Form (For Copying) To Accompany A Returned Device - KROHNE BM 26 BASIC Supplementary Instructions Manual

Stainless steel bypass level indicators for applications up to 40 barg / 580 psig
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SERVICE
5

5.3.2 Form (for copying) to accompany a 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:
28
Address:
Name:
Fax no.:
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.krohne.com
12/2011 - 4000347102 - AD ATEX BM 26 Bas-Adv R02 en
BM 26 BASIC/ADVANCED

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