FORM CMP-3
RESEARCH COMPLIANCE
DIVISION OF RESEARCH
State University of New York at Binghamton
RADIOLOGICAL SAFETY COMMITTEE
NOTIFICATION OF RADIOACTIVE ISOTOPE USE
Name:
Date:
The following experiment will be conducted by__________________________
in Room______________________of the Building_______________________
using :___________________________________(quantity) (isotope).
Please survey laboratory after___________________
This is a continuing experiment - please survey periodically.
(Signature of faculty member)
PO Box 6000, Binghamton, NY, 13902-6000. Ph: 607-777- 4905 FORM CMP-3
Revised
6/07/04