A&D Weighing MPA-1200 User Manual

Page 47

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45

Attestation of contamination removal

Please fill in the following items when you send a pipette for repair.


Model name:


Serial number S/N:

I attest to the fact that this pipette is free of contamination by any substances that
could pose a health threat to humans, such as Infectious bacteria or viruses,
radioactive substances with associated risks of exposure, toxic substances, etc.


Signature: Date:

Company name
(Facility name):


Section name:



Address:

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