{"id":71,"date":"2020-02-14T13:11:59","date_gmt":"2020-02-14T18:11:59","guid":{"rendered":"https:\/\/sites.temple.edu\/ehrsforms\/?page_id=71"},"modified":"2020-03-31T10:51:10","modified_gmt":"2020-03-31T14:51:10","slug":"lab-vacancy","status":"publish","type":"page","link":"https:\/\/sites.temple.edu\/ehrsforms\/lab-vacancy\/","title":{"rendered":"Lab Decommissioning Notification Form"},"content":{"rendered":"<p class=\"has-large-font-size\"><strong>Laboratory Vacancy or Relocation Notification Form<br \/><\/strong><\/p>\r\n<!-- \/wp:post-content -->\r\n\r\n<!-- wp:paragraph -->\r\n<p>&nbsp;<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:paragraph -->\r\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\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_14' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/ehrsforms\/wp-json\/wp\/v2\/pages\/71' data-formid='14' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_14_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Use this form to notify Environmental Health &amp; Radiation Safety when:<\/li><li id=\"field_14_2\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >1) Your laboratory is relocating within Temple University or its entities, or off-campus;<\/li><li id=\"field_14_3\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >2) Your laboratory is closing down; or<\/li><li id=\"field_14_4\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >3) A researcher within your laboratory group is departing.<\/li><li id=\"field_14_5\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >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.<\/li><li id=\"field_14_6\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Information About the Lab(s) Being Vacated<\/h2><\/li><li id=\"field_14_7\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_7'>Principal Investigator<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_14_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_30\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_30'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_30' id='input_14_30' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_32\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_32'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_32' id='input_14_32' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_11\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_11'>Campus<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_14_11' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Main Campus' >Main Campus<\/option><option value='Health Sciences Center' >Health Sciences Center<\/option><option value='Temple University Hospital (Main)' >Temple University Hospital (Main)<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_14_12\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_12'>List Campus (if Other)<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_14_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_8'>Building<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_14_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_9\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_9'>Room(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_14_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is this PI the only occupant of the room(s) listed above?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_10'>\n\t\t\t<li class='gchoice gchoice_14_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_14_10_0'    \/>\n\t\t\t\t<label for='choice_14_10_0' id='label_14_10_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_14_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='No'  id='choice_14_10_1'    \/>\n\t\t\t\t<label for='choice_14_10_1' id='label_14_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_14\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is the PI leaving Temple University or its entities?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_14'>\n\t\t\t<li class='gchoice gchoice_14_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_14_14_0'    \/>\n\t\t\t\t<label for='choice_14_14_0' id='label_14_14_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_14_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_14_14_1'    \/>\n\t\t\t\t<label for='choice_14_14_1' id='label_14_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_17'>What is the PI&#039;s planned departure date?<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_14_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_16\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is the PI changing locations within Temple University or its entities?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_16'>\n\t\t\t<li class='gchoice gchoice_14_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Yes'  id='choice_14_16_0'    \/>\n\t\t\t\t<label for='choice_14_16_0' id='label_14_16_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_14_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='No'  id='choice_14_16_1'    \/>\n\t\t\t\t<label for='choice_14_16_1' id='label_14_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_19\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_19'>Please indicate where PI is moving to (include building and room number[s])<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_14_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_20\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_20'>What is the planned moving date?<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_14_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Lab Hazards<\/h2><\/li><li id=\"field_14_37\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Were hazardous chemicals used in any spaces being vacated or relocated?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_37'>\n\t\t\t<li class='gchoice gchoice_14_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Yes'  id='choice_14_37_0'    \/>\n\t\t\t\t<label for='choice_14_37_0' id='label_14_37_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_14_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='No'  id='choice_14_37_1'    \/>\n\t\t\t\t<label for='choice_14_37_1' id='label_14_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_38\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Were biological materials used in any spaces being vacated or relocated?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_38'>\n\t\t\t<li class='gchoice gchoice_14_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='Yes'  id='choice_14_38_0'    \/>\n\t\t\t\t<label for='choice_14_38_0' id='label_14_38_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_14_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='No'  id='choice_14_38_1'    \/>\n\t\t\t\t<label for='choice_14_38_1' id='label_14_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_24\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_24'>If Biological material was used, list all active IBC protocol numbers.<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_14_24' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_39\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Were radioactive materials used in the lab being vacated or relocated?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_39'>\n\t\t\t<li class='gchoice gchoice_14_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='Yes'  id='choice_14_39_0'    \/>\n\t\t\t\t<label for='choice_14_39_0' id='label_14_39_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_14_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='No'  id='choice_14_39_1'    \/>\n\t\t\t\t<label for='choice_14_39_1' id='label_14_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_26\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are any hazardous materials being given to a different PI\/lab upon departure?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_26'>\n\t\t\t<li class='gchoice gchoice_14_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='Yes'  id='choice_14_26_0'    \/>\n\t\t\t\t<label for='choice_14_26_0' id='label_14_26_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_14_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='No'  id='choice_14_26_1'    \/>\n\t\t\t\t<label for='choice_14_26_1' id='label_14_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_29\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_29'>Please provide the name(s) and department(s) of who will be receiving your materials<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_14_29' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_14_34\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are any hazardous materials being shipped outside of Temple University or its entities?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_34'>\n\t\t\t<li class='gchoice gchoice_14_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='Yes'  id='choice_14_34_0'    \/>\n\t\t\t\t<label for='choice_14_34_0' id='label_14_34_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_14_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='No'  id='choice_14_34_1'    \/>\n\t\t\t\t<label for='choice_14_34_1' id='label_14_34_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_35\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_35'>Please summarize materials that will be shipped and where they will be shipped to:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_14_35' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_14_36\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >EHRS must receive a copy of the shipping company's DOT license.<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_14' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_14' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_14' id='gform_theme_14' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_14' id='gform_style_settings_14' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_14' value='1' \/>\n  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