KROHNE 4000 Series Manual page 37

Appendix 1 Declaration of Cleanliness Certificate
Company: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Department: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fax No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The enclosed device
Type: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
KROHNE Order No. or Series No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has been operated with the following liquid: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Because this liquid is
we have
We confirm that there is no risk to humans or environment through any residual liquid contained in this
device.
Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Company stamp:
water-hazardous
checked that all cavities in the instrument are free from such substances /
flushed out and neutralized all cavities in the device
toxic caustic flammable
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