Varian sentorr Instruction Manual page 35

In compliance with Federal OSHA Safety Standard 1910.1200, Hazard Communications "Right to
Know" , Varian is enforcing that standard to preclude the potential health risk to its service person-
nel that can occur when receiving, disassembling, or repairing potentially contaminated products.
Returned products not accompanied by this completed certificate will be held until the completed
certificate is received; failure to provide this completed certificate within 30 days of notification
will result in the return of held product(s) unprocessed.
If a product is received at Varian in a contaminated condition, the customer will be held respon-
sible for all costs incurred to ensure the safe handling of the product.
Company Name:
__________ Hereby certify that the product(s) listed below have been cleaned of all hazardous
residue and that the residue remaining is of a non-hazardous nature.
__________ Hereby certify that the product(s) listed below have been contaminated by the fol-
lowing toxic or hazardous materials:
RA Number
________________________
________________________________________
Authorized Signature
Note: Varian Service will only accept contaminated Turbo or Mechanical Pumps. All other
products must be decontaminated by the customer before Varian Vacuum Products
Lexington will assign a Return Authorization (RA) number and authorize the return of
the product (refer to the attached Return Authorization Report on the next page).
Note: Varian Vacuum Products Lexington cannot accept any biological hazards,
radioactive material, organic metals, or mercury at its facility.
Varian Vacuum Products
21 Hartwell Avenue
Lexington Massachusetts 02421
Telephone (781)861-7200
FAX (781)860-5405
Health and Safety Clearance
Return Authorization Policy
Model Number
______________________
_______________________________
Title
Serial Number
______________________
___________
Date
November 1995