BROOKFIELD DV-II+ PROGRAMMABLE VISCOMETER Operating ...

Providing us with the following information will help us to service your equipment more quickly andefficiently. Please photocopy, fill out and return a copy of this form with your instrument.Brookfield recommends that all viscometers be returned for annual calibration to ensure that yourequipment continues to provide the same accuracy you have come to expect from Brookfield products.1VISCOMETER INFORMATIONSerial Number: _______________________Date:_______________________Model: _____________________2COMPANY INFORMATIONCompany: _________________________ Primary User: ________________________Telephone: ________________________ Fax: ________________________________P.O. Number: ______________________ (to cover repair and shipping)Billing Address: ____________________ Shipping Address: ______________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ___________________________________Return Shipment Instructions: UPS ground ❏ UPS Next Day ❏ UPS 2nd Day ❏Federal Express ❏ _______________________________(Federal Express Account Number required)3 SERVICE INFORMATIONOperating Conditions (Spindle; Speed; Viscosity Range; Temp. Control; Temperature of Sample):__________________________________________________________________________________________________________________________________________________Did you contacting Brookfield before returning this instrument? Y❏ N❏If yes, whom did you contact? ________________________________________________Description/Symptoms of Present Problem/Malfunction (please list all):___________________________________________________________________________________________________________________________________________________________________________________________________________________________Time Since Last Serviced (if known): ______ Before & After Calibration Check? Y❏ N❏Other Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________STEPS: ❏ Return the Viscometer to the attention of the Repair Department at the address above.❏ Package the Viscometer for shipment, as outlined on page 73.❏ Include a purchase order or purchase order number with this form.Brookfield Engineering Labs., Inc. Page 74 Manual No. M/97-164-F1102