9 Appendix
36
CVP High-Pressure Centrifugal Pump
9.4 Clearance Certificate
Please copy and send with the pump.
Clearance Certificate
Legal provisions oblige all businesses to protect their employees, other persons and the environment
from damaging effects when handling hazardous substances. Products and their components may
therefore only be repaired or inspected when the following declaration has been fully and correctly
filled out and singed by an authorized and qualified specialist. Please provide the necessary infor-
mation should safety measures on the part of the system owner still be required despite complete
draining and cleaning. This clearance certificate is part of the repair or inspection order.
We hereby assure that the enclosed device
Type:
_______________________________________________________________
Serial no.:
_______________________________________________________________
is free of substances that are hazardous to health. No special safety measures are required for further
handling. The device was fully drained and thoroughly cleaned inside and outside before dispatch.
Company/institute:
_______________________________________________________________
Address:
_______________________________________________________________
Town/city, ZIP code: _______________________________________________________________
Phone:
_______________________________________________________________
Name:
_______________________________________________________________
Position:
_______________________________________________________________
Date:
_______________________________________________________________
Signature, company stamp:
________________________________________________________
Содержание CVP 423
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