Incoming Voltages
Full load amperage at _______ PSIG
Unload amperage at ______ PSIG
L1 - L2
L2 - L3
L1 - L3
L1 - L2
L2 - L3
L1 - L3
L1 - L2
L2 - L3
L1 - L3
Volts
Amp.
Amp.
Amp.
Amp.
Amp.
Amp.
Amp.
Amp.
No
Item Number
Description/MFGR Part Number
Quantity
LABOR TIME
Hrs x
$/Hr
$
1
TRAVEL TIME
Hrs x
$/Hr
$
2
Total Amount:
$
3
4
Technicians name:
Please complete the following claim form, your claim will be confirmed by our sales representative.
WRITTEN BY
SIGNATURE
1
1 to 10, 1 being clean, 10 very dirty
Company
Address
Phone
Fax
Company
Address
Phone
Fax
DATE
MODEL
SERIAL NO.
RUN HOURS
HRS.
SETTING PRESS
PSIG
Percent(%) on load
%
Ambient Temperature
·F
No. of days of operation weekly
Days
Discharge temperature
·F
Hours per day
Hours
Compressor area temperature
·F
Machine setting OL/OL or Mod
Environment
1
OPERATING CONDITIONS
Symptom
Fault Diagnosis
Resolution
PARTS REQUIRED
LABOR COST
WARRANTY CLAIM REPORT
DISTRIBUTOR
CUSTOMER
Summary of Contents for CSOF-S3PL(H)
Page 8: ...COAIRE Div of Quietside Corporation 6 2 2 Compressor Outside View Fig 1 ...
Page 18: ...COAIRE Div of Quietside Corporation 16 5 COMPRESSOR STRUCTURE Fig 19 ...
Page 24: ...COAIRE Div of Quietside Corporation 22 8 WIRING DIAGRAM 8 1 CSOF S3 5PL H 11 ...
Page 25: ...COAIRE Div of Quietside Corporation 23 8 2 CSOF S3 5PL H 31 ...