Disposal Verifi Cation Form - HSM SP 5080 Operating Manual

7.1 Disposal verifi cation form
To
HSM GmbH + Co. KG
Austraße 1 - 9
D-88699 Frickingen / Germany
The machine specifi ed here
Designation:
Model:
Machine number:
Year of construction:
has been disposed of according the applicable regulations.
Address of the last
operating company
Address of the
waste management company
...............................................
Date and signature
of the last operator
04/2013
Baling press / Shredder
...............................................
Date and signature
of the disposal company
2.990.999.120_en
SP 5080
53