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...Loan number santa cruz equipment administration leave blank agreement from agency use this form to record agreements whereby is lent the university by external agencies or individuals for purposes of instruction demonstration experimentation research all uc internal loans on an inventory modification request eimr lender information name address phone borrowing unit contact and custodial code location while bldg room description including manufacturer model agreed value if more than one piece inventorial give each after above terms described loaned california ucsc mutual benefit lending individual be used only purpose said subject return at upon ten days prior notice period transportation charges will paid yes no see approvals segment below responsibility loss damage note check box checked assumes risk in transit care custody control responsible caused negligence its officers agents employees students addition any perils covered a standard fire extended insurance policy collision up set...