Confirmation Of Condition - Heidolph Hei-TORQUE series Betriebsanleitung

Service

Confirmation of condition


➜ If repairs are required, copy and complete the Confirmation of condition of device and
send it to Heidolph Instruments.
1.
Details about the device
Product number
Serial number
Reason for repair
2.
Has the device been cleaned, decontaminated/sterilized?
3.
Is the device in a condition which does not pose a health hazard to the staff of our
maintenance department?
4.
Legally binding declaration
Date
Company stamp
Please note
Sender information
Yes
Yes
The customer is aware that they are legally liable to Heidolph
Instruments for any damage arising from incomplete or incorrect
information.
Signature
The shipper is responsible for returning the goods in well packaged
condition, suitable for the mode of transport.
Last name, first name
Company
Department, group
Street
Zip code, city
Country
Phone
e-mail
53
No
No
If not, which substances has the device
come into contact with?