Fluid Components International CMB - Manual (Page 105)

18. Decontamination certificate for device cleaning
Company name: ...............................
Address: ...................................
Department:
......................... Name of contact person: ..............................
Phone: .............................
Information pertaining to the enclosed Coriolis flowmeter
Model CM................
was operated using the following fluid:...................................
In as much as this fluid is water-hazardous / toxic / corrosive / combustible / a health hazard / environ-
mentally hazardous
we have done the following:
- Checked all cavities in the device to ensure that they are free of fluid residues*
- Washed and neutralized all cavities in the device*
- Cleaned all seals/gaskets and other components that come into contact with the fluid*
- Cleaned the housings and all surfaces*
*cross out all non-applicable items
We hereby warrant that no health or environmental hazard will arise from any fluid residues on or in the
enclosed device.
Date: .............................
Signature ...........................
Stamp
CMB & CT OPERATING MANUAL
Part No 06EN003384 rev. 1.6 Page 105 of 106