CLEANROOMINTAKE SURVEY Name * First Name Last Name Company Name + Address * Email * Phone (###) ### #### Due Date MM DD YYYY Components Tested Check all that apply) Cleanroom(s) Air Velocity/Volume HEPA Filter Leak Test Temperature & Humidity Differential Pressure Non-Viable Test Clean Bench Biological Safety Cabinet Fume Hood Light Test Sound Test Vibration Test Airflow Visualization Other Need for Routine Environmental Monitoring? Comments Thank you!
