Watson-Marlow 624Di - Manual (Page 37)

Watson-Marlow Bredel E-Manuals
http://www.watson-marlow.it/pdfs-global/m-624Di-gb-01.htm[10/07/2012 13:59:15]
product(s). Please complete a separate decontamination certificate for each product.
You are responsible for cleaning and decontaminating the product(s) before return.
Your name Company
Address
Postcode/zip Country
Telephone Fax
Product type Serial number
To speed the repair, please
describe all known faults
The product has ... Been used Not been used
If the product has been used, please complete all the following sections. If the product has
not been used, please just sign this form.
Names of chemicals
handled with product(s)
Precautions to be taken in
handling these chemicals
Action to be taken in the
event of human contact
I understand that the personal data collected will be kept confidentially in accordance with
the UK Data Protection Act 1998.
Signature
RGA number
Your position
Date
Please print out, sign and fax to Watson-Marlow Pumps at +44 1326 376009.