Radiation Instrument Registration

This form allows you to register your radiation detection instrument with Radiation Safety at the UW. The information is used to maintain calibration records for all radiation detection instruments that are in use under the UW's Radioactive Materials License.

All such instruments must be registered with Radiation Safety, though they may be calibrated at any qualified facility.

These ( * ) fields are required.

CONTACT INFORMATION
* First Name:
* Last Name:
* Email:
* Department:
* UW Box #:
* Phone #:
OWNER INFORMATION
* Name:
(Ex: PI or Department)
UW Box#:
Instrument Storage:
(Provide the building and room number.)
Other Users?:
(If there are any other labs or departments using this instrument, please list them here.)
INSTRUMENT INFORMATION
Manufacturer:
Model Number:
Serial Number:
(*NOTE* Ludlum instruments serial number is stamped on the metal casing near the battery compartment or on the side.)
Characteristic:
Category:
Output Units:
Last Calibration Date:
(A certificate of calibration by the manufacturer usually comes with new instruments.)
ADDITIONAL INFORMATION
Additional Information:
UW Logo Phone: (206) 543-7262  |   Email: ehsdept@u.washington.edu
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© 2005 University of Washington, Environmental Health & Safety. All Rights Reserved
 Reviewed: March 07, 2006