{"id":16254,"date":"2019-06-07T11:07:03","date_gmt":"2019-06-07T15:07:03","guid":{"rendered":"https:\/\/www.bu.edu\/ehs\/?page_id=16254"},"modified":"2019-06-07T11:08:08","modified_gmt":"2019-06-07T15:08:08","slug":"radioisotope-laboratory-equipment-decommission-request","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/ehs\/radiation-safety\/radiation-safety-operational-forms\/radioisotope-laboratory-equipment-decommission-request\/","title":{"rendered":"Radioisotope Laboratory\/Equipment Decommission Request"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_127' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><div><span style=\"color: #ff0000;\"><strong><em>Due to the complexity of testing please allow up to 72 hours for equipment decommisioning. Lab decommision length and cost will be evaluated on a case by case basis.<\/strong><\/em><\/span>\r\n\r\n<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_127'  action='\/ehs\/wp-json\/wp\/v2\/pages\/16254' data-formid='127' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_127' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_127_3\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_3\"><label class='gfield_label gform-field-label' for='input_127_3' >Permit Holder:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_127_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_34\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_34\"><label class='gfield_label gform-field-label' for='input_127_34' >Permit Code:<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_127_34' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_22\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_22\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Requisitioner:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_127_22'>\n                            \n                            <span id='input_127_22_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.3' id='input_127_22_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_127_22_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_127_22_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.6' id='input_127_22_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_127_22_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_127_8\"  class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_8\"><label class='gfield_label gform-field-label' for='input_127_8' >Phone Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_8' id='input_127_8' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_127_10\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_10\"><label class='gfield_label gform-field-label' for='input_127_10' >Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_127_10' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_127_18\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_18\"><label class='gfield_label gform-field-label'  >Facilities Coordinator:<\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_18' id='input_127_18' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_127_28\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_28\"><label class='gfield_label gform-field-label'  >OEHS Contacted:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_127_28'>\n\t\t\t<li class='gchoice gchoice_127_28_0'>\n\t\t\t\t<input name='input_28' type='radio' value='Yes' checked='checked' id='choice_127_28_0'    \/>\n\t\t\t\t<label for='choice_127_28_0' id='label_127_28_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_127_28_1'>\n\t\t\t\t<input name='input_28' type='radio' value='No'  id='choice_127_28_1'    \/>\n\t\t\t\t<label for='choice_127_28_1' id='label_127_28_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_127_48\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_48\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_127_44\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_44\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Radioisotopes:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_127_44'><li class='gchoice gchoice_127_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Tritium (H-3)'  id='choice_127_44_1'   aria-describedby=\"gfield_description_127_44\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_127_44_1' id='label_127_44_1' class='gform-field-label gform-field-label--type-inline'>Tritium (H-3)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='Carbon 14 (C-14)'  id='choice_127_44_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_44_2' id='label_127_44_2' class='gform-field-label gform-field-label--type-inline'>Carbon 14 (C-14)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_44_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.3' type='checkbox'  value='Phosphorus 32 (P-32)'  id='choice_127_44_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_44_3' id='label_127_44_3' class='gform-field-label gform-field-label--type-inline'>Phosphorus 32 (P-32)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_44_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.4' type='checkbox'  value='Iodine 125 (I-125)'  id='choice_127_44_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_44_4' id='label_127_44_4' class='gform-field-label gform-field-label--type-inline'>Iodine 125 (I-125)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_44_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.5' type='checkbox'  value='Other(s)'  id='choice_127_44_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_44_5' id='label_127_44_5' class='gform-field-label gform-field-label--type-inline'>Other(s)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_127_44'><em>*Indicate all isotopes used.<\/em><\/div><\/li><li id=\"field_127_43\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_43\"><label class='gfield_label gform-field-label' for='input_127_43' >Other Radioisotopes:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_127_43' class='textarea medium'  aria-describedby=\"gfield_description_127_43\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_127_43'><em>*Please list all other radioisotopes<\/em><\/div><\/li><li id=\"field_127_17\"  class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_17\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Last Usage Date:<\/label><div id='input_127_17' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_127_17_1_container'>\n                                            <input type='text' maxlength='2' name='input_17[]' id='input_127_17_1' value=''   aria-required='false'   placeholder='MM' \/>\n                                            <label for='input_127_17_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_127_17_2_container'>\n                                            <input type='text' maxlength='2' name='input_17[]' id='input_127_17_2' value=''   aria-required='false'   placeholder='DD' \/>\n                                            <label for='input_127_17_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_127_17_3_container'>\n                                            <input type='text' maxlength='4' name='input_17[]' id='input_127_17_3' value=''   aria-required='false'   placeholder='YYYY'   \/>\n                                            <label for='input_127_17_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><div class='gfield_description' id='gfield_description_127_17'><em>Approximate last date of usage:<\/em><\/div><\/li><li id=\"field_127_1\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_1\"><label class='gfield_label gform-field-label'  >Decommission Choices:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_127_1'>\n\t\t\t<li class='gchoice gchoice_127_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='Equipment'  id='choice_127_1_0'    \/>\n\t\t\t\t<label for='choice_127_1_0' id='label_127_1_0' class='gform-field-label gform-field-label--type-inline'>Equipment<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_127_1_1'>\n\t\t\t\t<input name='input_1' type='radio' value='Laboratory'  id='choice_127_1_1'    \/>\n\t\t\t\t<label for='choice_127_1_1' id='label_127_1_1' class='gform-field-label gform-field-label--type-inline'>Laboratory<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_127_15\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_15\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Equipment Type:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_127_15'><li class='gchoice gchoice_127_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Liquid Scintilation Counter'  id='choice_127_15_1'   aria-describedby=\"gfield_description_127_15\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_127_15_1' id='label_127_15_1' class='gform-field-label gform-field-label--type-inline'>Liquid Scintilation Counter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Refridgerator(s)'  id='choice_127_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_15_2' id='label_127_15_2' class='gform-field-label gform-field-label--type-inline'>Refridgerator(s)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Freezer(s)'  id='choice_127_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_15_3' id='label_127_15_3' class='gform-field-label gform-field-label--type-inline'>Freezer(s)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='Centrifuge(s)'  id='choice_127_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_15_4' id='label_127_15_4' class='gform-field-label gform-field-label--type-inline'>Centrifuge(s)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Other'  id='choice_127_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_15_5' id='label_127_15_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_127_15'><em>*Please describe equipment and quantity for release in the notes section below.<\/em><\/div><\/li><li id=\"field_127_42\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_42\"><label class='gfield_label gform-field-label' for='input_127_42' >Other Equipment:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_42' id='input_127_42' class='textarea medium'  aria-describedby=\"gfield_description_127_42\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_127_42'><em>*Please list or describe applicable equipment<\/em><\/div><\/li><li id=\"field_127_49\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_49\"><label class='gfield_label gform-field-label' for='input_127_49' >Equipment Location:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_127_49' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_12\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_12\"><label class='gfield_label gform-field-label' for='input_127_12' >Leaving Laboratory:<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_127_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_13\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_13\"><label class='gfield_label gform-field-label' for='input_127_13' >Moving into Laboratory:<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_127_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_14\"  class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_14\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Date of Move:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_127_14' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_127_14_1_container'>\n                                            <input type='text' maxlength='2' name='input_14[]' id='input_127_14_1' value=''   aria-required='true'   placeholder='MM' \/>\n                                            <label for='input_127_14_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_127_14_2_container'>\n                                            <input type='text' maxlength='2' name='input_14[]' id='input_127_14_2' value=''   aria-required='true'   placeholder='DD' \/>\n                                            <label for='input_127_14_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_127_14_3_container'>\n                                            <input type='text' maxlength='4' name='input_14[]' id='input_127_14_3' value=''   aria-required='true'   placeholder='YYYY'   \/>\n                                            <label for='input_127_14_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_127_19\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_19\"><label class='gfield_label gform-field-label'  >Renovation:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_127_19'>\n\t\t\t<li class='gchoice gchoice_127_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_127_19_0'    \/>\n\t\t\t\t<label for='choice_127_19_0' id='label_127_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_127_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_127_19_1'    \/>\n\t\t\t\t<label for='choice_127_19_1' id='label_127_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_127_21\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_21\"><label class='gfield_label gform-field-label' for='input_127_21' >Reason for Renovations:<\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_127_21' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Full renovation' >Full renovation<\/option><option value='Partial renovation' >Partial renovation<\/option><option value='Conversion into non-lab area' >Conversion into non-lab area<\/option><\/select><\/div><\/li><li id=\"field_127_20\"  class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_20\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Date of Renovation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_127_20' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_127_20_1_container'>\n                                            <input type='text' maxlength='2' name='input_20[]' id='input_127_20_1' value=''   aria-required='true'   placeholder='MM' \/>\n                                            <label for='input_127_20_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_127_20_2_container'>\n                                            <input type='text' maxlength='2' name='input_20[]' id='input_127_20_2' value=''   aria-required='true'   placeholder='DD' \/>\n                                            <label for='input_127_20_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_127_20_3_container'>\n                                            <input type='text' maxlength='4' name='input_20[]' id='input_127_20_3' value=''   aria-required='true'   placeholder='YYYY'   \/>\n                                            <label for='input_127_20_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><div class='gfield_description' id='gfield_description_127_20'><em>*Anticipated start date of renovations.<\/em><\/div><\/li><li id=\"field_127_24\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_24\"><label class='gfield_label gform-field-label'  >Decontamination Performed:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_127_24'>\n\t\t\t<li class='gchoice gchoice_127_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Yes'  id='choice_127_24_0'    \/>\n\t\t\t\t<label for='choice_127_24_0' id='label_127_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_127_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='No'  id='choice_127_24_1'    \/>\n\t\t\t\t<label for='choice_127_24_1' id='label_127_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_127_26\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_26\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Action(s):<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_127_26'><li class='gchoice gchoice_127_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Radiologic wipe test'  id='choice_127_26_1'   aria-describedby=\"gfield_description_127_26\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_127_26_1' id='label_127_26_1' class='gform-field-label gform-field-label--type-inline'>Radiologic wipe test<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Gieger counter survey'  id='choice_127_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_26_2' id='label_127_26_2' class='gform-field-label gform-field-label--type-inline'>Gieger counter survey<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Biologicaly disinfected'  id='choice_127_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_26_3' id='label_127_26_3' class='gform-field-label gform-field-label--type-inline'>Biologicaly disinfected<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_26_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.4' type='checkbox'  value='Chemical removal and\/or neutralization'  id='choice_127_26_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_26_4' id='label_127_26_4' class='gform-field-label gform-field-label--type-inline'>Chemical removal and\/or neutralization<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_127_26_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.5' type='checkbox'  value='Other'  id='choice_127_26_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_127_26_5' id='label_127_26_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_127_26'><em>*Please upload all supporting documentation<\/em><\/div><\/li><li id=\"field_127_41\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_41\"><label class='gfield_label gform-field-label' for='input_127_41' >Other Action:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_41' id='input_127_41' class='textarea medium'  aria-describedby=\"gfield_description_127_41\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_127_41'><em>*Please describe other action(s):<\/em><\/div><\/li><li id=\"field_127_25\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_25\"><label class='gfield_label gform-field-label' for='input_127_25' >Performed By:<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_127_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_127_32\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_32\"><label class='gfield_label gform-field-label' for='input_127_32' >Documentation:<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_32' id='input_127_32' type='file' class='medium' aria-describedby=\"gfield_upload_rules_127_32 gfield_description_127_32\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_127_32'>Accepted file types: jpg, gif, pdf, doc, docx, xls, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_127_32'><\/div><\/div><div class='gfield_description' id='gfield_description_127_32'><em>*Upload wipe test results or other documentation<\/em><\/div><\/li><li id=\"field_127_11\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_11\"><label class='gfield_label gform-field-label' for='input_127_11' >Notes:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_127_11' class='textarea medium'  aria-describedby=\"gfield_description_127_11\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_127_11'><em>*All additional information should be entered here<\/em><\/div><\/li><li id=\"field_127_50\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_50\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_127_51\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_51\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><li id=\"field_127_52\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_127_52\"><label class='gfield_label gform-field-label' for='input_127_52' >Phone<\/label><div class='ginput_container'><input name='input_52' id='input_127_52' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_127_52'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_127' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_127\"]){return false;}  window[\"gf_submitting_127\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_127\"]){return false;} window[\"gf_submitting_127\"]=true;  jQuery(\"#gform_127\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_127' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='127' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_127' value='WyJbXSIsImQ5Y2U2OGUxNzE1OTZlYjZkN2E4MzI4YmJhNDVlODY3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_127' id='gform_target_page_number_127' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_127' id='gform_source_page_number_127' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n            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