Fluid Components International LLC
ST75/ST75V Mass Flow Meter
This page is subject to proprietary rights statement on last page
36
06EN003368 Rev. G
FCI Document No. 05CS000004D [U]
The following Return Authorization Request form and Decontamination Statement
MUST be completed, signed and faxed back to FCI
before
a
Return Authorization Number will be issued. The signed Decontamination Statement and applicable MSDS Sheets
must be included with the
shipment
. FCI will fax, email or telephone you with the Return Authorization Number upon receipt of the signed forms.
Packing Procedures
1.
Electronics
should be wrapped in an
anti-static
or
static-resistant
bag, then wrapped in protective bubble wrap and surrounded with
appropriate dunnage* in a box. Instruments weighing
more than 50 lbs., or extending more than four feet
, should be secured in wooden
crates by bolting the assemblies in place.
2. The sensor head must be protected with pvc tubing, or retracted the full length of the probe, locked and secured into the Packing Gland
Assembly (cap screws tightened down).
3. FCI can supply crates for a nominal fee.
4. No more than four (4) small units packaged in each carton.
5. FCI will not be held liable for damage caused during shipping.
6. To ensure immediate processing mark the RA number on the outside of the box. Items without an RA number marked on the box or crate
may be delayed.
7. Freight must be “PrePaid” to FCI receiving door.
* Appropriate dunnage as defined by UPS, will protect package contents from a drop of 3 feet.
*** Decontamination Statement *** This Section Must Be Completed ***
Exposure to hazardous materials is regulated by Federal, State, County and City laws and regulations. These laws provide FCI’s employees
with the “Right to Know” the hazardous or toxic materials or substances in which they may come in contact while handling returned products.
Consequently, FCI’s employees must have access to data regarding the hazardous or toxic materials or substances the equipment has been
exposed to while in a customer’s possession. Prior to returning the instrument for evaluation/repair, FCI requires thorough compliance with
these instructions. The signer of the Certificate must be either a knowledgeable Engineer, Safety Manager, Industrial Hygenist or of similar
knowledge or training and responsible for the safe handling of the material to which the unit has been exposed.
Returns without a legitimate
Certification of Decontamination, and/or MSDS when required, are unacceptable and shall be returned at the customer’s expense and
risk.
Properly executed Certifications of Decontamination must be provided before a repair authorization (RA) number will be issued.
Certification Of Decontamination
I certify that the returned item(s) has(have) been thoroughly and completely cleaned. If the returned item(s) has(have) been exposed to
hazardous or toxic materials or substances, even though it (they) has (have) been thoroughly cleaned and decontaminated, the undersigned
attests that the attached Material Data Safety Sheet(s) (MSDS) covers said materials or substances completely. Furthermore, I understand that
this Certificate, and providing the MSDS, shall not waive our responsibility to provide a neutralized, decontaminated, and clean product for
evaluation/repair at FCI. Cleanliness of a returned item or acceptability of the MSDS shall be at the sole discretion of FCI.
Any item returned
which does not comply with this certification shall be returned to your location
Freight Collect and at your risk.
This certification must be signed by knowledgeable personnel responsible for maintaining or managing the safety program at your
facility.
Process Flow Media
Product was or may have been exposed to the following substances:
Print Name
Authorized Signature Date
Company Title
Visit FCI on the Worldwide Web: www.fluidcomponents.com
1755 La Costa Meadows Drive, San Marcos, California 92078-5115 USA ‡ Phone: 760-744-6950 ‡ 800-854-1993 ‡ Fax: 760-736-6250
