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Chemistry Work Area Checkout Page -- print this page from
your browser's File menu.
Dr. Swihart (WTHR 561, 47063, swihart@purdue.edu) will sign your dept
checkout sheet after you have
- disposed of all appropriate chemicals and
other wastes, and
- completely labeled (with chemical names, not notebook
numbers or other shortcuts) any chemicals or other materials which you
are leaving behind which are not in manufacturers' containers.
- cleaned and organized your work area, and
- completed the questions below and attached the
necessary list(s), and
- passed the work area inspection (make the appointment as soon as you
know when you will be ready). It will take about 10 minutes if
everything is perfect.
Questions/Info (if you want to try the
"type-then-print" prototype, go
here)
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Your
Name______________________________ Work area checkout
date _____________
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Work area(s) _________________________________
(bldg, room #, bench/hood locations)
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Major
professor_______________________________
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Where can you be reached
after you leave the department? Include phone and email if possible.
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Is all chemical,
biological, and radioisotope waste which you have ever produced gone
from the department? (Gone, meaning it has left the buildings.)
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YES/NO/NA
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If any waste that you
produced is being left in the building (as part of shared group waste
accumulation containers, e.g.) who is the person responsible for those/that
container(s)?
Name/Signature of new responsible person:
__________________________________
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Are you leaving any
"samples" of any sort in the department?
(If yes, attach samples list.)
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YES/NO/NA
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Have you quenched and
disposed all water-reactive and air-reactive chemicals which you purchased,
or for which you assumed responsibility at some time?
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 YES/NO/NA
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Are there any gas
cylinders in the department that are in your name? (Check with Chem
Stores.) If yes, complete and attach the gases
and reactives list.
MUST GET SIGNATURE FROM STORES HERE: ______________________________________
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YES/NO
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Did you purchase any
lectures bottles, air-reactives, or water-reactives that will remain in the department? If yes, attach the gases and reactives list.
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YES/NO
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Can you say with some
confidence that you are leaving no chemicals or waste in the
department which will cause waste disposal or safety problems in the
future?
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YES/NO
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When did or when will
you have returned all keys from BRWN or WTHR?
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