Special Form Certificates

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Special Form Certificates

The serial number for each source has a two- or three-digit prefix that is associated with a special form certificate (as shown in the table below). For example, a source with serial number 75-2345 (prefix 75) is associated with special form certificate USA/0614/S-96.

The special form certificates are available in Adobe Acrobat 3.0 format.

Some of the values in the Source Serial Number Prefix column flagged with an asterisk (*) may no longer be considered special form materials. Visit the Special Gauge Shipping page for more information.

Source Serial Number Prefix

Nuclide

Activity mCi

Special Form Certificate

Expiration Date

View

CC*

Cs-137

8

USA/0673/S-96
Revision 4
(replaces GB/140/S)

 

8/31/2023

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 4
(replaces GB/140/S)

 

8/31/2023

view

45*

Am-241

10

USA/0659/S-96
Revision 5
(replaces GB/029/S)

 

4/30/2023

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 4
(replaces GB/140/S)

 

8/31/2023

view

52

Cs-137

5

USA/0767/S-96
Revision 2

 

 8/31/2023

 

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 14

 

06/30/2024

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 14

 

06/30/2024

view

77

Cs-137

8

USA/0356/S-96
Revision 14

 

06/30/2024

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 12
(replaces GB/193/S)

 

3/31/2023

view

98

Am-241

10

USA/0733/S-96
Revision 
(replaces GB/145/S-96)

 

08/29/2025

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

 

780  Am-241 40 CZ/1009/S-96
Revision 2
11/30/2023 view

837

Cs-137

0.09

USA/0517/S-96
Revision 5

 

12/31/25

view

* Visit the Special Gauge Shipping page for more information.