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ARRA-4X - Arizona Radiation Regulatory Agency - azrra 2026
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How to use or fill out ARRA-4X - Arizona Radiation Regulatory Agency - azrra
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Facility Name, Street Address, City, and Zip Code in the designated fields.
- If you are a current registrant, input your Registration Number. Otherwise, leave this field blank.
- Fill in the Date of application and provide Your Name and Title in the respective fields.
- Select the Machine Type by checking the applicable box for your diagnostic x-ray equipment.
- Indicate whether you are a NEW Applicant and specify the Machine Subtype as either Stationary, Mobile, Portable, Handheld, or Transportable.
- Provide Equipment Information including Manufacturer name, Number of tubes, Model Name, and Location of unit.
- Answer whether this unit replaces a registered X-ray unit in your facility by selecting YES or NO. If YES, provide additional details as required.
- For SHIELDING INFORMATION, attach a scale drawing of your facility and include necessary calculations for compliance with AZ Administrative Code.
- Finally, review all entries for accuracy before signing at the bottom of the form.
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