Polanik HR-12, Assembly Manual, Page: 4 / 4

Technical specification/Assembly manual HR-12 HR-12-W 4/4
VI. Declaration
1) No. 2013-12-04
2) Issuer’s name: POLANIK Sp. z o. o.
Issuer’s address: Życzliwa 11, 97-300 Piotrków Tryb.
3) Declared items
4) Technical specification described above is in accordance with the factory’s internal engineering standard.
Additional information
5) The declaration was made for:
Purchaser and User
The declaration was signed on behalf and with authorization:
POLANIK Sp. z o. o.
2014-07-15 Piotrków Tryb.
(Date and place)
Paweł Ciechanowski
Product manager
6) ……………………………………… ……………………………………………………………………………
(Name, function) (Signature or it’s equivalent authorized by the Exhibitor)
No. Name Code
1 Stationary hammer rack
HR-12
2 Hammer rack on wheels HR-12-W