Oval Ultra mass MKII CN003, Instructions Manual

Page: 64 / 72

L-718-8-E
Equipment to be Returned
Model
Serial No.
Process Fluid Names
Health and Safety Hazards
Precautions
(First aid)
Sensor
Transmitter
I hereby certify that the equipment being returned has been cleaned and decontaminated in accordance
with good industrial practice. This equipment poses no health or safety risks due to contamination.
Date:
Company Name
Address
Phone No.
Job Title
Signature by
Reson for Return
Remarks
〒
FAX No.
List all chemicals and process fluids in contact with the equipment
If an MSDS is available, attach here.
If an MSDS is available, attach here.
NOTE: MSDS stands for Material Safety Date Sheet. It informs us of the physical
and chemical properties of meterials and how to handle them.
SAFETY STATEMENT ON RETURNED GOODS
When you return your Coriolis flowmeter for repair or other processing, send us a fax of this Safety
Statement and, at the same time, attach it to the equipment to be returned as we need to provide a safe
working environment for our employees.
Unless the Safety Statement on Returned Goods is attached to the returned equipment, or if we find it
difficult to ensure safety, we may decline, at our option, to accept and process the returned equipment.
(In case some residual of the metered fluid may be present in the housing, consult the factory.)