ࡱ> >@= ` bjbj ".\l:::::::N 8  lN r r r r M - D$B b-: M M -::r r F--- :r :r - -Z-::r hV%/N~ .l\09-NN::::DISPOSAL OF REFRIGERATORS For the disposal of any refrigerator on campus, first you must complete this refrigerator disposal form and have it signed by an EOHS member. If this form is not signed, your refrigerator will not be picked up. Attach this form to one work order for Special Services (moving the unit). A second work order is needed for HVAC (refrigerant recovery). Department FORMTEXT      Building FORMTEXT      Room No. FORMTEXT      Contact Person Name: FORMTEXT      Telephone: FORMTEXT      Type of Refrigerator: FORMCHECKBOX Chest FORMCHECKBOX Upright FORMCHECKBOX Full Size Domestic FORMCHECKBOX Explosion ProofPrior Use: FORMCHECKBOX Chemical FORMCHECKBOX Food Products FORMCHECKBOX OtherIs the unit currently in use? FORMCHECKBOX Yes FORMCHECKBOX NoFOR EOHS USE ONLYUnit has been inspected based on the information supplied: FORMCHECKBOX Yes FORMCHECKBOX NoUnit is ready to be moved:Name:Date:FOR PFOC USE ONLYWork order to move refrigerator for disposal: Date:FOR HVAC USE ONLYWork order for refrigerant recovery: Date: This form is available on our website at http://www.healthandsafety.uakron.edu.   "$8:<FHJX\^rtv FHdfhvxӰj,UjUjDU jUj>*Uj\>*Uj>*U5\jt>*Uj>*UmHnHuj>*U>* j>*U<|}~"J\G$$Ifl40D $ 64 la$If$If$a$  _ CG$$Ifl40D $ 64 la$Ifm$$Ifl4\H$Xb 64 laFjv$$IfG$$Ifl40$X 64 la~(xxxxxx$If$$Ifl4rD  $ T64 la   +,:;<FGUVWfguvw   ( ) * / 0 > ? @ E ` o p u  ` è6]56B*\]phjUjXUCJjUjpUjUjUjU5\jU jU= +=FXfx~k|eeeeeee$If$$Ifl4ֈD  $XXT64 la~X(RLLLL$If$If$$Ifl4֞XL$X 5W64 la~xCL=$If4$$Ifl4$d%64 la$If$$Ifl4r N$ 2e364 la + / A D $If=$$Ifl4$d%   64 laD E ` f g m n ~xxxxx$If$$Ifl4rd$R64 lan o p q r s t ~xxxxx$If$$Ifl4r d$ & 64 lat u ~Lx:44$If=$$Ifl4$d%   33364 la$If$$Ifl4r d$ & 64 la  LZ=$$Ifl4$d%   64 la$IfZ$$Ifl4F$mw 6    4 la$If        Y Z [ \ ] ^ _ ` Z$$Ifl4F$mw 6    4 la 1h/ =!"#$%tDText1tDText2tDText3tDText4tDText5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11 i@@@ Normal OJQJ^J_HaJmH sH tH 2@2 Heading 1$@&5\>@> Heading 2$$@&a$ 56\]H@H Heading 3$$@&a$56B*\]phF@F Heading 4$$@&a$5B*CJ\ph<A@< Default Paragraph Font.>@. Title$a$ 5>*\,@, Header  !, @, Footer  !.|}~"#9KQcklmn3EI[^_`ast   NTUVhi000000000000000000000000000000000000000000000000000000000000000000000000000000000 @@0@@0 WY[^`  ~D n t  `  _  9IQan~ 3CIYFFFFFG G G G G G G G G G$G$8@0(  B S  ?Text1Text2Text3Text4Text5Check1Check2Check3Check4Check5Check6Check7Check8Check9Check10Check11:Ro4J !Jb DZJM33|!9JQbn 3DIZV Administrator'F:\documentation\disposal_of_fridge.doc AdministratorhC:\WTSRV\Profiles\jeanah.001\Application Data\Microsoft\Word\AutoRecovery save of disposal_of_fridge.asd AdministratorhC:\WTSRV\Profiles\jeanah.001\Application Data\Microsoft\Word\AutoRecovery save of disposal_of_fridge.asdJeanah L. Alexander+C:\wwwroot\documents\disposal_of_fridge.docJeanah L. AlexanderqC:\Documents and Settings\jeanah.EOHS\Application Data\Microsoft\Word\AutoRecovery save of disposal_of_fridge.asd Administrator1\\eohs2k\wwwroot\documents\disposal_of_fridge.doc~"#9KQcklmn3EI[^_`ast   NTUVhi@ t(P@PP@UnknownGz Times New Roman5Symbol3& z Arial"hcFHgcFI!d20d2DISPOSAL OF REFRIGERATORS AdministratorJeanah L. AlexanderOh+'0 0< X d p |DISPOSAL OF REFRIGERATORS0ISPAdministratorFRdmidmi Normal.dotoJeanah L. Alexander8anMicrosoft Word 9.0@2 @XH"@V@8N%/՜.+,0 hp  University of Akron, Safety2 DISPOSAL OF REFRIGERATORS Title !"#$%&'()*+,./012346789:;<?Root Entry FQW%/AData 1Table WordDocument".SummaryInformation(-DocumentSummaryInformation85CompObjjObjectPoolQW%/QW%/  FMicrosoft Word Document MSWordDocWord.Document.89q