KROHNE OPTIMASS 8300C - Page 37

37
Appendix 1 Declaration of Cleanliness Certificate
Company: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Department: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fax No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The enclosed device
Type: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
KROHNE Order No. or Series No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has been operated with the following liquid: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Because this liquid is water-hazardous toxic caustic flammable
we have checked that all cavities in the instrument are free from such substances /
flushed out and neutralized all cavities in the device
We confirm that there is no risk to humans or environment through any residual liquid contained in this
device.
Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Company stamp:
AD OPTIMASS 300_010 Haz Areas Rev 01.qxp 05/03/2014 13:25 Page 37