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Environment HMWM-B2 X-Ray Certification 4300 Cherry Creek Drive South Denver, CO 80246-1530 Date Fax to: 303-691-7841 Email to: cdphe.hmxraycomments state.co.us Office Use Only Approval Denial Reviewer signature: Date Supervisor Signature: Date Method of Payment: ARRT Fee: Cashier s Check ( # ) Money Order(# ) Staff Initials: CDPHE Fee: Check (# ) Credit Card Staff Initials: R-70 LSO ARRT Examination Reg.

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