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Permit Holder:  FORMTEXT       Radionuclide and compound:  FORMTEXT       Lot/Batch Number:  FORMTEXT       Activity ordered (mCi or MBq):  FORMTEXT       Volume Received (l or ml):  FORMTEXT       Reference date (DD/MM/YY):  FORMTEXT       Activity on Reference date ((mCi or MBq):  FORMTEXT       Concentration on reference date:  FORMTEXT       Date Received:  FORMTEXT       Supplier:  FORMTEXT       Upon arrival in the lab each vial in the must be swipe tested for contamination AS SOON AS POSSIBLE  Vial Swipe Results NET CPM -  FORMTEXT       Storage location of stock vial (building and room):  FORMTEXT       RECORD OF USEPRODUCT INFORMATIONDISPOSAL ACTIVITIESSWIPE CHECKS Stock VialDate UsedUsage LocationName of UserVolume and/or Activity UsedVolume and/or Activity RemainingExperimental ProcedureSub stock # OR Storage LocationVolume and/or activity stored as Experimental ProductProduct Disposal Date DD/MM/YYSolid Waste Form and AmountLiquid Waste Form and AmountAqueous 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LSV=Liq. Scint. vials Date Stock vial Disposed (DD/MM/YY):  FORMTEXT       Activity in Stock vial disposed:  FORMTEXT       (KBq or MBq)     ORIGINAL STOCK VIAL  RADIOISOTOPE INVENTORY Send inventory sheet to the Radiation Safety Officer once all waste has been disposed of from the laboratory. 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