10
Customer name
Customer order no.
Customer Tag no.
GRUNDFOS order no.
Product type
GRUNDFOS DUT id.
Part number
We the undersigned hereby guarantee and certify that the materials and/or parts for the
above mentioned product were manufactured by GRUNDFOS, tested, inspected, and con-
form to the full requirements of the appropriate catalogues, drawings and/or specifications
relative thereto.
The attached test result is from the above mentioned pump.
Rapport de spécification matériau avec certificat du fournisseur
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Production code
Pump part
Pump head
Pump head cover
Base
Outer sleeve
Shaft
Impeller
Chamber
We the undersigned hereby guarantee and certify that the materials and/or parts for the
above mentioned product were manufactured, tested, inspected, and conform to the full re-
quirements of the appropriate catalogues, drawings and/or specifications relative thereto.
60
Rapport de test standard
Standard test report
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no. 96 50 79 30 P01 /A72775
des matières premières
Material specification report with
EN10204 material certificate
from raw materiel supplier
EN 10204:
Raw material
Raw material
Supplier certificate no.
3.1
2.2
no.
standard
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no. 96507929/1123611
CRE, CRIE, CRNE, CRTE
Rapport sur les matériaux
Material specification report.
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Production code
Pump
Materials
DIN W.-Nr.
Pump head
Pump head cover
Shaft
Impeller
Chamber
Outer sleeve
Base
We the undersigned hereby guarantee and certify that the materials and/or parts for the
above mentioned product were manufactured, tested, inspected, and conform to the full re-
quirements of the appropriate catalogues, drawings and/or specifications relative thereto.
Rapport de vérification du point de consigne
Duty point verification report
Customer name
Customer order no.
Customer Tag no.
GRUNDFOS order no.
Product type
GRUNDFOS DUT id.
Part number
We the undersigned hereby guarantee and certify that the materials and/or parts for the
above mentioned product were manufactured by GRUNDFOS, tested, inspected, and con-
form to the full requirements of the appropriate catalogues, drawings and/or specifications
relative thereto.
CR, CRI, CRN, CRT
AISI / ASTM
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no 96 50 79 28/A72775
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no. 96 53 96 99 /A72775