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Distributor Warranty Repair Service Form - Easy Pump Systems
CUSTOMER:
DISTRIBUTOR:
PHONE:
REF:
EMAIL:
PUMP MODEL:
INVOICE DATE:
__________________________________________________________________________________________________
RECEIVED PUMP STATUS:
VISIBILY BEEN INSTALLED
TERMINAL BOX BROKEN OR CRACKED
THREAD SEALER TRACES
ACCESORY BROKEN OR CRACKED
FOOT LOST OR BROKEN
FAN/FAN COVER BROKEN OR CRACKED
PUMP BODY BROKEN OR CRACKED
MOTOR BROKEN OR CRACKED
GOOD CONDITION
PUMP CONTROLLER BROKEN OR CRACKED
__________________________________________________________________________________________________
INSTALLATION DESCRIPTION:
CONDITION:
APPLICATION:
OUTDOOR
IRRIGATION SYSTEM
INDOOR
WELL SYSTEM
SUCTION CONDITION:
MACHINE OEM PRODUCT CONDITION
LIFTING FROM A POND
BOOSTING SYSTEM
LIFTING FROM A WELL
BOOSTING PRESSURE COMING FROM OTHER PUMP
FLOODED SUCTION
OPERATION:
CITY PRESSURE
PRESSURE (PSI):
FLOW (GPM):
LIQUID TYPE:
OTHER:
__________________________________________________________________________________________________
PROBLEM DESCRIPTION:
THE PUMP DOESN’T MEET THE PRESSURE
THE MOTOR “HUMS”
THE PUMP DOESN’T MEET THE FLOW
THERE IS LEAK COMING OUT OF THE MECHANICAL SEAL
THE PUMP MAKES NOISE
MOTOR DRAWS HIGH AMPS
THE PUMP DOESN’T START
THE SYSTEM DOES NOT SHUT OFF
THE SYSTEM DOES NOT START
OTHER: