16
Standing Extraction Arm
ERGO LUX-
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R
10.01.2019
13.
Sample of the Declaration of Conformity
Declaration of conformity EC No. ……………..
Manufacturer (eventually the authorized representative / importer):
name:
KLIMAWENT S.A.
address:
81-
571 Gdynia, Chwaszczyńska 194
A person, authorized for issuing the technical documentation:
Teodor Świrbutowicz, KLIMAWENT S.A.
hereby declares that the appliance:
name:
Standing Extraction Arm
type/model:
ERGO LUX-R
serial number: …………………………….. year of production: ………………………..
meets the requirements of the subsequent European Directives:
2006/42/EC
Machinery Directive
of the European Parliament and of the Council of May 17
th
, 2006 on machinery
– amen-
ding the 95/16/EC (recast) /
Journal of Laws EC L157 of 09.06.2006, page 24
/
The appliance meets following harmonized standard:
EN ISO-12100:2012
–
“Safety of
machinery
–
Basic concepts, general
principles
for design. Risk assessment and risk reduction”.
……………………………
……………………………
……………………………
place, date
signature of authorised person
name, surname, function
of the signatory
KLIMAWENT S.A.
District Court Gdańsk-Północ
NIP: 958 159 21 35
Supported Employment Enterprise
in Gdańsk, VII Wydział Gospodarczy
REGON: 220631262
81-571 Gdynia,
ul. Chwaszczyńska 194
of the National Register of Court
Bank Account:
Santander Bank Polska S.A.
phone: +49 58 829 64 80
KRS 0000308902 company stock
56 1500 1025 1210 2007 8845 0000
email:
