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Folder With Index
Radiological Pickup Request Form
Radiological Pickup Request Form
/https://siu.edu/search-results.php
Last Updated: Oct 22, 2024, 02:13 PM
Please provide the following information
Name
*
Rad Lab Supervisor
Department
*
Building/Room
Email
*
Phone
*
Date
Nuclide One
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Two
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Three
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Four
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Five
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Six
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Seven
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Nuclide Eight
Nuclide
Tritium H3
P-32
P-33
S-35
I-125
C-14
Assay Date
mCi Amount
State
Solid
Liquid
Inventory Number
Comments
Enter Quantity of Replacement Carboys Needed
please select
0
1
2
3
4
5
Type
S@luki
This is to prevent spam.
*