P.46
PM10U
EBARA
CORPORATION
Return Notice Sheet
Date : . . .
I. Product to be returned
i) Model No. of the product be returned
ii) Serial No. of the product to be returned
II. Pollution of the product to be returned
i) Applied process name
ii) Pollutant table
Pollutant
name
Chemical
symbol
Precaution on
Handling
Action to be taken for accidental inhalation
or touch
1
2
3
4
5
6
III. Reason for return
i) *Overhaul *Failure *Other ( )
ii) Contents of failure
IV. Person in charge and where to contact
Name : (signature)
Post :
Company name / plant name :
Address :
Telephone / FAX No. : TEL FAX
Date of return :
To Next Page
Loading...
