Heidolph Hei-CHILL 3000, Operating Manual

Page: 59 / 120

59
Service
Confirmation of condition
➜ In the case of repair, copy and complete the Confirmation of condition orm and send
it to Heidolph Instruments.
1.
Details about the device
Product number
Serial number
Reason for repair
2.
Has the device been cleaned, decontaminated/sterilized?
Yes No
3.
Is the device in a condition which does not represent any health threats for the staff
of our service department?
Yes No
If not, which substances has the device
come into contact with?
4.
Legally binding declaration
The customer is aware of being legally liable to Heidolph
Instruments for any damages arising from incomplete and
incorrect information.
Date Signature
Company stamp
Please note
The shipper is responsible for the return of the goods in well
packed condition, suitable for the mode of transport.
Sender information
Name, first name
Company
Department, research
group
Street
Zip code, city
Country
Phone
E-mail