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LICENSES ISSSUED TO THE UNIVERSITY BY THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, DIVISION OF NUCLEAR SAFETY OFFICE OF RADIATION SAFETY (ORS) 5841 SOUTH MARYLAND AVENUE AMB ROOM M031A Phone Number: (773) 702-6299 / Fax Number (773) 702-4008 Website Address: http://safety.uchicago.edu/ This application and any attachments must be typewritten Do not write on reverse side of the application ORS Form A1 (1/11) Protocol # (ORS Use Amendment # Approval Date (ORS Use Expiration Date (ORS Use On.

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