
53
DEPA
®
Air Operated Diaphragm Pumps
Declaration of Harmlessness
Please send this declaration to your CPFT contact by Email or fax before sending the goods.
Crane Process Flow Technologies GmbH
Heerdter Lohweg 63-71
40549 Düsseldorf
Fax +49 (0) 211 5956 111
We aim to protect our employees from any risks due to contaminated equipment. Therefore,
please understand that we will only be able to carry out inspections/repairs after we have re-
ceived this declaration, fully filled-in and signed. We cannot accept media samples.
Concerning the return dated
Delivery note No.
Pump type / spare parts
Drive type
With my signature I declare,
· that the returned pump/drive has been thoroughly cleaned and decontaminated before shipment,
· that the returned pump/drive will not pose any dangers caused by bacteriological, virological, chemical or
radioactive contamination,
· that I am authorized to issue such declarations for the company concerned.
For repair service, we kindly ask you to supply us with the following additional information:
Detected defect
Which media was used
Company stamp
Name
Position
Date/ signature
You can request the Declaration of No Objection from us via the contact mentioned
below (infoDUS@cranecpe.com).
.
ALOYCO • CENTER LINE • DUO-CHEK • FLOWSEAL • JENKINS • KROMBACH • NOZ-CHEK • PACIFIC • STOCKHAM • TRIANGLE
DEPA • ELRO • PSI • RESISTOFLEX • RESISTOPURE • REVO • SAUNDERS • XOMOX
Crane Process Flow Technologies GmbH, Postfach 11 12 40, D-40512 Düsseldorf, Heerdter Lohweg 63-71, D- 40549 Düsseldorf,
Düsseldorf District Court, HR B 24702, Managing Director: Hans D. Ptak
Содержание DH 40-TP
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