Form ASO229 NOTIFICATION of PLANNED REMOVAL of SEALS Ref. No. Location and material involved Facility or LOF where seals are located Facility or LOF address: Brief description of material under seal: Justification Reason(s) for removing seals: List of seals to be removed SEAL NUMBER SEAL TYPE PLANNED DATE of REMOVAL Signature and permit details Name : Position: Signature: _____________________________________ Date: ____/____/________ Permit Holder: Permit No: ASNO use only Date: ____/____/________ IAEA notified of removal of above seals .............. F.ASO229.1-21Jan2011 Signature: __________________ Form ASO229 NOTIFICATION of PLANNED REMOVAL of SEALS Explanatory Notes Ref. No. ........................ A sequential reference number is required for each form of this type submitted by the Permit Holder (eg, 001, 002, 003, etc). Where amendments are made to a previously submitted form, please use the same reference with a sequential revision number (eg, 003-Rev.1). Planned date of removal ........................ ASNO must be notified at least 14 calendar days prior to the expected date of removal. Signature ..................... This form must be signed by a representative of the Permit Holder (ie, the organisation) who will take responsibility for, and sign documents on behalf of, the organisation. This form replaces the following forms F.ASO229.1-21Jan2011 ASO229 (Original issued 1 January 2002)