Decontamination Certificate
Underneath named and signed executor engineer clarifies that concerned Instrument has been
decontaminated as described in the document "Decontamination Procedure for ESR Instruments"
documented as MAN-100-Rev.00.
For completeness mark the check-box of each separated item if it has been decontaminated and/or
disinfected and fill-in the requested information. Mention exceptions as remarks when (partly) not being
able by following the decontamination procedure.
Outer surface
Tube area
Type of instrument:
Serial number of instrument:
Decontamination date
Executor Engineer:
Date
:
(dd/mm/yyyy)
Name:
Signature:
Tel.: +43 7583 6791-0 - Fax: +43 7583 6318 - E-mail:
SRT 10/II
ESR Instruments
(dd/mm/yyyy)
Greiner Bio-One GmbH – Bad Haller Str. 35 - 4550 - Kremsmuenster - Austria
of
***
:
***
Distributor stamp:
faq.at@gbo.com
USER MANUAL
- Website:
www.gbo.com
page 37 of 37