Get Use Of Radioactive Material In Gas ... - State Of Illinois - Iema Illinois

This guide provides comprehensive instructions on how to complete the USE OF RADIOACTIVE MATERIAL IN GAS application form for the State of Illinois. It aims to assist users, regardless of their legal background, in properly filling out the necessary details to ensure compliance with regulatory requirements.

Follow the steps to accurately complete the application form.

1. Press the ‘Get Form’ button to access and open the application form in the designated online editor.
2. Identify the type of application at the top of the form by checking the appropriate box for either a new license, amendment, or renewal.
3. In Item 2, input the applicant's name and mailing address, ensuring that it accurately reflects the legal entity responsible for the license.
4. For Item 3, provide the contact details of a qualified individual, such as the Radiation Safety Officer, who is authorized to discuss issues regarding the application.
5. Input the addresses in Item 4 where radioactive material will be utilized and stored, specifying precise locations without using P.O. boxes.
6. Under Item 5, list the names of all personnel who will directly use radioactive material, attaching evidence of their training and experience.
7. In Item 6, document the name and title of the Radiation Safety Officer along with their qualifications to oversee radiation safety compliance.
8. Provide a detailed description of the radioactive material in Item 7, including its type, form, and any relevant details regarding its usage.
9. In Item 8, illustrate the layout of facilities and equipment where radioactive materials will be used, including security measures for limiting access.
10. Outline the personnel training program in Item 9, detailing the frequency and content of training sessions provided to those working with radioactive materials.
11. Specify procedures for ordering and receiving radioactive materials in Item 10, detailing the authorization process for those involved.
12. Describe the procedures for safely opening radioactive material packages in Item 11, ensuring adherence to established guidelines.
13. Submit the general rules for the safe use of radioactive materials in Item 12, ensuring clarity in written policies.
14. Detail emergency procedures in Item 13, including contacts and action steps to take in case of incidents.
15. Explicitly explain methods for waste disposal or transfer in Item 14, following regulatory requirements.
16. Indicate how testing of sealed sources for leakage and/or contamination will be conducted in Item 15, providing necessary documentation if applicable.
17. For Item 16, if applicable, list all instrumentation used for monitoring radiation, including details of calibration.
18. Indicate the calibration and operability checks planned for instruments in Item 17, ensuring compliance with safety standards.
19. Outline the personnel monitoring requirements in Item 18, specifying the types of devices to be used.
20. Consult the appropriate section for license fees in Item 19, ensuring correct payments are referenced.
21. For financial assurance (Item 20), confirm compliance with applicable regulations and provide documentation if required.
22. Finally, in Item 21, duly sign and date the certification, affirming the accuracy of all provided information.
23. After completing the form, save changes, download, print, or share as necessary to finalize your application.

Complete your application for a radioactive material license online to ensure regulatory compliance efficiently.