SERVICE 7
65
SITRANS FX300
www.siemens.com/flow06/2009 - SFIDK.PS.050.F2.02 A5E02100423
7.4.2 Form (for copying) to accompany a returned device
Returning adress:
Siemens Flow Instruments A/S
Nordborgvej 81
DK - 6430 Nordborg
Att. Quality department E1-Ø21
Company: Address:
Department: Name:
Tel. no.: Fax no.:
Manufacturer's order no. or serial no.:
The device has been operated with the following medium:
This medium is: water-hazardous
toxic
caustic
flammable
We checked that all cavities in the device are free from such
substances.
We have flushed out and neutralized all cavities in the
device.
We hereby confirm that there is no risk to persons or the environment through any residual media
contained in the device when it is returned.
Date: Signature:
Stamp:
CAUTION!
Disposal must be carried out in accordance with legislation applicable in your country.
MA_Siemens_Sitrans_FX300_R02_en_PRT.book Page 65 Monday, June 22, 2009 8:17 AM
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