ML020350534
| ML020350534 | |
| Person / Time | |
|---|---|
| Site: | Arkansas Nuclear  |
| Issue date: | 01/16/2002 |
| From: | Entergy Operations |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML020350534 (48) | |
Text
Arkansas Nuclear One - Administrative Services Document Control Wednesday, January 16, 2002 Document Update Notification COPYHOLDER NO: 103 TO: NRC - WASHINGTON ADDRESS: OS-DOC CNTRL DESK MAIL STOP OPI 17 WASHINGTON DC 20555-DC DOCUMENTNO: OP-1903.060 TITLE: EMERGENCY SUPPLIES & EQUIPMENT REVISION NO: 034-02-0 CHANGE NO: PC-02 SUBJECT. PERMANENT CHANGE (PC) checked, please sign, date, and return within 5 days.
O1 ANO-1 Docket 50-313 EJ ANO-2 Docket 50-368 Signature Date SIGNATURE CONFIRMS UPDATE HAS BEEN MADE RETURN TO:
ATTN: DOCUMENT CONTROL e\
ARKANSAS NUCLEAR ONE 1448 SR 333 RUSSELLVILLE, AR 72801
ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE: Emergency Supplies & Equipment DOCUMENT NO. CHANGE NO.
1903.060 034-02-0 WORK PLAN EXP. DATE TC EXP. DATE n/a n/a SET # SAFETY-RELATED IPTE EYES -'NO I-]YES ONO TEMP ALT
_-]YES __NO When you see these TRAPS Get these TOOLS Time Pressure Effective Communication Distraction/Interruption Questioning Attitude Multiple Tasks Placekeeping Overconfidence Self Check Vague or Interpretive Guidance Peer Check First Shift/Last Shift Knowledge Peer Pressure Procedures Change/Off Normal Job Briefing Physical Environment Coaching Mental Stress (Home or Work) Turnover VERIFIED BY DATE TIME FORM TITLE: FORM NO. CHANGE NO.
VERIFICATION COVER SHEET 1000.006A 050-00-0
V ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE 1] UNIT 1 1>< UNII Z IL r . ,--.
TYPE OF CHANGE:
PC TC El NEW El EZ EXP. DATE: n/
El REVISION DOES THIS DOCUMENT: [] YES 0 NO
- 1. Supersede or replace another procedure? (0CAN058107)
(if YES, complete 1000.006B for deleted procedure.) [] YES 0 NO
- 2. Alter or delete an existing regulatory commitment?. (0CNA128509)(0CAN0 49803 )
(IfYES, coordinate with Licensing before implementing.)
0 YES [] NO also 1000.006, Attachment 15)
- 3. Require a 50.59 review per LI-1 01? (See (If 50.59 evaluation, OSRC review required.) E] YES 0 NO 8.5 for details.)
- 4. Cause the MTCL to be untrue? (See Step (1CAN108904, OCAN099001, 0CNA128509, OCAN049803)
(IfYES, complete 1000.009A) E] YES [D NO
- 5. Create an Intent Change?
(If YES, Standard Approval Process required.) [] YES 0E NO
- 6. Implement or change IPTE requirements?
(If YES, complete 1000.143A. OSRC review required.) E] YES [D NO
- 7. Implement or change a Temporary Alteration?
(if YES, then OSRC review required.)
document?
Was the Master Electronic File used as the source STANDARD P INTERIM APPROVAL PROCESS
- 13) DATE: ORIGI"fR SIGNATURE: iln~
nriClý 14,1T1OFZ SIGNATkURE: (Includes revfiewo of Att.
/lyl1A PHONE #:
I -. DATE:
AI/4 Interim approv aallowed or non-intent changes requinng no 50.59 evaluation that are stopping work in progress.
changes Standard Approval required for intent changes or requiring a 50.59 evaluation.
- Ifchange not required to support work in progress, Department Head must sign.
ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE:Emergency Supplies & Equipment DOCUMENT NO.
1903.060 CHANGE NO.
034-02-0
[DPROCEDURE -WORK PLAN, EXP. DATE N/A PAGE 1 OF 2
[: ELECTRONIC DOCUMENT TYPE OF CHANGE:
17 NEW Eg PC [n TC El DELETION
[-] REVISION Ml EZ EXP. DATE: N/A AFFECTED SECTION: DESCRIPTION OF CHANGE: (For each change made, include sufficient detail to describe (Include step # if reason for the change.)
applicable)
Table of Contents Renumber as appropriate Step 3.1.2 Added "[ITS Unit I SAR Table 7-11 A, Unit 2 SAR Table 7.5-3 ITS]" and added "ITS" in the margin for the integrated tech spec upgrade.
Step 3.4.1 Added "Provide twenty-five full faced respirators and sets of protective clothing for emergency TSC personnel."
Added "Radiation monitor device is available in the TSC that will have both visual and audible Step 3.4 2 alarms for monitoring radiation inside the TSC."
Step 3.4.3 Added "SCBA" and "have been verified to contain 2000 psi or greater."
Step 3.4.4 Added "Monthly emergency kit equipment operability checks."
Step 7.9 Added "ITS" in the margin and "[ITS Monthly battery checks of portable survey instruments are required monthly. (Unit I SAR Table 7-11A, Unit 2 SAR Table 7.5-3)"
Step 9.7 Added "St. Mary's" to form title Form 1903.060A page Added "KI Tablets, (Bottle of 14 Tablets), 20 Bottles, Expiration Date:"
3 and 4 of 4 Changed quantity for D-cell, from 24 to 12, C-cell, from 10 to 12, 9-volt, from 24 to 12.
Form 1903.060B page 3 of 3 Added "watch(p)" quantity "1" to inventory. Deleted "Charcoal Cartridge, 20, Expiration Date:
Form 1903.060C page from under Sampling Supplies. Deleted "Watch/Calculator" batteries from kit. Changed "D cell" 1 of3 quantity from 6 to 12 changed c-cell quantity from 6 to 12.
Form 1903.060D page Changed "D cell" quantity from 6 to 12 changed AA-cell quantity from 10 to 16.
1 of I Form 1903.060E page Deleted "Watch/Calculator" batteries from kit. Changed "D cell" quantity from 24 to 12, changed 5 of 5 c-cell quantity from 10 to 36, changed 9-volt quantity from 24 to 6.
Form 1903.060F page Deleted "Charcoal Cartridge, 25, Expiration Date:" from under Sampling Supplies. Deleted "9 1 of 2 volt" batteries from kit. Changed "D cell" quantity from 8 to 12, changed c-cell quantity from 8 to 4.
FORM TITLE: FORM NO. CHANGE NO.
DESCRIPTION OF CHANGE 1000.006C 050-00-0
ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE TITLE:Emergency Supplies & Equipment TDOCUMENT NO.
1903.060 CHANGE NO.
034-02-0
[]PROCEDURE I'-IWORK PLAN, EXP. DATE N/A PAGE I2.. OF 2 F1 ELECTRONIC DOCUMENT TYPE OF CHANGE:
[] NEW 0 PC [3 TC El DELETION 1- REVISION nl EZ EXP. DATE: N/A AFFECTED SECTION: DESCRIPTION OF CHANGE: (For each change made, include sufficient detail to describe (Include step # if reason for the change.)
applicable)
Form 1903.060J page 3 Deleted "C-cell" batteries from kit. Changed "D cell" quantity from 10 to 4, changed 9-volt of 3 quantity from 4 to 6. Added "St. Mary's" to title of form.
Form 1903.060U page Changed Anti-C Clothing quantity from 8 to 4. Added "9-volt batteries, quantity 6."
land 2 of 2 FORM TITLE: FORM NO. CHANGE NO.
DESCRIPTION OF CHANGE 1000.006C 050-00-0
PROCJWORK PLAN NO. PROCEDURE/WORK PLAN TITLE: PAGE: 1 of 43 1903.060 EMERGENCY SUPPLIES & EQUIPMENT CHANGE: 034-02-0 NOTE This procedure contains Improved Technical Specifications (ITS) content in the following format:
[ITS Example Content ITS]
This content is not valid until after the implementation of Improved Technical Specifications.
TABLE OF CONTENTS SECTION PAGE NO.
1.0 PURPOSE ............ . . . . . . . I . . . . . . . . . . . . . . . ........................ . 3 2.0 SCOPE .............. ......................................... ..... . 3
3.0 REFERENCES
......... .............................................. . 3 4.0 DEFINITIONS ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . .4 5.0 RESPONSIBILITIES... . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . 4
6.0 DESCRIPTION
........ .. . . . . . . . . . . . . . .. .. . . . . .. . .. . . . . . . . . .. . . . . . . . . . . . 4 7.0 LIMITS AND PRECAUTIC)N S .................. .... ..... ...... ...... ..... .. 5 8.0 INSTRUCTIONS ....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 8.1 INVENTORY . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . 6 8.2 MONTHLY PER]FORMANCE CHECKS ................................. 7 8.3 ANO METEOROLOGICAL TOWER DATA MONTHLY REPORT ............... 8 8.4 EMERGENCY MEDICAL LOCKER BATTERY CHECK ..................... 8 8.5 EMERGENCY KIT SEAL ACCOUNTABILITY .......................... 8 9.0 ATTACHMENTS AND FORMS 9.1 Form 1903.060A, "Control Room Kit Inventory Form" .......... 10 9.2 Form 1903.060B, "Onsite Radiological Monitoring Kit Inventory Form". ............................................ 14 9.3 Form 1903.060C, "Technical Support Center Kit Inventory Form ". ...................................................... 17 9.4 Form 1903.060D, "Main Guard House Kit Inventory Form" ...... 20 9.5 Form 1903.060E, "Emergency Operations Facility Kit Inventory Form" ............................................ 21
",,Field Monitoring Kit Inventory Form" ...... 26 9.6 Form 1903.060F, Form" ... 28 Form 1 9 03.060J, "St. Mary's Hospital Kit Inventory 9.7 31 Form 1903.060K, ",-First Aid Supplies Inventory Form"..........
9.8 Forms" ...... 32 9.9 Form 1903.060P, "Dose Assessment Kit Inventory
",,Monthly Emergency Kit Surveillance 9.10 Form 1903.060Q, 34 Checklist" ....
Form" ....... 39 9.11 Form 1903.060R, "Met Tower Data Monthly Review Form" .40 9.12 Form 1903.060S, "Emergency News Center Kit Inventory Form" ......... 41 9.13 Form 1903.060U, "UAMC Hospital Kit Inventory Log" .... 43 9.14 Form 1903.060V, "Emergency Kit Seal Accountability
PROCJWORK PLAN NO. PROCEDURE/WORK PLAN TITLE: PAGE: 3 of 43 1903.060 EMERGENCY SUPPLIES & EQUIPMENT CHANGE: 034-02-0 1.0 PURPOSE The purpose of this procedure is to describe the contents of the emergency kits and the periodic inventory requirements for the indicated emergency supplies and equipment.
2.0 SCOPE This procedure applies to the emergency supplies and equipment contained in a designated emergency kit or room unless otherwise indicated. This procedure contains monitoring requirements for assessing conformance with limiting conditions for operation of Unit I Technical Specifications.
3.0 REFERENCES
3.1 References Used in Procedure Preparation:
3.1.1 Emergency Plan ITS 3.1.2 ANO-1 Technical Specifications [ITS Unit 1 SAR Table 7-11A, Unit 2 SAR Table 7.5-3 ITS]
3.2 References Used in Conjunction with this Procedure:
3.2.1 1000.009, "Surveillance Test Program Control" 3.2.2 1601.601, "Maintenance & Calibration of Respiratory Protection Equipment" 3.2.3 1601.463, "Operation of the AM-33 Continuous Air Monitor (NWC) "
3.2.4 1904.002, "Offsite Dose Projections - RDACS Method" 3.3 Related ANO Procedures:
3.3.1 1601.601, "Maintenance & Calibration of Respiratory Protection Equipment" 3.3.2 1003.005, Fire Prevention Inspection 3.3.3 1601.463, "Operation of the AM-33 Continuous Air Monitor (NMC)"
3.4 Regulatory Correspondence Containing NRC Commitments which are Implemented in this Procedure: [BOLD] DENOTES COMMITMENTS 3.4.1 OCAN128305 (P-4110) Section 6.1.3 and 1903.060C. Provide twenty-five full faced respirators and sets of protective clothing for emergency TSC personnel.
3.4.2 0CAN038313 (P-4141) Form 1903.060C. Radiation monitor device is available in the TSC that will have both visual and audible alarms for monitoring radiation inside the TSC.
have 3.4.3 LIC-94-29 3
(P-14103) 1903.060A, Spare SCBA bottles contain 2000 psi or greater.
been verified to
- Monthly emergency kit 3.4.4 0CAN118202 (P-4067) Form 1903.060Q equipment operability checks.
4.0 DEFINITIONS kits of individual items within the 4.1 Physical Inventory - The counting to ensure minimum supply.
5.0 RESPONSIBILITIES 5.1 Manager, Emergency Planning is responsible for ensuring the The Manager, Emergency Planning and kits described in this procedure periodic inventory of emergency of equipment and and replacement for coordinating the maintenance supplies contained in these kits.
5.2 Manager, Radiation Protection/chemistry is responsible for the The Manager, Radiation Protection/Chemistry the emergency kits inventory of monthly checklist and periodic described in this procedure.
5.3 Surveillance Test Coordinator is responsible for scheduling the The Surveillance Test Coordinator Battery Checks in accordance with Tech.
Radiation Instruments Monthly Specifications.
5.4 Fire Prevention Coordinator is responsible for ensuring the The Fire Prevention Coordinator lockers and carts described in Procedure periodic inventory of fire and for coordinating the 1003.005, "Fire Prevention Inspection" equipment and supplies contained in maintenance and replacement of those lockers and carts.
6.0 DESCRIPTION
maintained at Arkansas Nuclear One 6.1 The following emergency kits are for use in the event of an emergency:
Area; shared by both 6.1.1 Control Room Kit(Unit 1 Control Room units)
(Operational Support 6.1.2 Onsite Radiological Monitoring Kit Center)
Support Center)]
6.1.3 [Technical Support Center Kit (Technical 6 .1.4 Main Guard House Kit
6.1.5 Emergency Operations Facility Kit Field Monitoring Kits A, B, C and D (Emergency Operations 6.1.6 Facility) 6.1.7 Dose Assessment Kit (Emergency Operations Facility)
Emergency News Center Kit (Emergency Operations Facility) 6.1.8 Russellville and 6.1.9 Hospital Kit - St. Mary's Hospital, Arkansas Medical Science Center (UAMSC),
University of Little Rock.
354' el., Unit 2 Turbine 6.1.10 Fire Lockers (Unit 1 Turbine Bldg.
el., Unit 1 Auxiliary Bldg. 354' el., Turbine Bldg. 386' Bldg 386' el.)
Nurse's Station) 6.1.11 First Aid Kits (Medical Lockers and 6.1.12 Initial Environmental Sampling Kit a
6.2 A Nurse's Station is maintained at Arkansas Nuclear One for use by physician in the event of an emergency.
listed on the forms attached to 6.3 Contents of the emergency kits are this procedure.
7.0 LIMITS AND PRECAUTIONS in accordance with the current 7.1 If circumstances prevent surveillance "Surveillance Test Program surveillance schedule refer to 1000.009.
Control" for instructions.
the intervals specified by the 7.2 Emergency kits shall be checked at Surveillance Test Schedule.
Manager of Emergency Planning and the 7.3 Checklists shall be completed monthly.
each use. If 7.4 Inventory lists shall be completed quarterly or after been kept intact per "Emergency Kit Seal the Emergency Kit has not required.
is Accountability", a physical inventory of the kit shall be inventoried 7.5 If kit is found unsealed, the contents Kit and ENC Kit.
Aid Supplies except for the following: First forms shall be completed.
7.6 When performing an inventory, the applicable form.
Discrepancies should be noted on applicable corrective actions shall be 7.7 Discrepancies shall be resolved or form.
initiated. This should be indicated on the inventory forwarded to Emergency Planning 7.8 When completed, the forms should be Emergency Planning will forward the forms to Records.
for review.
PAGE: 6 of 43 PROCJWORK PLAN NO. PROCEDURE/WORK PLANnTLE:
EMERGENCY SUPPLIES & EQUIPMENT CHANGE: 034-02-0 1903.060 instruments are required per 7.9 Monthly battery checks of portable survey Unit 1 Technical Specification 4.l.a; Table 4.1-1, Item 40 [ITS ITS are required monthly. (Unit Portable survey instrument battery checks 7.5-3) ITS]
1 SAR Table 7-11A, Unit 2 SAR Table 8.0 INSTRUCTIONS 8.1 Inventory required if any of the following 8.1.1 Emergency kit inventory is conditions exist:
A. The kit has been used.
B. The kit is found unsealed.
inventory.
C. The kit is due for a scheduled quarterly accountability do 8.1.2 Kits that have been maintained by seal inventory (Refer to section 8.5).
not require a physical Performance checks must be performed.
8.1.3 IF kit meets the requirements for inventory, THEN perform a complete inventory.
8.1.4 IF first quarter of year, that THEN replace all batteries contained within the kits quarter of the following will expire prior to the first an expiration date.
year and all batteries that do not have are exempt.
Batteries contained in radiological instruments that the minimum 8.1.5 Perform a physical inventory by ensuring appropriate inventory quantity for each item listed on the required the kit. This step not form is contained within Seal been maintained by "Emergency Kit if the kit has Accountability", section 8.5.
exceeded nor will be 8.1.6 Ensure expiration dates have not been items exceeded within the next quarter on appropriate (Batteries are checked ist quarter of except batteries.
year)
Inspect O-Rings on sample heads. Check for hardness or 8.1.7 to fail. Replace as cracks that may cause the sample head necessary.
check of all 8.1.8 Perform a operability check and battery in Ensure instruments are left battery powered equipment.
when complete,
...- the-off position and batteries are removed (Radiation instruments are covered by if appropriate.
.................... -- thly hecks.) . ..
clean and 8.1.9 Ensure that the emergency kits are maintained orderly.
"SAT" implies that 8.1.10 Marking items on the inventory form as have been met.
all of the above conditions
ensure the kit is locked and 8.1.11 Upon completion of inventory, contains a seal.
to Emergency 8.1.12 Complete appropriate forms and forward Planning for review.
8.2 Monthly Performance Checks NOTE with current HP procedures.
Respirators are maintained in accordance dates for the 8.2.1 Check and record the calibration due the kit. Replace or radiological instruments in instrument whose calibration due date will recalibrate any inspection.
expire prior to the next scheduled instrument listed on 8.2.2 Perform an operability check on each Form 1903.060Q as follows:
A. Perform a physical condition check on each instrument.
instruments.
B. Perform a battery check on appropriate C. Perform a qualitative source check on appropriate instruments.
equipment.
D. Perform an operational test on appropriate by AC power at all 8.2.3 Ensure radiation instruments are powered to ensure batteries are charged.
times where appropriate one hour the 8.2.4 Plug in and allow to charge for approximately they are continuously plugged in):
following items (unless A. Frisker B. Self Contained Air Sampler (used to check 12 VDC air samplers)
C. EOF Kit Battery off where 8.2.5 Ensure all radiation instruments are turned appropriate.
"SAT" implies that 8.2.6 Marking items on the checklist form as conditions have been met.
all of the above Form 1903.060Q 8.2.7 Document the monthly instrument check on "Monthly Emergency Kit Surveillance Checklist".
ensure the kit is locked 8.2.8 Upon completion of monthly checks, and contains a seal.
for 8.2.9 Forward all completed forms to Emergency Planning review.
8.3 ANO Meteorological Tower Data Monthly Report Report of "Entergy 8.3.1 Perform a monthly review of the Summary Tower Data Monthly Operations Inc., ANO Meteorological this review on 1903.060R, "Met Tower Report." Document Data Monthly Review Form".
8.4 Emergency Medical Locker Battery Check Emergency Medical Team 8.4.1 Perform a bi-monthly exchange of "Medical Radio Batteries. Document this on Form 1903.060T, Team Radio Battery Surveillance".
8.5 Emergency Kit Seal Accountability attached such that the 8.5.1 Each emergency kit must have a seal is broken. The First Aid kit cannot be used unless the seal seal.
kits do not require a Supplies and ENC 8.5.2 IF Emergency Kit is to be opened, Form 1903.060V. If THEN log the current seal number on emergency event, this kit is being opened for an actual this step is not required.
8.5.3 IF Emergency kit supplies are used, kit inventory.
THEN, upon completion of use, perform the remaining 8.5.4 Upon closure of Emergency Kit, complete Log and install a new seal.
information on Form 1903.060V seal number on form 1903.060V.
Planning.
8.5.5 Forward completed forms to Emergency 9.0 ATTACHMENTS AND FORMS "Control Room Kit Inventory Form" 9.1 Form 1903.060A, Inventory Form" Form 1903.060B, "Onsite Radiological Monitoring Kit 9.2
"-'Technical Support Center Kit Inventory Form" 9.3 Form 1903.060C, "Main Guard House Kit Inventory Form" 9.4 Form 1903.060D, Inventory Form" Form 1903.060E, "Emergency Operations Facility Kit 9.5 "Field Monitoring Kit Inventory Form" 9.6 Form 1903.060F, "st. Mary's Hospital Kit Inventory Form" 9.7 Form 1903.060J, "First Aid Supplies Inventory Form" 9.8 Form 1903.060K, "Dose Assessment Kit Inventory Forms" 9.9 Form 1903.060P, Checklist" Form 1903.060Q, "Monthly Emergency Kit Surveillance 9.10
Form" 9.11 Form 1903.060R, "Met Tower Data Monthly Review Form" 9.12 Form 1903.060S, "Emergency News Center Kit Inventory 9.13 Form 1903.060U, "UAMC Hospital Kit Inventory Form" Log" 9.14 Form 1903.060V, "Emergency Kit Seal Accountability
Page 10 of 43 Page 1 of 4 LOCATION: Unit 1 Control Room El Has been used El Found unsealed El Due for inventory No Physical Inventory Required.
El Kit Seal Accountability -
INVENTORY LIST R Corrective Equipment Equimen _+_ satActions Quantity Sj SURVEY INSTRUMENTS 2
High Range Ion Chamber 1
Frisker w/Probe (110 VAC) 1 Air Sampler (Battery) 1 Air Sampler 2
Sample Head N/A Sample Head 0-Rings 1
Check Source SAMPLING SUPPLIES 2
Watch (P) 50 Cloth Smear 20 Particulate Air Sample Filter 20 Expiration Date:
Silver Zeolite Cartridge PERSONNEL MONITORING EQUIPMENT (0 - 200R) 3 Dosimeter Dosimeter (0 - 5R) 10 (0 - 200mR) 30 Dosimeter (P) 1 Dosimeter Charger 6
TLD Badge (include 1 as BKG)
I IFORM TITLE:
CONTROL ROOM KIT INVENTORY FORM FORM NO.
1903.060A CHANGE 034-02-0
Page 11 of 43 Page 2 of 4 Required Corrective Quantity Sat Actions Equipment RESPIRATORY PROTECTION EQUIPMENT SCBA Units (6 -Unit 1 CR, 6 -Unit 12 2 CR, all medium masks) 12
'Spare SCBA Bottle Extra SCBA Mask (4 Large, 4 Small) 8 12 Expiration Date:
Canister Mask w/Iodine Canister 12 E iration Date:
Iodine Canister(S are)
PROTECTIVE CLOTHING Anti-C Clothing 12 sets Surgeon Gloves 1 Box Maslin Masking Ta 2 rolls Duct Tape 2 rolls Safety Glasses (Beta Protection) 12 pairs POSTING MATERIALS 12 Radiological Posting Signs
-'Radiation Area" Insert 6 "High Radiation Area" Insert 6 "RWP Required for Entry" Insert 6 "Airborne Radioactivity Area" 6
Insert
",,Respiratory Protection Required" 6
Insert 6
",Notify HP Prior to Entry" Insert "Contamination Area" Insert 6 6
"High Contamination Area" Insert I I FOM ITE FORM NO. I CHANGE I CONTROL ROOM KIT INVENTORY FORM 1903.060A 034-02-0
Page 12 of 43 Page 3 of 4 Corrective I Required Required Quant it Sat Actions Equipment 12 "Radioactive Material" Insert 6
Blank Insert 1 roll Radiation Warning Rope/Ribbon 4 rolls Yellow and Magenta Border Tape 5 copies Control Room Survey Maps 5
Step-Off Pads MISCELLANEOUS KI Tablets, (Bottle of 14 Tablets)
Pencil Maqic Marker FORM NO.
1903.060A 034-02-0 r FORM TITLE: CONTROL ROOM KIT INVENTORY FORM I
Page 13 of 43 Page 4 of 4 Required I t Corrective Act ions Equipment Batteries 16 "D" Cell 12 9-Volt psi have been verified to contain > 2000 1 - Indicates that spare SCBA bottles pressure.
2 -Approximately 500 sheet bundle (P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager FORM NU. CAG FORM TITLE: 1903.060A 034-02-0 CONTROL ROOM KIT INVENTORY FORM
Page 14 of 43 Page 1 of 3 LOCATION: Maintenance Facility E] Has been used El Found unsealed El Due for inventory E] Kit Seal Accountability - No Physical Inventory Required d ýriv Iqimn
ýqure In I
Quanird ( i Corrective Actions it SURVEY INSTRUMENTS 1
High Range Ion Chamber 1
Beta-Gamma Survey Meter Gamma Survey Meter 1
w/Probe 1
Frisker w/Probe (110 V) 1 Air Sampler (Battery) 1 Air Sampler 4
Sample Head N/A Sample Head O-Rings 1
Check Source SAMPLING SUPPLIES 2
Watch (P) 100 Cloth Smear 50 Particulate Air Sample Filter 1 Bundle Maslin 20 Exiration Date:
silver Zeolite Cartridge PERSONNEL MONITORING EQUIPMENT (0-200mR) 80 Dosimeter (0-5R) 80 Dosimeter (0-200R) 20 Dosimeter 1
Dosimeter Char er (P)
(include 1 as BKG) 10 TLD Badge FORM NU.
I FORM TITLE: 1903.060B 034-02-0 INVENTORY FORM ONSITE RADIOLOGICAL MONITORING KIT
43 Page 15 of Page 2 of 3 Correctiveon Required Quantity Actions RESPIRATORY PROTECTION EQUIP 4
'Spare 4 Expiration Date:
Canister Mask w/Iodine canister 4 Expiration Date:
Iodine Canister (Spare)
PROTECTIVE CLOTHING 50 sets Anti-c Clothing 3 rolls Masking Tape 3 rolls Duct Tape POSTING MATERIALS 10 Radiological Posting Signs 5
"Radiation Area" Insert Insert 5 "High Radiation Area" 5
"RWP Required for Entry" Insert "Airborne Radioactivity Area" 5
Insert "Respiratory Protection Required" 5
Insert "Notify HP Prior To Entr " Insert 5 5
"Contamination Area" Insert "Hi h Contamination Area". Insert 5 Insert 10 "Radioactive Material" 5
Blank Insert 1 roll Radiation Warning Rope/Ribbon 6 rolls Yellow and Magenta Border Tape 10 JStep-Off Pads FORM NO. I CHANGE FORM TITLE: 1903.0601 034-02-0 INVENTORY FORM ONSITE RADIOLOGICAL MONITORING KIT
Page 16 of 43 Page 3 of 3 Required Corrective Quantity I Actions Equipment MISCELLANEOUS 20 Bottles Expiration Date:
KI Tablets, (Bottle of 14 Tablets) 12 Pencil 2
Magic Marker 3
Clipboard 1
Cutting Tool 1
Calculator (P)
Plug Adapter (household to 1
Twistlock)
(P) 3 Flashlight 3
Bulbs (Spare) 2 10 Mile EPZ Map 15 Meter Bags or equiv.
30 Zip-Lock Baggies 15 Security Badge Clips 1
Outside Gas Pump Key (In OSC) 10 ea Survey Maps Batteries 12 "D" Cell Cell 12 "C"
12 9-Volt have been verified to contain t 2000 psi 1 - Indicates that spare SCBA bottles pressure.
(P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager FORM NO. CHANGE FORM TITLE: 1903.060B 03402-FORM ONSITE RADIOLOGICAL MONITORING KIT INVENTORY
Page 17 of 43 Page 1 of 3 Technical Support Center (3rd Floor Administration Building)
LOCATION:
j[j Has been used
[] Found unsealed fl Due for inventory F1 Kit Seal Accountability - No Physical Inventory Required Requitr a Corrective Quantityý Sa!:I Actions Equipment SURVEY INSTRUMENTS Gamma Survey Meter w/Probe 1
[Frisker w/Detection Chamber] 1 Check Source 1 Air Sampler 1 2
Sample Head N/A Sample Head O-Rings PERSONNEL MONITORING EQUIPMENT (0-500 mR) 20 Dosimeter (P) 1 Dosimeter Charger TLD Badge(include 1 as background) 15 RESPIRATORY PROTECTION EQUIPMENT
[Canister Mask w/Iodine Canistar] 25 1 Expiration Date:
PROTECTIVE CLOTHING 5
r(Disposable Suits)
SAMPLING SUPPLIES 1
Watch (P) 10 Expiration Date:
Silver Zeolite Cartridge FORM NO.060CHANGE FORM TITLE:
034-02-0 ITECHNICAL SUPPORT CENTER KIT INVENTORY FORM 1903.060C
Page 18 of 43 Page 2 of 3 RQuanit I Sa1Corrective Act ions IQuantityz Sat Aorctives Equipment POSTING MATERIALS 3
Radiological Posting Signs Insert 3 "Radiation Area' Insert 3 "High Radiation Area" 3
"RWP Required for Entry" Insert "Airborne Radioactivity Area" 3
Insert "Respiratory Protection Required" 3
Insert 3
"Notify HP Prior to Entry" Insert 3
"Contamination Area" Insert "Hiqh Contamination Area" Insert 3 "Radioactive Material" Insert 3 3
Blank Insert 1 roll Radiation Warning Rope/Ribbon 1 rolls Yellow and Magenta Border Tape 5 copies Admin Building Survey Maps 3
Step-Off Pads MISCELLANEOUS 20 Bottles Expiration Date:
KI Tablets, (Bottle of 14 Tablets) 12 Pencil 3
Note Pad 1
Clipboards (P) 3 Flashlight 3
Bulbs (Spare) 1 10 Mile EPZ Map I FAPM Nfl I CHANGE FORM TITLE:
TECHNICAL SUPPORT CENTER KIT INVENTORY FORM FORM NU°°° I
Page 19 of 43 Page 3 of 3 Equimen ~quanired Sa equired Corrective R SaActions Euipment Batteries 12 "C" Cell I'D" Cel 12 (P) - Requires performance check Date Performed By Date Reviewed By_
Date Emergency Planning Manager FORM NO. ICHANGE TILE:
ORM 1903.060C 034-02-0 FORM TECHNICAL SUPPORT CENTER KIT INVENTORY
Page 20 of 43 Page 1 of 1 LOCATION: Main Guard House F1 Has been used F1 Found unsealed El Due for inventory El Kit Seal Accountability - No Physical Inventory Required Requiredi] Corrective Quantity I satCr Actions it EVACUATION EQUIPMENT 12 Vests 11 Bull Horn (P)
RESPIRATORY PROTECTION EQUIPMENT Canister 2Expiration Date:
MISCELLANEOUS (P) 3 Flashlight 3
Bulbs (Spare)
(P) - Requires performance check Date Performed By_
Date Reviewed By_
Date Emergency Planning Manager FORM NO. CHANGE 1903.060D 034-02-0 FORM TITLE:
FORM I MAIN GUARD HOUSE KIT INVENTORY
Page 21 of 43 Page 1 of 5 (First Floor Room 110)
LOCATION: Emergency Operations Facility C] Has been used LI Found unsealed LI Due for inventory
- No Physical Inventory Required
[] Kit Seal Accountability Required I Corrective Actions EquipmentQuantity SURVEY INSTRUMENTS 3
Gamma Survey Meter 1
High Range Ion Chamber 2 ea.
Frisker w/Probe (110 V) 2 Air Sampler (12 V) 1 Air Sampler 4
Sample Head N/A Sample Head o-Rings 1
Check Source 2
Extension Cords SAMPLING SUPPLIES 1
Watch (P) 250 Cloth Smear 100 Particulate Air Sample Filter 1 Bundle Maslin 70 Expiration Date:
Silver Zeolite Cartridge 2 100 Sample Bottles ( 1 gal.)
5 ea.
EOF Survey Map FORM TITLE:
FORM NO. I CHANGE 10'34-02-0 IEMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM 103.060E
Page 22 of 43 Page 2 of 5 Corrective Required ;at Actions Quantit S Equi ment PERSONNEL EQUIPMENT MONITORING (0-5) 10 Dosimeter (0-200mR) 50 Dosimeter (P) 1 Dosimeter Charger 20 TLD Badge (include 1 as BKG)
RESPIRATORY PROTECTION EQUIPMENT Expiration Date:
13 Canister Mask w/Iodine Canister Expiration Date:
(Spare) 5 Iodine Canister 5
SCBA Units 10
'Spare SCBA Bottles CLOTHING PROTECTIVE 30 sets Anti-C Clothing 3 rolls Masking Tape 3 rolls Duct Tape INITIAL ENVIRONMENTAL SAMPLING KIT 1
Shovel 1 Gal. 3 Sample Bottles, 1
Shears 10 Meter Bags or equiv.
1 roll Duct Tape 1 bundle Paper Towels Surgeon Gloves Carrying Bag 25 pair 1
K FORM TITLE: 1903.060E FORM NO. 034-02-0 ICHANGE INVENTORY FORM I EMERGENCY OPERATIONS FACILITY KIT
Page 23 of 43 Page 3 of 5
' FORM TITLE:
EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM 1FoR 0No.
1903.060E I CHANE 034-02-0
Page 24 of 43 Page 4 of 5 Required Corrective Quantity Sat Actions Equipment (Regular) 3 Hand Soap 3
"Lava" Soap "Rad- Con" 4 cans Shaving Cream 2 cans "Tide" 1 box Corn Meal 1 pkg.
Chlorox 1 btl.
2 Eyewash Solution w/Applicator Paper Clothing 30 50 Bioassay Sample Containers POSTING MATERIALS 40 Radiological Posting Signs "Radiation Area" Insert 20 "High Radiation Area" Insert 20 "RWP Required for Entry" Insert 20 "Airborne Radioactivity Area" Insert 20 "Respiratory Protection Required" Insert 20 "INotify HP Prior to Entry" Insert 20 "Contamination Area" Insert 20 "High Contamination Area" Insert 20 "Radioactive Material" Insert 40 Blank Insert 20 Radiation Warning Rope/Ribbon 2 rolls Yellow and Magenta Border Tape 6 rolls 20 1 Step-Off Pads E: 034-02-0 I FORM TITLE:EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM FM 1903.0601 SCHANGE
Page 25 of 43 Page 5 of S Requie I t Corrective Eiment QatActions Batteries 6
9 -Volt 36 "C" Cell 12 "I'D" Cell verified to contain ' 2000 psi 1 - Indicates that spare SCBA bottles have been pressure.
2 - Located outside sealed kit (P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager FORM TITLE: IFORM NO.
1903.060E 034-02-0 CHNG INVENTORY FORM EMERGENCY OPERATIONS FACILITY KIT
Page 26 of 43 Page 1 of 2 (First Floor Room 110)
LOCATION: Emergency Operations Facility
[ B [ C [ D Field Monitoring Kit [] A Has been used
[] Found unsealed to be inventoried)
Due for inventory (All kits are required Required No Physical Inventory E] Kit Seal Accountability -
A B C D Corrective Required Actions EQuantity Sa Sa t S Sa Equipment QI SURVEY INSTRUMENTS 2 1 1, High Range Ion Chamber 1
1 2
' Gamma Survey Meter w/Probe 1
'Frisker w/Probe (12 VDC) 1
'Air Sampler 2
Sample Head N/A Sample Head O-Rings Check Source 1 FORM TITLE: FIELD MONITORING KIT INVENTORY FORM 1903.060F 034-02-0 FFORM NO. CHANGE
Page 27 of 43 Page 2 of 2 D Corrective:
7 S S', tS B
PROTECTIVE C CL Equipmen Equipment TH CLOTHING .
Required tity S S S a S T, I Actions Batteries "C" Cell 4 "I'D" Cell 12 (P) - Requires performance check I - May be stored outside of kit. mr/hr) 2 - The Merlin Gerin WR-Telepole or equivalent can perform both low (0.05 and may be used in place of both range and high (1000 R/hr) range measurements of the listed instruments.
Date Performed By Date Reviewed By Date Emergency Planning Manager FORM TITLE: FORM NO. I CHANGE 034-02-0 I FIELD MONITORING KIT INVENTORY FORM 1903.060F
Page 28 of 43 Page 1 of 3 LOCATION: St. Mary's Hospital E] Has been used E] Found unsealed IZ Due for inventory fl Kit Seal Accountability - No Physical Inventory Required Required I Corrective Actions Quantity Sat Equiment Instruments 1
Beta-Gamma Survey Meter 1
Frisker w/Probe (110 V) 1 Air Sampler 1
Sample Head N/A Sample Head O-Rings Check Source1 SAMPLING SUPPLIES 1
Watch (P)
Cloth Smear 200 25 Particulate Air Sample Filters 25 Ziplock Baggies or equiv.
20 Expiration Date:
Charcoal Cartridge PERSONNEL MONITORING EQUIPMENT (0-200mR) 10 Dosimeter 1
Dosimeter Charger (P) 15 TLD Badge (-11icl-ud&emras BKG)
PROTECTIVE CLOTHING lAnti-C Clothing 12 sets I FORM NO.06HANGE2 I FORM TITLE:
1903.060J (034-02-0 ST. MARY'S HOSPITAL KIT INVENTORY FORM
Page 29 of 43 Page 2 of 3 Sat Corrective Required Equipment Quantity IActions POSTING MATERIALS 20 Radiological Posting Sign 10 "Radiation Area" Insert 10 "High Radiation Area" Insert 10 "RWP Required for Entry" Insert "Health Physics Escort Required" 10 Insert "Airborne Radioactivity Area" 10 Insert "Respiratory Protection Required" 10 Insert 10 "Notify HP Prior to Entry" Insert 10 "Contamination Area" Insert 10 "High Contamination Area" Insert 20 "Radioactive Material" Insert 10 Blank Insert 1 roll Radiation Warning Rope/Ribbon 6 rolls Yellow and Magenta Border Tape 5
Step-Off Paa~ds MISCELLANEOUS I 6
Pencil 2
Magic Marker 1
Clipboard (P) 1 Flashlight (Spare) 1 Bulbs 15 Meter Bags or equiv.
FORM MNO.N.6 I CHANGE I FO 3 E FORM TITLE:
ST. MARY'S HOSPITAL KIT INVENTORY FORM
Page 30 of 43 Page 3 of 3 Required I Corrective Quantity Sat Actions Equipment PERSONNEL DECONTAMINATION SUPPLIES 4 cans "Rad- Con" 1 box "Tide" 1 pkg.
Corn Meal Chlorox 1 btl.
Batteries 6
9-Volt "I'D" Cell:ý 4 (P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager FORM NO. C3ANGE FORM TITLE:
1903.060.1 034-02-0 ST. MARY'S HOSPITAL KIT INVENTORY FORM
Page 31 of 43 Page 1 of 1 LOCATION: Nurse's Station, Medical Lockers 0l Has been used E] Due for inventory quantired iCorrective Required ;1Actions FIRST AID KITS/SUPPLIES 1
Nurse's Station 1
Medical Locker U1 354' 1
Medical Locker U2 354' 1
Medical Locker Ul/U2 386' 1
Medical Kit CA-i 1
Outage Medical Kit 1
Medical Kit Central Support Building (CSB)
Date Performed By Date Reviewed By Date Emergency Planning Manager FORM NO.
j FORM TITLE: 1903.060K 034-02-0 FIRST ID SUPPLIES INVENTORY FORM
Page 32 of 43 Page 1 of 2 Facility (Second Floor Outside Room 260)
LOCATION: Emergency Operations E] Has been used LI Found unsealed Due for inventory LI Kit Seal Accountability - No Physical Inventory Required Equipment Requiredj( Sa Corrective Equimen- Qai!!i St,_Actions Supplies Pocket Calculators (P) 4 Printer Paper 1 pkg 1
Cork Board EPZ Map 10 (1 mile)
(10 mile) I0 EPZ Map 10 Dry Erase Markers 2 rolls Scotch Tape Felt-Tip Pens 10 10 Ball-Point Pens 10 Pencils 25 Binder Clips Push-Pins and Labels 2 boxes FOMTTE FORM NO.
1903.060P ICAG 034-02-0 DOSE ASSESSMENT KIT INVENTORY FORM
Page 33 of 43 Page 2 of 2 Required Ai Quantity SatI Corrective Equipment Batteries 10 rWatch/Calculator (P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager ORM TITLE: FORM NO.
1903.060P I CHANGE 034-02-0 I DOSE ASSESSMENT KIT INVENTORY FORM
Page 34 of 43 Page 1 of S TECHNICAL SUPPORT CENTER KIT Location Number Uu u='=
Instrument TSC NMC (See Note 1)
"Daily is satisfied by performing the Note 1: The monthly operational check 1601.463.
Operational Checks" in procedure CONTROL ROOM KIT FORM TITLE: LSFORM NO. I CHANGE 1903.O60Q 034-2-0
[MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST]
Page 35 of 43 Page 2 of 5 EMERGENCY OPERATIONS FACILITY KIT ST MARY'S HOSPITAL KIT Instrument Calibration Ca!iDratlon Number Due Date DueSat Instrument Tye
'Beta Gamma
'Frisker HP-210 Detection Chamber or equiv 110 V Air Sampler N/A Dit 0-200 mRem FORM TITLE:
NO.
1F9030 I 0cHAGE
[MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST] 1903.060Q 034-02-0
Page 36 of 43 Page 3 of 5 FIELD MONITORING KIT A Instrument Calibration Number Due Date Sat Type Instrument 1,2Ion Chamber E-530 or equiv "1,2Gamma Survey Meter FFrisker HP-210 or equiv Detector 12 VDC Air Sampler 0-500 mRem N/A FIELD MONITORING KIT B FIELD MONITORING KIT C FORM TITLE:
FORM NO.
1903.060Q 034-02-0
[MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST]
I 1 Q
Page 37 of 43 Page 4 of 5 FIELD MONITORING KIT D Instrument Calibration Sat Type Number Due Date Instrument 1,2ion Chamber E-530 or equiv "Z.Gamma Survey Meter
'Frisker HP-210 or equiv Detector 12 VDC Air Sampler 0-500 mRem N/A UAMC HOSPITAL KIT IFORM NO. CANGE AI I FORM TITLE:
[MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST]
- 1903.060Q 034-02..0 I 1903.060Q 1 0341-02-0 1
Page 38 of 43 Page 5 of 5 ONSITE RADIOLOGICAL MONITORING KIT Instrument Calibration Number Due Date Sat Instrument Type
'Ion Chamber "Beta-Gamma Survey Meter
'Gamma Survey Meter
'Frisker HP-210 Detection Chamber or equiv Air Sampler Battery Air Sampler 110 V 0-200 Rem N/A Dosimeter 0-5 Rem N/A Dosimeter 0-200 mRem N/A Dosimeter 1 - Required by Tech Specs.
used in place of both of the listed 2 - The Merlin Gerin WR-Telepoles may be This telepole has a range of 0.05 mRem/hr to 1000 Rem/hr.
instruments.
Init./Date Corrective Actions Date Performed By Date Reviewed By Date Emergency Planning Manager FORM NO. CHANGE.
FORM TITLE:
1903.060Q 034 [MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST]
Page 39 of 43 LOCATION: Emergency Planning Department Page 1 of 1 INSTRUCTIONS:
of "Entergy Operations Inc.,
I. Perform a monthly review of the Summary Report ANO Meteorological Tower Data Monthly Report".
assure that the 90% data recovery A. The purpose of the review will be to and provide goal, specified in Reg. Guide 1.23, is satisfied if necessary.
of corrective action instructions for initiation basis.
B. This review will be performed on a monthly C. Acceptance criteria Ž 90% Data Recovery.
- 2. Monthly percentage readings:
A. Horizontal Wind Direction @10 M or @57 M M %
B. Horizontal Wind Speed @10 M or @57 C. Delta Temp/Stab Class 10 - 57 M OR 57 M Sig Theta/Stab Class
- 3. Results A. This review is for the month and year of:
Satisfactory - All group readings Ž 90%
Unsatisfactory - Any group reading < 90%
B. IF unsatisfactory, THEN verify that meteorological data was unavailable (using RDACS or other means).
C. IF data was unavailable, THEN initiate a Condition Report in accordance with Procedure 1000.104, "Condition Reporting and Corrective Action".
Condition Report Number:
Date:
Performed By:
Date:
Reviewed By:
IFORM I
TITLE:
MET TOWER DATA MONTHLY REVIEW FORM FORM NO.
1903.060R 034-02-0
Page 40 of 43 Page 1 of 1 Facility (Second Floor Room 240)
LOCATION: Emergency Operations E] Has been used Li Due for inventory Required Corrective Quantity Sat Actions Equipment 100 Media Packets 20 Emergency Instruction Booklets 1
Light Pointer 1
Stick Pointer 4
Clipboard 2
Overhead (books - Unit 1 and Unit 2) 5 Dry-Erase Markers Paper Towels 1 pack 1 bottle Liquid Board Cleaner 100 Media ID Badges 10 Note Pads Date Performed By Date Reviewed By Date Manager Emergency Planning ORM TITLE: EMERGENCY NEWS CENTER KIT INVENTORY FORM SFORM NU.
1903.060S CHAN4GE 034-02-0 FORMNO. HANG FORMITLE
Page 41 of 43 Page 1 of 2
- - - --- ".---, ,'4-y- (TThMCI LOCATION: University of Arkansas Med ca INSTRUCTIONS:
fl Found unsealed E] Due for inventory E Has been used Inventory Required
[ Kit Seal Accountability - No Physical i Requiedi Sat Corrective Equipment Quantity Actions SURVEY INSTRUMENTS 1
Beta-Gamma Survey Meter 1
Frisker w/Probe (110 V) 1 Air Sampler 1
Sample Head N/A Sample Head o-Rings SAMPLING SUPPLIES Watch (P) 1 200 Cloth Smear 25 Particulate Air Sample Filters ies or equiv. 25 Ziplock Ba 20 Expiration Date:
Charcoal Cartridge 1 ---
,Cutting Tool PROTECTIVE CLOTHING 4
Anti-C Clothing Surgeon Gloves or equiv. 1 Box POSTING MATERIALS 4
Radiological Posting Signs 2
"Radiation Area" Insert 2
"High Radiation Area" Insert 2
"RWP Required for Entry" Insert "FORMTITLE: 1903.060U FORMNO. 034-02-0 I UAMC HOSPITAL KIT INVENTORY FORM CHANGE
Page 42 of 43 Page 2 of 2 Required Corrective Quantity Sat Actions Equipment "Airborne Radioactivity Area" 2
Insert 2
"Notify HP Prior to Entry" Insert 2
"Contamination Area" Insert 2
"High Contamination Area" Insert
".Radioactive Material" Insert 2 2
Blank Insert Radiation Warning Rope/Ribbon 2 Rolls 1 Roll Yellow and Magenta Border Tape 2
Step-Off pads MISCELLANEOUS Pens 2 2
Magic Marker 1
Clipboards 6
Meter Bags or equiv. 1 Mas"in Bundle Extension Cord 1 1
SD-20 Tie Wraps 12 Zi*lock as or equiv. 12 Batteries 9 -Volt 16 (P) - Requires performance check Date Performed By Date Reviewed By Date Emergency Planning Manager FORMTITLE: UAMC HOSPITAL KIT INVENTORY FORM 1903.060U 034-02-0
Page 43 of 43 Page 1 of 1 EMERGENCY KIT INVENTORY SEAL ACCOUNTABILITY Kit:
Return to Emergency Planning when complete.
FORM NO. CHANGE I
[-FORM TITLE:
EMERGENCY KIT SEALi ArPflIIMTARItI ITV I r(*
1903.060V 1034-o2.o0 9.
Af-f-fN"KITAR11 ITY LOG