Leica CM3050 S Instruction Manual page 65

Important - to avoid refusal of shipment:
Place one copy in the unit prior to packaging or hand it over to the service engineer. Customer as-
sumes all responsibility for the immediate return shipment of articles sent to Leica without proper
decontamination documentation.
If you have any further question, please call your local Leica organisation.
Leica Internal Use: If applicable, note corresponding Job and RAN-/RGA-Number:
Job Sheet No.:
SU Return Goods Authorisation:
BU Return Authorisation Number: ____________________
Signature/Date
Name
Position
eMail
Leica Microsystems Nussloch GmbH
Heidelberger Str. 17-19
69226 Nussloch, Germany
Phone:++49 (0) 6224 143 0
Fax: ++49 (0) 6224 143 200
www.leica-microsystems.com
Leica CM 3050 S – Cryostat
11. Decontamination Certificate
____________________
____________________
Institute
Department
Adress
Phone
(master)
Facsimile
65