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Distributor Warranty Repair Service Form - Pump Controllers
   
 
CUSTOMER: DISTRIBUTOR:
PHONE: REF:
EMAIL:    
PUMP CONTROLLER MODEL: INVOICE DATE:
__________________________________________________________________________________________________
RECEIVED CONTROLLER CONDITIONS:
VISIBILY BEEN INSTALLED
CONTROLLER COVER BROKEN OR CRACKED
THREAD SEALER TRACES
PUMP CONTROLLER BROKEN OR CRACKED
GOOD CONDITION    
OTHER:    
__________________________________________________________________________________________________
INSTALLATION DESCRIPTION: CONDITION:
APPLICATION:
OUTDOOR
IRRIGATION SYSTEM
INDOOR
WELL SYSTEM SUCTION CONDITION:
WATER TREATMENT SYSTEM
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):
OTHER:  
__________________________________________________________________________________________________
PROBLEM DESCRIPTION:
THE CONTROLLER IS ON BUT DOES NOT STOP THE PUMP
THE CONTROLLER IS ON BUT DOES NOT START THE PUMP
THE CONTROLLER DOES NOT WORK
OTHER:    
 
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