100 AXEON FIELD SERVICE REPORT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Customer Information

• Select date

  Date

• Customer Number

• Customer

• Address

Customer Trained

• Position

• Instructed

Nature Of Work

• System Plumb and Wired?

  Yes

  No

  N/A

• Equipment Type?

  Reverse Osmosis

  Carbon

  Softener

  Media

  Chemical Injection

• Make

• Model

• Serial Number

• Voltage

  120vac

  220vac

  380vac

  460vac

• Phase

  1

  3

• Select date

  Date

• Location

Service Details

• Service Rendered

  Start Up

  Training

  Startup and Training

  Service

• Field Engineer's Remarks

• Status after Service

  Complete

  Incomplete

  Pending For Spares

  Under Observation

  Working Solution Provided

• Issues found on Inspection

System Performance

• Primary Voltage

  220vac

  380vac

  460vac

• Secondary Voltage

  120vac

  220vac

• Phase

  1

  3

• Hertz

  60

  50

• Total System Amp Draw

• Motor L1 Amp Draw

• Motor L2 Amp Draw

• Motor L3 Amp Draw

• LP Switch Functioning?

  Yes

  No

  N/A

• HP Switch Functioning?

  Yes

  No

  N/A

• Oxidizing Agents Present?

  Yes

  No

  N/A

• Pretreat Lock Out Functioning?

  Yes

  No

  N/A

• Chemical Pump Active?

  Yes

  No

  N/A

• Chemical Pump Setting %

• Anti-Scalant Type

  S100

  S200

  Anti-Foulant F25

• Anti-Scalant PPM

• Feed Temperature

• SDI Prior To Pre-Treatment

• Feed Hardness GPG

• SDI after Pretreatment

• Feed TDS

• Permeate TDS

• Permeate Flow

• Concentrate Flow

• Concentrate Recycle Flow

• Rejection %

• Recovery %

• Filter In Pressure

• Filter Out Pressure

• Pump Pressure

• Concentrate Pressure

• Add media

  Media

• Instructor's Signature

  Sign

• Select date

  Date

• Customer's Signature

  Sign

• Select date

  Date

• Location