KROHNE DW 181-182-183-184 ATEX EN - Manual (Page 16)

5
SERVICE
16
DW 18 SERIES
www.krohne.com 11/2011 - 4001528201 - AD ATEX DW181-184 R01 en
5.2.2 Form (for copying) to accompany a returned device
Company: Address:
Department: Name:
Tel. no.: Fax no.:
Manufacturer's order no. or serial no.:
The device has been operated with the following medium:
This medium is: water-hazardous
toxic
caustic
flammable
We checked that all cavities in the device are free from such
substances.
We have flushed out and neutralized all cavities in the
device.
We hereby confirm that there is no risk to persons or the environment through any residual media
contained in the device when it is returned.
Date: Signature:
Stamp: