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Model 100E - 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:
(Note:Depending on options installed, not all test parameters shown below will be available in your instrument.)
* If IZS option is installed
Test values:
ParameterObserved valueUnitsNominal Range
Rangeppb / ppm 
StabilPPB< = 1 PPB with Zero Air
Sample PressIN-HG-AAmbient ± 2 IN-HG-A
Sample Flowcm3/min650 ± 10%
PMT Signal with Zero AirmV-20 to 150 mV
PMT Signal at Span Gas Conc mV
0-5000 mV
0-20,000 PPB
Norm PMT Signal at Span Gas ConcmV
0-5000 mV
0-20,000 PPB
UV LampmV2000 to 4000 mV
Lamp RatiomV30 to 120%
STR. LGTPPB≤ 100 PPB/Zero Air
Dark PMTmV -50 to 200 mV
Dark LampmV-50 to 200 mV
Slope 1.0 ± 0.3
OffsetmV< 250 mV
HVPSV˜ 400 - 900
RCELL Temp°C50 ±1
Box Temp°CAmbient + ˜5
PMT Temp°C7°C ± 2° Constant
IZS Temp *°C 50°C ±1
ETESTmV2000 mV ± 500
OTESTmV2000 mV ± 1000
Values are in the Signal I/O
REF_4096_MVmV4096mV ± 2 Mv and Must be Stable
REF_GNDmV0±0.5 and Must be Stable
What is the sample flow and sample pressure with thesample inlet on rear of machine capped?
Sample Flow:CC Sample Pressure:in-Hg-A
If possible, please include 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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