Health and Safety Clearance
Return Authorization Policy
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
Model Number
Serial Number
________________________
______________________
______________________
________________________________________
_______________________________
___________
Authorized Signature
Title
Date
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
121 Hartwell Avenue
Lexington Massachusetts 02421
Telephone (781)861-7200
FAX
(781)860-5405
November 1995
