SCC-U
UTILITY UNIT | OI/SCC-U-EN REV. B
21
12
Appendix
Return form
Statement on the contamination of devices and components
Repair and/or maintenance work will only be performed on devices and components if a statement form has been completed and
submitted.
Otherwise, the device/component returned may be rejected. This statement form may only be completed and signed by authorized
specialist personnel employed by the operator.
Customer details:
Company:
Address:
Contact person:
Telephone:
Fax:
Email:
Device details:
Type:
Serial no.:
Reason for the return/description of the defect:
Was this device used in conjunction with substances which pose a threat or risk to health?
Yes
No
If yes, which type of contamination (please place an X next to the applicable items):
biological
corrosive / irritating
combustible (highly / extremely
combustible)
toxic
explosive
other toxic substances
radioactive
Which substances have come into contact with the device?
1.
2.
3.
We hereby state that the devices/components shipped have been cleaned and are free from any dangerous or poisonous substances.
Town/city, date
Signature and company stamp
Summary of Contents for SCC-U
Page 22: ...22 SCC U UTILITY UNIT OI SCC U EN REV B 12 Appendix Technical drawings Dimensions ...
Page 23: ...SCC U UTILITY UNIT OI SCC U EN REV B 23 ...
Page 24: ...24 SCC U UTILITY UNIT OI SCC U EN REV B 12 Appendix Technical drawings Internal construction ...
Page 25: ...SCC U UTILITY UNIT OI SCC U EN REV B 25 Pneumatic diagram ...
Page 27: ...SCC U UTILITY UNIT OI SCC U EN REV B 27 Page 2 of 4 ...
Page 28: ...28 SCC U UTILITY UNIT OI SCC U EN REV B 12 Appendix Technical drawings Page 3 of 4 ...
Page 29: ...SCC U UTILITY UNIT OI SCC U EN REV B 29 Page 4 of 4 ...
Page 30: ...30 SCC U UTILITY UNIT OI SCC U EN REV B Notes ...
Page 31: ...SCC U UTILITY UNIT OI SCC U EN REV B 31 Notes ...
