"CAJ?P?RGML MD AMLR?KGL?RGML
$EAR CUSTOMER
"ECAUSE OF LEGAL DETERMINATIONS AND FOR THE SAFETY OF OUR EMPLOYEES AND OPERATING EQUIPMENT WE NEED THIS $ECLARATION OF
CONTAMINATION WITH YOUR SIGNATURE BEFORE YOUR ORDER CAN BE HANDLED 0LEASE INCLUDE THE COMPLETELY FILLED IN DECLARATION WITH THE
DEVICE AND THE SHIPPING DOCUMENTS IN ANY CASE !DD ALSO SAFETY SHEETS AND OR SPECIFIC HANDLING INSTRUCTIONS IF NECESSARY
4YPE OF DEVICE SENSOR
-EDIUM CONCENTRATION
#LEANED WITH
5?PLGLE FGLRQ DMP KCBGSK SQCB MARK THE APPROPRIATE HINTS
RADIOACTIVE
EXPLOSIVE
0C?QML DMP PCRSPL
!MKN?LW B?R?
#OMPANY
!DDRESS
) HEREBY CERTIFY THAT THE RETURNED EQUIPMENT HAS BEEN CLEANED AND DECONTAMINATED ACC TO GOOD INDUSTRIAL PRACTICES AND IS IN
COMPLIANCE WITH ALL REGULATIONS 4HIS EQUIPMENT POSES NO HEALTH OR SAFETY RISKS DUE TO CONTAMINATION
0LACE DATE
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3ERIAL NO
4EMPERATURE
#ONDUCTIVITY
CAUSTIC
POISONOUS
#ONTACT PERSON
$EPARTMENT
0HONE
&AX E
MAIL
9OUR ORDER NO
HARMFUL TO
BIOLOGICALLY
HEALTH
HAZARDOUS
#OMPANY STAMP AND LEGALLY BINDING SIGNATURE
0RESSURE
6ISCOSITY
SAFE
INFLAMMABLE
SAFE