This is to certify that the isotopic waste removed from... by Chemsal has been decayed to: TO WHOM IT MAY CONCERN

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TO WHOM IT MAY CONCERN
This is to certify that the isotopic waste removed from our premises on this day
by Chemsal has been decayed to:
Specific Activity of less than 100 becquerels per gram (Bqg-1)
Company:
Name (Print):
Please tick:
Radiation Safety Supervisor
Radiation Health and Safety Coordinator
laboratory/Technical Manager
Services/Logistics Manager
Other ………………………………
Signature:
Date:
NB:
-
The above items are accepted in good faith as being accurately represented to Chemsal.
In the event that they are otherwise it is agreed that they will be returned to the consignor.
-----------------------------------------------------------------------------------------Chemsal
A division of Dolomatrix Australia Ltd
40 Christie Street
St Marys NSW 2760
P: 02 9833 4399
F: 02 9833 4588
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