VCI10-BH
BLUETOOTH
®
HART
®
COMMUNICATION INTERFACE INSTALATION, OPERATION AND CONFIGURATION MANUAL
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23
APPENDIX
FSAT
Technical Analysis Solicitation Form
Company:
Unit/Department:
Shipping Invoice nº:
Standard Warranty: ( )Yes ( )No
Extended Warranty: ( )Yes ( )No
Buying Invoice nº:
COMMERCIAL CONTACT
Complete Name:
Position:
Phone and Extension:
Fax:
e-mail:
TECHNICAL CONTACT
Complete Name:
Position:
Phone and Extension:
Fax:
e-mail:
EQUIPMENT DATA
Model:
Serial Num.:
PROCESS INFORMATION
Environment Temperature (ºC)
Work Temperature (ºC)
Min:
Max:
Min:
Max:
Operation Time:
Fail Date:
FAIL DESCRIPTION: (Here user should describe in detail the observed behaviour of product, frequency of fail occurence and
repeatability. Also, should inform operational system version and a quick description of control system architecture where the
equipment was installed.
ADDITIONAL OBSERVATION: