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9071
Skippergade 1, Box 230 - DK-6700 Esbjerg, Denmark - Phone (+45) 75 13 00 50 - Fax (+45) 75 13 00 57
Scope of Inspection:
According to Standard:
Type of Inspection/ Test: Visual Inspection Pressure Test Leakage Test Lifting Test
Non-Destructive Test Other:
The Inspection is performed according to approved QIB Procedure No.:
The Product specified above has been Inspected according to the stated requirements and found to be:
Acceptable to Quality requirements Date of Inspection:
Not-acceptable to Quality requirements
The Product plate is marked:
Declaration of Conformity
We hereby declare that the above specified Product, at the time of Inspection, was thoroughly examined
according to the stated standard. The Inspection results are only valid for the Product with the above stated
Product Identification.
A+010-2/0