Get Ca Hm-9901 - County Of San Diego 2023-2025

The CA HM-9901 form is a vital document used for submitting a radiation shielding plan check application within San Diego County. This guide will provide you with clear instructions on how to fill out this form accurately and efficiently online, ensuring that all required information is submitted correctly.

Follow the steps to complete the CA HM-9901 online.

1. Click ‘Get Form’ button to access the radiation shielding plan check application form and open it in the online editor.
2. Enter the plan check number at the top of the form. This number is assigned by the Department of Environmental Health and Quality.
3. Fill in the fee amount in the designated section. This may vary based on your application, so ensure you determine the correct fee beforehand.
4. Provide your name or the facility name in the section labeled 'Plans submitted by' along with your phone number in the appropriate fields.
5. Complete the job site address and provide the corresponding zip code. If your mailing address is different, fill out that section as well.
6. For the x-ray machine information, indicate the number of rooms, the manufacturer, and the model/type of the x-ray machines you will be using.
7. Read the owner/representative declaration carefully. By signing this section, you confirm the accuracy of the information provided.
8. Sign the form, include your title, and date the application in the given fields.
9. Once all sections are complete, review the entire document for accuracy. Save your changes, then download, print, or share the completed form as needed.

Start completing your CA HM-9901 form online today!