ML023380004
| ML023380004 | |
| Person / Time | |
|---|---|
| Site: | Millstone  |
| Issue date: | 11/13/2002 |
| From: | Olsen J Dominion Nuclear Connecticut |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| 000037280 RPM 4.8.5-022B, Rev 5 | |
| Download: ML023380004 (4) | |
Text
To Facility Address DOCUMENT CONTROL DESK MP Department : 806 NUC REGULATORY COMMISSION (0140)
DOCUMENT CONTROL DESK WASHINGTON, DC 20555 From
- NDS Date/Time
- 11/13/02 10:20 Trans No.
- 000037280 Tr Total Items: 00001 CONT DOCUMENTS ansmittal Group Id: 02317KA-7 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:
0 TWxt PASSPORT DOCUMENT TRANSMITTAL Page: li111111 liihul II111 Item Facility Type Sub Document Number! Title Sheet Revision Doc Date Copy #
Media Coples
01 OSC ASSEMBLY AREA BLDG 475 1ST FLOOR
Procedure Action Request Reviews Environmental Screen LUcensing Basis (50.69 Screen Req. [I Yes 0 ITechIndependent Print r
I...
Date Sign 1 Department Validation El None E] Field -Use El Simulated Performance -
E] Table Top and El Comparison MP-05-DC-SAP01-004 Use MP-0,-DC-SAPO1-004 Walk-through (minimum of two)
Print Sign Date Dept Coordinator Member El None El Nuclear Training
[I Briefing El Familiarization El SOR Review and Approval n-SORC Review and Approval n
Department Head Review and Approval Approval El Disapproval El NIA NIA o fk (1) Department Head Sign/Date (1) Department Head Approval Sign (1) SOR Sign/Date (2) SORC Meeting Number (2) Department Head Approval Sign A
(3) SORC Approval Sign Approval Date:./_/ Lv /m,.
Effective Date: /t//;
MP-05-DC-FAPOI.1-005 Rev. 000 Page 1 of I 08/20/02 Approval Date 09/03/02 Effective Date Document No.:
RPM 4.8.5-22B I Writer:
Jean B. Olsen Rev. No.
Minor Rev.
005 01
Title:
OSC Assembly Area, Bldg 475, 1 S floor For New Documents Document is QA E]
DH
Title:
[I Revision N Minor Revision
[3 Cleanup Revision 0 Biennial Review O Cancel
[I Void (Do Not Use) 0 Expire
[I Superceded By:
Comments:
0 Administrative Correction FLS:
Training:
Date
li/i I69-
I/ E ctive Date I/prlroval Date OSC Assembly Area, Bldg 475, 1st floor Date:
ItemDesripionQuanity F
Returned Item DescriptionRequired As Found Quantity Date osc Portable Count Rate Meter Serial No.
Date Due DIG-5 Portable Scaler Serial No.
Date Due RO-2A or Equivalent Serial No.
Date Due 110V Air Sampler Serial No.
Date Due Batteries, Spares For Survey Meters 3 Sets Batteries Replaced (Nov)
Calculator And Extra Battery (N/A Solar) 1 Batteries Replaced (Nov)
TLD Badges Replace (Apr Oct) 4 Finger Rings [4.- Ref. 6.8] Replace (Apr Oct) 8 Dosimeters (Low Range) Date Due 4
Dosimeters (High Range) Date Due 4
Dosimeter Charger Batteries Replaced (Nov) 1 Batteries, Spares For Charger Batteries Replaced (Nov) 1 Set Smears (Pkg Of 50) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6
Coin Envelopes 12 Silver Zeolite Cartridges (Replace Jan. 1, 2006) 4 Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs) 6 Ballpoint Pens 2
Markers, Felt Tip 2
Barrier Tape 1
"TApe (Roll)
RPM Form 4.8.5-22B Rev. 005-01 Page 1 of 2 I
Quantity Returned Item Description Required As Found Quantity Date Screwdriver 1
Stopwatch 1
Forceps I
Scissors I
Stapler 1
Box Of Staples I
Clipboard With Paper I
On-Site Field Monitoring Map 1
Emergency Locker I Source Plaque I
1 I
I Conference Room 4751102 Area Radiation Monitor Serial No.
Date Due Electronic Dosimetry Reader Inventoried By:
Reviewed By:
Date:
Date:
RPM Form 4.8.5-22B Rev. 005-01 Page 2 of 2 I
JI I
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