Manual - Leybold Repair by Tech Services
Manual - Leybold Repair by Tech Services
Manual - Leybold Repair by Tech Services
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Head<br />
10 ⏐GA10218_0101 - 5/2002<br />
1.2 Support from LEYBOLD Service<br />
Declaration of Contamination of Compressors, Vacuum Pumps and Components<br />
The repair and / or servicing of compressors, vacuum pumps and components will be carried out only if a correctly completed declaration has been<br />
submitted. Non-completion will result in delay. The manufacturer can refuse to accept any equipment without a declaration.<br />
A separate declaration has to be copleted for every single component.<br />
This declaration may be completed and signed only <strong>by</strong> authorised and qualified staff.<br />
Customer/Dep./Institute : Reason for returning applicable please mark<br />
Address : repair chargable warranty<br />
exchange chargable warranty<br />
DKD-Calibration Factory Calibration<br />
Person to contact: restoring goods because of following reason:<br />
Phone : Fax: rent/loan for credit against exchange<br />
Order number of customer: exchange already received/arranged<br />
A. Description of the equipment (machine or component) Ancillary equipment<br />
Type :<br />
Catalogue number:<br />
Serial number:<br />
Type of oil used :<br />
B. Condition of the equipment No Yes No Contamination : No Yes<br />
1. Has the equipment been used toxic<br />
2. Drained (Product/service fluid) corrosive<br />
3. All openings sealed airtight microbiological<br />
4. Purged explosive<br />
If yes, which cleaning agent radioactive<br />
and which method of cleaning other harmful substances<br />
C. Description of processed substances (Please fill in absolutely)<br />
1. What substances have come into contact with the equipment :<br />
Trade name and / or chemical term of service fluids and substances processed, properties of the substances<br />
According to safety data sheet (e.g. toxic, inflammable, corrosive, radioactive)<br />
X Tradename: Chemical name:<br />
a)<br />
b)<br />
c)<br />
d)<br />
1. Are these substances harmful ?<br />
2. Dangerous decomposition products when thermally loaded<br />
Which :<br />
Fig. 1 Declaration of contamination form<br />
Yes No<br />
Components contaminated <strong>by</strong> microbiological, explosive or radioactive products will not be accepted without written evidence of<br />
decontamination.<br />
D. Legally binding declaration<br />
I / we here<strong>by</strong> declare that the information supplied on this form is accurate and sufficient to judge any contamination level.<br />
Name of authorised person (block letters) :<br />
_______________________________<br />
date signatur of authorised person<br />
firm stamp<br />
If equipment is returned to <strong>Leybold</strong>, indicate whether the equipment is<br />
free of substances damaging to health or whether it is contaminated. If it<br />
is contaminated also indicate the nature of the hazard. For this you must<br />
use a form which has been prepared <strong>by</strong> us which we will provide upon<br />
request or you can take from the technical documentation folder. Also you<br />
will find this declaration on our homepage: www.leybold.com under „support<br />
& download“.<br />
Please attach this form to the equipment or enclose it with the equipment.<br />
This declaration of contamination is required to comply with legal requirements<br />
and to protect our personal. <strong>Leybold</strong> must return any equipment<br />
without a declaration of contamination to the sender’s adress.<br />
Before shipping fit the yellow screw-on seals on to the connections<br />
EXHAUST Fig 3/2 and GAS BALLAST Fig 3/3.