Equipment and Facility
Decontamination Clearance Request

Use this form to request a decontamination clearance survey by Environment, Health & Safety. Equipment that may have come in contact with radioactive, biohazardous, or chemical materials must be decontaminated before you have it serviced, repaired, moved, sent to Surplus Sales, or otherwise disposed of. In addition, lab facilities must be inspected before undergoing service, repairs, or remodeling.
Contact's name:
E-mail:
PI or owner:
Telephone:
Building:
Room number:
Department:
Desired date of clearance survey:
In the comments section below:
  • List the quantity and type of equipment to be cleared
  • State if the equipment was used with biohazardous or other hazardous chemical agents
Example: "I have one refrigerator/freezer used to store radioactive and biohazardous samples."

Questions? Contact the EH&S Radiation Safety Division, (858) 534-6138.

Environment, Health & Safety Department
University of California, San Diego