Warranty Claim FormStep 1 of 520%Distributor Name*Select Distributor00000000 Other (Please indicate)10164133 33 QUARRY & EQUIPMENT SALES TN10172295 3C INDUSTRIAL, LLC TX10164321 A & E PRESSURE WASHERS CA10207326 A & I EQUIPMENT SALES & SERVICE NE10164448 A & M COMPRESSED AIR PRODUCTS MA10164421 A C R SUPPLY NC10194014 A2Z INDUSTRIAL AIR COMPRESSOR CA10164381 AAP INDUSTRIAL INC FL10164798 ACCESSORIE AIR COMPRESSOR CA10165197 ADVANCED COMPRESSOR NE10164271 ADVANCED COMPRESSOR TECHNOLOGIES IN10164082 ADVANCED HYDRAULICS SYSTEMS FL10181056 AFFORDABLE AUTOMOTIVE EQUIPMENT FL10164371 AGLAND ELECTRIC MOTOR SERVICE NE10204760 AIR & LUBE SYSTEMS INC CA10164429 AIR CAPITAL EQUIPMENT, INC. KS10164424 AIR CENTER OF NEVADA INC. NV10164425 AIR CENTER, INC. NJ10164099 AIR COMPRESSOR & MOTOR FL10164431 AIR COMPRESSOR ENGINEERING INC KS10164434 AIR COMPRESSOR EQUIPMENT FL10164436 AIR COMPRESSOR EQUIPMENT INC-WILSON NC10164348 AIR COMPRESSOR PRODUCTS FL10164442 AIR COMPRESSOR SERVICE CO10213816 AIR COMPRESSOR SERVICE WA10164457 AIR COMPRESSOR SERVICES AR10164445 AIR COMPRESSOR TECHNOLOGIES MN10164439 AIR COMPRESSORS PLUS TX10164122 AIR DALE COMPRESSORS CA10165019 AIR EXCHANGE LLC LA10164489 AIR FLO, INC. SC10164464 AIR FLOW, INC. NC10164473 AIR HANDLING EQUIPMENT, INC. OH10164532 AIR INDUSTRIAL RESOURCE MO10164534 AIR POWER EQUIPMENT OK10164635 AIR SERVICES SOUTHERN INDIANA IN10164623 AIR SYSTEMS, INC. KY10165022 AIR TECHNOLOGIES - OTP OH10164600 AIR TECHNOLOGY WEST CA10164639 AIR TOOL COMPANY, INC. FL10164258 AIRDRAULICS CA10164615 AIRECO SUPPLY, INC MD10164527 AIRMATIC COMPRESSOR SYSTEMS NJ10164554 AIRSERCO, INC. PA10164588 AIRSORCE OK10164626 AIRTEK, INC. PA10164674 AL XANDER CO., INC. PA10164659 ALABAMA WHOLESALE CONTROLS, INC. AL10164582 ALABAMA/AIR-1/AIR LUBE AL10200032 ALBERT KEMPERLE INC NY10164460 ALFRED L BROWN ASSOC., INC. MA10189549 ALL AMERICAN AIR COMPRESSOR CA10164648 A-L-L EQUIPMENT IL10165240 ALL TYPE COMPRESSOR SERVICE IL10164492 ALL WEATHER SUPPLIES OH10164669 ALLIED AIR COMPRESSOR MD10164581 ALLIED SUPPLY COMPANY OH10165185 ALLIED, INC. MIA88200 ALMiG USA10200092 ALTAMAR FOODS CORP FL10209095 AME AUTOMOTIVE MI10164278 AMERICAN AIR TX10164262 AMGAS INC. NY10165247 AMICO ON10164813 ANDRESS ENGINEERING AL10164836 APEX CONTROLS PA10164851 APPLETON COMPRESSOR SERV & SY WI10190751 APPLIED COMPRESSION SYSTEMS LTD BC10164376 ARIZONA AIR COMPRESSOR AZ10164888 ARKANSAS INDUSTRIAL MACHINERY INC AR10164320 ARROW MAX COMPRESSOR & PUMPS CA10164380 ASSOCIATED COMPRESSOR & EQPT CA10164120 ATELIER S.R.M. ENR. QC10193890 ATLANTA COMPRESSOR LLC GA10164253 ATLANTIC COMPRESSOR & VACUUM MA10164097 ATLANTIC COMPRESSORS, INC. VA10164875 ATLAS MACHINE & SUPPLY INC KY10192822 AUSTIN EQUIPMENT TX10164306 AUTO BODY DISTRIBUTING NJ10164397 AUTOMATED COMFORT CONTROLS WI10182307 AUTOMOTIVE BUSINESS CONCEPTS TX10164388 AUTOMOTIVE DEVELOPMENT GROUP FL10164335 AUTOMOTIVE EQUIPMENT WAREHOUSE OH10213525 AUTOZONE TN10164390 B C COMPRESSOR (2007) BC10164757 BAKER GROUP IA10164404 BARTON AIR COMPRESSOR AND SERV ON10178763 BEN'S PAINT SUPPLY FL10173304 BEST BUY AUTOMOTIVE EQUIPMENT CA10164441 BLACKHAWK EQUIPMENT CORP CO10164451 BLACKLER AIR COMPRESSOR CORP NY10164438 BLAKE & PENDLETON, INC. GA10188424 BONNEVILLE INDUSTRIAL SUPPLY CO ID10164463 BRABAZON PUMP & COMPRESSOR WI10164446 BRANDON & CLARK, INC. TX10164500 BREHOB CORPORATION IN10164510 BROUDY PRECISION, INC. PA10164115 BUFFALO COMPRESSED AIR NY10165119 BURTON COMPRESSOR TX10164074 C & B INDUSTRIAL SUPPLIES, LTD NS10164091 C & C SERVICE OH10164713 C. H. REED, INC. PA10164471 C-AIRE, INC. WIA39200 CALIFORNIA AIR COMPRESSOR10164480 CAPITAL COMPRESSOR INC MD10164482 CAPITAL MACHINERY SYSTEMS IN10164485 CAPP, INC. PA10164486 CARDINAL CONTROL SYSTEMS, INC. NY10164512 CASCADE MACHINERY & ELECTRIC WA10185330 CBI - CHEYNE BURRIS INC CA10170264 CEMCO, INC. TX10164542 CENTECH SERVICE CORP VA10164546 CENTRAL AIR COMPRESSOR CO MI10164565 CENTRAL AIR EQUIPMENT LTD AB10164783 CENTRAL DAKOTA MECHANICAL ND10164324 CENTRAL EQUIPMENT SERVICE CA10164132 CENTRAL HYDRAULICS, INC. FL10164239 CENTRAL NEBRASKA EQPT, LLC NE10164566 CERTIFIED HYDRAULICS FL10164520 CESCO, INC SC10164569 CHESAPEAKE CONTROLS VA10164218 CISCO AIR SYSTEMS CA10164788 CITY ELECTRIC MOTOR CO KY10164298 CLARK HEINTZ TOOLS & EQUIPTMENT NH10164344 CLASSIC AUTO COLOR GA10164586 CLIMATE AIR MN10164412 CM3 BUILDING SOLUTIONS PA10164595 COLUMBUS TEMPERATURE CONTROL OH10165064 COMAIRCO EQUIPMENT, INC. NY10213957 COMAIRCO, LLC NHA1G200 COMP-AIR SERVICE CO.10164614 COMPENERGY, INC. MA10164609 COMPLETE AIR SERVICE OH10208967 COMPLETE ENGINEERED SOLUTIONS CA10164618 COMPRESSED AIR & EQPT CO. IA10208945 COMPRESSED AIR ADVISORS INC IL10164913 COMPRESSED AIR EQUIPMENT NJ10164629 COMPRESSED AIR SERVICES PA10164622 COMPRESSED AIR SERVICES AL10164631 COMPRESSED AIR TECHNOLOGIES MS10164632 COMPRESSED AIR TECHNOLOGY WI10214104 COMPRESSOR PARTS & REPAIR INC CA10164637 COMPRESSOR PUMP & SERVICE UT10164647 COMPRESSORS & TOOLS INC MS10164650 CONTROL CENTER MS10167944 CONWAY FREIGHT OR10164656 COWART IND. AIR COMPRESSOR GA10164663 CUMMINS-WAGNER CO., INC. MD10164667 CURTIS-TOLEDO, INC. MO10164113 CUSTOM ENERGIZED AIR LTD. AB10164670 D & D COMPRESSOR INC CA10164375 D.R. GUILBEAULT AIR COMPRESSOR LLC NH10190954 DEALER EQUIPMENT REPAIR SERVICE INC CA10199759 DEARING COMPRESSOR AND PUMP CO OH10164116 DECATUR AIR TOOL & COMP. CO., INC. IL10164677 DEL RIO WELDERS EQUIP CO. TX10164676 DELTA AIR COMPRESSORS, INC. NY10164876 DELTA INDUSTRIES INC IL10164126 DISCOUNT EQUIPMENT FL10164691 DIVERSIFIED AIR SYSTEMS, INC. OH10184118 DOUGHBOYS TOOLS WA10164980 DOWS EQUIPMENT SERVICE, INC. MI10164160 DXP ENTERPRISES TX10165052 DXP ENTERPRISES, INC. OK10165018 E & S AIR COMPRESSOR SERVICES, INC AR10164736 EDMAC NC10164737 ELECTRIC MOTORS OF IOWA IA10164743 EMS INDUSTRIAL, INC. WI10164744 ENERGY CONTROL & DESIGN WI10164745 ENERGY EQPT & CONTROL, INC. PA10164753 ENGINEERED MAINTENANCE AL10185970 ENGLUND MARINE & INDUSTRIAL SUPPLY OR10164329 ET HYDRAULICS WA10164645 ETEC TN10196858 ETHEREDGE ELECTRIC COMPANY LLC LA10164768 EVANS ENTERPRISES INC OK10164774 EVAPAR, INC. IN10164128 FACILITY CONTROLS GROUP, INC. GA10164778 FAST EQUIPMENT FL10165103 FASTENAL MN10164386 FINISHMASTER, INC IN10169253 FITZ EQUIPMENT CO INC TX10164795 FLUID-AIRE DYNAMICS CO IL10164315 FSC COMERCIAL S.A. 13A70200 FS-COMPRESSIONA31200 FS-ELLIOTT10164309 G & E INDUSTRIAL TX10190593 G & W AUTO PARTS LLC OH10213919 G & W EQUIPMENT INC NC10164137 G.S.I. AIR COMPRESSEURS QC10211677 GARAGE GADGETS INC FL10164801 GARTNER EQUIPMENT CO., INC. NY10164241 GEM AIR SERVICES INC. RI10164809 GENERAL EQUIPMENT COMPANY OR10165179 GEO S. THOMSON CO., INC. TX10164821 GLENN'S ELECTRIC MOTOR & PUMP UT10164339 GLICK-IT LLC PA10193692 GLOBAL ENERGY SOLUTIONS LLC OK10187327 GLOBAL INDUSTRIAL DISTRIBUTION INC GA10165215 GOLDEN STATE COMPRESSOR CA10164824 GORDON AIR COMPRESSOR EQPT TN10165225 GORMAN-RUPP COMPANY OH10164323 GRAHAM EQUIPMENT MANUFACTURING TX10165112 GRAINGER IL10165089 GRAYSON COMPRESSOR TX10164831 GREEN VALLEY COMPRESSOR TX10164833 GRIMM'S PUMP & INDUSTRIAL SD10164839 H & K PUMP TX10165173 H A THOMPSON & SONS, INC ND10164476 HAGUE EQPT CO. MI10164709 HARRIS EQUIPMENT IL10164852 HAWKINS AIR COMPRESSOR KY10164853 HELLGATE TOOL REPAIR MT10164856 HOFFMAN INDUSTRIES, INC. VA10164255 HOLLYWOOD COMPRESSOR, INC. FL10174673 HOME DEPOT USA INC GA10191637 HONEYWELL INC VA10213546 HONEYWELL INC ND10164859 HONEYWELL, INC. TX10164861 HOPKINS, INC. WV10186526 HYDRA TECH SYSTEMS INC LA10164874 I & M INDUSTRIALS, INC. SC10164878 INDUSTRIAL AIR CENTERS, INC. IN10164353 INDUSTRIAL AIR TOOL PASADENA TX10203868 INDUSTRIAL ENGINEERING & EQUIPMENT CA10164886 INDUSTRIAL SALES & SERVICE MT10213365 INDUSTRIAL SERVICE COMPONENTS INC WA10164910 INDUSTRIAL SOLUTIONS OF ARKANSAS AR10176811 INLAND VALLEY TOOL & SUPPLY CA10164891 ISAACS FLUID POWER EQPT CO. OH10164894 J & L SUPPLY CO WV10189169 J AND B TOOL SALES INC MI10164312 JACK TYLER ENGINEERING AR10164958 JEMCO/MAXAIR ND10164900 JIM'S AIR COMPRESSOR MD10199615 JOHN BOUCHARD & SON COMPANY TN10164903 JOHNSON CONTROLS WI10164905 JOHNSTONE SUPPLY NC10164679 JW RAMSEY EQUIPMENT TX10197147 KELLYS TRUCK PARTS TX10213512 KEYSTONE AIR POWER LLC PA10192973 KLOR MACHINERY INC CA10164403 KNAPP ELECTRIC CO NE10164912 KOMPRESSED AIR OF DELAWARE DE10164914 KRUGE-AIR, INC. MN10164915 KRUMAN EQUIPMENT COMPANY OH10195998 KT EQUIPMENT SERVICES INC TX10164916 L B S CORPORATION MD10200597 LANDMARC ENVIRONMENTAL SYSTEMS, LLC IL10164920 LANS COMPANY, INC. CA10165033 LEE PATTERSON & CO FL10186353 LEE'S TOOLS CA10164927 LEMKE SALES CO. OH10164930 LEWIS SYSTEMS & SERVICE CO NC10164933 LINDEN AIR COMPRESSOR SALES NJ10164946 M & M CONTROLS MD10164123 MAGNUM DRILLING OF OHIO, INC. KY10164948 MAINE AIR POWER, INC. ME10164952 MARCUSE & SON MACHINERY EXCHG TX10164953 MARRONI'S REFRIGERATION & IN10164956 MAVERICK SALES COMPANY, INC. TX10164304 MCGEE COMPANY - DENVER CO10190065 MEDPIPE MAINTENANCE INC PA10164708 MESA EQUIPMENT & SUPPLY CO NM10164973 METROPOLITAN AIR COMPRESSOR CO MI10206142 MEYER SERVICE COMPANY TX10197247 MICHAEL J DOWLIN PA10164294 MICHIGAN AIR COMPRESSOR TECH. LLC MI10181050 MICHIGAN AIR SOLUTIONS MI10164135 MIDSTATE AIR COMPRESSOR CT10164981 MIDWEST AIR COMPRESSOR WI10164286 MIDWEST AIR POWER OH10164982 MIDWEST AIREND & PUMP MO10177901 MIDWEST LIVESTOCK SYSTEMS INC NE10164986 MILL SUPPLIES, INC. MS10164066 MILLER INDUSTRIES, INC. HI10164987 MILLS COMPRESSOR SERVICE FL10188589 MOORES FEED STORE MS10164560 MOTION INDUSTRIES AL10214091 MOUNTAIN HOME AIR COMPRESSOR CO AR10164234 NATIONAL COMPRESSOR SERVICES LLC OH10164999 NATIONAL ENERGY CONTROL CORP PA10164994 NB SALES & SERVICE CA10164996 NCA LTD. ON10165009 NORTH CENTRAL AIR KS10208490 NORTHEAST TRUCK & TRAILER CO LA10165010 NORTHERN COMPRESSOR WI10199705 NORTHERN PNEUMATICS LTD BC10165011 NORTHERN PUMP & COMPRESSION ND10210683 NORTHWEST SALES GRP INC WA10165016 NOVELTY MACHINE & SUPPLY CO IA10164257 OEM AIR COMPRESSOR CORP. IL10164537 OMAHA PNEUMATIC EQPT NE10196999 ON THE CUTTING EDGE INC CO10187602 ORANGE COAST PETROLEUM EQUIPMENT CA10193261 P-A INDUSTRIAL SERVICES LLC MN10165031 PAPPAS AIR COMPRESSOR NY10165034 PATTON'S, INC. NC10165059 PERFORMANCE TOOL & EQUIPMENT INC NM10164164 PETROCHOICE HOLDINGS INC PA10165040 PHILLIPS AIR COMPRESSOR INC IL10164139 PIC SUPPLY CO. MO10164308 PINA BROTHERS SERVICE CA10164247 PIONEER INDUSTRIAL SALES, LLC TN10164146 PITTSBURGH AIR SYSTEMS INC PA10164295 PORTLAND COMPRESSOR INC OR10165044 POWER EQUIPMENT CO TN10164124 POWER EQUIPMENT DIRECT, INC. IL10204289 POWER SPECIALTIES LLC LA10165050 POWERED COMPRESSORS & SUPPLIES IN10165054 PRECISION CONTROL SYSTEMS IN10165056 PRECISION DRIVE & CONTROL WI10165055 PREMIER EQUIPMENT CO. LA10165058 PRICE EQPT SERVICE, INC. TN10165060 PRO COMPRESSOR PA10165088 PROCESS COMPONENTS LIMITED TT10200563 PROQUIP SOLUTIONS KY10165078 QUAD-STATE AIR COMP PA10164726 QUALITY COMPRESSED AIR SERVICE MS10164727 QUALITY COMPRESSOR SERVICE KY10165072 QUALITY CONTROLS, INC. AL10197850 QUANTUM AIR SOLUTIONS INC NY10196068 QUICK QUACK CAR WASH CA10165075 R B M COMPANY TN10165079 R P I OK10164934 R W LINDSAY NY10164316 R. E. ALBRIGHT, INC. CA10165083 REMCO EQUIPMENT COMPANY CO10202817 RESCUE COMPRESSOR CA10208053 RITO MINTS LIMITED QC10214411 ROCKWELL EQUIPMENT & SUPPLY CO PA10201265 ROGERS MACHINERY COMPANY INC OR10165092 RON WHITE'S AIR COMPRESSORS SC10197926 ROSS TOOL & FASTENER INC GA10178764 RUSH ENTERPRISES TX10188037 SAMUELS INC NJ10165113 SANKEY EQUIPMENT CO TX10165111 SCALES INDUSTRIAL TECHNOLOGIES NJ NJ10165108 SCALES INDUSTRIAL TECHNOLOGIES NY AL10165110 SCALES INDUSTRIAL TECHNOLOGIES PA PA10190296 SEARS HOLDINGS CORPORATION IL10165116 SENECA CORPORATION IA10196946 SERVICE AIR COMPRESSEUR INC QC10164955 SERVICE SOLUTIONS U.S. LLC MN10165123 SHERWIN-WILLIAMS OH10164917 SIEMENS INDUSTRY, INC. MD10165122 SIMPLE AIR SOLUTIONS, LLC GA10164094 SISTEMAS DE AIRE NL10191252 SOUTH FLORIDA TOOLS FL10199125 SOUTHERN BOOTH & EQUIPMENT FL10164154 SOUTHERN COMPRESSOR SALES AL10165137 SOUTHERN FLUID SYSTEMS GA10164101 SOUTHERN PARTS & ENGINEERING GA10206269 SOUTHERN STATE COMPRESSOR GA10165143 SPOHRER COMPRESSOR SERVICE CO NJ10204453 STACKIS HYDRAULICS & HOSE IL10165145 STAN HOUSTON EQUIPMENT CO SD10165147 STANSBURY EQUIPMENT CO TX10165149 STAUFFER COMPRESSOR N' MACHINE PA10165152 STEWART EQUIPMENT CO. NC10176556 STYLAIR LLC CT10210450 SUMMIT COMPRESSION LLC WY10184117 SUPERIOR AUTOMOTIVE EQUIPMENT MI10207089 SWINK AIR & HYDRAULICS TX10165164 TATE ENGINEERING SYSTEMS, INC. MD10165167 TEMPERATURE CONTROL SYSTEMS TX10165048 THE POWER STATION NE10165170 THOMPSON BROTHERS KS10165171 THOMPSON'S AIR COMPRESSOR TX10165180 THORNTON PUMP & SUPPLY OK10198211 TIE ENGINEERING INC AL10165182 TIPTON ELECTRIC MOTORS IA10188720 TIRE FACTORY INC OR10164245 TMI COMPRESSED AIR SYSTEMS MI10165183 TOMMARK, INC. MI10165191 TOTAL EQUIPMENT COMPANY PA10213708 TP TOOLS & EQUIPMENT OH10165192 TRIO COMP AIR SYS LA10200034 TRUCK, AG & AUTO INC TX10164592 UE COMPRESSION CO10165202 UNITED COMPRESSOR & PUMP SERV NH10213067 UNIVERSAL DISTRIBUTION GROUP LLC NC10165206 UNIVERSAL SUPPLY GROUP NJ10164242 UTILITY INDUSTRIAL COMPRESSORS UT10173201 UTILITY TRAILER OF DALLAS, INC. TX10197185 UTILITY TRAILER SALES SOUTHEAST TX TX10165207 VACUUM PUMP & COMPRESSOR INC WI10164474 VALLEN DISTRIBUTION INC GA10164261 VALLEY HOTSY GA10164332 VAMPA TIRE SUPPLIES INC FL10208465 VANTAGE PUMP AND COMPRESSOR LTD TX10164311 VEHICLE EQUIPMENT SOLUTIONS WA10165053 WALTER S. PRATT & SONS, INC. NY10165216 WALTZ ENGINEERING, INC. HI10165209 WAYNE VAUGHN EQUIPMENT CO IN10165220 WENNIGER COMPRESSOR WI10164136 WESBROOKS, INC. TX10165221 WEST COAST COMPRESSOR CA10164292 WESTERN STATES MARKETING WSM UT10165228 WESTERN TOOL CRIB NM10164346 WHEATBELT INC MO10165232 WILLIAMS AIR COMPRESSOR & EQUIPMENT AR10187328 WILLIAMS ENTERPRISES LLC AR10164299 WILLING SERVICE CORPORATION AZ10198803 WOFFORD TRUCK PARTS INC TX10165238 WOODWARD COMPRESSOR SALES NC10165239 WORLDWIDE AUTOMATION TX10198212 WRIGHT STORAGE SYSTEMS INC FL10199187 XTREME PUMP & SUPPLY LADistributor Name if not listedDistributor Email* Distributor Phone NumberTechnician Name* First Last Owner InformationCompany (End User Name)*Contact Name* First Last Street Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email* Compressor InformationCompressor Model*Select Compressor ModelML SeriesCA SeriesCT SeriesCTS Series (single Stage & Portables)CC Series (Climate Control)OL Series (oil-Less Reciprocating)CW Series (Large Industrial)Vacuum PumpsNx SeriesRS SeriesZW SeriesECO-Series ScrollGSV SeriesAF SeriesSE / SEG SeriesDryersCompressor Part Number*Compressor Serial Number*Pump Serial NumberPump Serial Number (Duplex Units)Date of Purchase* Date Format: MM slash DD slash YYYY Date of Start Up* Date Format: MM slash DD slash YYYY Was this compressor started up by an authorized FS-Curtis Distributor?*YesNoIndustry*Select IndustryAgricultureAirplane ServicingAuto AftermarketBoat ServicingChemicalComputer & ElectronicDairyEducationElectrical Equipment ManufacturingFood and BeverageFurniture and Cabinet ManufacturingGeneral ManufacturingGeneral ServiceLaboratoryMachinery ManufacturingMedicalMetal ManufacturingMetalworkingMiningOil & GasPaper ProcessingPlastics & RubberPostalPower GenerationPrintingRailSnowmakingTextilesTransportation - Equipment ManufacturingWarehousingWaste ManagementWater TreatmentWoodworkingDescribe if necessaryPlease describe your typical hours of operation:Days per week*Select Days per Week1234567Hours per day*Select Hours per Day123456789101112131415161718192021222324The following checklist does not replace the instructions contained in the FS-Curtis Owner's manual. Always refer to the Owner's manual for proper procedures, methods, operating specifications, and safety precautions.Installation Requirements* The compressor may not be operated outdoors. The installation location is level and is not subjected to abnormal vibrations. The unit should be located in a clean, well-lighted area that will not be exposed to ambient temperatures exceeding 104°F The machine is easily accessible and can be accessed from all sides. Allow at least three (3) feet clearance on all sides of the compressor to facilitate maintenance and allow for free circulation of air. There is sufficient ventilation and the intake of media other than cool, dry and dust-free cooling air is forbidden. There is a fusible disconnect power supply available with voltage deviations of less than 10%. The machine is not subjected to an explosive or corrosive atmosphere. Overall appearance and condition of location is in good condition. The operation of the compressor is within the rated pressures and speeds indicated on the compressor nameplate. Check that all safety devices are fully functional and correctly installed before starting work. Compressor appears to have been maintained properly with industry best practice guidelines/FS-Curtis Operation Maunal.Operational Requirements (ALL COMPRESSORS)Line Voltage (Before Starting): L1: _______________ L2: _______________ L3: _______________ Line Voltage (At Max Pressure): L1: _______________ L2: _______________ L3: _______________ Full Load Amps (At Max Pressure): L1: _______________ L2: _______________ L3: _______________ Unload Amps (At Min. Pressure): L1: _______________ L2: _______________ L3: _______________ **NOTE: Set overloads according to measured amps, which may differ from factory settings. Ambient Temperature: _____________⁰F Air/Oil Temperature: _____________⁰F Water Service Temperature: _____________⁰F Pressure Settings: Cut In: _____________ Cut Out: ___________ Modulation: _________ Duty Cycle: ___________________ System Air Receiver Size: ________________ Gallons: Air Treatment Equipment Installed: __________Yes __________No Operational Requirements (Rotary Only)Control Voltage:____________ Separator DP:____________ Air/Oil Temperature(Full load):____________ Water Service Temperature:____________ Total Run Hours: _______ Loaded Hours: _______ Type of Failure (Rotary)Controls_____ Inlet Valve_____ Electrical_____ Air Leak_____ Oil Leak______ Belts______ Coupling_____ Airend_____ Cooler_____ Motor_____ Thermal Valve_____ Vibration_____ VF Drive_____ Controller_____ Tank_____ Accessory_____Type of Failure (Recip)Solenoid Valve____ Unloader Controls____ Suction Valve____ Discharge Valve____ Electrical_____ Air Leak_____ Oil Leak____ Belts____ Flywheel_____ Pump____ Intercooler____ Vibration____ Tank____ Check Valve____ Pressure Switch____ Accessory____Type of Failure (Scroll)Controls____ Electrical____ Air Leak____ Belts____ Airend____ Cooler____ Motor____ Temp Switch____ Vibration____ Controller____ Check Valve_____ Hoses____ Tank____ Accessory____Trip 1Date* Date Format: MM slash DD slash YYYY Travel Hours*Mileage*Labor Hours*Defect Description*Trip 2Date Date Format: MM slash DD slash YYYY Travel HoursMileageLabor Hours*Any additional trips require pre-approval from the FS-Curtis warranty department.Corrective Action Taken*Components Used (List Quantity, Description of Part(s), Part No(s)., and Cost)Freight Charges*FS-Curtis Invoice Number or Distributor Purchase Order Number for repair components purchased:EmailThis field is for validation purposes and should be left unchanged.