SMAR RHP303, Руководство пользователя, Страница: 15 / 16

Appendix
A.1
SRF – SERVICE REQUEST FORM
RHP303 – Profibus Hub Repeater
Proposal Nº:
COMPANY INFORMATION
Company: _____________________________________________________________________________________________________
Unit: ________________________________________________________________________________________________________
Invoice: _______________________________________________________________________________________________________
COMMERCIAL CONTACT
Full Name: ____________________________________________________________________________________________________
Phone: _________ _________________________ _________ _________________________ Fax: _______________________
E-mail: _______________________________________________________________________________________________________
TECHNICAL CONTACT
Full Name: __ ______________________________________________________________________________________________
Phone: _________ _________________________ _________ _________________________ Extension: ____________________
E-mail: _______________________________________________________________________________________________________
EQUIPMENT DATA
Model: ______________________________________________________________________________________________________
Serial Number: ________________________________________________________________________________________________
PROCESS DATA
Process Type
(Ex. boiler control) : __ ________________________________________________________________________
Operation Time: ____________________________________________________________________________________________
Failure Date: __________________________________________________________________________________________________
FAILURE DESCRIPTON
(Please, describe the failure. Can the error be reproduced? Is it repetitive?)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
OBSERVATIONS
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
USER INFORMATION
Company: _____________________________________________________________________________________________________
Contact: _______________________________________________________________________________________________________
Section: _ ______________________________________________________________________________________________________
Title: ________
_
________________________________________ Signature: _______________________________________________
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