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Applicant information

Name & Surname

Institute / University / Company

Adress

Phone

E-mail

Date

Desired date of availability of results

Sample Information

Nature of sample(s)

Origin

Sampling date

Type(s) of matrix(es)
SolidLiquidGas
Number of sample(s)

Available quantity of sample(s)
< 10 g10 to 20 g20 to 50 g50 to 100 g> 100 g
Conditioning
Please select...Done by the applicantTo do after reception at LAFARA
Researched Radionuclide(s)
7-Be40-K60-Co131-I134-Cs137-Cs210-Pb226-Ra228-Ra228-Th234-Th241-AmOther(s)
If Other(s), please precise

Aim(s) of the analysis

Maximum presumed mass activity (if known)
< 100 Bq/kg100 to 1000 Bq/kg1000 to 5000 Bq/kg> 5000 Bq/kg
Remark(s)