
ORUM International S.r.l.
Microbial Air Sampling Division
Via Novara 91
20153 Milan, Italy
+39 02 4875 2467
DECONTAMINATION CERTIFICATE
The microbial air samplers must be delivered to the factory for calibration, servicing, repairing complete of this certificate of
decontamination for safety reasons
CUSTOMER / DISTRIBUTOR IDENTIFICATION
COMPANY
ADDRESS
CONTACT NAME
POSITION IN THE COMPANY
E.MAIL
PHONE NUMBER
AIR SAMPLER IDENTIFICATION
MODEL
SERIAL NUMBER / CATALOGUE NUMBER
MATERIAL IN CONTACT WITH THE SAMPLER
LIQUID, SOLID, AEROSOL
DESCRIPTION
CHEMICALS
BIOLOGICAL MATERIAL
RADIOACTIVE
DECONTAMINATION
STERILIZATION BY AUTOCLAVING
TEMPERATURE / TIME
DISINFECTION BY CHEMICALS
WASHING
WATER / DISINFECTANT
CUSTOMER / DISTRIBUTOR RESPONSIBLE OF THIS DOCUMENT
NAME
POSITION
DATE
SIGNATURE