Radioactive Waste Disposal Quotation

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

Contact Person*
Company Name*
Type of Business*
Contact Number*
Email*
Type of Disposal
Radioactive Source 1
Please provide the following details: Radiation type, activity level, source reference number, manufacturer, model number and serial number
Radioactive Source 2
Please provide the following details: Radiation type, activity level, source reference number, manufacturer, model number and serial number
Radioactive Source 3
Please provide the following details: Radiation type, activity level, source reference number, manufacturer, model number and serial number
Photos of Units for Disposal
Drop files here or
Copy of Source Registration and Licensing Information
Drop files here or
Additional Files
Drop files here or
Pick Up Location Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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