GB
MU0H-1382 GE23R0819
13
11 Declaration of no objection
Type
Order number/Order item number
3)
Delivery date
Range of Application
Pumped medium
3)
Make a check mark if applicable
3)
:
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corrosive oxidizing flammable explosive
hazardous
to
health
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harmful to health
toxic
radioactive
dangerous for the
environment
harmless
Reasons for the return
3)
Notes:
The system/the accessories has to be carefully emptied and cleaned on the exterior as well as the interior.
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No special safety precautions are required for further handling.
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The following safety precautions regarding rinsing medium, residual fluids and their disposal are required:
We ensure that the above information is correct and complete and delivery will be made according to statutory requirements.
City, date and signature
Address
Company stamp
