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Department of Human Services
Forms and Applications
General
  • Order from (registrant list, labels, etc) (pdf)

Radioactive Materials Licensing (RML)
  • Application for Radioactive Material License (pdf )
    (NOTE: Not appropriate for medical license, contact RPS staff at 971-673-0490)
  • Portable Gauge License application (pdf )
    • Attachments A & B (pdf )
  • Low level Gamma Spectrometry Analysis form (pdf)
  • Notice to Employees sign (pdf)
  • Notice to Workers sign (pdf)
  • Notification of entry under Reciprocity in Oregon (pdf )

Radon Gas
  • Radon test kit coupon (pdf )

Tanning Devices
  • Tanning Facility Application (pdf)
  • 'Notice to the Public' sign (pdf)
  • 'Under 18' sign (pdf)
  • 'Warning' sign (pdf)
  • 'Medication List' sign (pdf)
  • Client card (pdf)
  • Skin typing chart (pdf)
  • Approved sanitizer list (pdf)
  • Tanning device maintenance record (pdf)
  • Log of operator trianing (pdf)
  • Vendor/training provider list (pdf )

X-Ray Machines
  • Vendor Services & Consultant License Application (pdf)
  • X-Ray Machine Registration Request Form (pdf)
  • Notice to Employees sign (pdf )

Links

Mammography

Radioactive Materials

Radon Gas

Tanning Program

X-Ray Program
 
Page updated: January 07, 2009

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