WPCH  #3tM~(b~WyX CM,Ucȅ#hD6;nF_GTe=c*z&w`+Xu(PrLN#W^pM.wxO~~<9Sju<OƋ0:?U&]x eiA ~E0~~JlճN &-D616,OW,0)TF%i':ƸhdՍX$ {m1旻-TռqGPaf'LW" Lftkϟ~\R?ut>Bu `VfJk-~h _E=fBZدQ'+-k@/unP`c<[?4:oEySܛCb=w,ܜNB,| ^!o@OZ %~DuׄZB#UNe % 0:U.U:! U B[ U@ ^ w 4   m                                         E ) ) ) ) ) ) ) ) ) B + hp LaserJet 1320 PCL 60(9 Z6Times New Roman RegularX($USUS.,,2A`ArialTT,cAZ"Arial Regular(\  `*Times New RomanTT(9 Z(Times New Roman 7 $G7gs3|xU d !USUS.,  _X)XXXLXX)#TL=##XXT\#TXXTT#TT#LT_RPR_Ԁ13F.RADIOACTIVEMATERIALPURCHASEAUTHORIZATION  #TL"#LT 'X#X)XL#>CXX)1.0 ' AllRadioactiveMaterialspurchasesrequests must beclearedbytheTechnicalSafetyOffice.'(#'(# 2.0 ' Radioactivematerialpurchasesmustbesubmittedatleastthreeworkingdaysinadvance.'(#'(# 3.0 ' AllRadioactiveMaterialPurchaseOrdersaretobeaddressedasfollows;*z'(#'(#  '' 0 ' 0'(#'(# ResponsibleUser'sName~ (#(#  ' 0  c/oTechnicalSafetyOffice2 (#(#  ' 0  IdahoStateUniversity 6(#(#  ' 0  Shipping&ReceivingDept.  (#(#  ' 0  638E.DunnSt.N  (#(#  ' 0  Pocatello,ID.83209 R (#(#  Ӏ4.0 ' Forwardthepurchaserequestandthisformto:` '(#'(#  ' 0  TechnicalSafetyOffice_ (#(#  ' 0  Box8106 Y (#(# eҀ#X)X>C/#XX)TheattachedrequisitionspecifiesthepurchaseofradioactivematerialunderIdahoStateUniversitiesradioactivemateriallicense.#X)X#>CXX) ]   '#>C# e(ff(#(#(ResponsibleUser:򀀀  Dept:򀀀  Program#:򀀀  Supplier:򀀀  =ff &&= p  AuthorizedIsotope c  ?A8' dE? _ ?A8' hdEu? v    Chemical/physicalform  c ?A8' 9 dE9 ??A8' 9 dE9 ? _  ?A8' 9 hdE9 u? v#  $  Isotope $ Possessionlimit c%  ?A8' dE? _& ?A8' hdEu? v)  Isotope ) AmountRequested c* ?A8' +dE+? _+  ?A8' +hdE+u? v. 4  4  IcertifyIamallowedtopossesthismaterialandthatthispurchasewillnotexceedmyradioactivematerialpossessionlimit. 1. ResponsibleUserSignature:򀀀Date:򀀀 0  ?A8'  dE? 3 #X"< X # XX"<#S#Tobecompletedby_TSO_Ԁstaff#X"< XP#  XX"<# # Ԁ 󄀀Thispurchaserequesthasbeenreviewedandverifiedbythe_TSO_ H5 Ѐ B6 '' Vp` 'UsersLimit:  ____________ UsersCurrentInventory: V ____________ 8 ISULimit:  ____________ ISUCurrentInventory: V ____________ B: LabALIs:  򀀀 BioassayFrequency: V 򀀀 J!< LabSurvey "> Frequency:  򀀀 ' ' V'Verifiedby:򀀀 N#?    _TSO_ԀSTAFF #J@     #X"< X #,!, XX"< %N!C #X"< X,,!}#D XX"<?A8' A$dE&? &!D Iapprove/disapprovethisradioactivematerialpurchase: & "E RadiationSafetyOfficer:򀀀Date:򀀀#DR##XX#TXXTT#XXT#TXX#TT##XXT#