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Click ‘Get Form’ to open it in the editor.
Begin by entering the Legal Business Name and Business Mailing Address of the applicant in the designated fields. Ensure that the Texas address is accurate.
Specify the location(s) where radioactive material will be stored or used. Indicate whether these are permanent or temporary sites throughout Texas.
Select whether this application is for a new license or a renewal of an existing license, and provide any previous license numbers if applicable.
Fill in details for the Radiation Safety Officer and individual users, including their names, titles, and contact information.
Complete the Radioactive Material Data section by providing details such as element and mass number, chemical form, maximum activity requested, and intended use.
Describe your facilities, operating procedures, radiation safety measures, and waste disposal methods on supplemental sheets as necessary.
Finally, certify that all information provided is true by signing and dating the certification section at the end of the form.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (69 Votes)
2008	4 Satisfied (56 Votes)

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