11. Decontamination Certificate (master)

Important - to avoid refusal of shipment:

Place one copy in the unit prior to packaging or hand it over to the service engineer. Customer as- sumes all responsibility for the immediate return shipment of articles sent to Leica without proper decontamination documentation.

If you have any further question, please call your local Leica organisation.

Leica Internal Use: If applicable, note corresponding Job and RAN-/RGA-Number:

Job Sheet No.:

____________________

 

SU Return Goods Authorisation:

____________________

 

BU Return Authorisation Number: ____________________

 

Signature/Date

 

 

Institute

 

 

 

 

 

 

 

 

 

Department

 

Name

 

 

 

 

 

 

 

Adress

 

Position

 

 

 

 

 

 

 

 

 

 

 

 

 

eMail

 

 

Phone

Facsimile

 

 

 

 

 

Leica Microsystems Nussloch GmbH

Heidelberger Str. 17-19

69226 Nussloch, Germany

Phone:++49 (0) 6224 143 0

Fax: ++49 (0) 6224 143 200

www.leica-microsystems.com

Leica CM 3050 S – Cryostat

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Leica CM3050 S instruction manual BU Return Authorisation Number