4
MAINTENANCE AND SERVICE
14
M-PHASE 5000
www.krohne.com
04/2016 - 4004673401 - AD M-PHASE5000 Ex R01 en
Appendix 1: Flowmeter return material form
Appendix 1: Flowmeter return material form
Appendix 1: Flowmeter return material form
Appendix 1: Flowmeter return material form
Company: ...................................................
Address: ...................
..........................................................................................................................................
Department: ...............................................
Name: .......................
Tel. No.: ......................................................
Fax No.: ....................
The enclosed device
Type: .............................................................................................................................
KROHNE Order No. or Series No.: ..................................................................................
has been operated with the following liquid.: .................................................................
Because this
liquid is
water-
hazardous
radioactive
toxic
caustic
flammable
we have
check that all cavities in the instrument are free from such substances/
flushed out and neutralized all cavities in the device
We confirm that there is no risk to humans or environment through any residual liquid contained in this
device.
Name: ............................
Date: ...................................
Signature: .......................
Stamp:
