Model FF-2500 Proportioning Unit
38
25942-1, Issue 4
Field
Number
Field Title
Description
1
Date
Enter date report is submitted.
2
Name
Enter name of person making report.
3
IM Number
Enter the Part Number of the Instruction Manual from the title page.
4
Issue Number
Enter the Issue number of the Instruction Manual from the title page. If there is no
issue number, enter
NONE.
5
Date of Issue
Enter the date of Issue of the Instruction Manual from the title page. If there is no
issue date, enter
NONE.
6
Page Number
Enter the page number containing the discrepancy.
7
Discrepancy
Provide a brief description of discrepancy.
NOTE:
You may send a marked copy of the page as an attachment to your
submittal.