Get Reguide22.doc - Dshs State Tx

Filling out the Reguide22.doc - Dshs State Tx form is essential for manufacturers and distributors seeking radiation safety evaluations. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the Reguide22.doc form accurately.

1. Press the ‘Get Form’ button to obtain the form and launch it in your document editor.
2. Begin by providing the date of submission, ensuring it is clearly marked at the top of the first page.
3. Enter the name commonly used by the manufacturer to describe the sealed source and specify the type of radiation emitted.
4. Include the model number or series number that identifies the sealed source used by the manufacturer.
5. Fill in the name and complete mailing address of the organization submitting the application. Indicate if the organization is a manufacturer or distributor, and provide the contact person's details.
6. List any other companies involved in the manufacture or distribution of the sealed source, including their names and addresses.
7. Detail the radionuclide(s) intended for use in the sealed source along with the maximum activity level in both curies and millicuries.
8. Specify the proposed frequency for conducting leak tests on the sealed source during usage.
9. Identify the principal use of the sealed source from the provided classification list.
10. Indicate if the sealed source is custom made, and explain the basis for this determination.
11. Provide a thorough description of the sealed source, covering chemical and physical forms, construction materials, dimensions, and sealing methods.
12. Attach any required supporting documents or photographs, and ensure compliance with various safety and regulatory standards.
13. Review all entered information for accuracy and completeness.
14. Finally, save changes, download the document, print it, or share as necessary.

Take the next step in your compliance process by completing the Reguide22.doc form online today.