Post on 14-Jan-2016
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Lembar Isian Untuk Limbah Sumber Bekas
PUSAT TEKNOLOGI LIMBAH RADIOAKTIF
1. ASAL LIMBAH
a. Instansi
b. Alamat c. Telepon a. Email
d. Contact Person :
:
:
:
:...................................................................................................................................................................................................................................................................................................
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2. Nomor Surat Persetujuan Pengiriman Zat Radioaktif : . (Dilampirkan)3. KARAKTERISTIK SUMBER BEKAS :
No.RadionuklidaNo. SeriAktivitas/Tgl.Dimensi/
BeratPenampung/
PembungkusPaparan (Sv/j, mRem/J)
Kontak1 m
Catatan :
Aktivitas : Ci Dimensi/Berat : panjang x lebar x tinggi / kg
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