SURPLUS REQUEST FORM
Request ID:

Request Date:
//
Request Status:
Submitted
Department:
 College of Sciences - Dean
Pick Up Location: A
Comments:
In Hallway as you head toward , on wire shelves

Contact:
Phone:
Email:
Surplus Action:

Terry Byron
/-
tbyron@ncsuedu
Pick-Up

QTY


Lot
N

Description
Apple Macbook

Serial#
CCPJPYV

Project


Asset Tag#

Asset ID

Condition
Good



N

Apple Macbook

FVFZFXL



Good



N

Apple Macbook

CCPJJYV



Good



N

Apple Macbook

FVFYPMHVH



Good



N

Apple Macbook Air

CYCHHC



Good



N

Apple Macbook Air

CVHHC



Good



N

Apple Macbook Air

CPQXGCN



Good



N

Apple Macbook Air

CPRGCN



Good

QTY


Lot
N

Description
HP Printer MFP (Beige)

Serial#
CNDFGP

Project


Asset Tag#

Asset ID

Condition
Poor



N

HP Printer MFP (Black)

CNBDXK



Poor



N

HP Printer ()

CNBFF



Poor



N

HP Printer

VNBC



Poor



N

HP Printer

CNBRPLFZ



Poor



N

Apple Mac Mini

CNXERGJ



Poor



N

Apple Mac Mini

CNXDGJ



Poor



N

Apple Macbook

CFTXRQN



Poor



N

Apple Macbook

CZRLVDM



Poor

Certifications
Hazardous Materials Notice

Y

Certified By

TBYRON // : AM

Person/Department disposing of equipment that (i) may have been used to process hazardous materials, or (ii) may contain hazardous material which
cannot be removed, or (iii) which contains radioactive materials, must receive clearance as appropriate from the Environmental Health & Safety Dept, or
the Radiation Protection Office before this equipment may be surplused