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HSE 15 Radiography Permit
HSE 15 Radiography Permit
HSE 15 Radiography Permit
RADIOGRAPHY PERMIT
Project (d n): ..
Description and location of work to be carried out (khu vc cng tc phng x):
..
attached sketch showing area likely to be affected by radiation. (nh km bn v nhng cng vic gn khu vc
chp nh phng x)
Details of radiation source: (chi tit v ngun phng x):
Name of person making notification (Ngi thng bo): Radiation Protection Supervisor (Ngi Gim st):
. .
Job title (cng vic):. Date (ngy):.
Date (ngy):.. Contact Number (in thoi lin lc):.
Signature (Ch k): Signature (Ch k):
Revision 00 HSE-15
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