Special Form Certificates

Special Form Certificates

The serial number for each source has a two or three digit prefix, which is related to the applicable special form certificate as shown in the table below. For example, a source with serial number 75-2345 (prefix 75) would use special form certificate USA/0614/S. The certificates are in Adobe Acrobat 3.0 format.

For source codes with an asterisk (*), these may no longer considered special form. Visit the Special Gauge Shipping page for more information.

 

Source Code Nuclide Activity mCi Special Form Certificate Expiration Date View
CC* Cs-137 8 USA/0673/S
replaces GB/140/S
11/30/2018 view
CA* Am-241 40 USA/0632/S-96
Revision 9
(replaces GB/7/S)
8/31/2022 view
CAA* Am-241 40 USA/0632/S-96
Revision 9
(replaces GB/7/S)
8/31/2022 view
40* Cs-137 8 USA/0673/S-96
Revision 3
(replaces GB/140/S)
11/30/2018 view
45* Am-241 10 USA/0659/S-96
Revision 4
(replaces GB/029/S)
7/31/2018 view
46 Am-241 40 USA/0263/S-96 Revision 6

 

8/31/2021 view
47* Am-241 40 USA/0632/S-96
Revision 9
(replaces GB/7/S)
8/31/2022 view
50 Cs-137 8 USA/0673/S-96
Revision 3
(replaces GB/140/S)
11/30/2018 view
52 Cs-137 5 USA/0767/S-96 Revision 1

 

 11/30/2018 view
54 Am-241 100 USA/0043/S-96
Revision 14
11/30/2021 view
55* Am-241 100 USA/0620/S-96
Revision 4
(replaces GB/149/S)
8/31/2022 view
57 Am-241 10 USA/0632/S-96
Revision 9
(replaces GB/7/S)
8/31/2022 view
74 Cf-252 0.1 USA/0356/S-96
Revision 13
10/31/2019 view
75* Cs-137 8 USA/0614/S-96
Revision 4
(replaces GB/0353/S)
4/30/2022 view
76 Cf-252 0.06 USA/0356/S-96
Revision 13
10/31/2019 view
77 Cs-137 8 USA/0356/S-96
Revision 13
10/31/2019 view
78 Am-241 40 CZ/1009/S-96
Revision 2
11/30/2023 view
82 Co-60 0.06 USA/0502/S-96
Revision 8
(replaces GB/193/S)
7/31/2017 view
98 Am-241 10 USA/0733/S-96
Revision 2
(replaces GB/145/S-96
11/30/2020 view
470 Am-241 40 USA/0462/S-96
Revision 8
11/30/2021 view
550 Am-241 40 USA/0462/S-96
Revision 8
11/30/2021 view
570 Am-241 10 CZ/1009/S-96
Revision 2
11/30/2023 view
750 Cs-137 8 USA/0614/S-96
Revision 4
(replaces GB/0353/S)
4/30/2022 view
751 Cs-137 8 USA/0614/S-96
Revision 4
(replaces GB/0353/S
4/30/2022 view
752 Cs-137 8 USA/0614/S-96
Revision 4
(replaces GB/0353/S)
4/30/2022 view
837 Cs-137 0.09 USA/0517/S-96
Revision 4
1/1/2021 view

*Visit the Special Gauge Shipping page for more information.