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Get UTMB Application for Laser Use Permit 2009-2024

Energy J or Max Power W Class Use Type 3b Human Non-human If Human Use List Medical Procedures Use Location Laser Owner if not the PA Number of CONTINUATION SHEETS attached S /RAD/wrd/LASER/PERMIT rev 050909. Doc CONTINUATION SHEET SECTION 3 continued Name Print PERMISSION TO USE LASER S Signature of Laser Registrant/Owner if not the Permit Administrator Training and Experience Please attach SUPPLEMENT A for Non-human Use. Section 3 To be used if.

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