Environmental Safety Division
Preliminary Laser Survey


Name:
UGA Email Address: Phone:
Please list laser location, types and quantities below, please list only class IIIB and IV lasers:
Building:      Room:
       IIIB:        IIIB Qty: IV:        IV Qty:
Thank you for participating in this survey. If you have any questions, please contact:
The Environmental Safety Division at 706-542-5801