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PUREX FILTRATION SYSTEM LOGBOOK
TO E
NSUR
E TH
E CO
NTIN
UED
PERF
ORM
ANCE
OF
YOUR
PUR
EX E
QUIP
MEN
T, T
HE F
OLLO
WIN
G DA
ILY,
WEE
KLY
AND
MON
THLY
CHE
CKS
SHOU
LD B
ECA
RRIE
D OU
T. T
HE F
ORM
BEL
OW C
AN B
E PH
OTOC
OPIE
D FO
R YO
UR R
ECOR
DS. C
ONTA
CT u
s at w
ww.P
UREX
USA.
com
FOR
ANN
UAL
MAI
NTEN
ANCE
.*R
ECOM
MEN
DED-
Kee
p fo
rm b
y the
equi
pmen
t. Lo
cal o
rdna
nces
such
as O
SHA,
Fire
Mar
shal
Insp
ecto
rs m
ay w
ant t
o se
e mai
nten
ance
hist
ory.
Pure
x Mod
el:
Loca
tion\
Asse
t #:
Year
:
____
____
____
____
____
____
____
_ M
odel
Num
ber:
____
____
____
____
____
____
____
____
____
__
____
____
____
____
____
____
___
Wee
k Nu
mbe
r: __
____
____
____
____
____
____
____
____
__
____
____
____
____
____
____
____
_
Inst
ruct
ions
: The
ope
rato
r sh
ould
che
ck th
e LE
V sy
stem
s at
the
sug
gest
ed fr
eque
ncy,
put
a ti
ck in
the
rele
vant
box
if O
K o
r pu
t an
“X”
in th
e bo
x if
not
OK
. The
n in
itial
the
colu
mn.
writ
e de
tails
of p
robl
ems
and
how
the
y ha
ve b
een
reso
lved
in t
he b
oxes
at
the
botto
m o
f the
she
et.
Gene
ral h
ouse
keep
ing:
- A
ll sp
illage
s m
ust
be im
med
iate
ly r
emov
ed b
y a
suita
ble
vacu
um, n
ot b
y sw
eepi
ng, d
ustin
g or
usi
ng a
n ai
rline
. A r
egul
ar c
lean
ing
regi
me
shou
ld b
e em
ploy
ed.
Daily
che
ck li
st w
here
app
licab
leS
MT
WT
FS
SM
TW
TF
SS
MT
WT
FS
SM
TW
TF
SS
MT
WT
FS
Airf
low
indi
cato
r ef
fect
ive
if fit
ted
LEV
on
whe
n pr
oces
s is
in u
seE
xtra
ctio
n ca
ptur
ing
all d
ust/
fum
eN
o un
usua
l noi
se/v
ibra
tion/
odou
rN
o dr
augh
ts a
ffect
ing
airfl
oww
aste
col
lect
ion
not
over
full
Are
a cl
ean
and
tidy
Chec
ked
by in
itial
s
Wee
kly
chec
k lis
t whe
re a
pplic
able
Chec
ked
By:
Chec
ked
By:
Chec
ked
By:
Chec
ked
By:
Chec
ked
By:
Filte
rs in
goo
d co
nditi
onA
cces
s no
t ob
stru
cted
Flex
ible
hos
e co
nditi
onD
uctin
g &
hoo
d co
nditi
onD
ampe
rs o
pera
te fr
eely
Vis
ible
ele
ctric
al c
able
che
ck O
K
Mon
thly
che
ck li
st w
here
app
licab
leCh
ecke
d By
:Ch
ecke
d By
:Ch
ecke
d By
:Ch
ecke
d By
:Ch
ecke
d By
:LE
V in
spec
tion
labe
l with
in d
ate
Dat
e fil
ter
chan
ged
Reco
rd d
etai
ls o
f any
pro
blem
rep
orte
d to
man
agem
ent f
or a
ctio
n/ad
vice
. Ent
er d
ate,
pro
blem
det
ails
, nam
e of
rep
ortin
g pe
rson
, nam
e of
per
son
repo
rted
to:
Dat
eD
etai
lsR
epor
ted
byR
epor
ted
to:
Digital-Manual-822005-English-rev6_Price List-0506-GBP 22/04/2016 13:54 Page 18
Jorlink USA, Inc. | Tel: (336) 288-1613
Purex Filter System
Distributor: ¨ Jorlink USA, Inc. Other: _________________
Purchase Date: _________________________
Machine Model # _______________________ Serial # _________________________
P/N: Main Filter #1 _______________________ P/N: Main Filter #2 _________________________
P/N: Pre-Filter #1 _______________________
Type of Filter Date Replaced Replaced by Whom Duration of Filter
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Date: _______________ Reported By: _________________________
Problem Sympton #1:
Solution #1:
Date: _______________ Reported By: _________________________
Problem Sympton #2:
Solution #2:
Date: _______________ Reported By: _________________________
Problem Sympton #3:
Solution #3:
Supported by: Jorlink USA, Inc. | Greensboro-NC USA Tel: (336) 288-1613 | [email protected] | www.PUREXUSA.com
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
Main Pre-Filter ________________________________________________ _________________________
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