VARISCO SaxMag V Series, Руководство по эксплуатации

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OPERATING MANUAL - SAXMAG V
Page 33
Annex
Certificate of No Objection
We, the undersigned, submit the following pump and pump accessories for repair I inspection:
Type:
................................. P l e a s e
note:
Specification: ......... ...... ...,. ........
This certificate must be filled
out and enclosed with any
shipment for repair purposes
to ensure proper handling of
the pump.
Series no..:.. ... ......
Cause of inspection/repair order:
The pump and/or pump accessories:
has/have not been used to pump any liquids that are harmful to health;
was/were used for
(type of use).
.............
was/were in contact with liquids subject to labelling requirements under the law on hazardous
substances and/or dangerous goods. If known, please state the last medium pumped:
....................................................................
Prior to shipment / provision the pump has been carefully drained and cleaned both inside and outside
with a suitable cleaning agent.
No special safety precautions are required for further handling.
The following safety precautions are required in relation to flushing fluids, residual fluids and disposal:
We, the undersigned, confirm that the information provided above is correct and complete and
shipment is in compliance with legal regulations.
Company: Department: Contact:
Phone:
Fax:
Addre
ss:
Street:
Postal code / town
………………………………………………
Place I date / company stamp / signature