Environmental, Health and Safety Services

Internal Transfer of Radioactive Material


    1. TRANSFER OR or RECEIVER submits the following information to the RSO through this page.
    2. The RSO forwards this information to the other.
      This individual needs to reply to the RSO to acknowledge their approval.
    3. The RSO will reply to the TRANSFEROR and RECEIVER to provide approval.
    4. Then the transfer can take place.

Name
Email
Radioisotope
Chemical Form
Activity (microcuries)
Reference Date (MM-DD-YYYY)
Batch or Lot Number
Transferor Date (MM-DD-YYYY)
Transferor Information
Transferor's Name
Transferor's Email
Transferor's Authorization Number
Transferor's Dept
Receiver Information
Receiver's Name
Receiver's Email
Receiver's Authorization Number
Receiver's Dept
Comments

Please enter the phrase in the box to the right.

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