Declaration Of Non-Objection - Heidolph Hei-VAP Precision Instrucciones De Funcionamiento Originales

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Appendix

11.6 Declaration of non-objection

Copy and mail / fax this declaration in the event of repairs to Heidolph Instruments GmbH & Co KG (see Chapter
8.4).
1. Information regarding the
unit
2. Was the device cleaned, if
necessary, decontaminated
/ disinfected?
3. Is the unit in a condition
that poses no health risks
to repair personnel?
4. Information regarding the
sender
5. Legally binding declaration
88
Model description
Part number
Reason for submission
Yes
Yes
Last name, first name
Company
Department
Street
Postal code / city
Country
Telephone
E-mail
Date
Signature
No
No
If no, what substances was the unit
in contact?
The client is aware that he is liable
to the contractor for damages
caused by incomplete and incorrect
information.
Hei-VAP Precision