RUTGERS ENVIRONMENTAL HEALTH AND SAFETY

27 Road 1
Building 4086 Livingston Campus
Piscataway NJ 08854
732-454-2550 phone
732-445-3109 fax
http://rehs.rutgers.edu

Isotope Transfer Form

Research staff may transfer radioactive material to another authorized permit after obtaining  REHS approval. 

  • Research staff are prohibited from transporting radioactive material or offering radioactive material for transport.
  • Transfer requests must be submitted to REHS prior to the transfer.
  • Fax this form to REHS at 732-445-3109.

 
Transfer Date:
Radionuclide Information:
Isotope:
 Activity:
Chemical Form:

 

Transfer Information:
Transfer From:
Transfer To:
PI Name:
PI Name:
PI#:
PI#:
Bldg/Lab:
Bldg/Lab:
Phone:
Phone:
Alternate
Contact:
Alternate
Contact:

 

Last Updated:01/10/06
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