40
SP 4040
11/2012
SP 4040
6.1 Disposal
verifi cation form
To
HSM
GmbH + Co. KG
Austraße 1 - 9
D-88699 Frickingen / Germany
The machine specifi ed here
Designation:
Baling press / Shredder
Model:
______________________________
Machine number:
______________________________
Year of construction:
______________________________
has been disposed of according the applicable regulations.
Address of the last
operating company
Address of the
waste management company
...............................................
...............................................
Date
and
signature
Date
and
signature
of the last operator
of the disposal company
