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
Yes
No - log before submitting
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