9
Material specification report
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Pump
Materials
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 pompe certifiée ATEX
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Production code
Pump serial no.
Motor serial no.
ATEX approval of pump
Technical file no.
GRUNDFOS hereby confirms that the pump mentioned above is manufactured according the
ATEX directive. This means the pump is conformity with the ATEX 94/9EEC (ATEX 100) appen-
dix VIII directive as mentioned in the "ATEX Supplement to installation and operating instruc-
tions" supplied with the pump.
118
Rapport sur les matériaux
DIN W.-Nr.
AISI / ASTM
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no 96 50 79 28/PMI/000/1135258
ATEX-approved pump
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no. 96512240/PMI/000/1135258
NBE, NBGE, NKE, NKGE
Rapport de spécification matériau avec certificat du fournisseur
des matières premières
Material specification report with
EN10204 material certificate
from raw materiel supplier
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Pump part
EN 10204:
Raw material
no.
3.1
2.2
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
requirements of the appropriate catalogues, drawings and/or specifications relative
thereto.
Certificat de pompe exempte de PWIS
Certificate of PWIS-free pump
PWIS: (Paint Wetting Impairment Substances)
Customer name
Customer order no.
Customer TAG no.
GRUNDFOS order no.
Pump type
GRUNDFOS DUT id.
Part number
Production code
GRUNDFOS hereby confirms that the pump mentioned above is manufactured according to
the specifications mentioned in below:
> All components of the pump including shaft seal, motor, rubber materials for shaft seal, do
not contain PWIS, or release PWIS.
> Consumables for assembly, like lubricants, soapy water, sprays, etc., do not contain PWIS.
> Tools for assembly do not contain PWIS, or release PWIS.
> The product is tested in the normal production test equipment.
> Finished product is packed in closed packages or wrapped in PWIS free plastic wraps/bag be-
fore being packed for shipment
NB, NBG, NK, NKG
Raw material
Supplier certificate no. /
standard
heat no.
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no. 96507929/PMI/000/1135258
GRUNDFOS
Date:
Signature:
Name:
Dept.:
Part no 98 53 55 93/1134832