Decontamination Declaration
Pump model
Serial No.
Fed media
Company
26
Translation of original Operating Instructions, english, KNF 121435-121438 11/12
11. Decontamination Declaration
The condition for the repair of a pump by KNF is the certifica-
tion of the customer on the transferred media and on the
cleaning of the pump (decontamination declaration).
Copy this page.
Enter the pump model, the Serial No. and the transferred
media in the form below and sent the signed form together with
the flushed and cleaned pump to KNF Customer Service (see
last page for the address).
Customer decontamination declaration for
repair order
We herewith confirm that the following media have been pumped
with the pump listed below, and that the pump has been flushed
and cleaned.
The pump contains neither aggressive, biological, radioactive,
poisonous nor other dangerous media.
Mini Laboratory pumps N 86.18, N 811.18
Date/Signature