[ Jefferson H.S., LAUSD Science Documents Science Dept. ]

ChemistryClassroom Inventory Form
Science Department Room Checkout.  February 2000


        Room # _______________

    Item (w/ room #)           Date        Date        Date        Date        Date        Date

                               ______    ______    ______     _____      _____      _____

    Overhead Proj.                        _____               ____               ____                ____               ____               ____
 

       Screen                                     ____               ____               ____                ____               ____               ____
 

       Cart                                        ____               ____               ____                ____               ____               ____
 

       Periodic Table/Chart               ____               ____               ____                ____               ____               ____
 

       Teacher Computer                  ____               ____               ____                ____               ____               ____
 

       Computer lockdown            ____               ____               ____                ____               ____               ____
 

       Comp. Cabinet                    ____               ____               ____                ____               ____               ____
 

       Dictionaries                        ____               ____               ____                ____               ____               ____
 

       Aquarium                            ____               ____               ____                ____               ____               ____
 

        Other                                ____               ____               ____                ____               ____               ____
 

        Condition of
        Nearby Storage Room.     ____               ____               ____                ____               ____               ____

        General Comments: ___________________________________________________________________

            _________________________________________________________________________________

            _________________________________________________________________________________

           _________________________________________________________________________________

           _________________________________________________________________________________


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