Declaration On Absence Of Hazards - Heidolph Laborota 4000 efficient Mode D'emploi

11.6 Declaration on absence of hazards

1. Information about the instrument
2. Was the instrument cleaned,
decontaminated or disinfected?
3. Is the instrument in a state that
would not represent a health
hazard to service personnel?
4. Information about sender
5. Legally binding declaration
1.02
Should your instrument require repairs, please complete this declaration and
mail or fax it to Heidolph Instruments GmbH & Co KG (see chapter 8.4,
page 125).
Type code
Serial number
Reason for
sending
yes
yes
Surname, first
name
Company
Department
Street address
City, postcode/ZIP
Country
Telephone
E-mail
Date
Signature
Laborota 4000/4001 efficient, 4010/4011 digital, 4002/4003 control
no
no
If not, to what substances has the
instrument been exposed?
The client hereby accepts liability for
damages suffered by the client
arising from incomplete or incorrect
information.
Appendix
139