Information

  • Building

  • Lab

  • Authorized User

  • Authorized Nuclides

  • Conducted on

  • Surveyor(s)

L3 44-7 S/N 111766

  • Date of Calibration

Compliance Checklist

  • Room Postings Current?

  • Source Containers properly labeled?

  • Acceptable radiation levels?

  • Sources secured from unauthorized access?

  • Proper use of personal protective equipment?

  • Prohibition of Eating / Drinking, etc.?

  • Inventory records current?

  • Other compliance items met?

  • Personnel trained?

  • Dose rate survey conducted?

  • Source ID

  • Source
  • Source ID

  • Dose rate

  • Photo

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