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Publication Title | Field Service Report

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Field Service Report

21211 Nordhoff Street ■ Chatsworth, CA 91311 Customer Service Phone: (818) 734-5325 ■ Fax: (818) 734-5358 Toll Free: (877) 282-8966 ■ E-mail: service@capstoneturbine.com

System Serial Number



RMA Number



System Hours



Capstone Claim Number



Software Version



Assisting Capstone Engineer



Fuel Type



Failure Date



Installation Site



Repair Date



Service Provider Company



Date of Report



Service Provider Name



Warranty (Circle one)

Yes No

Part Name

Removed

Installed

Part Number

Serial Number

Part Number

Serial Number









































Repair Information



Item

Cost

Quantity

Total

Parts



$

$

Dealer Labor



$

$

Dealer Travel



$

$

Other Time cost



$

$

Other



$

$

ALL Supporting Invoices and Documents Must be attached

GRAND TOTAL

$

Service Provider Signature

Date

512298-001

Page 1 of 1 February 2001.

Warranty information must be completed by Authorized Distributors only. Notice that failure to complete all fields may invalidate your claim.

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