Annexe - Bertin Technologies PRECELLYS Evolution Manuel Utilisateur

10. Annexe 1

Equipment for Life Sciences return form
Reference: 03712.900.DV003
Instrument :
®
 Precellys 24
®
 Precellys 24-Dual
®
 Precellys Evolution
®
 Coriolis µ
Equipment serial number / Number of cycles:
I attest that the equipment decontamination has been executed and that the equipment is clean
and can be used without any risk :

In accordance with the equipment user manual

Specific decontamination protocol
Please detail this specific protocol :
Made at:
On the:
By:
Function:
www.precellys.com Phone: +33(0) 139 306 160
info@precellys.com Fax:
Shipping date:
Transport company:
Company / Laboratory Address:
Equipment decontamination:
« I attest to be totally aware that any false declaration will expose me to
contentious actions where my responsibility could be party to a suit ».
+33(0) 139 306 185
Date and signature
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