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And 35.396 APPROVED BY OMB: NO. 3150-0120 EXPIRES: MM/DD/YYYY State or Territory Where Licensed Name of Proposed Authorized User Requested Authorization(s) (check all that apply): 35.300 Use of unsealed byproduct material for which a written directive is required 35.300 Oral administration of sodium iodide I-131 requiring a written directive in quantities less than or equal to 1.22 gigabecquerels (33 millicuries) 35.300 Oral administration of sodium iodide I-131 requiring a written di.

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