Devolución del producto o
reparación
Retu
rn authorizat
ion
numb
ber:
To ma
ke sure the mu
utual protectio
all equ
uipment must
be clean and f
your e
quipment, ple
ase complete
1.
Please note
e that items wi
2.
Equipment
which is not s
could be su
bject to additi
Visible cont
amination wil
3.
Please specify
P
Yes
No
Radioactivity (p
R
In
nfectious or ha
Other Hazardo
O
Equip
pment must be
e decontamin
you fo
or additional i
information c
Telep
phone No:
Liqui
d and/or gas
in equipment
Equip
pment type / P
Product No:
I here
eby confirm th
hat the equipm
area
has been mad
de safe and a
Nam
e:
Posit
tion or job title
e:
Signe
ed:
To rec
eive a return
authorization
please
e call local tec
chnical suppo
Biacore 4000 Instrucciones de funcionamiento 28-9667-08 AC
Healt
for Pr
and/or
S
Service Ticket
on and safety
of GE personn
nel, our custom
free of any haz
zardous conta
aminants befo
this checklist
and include it
with your retu
ll NOT be acce
epted for servi
cing or return
ufficiently clea
aned prior to r
return to GE m
onal charges
l be assumed
hazardous and
d additional cl
y if the equipm
ment has been
n in contact wi
please specify)
azardous biolo
ogical substan
ces (please sp
ous Chemicals
(please specify
y)
nated prior to
service / retu
rn. Please pro
oncerning the
e system / equ
uipment.
Wate
er
t is:
Ethan
nol
None
e, empty
Argo
n, Helium, Nit
Liqui
d Nitrogen
Other, p
lease
specify
ment specifie
d above has b
been cleaned t
ccessible.
n number or s
ervice numbe
er,
rt or custome
er
service.
8.3 Formulario de declaración de salud y seguridad
th & Safe
ety Dec
roduct R
Return o
t/Request:
mers, transpor
tation personn
re shipping to
GE. To avoid d
urn.
without this fo
orm
may lead to del
ays in servicin
leaning and de
econtaminatio
ith any of the
following:
pecify)
ovide a teleph
one number w
trogen
Seria
l No:
to remove any
y hazardous s
Comp
pany or
instit
tution:
Date
(YYYY/MM/DD
D)
GE and GE
monogram are trade
emarks of General E
GE Healthc
are Bio-Sciences Co
rp, 800 Centennial A
NJ 08855-1
1327, US
© 2010-14
General Electric Com
mpany—All rights res
8 Información de referencia
laration
n Form
or Servic
cing
nel and our en
nvironment,
delays in the p
rocessing of
ng the equipm
ent and
on charges wil
l be applied
where GE can
contact
substances an
nd that the
Electric Company.
Avenue, P.O. Box 132
7, Piscataway,
served. First publishe
ed April 2010.
D
DOC1149544/28-980
00-27 AC 05/2014
99
