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Original Facility Application  Form

Original Facility Application Form

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Instructions and help about Original Facility Application

This video tutorial will show you how to fill out the withdrawal facility Registration form. This form is used if your facility, business or practice registered with the California Department of Public Health. Radiologic Health branch is no longer in possession of any radiation machine, or all radiation machines that are still in your possession have been made incapable of producing radiation as defined here. Incapable of producing radiation means a radiation machine is no longer functional. Unplugging a machine or placing a functional machine in storage for use at a later date does not mean it has been made incapable of producing radiation. If you have sold this facility to a new owner, you would use this form because registrations are not transferable in order to access our home page, please go to c d p h that c a dot gov forward slash r h b Once at our home page, scroll down and select X-ray machine. Registration and compliance on this page. Select the link the arrow is pointing tow

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