Contamination Survey Report form - uvm 2025

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The document is a Radiation Contamination Survey Report that records the status and results of radiation surveys conducted in a specified room and building. It includes sections for identifying possible radioactive contaminants, conducting area and wipe tests, and documenting survey results, including whether contamination levels exceeded three times the background count per minute (CPM). The report is intended for tracking radioactive material handling and ensuring safety protocols are followed.

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