91社区

Epidemiology, Biostatistics and Occupational Health

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- Availability, Description & Procedures for Occupational Health Equipment
- Request form for Occupational Health Equipment
Student Life
Forms

To borrow occupational health equipment, please fill out the request form below.

First Name *

Last Name *

Student ID Card Number *

Professor *

Type of Equipment *

Digital Handheld Inspector 1000

ELF Meter

Heat Stress Meter in Case

Lighthouse Particle Counter Handheld in Carrying Case

Radio-Frequency and Microwave Selective Meter in Carrying Case

Sound Level Meter, Calibrator, Insight Software in Carrying Case

Sound Level Meter in Carrying Case

Tubes Air current smoke

Other (Please specify in comments)

Date of Equipment Pickup *

Month

Day

Year

Time of Equipment Pickup *

Hour

Minute

Return Date *

Month

Day

Year

Purpose *

Comments *

Email *

I have read the procedures document at the top of this form *

Yes

Leave this field blank

2001 91社区 College, Suite 1200
Montreal, QC, Canada H3A 1G1
Tel.: 514-398-6258
Fax: 514-398-4503

91社区

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