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Decontamination form

Azure Biosystems requires that all products returned from customers be uncontaminated from harmful substances, which the equipment may have been exposed to during its use/application. Completion of this form is a declaration that the equipment is contamination free, and is safe for Azure Biosystems employees to work on.

Has this equipment been exposed to any of the following:
Biohazardous materialHazardous chemicalsRadioactive materialsOther infectious/hazardous materialsNot Applicable

Where the equipment to be returned has been exposed to any of the above please indicate how it has been decontaminated and any checks which have been made to confirm that it is contamination free.