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Product Complaint Procedure

July 2003

Step 1: Report Status

Date: ______
  1. Samples returned via FedEx, UPS, or Registered Mail to Charlotte Pipe and Foundry (with copy of these forms).

______(name) ______(date)

  1. Charlotte Pipe and Foundry division to be made aware of this complaint:

Cast Iron ______Plastics ______

  1. Job Name: ______
  2. Rep Information Contact Information:

Rep Name: ______

Rep Agency Name: ______

RepCity: ______

RepState: ______

Rep Zip Code: ______

Rep Phone Number: ______

Rep Fax: ______

Regional Manager: ______

  1. Distributor Contact Information:

Contact Name: ______

Distributor Company Name: ______

Distributor Address: ______

DistributorCity: ______

DistributorState: ______

Distributor Zip Code: ______

Distributor Phone Number: ______

Distributor Fax Number: ______

Step 2: Product Information

A. Manufactured
at CPF? (Y or N) / B. Product
Group /
  1. Quantity
Defective / D. Size / E. Part
Number / F. Description
  1. Type of Complaint: ______Dimensional _____ Damage _____Joints Leaking _____ Pin Holes ______Cracked _____ Flat Spots _____ Out of Rounds

PO Box 35430Charlotte, NC28235USA704/3725030800/4386091 FAX 800/5531605

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  1. Labor Claim: _____ (Check if the contractor is requesting reimbursement for loss of labor.)
  2. Complaint Description (begin each entry with full details):

______

Step 3: Job Site Contact Information

Date of Visit: ______

Report and Visit Completed By: ______

Job Name: ______

Installing Contractor Information:

Installing Company: ______

Installer Contractor Type: ___ Mechanical ___General ___Plumbing ___ Other

Installer Contact Name: ______

Installer Contact Position: ______

Installer Address: ______

InstallerCity: ______

InstallerState: ______

Installer Zip Code: ______

Installer Phone: ______

Installer Fax: ______

Step 4a: Job Site Visit Cast Iron Details

Component Manufacturers

Pipe ______

Fittings ______

No-Hub Couplings ______

Compression Gaskets ______

Product Ship Date and Pipe Manufactured Date

______

______

______

______

PO Box 35430Charlotte, NC28235USA704/3725030800/4386091 FAX 800/5531605

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Installation

Application: ______

Fluid Temperature (degrees F) ______

Location _____ Above Ground _____ Below Ground

Evidence of Pipe Burr ___ Yes ___ No

Restraints at Change of Direction ___ Yes ___ No

Date Installed ______

Hub and Spigot Installation

Type Lubricant Used ______Regular ______Adhesive

Type Pulling Tool Used ______

System Water Tested ___ Yes ___ No

Test ______Passed _____ Failed

Describe Test Results ______

Test Duration ______

Test Pressure ______PressureGageRange to 0 to ______psi

Miscellaneous

Photos Taken ______Yes _____ No

Step 4b: Job Site Visit Plastic Details

Component Manufacturers

Pipe ______Fittings ______

Product Ship Date and Pipe Manufactured Date ______

Application

Application ______

Location ______Above Ground ______Below Ground

Depth of Bury ______Feet

Support Spacing ______

Fluid Distributed ______

Fluid Temperature (degrees F) ______

Maximum Working Pressure ______psi

Installation

Cutting Method ______

De-Burred/Beveled _____ Yes _____ No

Primer Used _____ Yes _____ No

Brand of Cement Used ______

Cement ASTM Number ______

Cure Time ______

Date Installed ______

Size/Type Applicator Used ______

Thermal Expansion Issue ______Yes _____ No (If “Yes,” Complete Next Field)

Compensation Method ______

Restraint At Change of Direction _____ Yes _____ No

PO Box 35430Charlotte, NC28235USA704/3725030800/4386091 FAX 800/5531605

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System Water Tested _____ Yes _____ No

Test Planned ______Failed _____

Describe Test Results ______

Test Duration ______

Test Pressure ______psi. PressureGageRange 0 to ______psi.

Test Method (If Not Water) _____ Air _____Gas _____ Other

Chemical Exposure

Thread Sealant ______

Fire Stop ______

MSDS Sheets Obtained _____ Yes _____ No

Miscellaneous

Photos Taken _____ Yes _____ No

PO Box 35430Charlotte, NC28235USA704/3725030800/4386091 FAX 800/5531605