YSI 52 - Manual (Page 39)

Warranty and Repair Section 10
Cleaning Certificate
Organization
Department
Address
City _______________ State ______ Zip
Country __________________ Phone
Model No. of Device ______ Lot Number _
Contaminant (if known)
Cleaning Agent(s) used
Radioactive Decontamination Certified?
(Answer only if there has been radioactive exposure)
___ Yes ___ No
Cleaning Certified By
Name Date
YSI, Incorporated Model 52 35