Instructions
on
the
reverse
of this
card
must
be
completed
beforefield
service
or
the
return
of
the
instrument
or
part
to
the
Sorvallservice
facility.NAME__________________________
DEPARTMENT___________INSTITUTION____________
____
ADDRESS_____________CITY
___________________________
STATE__________
ZIPINSTRUMENT_______________________
SERIAL
NUMBER
________ROTOR__________________________
SERIAL
NUMBER________PART___________________________
PART
NUMBER_________CONTAMINATE
USED_________________________DECONTAMINATION
CERTIFIED
BY
__________________DATE
DECONTAMINATED
______DECONTAMINATION
CERTIFICATEI
nstructions
on
the
reverse
of this
card
must
be
completed
beforefield
service
or
the
return
of
the
instrument
or
part
to
the
Sorvallservice
facility.NAME__________________________
DEPARTMENT___________INSTITUTION_____________
____
ADDRESS_____________CITY
___________________________
STATF__________
ZIPINSTRUMENT_______________________
SERIAL
NUMBER________ROTOR__________________________
SERIAL
NUMBER________PART___________________________
PART
NUMBER
_________CONTAMINATE
USED_________________________DECONTAMINATION
CERTIFIED
BY
__________________DATE
DECONTAMINATEDDECONTAMINATION
CERTIFICATEInstructions
on
the
reverse
of this
card
must
be
completed
beforefield
service
or
the
return
of
the
instrument
or
part
to
the
Sorvallservice
facility.NAME_________________________
DEPARTMENT___________INSTITUTION
_______
ADDRESS
__________CITY__________________________
STATE__________
ZIPINSTRUMENT______________________
SERIAL
NUMBER
________ROTOR
________________________
SERIAL
NUMBER________PART__________________________
PART
NUMBER
_________CONTAMINATE
USED________________________DECONTAMINATION
CERTIFIED
BY
__________________DATE
DECONTAMINATED