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, Inc. at + 1 508 497 0060 or GalliaPharm@dont-want-spam.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)

Eckert & Ziegler
Radiopharma, Inc.
63 South Street, Suite #110
Hopkinton MA 01748
USA
Phone: + 1 508 497 0060
Fax: + 1 508 497 0061
GalliaPharm@dont-want-spam.ezag.com