(2) Column b. Month and year of manufacture
Form 984), Part II Results of Surveillance Test:
a. Block 7.
Cite the serial number (where
of light source(s). This may be obtained from the item's
applicable) of each sample item subjected to inspection
radioactive material label.
(3) Column c. Date of conduct of inspection
b. Block 8. Not applicable.
and/or test per TRC-LSR.
c. Block 9. The following shall be cited:
(4) Column d. Notation of "x" in event light
(1) Column a.
Type of light source(s) or
source is physically damaged.
(5) Column e. Notation of "x" in event item
isotope, i.e., tritium (H3), etc. This may be obtained from
radioactive material label is missing.
the item's radioactive material label.