7010Product Return - Final

• Document No.

• Return

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Overview of return to vendor.

• How many skids or boxes will be returned on this single shipment?

• What is the date of return?

  Date

• Purchase Order Numbers

PO Numbers

• Original Purchase Order Number? NE06-000...

• What was the original date of purchase?

  Date

• Return Material Authorization Number

• Ship To:

• Address

• City, State, Zip

• What is the ship via for these products?

  Select Freight Line UPS | FedEx Small Parcel Courier

  • Freight Line
  • UPS | FedEx Small Parcel
  • Courier

• Please scan the barcode on the UPS or FedEx label and affix here.

• Take a CLEAR picture of the bill of lading and affix here.

  Media

• Restock fee?

  Select Yes No

  • Yes
  • No

• Percentage or Dollar Value?

• Approved by:

  Select Michael Aschenbrener Josh Proksel Michael Hoefker

  • Michael Aschenbrener
  • Josh Proksel
  • Michael Hoefker

• Product being returned.

Products

• What type of product is being returned?

  Select Self Primer Pump Self Primer Rotating Assembly Power Frame Volute Bearing Housing Impeller Shaft Shaft Sleeve Other

  • Self Primer Pump
  • Self Primer Rotating Assembly
  • Power Frame
  • Volute
  • Bearing Housing
  • Impeller
  • Shaft
  • Shaft Sleeve
  • Other

• Please select the sizing and design.

  Select 3" TCT 3" TCS 4" TCT 4" TCS 6" TCT 6" TCS 8" TCS

  • 3" TCT
  • 3" TCS
  • 4" TCT
  • 4" TCS
  • 6" TCT
  • 6" TCS
  • 8" TCS

• What is the metallurgy of the product?

  Select Cast Iron 316SS CD4M

  • Cast Iron
  • 316SS
  • CD4M

• Attach a photo of EACH product being returned.

  Media

• Please select the correct sizing.

  Select 1x1.5x6 1.5x3x6 2x3x6 1x1.5x8 1.5x3x8 2x3x8 3x4x7 3x4x8G 1x2x10 1.5x3x10 2x3x10 3x4x10 3x4x10H 4x6x10G 1.5x3x13 2x3x13 3x4x13 4x6x13 6x8x13 6x8x15 8x10x13 8x10x15 8x10x15G 4x6x17 6x8x17 8x10x17

  • 1x1.5x6
  • 1.5x3x6
  • 2x3x6
  • 1x1.5x8
  • 1.5x3x8
  • 2x3x8
  • 3x4x7
  • 3x4x8G
  • 1x2x10
  • 1.5x3x10
  • 2x3x10
  • 3x4x10
  • 3x4x10H
  • 4x6x10G
  • 1.5x3x13
  • 2x3x13
  • 3x4x13
  • 4x6x13
  • 6x8x13
  • 6x8x15
  • 8x10x13
  • 8x10x15
  • 8x10x15G
  • 4x6x17
  • 6x8x17
  • 8x10x17

• What is the metallurgy of the product?

  Select Cast Iron 316SS CD4M

  • Cast Iron
  • 316SS
  • CD4M

• Attach a photo of EACH product being returned.

  Media

• What ANSI size is the power frame?

  Select STC MTC LTC XLTC

  • STC
  • MTC
  • LTC
  • XLTC

• Attach a photo of EACH product being returned.

  Media

• Please select the correct sizing.

  Select 1x1.5x6 1.5x3x6 2x3x6 1x1.5x8 1.5x3x8 2x3x8 3x4x7 3x4x8G 1x2x10 1.5x3x10 2x3x10 3x4x10 3x4x10H 4x6x10G 1.5x3x13 2x3x13 3x4x13 4x6x13 6x8x13 6x8x15 8x10x13 8x10x15 8x10x15G 4x6x17 6x8x17 8x10x17

  • 1x1.5x6
  • 1.5x3x6
  • 2x3x6
  • 1x1.5x8
  • 1.5x3x8
  • 2x3x8
  • 3x4x7
  • 3x4x8G
  • 1x2x10
  • 1.5x3x10
  • 2x3x10
  • 3x4x10
  • 3x4x10H
  • 4x6x10G
  • 1.5x3x13
  • 2x3x13
  • 3x4x13
  • 4x6x13
  • 6x8x13
  • 6x8x15
  • 8x10x13
  • 8x10x15
  • 8x10x15G
  • 4x6x17
  • 6x8x17
  • 8x10x17

• What is the metallurgy of the product?

  Select Cast Iron 316SS CD4M

  • Cast Iron
  • 316SS
  • CD4M

• Attach a photo of EACH product being returned.

  Media

• This section is for closing out the audit for submittal to the team for review and filing.

• Photographs of each skid set closed up and ready to ship.

skids

• Skid photo

  Media

• Skid Number

• Is the skid labeled clearly?

• Is the skid banded together securely?