Safety Declaration - Grundfos CMV Serie Instrucciones De Instalación Y Funcionamiento

Anexo
Please copy, fill in and sign this sheet and attach it to the pump returned for service.
Which media has the pump been used for: ______________________
In which application has the pump been used: ____________________
Please give a short description of the fault:
We hereby declare that this product is free from hazardous chemicals,
biological and radioactive substances.
_________________________
Date and signature

Safety declaration

Media and application
Fault description
If possible please make a circle around the faulty part.
(In case of an electrical fault, please mark the terminal box.)
_________________________
Company stamp
2
19