Maryland Department of the Environment Forms

49
total templates

Documents

49
Form MDE RX1 (MDE/ARA/PER.007) "Radiological Health Program Radiation Machine Facility Registration" - Maryland

Form MDE RX1 (MDE/ARA/PER.007) "Radiological Health Program Radiation Machine Facility Registration" - Maryland

Rate (4.4 / 5) 25 votes
Size: 121 KB
3 pages
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Form MDE RX4 "Inspection Data Facility Specific" - Maryland

Form MDE RX4 "Inspection Data Facility Specific" - Maryland

Rate (4.7 / 5) 72 votes
Size: 297 KB
2 pages
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Form MDE RX6 (MDE/ARMA/COM.005) "Machine Data - Radiographic" - Maryland

Form MDE RX6 (MDE/ARMA/COM.005) "Machine Data - Radiographic" - Maryland

Rate (4.7 / 5) 26 votes
Size: 372 KB
6 pages
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Form RX5 (MDE/ARMA/PER.028) "Machine Data Healing Arts-General" - Maryland

Form RX5 (MDE/ARMA/PER.028) "Machine Data Healing Arts-General" - Maryland

Rate (4.3 / 5) 8 votes
Size: 158 KB
1 page
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Form MDE RX3 "Application for Certified Registration of Particle Accelerator" - Maryland

Form MDE RX3 "Application for Certified Registration of Particle Accelerator" - Maryland

Rate (4.6 / 5) 83 votes
Size: 45 KB
2 pages
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Form RX2 (MDE/ARMA/COM.011) "Radiation Machine Inspection Summary" - Maryland

Form RX2 (MDE/ARMA/COM.011) "Radiation Machine Inspection Summary" - Maryland

Rate (4.4 / 5) 12 votes
Size: 85 KB
3 pages
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Form MDE RX24 (MDE/ARMA/COM.02) "Report of Assembly Reassembly or Removal of a Radiation Machine" - Maryland

Form MDE RX24 (MDE/ARMA/COM.02) "Report of Assembly Reassembly or Removal of a Radiation Machine" - Maryland

Rate (4.5 / 5) 8 votes
Size: 263 KB
2 pages
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Form RX25 "Application for Registration of Business Providing Services or Servicing" - Maryland

Form RX25 "Application for Registration of Business Providing Services or Servicing" - Maryland

Rate (4.3 / 5) 36 votes
Size: 24 KB
1 page
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Form RX16 "General Purpose Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Form RX16 "General Purpose Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Rate (4.8 / 5) 40 votes
Size: 1 MB
2 pages
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Form RX36 "Veterinary Stationary Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Form RX36 "Veterinary Stationary Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Rate (4.4 / 5) 36 votes
Size: 1 MB
3 pages
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Form RX35 "Cephalometric/Panoral Dental Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Form RX35 "Cephalometric/Panoral Dental Radiation Machine Preventive Maintenance Report - Radiological Health Program" - Maryland

Rate (4.7 / 5) 38 votes
Size: 4 MB
3 pages
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Form RX33 "Intraoral Dental/Veterinary Dental Preventive Maintenance Report" - Maryland

Form RX33 "Intraoral Dental/Veterinary Dental Preventive Maintenance Report" - Maryland

Rate (4.5 / 5) 87 votes
Size: 3 MB
3 pages
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Form RX32 "Application for License to Inspect Radiation Machines" - Maryland

Form RX32 "Application for License to Inspect Radiation Machines" - Maryland

Rate (4.4 / 5) 42 votes
Size: 105 KB
1 page
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Form RX14 (MDE/ARMA/COM.010) "Computerized Tomography" - Maryland

Form RX14 (MDE/ARMA/COM.010) "Computerized Tomography" - Maryland

Rate (4.8 / 5) 21 votes
Size: 339 KB
3 pages
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Form MDE RX10 (MDE/ARMA/COM.009) "Machine Data - Groups 1 and 5" - Maryland

Form MDE RX10 (MDE/ARMA/COM.009) "Machine Data - Groups 1 and 5" - Maryland

Rate (4.5 / 5) 28 votes
Size: 73 KB
1 page
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Form MDE RX21 (MDE/ARMA/PER.026) "Application for Plan Review" - Maryland

Form MDE RX21 (MDE/ARMA/PER.026) "Application for Plan Review" - Maryland

Rate (4.3 / 5) 7 votes
Size: 83 KB
2 pages
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Form RX22 "Facility Area Survey - Radiological Health Program" - Maryland

Form RX22 "Facility Area Survey - Radiological Health Program" - Maryland

Rate (4.8 / 5) 52 votes
Size: 83 KB
2 pages
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Form RX2A (MDE/ARMA/COM.011) "Radiation Machine Inspection Summary - Dental Facilities Only" - Maryland

Form RX2A (MDE/ARMA/COM.011) "Radiation Machine Inspection Summary - Dental Facilities Only" - Maryland

Rate (4.3 / 5) 24 votes
Size: 57 KB
3 pages
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Form RX38 "Diagnostic Medical Event Occurrence Log" - Maryland

Form RX38 "Diagnostic Medical Event Occurrence Log" - Maryland

Rate (4.5 / 5) 21 votes
Size: 215 KB
4 pages
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Form MDE/ARMA/PER.024 "Payment Transmittal Form X-Ray Registration" - Maryland

Form MDE/ARMA/PER.024 "Payment Transmittal Form X-Ray Registration" - Maryland

Rate (4.5 / 5) 103 votes
Size: 137 KB
1 page
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Form MDE/ARMA/PER.032 (RX1A) "Radiation Machine Facility Registration Supplement" - Maryland

Form MDE/ARMA/PER.032 (RX1A) "Radiation Machine Facility Registration Supplement" - Maryland

Rate (4.3 / 5) 21 votes
Size: 164 KB
1 page
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Form MDE/ARA/PER.050 "Application for Reciprocal Recognition of out of State Radioactive Materials License" - Maryland

Form MDE/ARA/PER.050 "Application for Reciprocal Recognition of out of State Radioactive Materials License" - Maryland

Rate (4.7 / 5) 22 votes
Size: 132 KB
1 page
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Form MDE/ARA/PER.029 "Reciprocity Notification" - Maryland

Form MDE/ARA/PER.029 "Reciprocity Notification" - Maryland

Rate (4.8 / 5) 76 votes
Size: 88 KB
1 page
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Form MDE/ARMA/PER.038 "Payment Transmittal - General License" - Maryland

Form MDE/ARMA/PER.038 "Payment Transmittal - General License" - Maryland

Rate (4.4 / 5) 66 votes
Size: 51 KB
1 page
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Form MDE/ARMA/LIC.001 "Application for a Radioactive Materials License" - Maryland

Form MDE/ARMA/LIC.001 "Application for a Radioactive Materials License" - Maryland

Rate (4.6 / 5) 41 votes
Size: 159 KB
1 page
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Form MDE/WMA/COM.006 (MDE RX8) "Fluoroscopic & Spot Imaging" - Maryland

Form MDE/WMA/COM.006 (MDE RX8) "Fluoroscopic & Spot Imaging" - Maryland

Rate (4.4 / 5) 35 votes
Size: 1 MB
6 pages
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Form MDE RX11A (MDE/ARMA/COM.008) "Machine Data Therapeutic - 1 Mev or Greater" - Maryland

Form MDE RX11A (MDE/ARMA/COM.008) "Machine Data Therapeutic - 1 Mev or Greater" - Maryland

Rate (4.6 / 5) 11 votes
Size: 1 MB
4 pages
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Form MDE/ARMA/COM.004 (MDE RX7A) "Film Processing Data" - Maryland

Form MDE/ARMA/COM.004 (MDE RX7A) "Film Processing Data" - Maryland

Rate (4.3 / 5) 56 votes
Size: 232 KB
2 pages
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Form MDE/WMA/COM.001 "Surface Water / Gwudi Monthly Compliance Determination" - Maryland

Form MDE/WMA/COM.001 "Surface Water / Gwudi Monthly Compliance Determination" - Maryland

Rate (4.5 / 5) 72 votes
Size: 1 MB
5 pages
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Form IOC/MDE/WMA/COM.008 "Inorganic Self-monitoring Report" - Maryland

Form IOC/MDE/WMA/COM.008 "Inorganic Self-monitoring Report" - Maryland

Rate (4.3 / 5) 97 votes
Size: 39 KB
1 page
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Form MDE/ARMA/COM.011 (MDE RX2A) "Radiation Machine Inspection Summary - Dental Facilities" - Maryland

Form MDE/ARMA/COM.011 (MDE RX2A) "Radiation Machine Inspection Summary - Dental Facilities" - Maryland

Rate (4.8 / 5) 59 votes
Size: 113 KB
3 pages
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Form MDE RX217 "Occupational Dose Record for a Monitoring Period" - Maryland

Form MDE RX217 "Occupational Dose Record for a Monitoring Period" - Maryland

Rate (4.3 / 5) 31 votes
Size: 159 KB
2 pages
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Form MDE/ARMA/PER.036 "Transfer Declaration Form for General Licensed Radiation Devices" - Maryland

Form MDE/ARMA/PER.036 "Transfer Declaration Form for General Licensed Radiation Devices" - Maryland

Rate (4.3 / 5) 60 votes
Size: 107 KB
1 page
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Form MDE211 "Certificate-In Vitro Testing With Radioactive Material Under General License" - Maryland

Form MDE211 "Certificate-In Vitro Testing With Radioactive Material Under General License" - Maryland

Rate (4.7 / 5) 13 votes
Size: 41 KB
2 pages
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Form MDE/WMA/COM.006B "Ground Water Rule Monitoring Report Form (Ground Water Systems Only)" - Maryland

Form MDE/WMA/COM.006B "Ground Water Rule Monitoring Report Form (Ground Water Systems Only)" - Maryland

Rate (4.8 / 5) 46 votes
Size: 234 KB
2 pages
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Form MDE/WMA/BWW/TRN "Application for Training Program Approval" - Maryland

Form MDE/WMA/BWW/TRN "Application for Training Program Approval" - Maryland

Rate (4.8 / 5) 18 votes
Size: 295 KB
2 pages
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Form MDE/WMA/BWD/REA "Application for License Reactivation" - Maryland

Form MDE/WMA/BWD/REA "Application for License Reactivation" - Maryland

Rate (4.3 / 5) 24 votes
Size: 203 KB
3 pages
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Form MDE/WMA/BWD/RES "Application for License Reinstatement" - Maryland

Form MDE/WMA/BWD/RES "Application for License Reinstatement" - Maryland

Rate (4.8 / 5) 22 votes
Size: 124 KB
3 pages
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Form MDE/WMA/BWW/EXM "Application for Operator Examination" - Maryland

Form MDE/WMA/BWW/EXM "Application for Operator Examination" - Maryland

Rate (4.4 / 5) 9 votes
Size: 311 KB
2 pages
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