Radioactive Sewer & Air Release Report

Princeton University

Environmental Health & Safety

 

If you need assistance, please Call Steve Elwood at 8-6271

Date (mm/dd/yy)

Report Prepared by:            

Name of Principal Investigator     

Department: Phone Extension

Email Address

Releases are reported for the following month and year:

(e.g. Dec-2010)

(Note: The reporting period should run from the first day of each month through the last day of the month.)

ENVIRONMENTAL RELEASES

Report in μCi

 

No radioisotopes were released to sewer or air this month

ISOTOPE

AMOUNT RELEASED TOSANITARY SEWER (μCi)

AMOUNT RELEASED TO AIRVIA HOODS, ETC. (μCi)

REMARKS

 

      1. Please report all radioactive materials released through sink or the hood during the month.

      2. Submit a report each month even if your lab did not have any releases.