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Edwards nEXT85 User Manual

Edwards nEXT85
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Figure 22
HS2 Form
Return of Edwards Equipment – Declaration
Form HS2
You must:
•Know about all of the substances which have been used and produced in the equipment before you complete this Declaration
Read the Return of Edwards Equipment – Procedure (HS1) before you complete this Declaration
Contact Edwards to obtain a Return Authorisation Number and to obtain advice if you have any questions
Send this form to Edwards before you return your equipment as per the procedure in HS1
Return Authorisation Number:
Manufacturer's Product Name _________________________
Manufacturer's Part Number ___________________________
Manufacturer's Serial Number _________________________
Has the equipment been used, tested or operated?
YES, Used or operated Go to Section 2
YES, Tested, but not connected to any process or
production equipment, and only exposed to Nitrogen,
Helium or Air Go to Section 4
NO Go to Section 4
IF APPLICABLE:
Tool Identification Number ___________________________
Tool Manufacturer/OEM ______________________________
Tool Model _________________________________________
Process ___________________________________________
Installed Date ____________ De-installed Date ___________
Part Number of Replacement Equipment _______________
Serial Number of Replacement Equipment ______________
Pump datalog attached? YES NO
(Edwards Internal Use Only)
Are any substances used or produced in the equipment:
Radioactive, biological or infectious agents, mercury,
poly chlorinated biphenyls (PCBs), dioxins or
sodium azide? (if YES, see Note 1) YES
NO
Hazardous to human
health and safety? YES
NO
Note 1: Edwards will not accept delivery of any equipment
that is contaminated with radioactive substances, biological/
infectious agents, mercury, PCB’s, dioxins or sodium azide,
unless you:
Decontaminate the equipment
Provide proof of decontamination
YOU MUST CONTACT EDWARDS FOR ADVICE BEFORE YOU RETURN
SUCH EQUIPMENT
Print your name: _________________________________ Print your job title: ____________________________________
Print your organisation: ____________________________________________________________________________________
Print your address: _____________________________________________________________________________________
_____________________________________________________________________________________________________
Telephone number: ___________________________ Date of equipment delivery: ____________________________________
I have made reasonable enquiry and I have supplied accurate information in this Declaration. I have not withheld any
information, and I have followed the Return of Edwards Equipment – Procedure (HS1).
Signed: _____________________________________ Date: ____________________
who did you buy the equipment from? ______________________________
____
_
____
_
__
give the supplier’s invoice number
_________
__________________
____
_
____
_
__
_
___
_
If you have a warranty claim:
Substance name
Chemical
Symbol
Precautions required (for example,
use protective gloves, etc.)
Action required after a spill,
leak or exposure
Note: Please print out this
form, sign it and return the
signed form as hard copy.
SECTION 1: EQUIPMENT
SECTION 2: SUBSTANCES IN CONTACT WITH THE EQUIPMENT
SECTION 3: LIST OF SUBSTANCES IN CONTACT WITH THE EQUIPMENT
SECTION 4: RETURN INFORMATION
SECTION 5: DECLARATION
P900-71-000 Issue N
Reason for return and symptoms of malfunction: ________________________________________________________________
__________________________________________________________________________________________________________
For how many hours has the product run? ___________ Do you wish to purchase a full Failure Analysis report? YES
NO
B8G0-00-880A - Technical Reference
Page 105

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Edwards nEXT85 Specifications

General IconGeneral
BrandEdwards
ModelnEXT85
CategoryWater Pump
LanguageEnglish

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