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Page Title: Attachment A: Department of Energy Application fo Accreditation For Indirect Radiobioassay
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DOE-STD-1112-98
ATTACHMENT A
DEPARTMENT OF ENERGY
APPLICATION FOR ACCREDITATION
FOR INDIRECT RADIOBIOASSAY
1. DOE site or facility:
2. DOE Operations/Field Office:
3. Other DOE facilities using your laboratory for radiobioassay:
4. Contractor laboratory identification, if outside service is used:
5. Name of authorized representative for Indirect Radiobioassay DOELAP accreditation:
Name:
Title:
Department:
Contractor:
Address :
City:
State:
Zip:
Telephone:
Fax:
e-mail:
Backup Contact:
Telephone:
e-mail:
6. Shipping Address:
Attn:
Telephone:
a-1


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