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Service – KROHNE OPTIWAVE 5200 ATEX EN User Manual

Page 33

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SERVICE

5

33

OPTIWAVE 5200 C/F

www.krohne.com

04/2013 - 4001905802 - AD ATEX OPTIWAVE 5200 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: