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Institution: _____________________ Permit Holder: ___________________ Series Code: ____________________ Building: ________________________ Lab #: _________________________ Sink #: ________________________ |
Daily Sink Disposal Limits (µCi)
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| 45Ca |
10 | 59Fe | 10 | |
| 14C |
100 | 32P | 10 | |
| 51Cr |
1000 | 33P | 50 | |
| 3H |
1000 | 35S | 100 | |
| 125I |
1 | 131I | 1 | |
| Date | User Init. | 32P | 35S | 3H | 125I | 33P | OTHER | |
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M/D/Y
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Isotope | Activity | ||||||
** PLEASE WRITE LEGIBLY. DISPOSAL RECORDS WILL BE ENTERED INTO DATA BASE. **