Fluid Components International FS10A User Manual

Page 51

FS10 Series

Fluid Components International LLC

The following Return Authorization Request form and Decontamination Statement

MUST be completed, signed and faxed back to FCI

before a Return Authorization Number will be issued. The signed Decontamination Statement and applicable MSDS Sheets must be in-

cluded with the shipment. FCI will either fax, email or telephone you with the Return Authorization Number upon receipt of the signed

forms.

Packing Procedures

1. Electronics should be wrapped in an anti-static or static-resistant bag, then wrapped in protective bubble wrap and surrounded

with appropriate dunnage* in a box. Instruments weighing more than 50 lbs., or extending more than four feet, should be se-

cured in wooden crates by bolting the assemblies in place.

2. The sensor head must be protected with pvc tubing, or retracted the full length of the probe, locked and secured into the Pack-

ing Gland Assembly (cap screws tightened down).

3. FCI can supply crates for a nominal fee.

4. No more than four (4) small units packaged in each carton.

5. FCI will not be held liable for damage caused during shipping.

6. To ensure immediate processing mark the RA number on the outside of the box. Items without an RA number marked on the box

or crate may be delayed.

7. Freight

must be “PrePaid” to FCI receiving door.

* Approriate dunnage as defined by UPS, will protect package contents from a drop of 3 feet.

Visit FCI on the Worldwide Web: www.fluidcomponents.com

1755 La Costa Meadows Drive, San Marcos, California 92078-5115 USA ‡ Phone: 760-744-6950 ‡ 800-854-1993 ‡ Fax: 760-736-6250

FCI Document No. 05CS000004D [U]

*** Decontamination Statement *** This Section Must Be Completed ***

Exposure to hazardous materials is regulated by Federal, State, County and City laws and regulations. These laws provide FCI’s

employees with the “Right to Know” the hazardous or toxic materials or substances in which they may come in contact while han-

dling returned products. Consequently, FCI’s employees must have access to data regarding the hazardous or toxic materials or

substances the equipment has been exposed to while in a customer’s possession. Prior to returning the instrument for evaluation/

repair, FCI requires thorough compliance with these instructions. The signer of the Certificate must be either a knowledgeable Engi-

neer, Safety Manager, Industrial Hygenist or of similar knowledge or training and responsible for the safe handling of the material to

which the unit has been exposed. Returns without a legitimate Certification of Decontamination, and/or MSDS when required, are

unacceptable and shall be returned at the customer’s expense and risk. Properly executed Certifications of Decontamination must

be provided before a repair authorization (RA) number will be issued.

Certification Of Decontamination

I certify that the returned item(s) has(have) been thoroughly and completely cleaned. If the returned item(s) has(have) been ex-

posed to hazardous or toxic materials or substances, even though it (they) has (have) been thoroughly cleaned and decontaminated,

the undersigned attests that the attached Material Data Safety Sheet(s) (MSDS) covers said materials or substances completely.

Furthermore, I understand that this Certificate, and providing the MSDS, shall not waive our responsibility to provide a neutralized,

decontaminated, and clean product for evaluation/repair at FCI. Cleanliness of a returned item or acceptability of the MSDS shall

be at the sole discretion of FCI. Any item returned which does not comply with this certification shall be returned to your location

Freight Collect and at your risk.

This certification must be signed by knowledgeable personnel responsible for maintaining or managing the safety program at

your facility.

Process Flow Media _____________________________________________________________________________________

Product was or may have been exposed to the following substances: _______________________________________________

Print Name_____________________________________________________________________________________________

Authorized Signature ___________________________________________ Date _____________________________________

Company Title __________________________________________________________________________________________