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Model 100A - 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
Rangeppb50 - 2000
Sample FlowCC650 ± 50
PMTmV0 - 4000
Norm@PMTmV0 - 4000
Lamp RatiomV35 - 120%
UV LampmV1000 - 4800
STR Lightppb< 60 ppb
DRK PMT < 100 mV
DRK LMP < 50 mV
SO2 Slope 1.0 ± 0.3
SO2 Offset <250
HVPSVDC450 - 900
DCPSmV2500 ± 200
PMT Volts at ZeromV(Range 500) <500
Stabil at Span <1.0
Stabil at Zero <1.0
Rx Cell TempºC50 ± 1
Box TempºCAmbient ± 5
PMT TempºC7 ± 1
IZS TempºC50 ± 1
AUTO on off
DYN on off
IZS on off
PMT Volts at SpanmVRange
Span inputppb 
Electric Test
a) PMT Volts2000 ± 1000 mV
b) PPBppb± 1000
Optic Test
a) PMT Volts2000 ± 1000 mV
b) PPBppb± 1000
If dual range or independent range is on:
Slope #1  
Slope #2  
Offset #1  
Offset #2  
What is real sample flow?
(Use flow meter to measure)
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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