10-002 Disposal Form
Buyer:
Name:..............................................
Street.......................................….....
Zip Code:..................................….... City:...............................................
Country:............................................
Telephone number:........................... Fax number:..............................................
Machine:
Model:...............................................................................................
Machine number:.....................................................................…......
Voltage / Frequency according to the identification plate:............................................
Pneumatically operated...…….. Operated with hand lever...…….
General:
The buyer hereby confirms that the machine has been disposed of properly.
The machine consists of the following materials:
Steel / iron parts:
machine frame, various gearbox components
Aluminum:
Parts of the side stops, gearbox casing, all measurement rulers, the complete machine table,
motor support, motor distance spacer
Various plastics:
Cover caps on the machine table protrusions, pneumatic hoses
The following parts cannot be catagorized with any material group:
electrical equipment, pneumatic components
Please return the completed disposal form to the manufacturer after disposing of the machine.
The buyer agrees to store this data in an electronic data processing system.
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10. Miscellaneous
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