Get Amending A Radioactive Material License - Albert Einstein College ...

This guide provides clear and detailed instructions on how to complete the Amending A Radioactive Material License for the Albert Einstein College. It is designed to assist users at all levels of experience in successfully navigating the online form.

Follow the steps to complete your amendment form effectively.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. In the first section, fill in your personal information as the authorized user. This includes your name, title, building and room number, department, telephone number, and email address.
3. Select the type of change you are requesting. Indicate if it involves a change in laboratory location, addition of a radioisotope, or an increase in the total limits of material on hand. Be specific about the new building and room number for changes in location.
4. If you are adding a radioisotope, provide the current total quantity, the new total quantity, maximum amount per experiment, and the chemical form. Indicate if the material will be used in an especially hazardous form, and explain if necessary.
5. Check all special equipment that will be used to control radiation exposure. Ensure you include items such as glove boxes, fume hoods, and personal protection equipment.
6. Describe the types of waste you will generate from the use of radioactive materials. Provide detailed descriptions of your waste streams, including any hazardous materials involved.
7. For each radioisotope, describe experimental techniques for handling radioactive material. Include specific procedural steps where loss of material may occur and outline the precautions and special shielding that will be utilized.
8. If working with animals, describe how and where they will be housed, the concentration of radionuclides, and detail the type of animals involved in the study, including their ultimate fate and disposal methods.
9. If increasing the limit for a radioisotope, describe any new experimental procedures and additional safety measures required.
10. Select whether this amendment is permanent or temporary, checking the appropriate box. Enter the date the amendment will expire if applicable.
11. Finally, ensure to sign the application. If submitting by email, check the box indicating an electronic signature. Save changes and finalize your submission through the available options to download or print your completed form.

Complete your amendment form online today to ensure compliance and maintain your radioactive material license.