FACILITY AND EQUIPMENT APPROVAL

FACILITY AND EQUIPMENT APPROVAL

Name of applicant _________________________________ Date______________

Location of radioactive materials or machines ________________________________________

The RSO must review, evaluate and approve all equipment and facilities which will use or store radioactive materials or radiation producing machines and changes in the equipment or facility which could potentially create or increase the radiation hazard. In accordance with this requirement, I submit the following for consideration of approval:

Circle all appropriate items:	Date reviewed	RSO approval
1. Facility
2. Equipment
3. Hoods
4. Change in equipment*
5. Change in facility*

*Describe any equipment, facilities or modifications to be evaluated for the potentiality of creating or increasing the radiation hazards.

______________________________________________________________________________

Signature of applicant _____________________________________ Date __________________

PERFORMANCE TESTS

Sublicensees must perform efficiency tests on scintillation counters at least biannually.

Instrument	Date	Initial	Results (attach printouts)

EHS representatives will monitor all approved hoods annually for operational effectiveness. To qualify for continued use, hoods must demonstrate a face velocity of at least 100 FPM, with the sash 1/2 open.

Lab room no. ________________________________ Hood designation ___________________

Date monitored	Approval	Date monitored	Approval	Date monitored	Approval

Hoods not meeting performance requirements will be reported to Maintenance for repair.

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