DROSS RECLAIM FORM | Rotec.be

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Your supplier of high-end consumables for printed circuit board assembly

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DROSS RECLAIM REQUEST FORM

COLLECTION ADDRESS FOR RECLAIM

Company Name

Address Line 1

Address Line 2

Postal code

Town / City

CONTACT

First Name

Name

E-mail

Telephone

Collection Date

From:

Till:

COLLECTION DETAILS SOLDER DROSS & INGOT

1) Estimated weight (kg)

1) Number of Buckets

1) Number of Pallets

2) Estimated weight (kg)

2) Number of Buckets

2) Number of Pallets

3) Estimated weight (kg)

3) Number of Buckets

3) Number of Pallets

COLLECTION DETAILS SOLDER PASTE WASTE

4) Number of Buckets Solder Paste Waste

EMPTY BUCKETS REQUESTED

For solder dross

N° Buckets Lead-Free (LF)

N° Buckets Lead (Pb)

For solder paste waste

N° White Buckets

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Remarks

Collection in the Netherlands : "begeleidingsbrief" mandatory - to be added to shipment at all times
Collection in Belgium : document "BIJLAGE VII"/ "Annexe VII" mandatory - to be added to shipment at all times

Download Bijlage VII / Annexe VII

Empty dross containers can be obtained FOC for lead containing dross (LC) and leadfree dross (LF)
Blank carbon copy sets of "begeleidingsbrief" can be obtained FOC Electronic copies of documents "BIJLAGE VII" for LC and LF dross can be obtained on request

(*) contents of solderbath after pot swop or unused solderwire/bars
(**) when different alloys of dross are stacked on one a pallet, keep separate and mark with correct return reference

Thanks for your submission !

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