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LOGBOOK FOR RADIATION SOURCES<br />
October 29, 2008<br />
SOURCE DESCRIPTION: # 1<br />
LBNL-HC#: 5630 Radionuclide(s): Am-241<br />
Date Made: 08/20/2008 Chemical Formula: Am-241<br />
Radiation Type: Alpha Original Activity: 1.0 micro Curie<br />
Sort: Source from a Smoke Detector - class I Current Activity: 1.0 micro Curie (10/29/08)<br />
Physical Form: Solid/sealed (electro polished) Physical Description: metal / mounted on plastic frame<br />
SOURCE DESCRIPTION: # 2<br />
LBNL-HC#: 5631 Radionuclide(s): Am-241<br />
Date Made: 08/20/2008 Chemical Formula: Am-241<br />
Radiation Type: Alpha Original Activity: 1.0 micro Curie<br />
Sort: Source from a Smoke Detector - class I Current Activity: 1.0 micro Curie (10/29/08)<br />
Physical Form: Solid/sealed (electro polished) Physical Description: metal / mounted on plastic frame<br />
SOURCE DESCRIPTION: # 3<br />
LBNL#: 5632 Radionuclide(s): Am-241<br />
Date Made: 08/20/2008 Chemical Formula: Am-241<br />
Radiation Type: Alpha Original Activity: 1.0 micro Curie<br />
Sort: Source from a Smoke Detector - class I Current Activity: 1.0 micro Curie (10/29/08)<br />
Physical Form: Solid/sealed (electro polished) Physical Description: metal / mounted on plastic frame<br />
SOURCE DESCRIPTION: # 4<br />
LBNL-HC#: 5633 Radionuclide(s): Am-241<br />
Date Made: 08/20/2008 Chemical Formula: Am-241<br />
Radiation Type: Alpha Original Activity: 1.0 micro Curie<br />
Sort: Source from a Smoke Detector - class I Current Activity: 1.0 micro Curie (10/29/08)<br />
Physical Form: Solid/sealed (electro polished) Physical Description: metal / mounted on plastic frame<br />
SOURCE LOCATION (ALL 4)<br />
Building: 2 Location Within Room: In safe next to the entrance door<br />
Room: 104 Notes: Key is with Custodian<br />
EH&S CONTACTS<br />
Chemical Sciences Division Safety Coordinator<br />
Name: Jerome Bucher Employee Number: 115200<br />
Mail Stop: 70A-1150 Extension: x7167<br />
Radiation Safety Committee Member<br />
Name: David Shuh Employee Number: 302951<br />
Mail Stop: 70A-1150 Extension: x6937<br />
<strong>Sealed</strong> Source Program Manager<br />
Name: David Kestell Employee Number: 011485<br />
Mail Stop: 75B-0101 Extension: x7157<br />
SOURCE CUSTODIAN<br />
Custodian’s Name: Thorsten Weber Employee Number: 800360<br />
Mail Stop: 2R-0100 Extension: x5588<br />
RADIATION WORKER(S)<br />
Name: Thorsten Weber Employee Number: 800360<br />
Mail Stop: 2R-0100 Extension: x5588<br />
Name: Markus Schoeffler Employee Number: 007513<br />
Mail Stop: 2R-0100 Extension: x4581<br />
1
SIGN-IN/OUT SHEET<br />
Source # Date-Out Date-In Name Location Purpose & Comments Signature<br />
Notes:<br />
2
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