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Heinrichs Messtechnik GmbH
Page 118 of 122
OPERATING MANUAL TMU / UMC3
Declaration of Decontamination
Company name: .............................................................. Address: ..........................................................................................
Department: ................................................................... Contact person: ............................................................................
Phone: .............................................................................
The enclosed Coriolis flow meter Model: ...............................................................................................................................
was operated using the following fluid: .................................................................................................................................
In as much as this fluid is water-hazardous / toxic / corrosive / combustible / a health hazard /
environmentally hazardous
we have performed the following steps:
Checked all cavities in the device to ensure that they are free of fluid residues*
Washed and neutralized all cavities in the device*
Cleaned all seals/gaskets and other components that came into contact with the measured
medium*
Cleaned the housings and all surfaces*
*tick applicable items
We hereby warrant that no health or environmental hazard will arise from any fluid residues on or in the
enclosed device.
Date: .............................................................
Signature: ...................................................................................
(Name printed)
Company Stamp