Application Data Form/Rod Source Arrangement
Before a quotation can be issued, we should have this form completed.  Any specific application inquiries can be addressed to the microwave applications manager at (865) 483-1488.
Company  Name 
Contact Name 
Street or PO  Box  Zip Code 
City  Phone 
State/Province  Fax 
Date 
eMail

INSTRUMENT SPECIFICATIONS
(1) Rod Source Shielding Length (2) Source in mCi
   Dia. 80 mm mm    Co-60
   Dia. 100mm mm
   Dia. 120mm mm
   Dia. 150mm mm
   Dia. 200mm mm
   Dia. 200mm mm
     Radiation Field at Shielding
     Dose rate at 1 meter mRem/h
     Dose rate at Surface mRem/h
(3) Detector Crystal
  Exproof 25/25
  NonExproof 40/35
50/50
(4)&(5) Housing
Wall mount
19" Rack
Cable Required

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