vacuum
Declaration of Contamination of Compressors, Vacuum Pumps and Components
The repair and / or servicing of compressors, vacuum pumps and components will be carried out only if a correctly completed declaration has been sub
mitted.
Non-completion will result in delay
. The manufacturer can refuse to accept any equipment without a declaration.
A separate declaration has to be copleted for every single component.
This declaration may be completed and signed only by authorised and qualified staff.
Customer/Dep./Institute: ________________________________
___________________________________________________
Address
___________________________________________
___________________________________________
Person to contact:
___________________________________
Phone:
__________________ Fax: __________________
Order number of customer: ______________________________
Reason for returning
:
applicable please mark
repair
chargeable
warranty
Austausch
chargeable
warranty
DKD-calibration
Factory calibration
restoring goods because of following reason:
rent/loan
for credit
against exchange
exchange already received/arranged
A. Description of the equipment (machine or component)
Ancillary equipment
Type:
_______________________________________
__________________________________________________
Part number:
_______________________________________
__________________________________________________
Serial number:
_______________________________________
__________________________________________________
Type of oil used: _______________________________________
__________________________________________________
B. Condition of the equipment
No
Yes
No
Contamination:
No
Yes
1. Has the equipment been used
toxic
2. Drained (Product/service fluid)
corrosive
3. All openings sealed airtight
microbiological
4. Purged
explosive
If yes which cleaning agent:
_______________________________________
radioactive
and which method of cleaning:
_______________________________________
other harmful substances
C. Description of processed substances (Please fill in absolutely)
1. What substances have come into contact with the equipment:
Trade name and / or chemical term of service fluids and substances processed, properties of the substances; According to safety data sheet
(e.g. toxic, inflammable, corrosive, radioactive)
Tradename:
Chemical name:
Residues:
a) ____________________________________________________________________________________
Yes
No
b) ____________________________________________________________________________________
Yes
No
c) ____________________________________________________________________________________
Yes
No
d) ____________________________________________________________________________________
Yes
No
Yes
No
2. Are these substances harmful?
3. Dangerous decomposition products when thermally loaded
Which:
Components contaminated by microbiological, explosive or radioactive products will not be accepted
without written evidence of decontamination.
D. Legally binding declaration
I / we hereby declare that the information supplied on this form is accurate and sufficient to judge any contamination level.
Name of authorised person (block letters):
____________________________
date _____________ signatur of authorised person ___________________________
firm stamp
© Leybold Vacuum Köln
GA01423_0102 - 11/2004
39
Содержание SC 15 D
Страница 1: ......
Страница 7: ...Description SC 15 D SC 30 D Fig 3 Connections and controls SC 15 D 30 D GA01423_0102 11 2004 7...
Страница 12: ...Description 1 3 3 Outside dimensions SC 5 D Fig 6 Dimensional drawing for the SC 5 D 12 GA01423_0102 11 2004...
Страница 13: ...Description SC 15 D Fig 7 Dimensional drawing for the SC 15 D GA01423_0102 11 2004 13...
Страница 14: ...Description SC 30 D Fig 8 Dimensional drawing for the SC 30 D 14 GA01423_0102 11 2004...
Страница 30: ...Operation SC 15 D SC 30 D SC 5 D Fig 24 Position of Air Flush Port 30 GA01423_0102 11 2004...
