PREVENTATIVE MAINTENANCE WORKSHEET

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PREVENTATIVE MAINTENANCE WORKSHEET Powered By Docstoc
					                                                                                            Worksheet #
                                  Industrial Equipment

    IE
830 Cherry Street
Chico, CA 95928
                                  Environmental Cleaning Systems
                                    Servicing The North State       PH: (800)287-8306
                                                                   FAX: (530)893-1035
                                                                                        Purchase Order



                                    PREVENTATIVE MAINTENANCE WORKSHEET
CUSTOMER                                                 CONTACT PERSON
STREET                                                   PHONE NUMBER           (       )
CITY                                                     UNIT MAKE/MODEL
STATE                                       ZIP          SERIAL NUMBER
HCA2 Filters                                                  Inspect Solids Collection Trench
       Inspect              Clean     1       Replace
                                                              Remove & Clean Solids Grid
HCA3 Filters
                                                              Flush Cone Tanks
       Inspect              Clean     1       Replace
Polish Filters                                                Sand Filter, Backflush
       Inspect              Clean     1       Replace         Media Filter, Backflush
Membranes                                                     Check Machine Cycle
    Inspect                 Clean
                       Inspect            Clean
                                                              Added Hydrogen Peroxide
Inspect Bleed Line                                      Yes
                                                              Added Other
Inspect General Machine Condition                       Yes
                                                              Misc. Inspection
Test Operate Pressure Cleaner                OK


   SERVICE WORK PERFORMED
Removed and cleaned all filters. Inspected condition of filters. Reinstalled filters into system. Brought
sytem back on line. Recheck Operation

       RECOMMENDED PREVENTATIVE MAINTENANCE/MODIFICATIONS




ADDITIONAL PARTS USED                                                                              Invoice #

                                                                   Sevice Contract Agreement                   per Visit
 Quantity           Part Number     Description                  Additional Labor 0.0 hours at                 per Hour




     WORK PERFORMED BY                                                           DATE
     RECEIVED BY                                                     COMPANY REPRESENTATIVE
  HCA2 Replacement Date
  HCA3 Replacement Date
 Polish Replacement Date