DICKEY-john Corporation | Agricultural, Analytical, & Public Works Electronics

Dewpointer Licensee Form

Dewpointer General Licensee Record

Required for purchase of units containing Am-241

(Please provide your order number that was used to purchase product)

Contact person responsible for the safe installation and operation of the general licensee facility:

Check whether Americium 241 or Radium 226 is used.

Check One
Am-241 | Ra-226

Check One