Radioactive Material Transfer Form

Transfers Between TAMUCC Authorized Users The Authorized User who transfers licensed material from his or her possession to another shall contact E,H&S for approval prior to releasing the material, and complete this “Radioactive Material Transfer Form”. The receiving Authorized User shall then complete and sign the appropriate section of the form. Transfers Involving Non-TAMUCC Authorized Users Transfers involving non-TAMUCC licensees (as receiver or transferor) shall also require advance approval from EH&S. The TAMUCC Authorized User, as described previously, shall prepare transfer documentation. For transfers from TAMUCC to a non-TAMUCC licensee, complete this "Radioactive Material Transfer Form".

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Material Transferred From

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Where materials are currently.

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Where materials are currently.

please enter email address.

Your full name will serve as your signature.


Was the material originally transferred to you*

from another TAMUCC Authorized User?

from which the materials was originally received and the date.


Materials Transferred To

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(uCi, mCi)

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