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Declaration about decontamination
Declaration about decontamination and cleaning of equipment and components
To protect our personnel, we require all equipment or components be free of biological, chemical, or radioactive
contaminants. We will only accept such equipment or components when:
t the equipment or components have been adequately CLEANED and DECONTAMINATED.
t
this declaring document has been completed, signed and returned by an authorized person.
Please help us in assuring a safe, hazard-free work environment.
Description of the Equipment or Component(s)
Contamination / Cleaning
Legally binding declaration
This is to certify that all information given in this form is correct and complete.
The equipment and components have been adequately decontaminated and cleaned according to the legal
requirements. No chemical or biological or radioactive risks remain that can endanger exposed persons‘ safety or
health.
Description / Cat. No.:
Serial no.:
No. of invoice/delivery note
Date of delivery:
Attention: Please specify exactly the biological,
chemical, or radioisotopic contaminant.
Attention: Please describe the cleaning and
decontamination procedure/method.
The equipment was contaminated with: and it has been cleaned and decontaminated by
Company / Institute:
Address / Country:
Tel.: Fax (with area code):
Name of the authorized person:
Position:
Signature / Date:
Please pack the equipment properly and send it to your
local service representative.
Please refer to our website (www.sartorius.com)
or contact the Sartorius Service Center for more
detailed information regarding repair service
addresses of your device.
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