Ad-weighing MPA-1200 Manuel d'utilisateur Page 47

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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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