Laserfiche WebLink
UNIVERSITY OF THEI <br /> PACIFIC[ <br /> I.liomasI. t..olly SCllool oll <br /> 111ar Enact' ` I Icalt1l science-s1 <br /> SHARPS SIGN-OUT SHEET <br /> Date Range: July 1, 2013 —July 31, 2014 <br /> Please Note: This is a LEGAL PROCESS. Your name is a guarantee that all appropriate protocols <br /> have been followed: <br /> 1) You agree to check out and return the Sharps Container and transport tote. <br /> 2) The Sharps Container must hold only what is listed on the label. <br /> You can be charged$10 for any additional items in the Sharps Container you checked <br /> out/in.. <br /> Write legibly and clearly. <br /> Include ALL information requested below. <br /> DATE DATE <br /> SHARPS# QTY NAME PHONE# CHECK OUT CHECK IN <br /> �� J �a C>�cxe�• bc�,�c �� <br /> j I Meilen Wog <br /> 3oS'a'I' 3 qA4 DoSan ti Qq-i "St II r3I� � <br /> 0 <br /> o 3 Folviv, Lin 126 us M 111111117 <br /> 6l-)i tj:� L 3 )� 1 f 4 <br /> �� 1�'taverg jOe- Q-16-/11 4/7 /1 <br /> :3 1_91 meji 'jn wcjo g "4230 -2/011 �I ail y <br /> � � Z ig �2�-Z31 -�eiG- 21 --1- j f q <br /> �t�i�•,��i �G�OGt���,VN {.,V16 L��L�� _t��7 V -�,�2'�\� .� 0� J <br /> Kt <br /> 1.4 Qt = Sharps # 201- 300 1 GAL = Sharps # 101 —200 5 Qt = Sharps # 1- 100 3 gal = 300 -400 <br /> '5v�_ ; MC� <br />