11
Declaration of no objection
Type
Order number/Order item number
Delivery date
Range of Application
3)
Pumped medium
Make a check mark if applicable
□
corrosive
□
harmful to health
3)
Reasons for the return
Notes:
The system/the accessories has to be carefully emptied and cleaned on the exterior as well as the interior.
□ No special safety precautions are required for further handling.
□ The following safety precautions regarding rinsing medium, residual fluids and their disposal are required:
We ensure that the above information is correct and complete and delivery will be made according to statutory requirements.
City, date and signature
MU0H-1382 GE23R0819
3)
3)
:
□
oxidizing
flammable
□
toxic
radioactive
Address
GB
□
□
explosive
□
□
dangerous for the
environment
13
□
hazardous to health
□
harmless
Company stamp