Fluid Components International ST50 - Manual (Page 34)

FLUID COMPONENTS INTERNATIONAL LLC ST50 MASS FLOW
This page is subject to proprietary rights statement on last page 34 Doc. No. 06EN003367 Rev. D
The following Return Authorization Request form and Decontamination Statement MUST be completed, signed and faxed back to
FCI before a Return Authorization Number will be issued. The signed Decontamination Statement and applicable MSDS Sheets must
be included with the shipment. FCI will either fax, email or telephone you with the Return Authorization Number upon receipt of the
signed forms.
Packing Procedures
1. Electronics should be wrapped in an anti-static or static-resistant bag, then wrapped in protective bubble wrap and sur-
rounded with appropriate dunnage* in a box. Instruments weighing more than 50 lbs., or extending more than four feet,
should be secured in wooden crates by bolting the assemblies in place.
2. The sensor head must be protected with pvc tubing, or retracted the full length of the probe, locked and secured into the
Packing Gland Assembly (cap screws tightened down).
3. FCI can supply crates for a nominal fee.
4. No more than four (4) small units packaged in each carton.
5. FCI will not be held liable for damage caused during shipping.
6. To ensure immediate processing mark the RA number on the outside of the box. Items without an RA number marked on the box
or crate may be delayed.
7. Freight must be “PrePaid” to FCI receiving door.
* Approriate dunnage as defined by UPS, will protect package contents from a drop of 3 feet.
*** Decontamination Statement *** This Section Must Be Completed ***
Process Flow Media ________________________________________________________________________
Product was or may have been exposed to the following substances: _______________________________
_________________________________________________________________________________________
Print Name ________________________________________________________________________________
Authorized Signature _________________________________________________ Date _________________
Company Title _____________________________________________________________________________
Exposure to hazardous materials is regulated by Federal, State, County and City laws and regulations. These laws
provide FCI’s employees with the “Right to Know” the hazardous or toxic materials or substances in which they may
come in contact while handling returned products. Consequently, FCI’s employees must have access to data regard-
ing the hazardous or toxic materials or substances the equipment has been exposed to while in a customer’s pos-
session. Prior to returning the instrument for evaluation/repair, FCI requires thorough compliance with these instruc-
tions. The signer of the Certificate must be either a knowledgeable Engineer, Safety Manager, Industrial Hygenist or
of similar knowledge or training and responsible for the safe handling of the material to which the unit has been
exposed. Returns without a legitimate Certification of Decontamination, and/or MSDS when required, are
unacceptable and shall be returned at the customer’s expense and risk. Properly executed Certifications of
Decontamination must be provided before a repair authorization (RA) number will be issued.
Certification Of Decontamination
I certify that the returned item(s) has(have) been thoroughly and completely cleaned. If the returned item(s)
has(have) been exposed to hazardous or toxic materials or substances, even though it (they) has (have) been
thoroughly cleaned and decontaminated, the undersigned attests that the attached Material Data Safety Sheet(s)
(MSDS) covers said materials or substances completely. Furthermore, I understand that this Certificate, and provid-
ing the MSDS, shall not waive our responsibility to provide a neutralized, decontaminated, and clean product for
evaluation/repair at FCI. Cleanliness of a returned item or acceptability of the MSDS shall be at the sole discretion of
FCI. Any item returned which does not comply with this certification shall be returned to your location
Freight Collect and at your risk.
This certification must be signed by knowledgeable personnel responsible for maintaining or man-
aging the safety program at your facility.
FCI Document No. 05CS000004C