t UADDR AS PC - HP ProDesk UPS- APC Rackmount - - - UCCV - PC - Compaq AP PC - Large Exxact - - QHHY PC - Dell Prec CNCS RA Iomega Server - Printer - HP dn JAB Server - Rack Mount - PTTGB Dell PowerEdge R Project - Printer - Xerox C Serial# CNJDFGC Description Apple Monitor Request ID: Request Date: // Request Status: Pending C&G Review Department: College of Sciences - Dean Pick Up Location: _ Comments: In Hallway on Wire Shelves Contact: Phone: Email: Surplus Action: Asset Tag# SURPLUS REQUEST FORM Asset ID Terry Byron /- tbyron@ncsuedu Pick-Up Poor Poor Poor Poor Poor Poor Poor Poor Poor Poor Condition Good Asset Tag# Asset ID Poor Poor Poor Condition Poor Y Certified By TBYRON // : PM Y Certified By TBYRON // : PM TBYRON TBYRON y: ted: // : PM // : AM artment disposing of (i) tractors, mowers, skid steers or (ii) cars, trucks, vans and trailers, must provide signed copy of the surplus request with signatures epartment and Surplus Property to remove the item (s) from Risk Management Insurance gement ding devices that may have internal storage (eg, copiers, printers, scanners, projectors, etc) on this form, please check with the manufacturer for verification if sts If equipped with internal storage, it is the responsibility of the department to erase all data on the internal storage or remove it before turning the device over Devices with internal storage retain images made during the life of the equipment rity Note artment disposing of equipment that (i) may have been used to process hazardous materials, or (ii) may contain hazardous material which cannot be removed, contains radioactive materials, must receive clearance as appropriate from the Environmental Health & Safety Dept, or the Radiation Protection Office before ent may be surplused Y - - - Project - TBYRON // : PM WBWG Laptop - Apple Mac Certified By HD Camera - HuddleCam PC Monitors (Qty ) Serial# Description Laptop - Sony Vaio Materials Notice ons t