Radioisotope Inventory/Survey Record

Radioisotope Inventory/Survey Record

Radioisotope: CSUSM Ref #:
Date Received:                Activity Received:
Chemical:                        Volume Received:

Vial Information:











Date
User
Amnt Used
Amnt Rmn




 
 
 
 




 
 
 
 




 
 
 
 




 
 
 
 






Vial Disposal Date:____________________ Method:______________________________________________________


Survey Information






Date
Area
Inst.
Results




 
 
 
 




 
 
 
 




 
 
 
 




 
 
 
 




 
 
 
 






Background__________


Aliquot Inventory




# of Aliquots            ________________

Activity per Aliquot  ___________

Aliquot/Survey        ______________






Date
User
Amnt Used
Amnt Left
Area
Inst.
Results