Welbilt MULTIPLEX BIC MA-8-2 User manual

Instruction Sheet Subject: BIC Tune Up 2021 (USA)
SCOPE: MULTIPLEX BIC UNITS MA-8-2, MA-8-2BF, MA-8-2AF
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Document Number: 9295087 03/12/2021
MULTIPLEX
645 PARK EAST BLVD SUITE 5, NEW ALBANY, IN 47150
844-724-CARE
WWW.MULTIPLEXBEVERAGE.COM
Refreshing the Experience
TOOLS REQUIRED
• Safety Gloves (cut resistant)
• Oetiker Pliers (PN 00681815)
• Needle Nose Pliers
• Screw Drivers, Phillips & Flat Head
• 3/8” or ¼” Drive Socket Set (3/8” and 5/16”)
• Standard Open End Wrench Set
• Soft Bristle Brush
• Wet/Dry Shop Vacuum
• Digital Scale (weighs in ounces to once decimal place)
PARTS REQUIRED
• Food Grade Lubricant
• 5 - 6 ft (30 cm) ¼” I.D. X 3/8“ O.D. clear tubing
• TUNE UP KIT 020008600 (contents listed below)
QTY DESCRIPTION PART NUMBER
9 Valve, Dispense Outlet, LMS 1706172
9 15.7 Oetiker Clamp 15.7-706R
2 O-ring, replacement MCP00262
1 Gasket Ice Shaver 3434865
1 Drive belt, Shaver Vitamix 1617 VMP00123
2 Cup Grate O-rings 3547901
1 Instructions Tune Up 2021, ENG 9295087
1 Instructions USB BIC UI 4.0.10, ENG 020008384
1 USB with Software 4.0.10 (USA) 020008501
2ASSEMBLY, LOWER BLENDER, 6MM 3239825
The Company’s warranty hereunder with respect to any
blender assembly shall apply or two years or 36,000
(600Hrs) blender cycles, whichever occurs first, including
labor. At 36,000 (600Hrs) blender cycles a blender assembly
preventative maintenance (PM) service is required. It is the
responsibility of the Owner to complete and pay for this
PM. If the blender assembly has accrued 36,000 (600Hrs)
cycles prior to expiration of the initial two year warranty
period, then once the PM is completed in compliance with
the instruction manual, the warranty will continue to be
valid for the remainder of the two year warranty period or
accumulation of another 36,000 (600Hrs) cycles, whichever
occurs first.
RECOMMENDED TRUCK STOCK LIST FOR TUNE UP
QTY DESCRIPTION PART NUMBER
1SWITCH REED RINSE AREA MOD 2160033
1SWITCH REED RINSE AREA - GRAY 2162748
5FUSE, 5A, MIXER BOARD 2193015
1SWITCH, SNAP ACTION, MINI - BLEN HM 2194807
1BOARD, SRB ,BIC, GEN2 2195346
2CONTROL BLENDER BIC HSM 2195363
1CONTROL, 7 IN UI, BIC 000-BIC-01F9-S
1RELAY, 24DC COIL, DPDT 2196069
2FUSE, 4A, DC HARNESS 2198785
1PUMP, FLOJET, NSF, NO ASO 3239675
1MIXER MTR, 6MM, 120V/50-60, GEN3 SW 3239822
2ASSEMBLY, LOWER BLENDER, 6MM, GEN3 3239825
1SOLENOID VALVE REPAIR KIT 20005547
1VALVE, S.S. SLND, WATER, 1/4" 000-BIC-01B5-S
1SAFETY SWITCH/RECTIFIER ASSEM- 120V VMP00113
1SHAVER BELT VMP00123
1SHAVER BLADE KIT VMP00125
1SENSOR, HALL EFFECT VMP00175
1SHAVER MTR W/PULLEY / MAGNET 120V VMP00172
3MOTOR ISOLATION MOUNT 9324159
1PUSH ROD VMP00134
2CUP ALIGNMENT RING INSERT 1708685
NOTE: Additional non-warranty parts used need to be
invoiced on a separate invoice to the site. Manager or
Operator must approve additional repairs.
NOTE: All right and left references are based off of standing
in front of the unit.
,CAUTION
Ice shaver blade is sharp on both edges. Wear cut resistant gloves
when handling.
nWarning
Blender shaft contains sharp blades. Wear cut resistant
gloves when handling. Do NOT touch the blades.

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PREPARATION
1. Verify software on USB included with this kit contains
the following files:
• 0_19_0_MXB0.MXB • MUSM768R.CBR
• 0_28_0_SRB0.SRB • UTF8.cbr
• MidRange.bin • UTF8.dat
NOTE: If files on USB not correct or you are not sure contact
Multiplex at 1-844-724-2273.
INSTRUCTION
2. Verify operation with manager. Note any issues on
checklist.
3. Record current firmware and recipe versions on
checklist.
From easyToUCH screen select the MANAGER MENU:
Select “A” for the password
Select the GREEN check
Arrow DOWN two (2) times
Record versions on checklist.
4. Move all product/bins from lower refrigerated cabinet
to store’s walk-in cooler.
5. Remove all blender and dispense grates.
6. Wash, rinse, and sanitize them.
7. Take a flat head screwdriver or pair of needle nose
pliers, remove the O-rings from each dispense grate
and discard.
8. Replace with new O-rings over the tip on both grates.
9. Remove product from the cabinet and place in the walk
in cooler.
10. Prepare a five (5) gallon bucket with luke-warm tap
water (no hotter than 105°F/40.5°C) and cleaning
solution. Clean all eight (8) product fittings and
connect the cleaning manifold.
11. Position the dispense shield in the dispense area.
12. Press BACK arrow on the touch screen to reach
easyToUCH Menu. From the easyToUCH screen follow
the next steps to clean and rid each of the product lines
of syrup.
Access the MANAGER MENU
Enter “A”
Press GREEN check
Arrow DOWN
Select the Service Menu
Enter “A”
Press the GREEN check
Select Outputs and activate each valve until only
hot clear water dispenses from the dispensing valve.
Power OFF using the ON/OFF switch located on the
upper left side of the unit. If required, relocate the
unit to the back of the store.
NOTE: If unit is relocated, a bucket and/or a drain will be
required at the work site.
13. Remove dispense shield.
14. Replace blender and dispense grates.
15. Prepare beverage drain cleaner according to the
supplier’s specifications and pour down both the left
and right blend chamber drain opening as well as the
center dispense area drain opening. Allow the drain
cleaner to stay in the drains. The drains will be rinsed
with hot tap water later in the Tune Up process.
NOTE: Beverage drain cleaner will be poured down the ice
bowl drain line later in the Tune Up process.

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16. Locate the dispense valve mounting plate in the top
center of the dispensing area. Remove the four (4)
outer screws that secure the mounting plate in place.
,CAUTION
Using too much force while pulling down on the plastic mounting
plate could cause damage to the plate.
A. Pull gently down on the mounting plate until the
product tubing can be accessed. With the tubing
now accessible pull down on the tubing lowering
the dispense manifold as far down as possible.
Now locate the tubing inside of the refrigerated
cabinet.
B. The tubing is towards the upper right rear inside
of the cabinet and is separated by the chase that
runs upwards towards the dispensing area. Push
the tubing upwards as far as possible. Return to the
dispense area and pull the tubing downwards as
far as possible.
C. Return to the inside of the cabinet and push the
tubing upwards as far as possible.
D. Repeat the pulling of the tubing downwards in the
dispense area and the pushing up of the tubing
inside of the cabinet until the top of the dispensing
plate is easily accessible.
17. Using a Phillips head screw driver remove the two (2)
screws from the metal mounting plate that secures a
block of three (3) LMS valves to the dispensing valve
mounting plate.
NOTE: The tubing is numbered and will need to be returned
to the same position within the dispensing mounting plate
following the replacement of the LMS valves. Tubing is
positioned 1-8 in a counter clockwise manner with Water
being the 9th tube.
18. Remove the remaining two (2) blocks of three (3) valves
from the dispensing mounting plate.
19. Wash, rinse, and sanitize the dispensing mounting
plate. Using Oetiker pliers cut and remove the existing
Oetiker clamps that secure the product tubing to the
LMS valve.
20. Use the new 15.7 Oetiker clamps to replace the LMS
valves. It is best to replace a block of three (3) valves
at a time. Place the 15.7 Oetiker clamp on and up the
product tubing, insert the new LMS valve through the
metal plate and into the product tubing, crimp the 15.7
Oetiker clamp securing the product tubing to the LMS
valve body.
21. Return each block of three (3) LMS valves to the
dispensing mounting plate.
Front of Unit

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NOTE: The tubing orientation is 1-9 in a counter clockwise
manner as shown.
22. Reposition the dispensing mounting plate to the top of
the dispensing area and secure with the four (4) outer
screws.
A. Reverse actions in Step 16 pulling the tubing
downwards within the refrigerated cabinet and
pushing the tubing upwards in the dispensing area
towards the inside of the tubing chase.
23. Remove the ice assist bar, ice bin lid, ice shelf, paddle
nut, and shaver wheel.
24. Wash, rinse and sanitize each of the removed items.
25. Using a Phillips head screwdriver remove the four (4)
screws that secure the ice bin to the condensate bowl.
,CAUTION
Be careful not to damage push rod when removing the ice bin.
Push rod should not be bent or have pressure applied to it.
,CAUTION
Ice shaver blade is sharp on both edges. Wear cut resistant gloves
when handling.
26. Carefully remove the ice bin using caution not to
damage the micro switch push rod. Use caution not
to lose any of the three (3) ice bin grommets attached
to the base of the ice bin bowl. With the ice bowl
removed, wash, rinse and sanitize the condensate bowl.
27. Remove the two (2) screws that secure the shaver blade
and shims to the ice bin and ice chute cartridge. Rotate
the blade 180°.
NOTE: If the blade is dull or damaged it should be replaced.
Confirm replacement with the manager and bill the store
direct for the replacement blade.
28. Remove the shaver gasket. You may find the gasket
adhered to the bottom of the ice bin or the top of the
dispense area cover.
A. Clean all surfaces where the previous gasket made
contact.
29. Wash, rinse, and sanitize the ice bin.
30. Dry the ice chute cartridge surface and the top of the
dispense area cover. These are the contact points for
the shaver gasket. Adhere the new shaver gasket to the
top of the dispense area cover.
NOTE: Ensure the gasket does not block any of the ice chute
opening.
,CAUTION
Be careful not to damage push rod when reinstalling the ice bin.
Push rod should be carefully inserted into bottom of ice bin

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31. Reinstall the ice bin to the condensate bowl using the
four (4) screws.
NOTE: Use caution not to damage the push rod.
32. Carefully pour beverage drain cleaner down the ice
condensate bowl drain opening.
33. Remove the two (2) Phillips head screws that secure the
top rear panel to the units frame and remove the top
rear panel.
34. Locate the mounting bracket that houses the power
supply, relays and SRB. Remove the two (2) screws that
secure the mounting bracket to the units frame.
A. Slightly lift the bracket releasing the right side
hinge then carefully lower the bracket down
towards the lower refrigerated cabinet
35. Mark the position of the shaver motor as currently
positioned within the motor mounting bracket.
NOTE: Once the shaver belt is replaced the motor will be
returned or very near this same position when tight.
36. Locate the four (4) hex head bolts that secure the
shaver motor to the motor mounting bracket.
A. Completely remove one of the bolts that secure
the Hall Effect sensor mounting bracket to the
motor mounting bracket. Loosen the remaining
three (3) hex head bolts.
B. Swing the Hall Effect mounting bracket to the side
allowing room for easy removal of the shaver belt.
37. Remove the existing shaver belt.
38. Replace the provided shaver belt reversing the actions
in Step 35. Tighten the belt by pulling back on the
motor before completely tightening the hex head bolts.
Motor should be positioned at or near the previous
placed reference mark.
39. Confirm Hall Effect Sensor is 1/16 of an inch back from
the edge of the bracket and in good condition.
40. Disconnect the water and CO2 supply lines.

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41. Remove and replace the O-rings on both the water and
CO2 supply lines.
42. Add food grade lube to the O-rings before
reconnecting the water and CO2 supply lines.
43. Use a soft bristle brush to remove the dust, dirt and
debris from the condenser coil.
44. Clean the condensate drain pan with Wet/Dry Shop
Vacuum.
45. Locate the condensate drain line.
A. Clean the condensate drain line with Wet/Dry Shop
Vacuum by applying suction to the outlet of the
drain line.
46. Remove both the top left and top right side panels.
47. Slowly pour hot tap water down the left side and right
side blend chamber drains, rinse area drain, and the ice
bin drain.
48. Check unit to make sure it is level from front to back
and side to side.
49. Locate the drain tube within upper frame of the unit.
A. Beginning at the discharge of each drain outlet
squeeze the tubing from front to back dislodging
any buildup within the tubing.
B. Snake each drain with a 3 ft piece of ¼” I.D. x
3/8 “ O.D. clear tubing. Verify water is draining
sufficiently out of the blend chambers.
50. Repeat previous step until each drain line runs clear.
51. Reconnect incoming supply lines and pressure, observe
for any leaks.
52. Power the unit ON using the ON/OFF switch located on
the upper left side of the unit next to the USB port.
53. Connect water line, CO2 line, drain and plug in unit to
outlet.
54. Verify the water and CO2 pressure regulators are set to
35 psi dynamic and adjust if necessary.
A. The regulators are located on the upper left side of
the unit.
NOTE: To achieve a dynamic pressure setting for the water
a water solenoid must be activated. To achieve a dynamic
pressure setting for the CO2 one of the product solenoids
must be activated.
B. Follow the next steps from the easyToUCH screen
to activate a water solenoid and/or a product
solenoid:
Select the MANAGER MENU Icon
Select “A” for the password
Select the GREEN check
Arrow DOWN and Select Service
Select “A” for the password
Select the GREEN check
Select OUTPUTS
Activate any of the eight (8) flavor solenoids by
touching the GREEN OFF opposite the selected
solenoid and adjust the CO2 regulator to 35 psi
dynamic
Turn OFF selected flavor solenoid by touching thr
RED ON opposite the selected solenoid.
Arrow DOWN then select either the WATER, LEFT
RINSE, or RIGHT RINSE and adjust the water
regulator to 35 psi dynamic
Turn OFF selected water dispense option
Arrow back three (3) times to return to the main
easyToUCH screen.
NOTE: To increase the pressure lift the knob at the top of
the regulator and turn clockwise. To decrease the pressure
lift the knob at the top and turn counter clockwise.

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55. Once the 35 psi dynamic setting has been achieved
push the knob back to the downward position and turn
OFF the water solenoid and/or the product solenoid.
56. Re-install all exterior panels and move unit into place.
Verify drain line is connected correctly.
57. Retrieve the product from the walk in cooler and return
it to the assigned slot position within the BIC unit.
A. Verify flavor slot assignments are in accordance
with corporate direction. If the product
assignments are not in accordance they must be
reassigned.
Strawberry
Banana
Mocha
Caramel
Not
Assigned
Slushy
Not Assigned
or Seasonal
Mango
Pineapple
Yogurt
B. If reassignment is required follow the next steps
from the easyToUCH screen:
Select the MANAGER MENU Icon
Select “A” for the password
Select the GREEN check
Select the Configure Slots Icon
Select Slot Flavor
Select the slot requiring reassignment
Select Unassign Flavor and then select the GREEN
Check
Select the newly Unassigned Slot and select the
correct flavor assignment
Select the Return Arrow three (3) times to return to
the main easyToUCH screen
Select product Inventory Icon
Select the reassigned flavor and follow the steps for
replacing a product bag.
Follow the same procedures for each reassigned
product.
58. From the easyToUCH screen select the hand icon. Then
select the Zone 2 icon and follow the instructions to
complete the weekly cleaning.
NOTE: The manager will need to be informed that the
weekly cleaner timer was reset following the Zone 2
cleaning. To get the weekly cleaning back to the stores
normal cleaning schedule they will need to perform the
weekly cleaning on the normal scheduled day.
UPDATE FIRMWARE
59. Follow the included separate instruction “BIC UI Update
to 4.0.10 instructions”(PN 020008384) with preloaded
USB included with this Tune Up kit.
60. Record firmware and recipe versions on checklist
after the separate instruction “BIC UI Update to 4.0.10
instructions” has been completed. ( See Step 3 page
2 for instructions if needed.)
CALIBRATION & SETTINGS
61. Fill the ice bin with ice.
62. Allow cabinet and nozzle temperatures to drop below
40°F. Cabinet temperature will need to be 40°F or below
before beginning next step.
63. From easyToUCH screen select the MANAGER MENU:
Select “A” for the password
Select the GREEN check
Arrow DOWN two (2) times
Note the UI Version on Checklist
Note the SRB Version on Checklist
Note the Left and Right Mixer Version on Checklist
Note the File on Checklist
Note the Menu Connect version on Checklist
64. From easyToUCH screen select MANAGER MENU Icon:
Select “A” for the password
Select the GREEN check
Arrow DOWN three (3) times
Under the DRINKS SINCE INSTALLATION heading
note the Left Mixer count, Total Count, and Right
Mixer Count on Checklist.
65. Confirm the“CONFIGURE YOGURT SMALL DISPENSE”is
set to zero (0) from the easyToUCH screen:
Select the MANAGER MENU
Select “A” for the password
Select the GREEN check
Arrow DOWN one (1) time
Select SERVICE
Select “A” for the password
Select the GREEN check
Arrow DOWN two (2) times
Select CONFIGURE YOGURT SMALL DISPENSE
Confirm SLOT NUMBER is zero (0).
If SLOT NUMBER is not zero (0), select the box to the
left> Enter 0> Select the GREEN check> Arrow back
twice> and Save if prompted.

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66. Confirm“PLUNGE SPEED”is set at 15 and“CUP OFFSET”
is set at 2.0 from the easyToUCH screen:
Select the MANAGER MENU
Select “A” for the password
Select the GREEN check
Arrow DOWN once
Select SERVICE
Select “A” for the password
Select the GREEN check
Select Options
Arrow DOWN twice
Confirm the box to the left of PLUNGE SPEED is set
to fifteen (15), select box and enter 15 if required>
Select the GREEN check to confirm>
Confirm the box to the left of CUP OFFSET is set to
2.0, if required select the box and enter two (2), zero
(0), this will change the setting to 2.0
Select the GREEN check
Arrow back three (3) times
Select Save when prompted
67. Perform a calibration following the next steps from the
easyToUCH screen:
Select the MANAGER MENU Icon
Select “A” for the password
Select the GREEN check
Select CONFIGURE SLOTS
Select CALIBRATE FLAVOR
Select flavor in slot 1 and follow the onscreen
calibration instructions.
Continue calibrating each flavor, water, and ice.
68. Follow the next steps from the easyToUCH screen to
reset the LAST MAINTENANCE DATE:
Select the MANAGER MENU
Select “A” for the password
Select the GREEN check
Select the Down Arrow and select SERVICE
Select “A” for the password
Select the GREEN check
Arrow DOWN and select PLANNED MAINTENANCE
Select MIXER MAINTENANCE PERFORMED
Then type “SILENCE”
Select the GREEN check
You will get a message“Confirmation Blender(s)
Maintenance Done”
Save Changes
Arrow back to the Main easyToUCH Screen
REPLACE BLENDER SHAFTS
69. Turn power to unit OFF.
nWarning
Blender shaft contains sharp blades. Wear cut resistant
gloves when handling. Do NOT touch the blades.
70. Remove grate from blender area then remove plastic
door.
71. Pull the cup holder approximately half way down in the
mixing chamber. Pulling the cup holder down will also
cause the blender shaft to lower.
72. Carefully lift the cup holder cover up as far as possible
to reveal the blender shaft.
73. With other hand rotate blender shaft to right until loose
from motor.
NOTE: Blender shaft is left-hand threaded.
74. Remove shaft by pulling down and tilting out.
75. Carefully lift the cup holder cover up as far as possible.

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76. Place the top of the new blender shaft into the top
opening in the cup holder and carefully thread new
blender shaft to the left into motor.
NOTE: Blender shaft is left-hand threaded.
NOTE: The shaft should only be hand tight; never use a
ratchet to install the blender shaft.
77. Replace grate in blender area.
78. Replace clear plastic door.
79. Repeat Step 70-Step 78 for other blender shaft.
80. Turn power to unit ON.
81. Reset blender cycle count.
Select BACK arrow.
Select MANAGER MENU.
Select A then press green check.
Select DOWN arrow.
Select SERVICE.
Select A then press green check.
Select DOWN arrow.
Select PLANNED MAINTENANCE.
Select MIXER MAINTENANCE PERFORMED.
Enter password for left or right side then press green
check.
• RIGHT side password: OEA422R
• LEFT side password: OEA422L
NOTE: Password begins with letter “O” NOT zero.
On confirmation screen select green check.
Select BACK arrow until reach easyToUCH screen.
82. Confirm blender counts and date reset.
Select MANAGER MENU.
Select A then select green check.
Select DOWN arrow three (3) times.
Verify blender cycle counts and date for shafts
changed have been updated.
83. Record DRINKS SINCE LAST MAINTENANCE DATE
on checklist after the new blender shafts have been
installed.
CONFIRM OPERATION
84. With the manager present make sample drinks of each
size.
85. Confirm operation of all functions.
86. Give removed parts to the manager.
87. Complete the Tune Up Checklist and confirm operation
with the manager.
88. Complete the Tune Up Checklist and fax to 920-683-
7592 or email to rise.callcent[email protected]
89. Maintain a copy of the Tune Up Checklist to be
submitted along with the invoice for payment.
90. Submit claim for service work through Multiplex Claims
Processing System.

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Verify operation with manager? Step 2 page 2. Note manager concerns:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Record rmware and recipe versions at beginning ofTune Up? Step 3 page 2.
UI SWVERSION ____________ SRB SWVERSION __________
LEFT MIXER SW____________ RIGHT MIXER SW __________
FILE __________________ MENU CONNECT __________
Replace Blender Grate O-rings? Step 8 page 2.
Pour beverage drain cleaner down the left blend chamber drain, dispense area
drain and the right blend chamber drain? Step 15 page 2.
Replaced the LMSValves? Step 16 - Step 22 page 4.
Remove the ice bin. Step 25 & Step 26 page 4.
Rotate the shaver blade? Step 27 page 4.
Shaver blade required replacement? YES NO
Remove the ice shaver gasket from the ice bin and/or the top of the dispense area
cover? Clean the surface areas? Step 28 page 4.
Wash, rinse, and sanitize the ice bin? Step 29 page 4.
Replace the shaver gasket? Step 30 page 4.
Pour beverage drain cleaner down the ice condensate bowl drain opening? Step 32
page 5.
Replaced the shaver belt? Step 37 & 38 on page 5.
Replace the COandWater supply line O-rings? Step 41 & 42 on page 6.
Clean the condenser coil? Step 43 page 6.
Clean the condensate pan? Step 44 page 6.
Clean the condensate drain line? Step 45 page 6.
Pour hot water down drain openings of the ice bin, right blend chamber, dispense
area, and left blend chamber? Step 47 page 6.
Workthe drainsbyhandsqueezingoutanybuildup?Step49- 50on page6.
Connect water, CO, drain, and power cord? Step 53 page 6.
Rear drain line connected correctly to store drain? YES NO
Set the water pressure regulator to 35 psi dynamic? Step 54 page 6.
Set the COpressure regulator to 35 psi dynamic? Step 54 page 6.
Re-install all exterior panels? Step 56 page 7.
Retrieve product from the walk in cooler and return to the BIC refrigerated cabinet?
Step 57 page 7.
Verify and assign avor slot assignments in accordance to McDonald’s Corporate?
Step 57 page 7.
Complete the Zone 2 cleaning? Step 58 page 7.
Complete“BIC UI Update Instructions”. Step 59 page 7.
Record rmware and recipe versions after UI 4.0.10 installation? Step 60 page 7.
UI SWVERSION ____________ SRB SWVERSION __________
LEFT MIXER SW____________ RIGHT MIXER SW __________
FILE __________________ MENU CONNECT __________
Record“DRINKS SINCE INSTALLATION”? Step 64 page 7.
LEFT MIXER COUNT _________ TOTAL COUNT ____________
RIGHT MIXER COUNT_________
Perform calibration for all avors, water, and ice? Step 67 page 8.
Reset“LAST MAINTENANCE DATE”? Step 68 page 8.
Record“DRINKS SINCE LAST MAINTENANCE DATE”after new blender shafts
installed. Step 83 page 9.
LEFT MIXER COUNT _________ TOTAL COUNT ____________
RIGHT MIXER COUNT_________
Make samples of drinks with manager present. Step 84 page 9.
Both blender shafts replaced? YES NO
Fax or email completedTune Up Checklist to the RISE Group at 920-683-
7592 or rise.callcent[email protected]om
Submit claim for service work through Multiplex Claims Processing System.
Tune Up Checklist MUST be attached to claim or claim will be DENIED.
Technician Signature: Date:
Technician Printed Name: Time In:
Service Agent: Time Out:
By signing this you agree that the Preventive Maintenance has been done completely and is satisfactory.
Store Manager/Operator Signature: Date:
Store Manager/Operator Printed Name: Time:
CHECKLIST
Store #
Store Address
Store Phone #
Serial Number
Model