OHAUS Frontier FC5714 Manuel D'instructions page 50

TM
Frontier
11.8 Table 8: Redemption form / Decontamination certificate
Enclose this form with all returns of equipment and assemblies!
The completed declaration about the decontamination is a prerequisite for the assumption and further processing of the return. If no
corresponding explanation is enclosed, we carry out decontamination with costs at your expense.
Surname; last name: ___________________________________________
Organization / company: ________________________________________
Street: ______________________________________________________
ZIP CODE: _____________ place:____________________
Telephone: _____________ fax:____________________
E-Mail: _____________________________________
Pos.
1
2
3
4
Are the parts listed above in contact with the following substances?
Health endangering watery solutions, buffers, acids, alkalis:.............................
Potentially infectious agents: .....................................................................
Organic reagents and solvent: ................................................................. ..
Radioactive substances: ....................................................
Health endangering proteins: ....................................................................
DNA: ...................................................................................................
These substances have reached the equipment/assembly? ............................
Which one, if yes:
________________________________________________________________
Description of the measures for the decontamination of the listed parts:
I confirm the proper decontamination:
Company/Dept .________________________ Place and Date: ____________________________________
Signature of the authorized person:________________________________________
1.800.561.8187
Centrifuge FC5714/FC5718/FC5718R/FC5816/FC5816R
Crowd Decontaminated
object
www.
Serial number Description /
Comment
Yes
Yes
Yes
α.. β.. γ...
Yes
Yes
Yes
Yes
.com
No
No
No
No
No
No
No
information@itm.com
EN-43