Example Package #1

Example Package #1

Package contains:

10 mCi Co-57 source dated 2 years before today’s date

Surface reading: 0.05 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required:

Package Marking required:

Shipping paper required:

Example Package #1- Solution

Package contains:

10 mCi Co-57 source dated 2 years before today’s date

Surface reading: 0.05 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required: This is a limited quantity package because the activity in the package does not exceed limits and the exposure readings are below those requiring labeling.

Package Marking required: Because this is limited quantity, you must mark the outside UN2910, which is the UN number for limited quantity packages. You must also mark the inside as “Radioactive” somewhere on the internal packaging or paperwork.

Shipping paper required: No shipping paper is required for limited quantity packages.

Example Package #2

Package contains: 25 mCi of Tc99m as of time of shipment

Surface reading: 0.6 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required:

Package Marking required:

Shipping paper required:

Example Package #2- Solution

Package contains: 25 mCi of Tc99m as of time of shipment

Surface reading: 0.6 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required: Yellow II label required with activity in MBq listed as well as TI of 0.1. The minimum TI is 0.1, although the actual reading at 1 meter is 0.03. This label must be placed on 2 opposite sides of the package

Package Marking required: UN2915 on two opposite sides.

Shipping paper required: Yes, see attached shipping paper.

Hazardous Materials Shipping Paper- Normal Form Materials

Facility Name:__ABC Radiology Group______Date_____1/1/08______

Facility Address:______100 Main Street______

______Anytown, IN 10009______

Facility Phone Number:____800-555-9191______

Radioactive Material, Type A package,non special form, non fissile, or fissile excepted
Class 7 Radioactive Material
UN 2915 / Isotope(s) / Quantity
(MBq) / Quantity and Type of Package(s) / Label
(circle one) / Transport Index
Tc-99m / 925 MBq / 1 Type A container / White I / 0.1
Yellow II
Yellow III

Shipper’s Certification:

This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.

______

SignatureDate

EMERGENCY RESPONSE NUMBER

______

Example Package #3

Package contains: 15 mCi of Tl-201 time of shipment

Surface reading: 0.4 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required:

Package Marking required:

Shipping paper required:

Example Package #3- Solution

Package contains: 15 mCi of Tl-201 time of shipment

Surface reading: 0.4 mR/hr

Reading at 1 meter: 0.03 mR/hr

Label required: A White I label is required because the quantity is greater than limited quantity but the exposure readings are below Yellow II limits. The label must have the contents of the package noted as well as the activity in MBq.

Package Marking required:UN2915 on two opposite sides.

Shipping paper required: Required, see attached

Hazardous Materials Shipping Paper- Normal Form Materials

Facility Name:__ABC Radiology Group______Date_____1/1/08______

Facility Address:______100 Main Street______

______Anytown, IN 10009______

Facility Phone Number:____800-555-9191______

Radioactive Material, Type A package,non special form, non fissile, or fissile excepted
Class 7 Radioactive Material
UN 2915 / Isotope(s) / Quantity
(MBq) / Quantity and Type of Package(s) / Label
(circle one) / Transport Index
Tl-201 / 555 MBq / 1 Type A container / White I / n/a
Yellow II
Yellow III

Shipper’s Certification:

______

SignatureDate