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11 Certificate of Decontamination
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BOA-H Mat P
11 Certificate of Decontamination
Type:
................................................................................................................................
Order number/
Order item number
6)
:
................................................................................................................................
Delivery date:
................................................................................................................................
Field of application:
................................................................................................................................
Fluid handled
6)
:
................................................................................................................................
Please tick where applicable
6)
:
⃞
⃞
⃞
⃞
⃞
Corrosive
Oxidising
Flammable
Explosive
Hazardous to health
R
⃞
⃞
⃞
⃞
⃞
Seriously hazardous to
health
Toxic
Radioactive
Hazardous to the
environment
Safe
Reason for return
6)
:
................................................................................................................................
Comments:
................................................................................................................................
................................................................................................................................
The product/accessories have been carefully drained, cleaned and decontaminated inside and outside prior to dispatch/
placing at your disposal.
We herewith declare that this product is free from hazardous chemicals and biological and radioactive substances.
⃞
No special safety precautions are required for further handling.
⃞
The following safety precautions are required for flushing fluids, fluid residues and disposal:
...............................................................................................................................................................
...............................................................................................................................................................
We confirm that the above data and information are correct and complete and that shipping is effected in accordance with the
relevant legal provisions.
....................................................................
.......................................................
.......................................................
Place, date and signature
Address
Company stamp
6)
Required fields
Summary of Contents for BOA-CVP H
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