PWS_Attachment_13_-_Laboratory_Change_Request.pdf

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Regulatory Compliance and Radiation Safety Support
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NIHOD2015053
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PWS Attachment 13 - Laboratory Change Request

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Comments:

DRS-006 Revised 09/16/2011

Notification: [ ] A/U notified of change (if applicable)

STATUS: A=ACTIVE I=INACTIVE

SURVEY CODES: S=SEMI-ANNUAL Q=QUARTERLY M=MONTHLY B=BI-MONTHLY W=WEEKLY

U p d a te

R o o m

S u ff ix

S ta tu s

S u rv e y

C o d e

Procedures followed for: [ ] Decontamination [ ] Closeout Survey [ ] Relocation of Waste [ ] Relocation of RAM [ ] Warning Labels

N e w

Laboratory Change Request

Lab Changes Approved by:__________________________AHP Date:____________________________

AU # AU Name Reason for Change B ld g

S u ff ix

F lo o r

W in g

M o n th

S u rv y

R q

Date:
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