Ulvac UFO-003, Инструкция по эксплуатации

Страница: 19 / 19

Usage Situation Check Sheet
（
for overhaul repair
）
For safety of repairers, please fill out the form and attach it to the product.
Date of entry: / / / (D/M/Y)
Your Name:
Person in Charge:
Ｔ
el
－ －
Extension
Purchase Place
Person in Charge
Ｔ
el
－ －
Extension
Model Name Serial No.
1
．
Why do you request an overhaul? (Select among the items below)
□ Breakdown
Situation: □ Abnormal Sound □ Wrong Pressure □ Malfunction
□ Others
□ Periodical Inspection, Periodical Repair
□ Others
2
．
What kind of gas the pump sucked?
（１）
Is the gas toxic? Yes No
（２）
The kind and name of the gas
3
．
How long has the pump operated?
About
Ｈｒ
□ 24
Ｈ
r Continuous Running □ Intermittent Running
4
．
Others
5
．
Contents of Request □ Estimate in advance
□ Immediate repair if the estimate is within
（
¥
）
□ Others
Please copy this sheet and use repeatedly.
If this sheet is not attached,
it is possible that we cannot undertake the overhaul, repair, or inspection.