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395-03028

REPLACEMENT LABEL 33-62 REPLACEMENT LABEL 33-61

WARNINGTo avoid electrocution, ALL electrical shouldbe done by a registered Electrician, following

Industry Safety Standards.All power must be OFF and LOCKED OUT

during installation.

WARNINGTO AVOID SERIOUS INJURY, DO NOT

INSTALL OR SERVICE MILL UNLESSALL POWER IS OFF AND LOCKED OUT.

WARNINGTO AVOID POSSIBLE SERIOUS INJURY,

SHUT OFF AND DRAIN PRODUCT FROMMILL PRIOR TO DISCONNECTING PIPING.

Stop Machinery to Clean,Service or Repair

WARNING CAUTIONMILL PARTS HAVE SHARP EDGES.TO AVOID CUTTING INJURY, WEAR GLOVES

AND HANDLE PARTS CAREFULLY.

SAFETY

Read and understand this manual prior toinstalling, operating or maintaining this mill.

Warnings, cautions and notes are contained in this manual. To avoid serious injuryand/or possible damage to equipment, pay attention to these messages.

WARNING Hazards or unsafe practices which COULD resultin severe personal injury or death and how to avoid it.

CAUTION Hazards or unsafe practices which COULD resultin minor personal injury or product or property damage.

NOTE Important information pertaining directly to the subject.(Information to be aware of when completing the task.)

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WAUKESHA CHERRY-BURRELL WARRANTYSeller warrants its products to be free from defects in materials and workmanship for a period ofone (1) year from the date of shipment. This warranty shall not apply to products which requirerepair or replacement due to normal wear and tear or to products which are subjected to accident,misuse or improper maintenance. This warranty extends only to the original Buyer. Productsmanufactured by others but furnished by Seller are exempted from this warranty and are limitedto the original manufacturer’s warranty.Seller’s sole obligation under this warranty shall be to repair or replace any products that Sellerdetermines, in its discretion, to be defective. Seller reserves the right either to inspect theproducts in the field or to request their prepaid return to Seller. Seller shall not be responsible forany transportation charges, duty, taxes, freight, labor or other costs. The cost of removing and/or installing products which have been repaired or replaced shall be at Buyer’s expense.Seller expressly disclaims all other warranties, express or implied, including without limitation anywarranty of merchantability of fitness for a particular purpose. The foregoing sets forth Sellersentire and exclusive liability, and Buyer’ exclusive and sole remedy, for any claim of damages inconnection with the sale of products. In no event shall Seller be liable for any special consequentialincidental or indirect damages (including without limitation attorneys’ fees and expenses), norshall Seller be liable for any loss of profit or material arising out of or relating to the sale oroperation of the products based on contract, tort (including negligence), strict liability orotherwise.

GENERAL INFORMATION

SHIPPING DAMAGEInspect your shipment immediately. If damage is found, note it on the drivers copy(packing slip) and request the driver to ask the Inspector to call. You are responsiblefor initiating shipping damage claims.

HIDDEN DAMAGE OR WARRANTY CLAIMIf during installation, you discover damage, contact the Shipper immediately and askfor an Inspector to call. Notify your Distributor of the problem. In warranty claims youmust have a returned goods authorization from the manufacturer before any returnswill be accepted. Your Distributor will help you with a warranty problem. (SeeWARRANTY.)

ORDERING /RETURNING PARTSSee page 21 for complete information on ordering and returning parts.

MANUAL FORMATThis manual is laid out in sections. Each section addresses a specific subject.Familiarize yourself with the subjects by scanning through the manual. Whetherinstalling, operating, troubleshooting, maintaining or ordering parts, read through thatsection and follow instructions.

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LIST OF CONTENTS

SAFETY ............................................................. 3

WARRANTY ...................................................... 4

GENERAL INFORMATIONShipping Damage ....................................... 4Warranty Claims ......................................... 4Ordering Parts ............................................. 21Returning Parts ........................................... 21

INTRODUCTION ............................................... 6Specifications .............................................. 6

INSTALLATION AND STARTUPDimensions, Colloid mill ............................. 6Dimensions, Motor Base Assembly ........... 71. Variation of Oulet Port ............................ 82. Overhead Equipment .............................. 83. Wiring ...................................................... 84. Rotation Direction ................................ 85. Seal Flush ............................................... 96. Lubrication ............................................ 97. Method of Feeding and Capacity ........... 9

TROUBLESHOOTING ...................................... 10

MAINTENANCECleaning ...................................................... 11A. Flushing .................................................. 11

MILL SERVICEB. Partial disassembly ................................ 11C. Complete Disassembly .......................... 12-13

Adjustment and Calibration ........................ 13Flush Water Seal Replacement ................. 14Sanitary Seal ReplacementMultiple Spring ............................................ 15

Seal Parts list ....................................... 15

Single Spring to Multiple Spring Kit .......... 16Seal Kit Parts list .................................. 16

GEAR CASE SERVICE .................................... 17Tools Required ............................................ 17Service Preparation .................................... 17Front Seal Replacement ............................. 17Rear Seal Replacement ............................. 17Bearing Replacement ................................. 17

PARTS LISTSCOLLOID MILL ........................................... 18-19GEAR CASE ............................................... 20

NOTES .............................................................. 21

PARTS ORDERING .......................................... 22

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INTRODUCTION/SPECIFICATIONSThe Waukesha Cherry-Burrell Colloid Mill produces controlled, highly sheared, uniform dispersions andstable emulsions made up of uniform globules of moderate fineness.A serrated conical stator and a serrated rotating cone make up the emulsifying head.Operating clearance can be adjusted in .001-inch increments between .010 and .240 inches.Capacities range from 6.6 to 33.3 GPMViscosity range is limited only by the maximum 150 psi feed pressure.

o

t,

e

n

k SPECIFICATIONS

NOMINAL NOMINALMODEL NOMINAL PRESSURE CAPACITY INLET TEMPERATURE

SPEED TO OUTLET RANGECM 3600 RPM TO 150 PSI 6.6 TO 2”

(10 BAR) 33.3 GPM SAN TO 200° (25 TO IMDA (93° C)

126 L/M

INSTALLATION

UNIT DIMENSIONS

Figure 1

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UNITSIZE A B C E F G J T X Y10 HP 53.25 41.00 2.88 4.75 8.50 17.00 10.75 16.75 47.81 16.7515 HP 53.25 41.00 2.88 4.75 8.50 17.00 11.00 17.00 51.57 17.6920 HP 53.25 41.00 2.88 4.75 8.50 17.00 11.00 17.00 53.32 17.69

NOTE: 1. For 10 HP units motor is shimmed to “J” height.2. For 15 HP and 20 HP uniits, pump is shimmed to “J”height.

COLLOID MILL UNIT DIMENSIONS

INSTALLATION

Figure 2

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1. VARIATION OF INLET PORTThe mill is shipped from the factory with the inlet port as shown in Position 1.For convenience, the inlet port can be relocated to any of the other three positions. (See DisassemblyProcedure ) If Position 4 is used the calibrations at the pointer will be upside down. We suggest the use ofa mirror.

INSTALLATION AND START-UP

ROTATIONCounter-clockwisewhen facing outletport.

2. OVERHEAD EQUIPMENTFollow accepted engineering practice whenconnecting inlet and outlet with overhead equipment,piping or tubing. Use hangers to eliminate anyweight, stress or strain on the mill. Remember, ifdirect connection is made with any overhead tank,expansion joints should be installed in the line. Thiswill prevent mechanical loads on the mill whichwould damage it, or affect its operation.

3. WIRING3 Phase 60 Cycle 230-460 Volts. Follow wiringdirections on motor. Check direction of rotation.

4. ROTATIONCounter-clockwise when facing outlet port. If runclockwise the rotor retaining nut may back offresulting in damage to the mill.

Figure 3

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5. SEAL FLUSHThe mill is equipped with a face type seal which mustbe water cooled. The IN and OUT ports for introducingthe water to the seal are located in the gland (1) Theyare 1/4-inch pipe nipples, but the IN hole is smallerthan the OUT hole to prevent over-pressurizing.(Figure 4)The IN port must be used and the flow of water mustbe throttled to produce a flush of 1/2 to 1 quart perminute. Flows in this range provide safe coolingwithout damage to lip seal.It is recommended that a solenoid valve be used inthe water line to turn on the water simultaneously withthe mill. If the solenoid valve is not used the waterflush line should be turned on before starting mill. GLAND

OIL LEVEL

OIL DRAIN

BREATHER CAP

INSTALLATION AND START-UP

7. METHOD OF FEEDING AND CAPACITYThe inlet and outlet ports are 2 inch sanitary malethreads. The inlet port is located in the body—itsposition can be changed. (See variation of inlet portdiagram; page 8). The outlet port is located in thecover of the mill. The mill must be fed with a pump. AWAUKESHA positive displacement type pump isrecommended. The capacity of the mill is 400 to 2000gallons per hour. (6.6 TO 33.3 gallons per minute)

INLET

OUTLET

Figure 4

Figure 5

Figure 6

6. LUBRICATIONThe mill is shipped with oil in the bearing case. Thelevel should be checked at the oil level hole and ifnecessary, oil should be added through the oil fillhole.Use Mobil oil DTE BB ISO Grade 220 R & O (Rustinhibited) gear oil. (Part No. 000 140 001). If DTEBBis not available use S.A.E. 40 non-detergent mineraloil. The mill is shipped with a solid cap screw in the oilfill hole. This should be removed and replaced withthe breather cap which is wired to the mill.Frequency of lubrication is dependent upontemperature and moisture conditions. If roomtemperature is normal, 70° to 80° F. and water doesnot contact the bearing case, change oil every 240operating hours. When temperature varies from hotto cold or mill is flushed out with water, condensationwill occur in the bearing case necessitating morefrequent oil changes. Normal operating temperatureof the bearing case is 170° F. to 190° F.

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COLLOID MILL TROUBLESHOOTING

PROBLEM LIKELY CAUSE SOLUTION/SSeals leaking 1.Exceeding 150 PSI pressure 1.Open up gap reduce pressure

limitation of pump. 2. Seal flush water improperly plumbed 2. Connect flush water to IN/OUT

ports as stamped on gland

3. Water pressure too high 3. Adjust to 1/2-one quart perminute

3. Seals misaligned on pins 3. Re-align seals to proper fit.

Noisy operation Loose rotor nut causing rotor to Tighten nut to 75 ft lbs. CheckExcessive power draw stator contact mill rotation (Counterclockwise

facing outlet port)

Inconsistant milling Loose adjusting ring Set gap and tighten knurledresults screw in hole. Tighten bolt and

nut on oposite side.

Worn rotor or stator Replace worn parts

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CLEANING

A. FLUSHING:In some instances the unit can be cleaned by merelyflushing water through it while the mill is in operation.However, some of the water will remain in the bottomof the cone shaped stator. If this is not permissibleit is then recommended that the unit be dismantledfor cleaning.

B. PARTIAL DISASSEMBLY: Caution: Handle all parts carefully to avoid nicksand scratches which will be detrimental to operationof the mill.

1. Remove “T” handles.

2. Back out knurled lock screw.

3. Pull the cover/stator assembly outward. Someresistance to stator movement will be encounteredwhich is due to friction from the O-ring.

As soon as O-ring is free, the cover and statorassembly can be easily removed. It is not necessaryto remove adjusting ring. Disassembly to this pointallows complete drainage.

NOTE: To prevent wearing of the faces betweenadjusting ring and stator, it is recommended thatthese surfaces be lubricated occasionally with anapproved silicone type lubricant.

COLLOID MILL MAINTENANCE

T-HANDLE

KNURLEDLOCKSCREW

O-RING

ADJUSTING RING

Figure 7

Figure 8

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MAINTENANCEC. COMPLETE DISASSEMBLY:

1. Follow 3 steps outlined in B.

2. Remove cover capscrews and pull off cover, thenremove the O-ring.

3. Pull stator off studs and remove O-ring.

4. Remove rotor retaining nut and disassembleO-ring.

5. Slide rotor off shaft, handle with care to avoiddamage to rotor or seal seat which is contained inrotor.

6. Gently pull seal seat from back of rotor and removeO-ring.

7. Remove seal assembly from shaft.

8. Remove four 1/2-13 hex nuts which secure body tobearing case and slide body off.

9. Remove four capscrews from gland on back side ofbody and disassemble gland. There are six loosesprings in the gland. The gland lip seal can be pressedout if replacement is required.

10. Remove O-ring from inside body. Use O-ring toolif necessary.

NOTE: Clean and inspect all parts thoroughly. DONOT reuse seal or seal seat if scratched, chipped orworn.

COVER

STATOR O-RING

O-RING

5.

6.

9.LIP SEAL

10. O-RING

9.

SPRINGS

8.

7. 8.

4.

Figure 9

Figure 10

Figure 11

O-RING

SEAL SEAT

O-RING

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D. ASSEMBLY:1. Apply a suitable lubricant to all O-rings and insertthem in their respective grooves. NOTE: Seal seatO-ring should be placed over seal seat and then seatinserted into rotor.2. Follow disassembly procedure in reverse order tocomplete assembly.(Torque rotor nut to approximately75 ft. lbs.)

3. Seal water to mill must be connected to glandconnection marked IN. Inlet of gland contains thesmaller hole. Outlet contains the larger hole. (SeeFigure 12)

LOCKING HOLES

STATORADJUSTING RING

T-HANDLES

KNURLED LOCKING SREW

INDICATOR

IN

OUT

SMALL HOLE (IN)

WATER FLUSH SYSTEM

LOCK BOLT

MAINTENANCE

Figure 12

Figure 13

Figure 14

LARGE HOLE(OUT)

CAUTION:Flushing backwards can cause seal leakage and flush media will enter product zone.

ADJUSTMENT AND CALIBRATION

The mill can be adjusted to have a clearance betweenthe rotor and the stator from a minimum of .010 inchesto a maximum of .240 inches in increments of .001inches.The body (1) and the adjusting ring (3) are calibratedas a unit and serialized, they must not be interchangedwith other WAUKESHA Colloid Mills.The stator is held firmly against the adjusting ring by“T” handles (Figure 14)The clearance between rotor and stator is adjustedby turning the adjusting ring counter clockwise (whenfacing the outlet port) for increased clearance andclockwise to decrease the clearance. The adjustingring is engraved with numerals indicating the clearancein increments of .010 inches. The indicator pointerindicates the desired clearance. For setting in betweenthe increments of .010 the drill point spacing is equalto .001 clearance. Drill point spacing coincides withlocking hole spacing. There are 18 locking holes inthe ring, spaced 20° apart. (Figure 13)Rotation of the ring by 20° (hole to hole distance)changes the milling clearance by .001 inches.

Example: to obtain 0.014 radial clearance, locate0.010 punch mark under pointer. Turn ringcounterclockwise four additional drill points {or lockingholes), and lock in place with knurled lockscrew.(Figure 13) Tighten ‘’T” handles to firmly holdstator against adjusting ring. Clearance will be 0.014inches. Adjust lock bolt and tighten nut. (Figure 14)

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1. Disassemble as described in “Daily Maintenance”paragraph ‘’C” complete sanitary disassembly.

2. Remove four nuts. (Figure 16)

REMOVE BODY NUTS (4)

REMOVE BODY

REPLACE LIP SEAL

3. Slide body (1) forward off shaft. (Figure 17)

4. Pull seal out with hook tool. Insert new water lipseal with lip facing in. (See Item 8, Figure 19)

5. Re-assemble in reverse order.

FLUSH WATER SEAL REPLACEMENT

MAINTENANCE

Figure 16

Figure 17

Figure 18

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NOTE: Use care at all times to avoid chipping orscratching seal or seat . Keep seal face areas cleanand dry.

1. Install lip seal (8) into rear of gland plate (3).

2. Apply a small amount of sealant (7) to one end ofeach spring (4)and place in gland spring holes (3).

3. Apply gasket (7) to the sealing face of the glandplate (3).

4. Attach gland plate (3) to mill body using existingcapscrews.

5. Install one O-ring (6) into groove in mill body.

6. Attach body to bearing case (4 nuts) .

ITEM DESCRIPTION PART NUMBER QTY1 SEAL, ONE-PIECE STATIONARY CARBON OMS 306 003 12 *SEAT, ROTATING OMS 014 002 13 GLAND PLATE 316 S.S OMS 058 200 14 SPRING, COMPRESSION 316 S.S. OMS 304 200 65 HEX HEAD CAP SCREW 30-98 46 O-RING Fluoroelastomer OMS 302 V00 27 GLAND GASKET OMS 042 G00 18 LIP SEAL BUNA OMS 030 200 1

*SILICONIZED GRAPHITE

SANITARY SEAL REPLACEMENT

7. Lubricate O-ring (6) and small O.D. of seal (1) witha compatible lubricant and install seal into mill,aligning notches on the seal with pins in gland plate.Avoid grease type lubricants which can harden andbind the seal; use food grade lubricant when process-ing food products.

8. Lubricate remaining O-ring (6) with compatiblelubricant and install on small O.D. of seat (2).

9. Install seat (2) (with pins and O-ring) into rear ofrotor, aligning pins with holes in rotor.

10. Install rotor onto shaft, being careful to avoiddamage to the seat (2) or seal (1). Tighten rotor nut to75 ft.lbs.

11. Complete mill assembly.

MAINTENANCE

Figure 19

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NOTE:: Use care at all times to avoid chipping orscratching seal or seat . Keep seal face areas cleanand dry.

1. Install lip seal (8) into rear of gland plate (3).

2. Apply a small amount of silicone sealant (7) to oneend of each spring (4)and place in gland spring holes(3).

3. Place gasket (7) onto gland plate, aligning boltholes in gasket with holes in gland plate.

4. Attach gland plate (3) to mill body using existingcapscrews.

5. Install one O-ring (6) into groove in mill body.

6. Attach body to bearing case (4 nuts) per standardinstructions.

ITEM DESCRIPTION PART NUMBER QTY1 SEAL, ONE-PIECE STATIONARY CARBON OMS 306 003 12 *SEAT, ROTATING OMS 014 002 13 GLAND PLATE 316 S.S OMS 058 200 14 SPRING, COMPRESSION 316 S.S. OMS 304 200 65 DRIVE PIN OMS 126 000 36 O-RING Fluoroelastomer OMS 302 V00 27 GLAND GASKET OMS 042 G00 18 LIP SEAL BUNA OMS 030 200 1

*SILICONIZED GRAPHITE

7. Lubricate O-ring (6) and small O.D. of seal (1) witha compatible lubricant and install seal into mill,aligning notches on the seal with pins in gland plate.Avoid grease type lubricants which can harden andbind the seal; use food grade lubricant when process-ing food products.

8. Apply a small amount of silicone sealant to oneend of each drive pin (5) and insert into holes in seat(2).

9. Lubricate remaining O-ring (6) with compatiblelubricant and install on small O.D. of seat (2).

10. Install seat (2) (with pins and O-ring) into rear ofrotor, aligning pins with holes in rotor.

10. Install rotor onto shaft, being careful to avoiddamage to the seat (2) or seal (1). Torque rotor nut toapproximately 75 ft. lbs.

11. Complete mill assembly.

Figure 20

KIT # 35379 Convert single spring seal to multiple spring seal

MAINTENANCE

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Tools required for seal and/or bearing replacement:• Assorted hand tools including soft hammer.• Bearing puller or press.• Hook tool for seal removal.• Spanner wrench for bearing retainer nut removal• Wrench GD0019000 for rotor nut..• Anti-seize and seal lubricating grease.• 2 quarts DTE BB Mobil oil or equivalent.

CAUTION Mill parts have sharp edges. To avoid cutting injury, wear gloves and handle parts carefully.

Service Preparation1. Shut OFF and lock out all power.2. Remove all product and flushing from mill.3. Disconnect all piping to mill.4. Remove pump anchor screws and slide gearcaseoff motor coupling.5. Place mill on sturdy work surface.6. Disassemble wet end of mill completely. (SeePage 11 for Disassembly)7. Drain oil from gear case. (Figure 21)

Front Seal Replacement (Figure 22)1. Remove slinger. (Pull off)2. Remove bearing retainer assembly(front seal inside)(Held in place with four (4) capscrews).4. Note seal lip position and knock out old seal, placelubrication around new seal and press into bearingretainer. Replace gasket, if necessary. Lubricate seallip and install bearing retainer and slinger.

Rear Seal Replacement (Figure 123)1. Pull rear oil seal off drive shaft with hooked tool.2. Place tape over shaft keyway and install new seal.(Lubricate seal lip before sliding onto shaft).

Bearing Replacement1. Remove rear seal. Remove rear bearing retainingring. Press drive shaft out through front of gear case(through rear bearing). (Figure 23)2. Remove bearing locknut from shaft (counter-clockwise)and press front bearing off. (Figure 22)3. Press the rear bearing out of the front of gear case.(Figure 23)Clean and lubricate all parts thoroughly beforereassembling. Do not unwrap new bearings until readyto install.4. Lubricate inner races and press new bearings ontoshaft. Tighten locknut on front bearing to 40 ft. lbs. (Figure 24)5. Lubricate outer races and press shaft assembly intocase. Replace retaining ring and rear seal. (Figure 18)6. Replace mill assemblies. Torque rotor nut to 75 ft.lbs. Refill crankcase with 2 quarts Mobil DTE BB oil. Figure 24

Figure 23

Figure 22

Figure 21

BEARING RETAINERASSEMBLY

SLINGER

OIL LEVELOIL DRAIN

GASKET

FRONT BEARING

LOCKNUT

FRONT SEAL

REAR SEAL RETAINING RING REAR BEARING

GEAR CASE SERVICEMAINTENANCEBREATHER CAP

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PARTS LIST

Figure 25

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PARTS LIST

ITEM PART NUMBER DESCRIPTION QTY1 OMS 001 000 Body 12 OMS 002 000 Cover 13 OMS 003 000 Adjusting ring 14 OMS 004 000 Stator 15 001 061 002 Name plate 16 33-62 Caution label 17 OM S 010000 Rotor 18 OMS 011 000 Stud for body 49 OMS 011 100 Stud for handle shaft 410 36-70 Hex nut 1/2-13 411 30-151 Hex head cap screw 412 36-55 Hex nut 3/8-16 113 30-86 Hex head cap screw, 2.5” 114 OMS 052 000 Rotor retaining nut 115 OMS 054000 Adjusting handle 216 OMS 056 100 Indicator bracket 1

ITEM PART NUMBER DESCRIPTION QTY17 30-299 Rd. Hd. machine screw 218 43-21 #10 Lockwasher 219 OMS 099 000 Handle shaft 420 OMS 100 000 Pin for handle shaft 421 OMS 454 000 Sacer 222 V70253 O-ring cover gasket 123 V70263 O-ring stator gasket 124 BD0 128 000 Oil level & drain plug 225 OMS 129 000 Knurled lock screw 126 V70222 O-ring for rotor nut 127 000 373 003 Key 128 OM S018 000 1/4" pipe nipple (flush) 229 CD0 019 000 Rotor wrench (not shown) 1

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COLLOID MILL CRANKCASE

ITEM PART NO. DESCRIPTION QTY

1 BD0 087 R00 Ring, TRUARC 1 2 OMS 008 000 Drive Shaft 1 3 STD 046 001 Filter Breather 1 4 78-148 Pipe Plug, SQ 1/2-14 2 5 0MS 005 000 Gear Case 1 6 0MS 030 000 Seal 1.500 I.D. X .562 1 7 0MS 030 100 Seal 2.375 I.D. X .375-.438 1 8 0MS 036 N00 Locknut 1 9 0MS 036 000 Bearing, No. 5308, Dble Row 110 0MS 036 300 Bearing, Roller 111 0MS 080 000 Bushing, Bearing Retainer 112 30-274 SHCS, 5/16-18 x 2.0" Stl 2 413 0MS 045 000 Slinger, Zinc Plated 114 0MS 042 B00 Retainer Gasket 115 001 061 002 Nameplate 116 33-62 Label, Caution 1

6 16 3 15

4 9 8 10 2

Figure 26

14 11 7 13 12

PARTS LIST

1

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NOTES

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PARTS ORDERINGAny correspondence concerning colloid mills will require the following information be documented:PRODUCT NAME/MODEL:___________________________________________________________PRODUCT SERIAL NUMBER:_________________________________________________________DATE OF PURCHASE:_____________________________________INVOICE NUMBER:________________________________________INVOICE DATE:___________________________________________

HOW TO ORDER PARTSBy Phone

Telephone your repair parts or fittings order to your Distributor.To speed your order and avoid delays, please have your equipment model and serial number and the partnumbers from the parts list before you call your Distributor.

If you do not know your Distributors number, call Waukesha Cherry-Burrell Customer Service at:Phone: 800-252-5200 or 262-728-4900Fax: 800-252-5045 or 262-728-4904

Your call will be directed to a specialist who can provide you with Distributor information for your area.

How to Return PartsParts may be returned for credit, subject to the conditions of our return goods policy. To obtain authorizationto return a part, contact the your Distributor.Please give the following information:

Invoice number and dateQuantityPart Number (from parts list)Exact reason for return

Your Distributor will provide a Return Goods Authorization. (Returns will not be accepted withoutadvance authorization.)

DISTRIBUTOR:______________________________________________________________________

ADDRESS:__________________________________________________________________________

CITY: __________________________________________________ STATE:____ ZIP:_________

CONTACT: ______________________________________________

PHONE: ________________________________________________

FAX: _________________________________________________

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