Safety Declaration - Grundfos MTA Serie Instrucciones De Instalación Y Operación

Appendix
Please copy, fill in and sign this sheet and attach it to the pump returned for service.
Which medium 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
210

Safety declaration

Medium 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
1