Forms 

Forms: Fixed Gauge |  Industrial Radiography  | Medical | Portable Gauge

RAM Fixed Gauge Application/Renewal Forms

On the pdf forms below, fill in the information online, print it out, sign where appropriate and mail back to us at the address below with any fees that are due.

Downloads
Radioactive Material License Application
License Guide-Fixed Gauge
Fixed Gauge Licensing Forms and Appendices Complete - ZIP file
 
Appendices
Appendix A -  ALARA Program
Appendix B - Typical Duties and Responsibilities of the Radiation Safety Officer (RSO)
Appendix C - Radiation Safety Training Program
Appendix D - Leak Tests of Sealed Radioactive Sources
Appendix E - Calibration of Radiation Survey Instruments
Appendix F - Personnel Monitoring
Appendix G - Radiation Survey Program
Appendix H - Dose Limit for Members of the Public
Appendix I - Ordering, Receiving, Opening and Shipping Packages Containing Radioactive Materials
Appendix J - Disposal of Transfer of Radioactive Material
Appendix K - Transportation of Gauges
Appendix L - Operating Procedures
Appendix M - Lockout Procedures
Appendix N - Emergency Procedures
Appendix O -  Administrative Requirements
 
Exhibits
Exhibit A - Example Inventory Form
Exhibit B - Fixed Gauge Survey Form
Exhibit C1 - Example Shipping Paper-Exclusive Use Shipments
Exhibit C2 - Example Shipping Paper-Common Carrier Shipments
Exhibit D - Emergency Response Information
Exhibit E - Example Radiation Safety Program Annual Review

 

OfficeAddressPhoneFax
Radioactive Materials 4815 W. Markham Street, Slot 30
Little Rock, AR 72205
501-661-2173501-661-2849