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