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Field Service Report Capstone Turbine Corp. • 21211 Nordhoff Street • Chatsworth • CA 91311 • USA Technical Support Phone: (818) 407-3600 • Fax: (818) 734-1080 Toll Free: (877) 282-8966 • E-mail: service@capstoneturbine.com Incident Date* Repair Date* Date of Report* Installation Site Name RMA Number Warranty (Check one) Description of Incident*: Yes No System Serial Number* System Hours* System Starts* Aborted Recharges (SA*) Software Version* Fuel Type* Assisting Capstone Engineer Mode of Operation*: Grid Connect Stand Alone HEV System State*: Power Up Power Level* (kW): Fault Codes*: Troubleshooting Steps*: Start On-Load Steady State Off-Load Shutdown Description of Incident Resolution*: Part Name (If Component Replaced*) Troubleshooting Time*: Service Provider Name* (Print): Signature*: Removed Component Installed Number Repair Time*: Hours Mileage*: Service Provider Company*: Phone*: Part Number Serial Number Failure Analysis Report Required Yes / No Part Serial Number Yes / No Yes / No Yes / No Fax*: For Capstone Use Only – Technical Support Engineer Signature: Travel Time*: Date*: Capstone Claim Number: * Items marked with an asterisk must be completed to grant warranty claims. Refer to FSR Work Instructions (513313) on how to fill out this form as required. Warranty information must be completed by Authorized Distributors only. Notice that failure to complete all fields may invalidate your claim. 512298-001rB (March 2003) Field Service Report.PDF Image | Field Service Report
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