SERVICE
7
21
BM26A-5000
www.krohne.com
01/2021 - 4008339901 - HB BM26A-5000 R01 en
7.4.2 Form (for copying) to accompany a returned device
Company:
Address:
Department:
Name:
Tel. No.:
Fax No.:
The meter enclosed, type:
Manufacturer's Order or Serial No.:
has been operated with the following liquid:
Because this liquid is:
hazardous to water
toxic
caustic
flammable
We have checked that all cavities in the unit are free from
such substances.
We have flushed out and neutralized all cavities in the unit.
We herewith confirm that in returning this unit there is no risk to man or environment through any
residual liquid contained in it.
Date:
Company stamp:
Signature: