3-Day Notice / Compliance Intake

01 Shipping & Transportation

Date of Shipping *

Shipping Company *

Ship-From Address *

Ship-To Address *

02 Sealed Source & Meter

Type of Source *

Source Activity *

Source Serial Number *

Meter Serial Number *

03 Work Site & Notice Details

Client Name / Operator *

State of Work *

Work Start Date *

Work End Date *

GPS Coordinates *

04 Contacts

Client Contact

Name *

Phone *

Email *

Authorized User

Name *

Phone *

Email *

05 Radiation Survey (optional)

Units

Survey Date

Background Reading

Surface dose rates

Top

Front

Back

Left

Right

Bottom

06 Leak Test Certificate (optional)

Leak Test Certificate (PDF)

PDF only. Optional — the leak test can also be uploaded later from the Compliance Console.

Date of Leak Test

Sections 01–04 are required. The radiation survey and leak test certificate are optional. On submission a WSSM tracking number is generated, the record is saved, and a notification is sent to warren@ws-sm.com and stratton@ws-sm.com.