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Laser Registration Form EHS 10-5

Principal Investigator
Your Name
Telephone Number
Location (Building and Room)
FSU Number (if none, use device serial number)

Manufacturer	Class	Medium¹	Wavelength²	Max Power³	Type⁴



¹ if "other", please specify in comments ² in nm ³ please specify units (J, mJ, W, mW) ⁴ if "pulsed", please specify duration in comments