ATTACHMENT 5- GSA 1736 Page 1 (1).pdf

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RADIATION SAFETY ASSESSMENT
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36C25623Q0843
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EQUIPMENT IVENTORY LIST

GENERAL SERVICES ADMINISTRATION GSA FORM 1736 (Rev. 6-80)

DATE PREPARED BY

NUMBER OF DEVICES

EQUIPMENT

SERIAL NUMBER LOCATION DESCRIPTION

ALEXANDRIA VA MEDICAL CENTER

APRIL 10, 2023 Randall Brossett

1 Planmeca Promax Panoramic X-rayRPX236569 Pineville, Building 7 Room 339A

10 Planmeca Intraoral X-ray Units

IPX030678 Pineville, Building 7 Room 309 Planmeca Intraoral X-ray Unit

IPX030666

Pineville, Building 7 Room 315

IPX030679

Pineville, Building 7 Room 316

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

Planmeca Intraoral X-ray Unit

IPX030694

Pinville, Building 7 Room 317

IPX030668

Pineville, Building 7 Room 318

IPX030667

Pineville, Building 7 Room 319

IPX030695

Pineville, Building 7 Room 320

IPX030676

Pineville, Building 7 Room 321

IPX030677

Pineville, Building 7 Room 322

IPX030670

Pineville, Building 7 Room 339

2 GE Optima XR200AMX X-ray Mobile

1033319WK3

1033321WK9

Pineville, Building 7 Room A02

Pineville, Building 7 Room 146

GE Optima XR200AMX X-ray Mobile

GE Optima XR200AMX X-ray Mobile

1 E24094 Pineville, Building 7 Room 446 GEOEC 9900 X-ray

Toshiba Rad.Rex X-ray1 U8B14Z2019 Pineville, Building 7 Room 153

1 2BA1632025

Pineville, Building 7 Room 126A Aquillion Prime CT X-ray

1 Philips Digital Diagnost DUAL DETECTOR X-ray Pineville, Building 7 Room 156410861008

Philips EZ Diagnost Eleva X-ray and Fluoroscopy2

11000083 Pineville, Building 7 Room 155 Philips EZ Diagnost Eleva X-ray and Fluoroscopy

Philips EZ Diagnost Eleva X-ray and FluoroscopyPineville, Building 7 Room 154250331

Philips 1.2 Neo C-Arm X-rayPineville, Building 7 Room 459

Hologic Bone Densitometer X-rayPineville, Building 7 Room 1241 301447M

Philips Ingenia 1.5T MRI1 70894 Pineville, Building 7 Room 126A

100391 Carestream DRX-EVOLUTION Xray unit Lafayette CBOC Room 116

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