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T Application: Complete all items: 1 through 14 Please send one copy to the Radiation Safety Officer, Office of Environmental Health and Safety, Perpetuity Hall, 11 Leavitt Lane, Durham, NH, 03824. Telephone: 862-3607 Upon the Radiation Safety Committee's approval of an application, the applicant will receive a Radioactive Material User s Permit. This permit is issued pursuant to statutory regulatory authority and subject to all applicable rules, regulations, and orders of all appropriate reg.

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