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Service – KROHNE BM 26 BASIC-ADVANCED ATEX EN User Manual

Page 28

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5

SERVICE

28

BM 26 BASIC/ADVANCED

www.krohne.com

12/2011 - 4000347102 - AD ATEX BM 26 Bas-Adv R02 en

5.3.2 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: