Service QuestionnaireStart-up Support Company Name Contact Name Street Address 1 Street Address 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian EmpireAzerbaijanBadenBahamas, TheBahrainBangladeshBarbadosBavariaBelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicDuchy of ParmaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of TuscanyGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHHaitiHanoverHanseatic RepublicsHawaiiHesseHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/YugoslaviaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-SchwerinMecklenburg-StrelitzMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassauNauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOldenburgOmanPakistanPalauPanamaPapal StatesPapua New GuineaParaguayPeruPhilippinesPiedmont-SardiniaPolandPortugalQatarRepublic of GenoaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-LippeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexasThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo SiciliesUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWürttembergYemenZambiaZimbabwe Phone Number Email Address Type of equipment Is all equipment supplied by PSI? YesNo Has equipment been installed and properly torqued? YesNo Have all incoming power connections been made? YesNo Have all electrical connections been made between controllers and equipment? YesNo For pump systems, has the pump been installed and the driveshaft left disconnected on the gearbox end? YesNo For pump systems with customer-supplied control systems, are there safety controls in place for? : Pump drive amperage Inlet high suction pressure Inlet Low suction pressure High discharge pressure Cold start protection For screenchanger systems, has the Hydraulic Power Unit been installed, and proper incoming power connected? YesNo Has all external piping not supplied by PSI been connected? YesNo Are the proper size, quantity, and mesh of screens on hand? YesNo Will there be customer employees or properly licensed and insured contractors on site for electrical issues that may arise? (PSI service technicians are responsible for PSI supplied equipment only. They are not licensed, nor insured, to make any connections to customer supplied wiring) YesNo Once initial installation checks have been completed, is the system ready to run? YesNo Send Repair/Troubleshooting Company Name Contact Name Street Address 1 Street Address 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian EmpireAzerbaijanBadenBahamas, TheBahrainBangladeshBarbadosBavariaBelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicDuchy of ParmaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of TuscanyGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHHaitiHanoverHanseatic RepublicsHawaiiHesseHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/YugoslaviaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-SchwerinMecklenburg-StrelitzMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassauNauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOldenburgOmanPakistanPalauPanamaPapal StatesPapua New GuineaParaguayPeruPhilippinesPiedmont-SardiniaPolandPortugalQatarRepublic of GenoaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-LippeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexasThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo SiciliesUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWürttembergYemenZambiaZimbabwe Phone Number Email Address Type of equipment Is all equipment supplied by PSI? YesNo Type of issue Mechanical Controls Please briefly describe the issue to be addressed: What is the end product this line produces? What is the polymer being processed? What temperature is the line operated at? Send
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