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RS Forms
& SOPs

Applications and Amendments for the Use of Radioactive Material
RS-1Application for a Permit for the use of Radioactive Material in a Research Lab
RS-1Section 4 Additional Page
RS-1Section 8 Additional Page
RS-1Instructions
RS-1SOApplication for a Permit for the Storage Only Radioactive Material
RS-1SSApplication for a Permit for Use / Storage of a Radioactive Sealed Source
RS-5Radioactive Lab Animal Information
RS-7Request for Amendment to Approved Permit
 
Documentation of Training of Users of Radioactive Material
RS-2Authorized User Information
RS-06Annual In-Lab Training of Approved Users
 
Monitoring for Radiation
RS-09Survey Instrument Calibration Request
RS-10Badge Request
RS-11Authorization to Obtain Exposure Records
RS-12Lost or Damaged Badge
RS-13Declaration of Pregnancy
RS-14Acknowledgment of Radiation Exposure Limitations for a Minor
RS-30Set Up New Badge Series
 
Research Lab Records
RS-15Laboratory Survey Results
RS-21Radioactive Material Stock Vial Record
 
Radioactive Waste Management
RS-16De Minimis Quantity Verification -- Liquid Scintillation Media (VIALS ONLY)
RS-17De Minimis Quantity Verification -- Liquid Scintillation Media (NO VIALS)
RS-18De Minimis Quantity Verification -- Animal Carcasses
RS-19AHot Sink Disposal Record (January - June)
RS-19BHot Sink Disposal Record (July - December)
RS-20Disposal of Naturally Occurring Radioactive Material
 
Ordering and Receiving Radioactive Materials
RS-25Internal Isotope Request Form
RS-26Worksheet to Order Radioactive Material
RS-27OARDC RAM Package Receipt Worksheet
RS-28OARDC Radioactive Material Package Log
 
Medical Use of Radioactive Material
RSM-1Medical Use of Radioactive Material Application
RSM-2Medical Use Preceptor Statement
RSM-3Authorized Medical Physicist Training, Experience, and Preceptor Attestation (3701:1-58-19)
RSM-4Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation (3701:1-58-20)
RSM-5Authorized User Training, Experience, and Preceptor Attestation (3701:1-58-32; -34; -53; and -72 RSL)
RSM-6Authorized User Training, Experience, and Preceptor Attestation (3701:1-58-43; -55; -72 GNP; and -72 Y90)
RSM-7Authorized User Training, Experience, and Preceptor Attestation (3701:1-58-37)
 
Radiation Generating Devices
RGD-1Registration for the Use / Storage of Radiation-Generating Devices
RGD-2Template for Electron Microscope Standard Operating Procedures
RGD-3Template for Radiation (x-ray) Producing Devices Standard Operating Procedures
 
Lasers
LS-1Laser Registration Form
LS-2Template for Laser Standard Operating Procedure