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Model 100AH - 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
Rangeppm10 - 5000
Stabilppm< 1.0
VACIn-Hg-A4 - 10
PresIn-Hg-A25 - 30
Sample Flowcm³/min650 ± 60
PMT mVmV0 - 5000
Norm PMT@SpanmV0 - 5000
UV LampmV1000 - 4800 typical
Lamp Ratio%35-120%
STR Lightppb-50 - +100
DRK PMTmV< 200
DRK LMPmV< 200
Slope 1.0 ± 0.3
Offset <200
HVPSVDC450 - 900
DCPSmV2500 ± 200
R Cell TempºC50 ± 1
Box TempºCAmbient ± 5.0
PMT TempºC7 ± 1
Time Actual Time
Electric Test
a) PMTmV2000 ± 1000
b) Conc.  2000 ± 100
Optic Test
a) PMTmV200 ± 20
b) PPMppm200 ± 20
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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