A&D Weighing MPA-1200 User Manual
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Attestation of contamination removal
Please fill in the following items when you send a pipette for repair.
 
 
Model name:
 
 
Serial number S/N:
I attest to the fact that this pipette is free of contamination by any substances that 
could pose a health threat to humans, such as Infectious bacteria or viruses, 
radioactive substances with associated risks of exposure, toxic substances, etc. 
 
 
Signature: Date:
Company name 
(Facility name): 
 
 
Section name:
 
 
 
 
Address:
