Calibration services request (CSR)


1- Customer Information
Name
Organization
Address
Email
Email confirmation
Telephone

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2- Instrument specification
Manufacturer
Model number
Serial number
Customer tag (Optional)
Type of instrument
Gas flow meter
Liquid flow meter

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3- Process conditions
Type of fluids
Operating Gas / Fluids
Valve
Inlet pressure
Outlet pressure
Density of the fluid
Differential pressure
Kinematic Viscosity cst
Operating temperature
Special Process Conditions (optional)

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4- Signal & Power Requirements
Output Signal
, please specify
Manufacturer
Model number
Serial number
Customer tag
Scale/Range of the output
Reference temperature help

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5- Type of calibration and Options
Type of service help
Attitude (Optional) help
Accuracy
Priority service help
Cleaning and degreasing for oxygen service help
Optional calibration gases or fluids help
Please Specify
Additional or specific calibration values : help
If yes, please Specify
Change of range help
If yes, please Specify
Special requirements help
Requested Calibration Interval/Due date
If yes, please Specify

6- RMA & Returns Instructions

RMA Number
W3438
  • Please apply RMA Number on the outside of the package and use a package designed specifically for safe transportation of instrument.
  • A formal quote / acknowledgment will be sent following receipt of the instrument.
Return Instructions
Designated Transporter
Account number
Return shipping instructions

Terms and Conditions of Sale

  • Unless specified, all standard terms and conditions of sale of Polycontrols are applicable.
  • All instruments must be decontaminated prior receiving.
  • Polycontrols reserves the right to demand an extra fee for any instrument that is received damaged, highly contaminated or require unusual maintenance.
  • If an instrument is defective, a repair quote will be provided.
  • A standard inspection fee of $175 is applicable if the instrument is irreparable.
  • Some digital instruments require specific calibration software to perform adjustments. If Polycontrols cannot acquire this software, the customer will be notified.
  • Client assumes all shipping fees.
*All instruments being returned must be decontaminated in compliance with OSHA and DOT regulations.

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January 2017