Grundfos DMH 25 Série Notice D'installation Et De Fonctionnement page 54

Annexe
Please copy, fill in and sign this sheet and attach it to the pump returned for service.
Fill in this document using English or German lan-
Nota
guage.
We hereby declare that this product is free from hazardous chemicals, biological and radioactive
No media or water: _____________________________
A chemical solution, name: _________________________
In the case of an electrical or functional fault, please mark the cabinet.
Please give a short description of the fault
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_____________________
Date and signature
54
Safety declaration
substances:
Product type: ________________________________
Model number: _____________________________
(see pump nameplate)
Fault description
Please make a circle around the damaged part.
_____________________
Company stamp
1