RUTGERS ENVIRONMENTAL HEALTH AND SAFETY

27 Road 1
Building 4086 Livingston Campus
Piscataway NJ 08854
848-445-2550 phone
732-445-3109 fax
http://rehs.rutgers.edu

Post-Experiment Contamination Survey Form

 

Date Personal Survey Equipment Survey Bench Survey Floor Survey Trash Survey RAM Secure
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
           
By initialing the boxes above, I certify the areas have been surveyed and free from contamination. If contamination is found, the area(s) or item should be decontaminated and surveyed again, or they should be suitably labeled and stored.
For more information, contact webmaster Last Updated:2/18/09
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