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7. Appendix
7.1 Certificate of decontamination for return back the unit to factory
According Orto Alresa safety procedures, all devices used sent back to the factory must be duly decontaminated, and
must attach the decontamination certificate. If the device arrives without the certificate, or it have been not
decontaminated, we will proceed to decontamination and we will charge the amount to the user.
Laboratory data:
Contact:
Name of Laboratory/Department:
Address:
Zip Code:
Email:
Description and treatment:
Equipment
Serial No.
More information to provide to the manufacturer about the samples processed:
Is the sample profile potentially harmful? Buffers? ¿Acids o bases?
Did the device run samples potentially infectious?
Organic solvents?
Radioactives samples?
Protein complex harmful?
DNA
Did the device have been in touch with some of all above mentioned samples?
We certify that the decontamination have been settled
Name:
Sign:
Date:
30
Tel:
Type of decontamination
Fax:
Remarks
SI
NO
SI
NO
SI
NO
SI
NO
SI
NO
SI
NO
NO
SI
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