GMG-LEZ Operation manual
Page 34 of 37
B0840
Declaration of compliance
We,
Company:
Address:
herewith confirm in relation to the product(s) returned by us
Product
designation:
Woerner order
number:
that
1. all components are fully discharged and cleaned,
2. the residual contaminations left are free of any substance being harmful to health or
environment.
3. the materials used by us in the product(s) comply with the notes on the purpose of
use and conventional application stated in the product documentations. The
relevant safety data sheets are enclosed.
Date of return
shipment:
Name, position:
Phone number:
Date, signature:
Company stamp:
Enclosures:
Safety data sheet
