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Participant: ________________________ Counting Date:_________________
| Phantom | Number of Radionuclides |
Activity Location |
Radionuclide(s) Identified |
Measured Activity (Bq) |
|---|---|---|---|---|
Note: Any K-40 that may be detected is not to be reported.
Analyst's Name :
Signature:
Please submit results to the Human Monitoring Laboratory no later than one month after the measurements took place.
Results can be sent by:
Fax: (613) 957-1089
E-mail: Barry_Hauck@hc-sc.gc.ca