REHS Home
Request For Radioactive Waste Disposal
Instructions for Completing Form
*
  Note:  Required fields are denoted with a
red
asterick.
*
Name:
*
E-Mail:
Authoree No
*
Authoree Name
*
Building Name/No
*
Room No
*
Ticket No
*
Isotope
*
Waste Type
*
Container Type
*
Volume
*
Units
C-14
Ca-45
Cr-51
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
LSV
Solid
Bag
Box
Drum
Carboy
Tray
ft^3
Gallons
Liters
C-14
Ca-45
Cr-51
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
LSV
Solid
Bag
Box
Drum
Carboy
Tray
ft^3
Gallons
Liters
C-14
Ca-45
Cr-51
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
LSV
Solid
Bag
Box
Drum
Carboy
Tray
ft^3
Gallons
Liters
C-14
Ca-45
Cr-51
Cl-36
Cr-51
H-3
I-125
P-32
P-33
S-35
*other
Animal
Liquid
LSV
Solid
Bag
Box
Drum
Carboy
Tray
ft^3
Gallons
Liters
*If you specified an other isotope, then please give the isotope here  
Do you need a supply of Radioactive Waste Disposal Forms(yellow cards)?
Yes
No
Comments:
     
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webmaster
Last Updated:
01/25/2004
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