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D. Request to terminate an existing, registered radiation source facility. The Owner/Operator of the radiation machine source facility must submit a complete, signed, official Termination of a Radiation Machine Facility form (ORC-R-1D) to: Delaware Office of Radiation Control 417 Federal Street Dover, Delaware 19901 The Terminate Facility Form must consist of: 1) 2) A request that a registration permit be terminated by filing the appropriate, official form (ORC-R1D), with photocopy documentation specifying how the radiation machine inventory was disposed of (transfer or sale to another permitted facility, or salvage/scrap to a commercial disposal firm). The facility must submit complete information, including: applicant's full company name, owner/operator (with IRS Employer Identification or Social Security number). Individual responsible for radiation protection (Radiation Safety Officer), name of licensed practitioner (for healing arts radiation use only), radiation service companies used, radiation procedures performed at the facility, radiation machine registration fee category and modalities used, radiation machine equipment inventory and status, signature of owner/operator. The facility datasheet is preferred. Contact the Office of Radiation Control to obtain the datasheet. Applicants are instructed to mail a copy of the completed termination form (ORC R1D) with photocopy of disposal documentation to the address specified on the form, and retain a copy for their records After verification of radiation machine disposition by ORC, the permit will be officially terminated and the Owner/Operator will no longer be obligated to pay the annual permit fee. Applicants should allow at least 3 weeks for processing termination applications. 5PDF Image | Radiation Machine Registration Permit Manual
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