Forms 

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

RAM Portable 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-Portable Gauge
Portable 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 F1 - Personnel Monitoring Form
Appendix G - Security of Portable Gauges
Appendix H - Radiation Survey Program
Appendix I - Dose Limit for Members of the Public (Annual Dose Determination Compliance Study)
Appendix J - Ordering, Receiving, Opening and Shipping Packages Containing Radioactive Material
Appendix K - Disposal or Transfer of Radioactive Material
Appendix L - Access Control and Security of Temporary Job Sites
Appendix M - Transportation of Portable Gauges
Appendix N - Operating Procedures
Appendix O - Emergency Procedures
Appendix P - Administrative Requirements    
 
Exhibit
Exhibit A - Example Facility Drawing
Exhibit B - Example Inventory Form
Exhibit C - Example Utilization Log
Exhibit D1 - Example Shipping Paper-Exclusive Use Shipments
Exhibit D2 - Example Shipping Paper Common Carrier Shipments
Exhibit E - Emergency Response Information
Exhibit F - Example Radiation Safety Program Annual Review

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