Heinrichs Messtechnik
BGN Installation and Operating Instructions
Page 31 of 34
Subject to change without notice
23
Decontamination certificate for device cleaning
Company: ............................................
Name: ..........................................
Street: .............................................
Tel.-Nr.: .......................................
PLZ/ postal code............................. / Town: ............................................................
The enclosed Variabel Area Flow Meter M
odel ……………..………..…..
Comm.-Nr. / Ser.-Nr.:
has been used with media :.......................................................................................
As the used media is :
harmless
toxic
harmful
caustic
radioactive
explosive
oxidizing
biological harmful
other ……………………………………………………………………..….
we have carried out the following things:
all cavities have been tested to be free the used process media
all cavities are rinsed and neutralized
all sealing surfaces and wetted parts have been cleaned
instrument housing and surfaces have been completely cleaned
We herewith confirm that due to the re-delivery of the above mentioned instrument
there is no danger for human and environment which may be caused by residues
of the process media.
Date: ..................................
Signature: ....................................
Stamp
