Vogtlin V-Flow Series - Contamination Declaration

V-Flow Line
Manual
Version
Page
V-Flow Line
vflow_E4_7
© Vögtlin Instruments AG
37
Contamination declaration
With return of devices, please fill out the following statement completely, especially the reason for
the return, the type of residue and cleaning in the case of soiling, as well as indication of hazards.
Device:
Type code:
Serial number:
Reason for return:
Type of contamination
Device came in contact with:
Cleaned by us with:
Can you provide further
information on the
contamination?
 inert (no danger)
 corrosive
 caustic
 must not come in contact with moisture
 oxidizing
 other hazards:
For the protection of our employees and for general safety during transport, proper cleaning and
the use of appropriate packaging are mandatory.
Legal declaration
We hereby confirm the correctness and completeness of the above information:
Company:
Adress:
Phone:
Contact person:
Date:
Signature: