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* Your Name:
* Your
Email:
* The Principal Investigator's
Name ("Same" if Same as above):
* Department:
Lab Contact Name:
Lab Contact Phone:
*Moving from Location
(Campus Building and Rooms) or NA :
*New Location (Building
and Rooms) or NA:
*Expected Date of Move:
Check Known Lab Characteristics:
Biological Hazards
Biosafety Cabinets
Controlled Substances
Fumehoods
Gas Cylinders
Hazardous Chemicals or Chemical Inventory
Hazardous Waste - (e.g Chemical, Radioactive, Medical, Universal
Radioactive Materials or Radiation Producing Machines
Select Agents
Comments: (Please indicate anything
else you want EH&S to know about this
move.)
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