Lorentz Warranty & Repair

Name:
Address:
Phone Number:
Email:

PUMP SYSTEM I.D.
Solar Direct or Battery Installation: Solar Direct Battery Installation
If battery direct is this system pressurized? YES NO
PUMP END INFORMATION
Pump End Model:	Serial Number:

MOTOR INFORMATION
Motor: (Select One)
Motor Serial Number:

CONTROL INFORMATION
Controller Model: (Select One)
Control Serial Number:

WELL?WATER SOURCE INFORMATION - REQUIRED FOR WARRANTY
Well Depth:		Drop pipe, length and size:
Static Water Level:		Pump Cable length and size:
Recovery Rate of Well:		Wire from solar array to pump control:
Depth of Pump Setting:
Additional Vertical Lift from top of Well:
Total Head:
PLEASE EXPLAIN SYSTEM FAILURE OR SYMPTOMS:

ARRAY INFORMATION - REQUIRED FOR WARRANTY
Array Nominal Voltage:
Array Open Circuit Voltage:
Running AC Amperage:	Measured with clamp on meter in AC: L1 L2 L3 Check if no amperage available.

Purchased From:
System Purchase Date:
PLEASE EXPLAIN SYSTEM FAILURE OR SYMPTOMS: