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Radiation Generating Equipment Forms

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Form #

Form Name Revision
Date
HEA5104 Electronic Application for Registration of Radiation-Generating Equipment 11/2015
HEA5114 Electronic Amendment of Radiation-Generating Equipment 11/2015
HEA5508 Notice of Termination of Radiation-Generating Equipment 11/2015
HEA5139 Application for Self Referral Screening of Radiation-Generating Equipment 6/15
HEA5530 Confidential Employer's Presumptive Overexposure Report 2/98
HEA5526 Individual Responsible for Radiation Protection (IRRP) Change Request 11/2015
HEA0152 Source Address Change Request 11/2015

Last Updated 11/13/15