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This form is used for the transfer of radioactive materials in compliance with California regulations, requiring completion of specified items and submission to the Radiation Safety Officer.

How to fill out form 103 radioactive material

How to fill out Form 103 – Radioactive Material Transfer

1. Obtain a copy of Form 103 – Radioactive Material Transfer from the appropriate regulatory agency.
2. Fill in the date at the top of the form.
3. Provide the name and address of the transferring entity in the designated section.
4. Indicate the name and address of the receiving entity that will take possession of the radioactive material.
5. Specify the type and quantity of radioactive material being transferred.
6. Include the source or isotopes being transferred, along with their corresponding activity levels.
7. Complete any required certifications or declarations, including signatures from authorized individuals at both the transferring and receiving entities.
8. Review the form for accuracy to ensure all sections are completed and details are correct.
9. Submit the form to the designated regulatory body as required by law.

Who needs Form 103 – Radioactive Material Transfer?

1. Institutions or organizations that engage in the transfer of radioactive materials, including research facilities, medical institutions, and educational entities.
2. Individuals authorized to manage or oversee the transfer of radioactive substances between different locations.

For pdfFiller’s FAQs

What is Form 103 – Radioactive Material Transfer?

Form 103 – Radioactive Material Transfer is a regulatory document used to track and report the transfer of radioactive materials between entities. It is utilized by regulatory bodies to ensure safe handling and compliance with radioactive material regulations.

Who is required to file Form 103 – Radioactive Material Transfer?

Any entity or individual that transfers or receives radioactive materials must file Form 103. This includes institutions, laboratories, hospitals, and other organizations that handle radioactive substances for research, medical, or industrial purposes.

How to fill out Form 103 – Radioactive Material Transfer?

To fill out Form 103, the filer must provide specific details such as the names and addresses of both the transferor and transferee, the type and quantity of the radioactive material being transferred, the purpose of the transfer, and any relevant regulatory license numbers. It should be completed accurately and submitted to the appropriate regulatory authority.

What is the purpose of Form 103 – Radioactive Material Transfer?

The purpose of Form 103 is to maintain a comprehensive record of the transfer of radioactive materials, ensuring that all transactions are compliant with safety regulations and tracking the flow of these materials for public health and safety.

What information must be reported on Form 103 – Radioactive Material Transfer?

Form 103 must report information including the names and contact information of the transferor and transferee, a description of the radioactive materials being transferred, quantities, the purpose of the transfer, and any applicable regulatory license numbers.