Heinrichs Messtechnik GmbH
Page 114 of 118
OPERATING MANUAL TMU-W / UMC4
Declaration of Decontamination
Company name: .............................................
Address: ........................................................................................
Department: ...................................................
Name of contact person: .........................................................
Phone: ..............................................................
Information pertaining to the enclosed Coriolis flow meter
Model: …..............................................................................................
was operated using the following fluid: ...............................................................................................................................
In as much as this fluid is water-hazardous / toxic / corrosive / combustible / a health hazard /
environmentally hazardous
we have performed the following steps:
Checked all cavities in the device to ensure that they are free of fluid residues*
Washed and neutralized all cavities in the device*
Cleaned all seals/gaskets and other components that came into contact with the measured medium*
Cleaned the housings and all surfaces*
*tick applicable items
We hereby warrant that no health or environmental hazard will arise from any fluid residues on or in the
enclosed device.
Date: .............................................................
Signature: ...................................................................................
(Name in Block)
Company Stamp
