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Get Procurement Authorization For Radioactive Materials - University Of ...

Ed to and approved by the Radiation Safety Program. All deliveries must be directed to: University of Hawaii Radiation Safety Program, Attn.: (Authorization No.), 2040 East-West Road, Honolulu, HI 96822. Submit the white and yellow copies of this form to the Radiation Safety Program. If approved, the yellow copy will be returned to you and must be attached to the purchase order or requisition. Keep the pink copy for your files. NAME: AUTHORIZATION NO.:.

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