295
Safety declaration
Please copy, fill in and sign this sheet and attach it to the pump returned for service.
We hereby declare that this product:
Product type:____________________________
Model number:____________________________
No liquid or water:____________________________
Chemical, name:____________________________
(see pump nameplate)
is free from hazardous chemicals, biological and radioactive substances.
Fault description
Please make a circle around the damaged part.
In the case of an electrical or functional fault, please mark the cabinet.
Please give a short description of the fault:
_________________
_________________
Date and signature
Company stamp
TM
02
89
52
11
04
ml/h
100%