General 1-5
kina40e 01.fm technical handbook(1007)
1.4 Service
If the HLD5000 is returned to INFICON, indicate whether the leak detector is free of
substances damaging to health or whether it is contaminated. If it is contaminated
also indicate the nature of the hazard. INFICON will return any leak detector without
a "Declaration of Contamination” to the sender’s address.
Before returning any equipment, please get in touch with the Service Center for the
purpose of discussing the issue (RMA number, for example).
General
We reserve the right to modify the design and the specified data. The illustrations are
not binding.
Please refer to national shipping requirements - Dangerous Goods - due to
pressurized calibrated leak.
Fig. 1-1 Declaration of Contamination (original size see attachment)
INFICON GmbH
Bonner Str. 498,50968 Cologne, Germany
Tel: +49 221 3474 2222   Fax: +49 221 3474 2221
www.inficon.com   leakdetection.service
inficon.co
zisa01e1-a
Declaration of Contamination
 Legally binding declaration:
  I/we hereby declare that the information on this form is complete and accurate and that I/we will assume any further costs that may
  arise. The contaminated product will be dispatched in accordance with the applicable regulations.
 Organization/company
 Address   Post code, place
 Phone   Fax
 Email
 Name
Date and legally binding signature  Company stamp
1) or not containing any amount
 of hazardous residues that
 exceed the permissible ex-
 posure limits
 
Process related contamination of product:
 toxic  no
 1) yes
 caustic  no
 1)           yes
 biological hazard  no
          yes
 2)
 explosive  no
          yes 
 2)
 radioactive  no
          yes
 2)
 other harmful substances  no
1)           yes
The service, repair, and/or disposal of vacuum equipment and components will only be carried out if a correctly completed declaration has 
been submitted. Non-completion will result in delay.
This declaration may only be completed (in block letters) and signed by authorized and qualified staff.
Copies:
Original for addressee - 1 copy for accompanying documents - 1 copy for file of sender
  
Harmful substances, gases and/or by-products
    Please list all substances, gases, and by-products which the product may have come into contact with:
Trade/product name
Chemical name
(or symbol)
Precautions associated
with substance
Action if human contact
Description of product
 Type
 Article Number
 Serial Number
 Reason for return
 
Operating fluid(s) used (Must be drained before shipping.)
The product is free of any sub-
stances which are damaging to
health                                 yes
This form can be downloaded 
from our website.
2)     Products thus conta mi-
  nated will not be ac-
 cepted without written
 evidence of decontami-
 nation!