Doe ne. | MSPOEOHSE ADD FROAT
RADIOGRAPHICPERMIT = sueno. |
[ome 29 fo 2083
(secrion rear nequeston—
trojcttame 8 oie. esa. it oe nea svamminsoe..Dea. C290
twcaton of Wark: Pes. ne 28 ab a
“augment Material tobe workedon
100 eriormer Contac Osta,
Requested by name. BYR BM
Secon Dep EF Siren ———
‘SECTION? [REQUIREMENT FOR THE PERMIT] TO BE FLIED BY PERMIT REQUESTOR
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ay seated source type oo 21, omen sn SHEEHY BCA rh Fn Hmm
aetna arene a ee
SS ae a
nag
adation arafocadope off and eared of personne
ation notices posted
| Radtton res boundaries monitored
‘Seater sling
adotion meters chehet/atoratg
Peron dximaterfunctoning
Fim baees proved
eleva authors / terested pets noted
| Remote handling equipmenttol:ecked
Scaled source contin cached
Sealed source storage arangerens
Other pec precsi86ns enn
sin tentng 0.1 2008
BARREL
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[SecTioN a Peniait REQUESTOR (PEOPLE WVOLVED IN THIS PROCESS)
toned tine SIaed EV a nt en
Name and nian AEE ED id genet NAM AN ae
Name anna
‘We have personaly checked the above condition and consider it sof to cary out this work.
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Won can ony be cae out fram: bate. ane se nba ft/s Tnel\: SR.