Form CDC 2.11 (E), rev CDC 2.11 (E), rev Radiographic Facility Certification

National Coal Workers' Health Surveillance Program (CWHSP)

Attachment 6 Radiograph Facility Cert Doc Form No. CDC NIOSH (M) 2.11

Radiographic Facility Certification (CDC/NIOSH (M) 2.11)

OMB: 0920-0020