Jesco MAGDOS LK Operating Instructions Manual

Declaration of harmlessness 55© Lutz-Jesco GmbH 2015Subject to technical changes.150225BA-10221-02-V03Stepper Motor-driven Diaphragm Dosing Pump MAGDOS LK Operating Instructions19 Declaration of harmlessnessCopy the Declaration of harmlessness and complete it separately for eachunit. Enclose one copy to the unit you are sending.Please send the declaration of harmlessness to us also in advance per faxor e-mail!Declaration of no objectionPlease fill out a separate form for each appliance!We forward the following device for repairs:Device and device type: ................................................................ Part-no.:...................................................................................Order No.:..................................................................................... Date of delivery: .......................................................................Reason for repair: ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Dosing mediumDescription: .................................................................................. Irritating: Yes NoProperties: .................................................................................... Corrosive: Yes NoWe hereby certify, that the product has been cleaned thoroughly inside and outside before returning, that it is free from hazardousmaterial (i.e. chemical, biological, toxic, flammable, and radioactive material) and that the lubricant has been drained.If the manufacturer finds it necessary to carry out further cleaning work, we accept the charge will be made to us.We assure that the aforementioned information is correct and complete and that the unit is dispatched according to the legalrequirements.Company / address:...................................................................... Phone:........................................................................................................................................................................................... Fax:............................................................................................................................................................................................... Email:.......................................................................................Customer No.:............................................................................... Contact person: ........................................................................Date, Signature:............................................................................