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6 Approval Number Page 2 APPROVAL of SHIPMENT and SPECIAL CONDITIONS Date: Conditions: Signature:.

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How to fill out the Dot Form 10656 online

The Dot Form 10656 is an essential document used for the approval of shipments containing scrap metal or related materials that include unidentified radioactive material. This guide provides clear, step-by-step instructions to help users fill out the form effectively and accurately online.

Follow the steps to complete the Dot Form 10656 online

  1. Press the ‘Get Form’ button to access the Dot Form 10656 online and open it in the document editor.
  2. In the first section, provide the approval number by filling in the designated blank spaces.
  3. Next, fill out the details of the detection site, including the facility name, type, and address. Ensure you provide contact information including the name of a contact person, phone number, and fax number.
  4. Indicate the type of vehicle being used for the shipment and its identification number in the respective fields.
  5. Enter the owner and operator information, including their contact names, phone numbers, and fax numbers.
  6. Describe the scrap materials and any associated release risks in the provided space.
  7. Document the radiation measurement details, including the date and time performed, maximum radiation in mrem/h, location on the vehicle, instrument manufacturer/type/model, and background mrem/h.
  8. Fill in the shipment origin section with the name of the company, its location, and contact details for a person associated with the shipment.
  9. Complete the information for radiation control officials by entering the names and organizations of detection, origin, and destination state officials along with their contact information.
  10. Provide the destination information for radioactive material identification and disposition, including company name, location, and contact person.
  11. In the shipment approval section, include the date and any special conditions applicable, along with a required signature from an authorized individual.
  12. Document the identification and disposition information at the destination, including the name, title, organization, and contact details of the person responsible.
  13. Fill out the record of transmittals with relevant shipment approval information and any other necessary details.
  14. Conclude by adding any remarks or additional information in the remarks section.
  15. Finally, save changes to your completed form, and proceed to download, print, or share the form as necessary.

Start filling out your Dot Form 10656 online today and ensure safe and compliant shipments.

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