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Customer Details:
Instrument Details:
Decontamination Details:
COSHH: Control of Substances Hazardous to Health Please sign declaration A or B as appropriate. This declaration is required to meet Health & Safety legislation and to maintain a safe working environment for OSIL employees.
Failure to accurately disclose the requested information may delay the processing of your instrument and incur additional cleaning costs.
Declaration A
I declare that the goods detailed below are free from contamination of any Process / Hazardous media
Declaration B
I declare that the goods detailed below may have been contaminated with the specified Process / Hazardous media and handling precautions should be taken according to the enclosed MSDS.
MEDIA DESCRIPTION
OILS / HYDROCARBONS
SEWAGE
RADIATION