Attachment_Regulator_Service_Form_A0003.pdf

NOAA DIVING PROGRAM

REGULATOR SERVICE FORM

Diver Name: ___________________________________Service Date:___________________________________ General condition when received:_________________________________________________________________ Problems noted in the field______________________________________________________________________

Alternate Air Source Primary / RAS Cleaning

Cleaning Replace dynamic o-rings Replace dynamic o-rings Replace 2nd stage seat (if required) Replace first stage seat Lubricate

Vacuum testIP________psi / IP_________psi (RAS) Air-on orifice adjustment Inhalation (cracking) effort = ______ in.

Exhalation (cracking) effort = ______ in.

Hose and mouthpiece check

Other/Parts replaced: _________________ LP Inflator hose check Drysuit hose check

Other/parts replaced:_______________

Primary / RAS

Cleaning

Pressure Gauge

Replace dynamic o-rings Cleaning Replace 2nd stage poppet/seat (if required) Replace dynamic o-rings Lubricate Lubricate Vacuum test Hose check External leak test Reads <10% of master gauge Inhalation (cracking) effort = ______ / R:______ in. Other: _____________________ Exhalation (cracking) effort =______ / R:______ in.

Hose and mouthpiece check Depth Gauge Serial # _________________ Mouthpiece replaced Pressure test/ Depth calibration reading Personal Mouth Piece @ 100'_______200'________300'_______

Other: __________________________ Other/Parts replaced_______________________

Service Statement: All maintenance/repairs have been performed according to the manufacturer specifications.

Service Technician (initial)_____________ Final QC: (initial)____________

PRIMARY ScubaPro MK17/G260 #__________________________SPG #__________________Depth Gauge # ______ RASS ScubaPro MK17/G260 #_____________________________SPG #___________________ Atomic SS1 alternate air source #__________________________ ScubaPro G260 Octo #___________________________________

All work performed on NOAA regulators must be done by certified service technicians. All replacement parts must be new and meet the manufacturer’s requirements. For recordkeeping and quality control purposes each regulator must be tracked by serial number and serviced so that all parts, including gauges and hoses, stay paired with that regulator.

Lubricate

Any gauge reading +3ft (-0) should be removed from service.

Primary / RAS

First Stage

Second Stage