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External Irradiation Request Form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone number
Your answer
Company/School
Your answer
Why do you want to do this project?
*
Your answer
How many samples do you have?
*
Your answer
What kind of radiation exposure is required?
*
Neutron
Gamma/Beta
What is the approximate isotopic composition of your sample(s)?
*
Put N/A if doing gamma/beta irradiation.
Your answer
Give a physical description of your sample(s)
*
Your answer
What is the mass/volume of your sample(s)?
This is good information to have, but we only have strict size requirements for neutron irradiations.
Your answer
Are there any hazards or other dangers associated with your sample(s), if so what are they?
Your answer
What is the timeframe for completing this irradiation?
*
Your answer
Do you want your samples to be returned to you?
*
Yes
No
Other:
Do you want NAA to be done on your sample, if so what isotope(s) are you looking for?
*
Put N/A if doing gamma/beta irradiation.
Your answer
Other notes:
Your answer
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