Form (For Copying) To Accompany A Returned Device - Ametek DR5200 Supplementary Instructions Manual

SERVICE
8

8.7.2 Form (for copying) to accompany a returned device

CAUTION!
To avoid any risk for our service personnel, this form has to be accessible from outside of the
packaging with the returned device.
Company:
Department:
Tel. no.:
Manufacturer's order no. or serial no.:
The device has been operated with the following medium:
This medium is:
We hereby confirm that there is no risk to persons or the environment through any residual media contained in the
device when it is returned.
Date:
Stamp:
27
Address:
Name:
Fax no. and/or Email address:
radioactive
water-hazardous
toxic
caustic
flammable
We checked that all cavities in the device are free from such substances.
We have flushed out and neutralized all cavities in the device.
Signature:
www.drexelbrook.com
DR5200
DR5200-LM SIL2 Issue 2