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    X-ray Equipment Registration & Inspection Forms

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Radiation Generating Equipment Forms

Form # Form Name Revision
Date
HEA5104 Application for Registration of Radiation-Generating Equipment 7/09
HEA5114 Amendment of Radiation-Generating Equipment 7/09
HEA5508 Notice of Transfer or Disposal of Radiation Generating Equipment 7/09
HEA5139 Application for Self Referral Screening of Radiation-Generating Equipment 11/04
HEA5530 Confidential Employer's Presumptive Overexposure Report 2/98

 

Last Updated 7/29/09

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