Memmert PM 500 Self Drying Vacuumpump (Generation 2003) - Manual (Page 7)

Appendix:
Customer statement for
repair order (sample
statement for copying)
Ī In order for KNF to repair the
pump, the customer must provide
a statement on the media which
were pumped and on pump
cleaning. Please fill out the cor-
responding KNF form, and submit
it together with the pump.
Statement/Certificate
We confirm that the pump
model listed below
(please specify)
.............................................
.............................................
.............................................
Serial-No. (please specify)
.............................................
.............................................
.............................................
was used to pump the fol-
lowing media:
.............................................
.............................................
.............................................
.............................................
.............................................
.............................................
.............................................
and that the pump listed
above was cleaned. There
are no poisonous, aggres-
sive, biological, radioac-
tive or other dangerous
media in the pump.
................ ......................
Company Date/
Signature
PM 16527-860.3-2.00 e 11/05
6
KNF Neuberger GmbH
Alter Weg 3
D-79112 Freiburg
Tel. ++49/7664/5909-0
Fax ++49/7664/5909-99
E-Mail: [email protected]
www.knf.de