Title Page
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School District:
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Conducted on
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Building
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Add location
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Prepared by:
- Fume Hood Testing
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Room Number
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Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
Fume Hood Testing
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Room Number
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Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
Fume Hood Testing
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Room Number
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Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
Fume Hood Testing
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Room Number
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Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
Fume Hood Testing
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Room Number
-
Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
Fume Hood Testing
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Room Number
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Fume Hood Manufacturer
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Is fume hood Operational?
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Is Fume Hood free of storage and/or clutter
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Is Light in Fume Hood operational?
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Was Smoke Test preformed when testing?
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What is the Face Velocity?
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Did the fume hood Pass or Fail?
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Comments:
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Date and Time:
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Safety Coordinator:
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Safety Coordinator Signature:
