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Get the free NRC Form 396 - Certification of Medical Examination by ...

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ES3 Rev. 9)Individua1ExaminationRep9rti FgrpES3O3PRIVACY ACT INFORMATION FOR OFFICIAL USE ONLY U S Nuclear Regulatory Commission Individual Examination ReportApplicant s Name Jazz×Docket NumberExamination
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NRC Form 396 is a report submitted to the Nuclear Regulatory Commission that provides information on the possession and use of nuclear materials by licensees.
Licensees who possess or use nuclear materials in amounts that require reporting under the NRC regulations are required to file NRC Form 396.
To fill out NRC Form 396, provide the required information regarding the nuclear materials in possession, the use of those materials, and any other relevant information as specified in the form instructions.
The purpose of NRC Form 396 is to collect information on nuclear material usage and ensure compliance with safety and regulatory standards in the handling of such materials.
Reported information on NRC Form 396 includes the type and quantity of nuclear materials possessed, the intended use of the materials, and details about the licensee's facility and operations.
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