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National Calibration Reference Centre for Bioassay and In Vivo Monitoring Intercomparison Programs for April 2006- March 2007

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Instructions:

Please complete and return the attached information page

  1. Complete the information for your organization.

  2. Circle YES or NO to indicate the Intercomparison Programs you wish to participate in.

  3. Indicate your preferred report format.

  4. Indicate whether or not your participation is required by your license from the Canadian Nuclear Safety Commission.

Please return this form by 15 March 2005 to:

Attention: Ms. Amy Doyle
Health Canada
Radiation Protection Bureau
Radiation Surveillance and Health Assessment Division
775 Brookfield Road, AL 6302D1
Ottawa, Ontario, K1A 1C1
FAX: 613-957-1089
E-Mail: amy_doyle@hc-sc.gc.ca

National Calibration Reference Centre for Bioassay and In Vivo Monitoring Intercomparison Programs for April 2006- March 2007

1. Organization Information:

Contact Name: ________________________________________
Organization: _________________________________________
Address: _____________________________________________
____________________________________________________
Phone: ______________________________________________
Fax: ________________________________________________
E-mail: ______________________________________________

 

2a. In-Vivo Intercomparison Programs
Whole Body (Scheduled at client's convenience.) YES NO
 
Lung (Scheduled at client's convenience.) YES NO
 
Thyroid (Scheduled at client's convenience,
subject to phantom)
YES NO

 

2b. Bioassay Intercomparison Programs Schedule
Tritium Urinalysis May 2006 YES NO
 
Tritium/Carbon-14 Urinalysis June 2006 YES NO
 
Fission/Activation Products Urinalysis October 2006 YES NO
 
Carbon-14 Urinalysis November 2006 YES NO
 
Uranium Urinalysis March 2007 YES NO

 

3. Preferred Report Format:
  checkbox Electronic (PDF File)
(e-mail address required)
checkbox Paper

 

4. Is participation a requirement of your Canadian Nuclear Safety Commission license?
  checkbox Yes checkbox No