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   The Division of Environmental Health licenses, certifications, and permits


Learn more about the Division of Environmental Health

 

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Industrial Program

Industrial licensees are those individuals who perform activities involving sealed sources used in various types of devices.  Determine which of the following applications is appropriate for your use.  The application must be signed by a company official before you submit it for review.

 

Forms and Information

 

For further information contact Steve Matthews, 360-236-3226

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
 

To apply for a new license the applicant must submit:

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 complete 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 initial training and qualifying experience only, such as training certificates and medical preceptor statements, may be incorporated by reference.

A renewal package consists of:

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  


Fixed Gauge 

The FG Application (PDF, 153KB) is DOH Publication 322-042 and the FG Instructions (PDF, 20KB) are in DOH Publication 322-045.
Also available n the Microsoft Word version (MS Word, 180KB) with instructions (MS Word, 41.5KB).

Gas Chromatography

The GC Application (PDF, 163KB) is DOH Publication 322-043 and the GC Instructions (PDF, 45KB) are in DOH Publication 322-044.

Industrial Radiography

The IR Application (PDF, 188KB) is DOH Publication 322-046 and the IR Instructions (PDF, 209KB) are in DOH Publication 322-047.

Portable Gauge

The PG Application (PDF, 89KB) is DOH Publication 322-028 and the PG Instructions (PDF file - 118.40KB) are in DOH Publication 322-029.  Also available in the Microsoft Word version (MS Word, 88.5KB) with instructions (MS Word, 49.5KB).


Contact Information
 

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

 

Craig Lawrence, Manager   360-236-3221
Joy Redman, Administrative Assistant   360-236-3220
   
Generally Licensed Device Program  

Billie Harvey, Health Physicist, Program Manager

  360-236-3266
   
Industrial Program  

Steve Matthews, Health Physicist, Program Manager

  360-236-3226
  Pamela Walsh, Health Physicist   360-236-3227

 

 
Laboratory Program  

Anine Grumbles, Health Physicist,  Program Manager

  360-236-3222

Jennifer Serne, Health Physicist

  360-236-3269
   
Medical Program  

Curt DeMaris, Health Physicist, Program Manager

  360-236-3223

Billie Harvey, Health Physicist

  360-236-3266
   
Reciprocity  

Pamela Walsh, Health Physicist

  360-236-3227

 

 

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Washington State Department of Health

Office of Radiation Protection  
P.O. Box 47827 
Olympia, Washington 98504-7827 
(360) 236-3300

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