Last Revised: October 30, 2018

Please submit one form for each proposed use. Protocols involving animals and the use of radioactive materials, irradiators, or x-rays machines are reviewed and approved by the Radiation Safety Committee and the Institutional Animal Care and Use Committee (IACUC). Please see the User's Guide for additional information.

Please submit one form for each proposed use.
Will the procedure be performed at standard temperature and pressure?
Is the radioactive material volatile or may become volatile during the procedure?
Will this procedure be performed in a chemical fume hood?
Provide a brief description of the procedure. Also include information on chemical and physical form generated, any special equipment used to handle, shield or contain the radioactivity, and unusual hazards associated with the procedure.
Frequency of Experiment:
Will the radioactive waste generated also include one or more of the following?
Will the procedure produce liquid waste which contains radioactivity to be disposed of in the sewer?
Will this protocol involve animal use?
Has an Institutional Animal Care and Use Committee (IACUC) protocol been submitted?
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