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Please complete the Lab Move/Close-Out Request form and submit.
Contact Information
PI
PI Email
PI Phone No. (mobile or lab)
Lab Bldg/Room No.
School/Department
Contact Person
Contact Person Email
Contact Person Phone No. (mobile or lab)
Is this a lab move or a close-out?
Move
Close-out
Lab Type
- Select all hazards that apply.
Chemical
Biomedical
Radiation/Radioactive
Other:
Other - Describe.
Projected timeframe of Lab Move/Close-Out
Within 2 months
Within 4 months
> 4 months
Not sure
Will any students, researchers, or staff continue working in the lab after PI leaves (before the lab is completely closed out)?
Yes
No
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