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    Nuclear Material Safety Forms

All files are in .PDF format. The free Adobe Acrobat Viewer is required to view them.

Form # Form Name Revision
Date
HEA5101 Lifetime Occupational Exposure History (*Required 8 1/2 x 14 in. paper) 6/02
HEA5102 Occupational Exposure Record for Monitoring Period 6/02
HEA5115

Use of Depleted Uranium Under General License

3/11

HEA5119 Certificate of Disposition of Materials 3/11
HEA5133 Application for a License for Radioactive Material 3/11
HEA5518 In-Vitro Testing With Radioactive Material Form 3/11
HEA5522 Reciprocity Application and Reporting 2/11

 Last updated: 3/30/11

    
 
 
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Ohio Department of Health, 246 N. High St., Columbus, Ohio 43215