Apogee 11056017 Manual de instrucciones - Página 13
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Imprimir página7.0 DECONTAMINATION DECLARATION
RGA Number (IMPORTANT): ___________________________________________________________
Customer Name: ____________________________________________________________________
Institute: ___________________________________________________________________________
Address: ___________________________________________________________________________
TEL #: ____________________________________ FAX #: __________________________________
E-mail: ____________________________________________________________________________
Unit type: _________________________________ Serial number: ___________________________
DESCRIPTION OF PROCEDURES USED TO DECONTAMINATE UNIT (LOOK AT 5.4.1)
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1. Gently washed with water and a non-abrasive detergent, and rinsed with deionized water.
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2. Using a solution of 5% household bleach in water or 70% ethanol in water, the unit was wiped
down using a clean cloth or sponge and neutralized with deionized water.
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3. To meet various regulatory and safety standards, please follow the decontamination procedures
given in 5.4.1 if radioactive materials were used with this product.
This piece of equipment has not been decontaminated. Reason:
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To the best of my knowledge, unit is free of chemical, biological, or radioactive contamination.
I understand that if the equipment is found to be contaminated, regardless of the signature on this
document, the equipment may be decontaminated at my expense. Also, if the equipment is found to be
contaminated, the response time for repairs will be delayed.
Signature: __________________________________________________________________________
Title: ________________________________________
Date: ________________________________________
Please place completed and signed form inside the box with the equipment where it can
immediately be noticed by the receiver. We appreciate you taking the time to perform
the necessary precautions to ensure that equipment being returned can be safely
handled by our employees.
Apogee Electrophoresis | 101 Kane Street | Baltimore, MD 21224 USA | apogeephoresis.com