Appendix A Certificate Of Decontamination - Thermo Scientific Multidrop Combi nL User Manual

Name:
Address:
Tel./Fax:
Instrument:
A) I confirm that the returned items have not been contaminated by body fluids, toxic,
carcinogenic or radioactive materials or any other hazardous materials.
B) I confirm that the returned items have been decontaminated and can be handled without
exposing the personnel to health hazards.
Materials used in the unit: Chemicals +
Specific information about contaminants:
Decontamination procedure
Date and place:
Signature:
Name (block capitals):
*) The signature of a Radiation Safety Officer is also required when the unit has been used with
radioactive materials.
This unit is certified by the undersigned to be free of radioactive contamination.
Date and place:
Signature:
Name (block capitals):
Thermo Fisher Scientific
Appendix A
Certificate of Decontamination
:
1
PHOTOCOPIABLE
Please include decontaminating solution used.
1
Serial no.:
Biological •
Thermo Scientific Multidrop Combi nL User Manual
Radioactive *)
97