23I DELLMECO I AODD DIAPHRAGM PUMPS
Trouble-Reporting FAX Sheet
Your information will be most helpful in our efforts to improve our service as well as checking into causes of troubles and
irregularities. We kindly request you therefore to fill out the following FAX sheet carefully and fax it to your dealer or our
regional office. Thank you.
Company
Name of person in charge
Department
Telephone
Address
Fax
e- mail
MODEL
Year of manufacturing
Period of use
Serial No.
Operating conditions
*Indoor * Outdoor
Date of Purchase
Frequency of operation
* Continuous
* Intermittent
___________ Hours/day/week/month
Operating air pressure ______________ bar
Discharge pressure_________________ bar
Discharge volume ________________ l/min.
Suction side_________________________m
Suction side diameter_________________ m
Discharge side _____________________ m
Name of Dealer
__________________________________________
Type of fluid pumped
__________________________________________
Specific gravity ___________________________
Viscosity ______________________________ cPs
Fluid temperature ______________________ *C/*F
Slurry:
*YES
Density
_______________ wt%
Particulate diameter _____________________ mm
*NO
Problem
Draw a summary drawing of application (size, length of piping, and component parts)
