|
Two forms of ID
|
|
0
0
0
|
|
On hand: survey meter, Lead Container, Tongs
|
|
0
0
0
|
|
Tx times compared with printout
|
|
0
0
0
|
|
Applicator imaging verified by: (MD initials)
|
|
0
0
0
|
|
Applicator connected by: (Initials)
|
|
0
0
0
|
|
Authorized user signature
|
|
0
0
0
|
|
Backup timer set (Minutes & seconds)
|
|
0
0
0
|