Midmark Service Request Dispatch Authorization - WO-00104599
Closed
Travel Zone 1
PROBLEM SUMMARY
WD Shroud issue on MDS
ADDITIONAL NOTES
Liftgate needed, inside delivery. For assistance, troubleshooting, or parts identification, contact Medical Tech Service at
844-856-1230. Thank you!
DISPATCH ITEMS
Serial # V2848583 Item 626-001
ITEM DESCRIPTION
626-001 MIDMARK BARRIER-FREE EXAM CHAIR,ROLLERS,DRAWER HEATER,PELVIC TILT,TAMPER-RESISTANT
HOSPITAL-GRADE RECEPTACLES-BASE ONLY
PCR CODES
Problem Cause Resolution
SHROUDS NOT OPERATING PROPERLY UM UNDETERMINED DIAGNOSING PRODUCT
Problem Change Cause Change Resolution Change
PARTS
Service Activity Line Status Order Number Product Code Estimated
Qty
Actual
Qty Tracking Number
Ship Exchanged Open 726219 053-0050-24 4.00000
Ship Exchanged Open 726219 002-10100-00 1.00000
Ship Exchanged Open 726219 002-10031-01 1.00000
10/9 KKelch called Zach to schedule for 10/14 between 11:30 and 12:30 pm. Customer confirmed. Call logged on WO-01304250
10/8 KKelch called Zach to schedule for 10/14 between 11:30 and 12:30 pm. Left VM. Call logged on WO-01304250
10/7/025 CDempsey- Do we know if cushion shipped?
9/29/25 TBollman Damaged cushion cannot complete will need to return. Midmark sending replacement.
9/29/25 RCook- Emailed Zach Navarro advising our technician's arrival time has now changed to 11AM-1PM (misspoke on VM). See logged email on WO-01304250
9/26/25 RCook- LM with Zach Navarro advising our technician's arrival time has now changed to 10AM-12PM (due to additional repair in the morning). See logged call on WO-01304250
9/23 KKelch Zach called me back to schedule for 9/29 between 9 and 10 am. Customer confirmed. Call logged on WO-01304250
9/23 KKelch called Zach to schedule for 9/29 between 9 and 10 am. Left VM. Call logged on WO-01304250
09/12/2025 SRobinson- called Tyler Bollman, 1(602) 403-1163. It went to VM, LM with WO# and advised a coordinator will be reaching out to schedule.
🔧Work Performed
went on site and the warehouse team had delivered the cushion that was damaged, drove to the warehouse located the part, drove back moved it inside and replaced the damaged one. located contact and had him sign off
🔍Technician Findings
cushion upholstery damaged
⚠️Problem Description
Travel Zone 1
PROBLEM SUMMARY
WD Shroud issue on MDS
ADDITIONAL NOTES
Liftgate needed, inside delivery. For assistance, troubleshooting, or parts identification, contact Medical Tech Service at
844-856-1230. Thank you!
DISPATCH ITEMS
Serial # V2848615 Item 626-001
ITEM DESCRIPTION
626-001 MIDMARK BARRIER-FREE EXAM CHAIR,ROLLERS,DRAWER HEATER,PELVIC TILT,TAMPER-RESISTANT
HOSPITAL-GRADE RECEPTACLES-BASE ONLY
PCR CODES
Problem Cause Resolution
UPHOLSTERY ISSUES UM UNDETERMINED DIAGNOSING PRODUCT
Problem Change Cause Change Resolution Change
PARTS
Service Activity Line Status Order Number Product Code Estimated
Qty
Actual
Qty Tracking Number
Ship Exchanged Open 726219 002-2000-856 1.00000
To: tyler.bollman@emsar.com
CC:
BCC:
Attachment: --none--
Subject: Update: Awaiting Parts for Your Work Order
Body:
Dear Customer,Thank you for choosing EMSAR for your service needs.We are currently awaiting the parts necessary to complete the work for your device.Work Order #: WO-01304251Location: Phoenix Indian Medical CenterAddress: 4212 North 16th Street Phoenix,, AZ 85016Device: 626 (Series) Chair V2848615Problem Description: Travel Zone 1
PROBLEM SUMMARY
📧
Email
Completed Sep 26, 2025
9/29/25 RCook- Emailed Zach Navarro advising our technician's arrival time has now changed to 11AM-1PM (misspoke on VM). See logged email on WO-01304250
📞
Call
Completed Sep 26, 2025
9/26/25 RCook- LM with Zach Navarro advising our technician's arrival time has now changed to 10AM-12PM (due to additional repair in the morning). See logged call on WO-01304250
📅
WO-01304251 - Repair - 626 (Series) Chair - Phoenix, - Phoenix Indian Medical Center
Oct 14, 2025 2:30pm – 4:30pm
Work Order: WO-01304251
Account: MIDMARK
Customer Case Number: SR 1454472 WO-00104599
Location: Phoenix Indian Medical Center
Address: 4212 North 16th Street, Phoenix,, AZ 85016
Manufacturer: Midmark
Model #: 626 (Series) Chair
Serial #: V2848615
Contact Name: Tyler Bollman
Contact Phone: 1(602) 40