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   The Division of Environmental Health licenses, certifications, and permits

Learn more about the Division of Environmental Health

Radioactive Materials - Laboratory Licensing

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.

For further information contact Anine Grumbles , 360-236-3222

Laboratory/Industrial Users

• Lab Application (MS Word, 1231KB) or Lab Application (PDF, 1027 KB) with instructions (PDF, 36KB).

• Small Business Certification (PDF, 102 KB)

Amendments

• Decommissioning a Use Area

• Instructions

• License Termination

• New Authorized User

• New Use Location

• New Radiation Safety Officer

• Performing In-House Count Rate Instrument Calibrations

• Performing In-House Dose Rate Instrument Calibrations

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 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)

Instructions

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

Laboratory License Application Instructions (PDF, 36 KB)

Decommissioning A Use Area

Certification-Disposition of Radioactive Material (PDF, 208 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)

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

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.

How to Determine your Application Fee for New Licensees

Please find your fee category and the corresponding annual fee that most nearly matches your proposed operation from the Current Annual Fees.  It is highly recommended that you contact the appropriate Licensing Manager to avoid mistakes that could delay your licensing request. The total fee you must submit is the current annual license fee, plus the new application license fee of $200.

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, Industrial Licensing 360-236-3229

Curt DeMaris, Medical Licensing 360-236-3223
Anine Grumbles, Laboratory Licensing 360-236-3222
Vicky Dix, General Licensing 360-236-3225

Arden Scroggs, Supervisor 360-236-3221
Joy Redman, Secretary 360-236-3220

DOH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information

Washington State Department of Health

Office of Radiation Protection                                       Physical Address:
P.O. Box 47827                                                            111 Israel Road SE, TC2
Olympia, Washington 98504-7827                                  Tumwater, Washington 98501
(360) 236-3300

Send inquires about DOH and its programs to the Health Consumer Assistance Office
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Last Update : 06/02/2008 11:28 AM