Heidolph Smart S-biosystems 801620, Руководство по эксплуатации

Страница: 67 / 137

65
Declaration of no objection
Enclose the declaration of no objection, duly completed, with your device return.
Submissions without a declaration of no objection cannot be processed!
1. Information on the device
Item number:
Serial number:
Reason for submission:
2.
When handling the device, does the risk of contamination exist for
people and/or the environment – due to direct contact with chem-
ical/biological substances or due to use in a chemical/biological work
environment?
NO YES
If YES , to which chemical/biological substances/
atmospheres was the device exposed?
If NO , which measures were taken to ensure
adequate cleaning or decontamination?
3. Information on the client/sender:
Full name:
Company/institution:
Department/working
group:
Address:
Zip code, city:
Country:
Phone:
Email:
4. Legally binding declaration
With his signature, the client/submitter declares the completeness and correct-
ness of this details. Missing or incorrect information obligates to compensation
for damages.
Date Signature, company stamp
Appendix