2. Is the environment temperature of the unit, maintained/controlled?
if "No", what is the unit room temperature: minimum/maximum
Please answer the following questions to insure an efficient Service Call.
6002-2326, Rev. A
Preventive Maintenance Service Request
To schedule your capitol equipment for Preventive Maintenance, please fill out this form and email to service@800pwrsrvc.com
Address
Zip CodeState
Building Name
Phone:
City
Serial No:
Email:
Contact Person:
1. Is the unit functional and currently in operation?
if "No", STOP, the unit is not qualified for Preventive Maintenance.
Please fill out the "Service Request Form (#6002-2322)"
Min:
Max:
Yes No
Yes No
3. Is there an ATS (Automatic Transfer System) / Generator feeding this unit?
If yes, Is the ATS set up with a 20 milisecond transition time in both directions?
Yes No
Acknowledgement of Terms and Conditions
Signature:
Company:Name (print):
Customer Notes:
Office Use Only
Unit Ship Date: Start up Date:
Start up Tech: Service Call Entries:
Notes:
I certify that the symptoms and issues described in this Preventive Maintenance Request is accurate and to the best of our
knowledge the unit is functional, in operation and has been operated as per the manufacturers specifications required by the
manufacturer's technical manual..
I understand that additional charges will be incurred if a return trip must be scheduled due to:
The unit is not qualified for Preventive Maintenance (see Question #1 above), absence of on-site personnel or scheduled access to
the unit, unauthorized work or alteration to the unit, load unavailability, an unsafe environment, or any other mitigating factors that
require additional parts or service that are outside the parameters of Preventive Maintenance.
Yes No
Date:
Date: