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Benennung Dichtring Stutzen, nachgearbeitet Überwurfmutter Schneidring Verschraubung Stutzen Überwurfmutter Schneidring Stutzen Sechskantschraube Druckmessgerät Sechskantschraube, wahlweise: Sechskantschraube für Messwerk LP Sechskantschraube für Messwerk HP Rohrbogen Sollwerteinsteller Sechskantbundmutter Federdom Federteller, wahlweise: Federteller (für Sollwertfeder Nr. 1 bis Nr. 6) Federteller (für Sollwertfeder Nr. 7 und Nr. 8) Sollwertfeder, wahlweise: Sollwertfeder für Messwerk LP Sollwertfeder 1: wds = 0,02 - 0,06 bar Sollwertfeder 2: wds = 0,04 - 0,18 bar Sollwertfeder 3: wds = 0,07 - 0,35 bar Sollwertfeder 4: wds = 0,3 - 0,5 bar Sollwertfeder für Messwerk HP Sollwertfeder 5: wds = 0,3 - 1,0 bar Sollwertfeder 6: wds = 0,5 - 2,0 bar Sollwertfeder 7: wds = 1,0 - 3,5 bar Sollwertfeder 8: wds = 2,0 - 5,0 bar O - Ring Messwerkdeckel, wahlweise: Messwerkdeckel für Messwerk LP Messwerkdeckel für Messwerk HP Sechskantmutter Membran, wahlweise: Membran für Messwerk LP Membran für Messwerk HP Membranteller, wahlweise: Membranteller für Messwerk LP Membranteller für Messwerk HP Meßwerkflansch, wahlweise: Messwerkflansch für Messwerk LP Messwerkflansch für Messwerk HP Zylinderschraube O - Ring Ventilkegel Ventilsitz Gleitlager Einknüpfdichtung Zwischenflansch Membran Sechskantmutter Druckfeder Federdom Federteller Membranhalterung Federteller Gehäuse Membranhalterung Membranteller Dichtring Kolben Federausgleichsstück Druckfeder Verschlußschraube Dichtring Filtereinsatz Sicherungsscheibe Sonderschraube O - Ring

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Unbedenklichkeitsbescheinigung

Bei Rücksendung von Geräten schicken Sie diese bitte in einem vorschriftsmäßig gereinigten Zustand (gesundheitlich/umweltunbedenklich) an uns zurück und bestätigen Sie dabei die Unbedenklichkeit des eingesetzten Mediums.

Sollte trotz sorgfältiger Dekontamination bei Substanzen mit giftigen, mikrobiologischen, explosiven, oder anderen gesundheitsschädlichen Stoffen dennoch Sicherheitsvorkehrungen erforderlich sein, so muss das Sicherheitsdatenblatt im Vorfeld der Sendung an uns gesendet werden.

Nichtbeachtung der o.g. Hinweise führt zur Durchführung von Maßnahmen, die den sicheren Umgang mit den Geräten wieder herstellen Die anfallenden Kosten zur Durchführung der Maßnahmen gehen zu Ihren Lasten. Wir behalten uns vor, verunreinigte Geräte an Sie zur Reinigung zurückzusenden!

1. Gerätebeschreibung (AB oder RG-Nummer auch möglich)

Gerätetyp + Seriennummer:

2. Rücksendungsanlass / Reparaturgrund Beim Einsatz des Gerätes wurde folgendes beobachtet / trat folgende Störung auf:

3. Erklärung: Gerät

( zutreffendes bitte ankreuzen )

wurde nicht in gesundheits-/umweltgefährdenden Medien eingesetzt (Sicherheitsdatenblatt oder CAS-Nr. über das Medium wird empfohlen) gefördertes Medium: kam mit folgenden kennzeichnungspflichtigen bzw. schadstoffbehafteten Medien in Berührung

Das Gerät ist vor Versand / Bereitstellung sorgfältig entleert sowie außen und innen gereinigt worden.

Besondere Sicherheitsvorkehrungen sind nicht notwendig.

Folgende Sicherheitsvorkehrungen hinsichtlich Restflüssigkeit, Spülmedien und Entsorgung sind notwendig (Sicherheitsdatenblatt muss vorab zugesandt werden):

Sicherheitsdatenblatt wurde an RMG zugesandt.

(Sicherheitsdatenblatt oder CAS-Nr. über das Medium wird empfohlen) Wir versichern, dass die vorstehenden Angaben korrekt und vollständig sind.

Firmenstempel

Name / Position ( In Druckbuchstaben )

E-mail / Telefon

Datum

Unterschrift