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Relevant Documents for GalliaPharm® return in the USA

Please use the following instructions and forms for the return of the Eckert & Ziegler Radiopharma GmbH GalliaPharm®  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 containing general instructions and information

file Welcome Letter

Sheet 2

Emergency Response Information (2a) and Return Packing List/Disposal Receipt Form (2b)

file Emergency Response Information
file Return Packing List/Disposal Receipt Form

Sheet 3

Instructions and material to prepare the GalliaPharm® Generator as a UN2915 Yellow II Package

file UN2915 — Yellow II Package Return Instructions
file 2 Yellow II labels
file DOT-7A-TYPE A Labels

Sheet 4

Instructions and templates to complete the Shipper’s Declaration for Dangerous Goods

file Instructions for Shipper’s Declaration
file Template with columns, black & white
file Template with columns, color
file Template without columns, black & white
file Template without columns, color

Return Authorization Label

file Return Authorization Label

Checklist for Return

Before finally returning your GalliaPharm®  68Ge/68Ga Generator please complete the checklist and forward it to us.

file Checklist for Return

Contact Us

Eckert & Ziegler Radiopharma GmbH
radiopharma@ezag.de
+49 30 94 10 84 280
+49 30 94 10 84 470
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