Form (For Copying) To Accompany A Returned Device - Honeywell SMARTLINE RM77 Supplementary Instructions Manual

SERVICE
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8.7.2 Form (for copying) to accompany a returned device

Company:
Department:
Tel. no.:
Manufacturer's order no. or serial no.:
The device has been operated with the following medium:
This medium is:
We hereby confirm that there is no risk to persons or the environment through any residual media
contained in the device when it is returned.
Date:
Stamp:
34
Address:
Name:
Fax no.:
radioactive
water-hazardous
toxic
caustic
flammable
We checked that all cavities in the device are free from such
substances.
We have flushed out and neutralized all cavities in the
device.
Signature:
www.honeywell.com/ps
SMARTLINE® RM77
34-VF-25-105 iss.1 GLO April 15 US