WKT
29
ANNEX 01
Certificate of decontamination
Type ...........................................................................................................................................
Order number / ...........................................................................................................................................
Order item number
1)
...........................................................................................................................................
Delivery date ...........................................................................................................................................
Field of application: ...........................................................................................................................................
Fluid handled
1)
: ...........................................................................................................................................
Please tick where applicable “ X “
1)
:
radioactive explosive corrosive toxic
harmful bio-hazardous highly flammable safe
Reason for return
1)
...........................................................................................................................................
...........................................................................................................................................
Comments: ...........................................................................................................................................
The pump / accessories have been carefully drained, cleaned and decontaminated inside and outside prior to dispatch /
placing at your disposal.
On seal-less pumps, the rotor has been removed from the pump for cleaning.
No special safety precautions are required for further handling
The following safety precautions are required for flushing fluids, fluid residues and disposal:
.......................................................................................................................................................................
.......................................................................................................................................................................
We confirm that the above data and information are correct and complete and that dispatch is effected in accordance with
the relevant legal provisions
.................................................................. .......................................................................... .......................................
Place, date and signature Address Company stamp
.....................................................................
1)
Required fields
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