Heinrichs Messtechnik
Installation and Operation Manual PITe
Page 19 of 22
12 Declaration of Decontamination
for the cleaning of the device
Company: ......................................
Town/City: ..........................................
Department: ..................................
Name: ................................................
Tel.-N
o
.: ........................................
The enclosed flowmeter
Model: PITe........................
Was operated using the following fluid: .................................................................
Since the used fluid is potentially hazardous to water / toxic / corrosive /
combustible*,
we have:
-
checked all cavities on the device to ensure that they are free of fluid residues *
-
washed and neutralized all cavities on the device*
* Delete if not applicable.
We hereby confirm that no health or environmental hazard will arise from any fluid
residues on or in the device enclosed for return.
Date: .............................
Signature: ...........................
Company stamp
