112018‑10‑31REPAIR SERVICETo comply with Health & Safety Regulations, all returned valves must be accompanied by aCertificate of Cleanliness and a Data Sheet for the last product carried.CERTIFICATE OF DECONTAMINATIONWe certify that the following couplings/valves have been cleaned prior todespatch and are free of any harmful substances:Qty:…………Part no:…………………..Serial no:…………………………..Qty:…………Part no:………………….. Serial no:…………………………..Qty:…………Part no:………………….. Serial no:…………………………..Qty:…………Part no:………………….. Serial no:…………………………..YES NOFree al all liquid _____ _____Air blown _____ _____Couplings/Valve dismantled _____ _____The last known product the coupling/valve was in contact with:……………………Data sheet of last product attached………………….Yes/NoCompany Name/Address:………………………………………………………………Signature of Supervisor:………………………………………………………………..Company Stamp:3.4 samPle oF CerTIFICaTe oF deConTamInaTIonMake a copy of this page, fill in the required information and send it back together with thegoods.3.5 sTorageStore coupling in a dry, dust free, dark place, in ambient temperature.