XRF Training declaration

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Application for X-Ray Fluorescence Operator (XRF) Certification, Renewal and Recertification

I attest that ___________ has successfully completed on this ___________day of ___________, ___________ the following training sessions:

______ hours (minimum 3 hours) of classroom training in the theory of the XRF method and radiation safety in accordance with the NRCan Training Curriculum for XRF Operators as published in the Examination Preparation Booklet.

______ hours (minimum 2 hours) demonstration and practice in using XRF analyzer(s) to make accurate measurements.

______ hours (minimum 2 hours) demonstration and practice in radiation safety including the safe set up, handling, operating, maintenance and storage of XRF analyzers.

Instructor Name: (Please print) The Instructor/Trainor/Signee must be approved by NRCan, and verified against an active listing of acceptable personnel that is maintained by NRCan.
Signature:
XRF Manufacture:
NRCan Registration number:
Telephone:
Date: (yyyy/mm/dd)