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CAPSTONE 60 INSTALLATION & START-UP

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CAPSTONE 60 INSTALLATION & START-UP ( capstone-60-installation--and--start-up )

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APPENDIX C: FIELD SERVICE REPORT FORM Field Service Report Form The Field Service Report Form as presented in this section serves as a guide only. This report should be initiated whenever a field service action occurs and Capstone Customer Service is to be informed of the situation. Capstone Field Service Report 21211 Nordhoff Street Chatsworth, CA 91311 Customer Service Phone: (818) 734-5325Fax: (818) 734-1070 Toll Free: (877) 28-28966 E-mail: service@capstoneturbine.com System Serial Number System Hours Software Version Installation Site Service Provider Company Service Provider Name RMA Number Capstone Claim # Assisting Capstone Engineer Failure Date Repair Date Date of Info Date of Report Warranty Part Name (Circle one) Part Cost $ $ $ $ Yes No Removed 7/23/2001 Installed Serial Number Part Number Serial Number Part Number Repair Information Item Cost Quantity Total Parts Dealer Labor Dealer Travel Other Time cost Other $ $ $ $ $ $ $ $ $ $ ALL Supporting Invoices and Documents Must be Attached Service Provider Signature GRAND TOTAL $ Date Warranty information to be completed by Authorized Distributors only. Failure to complete all fields may invalidate claim. 511519-003 C1 Field Service Report Form

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