OHAUS Frontier 5000-Serie Bedienungsanleitung Seite 50

EN-45
11.7 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:
First name:
Organization / company:
Street:
Zip code:
Telephone:
fax:
E-Mail:
Crowd Decontaminated
Pos.
1
2
3
4
Are the parts listed above in contact with the following substances?
1. Health endangering watery solutions, buffers, acids, alkalis
2. Potentially infectious agents
3. Organic reagents and solvent
4. Radioactive substances
5. Health endangering proteins
6. DNA
7. 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/Department:
Place and Date:
Signature of responsible person:
Serial number
object
Frontier™ 5000 Series Multi
Description / Comment
α β
Yes No
Yes No
Yes No
γ
Yes No
Yes No
Yes No
Yes No