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Model 700 - 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
TARG CALLMP0.001 - 0.100
TARG DILLPM0.010 - 10
O3 Gen RefmV100 - 5000
O3 Flowcm³/min100 ± 25
O3 Gen DrivemV0 - 5000
O3 Lamp TempDeg.C48 ± 1
CAL PressIn-Hg-A25 - 30
DIL PressIn-Hg-A25 - 30
REG PressIn-Hg-A20 ± 1
ACTppb/ppmTARG ± 2%
TARGppb/ppmRequested Conc.
Box TempºCAmb ± 3
PERM TempºC50.0 ± 1
PERM Flowcm³/min100 ± 25
Photo MeasmV2500 - 4800
Photo RefmV2500 - 4800
Photo FlowLMP0.8 ± 0.08
Photo LampºC52 ± 1
Phot SpressIn-Hg-AAmb ± 1
Phot StempºCAmb ± 3
Phot Slope 0.85 - 1.5
Phot Offs ± 10
DCPSmV2500 ± 200
Is time of day correct?Yes No
Record test values related to warnings?
What is the measured PHOTO flow?cm³/min 
What is measured PERM flow?cm³/min 
What is measured O3 flow?cm³/min 
What is pressure loss during leak check?In-Hg-A 
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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