DRAIN DISPOSAL LOG for RADIOACTIVE MATERIAL by dfgh4bnmu

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									                  DRAIN DISPOSAL LOG for RADIOACTIVE MATERIAL

DATES OF SUMMARY PERIOD                   ______________      to      ___________________


Identify Location of Drain for which this Log Applies

Room #                         Building Name                         Drain Location within Lab
                                                                     (i.e. NW, S corner, etc.)
__________              _____________________                        ___________________________________



Date     Radionuclide    Estimated        Initials of      Date    Radionuclide   Estimated        Initials of Person
                         Activity (uCi)   Person                                  Activity (uCi)   Recording
                                          Recording                                                Activity
                                          Activity




(10/16/02)

								
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