Humboldt Nuclear Gauge Disposal / Return of Radioactive Material Form

To request a disposal, the below information is required by the customer for evaluation and approval.

Model No.

Serial No.

Isotope 1

Source Serial No.

Activity mCi

Measurement Date

Isotope 2

Source Serial No.

Activity mCi

Measurement Date

Full Name

License No.

Company Name

Phone Number

Email Address

Address

Address 2

City

State

Zip Code

Country

Please note:

No gauge or sources will be accepted without a Return Materials Authorization Form (RMA) Humboldt Scientific and the above information.
Leaking sources will not be accepted.
Humboldt Scientific reserves the right to return any gauge to the customer if removal of the sources is deemed impractical for any reason.
Humboldt Scientific will provide a disposal/transfer letter of receipt to the customer upon acceptance of a source.
The cost for disposal service will be determined per unit per device Model and source activity.
Customer is responsible for all transportation costs (including import customs / duties fees if applicable) back to the factory in Raleigh, NC, USA.

If you have questions or need additional services, contact Humboldt Scientific at 1-800-537-4183.

Submit Form

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