Radioactive Source and Waste Disposal Quotation Form

Please provide the following details and we will get back to you shortly with a quote.

    Contact Person (required)

    Company Name (required)

    Type of Business (required)

    Contact Number (required)

    Email (required)

    Type of Disposal


    Instructions: Please provide Radiation type, activity level, source reference number, manufacturer, model number and serial number

    Radioactive Source 1

    Radioactive Source 2

    Radioactive Source 3

    Photos of Units for Disposal

    Copy of Source Registration and Licensing Information

    Additional Files

    Pick Up Location Address




    Comments