Emerson 788 DVC manual Decontamination/Cleaning Fluids Process

DanielTM Measurement and Control, Inc.

Returned Material Authorization

Repair Form for Used Equipment

Including Decontamination/Cleaning Statement

A Return Material Authorization (RMA) number must be obtained prior to returning any equipment for any reason. Download the RMA form from the Support Services web page by selecting the link below.

http://www2.emersonprocess.com/EN -US/BRANDS/DANIEL/SUPPORT-SERVICES/Pages/Support-Services.aspx

1.Return Material Authorization (RMA) Number ____________________________________

2.Equipment to be returned:

Model Number _________________________ Serial Number _______________________

3.Reason for return: ___________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

________________________________________________________________________

Decontamination/Cleaning Fluids Process

A.List each substance in which the equipment was exposed. Attach additional documents if necessary.

Common	CAS# if	Used for Hazardous			EPA Waste Code
Name	available	Waste (20 CFR 261)			if used for hazardous waste
	[	] Yes	[	] No
	[	] Yes	[	] No
	[	] Yes	[	] No
	[	] Yes	[	] No
	[	] Yes	[	] No
	[	] Yes	[	] No

B.Circle any hazards and/or process fluid types that apply:

Infectious	Radioactive	Explosive	Pyrophoric	Poison Gas
Cyanides	Sulfides	CorrosiveOxidizer	Flammable	Poison
Carcinogen	Peroxide	Reactive-Air	Reactive-Water	Reactive-Other (list)

Other hazard category (list):

C.Describe decontamination/cleaning process. Include MSDS description for substances used in decontamination and cleaning processes. Attach additional documents if necessary.