Oerlikon 10926, Руководство по эксплуатации

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43 GAET02307_002_10 - 06/2008 - © Œrlikon Leybold 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
submitted. Non-completion will result in delay. The manufacturer can refuse to accept any equipment without a declaration.
A separate declaration has to be completed for each single component.
This declaration may be completed and signed only by authorised and qualified staff.
Customer/Dep./Institute: _______________________________
__________________________________________________
Address: ____________________________________________
___________________________________________
Person to contact: __________________________________
Phone: _________________ Fax: __________________
End user: _____________________________________
Reason for return

applicable please mark
q
Repair
q
chargeable
q
warranty
q
Exchange
q
chargeable
q
warranty
q
exchange already arranged / received
Return only:
q
rent
q
loan
q
for credit
Calibration:
q
DKD
q
Factory calibration
q
Quality test certificate DIN 55350-18-4.2.1
A. Description of the Œrlikon Leybold Vacuum product Failure description: __________________________________
Material description: ______________________________________ __________________________________________________
Catalog number: ________________________________________ Additional parts: _____________________________________
Serial number: _________________________________________ Application Tool: _____________________________________
Type of oil (Forevacuum pumps): ___________________________ Application Process: _________________________________
B. Condition of the equipment
No 1) Yes No Contamination: No 1) Yes
1. Has the equipment been used
1) q q
oxic
q q
2. Drained (Product/service fluid)
q q
corrosive
q q
3. All openings sealed airtight
q
flammable
q q
4. Purged
q q
explosive
2) q q
If yes which cleaning agent: ________________________________________ radioactive
2) q q
and which method of cleaning: ________________________________________ microbiological
2) q q
1) if answered with “No” go to D . other harmful substances
q q
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:
a) _______________________________________________________________________________________________________
b) _______________________________________________________________________________________________________
c) _______________________________________________________________________________________________________
d) _______________________________________________________________________________________________________
No Yes
2. Are these substances harmful?
q q
3. Dangerous decomposition products when heated? q q
If yes, which? _____________________________________________________________________________________________
2)
Components contaminated by microbiological, explosive or radioactive products/substances 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