OSL Dosimetry Application Form - Tuv
OSL Dosimetry Application Form - Tuv
OSL Dosimetry Application Form - Tuv
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TÜV Rheinland Philippines, Inc.<br />
Ground Floor La Fuerza Building 1, 2241 Don Chino<br />
Roces Avenue, 1231 Makati City, Philippines<br />
Reference No.:<br />
Radiation Detectors and Personal Protective Equipment (Please Check and Indicate)<br />
Classification (please check) Details<br />
Radiation detector<br />
(survey meter, pen<br />
dosimeter, etc)<br />
Protective Equipment<br />
(lead gown, lead goggles,<br />
thyroid shield, etc.)<br />
(use additional sheets for further equipment)<br />
Qty. Name<br />
Page 2 of 6 APF:<strong>Dosimetry</strong>APF2011rev09<br />
Brand (for radiation<br />
detectors only)<br />
Model (for<br />
radiation<br />
detectors only)<br />
PLEASE ANSWER THE FOLLOWING QUESTIONS AS COMPLETELY AS POSSIBLE. YOUR ANSWERS WILL ALLOW US TO<br />
MORE ACCURATELY DETERMINE YOUR DOSES.<br />
1. Does any of your staff use other personal monitoring devices other than Optically Stimulated Luminescence<br />
Dosimeter (<strong>OSL</strong>D)? If yes, please specify their names and include the type of the dosimeter/s on the space below.<br />
2. Aside from staff and background/control dosimeters, are you going to purchase additional <strong>OSL</strong>Ds? If yes, please<br />
indicate the quantity and purpose.
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