Type:
............................................................................................................
Serial-no.:
............................................................................................................
The device has been thoroughly cleaned before being dispatched.
___________________________
Date/signature
Version 2.0
Safety certificate
Please copy and send in with the pump!
Safety certificate
We herewith certify that the enclosed device
- chemical
- biological or
- radioactive substances
which are a health hazard.
is free of
___________________________
Company stamp
Page 87 of 88 pages