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NETZSCH NEMO - Safety Conformity Certificate

NETZSCH NEMO
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1 SAFETY PRECAUTIONS
PAGE
1.5
Date Name Signed Revision: 4
issued 16.06.03 Mangel Substitute for issue
approved 17.06.03 Denk of 07.10.96
released 17.06.03 Denk
text no. 30100
copy to: 95
Safety Conformity Certificate
The machinery and its accessories together with this safety conformity certificate relating
to repair / inspection services given to the undersigned by ourselves
Machine Type .......................................
Number .......................................
Delivery Date ....................................... Delivery Note No. .......................................
was carefully emptied and cleaned both inside and
yes
out in preparation for shipment
no
Special safety precautions with regard to health or
necessary
media endangered by water are to be implemented
unnecessary
The machinery is set up to transport materials dangerous
to health or water and came in contact with
yes
media containing harmful substances
no
The following safety precautions are necessary with regard to irrigation media,
overflow liquid and waste management:
.................................................................................................................................................
.................................................................................................................................................
We confirm that the above mentioned details are correct and complete and that
despatch will follow in accordance with the legal requirements:
Company Telephone .............................................
........................................................................... Fax .............................................
........................................................................... Telex .............................................
Address
...........................................................................
...........................................................................
Name ............................................................. Position .............................................
....................................... .............................................
Date Company Stamp / Signature
GB

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