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Model 100 - Warranty Repair Questionnaire

A PDF version of this form is available here.

Company:  *
Contact name:  *
Telephone:  *
Email:  *
Serial #: 
Software Version: 
Describe the Failure Symptoms:
List All Warning Messages:
Test values:
ParameterObserved valueUnitsNominal Range
Sample Flowcm³/min500 ± 50
PMTmV0 - 4500
UV LampmV3500 ± 100
Lamp Ratio 100% ± 5%
STR Lightppb<60
HVPSVDC500 - 700
DCPSmV2500 ± 200
Rx Cell TempºC50 ± 2
Box TempºCAmb ± 5
PMT TempºC10 ± 2
IZS TempºC50 ± 2
SO2 Slope 8.5 ± 0.5
SO2 Offset <500
PMT Volts at ZeromV(Range 500) <500
PMT Volts at SpanmV(Range 500)
Span inputppb 
Electric Test
a) PMT VoltsmV3000 ± 1000
b) PPB  
Optic Test
a) PMT VoltsmV2000 ± 1000
b) PPB  
Is the time of day correct?Yes No
If no, what is the difference?
Use flow meter to measure actual flows
What is the kicker bypass flow?(2 liters ± 300 CC)
What is real sample flow? (500 CC ± 50)
Is unit leak checked?Yes No
Can you fax a portion of the strip chart pertaining to the problem? Circle pertinent data.
Enter code to confirm submission
Validation Enter Confirmation Code:    *

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