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Get IL IEMA 254 (3935) 2019

Ormation. Make funds payable to IEMA. Application fees are not refundable. See web site for exam dates/forms: Radtech.iema.illinois.gov If you have any questions, please call us at 217-785-9913. Name - - I. Social Security Number Last II. Sex: Address Birthdate Business Telephone # ( MI First F M / ) Home/Cell Telephone # ( Number & Street / ) Email (Required) City Zip State III. Type of Industrial Radiography for which Certification desired Radioactive Materials Both X-.

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