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Advoque N95 Respirator Recall
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1
Contact Information
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First Name
Last Name
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2
Phone Number
Area Code
Phone Number
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3
Contact Information 2
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Email
Agency/Department/Organization Name
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4
Did your facility receive Advoque N95 Respirators?
.
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NO
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5
How many Advoque N95 Respirators did your organization receive?
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6
Does your organization have any of the Advoque N95's remaining in inventory?
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NO
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7
How many Advoque N95 Respirators remain in inventory?
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8
How soon can the Advoque N95 Respirators be retrieved from your organization?
Date
Year
Month
Day
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9
Would your organization like a replacement of NIOSH Approved N95 Respirators?
YES
NO
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10
How many NIOSH approved N95's Respirators would your organization like delivered?
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11
Is the point of contact and address the same as the original ship to address?
YES
NO
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12
Please provide a point of contact and address for the replacement product to be shipped.
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13
Would you like a follow up contact regarding the recall of the Advoque N95 respirators?
YES
NO
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