device
connected to the channel 1:
_______________________________________________________________________________________
Type/Model/Manufacturer of device
connected to the channel
2:
_______________________________________________________________________________________
_
Type/Model/Manufacturer of device
connected to the channel
3:
_______________________________________________________________________________________
PROCESS DATA
Hazardous Area
Classification:
( ) Yes, please specify: _______________________________________________________________________________
( ) No
More details: ________________________________________________________________________________________
Types of Interference
presents in the area:
Without interference ( )
Temperature ( )
Vibration ( )
Others: _____________________________________
Ambient
Temperature:
From __________ºC up to __________ºC
OCCURRENCE DESCRIPTION
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
SERVICE SUGGESTION
Adjustment ( )
Cleaning ( )
Preventive Maintenance ( )
Update / Up-grade ( )
Other:
________________________________________________________________________________________________________________
USER INFORMATION
Company:
_____________________________________________________________________________________________________________
Contact:
_______________________________________________________________________________________________________________
Title:
_________________________________________________________________________________________________________________
Section:
______________________________________________________________________________________________________________
Phone:
_________ _________________________ _________ _________________________
Extension:
___________________________
E-mail:
________________________________________________________________________
Date:
______/ ______/ __________________
For warranty or non-warranty repair, please contact your representative.
Further information about address and contacts can be found on www.smar.com/contactus.asp.
Summary of Contents for IF302
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