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26 Return of Material
S
ection 6: Return of Material 389VP Instruction Manual
January 2013 PN 51-389VP
RETURNED BY: BILL TO:
_____________________________ _____________________________ ____________________________
_____________________________ _____________________________ ____________________________
_____________________________ _____________________________ ____________________________
NOTICE TO SENDER: CUSTOMER/USER MUST SUBMIT MATERIAL SAFETY SHEET (MSDS) or complete stream composition, and/or let-
ter certifying the materials have been disinfected and/or detoxified when returning any product, sample or material that have been
exposed to or used in an environment or process that contains a hazardous material any of the above that is submitted to rosemount
analytical without the msds will be returned to sender c.o.d. fo9r the safety and health of our employees. we thank you in advance for
compliance to this subject.
SENSOR OR CIRCUIT BOARD ONLY:
(Please reference where from in MODEL / SER. NO. Column)
1. PART NO. ______________________ 1. MODEL ______________________ 1. SER. NO. ___________________
2. PART NO. ______________________ 2. MODEL ______________________ 2. SER. NO. ___________________
3. PART NO. ______________________ 3. MODEL ______________________ 3. SER. NO. ___________________
4. PART NO. ______________________ 4. MODEL ______________________ 4. SER. NO. ___________________
REASON FOR RETURN
PLEASE CHECK ONE:
n
REPAIR AND CALIBRATE
n
DEMO EQUIPMENT NO. ______________________________________
n
EVALUATION
n
OTHER (EXPLAIN) __________________________________________
n
REPLACEMENT REQUIRED?
n
YES
n
NO _______________________________________________________
DESCRIPTION OF MALFUNCTION:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
WARRANTY REPAIR REQUESTED:
n
YES. REFERENCE ORIGINAL ROSEMOUNT ANALYTICAL ORDER NO. ______________________________________________
CUSTOMER PURCHASE ORDER NO. ______________________________________________
n
NO. PROCEED WITH REPAIRS-INVOICE AGAINST P.O. NO. _____________________________________________________
n
NO. CONTACT WITH ESTIMATE OF REPAIR CHARGES: BY LETTER
n
OR BY PHONE
n
NAME _________________________________________________________________ PHONE ____________________
ADDRESS _________________________________________________________________________________________
______________________________________________________________________
ZIP ______________________
RETURN AUTHORITY FOR CREDIT ADJUSTMENT [Please check appropriate box(s)]
n
WRONG PART RECEIVED
n
REPLACEMENT RECEIVED
n
DUPLICATE SHIPMENT REFERENCE ROSEMOUNT ANALYTICAL SALES ORDER NO. ____________________
n
RETURN FOR CREDIT RETURN AUTHORIZED BY: __________________________________________
WARRANTY DEFECT _________________________________________________________________________________
24-6047
RETURN OF MATERIALS REQUEST
•IMPORTANT!
This form must be completed to ensure expedient factory service.