Equipment Clearance Labels 1. Cleared Tag (non-radioactive version) 2. Cleared Tag (Radioactive version) 3. Environmental Disposal Tag

THIS EQUIPMENT HAS BEEN CLEARED per EH&S Standards (for Moving / Repair / Surplus)

Lab Contact Name:

Phone:

Date:

CLEARED – CLEARED FOR MOVING / REPAIR / SURPLUS This Item Was Examined By Env Health & Safety ON ______BY______**No radioactive material may be placed in or on this item until this sticker has been removed.**

Refer Questions to EH&S Radiation Safety Group 737-2227

ENVIRONMENTAL DISPOSAL TAG (attach to each unit serviced)

CFC’s and/or HCFC’s and oil have been removed from this unit in compliance with section 608 of the clean air act Removed By (Print):

Company Name:

Address:

Telephone:

Signature:

Date: