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Service
Conrmation of condition of unit
➜ In the case of repair, copy and complete the Conrmation of condition of unit and
send it to Heidolph Instruments.
1.
Details about the unit
Product number
Serial number
Reason for repair
2.
Has the device been cleaned, decontaminated/sterilized?
Yes No
3.
Is the unit in a condition which does not represent any health threats for the staff of
our service department?
Yes No
If not, which substances has the unit
come into contact with?
4.
Legally binding declaration
The customer is aware of being legally liable to Heidolph
Instruments for any damages arising from incomplete and
incorrect information.
Date Signature
Company stamp
Please note
The shipper is responsible for the return of the goods in well
packed condition, suitable for the mode of transport.
Sender information
Name, rst name
Company
Department, research
group
Street
Zip code, city
Country
Phone
E-mail
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