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CS-FORM-5 Ver:9 Appr/Eff Date:8/26/15-8/26/15 Approval By:tdamico <br /> GALSON <br /> LABORATORIES <br /> Equipment Rental, FreePumpLaanTM and FreeSamplingBadgesTM (3 In 1) Agreement <br /> GALSON'S FREEPUMPLOANTM PROGRAM Check to accept <br /> a.)When the Client places an order,the client's return date("Expected Return Date")will be set for two weeks from the <br /> date the client receives the pump("pump receipt date"). <br /> b.)If the Client's sampling schedule is more than two weeks,an extension may be granted if the following criteria is met: <br /> a.Client has an MSA in place;or <br /> b.The Clients sampling schedule is documented <br /> c.The Client is consistently sending samples back to Galson during the duration of the loan of equipment. <br /> Failure to meet any of the above criteria may result in rental fees.As described under <br /> GALSONFREEPUMPLOANTMAGREEMENT section g(part d)herein. <br /> c.)Galson will list the expected return date on the packing list that is sent to the Client with the pump loan Equipment. <br /> d.)Galson will provide the following at no cost to the Client. <br /> a.Pumps <br /> b.Chargers <br /> c.Media(see cost free section of the Sampling and Analysis Guide for list of media and details) <br /> d.Accessories <br /> Shipping charges,duties,tariffs,customs fees,etc.are the responsibility of the Client. <br /> e.)Client will confirm receipt of all requested items and will contact Galson immediately upon receipt if any items are <br /> missing or damaged. <br /> f.)Client is responsible for: <br /> a.Decontaminating all pump loan Equipment after use <br /> b.Returning all pumps,chargers and accessories associated with Pump Loan <br /> c.Returning all unused media(any media supplied and not sampled or returned will be billed at purchase cost) <br /> d.Any fees associated with equipment that is returned damaged or contaminated <br /> g.)Client agrees to and understands the following: <br /> a.All pump loan items provided at no charge(except for shipping charges,duties,tariffs,customs fees,etc.)to Client <br /> provided all samples taken with Pump Loan Equipment are sent to Galson for analysis and are analyzed by Galson at <br /> Galson's standard published fee schedule.(Galson's website www.galsonlabs.com lists Galson's standard published <br /> fee schedule.) <br /> Page 3 of 6 <br />