Return Kit Forms
The following instructions and forms are assigned for our US customers as a help for the return of the Eckert & Ziegler Radiopharma GmbH GalliaPharmTM 68Ge/68Ga Generator as a UN2915 – Yellow II Package.
Please notice:
- In case of any questions, please contact Eckert & Ziegler Radiopharma GmbH at +49 30 941084 280 or GalliaPharm@. ezag.com
- Please read all instructions before completing the forms.
- Returns can only be prepared by a qualified shipper.
- Returns are only accepted at 1800 North Keystone Street, Burbank, California, 91504.
Sheet 1 - Welcome Letter (link)
General instructions and information
Sheet 2
- a - Emergency Response Information (link)
- b - Return Packing List/Disposal Receipt Form (link)
Sheet 3 – UN2915 — Yellow II Package Return Instructions (link)
containing all instructions to prepare the GaliaPharmTM Generator as a UN2915 Yellow II Package
- 2 Yellow II labels (link)
- Cargo Aircraft Only labels
- DOT-7A-TYPE A Labels (link)
Sheet 4 - Instructions for Shipper's Declaration for Dangerous Goods (link)
containing all information to complete the Shipper's Declaration for DG
- Sample Shipper’s Declaration for Dangerous Goods - GalliaPharmTM Generator
- Template Shipper's Declaration for DG - with columns, black & White (link)
- Template Shipper's Declaration for DG - with columns, color (link)
- Template Shipper's Declaration for DG - without columns, black & White (link)
- Template Shipper's Declaration for DG - without columns, color (link)
Return Authorization Label (link)