vacuubrand DCP 3000 Instructions For Use Manual

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vacuubrand DCP 3000 Instructions For Use Manual Manual pdf 61 page image

page 61 of 64Health and safety clearance form1. Device (Model): ................................................................... 2. Serial no.: .........................................3. Reason for return / malfunction:..............................................................................................................................................................4. Has the device been used in a copper process step (e.g., semiconductor production).☐ yes ☐ no5. Substances (gases, liquids, solids) in contact with the device / which have been pumped:........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................6. Prior to return to the factory the device has been decontaminated. ☐ yes ☐ noDescription of the decontamination method and the test / verification procedure:............................................................................................................................................................................................................................................................................................................................7. The device is free of hazardous, harmful substances. ☐ yes ☐ no8. Protective measures required for VACUUBRAND employees:..............................................................................................................................................................9. If the paint is damaged, we wish a repaint or a replacement of parts for reason of appearance (repaintand replacement at customer’s expense). ☐ yes ☐ no10.Legally binding declarationWe assure for the returned device that all substances, which have been in contact with the device arelisted in section 5 and that the information is complete and that we have not withheld any information. Wedeclare that all measures - where applicable - have been taken listed in section “Return to the factory”.By our signature below, we acknowledge that we accept liability for any damage caused by providing in-complete or incorrect information and that we shall indemnify VACUUBRAND from any claims as regardsdamages from third parties. We are aware that as expressed in § 823 BGB (Public Law Code of Ger-many) we are directly liable for injuries or damages suffered by third parties, particularly VACUUBRANDemployees occupied with handling/repairing the product.Shipping of the device must take place according to regulations.Name: ....................................................................... Signature: ..............................................................Job title: .................................................................... Company’s seal:Date: .......................................................................Release for repair grant by VACUUBRAND (date / signature): ..............................................................Devices will not be accepted for any handling before we have received this declaration.Please read and comply with ”Notes on return to the factory”.Oil filled pumps: Drain oil prior to shipping absolutely!VACUUBRAND GMBH + CO KGAlfred-Zippe-Straße 497877 Wertheim, GermanyTel.: +49 9342 808-5660Fax: +49 9342 808-5666E-Mail: service@vacuubrand.comwww.vacuubrand.com

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