ATTACHMENT 6- GSA 1736 Page 1 (2).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)

ALEXANDRIA VA MEDICAL CENTER

DATE PREPARED BY

EQUIPMENT

SERIAL NUMBER LOCATION DESCRIPTION NUMBER OF

DEVICES

APRIL 10. 2023 Randall Brossett

Planmeca Intraoral X-ray Units2

1PX019871 Lafayette CBOC Room 132

1PX019869

Lafayette CBOC Room 133

Planmeca Intraoral X-ray Units

Planmeca Intraoral X-ray Units

Lafayette CBOC Room 144 Planmeca Promax Panoramic X-ray1 252273

Planmeca Intraoral X-ray Units2

1PX022543

Lake Charles CBOC Room 190 Planmeca Intraoral X-ray Units

1PX022532 Lake Charles CBOC Room 190 Planmeca Intraoral X-ray Units

Carestream DRX-EVOLUTION Xray unit Lake Charles CBOC Room 1881 1706170

1 266004B2 Lake Charles CBOC Room 200 Planmeca Promax Panoramic X-ray

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