Flogistix By Flowco

Parts Request Form

Warehouse | Internal use Only | Submit to ISR for all non-stock items
Form #
Date

1. Customer Information

Customer / Operator
Location / Lease / Basin
Contact Name
Phone / Cell
Email

2. Unit Information

Unit #
Manufacturer
Unit Serial #
Model
Hour on Unit (if known)
Last PM Date
Work Order # (if applicable)

3. Parts Requested

Parts Description
OEM Part Number
Part Serial #
Manufacturer/Model
QTY
Notes
Parts Description
OEM Part Number
Part Serial #
Model
QTY
Notes
Parts Description
OEM Part Number
Part Serial #
Model
QTY
Notes
Add More
Add More
Add More

4. Additional Notes / Failure Description

5. Submitted By

Warehouse Personnel Name
Manufacturer
Time
Model
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