Heinrichs Messtechnik GmbH
Page 24 of 28
Operating Manual K09
20
Decontamination certificate for device cleaning
Company name: .................................................…………………..
Address: ...................................................................................
Department: .................................................................................
Contact person: .....................................................................
Phone: ............................................................................................
The enclosed variable-area flowmeter, 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: .................................................................................
Company Stamp
