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Request For Radioactive Waste Disposal Instructions for Completing Form Requestor Name Email Waste Information Authoree No Authoree Name Building Name Room Ticket No Isotope Waste Type Container Type Volume Units #1  C-14 Ca-45 Cl-36 Cr-51 H-3 I-125 P-32 P-33 S-35 *other Animal Liquid Solid LSV Bag Box Drum Carboy Tray ft^3 gallons liters #2  C-14 Ca-45 Cl-36 Cr-51 H-3 I-125 P-32 P-33 S-35 *other Animal Liquid Solid LSV Bag Box Drum Carboy Tray ft^3 gallons liters #3  C-14 Ca-45 Cl-36 Cr-51 H-3 I-125 P-32 P-33 S-35 *other Animal Liquid Solid LSV Bag Box Drum Carboy Tray ft^3 gallons liters #4  C-14 Ca-45 Cl-36 Cr-51 H-3 I-125 P-32 P-33 S-35 *other Animal Liquid Solid LSV Bag Box Drum Carboy Tray ft^3 gallons liters #5  C-14 Ca-45 Cl-36 Cr-51 H-3 I-125 P-32 P-33 S-35 *other Animal Liquid Solid LSV 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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Last Updated:03/04/2009

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