ML022460480

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Revised EPIPs RPM 4.8.5-028, Goshen Fire Dept
ML022460480
Person / Time
Site: Millstone  Dominion icon.png
Issue date: 08/20/2002
From: Dembek T, Haas I, Laine J, Leach B, Olsen J, Robertson B
Northeast Nuclear Energy Co (NNECO)
To:
NRC Region 1
References
RPM 4.8.5-028
Download: ML022460480 (11)
v • d • e


Text

To Facility Address CHIEF REGION 1 MP Department : 806 NRC -

EMERGENCY PREPAREDNESS (0141) 475 ALLENDALE RD.

KING OF PRUSSIA, PA 19406 From

NDS Date/Time
08/20/02 12:47 Trans No.
000033854 Tr Total Items: 00001 CONT DOCUMENTS ansmittal Group Id: 02232KA-8 Item Facility Type Sub Document Number / Title Sheet Revision Doc Date Copy #

Media Copies

  • 0001 MP PROC HP RPM 4.8.5-028 000 P

02 GOSHEN FIRE DEPARTMENT Marked (*) documents require your acknowledgement.

Acknowledgement Date :

Signature:

Please check the appropriate response and return form to sender.

All documents received.

Documents noted above not received (identify those not received).

I no longer require distribution of these documents.

Date:

Signature:

PASSPORT DOCUMENT TRANSMITTAL Page: iTILl AUil li ii1111 r.)

2/13/02 Approval Date 2/14/02 Effective Date Document Action Request sP 02_0-17 Initiated By:

Jon Firman Date 7115/02 Department:

HP Ext:

4560 Document No.:

RPM 4.8.5-2B Rev. No.;

OW Minor Rev.:

0

    • INS 2-Title- '"

Q an

,vý:-Aen Ft re iQ*-r*,.,^u For New Documents only -+ El QA RI Title Reason for Request/Action (attach commitments. CRs, ARs, OEs etc)

CR02-07497, Ali O 2o00S1,2.

Continued [1 Select one (See MP-05-DC-SAPO1 sect 2 3 to determie type of change)

[: Intent Change(sodpa Rcv., Envs*,,enRe.qea EdittCorr.:

[I Non-Intent Change Other reviews may be meumt See UP-OS-OC-FAP 01 1 ar8 3 (Onr SOR Independlnt Revew and Env screen Reqwed7 Editorial Correction Approval TPC Interim Approval (1) Plant Mgmt Staff Member PrintnSignlDate Plant Mgmt Staff Member - Approval I2 SM/SROICFH PrnnlSi ln/Date Procedure Request/Feedback Disposition Priority:

El Perform Now E] Perform Later Activity:

E] Revision E] Minor Revision E] Cleanup Rev E] Biennial Review

[] Cancellation El Supercedure See_

rdiC-O i eefe I--ITPC.

[-10TC F-- Place in VOID Reviews Print Sign Date SOR Qualified V"o continued 10 m*r Yes No Dept.

_0 F ] I RCD Jean B. Olsen 3

El P___

TI ch. ;

[C&

Tom Dembek j/ip/

El

[

E-Plan Validation

_E3 HP Licensing Basis Ira Llaas

/,7z HP Tech Independent

[

Ira L. Haas L

24-HP An NRRL Update Required 0

YES

1. 0 SOR Program Final Review and Approval 2 Final Review and Approval r-l SORC El RI/DHI mRef GDaH~

Approval Z

Disapproval El

____________mn_________

DH / R Sign Bf

  1. M.

LPMA A Meeting No SQR Qualified Indep d

eweriDate Dept Head / Respdbpe Individual SORC Signature DH I RI Signature Approval 6atd Approval Date Effective Date:

8-1( -Z"JI MP-05-DC-SAP01-001 Rev. 003-02 Page I

of '

ri

e% /

01, Approval Date Effective Date Goshen Fire Department Date:

Quatit Returned Item Description Quantity R

Required[As Found Quantity Date Team 6 Kit Portable Count Rate Meter 1

Serial No.

Date Due DIG-5 Portable Scaler Serial No.

Date Due RO-2A or Equivalent Serial No.

Date Due ASP-1/HP-270 or Equivalent 1

Serial No.

Date Due Portable Air Sampler (12 Volts) 1 Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

Tape 1

Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Calculator And Extra Battery (N/A Solar) 1 Batteries Replaced (Nov)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2

RPM 4.8.5-28 Rev. 000 Page 1 of 4 i

Quantity Returned Item Description Required As Found Quantity Date Markers, Felt Tip 2

Screwdriver 1

Stapler 1

Box Of Staples 1

Scissors 1

Stopwatch 1

Forceps 1

Clipboard With Paper 1

RMT EPP Notebook 1

Map Of Sample Locations 1

Bottle of Potassium Iodide Tablets (Expiration Date:

1 Team 7 Kit Portable Count Rate Meter 1

Serial No.

Date Due DIG-5 Portable Scaler Serial No.

Date Due RO-2A or Equivalent Serial No.

Date Due ASP-1/HP-270 or Equivalent 1

Serial No.

Date Due Portable Air Sampler (12 Volts) 1 Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

RPM 4.8.5-28 Rev. 000 Page 2 of 4

Quantity Returned Item Description Required As Found Quantity Date Tape 1

Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Calculator And Extra Battery (N/A Solar) 1 Batteries Replaced (Nov)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2

Markers, Felt Tip 2

Screwdriver 1

Stapler 1

Box Of Staples 1

Scissors 1

Stopwatch 1

Forceps 1

Clipboard With Paper 1

RMT EPP Notebook 1

Map Of Sample Locations 1

Bottle of Potassium Iodide Tablets (Expiration Date:

1 Team 8 Kit Portable Count Rate Meter I

Serial No.

Date Due DIG-5 Portable Scaler Serial No.

Date Due RO-2A or Equivalent Serial No.

Date Due ASP-1/HP-270 or Equivalent Serial No.

Date Due Portable Air Sampler (12 Volts)

Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

RPM 4.8.5-28 Rev. 000 Page 3 of 4

Item Description Required As Found Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

Thpe 1

Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Calculator And Extra Battery (N/A Solar) 1 Batteries Replaced (Nov)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2

Markers, Felt Tip 2

Screwdriver 1

Stapler 1

Box Of Staples 1

Scissors 1

Stopwatch 1

Forceps 1

Clipboard With Paper 1

RMT EPP Notebook 1

Map Of Sample Locations 1

Bottle of Potassium Iodide Tablets (Expiration Date:

I Inventoried By:

Date:

Reviewed By:

Date:

RPM 4.8.5-28 Rev. 000 Page 4 of 4

2/13/02 Approval Date 2/14/02 Effective Date Document Action Request 02071 22a, -z 02077j466

.i Initiated By:

Jon Firman Date 7/15/02 Department:

HP Ext.:

4560 Document No:

RPM 4,8.5-o92" Rev. No Minor Rev.:

00

Title:

EiegnyAai-ýrt f~nie afo'p er' 1 6o~)ief Frce ib zr4-ffi9w For New Documents only -4i [j QA RI Title Reason for Request/Action (attach commitments, CRs, ARs, OEs etc)

CR02-07497. AR 0 20 0 5 1 r2.

Continued E]

Select one (See MP-O5-DC-SAPO1 sect2 3 to determine type of change)

El Intent ChangeRsowe RcwscenR,*queti

[] Edit Corr.:

[] Non-Intent Change Other reviews may be ued See MP.O5-MC-FAP Of Iart 3 (Only SOR fndependent Revew and Env screen Reutred?

Editorial Correction Approval TPC Interim Approval (1) Plant Mgmt Staff Member Print/Sign/Date Plant Mgmt Staff Member - Approval

!2 SM/SRO/CFH Print/Si nrfDate Procedure Request/Feedback Disposition Priority:

El Perform Now [] Perform Later Activity: j [] Revision E5 Minor Revision El Cleanup Rev F1 Biennial Review El Cancellation 5] Supercedure M

See 17 C

G.Oi *o c i

['- TPC I-] OTC r-l Place in VOID Reviews Print Sign Date SOR Qualified V1 Corn continued

" -As__

Yes No Dept.

RCDJen:.flsjjn

-IAAZ PUG_ HP Progra Tom Dembek adpoa2Fn Ri an E-Plan LI RVDH i(e 45"t ValDsprvon L]

[]

i__

HP_

LMcensiNng Basis Ira Laas

._HP TechQfndependent d] Ira L Haas it_.6/DHP An NRRL Update Required

[9 YES

1. [] SQR Program Final Review and Approval 2 Final Review and Approval Approval Disapproval App vl Da ib D a.e DH /R Sign WA 4_,eMeeting No

_ SQR Qualified Indepe W.*-'ee

/ Date' Dept Head I Res*"docr'e Individual song Signature DH /RI Signature Approval Date Approval Date Effective Date:

I*

/

--- s MP-05-DC-SAPO1-001 Rev. 003-02 Page I

of I

w

[J

a -D-at Ee Approval Date Goshen Fire Department Date:

Item Description Quantity Returned IRequired As Found Quantity Date Team 6 Kit Portable Count Rate Meter Serial No.

Date Due DIG-5 Portable Scaler Serial No.

Date Due RO-2A or Equivalent Serial No.

Date Due ASP-1/1-P-270 or Equivalent Serial No._

Date Due Portable Air Sampler (12 Volts)

Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

Tape 1

Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Calculator And Extra Battery (N/A Solar)

I Batteries Replaced (Nov)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2

RPM 4.8.5-28 Rev. 000 Page 1 of 4 Effective Date

Quantity Returned Item Description Required As Found Quantity Date Markers, Felt Tip 2

Screwdriver 1

Stapler 1

Box Of Staples 1

Scissors 1

Stopwatch 1

Forceps 1

Clipboard With Paper 1

RMT EPP Notebook 1

Map Of Sample Locations 1

Bottle of Potassium Iodide Tablets (Expiration Date:

1 Team 7 Kit Portable Count Rate Meter 1

Serial No.

Date Due DIG-5 Portable Scaler 1

Serial No.

Date Due RO-2A or Equivalent 1

Serial No.

Date Due ASP-1/HP-270 or Equivalent 1

Serial No.

Date Due Portable Air Sampler (12 Volts) 1 Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

RPM 4.8.5-28 Rev. 000 Page 2 of 4

Item Description Bottle of Potassium Iodide Tablets (Expiration Date:

Team 8 Kit Portable Count Rate Meter 1

Serial No.

Date Due DIG-5 Portable Scaler Serial No.

Date Due RO-2A or Equivalent Serial No.

Date Due ASP- /HP-270 or Equivalent Serial No.

Date Due Portable Air Sampler (12 Volts)

I Serial No.

Date Due Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (Nov)

Dosimeters (Low Range) Date Due 2

Dosimeters (High Range) Date Due 2

RPM 4.8.5-28 Rev. 000 Page 3 of 4 Tape Silver Zeolite Cartridges (Replace Jan. 1, 2006)

Calculator And Extra Battery (N/A Solar)

Batteries Replaced (Nov)

Surgical Gloves (Pairs)

Coin Envelopes Rain Gear (Sets)

Ballpoint Pens Markers, Felt Tip Screwdriver Stapler Box Of Staples Scissors Stopwatch Forceps Clipboard With Paper RMT EPP Notebook Map Of Sample Locations

Quantity Returned Required As Found Quantity Date Dosimeter Charger 1

Batteries Replaced (Nov)

Batteries, Spares For Charger 1 Set Batteries Replaced (Nov)

TLD Badges Replace (Apr Oct) 2 Smears (Pkg Of 25) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

Tape 1

Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Calculator And Extra Battery (N/A Solar) 1 Batteries Replaced (Nov)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2

Markers, Felt Tip 2

Screwdriver 1

Stapler 1

Box Of Staples 1

Scissors 1

Stopwatch 1

Forceps 1

Clipboard With Paper 1

RMT EPP Notebook 1

Map Of Sample Locations 1

Bottle of Potassium Iodide Tablets (Expiration Date:

1 Inventoried By:

Reviewed By:

Date:

Date:

RPM 4.8.5-28 Rev. 000 Page 4 of 4 k

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