SERENA P GB-R04 del 03-07-17
00/ Per Bertani/ Manuali d’uso Serena/ Serena con stampante
92/99
14.6 FORM TO FILL IN FOR THE RETURN OF THE EQUIPMENT
REVERBERI ARNALDO S.R.L
Via Don Luigi Sturzo n°6 42021 Barco di Bibbiano
Reggio Emilia
– ITALY
Tel. 0039 522 875159 Fax. 0039 522 875159
E-mail: [email protected]
Numero REA: 180051 C.C.I.A.A di Reggio Emilia
Partita IVA, CodiceFiscale e reg. imprese di R.E. 01363800358
FORM FOR THE
RETURN FOR THE
REPARATION OF
AUTOCLAVES
MODEL
SERENA
Mod. 94/B
To be filled by the
technician or an authorized person
Autoclave model ....………………………………………...............
Serial Number ……………………………………………..............................
Purchase Invoice Nbr.......................……………………..........
Dated ………………………………………………………………..…….................
REASON FOR RETURN TO THE MANUFACTURER:
REPAIR FEE
EXTRAORDINARY MAINTENANCEWITH SAFETY TESTING
(According to regulation EN61010)
.
PERIODIC INSPECTION
According to regulation EN 13060
OTHER…………………………………………………..………................
PROBLEM FOUND
: Which message appears on the display? .....................................................................................................
.……………………………………..……………………………………………………………………………………………............................................................
ISTRUCTIONS FOR THE RETURN OF THE AUTOCLAVE :
1)
Before sending back the machine please send us this form filled by fax to the number 0522 875579 and please wait
the authorization for the shipment that must be with your agent at your charge.
2)
Unauthorized or not agreed shipments won’t be accepted.
3)
Before sending back the machine, empty both water tanks (used and clean water) Remove the trays and trays-holder
and keep them.
4)
Send back the autoclave packed in the original packaging in which it was purchased. In absence of the original
packing please pack the machine in a suitable packing on pallet for handling with forklifts.
5)
The intervention on the machine will follow our internal protocol provided by the internal quality system and it
includes a control and a possible update for a perfect sterilisation.
6)
After viewing the machine, we will send you a detailed estimated budget. The budget can be accepted within 7 days
from date of issue, after which it will be considered tacitly rejected and sent back material NOT REPAIRED, carriage
and charge the contributions specified below in CASH- COD.
In case of non-acceptance of the quote, we will proceed
to invoicing € 120,00 as contribution analysis costs and managing of the appliance.
7)
In case of non-acceptance of the quotation, we will proceed to the billing of € 120,00, as compensation
troubleshooting costs and device management.
8)
Any forklifts Requests will be processed according to availability and with a monthly fee of € 60.00.
9)
time STANDARD repair: 3weeks
10)
Urgent repairs time: 7 working days with a price increase of € 50,00 for the urgency.
*The prices mentioned above are NET
*Please note: any unforeseen events that may occour during repair (not foreseen in the quotation) will be quantified at the
time of invoicing.
ACCEPTANCE OF THE REPAIR AND WAITING FOR THE QUOTE
WAIVING REPAIR
Date: ............................................................... Stamp and signature ...................................................................................