Genfine P96S-B01-01, Руководство пользователя

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Page
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Appendix A: Certificate of Decontamination
Name
：
_________________________________________________
Address
：_______________________________________________________________
Telephone / Fax
：
_________________________________________________
Device
：
______________________________ Record Number
：
___________________________
A) I confirm that the returned items are not contaminated with liquid, toxic, carcinogenic or
radioactive substances or any other harmful substances.
B) I confirm that the returned items have been decontaminated and can be processed without
affecting the health of the personnel.
Materials used: __________________________________________________________________
Contamination specific information
：_________________________________________________
Decontamination procedure 1
：____________________________________________________
Date and place
：
________________________________________________
Signature
：_____________________________________________________________________
Name
（
Capital
）
:
________________________________________________
*When the device is used with radioactive materials, the signature of a radiation safety officer is
also required.
This device has been certified by the following signatory to be free of radioactive contamination.
Date and place
：_________________________________________________________________
S i g n a t u r e
：
____________________________________________________
Name
（
Capi
tal
）
:
___________________________________________________________________
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1 Including the decontamination reagent used.