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CheckSheet by gegeshandong

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									Name_________________________________________                          Drawer Number ______________

                                                 Chemistry 113

At the beginning of each period, check the equipment in your assigned bin. Any extra items must be turned in to
your instructor. If any items are missing, your instructor will replace the items before the experiment begins.

Drawer equipment

Item                            Quantity        In               Out

Beaker, 50 mL                      2        __________       __________
Beaker, 100 mL                     2        __________       __________
Beaker, 250 mL                     2        __________       __________
Beaker, 400 mL                     1        __________       __________
Beaker, 600 mL                     1        __________       __________
Beaker Tongs                       1        __________       __________
Clay Triangle                      1        __________       __________
Crucible                           1        __________       __________
Erlenmeyer Flask, 125 mL           1        __________       __________
Erlenmeyer Flask, 250 mL           2        __________       __________
Funnel                             1        __________       __________
Graduated Cylinder, 10 mL          1        __________       __________
Graduated Cylinder, 100 mL         1        __________       __________
Nichrome Wire and Holder           1        __________       __________
Pipet Bulb, large                  1        __________       __________
Rubber Policeman                   1        __________       __________
Stirring Rod                       1        __________       __________
Stopper, Volumetric Flask          2        __________       __________
Test Tubes                         5        __________       __________
Test Tube Brush                    1        __________       __________
Test Tube Rack                     1        __________       __________
Tweezers                           1        __________       __________
Volumetric Flask, 50 mL            1        __________       __________
Volumetric Flask, 100 mL           1        __________       __________
Wash Bottle                        1        __________       __________
Watchglass                         1        __________       __________
Wire Gauze                         1        __________       __________

STATEMENT OF RESPONSIBILITY

I ____________________________________________________ accept full responsibility for Bin # _________
in terms of its contents and the cleanliness of those contents. I will check my bin before my laboratory section
begins for any missing items and I will check my bin again before I leave. I will also make sure that my
instructor has checked my bin before I leave. If there is anything missing from my bin at the beginning of the
next laboratory session, I will take full financial responsibility in replacing those missing items. I understand
that at the time of check-in, my instructor will replace any missing items and the financial responsibility will
not be mine.

Signature____________________________________________________ Date__________________________

								
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