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   The Division of Environmental Health licenses, certifications, and permits

Learn more about the Division of Environmental Health

Laboratory Program

The lab application is for all laboratory and manufacturing licenses who primarily use unsealed radioactive materials.  Forms and instructions are also listed for common amendments to laboratory licenses.

• Amendments

  • Decommissioning a Use Area

  • License Termination

  • New Authorized User

  • New Use Location

  • New Use or Nuclide

  • New Radiation Safety Officer

  • Performing In-House Count Rate Instrument Calibrations

  • Performing In-House Dose Rate Instrument Calibrations

• Contact Information
• Decommissioning Funding Plan and Financial Surety
  • Decommissioning Funding Plan Template
  • Decommissioning Cost Estimate Calculator
• New Licenses
• Renewals

For files which require a viewer go to http://www.doh.wa.gov/viewer.htm to download a viewer. If the type of package you are interested in is not available on-line, please contact us to receive a printed copy.

New Licenses
 

• Appropriate fees - Current Annual Fees
• Completed City-County Notification Form
• Lab Application (MS Word, 1231KB) or Lab Application (PDF, 1027 KB) with instructions (PDF, 36KB).
• Small Business Discount Certification (if applicable)

Send completed application packet to:

Washington State Department of Health

Radioactive Materials Section

P.O. Box 47827

Olympia, Washington 98504-7827

  Be sure to:

• Make a check made payable to the Department of Health

• Enclose original, signed copy of your radioactive materials license application with supporting information.

• Keep a copy for your records

Renewal Licenses

Renewal applications must be received 30 days prior to expiration of the current license.  This qualifies your license for timely renewal which allows your current license to remain in effect until the Department has processed your application.  Information contained in previous applications regarding only initial training and qualifying experience, such as training certificates and medical preceptor statements, may be incorporated by reference.

A renewal package consists of:

• Signed application Lab Application (MS Word, 1231KB) or Lab Application (PDF, 1027 KB) with instructions (PDF, 36KB).
• Completed City-County Notification Form (for changes in location)

Annual fees are billed separately.  Renewal applications are sent to:

Washington State Department of Health

Radioactive Materials Section

P.O. Box 47827

Olympia, Washington 98504-7827

Decommissioning A Use Area

Certification-Disposition of Radioactive Material (PDF, 208 KB)

Decommissioning Funding Plan and Financial Surety

• Decommissioning Funding Plan Template (MS Word, 85 KB)

• Decommissioning Plan Cost Estimate Calculator (MS Excel, 341 KB)

Intent to Decommission/Report of Closure (MS Word, 666 KB)

License Termination

Certification-Disposition of Radioactive Material (PDF, 208 KB)

Intent to Decommission/Report of Closure (MS Word, 666 KB)

New Radiation Safety Officer

Attachment A - Training and Experience Authorized User or Radiation Safety Officer (MS Word , 267 KB)

Attachment B - Duties of the Radiation Safety Officer (PDF, 41KB)

Attachment I - Emergency Procedures (MS Word, 118 KB)

New Authorized User

Attachment A - Training and Experience Authorized User or Radiation Safety Officer (MS Word , 267 KB)

New Use or New Nuclide

Adding a New Use or New Nuclide (PDF, 24 KB)

New Use Location

Adding a New Use Location Instructions (PDF, 27 KB)

Attachment H - Waste Disposal (MS Word, 162 KB)

Attachment I - Emergency Procedures (MS Word, 118 KB)

Attachment L - Air Emissions Questionnaire to Determine Exempt Status (MS Word, 129 KB)

Performing In-House Dose Rate Instrument Calibrations

   Attachment C - Calibration of Exposure Rate Instruments (MS Word, 117 KB)

Performing In-House Count Rate Instrument Calibrations

   Submit your own procedures

Contact Information
 

For more information call or email the appropriate person.  Send written correspondence to the address below or fax to 360-236-2255.

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Last Update : 12/06/2011 05:01 PM