APPENDIX A
REFRESH RECORD FORM
EPM Order Number*
Pallet ID Number
Individual Performing Test (Full Name)
Date of
Refresh
Refresh Duration
Model
Number
Information Prior to Refresh
Information within 1 hour of
Refresh Completion
Notes & Comments
Date
Code
Battery
Serial
Number
Open Circuit Voltage
Battery
Voltage
Reading
Charging
Current
Battery
Temperature
Battery 1
Battery 2
Battery 3
Battery 4
Battery 5
Battery 6
Battery 7
Battery 8
Battery 9
Battery 10
Battery 11
Battery 12
Battery 13
Battery 14
Battery 15
Battery 16
Battery 17
Battery 18
Battery 19
Battery 20
Battery 21
Battery 22
Battery 23
Battery 24
ALL FIELDS TO THE RIGHT OF THE CELL NUMBER ABOVE MUST BE COMPLETED
EPM ORDER NUMBER WILL APPEAR ON THE SHIPPING LABEL ON THE CARTON COVERING EACH PALLET OF CELLS
TO ENSURE CONTINUATION OF WARRANTY, SUBMIT FORMS TO: East Penn Mfg. Co, Inc.,
Reserve Power Division, Product Support & Warranty Dept. (reservepowerwarranty@dekabatteries.com)