DIAG IM3 - Page 361

Veterinary Instrumentation DECONTAMINATION CERTIFICATE Please complete all sections below. Failure to complete this form may result in disposal of contaminated items sent for repair as clinical waste. The items returned for repair as detailed on the repair request attached/overleaf have been throughly cleaned to remove all biological and other contamination before submission for repair, and have been sterilised by the method indicated below Please tick appropriate box below Autoclave @ 134 degrees Autoclave at 121 degrees extended time Ethylene oxide Soak sterilant (enter name of agent used) Sterilisation not possible - item is clinically clean Name Practice name Signature Date Practice contact tel Office use only Repair number Repairs form (RP1) " 345 Issue 4 18-Mar-15 Page 2