NOTE: The following information is required on Form 5, Occupational Exposure Record for a Monitoring Period: Name; identification number and type of number, such as SSN; sex; date of birth; monitoring period; licensee name; license or registration number; if dose is official record or estimate; if dose is routine or planned special exposure; intakes, list radionuclide, class, mode, and total intake (Ci); external dose(s), DDE, LDE, SDE (WB), SDE(ME), CEDE, CDE, TEDE and TODE; signature of monitored individual and date signed; certifying organization and signature.
Or. Admin. Code § 333-120-0660
Forms referenced are available from the agency.
Stat. Auth.: ORS 453.635
Stats. Implemented: ORS 453.605 - 453.807