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VDL (E3.1) 06/2020
Page 205/206
Customer (End User) Decontamination Declaration
Health and Hazard Safety declaration
To protect the health of our employees and the safety at the workplace, we require that this form is com-
pleted by the user for all products and parts that are returned to us. (Distributors or Service Organizations
cannot sign this form)
NO RMA number will be issued without a completed form. Products or parts returned to our
NY warehouse without a RMA number will be refused at the dock.
A second copy of the completed form must be attached to the outside of the shipping box.
1.
Unit/ component part / type
:
2.
Serial No.
3.
List any exposure to hazardous liquids, gasses or substances and radioactive material
3.1
List with MSDS sheets attached where available or needed
(if there is not enough space available below, please attach a page):
a)
____________________________________________________________________________
b)
____________________________________________________________________________
c)
____________________________________________________________________________
3.2
Safety measures required for handling the list under 3.1
a)
____________________________________________________________________________
b)
____________________________________________________________________________
c)
____________________________________________________________________________
3.3
Measures to be taken in case of skin contact or release into the atmosphere
:
a)
____________________________________________________________________________
b)
____________________________________________________________________________
c)
____________________________________________________________________________
d)
____________________________________________________________________________
3.4
Other important information that must be considered
:
a)
____________________________________________________________________________
b)
____________________________________________________________________________
c)
____________________________________________________________________________
Summary of Contents for vdl 115
Page 192: ...VDL E3 1 06 2020 Page 192 206 28 6 Dimensions 28 6 1 VDL 23 Dimensions in mm ...
Page 193: ...VDL E3 1 06 2020 Page 193 206 28 6 2 VDL 56 Dimensions in mm ...
Page 194: ...VDL E3 1 06 2020 Page 194 206 28 6 3 VDL 115 Dimensions in mm ...
Page 198: ...VDL E3 1 06 2020 Page 198 206 ...
Page 199: ...VDL E3 1 06 2020 Page 199 206 ...
Page 200: ...VDL E3 1 06 2020 Page 200 206 31 Product registration ...
Page 207: ......