SIMDOS diaphragm metering pump
Decontamination statement
KNF Flodos BA_SIMDOS_EN_02_160044.docx
Translation of original operating manual
45
12. Decontamination statement
Provision of a customer declaration identifying the pumped
media and certifying that the pump has been properly cleaned
(decontamination statement) is a prerequisite for any repair
work on a pump carried out by KNF.
Take a copy of this page.
Enter the pump model, serial No. and details of pumped media
in the form below, sign and return to KNF customer services
with the flushed and cleaned pump (see address on last page)
Customer’s decontamination statement for
repair order
We hereby confirm that the pump has been used for the following
media, and that it has been properly flushed and cleaned.
Pump model
Serial No.
Pumped media
There are no aggressive, biological, radioactive, toxic or other
hazardous media present in the pump.
Company name
Date/signature
