Lab Decommissioning Notification Form Laboratory Vacancy or Relocation Notification Form Use this form to notify Environmental Health & Radiation Safety when:1) Your laboratory is relocating within Temple University or its entities, or off-campus;2) Your laboratory is closing down; or3) A researcher within your laboratory group is departing.Please refer to the Laboratory Vacancy or Relocation Guide to ensure that you are complying with all the regulations and safety protocols as you/the lab begins to prepare materials for departure or relocation. EHRS personnel will contact you to review the procedures and to establish a timeline for your closeout.Information About the Lab(s) Being VacatedPrincipal InvestigatorPhoneEmail CampusMain CampusHealth Sciences CenterTemple University Hospital (Main)OtherList Campus (if Other)BuildingRoom(s)Is this PI the only occupant of the room(s) listed above? Yes No Is the PI leaving Temple University or its entities? Yes No What is the PI's planned departure date?Is the PI changing locations within Temple University or its entities? Yes No Please indicate where PI is moving to (include building and room number[s])What is the planned moving date?Lab HazardsWere hazardous chemicals used in any spaces being vacated or relocated? Yes No Were biological materials used in any spaces being vacated or relocated? Yes No If Biological material was used, list all active IBC protocol numbers.Were radioactive materials used in the lab being vacated or relocated? Yes No Are any hazardous materials being given to a different PI/lab upon departure? Yes No Please provide the name(s) and department(s) of who will be receiving your materialsAre any hazardous materials being shipped outside of Temple University or its entities? Yes No Please summarize materials that will be shipped and where they will be shipped to:EHRS must receive a copy of the shipping company's DOT license.