ML040620693

Revised Emergency Plan Implementing Procedures

ML040620693
Person / Time
Site:	Millstone
Issue date:	02/18/2004
From:	Dominion Nuclear Connecticut
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
000055407
Download: ML040620693 (72)

Text

PASSPORT DOCUMENT To DOCUMENT CONTROL DESK Facility MP Department : 806 TRANSMITTAL Address NUC REGULATORY COMMISSION (0140)

DOCUMENT CONTROL DESK WASHINGTON, DC 20555 Page: 1 From Date/Time Trans No.

NDS 02/18/04 000055407 09:18 CONT DOCUMENTS Transmittal Group Id: 04049DT-2 INK!! l0 11lN l lI1 l1H Total Items: 00020 Item Facility Type Sub Document Number/ Title Sheet Revision Doc Date Copy # Media Copies

• 0001 MP PROC HP RPM 4.8.5 ." 006 01 P 01 EMERGENCY RADIOLOGICAL EQUIPMENT MAINTENANCE INSPECTION

• 0002 MP PROC HP RPM 4.8.5-002'- 003 01 P 01 EMERGENCY OPERATIONS FACILITY TEAM 2 KIT

• 0003 MP PROC HP RPM 4.8.5-003 3' 003 01 P 01 EMERGENCY OPERATIONS FACILITY TEAM 3 KIT I

• 0004 MP PROC HP RPM 4.8.5-004 003 01 P 01 4' EMERGENCY OPERATIONS FACILITY TEAM 4 KIT

• 0005 MP PROC HP RPM 4.8.5-005 003 01 P 01 EMERGENCY OPERATIONS FACILITY TEAM 5 KIT

• 0006 MP PROC HP RPM 4.8.5-009 007 01 P 01 EMERGENCY OPERATION FACILITY

• 0007 MP PROC HP RPM 4.8.5-011,--' 005 01 P 01 UNIT 2 CONTROL ROOM

• 0008 MP PROC HP RPM 4.8.5-013A- 005 02 P 01 ENVIRONMENTAL LABORATORY

• 0009 MP PROC HP RPM 4.8.5-015 _-` 000 01 P 01 UNIT 2 PERSONNEL DECON ROOM EMERGENCY PERSONNEL DECON KIT IN

PASSPORT DOCUMENT To  : DOCUMENT CONTROL DESK Facility  : MP Department : 806 TRANSMITTAL Address  : NUC REGULATORY COMMISSION (0140)

DOCUMENT CONTROL DESK WASHINGTON, DC 20555 Page: 2 From Date/Time Trans No.

NDS

02/18/04

00005 5407 09:18 CONT DOCUM ENTS Transmittal Group Id: 04049DT-2 E1i0hEl 10W1 Total Items: 00020 Item Facility Type Sub Document Number I Title Sheet Revision Doc Date Copy # Media Copies

• 0010 MP PROC HP RPM 4.8.5-016 '~ 003 01 P 01 SAP TEAM 2 KIT

• 0011 MP PROC HP RPM 4.8.5-017 o 003 02 P 01 SAP LOCKER

• 0012 MP PROC HP RPM 4.8.5-019 002 01 P 01 VAP/SAP AMBULANCE KIT

, I

• 0013 MP PROC HP RPM 4.8.5-020 006 01 P 01 UNIT 3 CONTROL ROOM

• 0014 MP PROC HP RPM 4.8.5-021 ` 006 02 P 01 TECHNICAL SUPPORT CENTER

• 0015 MP PROC HP RPM 4.8.5-022A-- 004 01 P 01 TECHNICAL SUPPORT CENTER TSC KIT

• 0016 MP PROC HP RPM 4.8.5-022B 005 02 P 01 OSC ASSEMBLY AREA BLDG 475 1ST FLOOR

• 0017 MP PROC HP RPM 4.8.5-024 001 01 P 01 UNIT 3 PERSONNEL DECON ROOM EMERGENCY PERSONNEL DECON KIT

• 0018 MP PROC HP RPM 4.8.5-025 003 01 P 01 NAP TEAM 2 KIT

PASSPORT DOCUMENT To  : DOCUMENT CONTROL DESK Facility  : MP Department : 806 TRANSMITTAL Address :NUC REGULATORY COMMISSION (0140)

DOCUMENT CONTROL DESK From Date/Time WASHINGTON, DC 20555

NDS

• 02/18/04 09:18 CONT DOCUMENTS Ihimhmmf Page: 3 Trans No. :000055407 Transmittal Group Id: 04049DT-2 Total Items: 00020 Item Facility Type Sub Document Number / Title Sheet Revision Doc Date Copy # Media Copies

• 0019 MP PROC HP RPM 4.8.5-026 003 02 P 01 NAP LOCKER

• 0020 MP PROC HP RPM 4.8.5-0286<" 000 01 P 01 GOSHEN FIRE DEPARTMENT Please check the appropriate response and return form to NDS Bldg 475/3 Millstone Power Station or Fax to 860-440-2057.

7 All documents received.

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

I no longer require distribution of these documents.

Date: Signature:

02/27103 *03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 Writer Jean Olsen: Rev. No. Minor Rev.

Initiator Bridget Robertson I O

Title:

ErhWQrxV l~kologi (Al ,ui For NeDocuffients: Document isQA LY nait Voac DH

Title:

cen ol andloaihmrf efit6z o Revision 0 Minor Revision O Cleanup Revision El Biennial Review o Cancel-^ O Void (Do Not Use) 0 Expire 0 Superceded By.. -_

Comments: E Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, r003-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-01 1 rO05-01; 4.8.5-13A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002-01; 4.8.5-020, rOOG-01; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-1 Associated ARs Reviews Print Sign Date Department El 1 1N~z T6ax IP Cm1° 0

. -¢a" n6.0 len .Wei7 two WC 9 Att 3 Req. 0 Yes O No _

Licensing Basis / RCD _ (AM. Johnson (50.59 Screen Req. 0 Yes [0 No)

Tech independent AM. Johnson Validation None E Field - Use E Simulated Performance - E Table Top and E Comparison MP-O5-DC-SAPO1-004 Use MP-05-DC-SAPO1-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: AN None O NuclearTraining E0 Briefing O Familiarization

[E SOR Review and Anproval n SORC Review and Approval I5I Denartment Head Review and Approval Approval El DisaPproval E NpA

-A.M. Johnson (1) Department Head Sign/Date (1) Department Head Approval Sign (1) SOR Sign/Dateo Je L /L&¶ (2)SORC Meeting Number (2) Departmenpproval Sin '_.

'V . ,(3) SORC Approval Sign , __

Approval Date: OA //a / _/ Effective Date: 1) /q 04 MP-05-DC-FAP01.1-005 Rev. 001/

Page 1 of -.

MILLSTONE NUCLEAR POWER STATION HEALTH PHYSICS OPERATIONS PROCEDURE A

Emergency Radiologic Iuipment Maintenance and Inspe [Ref. 6.2]

I Approval Date: DA Ig qD Effective Date: 0o //OLq Level of Use L Information

I Millstone All Units Health Physics Operations Procedure Emergency Radiological Equipment Maintenance and Inspection [Ref. 6.2]

TABLE OF CONTENTS

1. PURPOSE .......................... 3

2. PREREQUISIT'ES ........................... 3

3. PRECAUTIONS .......................... 4

4. INSTRUCTIONS .......................... 5 4.1 Inventory Package Preparation ...........................  ;.5 4.2 Kit or Locker Inventories ............ .............. 6 4.3 Equipment Restoration .......... ................ 7 4.4 Documentation .......................... 8

5. REVIEW AND SIGNOFF .......................... 9

6. REFERENCES ............. 9

7. SUMMIARY OF CHANGES .......................... 10 A RPM 4.8.5 Level of Use l .

Rev. 006-01 I Information

- I k 1 of 11

A -

ATTACHMENTS AND FORMS RPM 4.8.5-001, "Emergency Response Facility Readiness Check Report Form" RPM 4.8.5-002, "Emergency Operations Facility, Team 2 Kit" RPM 4.8.5-003, "Emergency Operations Facility, Team 3 Kit" RPM 4.8.5-004, "Emergency Operations Facility, Team 4 Kit" RPM 4.8.5-005, "Emergency Operations Facility, Team 5 Kit" RPM 4.8.5-009, "Emergency Operations Facility" RPM 4.8.5-011, "Unit 2 Control Room" RPM 4.8.5-013A, "Environmental Laboratory" RPM 4.8.5-015, "Unit 2 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-016, "SAP Team 2 Kit" RPM 4.8.5-017, "SAP Locker" RPM 4.8.5-019, "VAP/SAP Ambulance Kit" RPM 4.8.5-020, "Unit 3 Control Room" RPM 4.8.5-021, "Technical Support Center Locker" RPM 4.8.5-022A, "Technical Support Center TSC Kit" RPM 4.8.5-022B, "OSC Assembly Area Kit and Locker Building 475, 1st floor" RPM 4.8.5-024, "Unit 3 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-025, "NAP Team 2 Kit" RPM 4.8.5-026, "NAP Locker" RPM 4.8.5-027, "Security Station Emergency Dose Rate Equipment Kit" RPM 4.8.5-028, "Goshen Fire Department" Level of Use l RPM 4.8.5 Information Re. 060

1. PURPOSE 1.1 Objective This procedure ensures that the emergency radiological monitoring and protection equipment and other specified supplies at the Emergency Response Facilities are available when needed. It also ensures that the equipment is found in appropriate quantities, and is maintained in its proper operating condition, as required by Unit 2 Technical Specification 6.12 and Unit 3 Technical Specification 6.8.4 (b).

1.2 Discussion This procedure is provided to ensure that:

• The minimum quantity of equipment is found at the locations specified on the inventory forms. [Ref. 6.7 and 6.9]

• Radiological equipment is found to be in satisfactory working condition.

• Respiratory equipment has been inspected using guidance from RPM 2.3.4, "Inspection and Maintenance Process for Respiratory Protection Equipment."

1.3 Frequency This procedure is to be completed in first, second, third, and fourth quarter of each year. The intent is to be as consistent as possible in the time frame of each inspection; avoid scheduling in January of the first quarter and June of the second quarter. This procedure shall also be completed on a post drill and on an as needed basis. [Ref. 6.7 and Ref. 6.8]

2. PREREOUISITES 2.1 General N/A 2.2 Documents 2.2.1 RPM 2.3.4, "Inspection and Maintenance Process for Respiratory Protection Equipment" Level of Use I RMv.80-

'RM.-,IRev. 006-01 Information A" -3fl

S -

2.3 Responsibilities 2.3.1 Radiation Protection Supervisor - Services approves and makes changes to RPM 4.8.5-001 through 4.8.5-028. I 2.3.2 Emergency Plan Coordinator approves changes to RPM 4.8.5-001 through 4.8.5-028. [Ref. 6.7]

2.4 Definitions 2.4.1 Emergency Response Facility (ERF) - Facilities containing emergency equipment (including radiological monitoring and protection equipment) which are activated in the event of an incident class ALERT or above classification. The station ERFs include:

• Emergency Operations Facility

• Technical Support Center

• Control Rooms

• North Access Point Assembly Area

• South Access Point Assembly Area

3. PRECAUTIONS N/A RPM 4.8.5 Level of Use Rev. 006-01 Information 4 of 11

4. INSTRUCTIONS 4.1 Inventory Package Preparation 4.1.1 RECORD the following on RPM 4.8.5-001:

• Date

• Reason for Inventory

• Kits to be Inventoried 4.1.2 For each kit or locker to be inventoried, SELECT and DATE the corresponding form from RPM 4.8.5-002 through 4.8.5-028. I RPM 4.8.5 Level of Use Al 3/4 h Rev. 006-01 Informationl 5 of 11

4.2 Kit or Locker Inventories [Ref. 6.8 and 6.10]

4.2.1 SELECT a kit or locker and PERFORM inventory as follows:

• CHECK and RECORD quantity found.

• REMOVE unnecessary items from kit or locker.

• Where indicated on form, RECORD instrument serial numbers and calibration due dates.

• IEkit contains potassium iodide tablets, PERFORM the following:

• lE potassium iodide tablets will expire prior to the next quarterly inventory, REPLACE tablets.

• Where indicated on form, RECORD expiration date of potassium iodide tablets.

• REPLACE the following on dates indicated on form:

• Batteries

• TLD badges

• Finger rings

• lE kit or locker contains respirators, PERFORM the following:

• Refer To RPM 2.3.4, "Inspection and Maintenance Process for Respiratory Protection Equipment," and VERIFY respiratory equipment tags are correct.

• Where indicated on form, RECORD inspection date.

• lE kit or locker contains equipment with batteries or sources, ENSURE the following:

• Equipment is operable

• Calibration due dates are current

• Battery condition is satisfactory

• Source response is satisfactory Level of Use WI oA4d RPM4.8.5 Information 1

• IF any equipment is found missing OR is removed, RECORD the following information on RPM 4.8.5-001:

• Kit and, if applicable, section title

• Description of deficiency

• Actions to be taken to correct deficiency 4.3 Equipment Restoration 4.3.1 WHEN all items have been checked, RESTORE equipment as follows:

a. VERIFY all Ludlum 177 meters are on and plugged in.

b. VERIFY all equipment other than Ludlum 177 meters are off.

c. PLACE stop watches in "RUN" mode to relieve spring tension.

d. Neatly REPLACE equipment in storage location.

4.3.2 RESTORE any missing or removed equipment within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

[Ref. 6.10]

4.3.3 IE any equipment cannot be restored within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, INFORM RPS - Services.

4.3.4 IF any missing or removed items are restored prior to sending RPM 4.8.5-001 to RPS - Services, PERFORM the following:

a. RECORD date deficiency was corrected on RPM 4.8.5-001.

b. RECORD date equipment was returned on the applicable kit or locker inventory form.

c. RECORD quantity of equipment returned on applicable kit or locker inventory form.

RPM 4.8.5 Leve

~ ofUse '~tN '~T ~Rev. 006-01 Information ~J ol

4.4 Documentation 4.4.1 RECORD any inventory comments on RPM 4.8.5-001.

4.4.2 SIGN and DATE completed kit or locker inventory form.

4.4.3 IF there are more kits or lockers to be inventoried, Go To Section 4.2.

4.4.4 WHEN all kits or lockers have been inventoried, SIGN and DATE RPM 4.8.5-001.

4.4.5 COMPILE completed kit or locker inventory form(s) and RPM 4.8.5-001 and SUBMIT package to RPS - Services for review.

RPS - 4.4.6 REVIEW RPM 4.8.5-001 and inventory forms for inventory Services deficiencies.

4.4.7 WHEN any missing or removed item is restored, PERFORM the following:

a. RECORD date deficiency was corrected on RPM 4.8.5-001.

b. RECORD date equipment was returned on the applicable kit or locker inventory form.

c. RECORD quantity of equipment returned on applicable kit or locker inventory form.

4.4.8 REVIEW and SIGN inventory form(s).

4.4.9 REVIEW and SIGN RPM 4.8.5-001.

4.4.10 SEND a copy of RPM 4.8.5-001 to Station Emergency Plan Coordinator.[Ref. 6.7 and 6.8]

4.4.11 SEND inventory forms to HP Calibration Laboratory to be filed.

Calibration 4.4.12 FILE inventory forms and RPM 4.8.5-001.

Technician RPM 4.8.5 Level of Use Rev. 006-01 Information 8 of 11

5. REVIEW AND SIGNOFF 5.1 The review and signoff for this procedure is located on RPM 4.8.5-001 through 4.8.5-030, of this procedure.

6. REFERENCES 6.1 NUREG-0654, FEME-REP-1, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,"Section II, Part H 6.2 NUREG-0737, "Supplement 1 to NUREG-0737 - Requirements for Emergency Response Capability (Generic Letter No. 82-33)," dated December 17, 1982.

6.3 Millstone Nuclear Power Station Emergency Plan, Appendix E, "Emergency Equipment," Rev.17, June 1995.

6.4 EPPCR-94-22, "Emergency Planning and Health Physics Improvements" 6.5 EPPCR-95-05, "Silver Zeolite Cartridges" 6.6 EP-95-023, "Operational Support Center Change," T. J. Dembek dated January 6, 1995.

6.7 NOV VIO 50-245,336,423/97-81-02 and CR M3-97-4483 6.8 NU Letter A02567, Combined Inspection No. 50-245; 50-336; 50-423, "MNPS, Unit Nos. 1, 2, & 3 Response to Notice of Violation," dated September 18, 1982, specifies frequencies of inventories, operations checks, change out and replacement schedule for items having limited shelf life. It also specifies replacement for instruments taken for calibration and collectively states that finger rings will be provided in the on-site emergency monitoring team kits and at the EOE 6.9 NU Letter, dated 12/27176. Emergency Plan equipment is on an inventory list.

6.10 NU Letter, dated 12/27/76. Emergency Plan equipment is replaced in a timely manner.

6.11 Unit 2 Technical Specification 6.12 6.12 Unit 3 Technical Specification 6.8.4(b)

l. . . Use Ik .1.. .,,AfghRPM 4.8.5 Level of Use CTN Rev. 006-0 Information 9fl L

6.13 Memo EP-98-127, "Implementation of Millstone Emergency Plan Revision #24," from Mark White to Millstone HP Management Personnel 6.14 USNRC Emergency PreparednessPosition (EPPOSI) on Emergency Plan and Implementing ProceduresChanges 6.15 MP-HPO-99081, "Closure of AIR 99006430-01," from A. S. Klotz to H. W Siegrist, dated May 21, 1999.

7.

SUMMARY

OF CHANGES 7.1 Updated procedure title of RPM 2.3.4.

7.2 Deleted RPM 4.8.5-010, "Unit 1 Control Room Kit and Locker," and RPM 4.8.5-014, "Unit 1 Personnel Decon Room Emergency Personnel Decon Kit," because the facilities are no longer used.

7.3 Updated form title changes in RPM 4.8.5-001.

7.4 Changed the title of RPM 4.8.5-009 from "Emergency Operations Facility Locker" to "Emergency Operations Facility." Deleted unnecessary verbiage in header row.

7.5 Reformated RPM 4.8.5-011 to better differentiate between the Kit and the Locker.

7.6 Changed the title of RPM 4.8.5-013A from "Overwater Team Monitoring Kit and Locker" to "Environmental Laboratory." Reformated to differentiate between the Kit and the Locker.

7.7 Changed the title of RPM 4.8.5-020 from "Unit 3 Control Room Kit and Locker" to "Unit 3 Control Room." Reformated to differentiate between the Kit and the Locker.

7.8 Changed the title of RPM 4.8.5-021 from "Technical Support Center Locker" to "Technical Support Center." Reformated to differentiate between the TSC and the Locker. Added a third source plaque, intended for use with RMT Kits 6,7, 8 at Goshen Fire Department (RPM 4.8.5-028), to the Locker.

7.9 Moved and changed the title of RPM 4.8.5 - 022B from "Technical Support Center TCS Locker" to "OSC Assembly Area, Bldg 475, 1st floor." Reformated to differentiate between the OSC, the Locker, and Conference Room 475/102. Added a source plaque to the Emergency Locker. Added an Area Radiation Monitor and an Electronic Dosimetry Reader.

RPM 4.8.5 AI of Use NZ .... 'PI irmationRe.06 I 10 of 11 1

7.10 Created new RPM 4.8.5-028, "Goshen Fire Department," consisting of three new RMT kits (Team 6,7, and 8).

7.11 References 6.7, 6.8, 6.9, and 6.10 are no longer NRC commitments.

Summary of Changes, Revision 006-01 7.12 Revised instances of replacing TLD badges and Finger Rings in the months of April and October to replacing them biannually and leaving a blank space for the correct date on the forms which follow. This change will accommodate changes in dosimetry vendors. This is corrective action to AR 03008293-02. Clover leafs were removed to reflect status changes in Regulatory Commitment Record as modified in revision 006 of this procedure.

RPM 4.8.5-002, -003, -004, -005, -009, -011, -013A, -016,

-019,-020, -021, -022A, -022B, -025, -028.

7.13 Changed replacement date for Silver Zeolite Cartridges from a set date of January 1, 2006 to replacement by that date on forms which follow. This is also corrective action to AR 03008293-02.

• RPM 4.8.5-002, -003, -004, -005, -009, -011, -013A, -016,

-017, -019, -020, -021, -022A, -022B, -025, -026, -028.

7.14 The frequency of this procedure was changed January, April, July, September to the first, second, third, and fourth quarter of each year.

This allows the scheduling of the inspection to be more flexible. This is corrective action to AR 03008293-03.

7.15 Changed brand names to reflect generic items, e.g., mild soap instead of Ivory soap. These changes were made to RPM 4.8.5-015 and -024. This is corrective action to AR 03008293-04.

RPM 4.8.5 Level of Use MW AC. REVWW Rev. 006-01 Information 11 of 11

02127103 03107103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -o02l Writer. Jean Olsen, Rev. No. l Minor Rev.

Initiator Bridget Robertson l oo 0 l

Title:

Emeqoy~gOpgrafiyectn5 &WvK; For New Documfents: Document isQA El OH

Title:

I O Revision, 0 Minor Revision 0 Cleanup Revision 0 Biennial Review o Cancel- Void (Do Not Use) 0 Exptre 0 Superceded By:-

Comments: 0 Administrative Correction FLS.

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-01 1, rO05-01; 4.8.5-13A, rOO5-02; 4.8.5-015, rOQO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002-01; 4.8.5-020, rOO6-01; 4.8.5-021, rO06-02; 4.8.5-022A, r004-01; 4.8.5-022B, rO05-02; 4.8.5-024, r001-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs Reviews Print Sign Date Department.

- se Iios lt2 LP3qe~.

jg CB 2aLrf-.0(sen ____k4t ___

WC 9 Att 3 Req. El Yes O No LUcensing Basis / RCD ID ] (.,M J~nson

.r. (50.59 Screen Req. 0 Yes 0 No) A?. //30/W1-RP Tech Independent AM. Johnson Validation 0 None E Field -Use I Simulated Performance- E Table Top and []- Comparison MP-05-DC-SAPO1004 Use MPO5DC-SAP01-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: 0 None El Nuclear Training 0 Briefing El Familiarization E SOR Review and Approval Fn SORC Review and Approval I5I Department Head Review and Approval Approval E Disapproval 0 WA

-A.M. Johnson (1) SQR 4

& 'Cl/o Sign/Date -

(t) Department Head Sign/Date (1) Department Head Approval Sign J .. UtLaL (2)SORC Meeting Number (2) Departmen pproa Sign 9r * (3) SORC Approval Sign . I pproval Date: A//0 Effective Date: 1) *uc? ,90 MP-05-DC-FAP01.1-005 Rev. 001 Page 1 of

Oa lida Approval Date 6[Iq_

Et /6t__

Effective Date Emergency Operations Facility Team 2 Kit Date:

.l Quantity. Returned Item Description Q t. -

Required As Found Quantity. -Date.

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 Portable Air Sampler (12 volts) 1 Serial No. Date Due_ _

Batteries, Spares For Survey Meters 3 Sets IG Batteries Replaced (4th quarter) . .

Calculator, Extra Battery (N/A Solar) 1 IdG Batteries Replaced (4th quarter)

TLD Badges (Replace Semi-annually) Date Due 4 Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due_ 8 Idl Dosimeters (Low Range) Date Due 4 Dosineters (High Range) Date Due 4 Dosimeter Charger - Batteries Replaced (4th quarter) 1 Batteries, Spares For Charger - Batteries Replaced (4th quarter) 1 Set Smears (Pkg of 50)

Filters, Particulate (Pkg of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6 Coin Envelopes 12 Silver Zeolite Cartridges (Replace 4th quarter.2005) 4 Id Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs) 6 Ballpoint Pens 2 Markers, Felt Tip 2 Barrier¶Tape I Thpe Screwdriver 1

1 I

RPM 4.8.5-002 Rev. 003-01 Page 1 of 2

Item Description Stopwatch Screwdriver Stopwatch Forceps Scissors Stapler Box Of Staples Clipboard With Paper RMT No. 2 EPP Notebook Bottle of Potassium Iodide Thblets (Expiration Date: )

On-Site Field Monitoring Map Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-002 Rev. 003-01 Page 2 of 2

p.

I2270 02/27103 03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -003 lWriter. Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson l C 3 l

Title:

nwernecy roi os Fact t t t3 For New Documents: Document is QA El DH

Title:

o Revision 0 Minor Revision 0 Cleanup Revision 0 BIennial Review O Cancel; Void (Do Not Use) O E.qree 0 Superceded By:.

Comments: O Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, r003-01; 4.8.5-005, rO03-01; 4.8.5-009, r007,01; 4:8.5-011, rO05-01; 4.8.5-13A, rO05-02; 4.8.5-015, r00O-01; 4.8.5-016, rO03-01; 4.8.5-017, r003-02; 4.8.5-019, r002-01; 4.8.5-020, rO6-01; 4.8.5-021, rO06-02; 4.8.5-022A, r004-01; 4.8.5-022B, rO05-02; 4.8.5-024, r001-01; 4.8.5-025; r003-01; 4.8.5-026, rO03-02; 4.8.5-028, r0001 /

Associated ARs __/

Reviews Printl Sign Date Department.

El _ _ _ _ __ _ _ __ _ _ _ _ _

• 9 A WC 9 Att 3 Req. E Yes ONo _ . -_ __

Licensing Basis I RCD M.JomonO (50.59 Screen Req. 0 Yes 0 No) . ____/___R Tech Independent A.M.sJohnon Validation CD None Field -Us [ Simulated Perl ormance - II Table Top and El- Comparison MP.O54DC-SAPO1-004 Use MPA054DC-SAP01-004 Walk-through (minimum of two) Print Silgn- Date Coordinator Member O Nuclear Training O3 Briefing IaDenartment Head Review and APnrovai

Approval Date

&d/LIq/o a Effective Date.

Emergency Operations Facility Team 3 Kit Date:

Quantity Returned Item Description - -

Required AsFound. Quantity Date:

Portable Count Rate Meter 1 Serial No. . Date Due__________

DIG-s Portable Scaler Serial No. Date Due________

RO -2A or Equivalent . 1 Serial No. Date Due__________

ASP-1I/P -270 or Equivalent Serial No. Date Due________

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

Batteries, Spares For Survey Meters 4 Sets Batteries Replaced (4th quarter) . ._._._.

Dosimeters (Low Range) Date Due. 2 Dosimeters (High Range) Date Due *2

. Dosimeter Charger - Batteries Replaced (4th quarter) I l1a

) Batteries, Spares For Charger Batteries Replaced (4th quarter) I Set TLD Badges (Replace Semi-annually) Date Due 2 IdS Smears (Pkg of 25) 1 Filters, Particulate (Pkg of 50) 1

.ICI

. Bags, Clear Plastic 4x6 12 IdS Bags, Clear Plastic 6x12 6.

Thpe I Silver Zeolite Cartridges (Replace 4th quarter 2005) 4 Calculator, Extra Battery (N/A Solar) Batteries 1 Ida Replaced (4th quarter) ._._._ .

Surgical Gloves (Pairs). 6 Coin Envelopes . 12 Rain Gear (Sets) . 2 Sets Ballpoint Pens *2 Markers, Felt Tip 2 Screwdriver -

Stapler . =

RPM 4.8.5-003

' Rev. 003-01 Page 1 of 2

I Quantity Returned

. ~Item Description.

Item Des o .Required As Found Quantity Date Box of Staples 1 Scissors 1

. Stopwatch 1 Forceps. 1 Keys For Fox Island Wildlife Area . 2 Clipboard With Paper . I RMT No. 3 EPP Notebook- 1 Map Of Sample Locations 1 Bottle of Potassium Iodide 7bblets (Expiration Date: ) 1 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-003 T Rev. 003-01 Page 2 of 2

t 02/27/03 03107/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - 0 0 Lk Writer. Jean Olsen Rev. No. Minor Rev.

Initiator Bridget Robertson I O:5 I 0 T 9 fle: OpMaenc ioyS rXpoj I iT am ec 1 v+ 4 For New Documents: Document is QA LJ DH

Title:

O Revision, 0 Minor Revision E Cleanup Revision El Biennial Review E3 Cancel- Voild (Do Not Use) 0 Expire 0 Superceded By:

Comments: El Administrative Correction FLS:_

The followirig forms have been revised with this procedure and follow.with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, r003-01; 4.8.5-004, rO03-01; 4.8.5-005, r003-01; 4.8.5-009, rO07-01; 4;8.5-011, rO05-01; 4.8.5-13A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rO06-01; 4.8.5-021, rOO6-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, r003-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-01 Associated ARs /

Reviews Print Sign Date Departmentl CYV$ s-blsapliu- 413d~atmos Udgg s0

-C 0(sen 9 11Ald _I__s___. 70 WC 9 Att 3 Req. O Yes 0 No 5 ____ __

Licensing Basis / RCD ,AM.Johnson (50.59 Screen Req. i Yes E No) _________

Tech Independent _ Johnson//3//30/oY

__A.M.

Validation 1 None El Field - Use E Simulated Performance - E Table Top and Comparlson C-MP SAPO01004 Use MPO05.DC-SAPO1-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: 0 None El Nuclear Training 0 Briefing El Familiarization i5 SOR Review and Approval n SORC Review and Approval 5 DePartment Head Review and Approval Approval El Disapproval NIA W

-AM.Johnson e i*6 .~~dZ(1)Depaitrnent Head SIgn/Date (1)Department Head Approval Sign (1) SOR - SigntDate (2)SORC Meeting Number (2)DepartmeMPVSppoval Slgn (3) SORC Apprval Sign Approval Date: 0A A4 Effective Date: 11q1/0/q4t MP-05-DC-FAPoI.1-005 Rev. 001 Page 1 of

Approval Date 0911gloq

.Effective Date Emergency Operations Facility Team 4 Kit

-Date:

Quantity -Returned .

Item Descriptionl.  :.

t D Required, As Found Quantity Date Portable Count Rate Meter 1 Serial No. Date Due____

DIG-5 Portable Scaler 1 Serial No. Date Due__________

RO-2Aor Equivalent 1 Serial No. Date Due________

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

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

Batteries, Spares For Survey Meters Batteries Replaced (4th quarter) _

4 Sets I0 Dosimeters (Low Range) Date Due__ 2 Dosimeters (High Range) Date Due - 2 Dosimeter Charger -. Batteries Replaced (4th quarter) 1 I0 Batteries, Spares For Charger' 1 Set Batteries Replaced (4th quarter) ._._  :

TLD Badges (Replace Semi-annually) Date Due _ 2 I0 Stopwatch 1 .

Forceps 1 Smears (Pkg of 25)

Filters, Particulate (Pkg of 50) 1 Bags, ClearPlastic 4x6 12 Bags, Clear Plastic 6x12 6 ._=

Thpe 1 Silver Zeolite Cartridges (Replace 4th quarter 2005) 4 Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter) . ._.

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

. Markers, Felt Tip 2 RPM 4.8.5-004 Rev. 003-01 Page 1 of 2

Quantity Returned Item Description Required As Found Quantity Date Screwdriver 1 Stapler 1 Box of Staples .

Scissors 1 Clipboard With Paper 1 RMT No, 4 EPP Notebook 1 Map of Sample Locations .

Bottle of Potassium Iodide Tablets (Expiration Date: ) 1 Inventoried By: Date:

Reviewed By: Date: .

RPM 4.8.5-004 Rev. 003-01 Page 2 of 2

A 02/27/03 03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -C0 5 Writer Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson 00 5 O l

Title:

~ (Qp~cmia s T.c~6'it KtU~

For New Documents: Document is QA El DH Tile:

o Revision

• Minor RevIsion Cleanup Revision E Biennial Review 0 CancelT OVold (Do Not Use) 0ETxpire O Superceded BY-Comments: 0 Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, r003-01; 4.8.5-005, r003-01; 4.8.5-009, r007-01; 4;8.5-01 1, rO05-01; 4.8.5-13A, r005-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002-01; 4.8.5-020, rO06-01; 4.8.5-021, rOO6-02; 4.8.5-022A, r004-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01 -01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rOCO-Ol Associated ARs /

Reviews Print Sign Date Department.

.l El G7vs - biscsplikv Uaq03 sds ;pP 12 __'_ _'_ G WC 9 Att 3 Req. El Yes O No Licensing Basis / RCD K Johnson (50.59 Screen Req. 0 Yes 0 No) _________R Tech independent A.M. Johnson Y K Validation None []Field -Use [ Simulated Performance- Table Top and 5 Comparison MP-054DC-SAPOlW004 Use MP4O5-DCSAP0I-004 Walk-through (minimurn of two) Print Sign Date Dept Coordinator Member Training: El None 0 Nuclear Training El Briefing El Familiarization

[1 SOR Review and Approval Fn SORC Review and Approval l Department Head Review and Approval Approval E1Disapproval WA

-A.M. Johnson eg~k, (1)Department Head Sign/Date (1) Department Head Approval Sign (1) SOR , Sign/Date J U(2) SORG Meeting Number (2) Department p Sign DroVal 0  ; (3) SORC Approval Sign Approval Date: &AR/1? / Effective Date: 1q10q MP-05-DC-FAPO1.1-005 Rev. 001 j Page 1 of {

(%2~I/?,KO'4 OA//q1Y-Approval Date. Effective Date Emergency Operations Facility Team 5 Kit Date:

Quantity. Returned Item Descriptionl tt . Required' AsFound Quantity Date-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 orEquivalent .

Serial No. Date Due_ ._.__

Portable Air Sampler (12 Volts) . 1 Serial No. Date Due Batteries, Spares For Survey Meters . 4 Sets .

Batteries Replaced (4th quarter)

Dosimeters (Low Range) Date Due 2 Dosimeters (High Range) Date Due . 2 Dosimeter Charger - Batteries Replaced (4th quarter) . 1 .

Batteries, Spares For Charger 1 Set Batteries Replaced (4th quarter) ._1 TLD Badges (Replace Semi-annually) Date Due_ 2 . - C Smears (Pkg of 25) I.

Filters, Particulate (Pkg of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6

'ape 1 Silver Zeolite Cartridges (Replace 4th quarter 2005) 4 i Calculator And Extra Battery (N/A Solar) 1 i Batteries Replaced (4th quarter) .

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

Markers, Felt Tip 2 Stapler . 1 RPM 4.8.5-005 Rev. 003-01 Page 1 of 2

Quantity Returned Item Description Required As Found Quantity Date Box of Staples 1 Scissors 1 Stopwatch 1 Forceps 1 Clipboard With Paper 1 RMT No. 5 EPP Notebook 1 Map of Sample Locations 1 Bottle of Potassium Iodide Tablets (Expiration Date: )

Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-005 Rev. 003-01 Page 2 of 2

4 02/27/03 03107/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - 009 Writer: Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson 055 0

Title:

emeren OperaJn5 Rcty For New Documents: Document is QA EJ DH

Title:

o Revision 0 Minor Revision 0 Cleanup Revision 0 Biennial Review O Cancol 3 Vold (Do Not Use) Q3 Eisre O Superceded By -

Comments: 0 Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-01 1, rO05-01; 4.8.5-13A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03401; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rO06-01; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-01 Associated ARs _/

Reviews Print Sign Date Department.

19 RC. __ _ _ ._

WC 9 At 3 Req. O Yes O No Ucensing Basis / RCD 1 A - Johnson (50.59 Screen Req. 0 Yes 03 No)

Tech Independent _ A.M.Johnson_

_ _ //30M0Y Validation 0 None Field -Use Simulated Performance - El Table Top and rl Comparison MP-054)C-SAPO1004 Use MP-05-DC-SAPO1-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator 7 Member Training: El None El Nuclear Training O Briefing El Familiarization El SOR Review and Approval n SORC Review and Approval MIa Department Head Review and ApDroval Approval E Disapproval El W/A .. .. . _.

Sign

_ m.

(1) Department Head Approval

-AM.A Johmnsn 14* J3°/l p2s71 MP-05-DC-FAP01.1-005 Rev. 001 Page 1 of___

I ATS Ih0Co Approval Date .

ec DJatoe Effective Date Emergency Operations Facility

.Date:

Quantity. Returned Itemn Description As Quantity Date

- _ Found.

Dosimeters (0-1r) Date Due 50 Dosimeters (0-50r) Date Due 10 TLD Badges (Replace Semi-annually) Date Due 50 Finger Rings [Ref6.81 (Replace Semi-annually) Date Due 25 Iic Dosimeter Charger - Batteries Replaced (4th quarter) 2 1c3 Spare Batteries For Charger - Batteries Replaced (4th quarter) 2 Sets la 1 Respirators - Date Inspection Due 50 Respirators with Charcoal Cartridges 10 Date Inspection Due_ _

Complete Sets Of PCs 20 Rubber Shoe Covers (Pair) 20.

Rubber Gloves (Pair) 40 Smears (Box). 8 Smear Folders (Box) 8

. Scissors 6 Radiation Ribbon (Rolls) 20 Duct 7hpe (Rolls) 12.

Vinyl Gloves (Boxes) 2 Cotton Gloves (Pair) 5(=

e Radiation Area Signs 20 A High Radiation Area Signs 20 Contaminated Area Signs 20 Airborne Radioactivity Signs 20 Hoods 50 Booties, Plastic (Pair) 50

- Step-off Pads 10 Radioactive Material Stickers With Labels 50

Paper Suits 75 RPM 4.8.5-009 Rev. 007-01 Page 1 of 4

Emergency Operations Facility I Item Description I Quantity Returned I Required I As Found 1 Quantity . Date U.

110 Volt Air Samnplers 1 51 I I .I

• No. Serial No. Date Due 1I 2

3 4

5 12 Volt Air Samplers I D I I* I No. Serial No. Date Due I

2 3

4 5

Silver Zeolite Cartridges (Replace by 4th quarter 2005) la Particulate Filters 100 I I E-140/HP-210 or Equiv, ilent I 5 .I I I I No. Serial No. Date Due I 1 1 2

4 5

a - a a RO-2A or Equivalent

. No. Serial No. Date Due i 231 .

• 3

-s 1 4

5 6

.5 i 7 .5 RPM 4.8.5-009 Rev. 007-01 Page 2 of 4

Emergency Operations Facility I

.. Quantity Returned Item Description . Quantity.R.t .r.

Required As Found Quantity Date PS-2-2IHP-210 or Equivalent 3 No. Serial No. Date Due . .*g tI 2

3

~ Ha' Teletectors or Equivalent 2 No. Serial No. Date Due 3 2

+  :::~+, . ..........

DIG-s or Equivalent I e Io. Serial No. Date Dueqa 11 2

ASP-9V lt P270 or Equivalent 3 No. Serial No. Date Due SpareBatteri r -2 =

Sparel Batteries FRepilae(thectorter 25St I

I C Cell Batteries Replace (4th quarter) 1 Source Plaque 5 Screwdriver1 RPM 4.8.5-009 Rev. 007-01 Page 3 of 4

Emergency Operations Facility .1 Quantity Returned .

Facility Item Description - -

Required As Found Quantity Date Area Radiation Monitor 1 Serial No. Date Due_______

Friskers At Entrances Tb EOF 2 Model Serial No. Due Date i.-MM Friskers In Decon Room 2 Model Serial No. Due D _

Portal Monitor 1 Serial No. Date Due CamD1 Due Serial No. .Date Due ._____,_

• Inventoried By: - Date:

Reviewed By:_ Date:

RPM 4.8.5-009 Rev. 007-01 Page 4 of 4

02127/03 03107103 Approval Date Effective Date Procedure Action Reauest Document No.: RPM 4.8.5 -b Writer: Jean-Olsen. Rev. No. l Minor Rev.

Initiator Bridget Robertson 005 l 01

Title:

L(lnJ} 2 (Oonfro Q tl I 'Room)

For New Documents: Document is QA L DH

Title:

O Revision 0 Niinor Revision 0 Cleanup Revision 3 Biennial Review o Canceli O Vold (Do Not Use) 0 Expire a Superceded By:

Comments: 0 Administrative Correction FLS._

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-011, r005-01; 4.8.5-13A, rO05-02; 4.8.5-015, rOO0-01; 4.8.5-016, rO03-01; 4.8.5-017, r003-02; 4.8.5-01 9, r002-01; 4.8.5-020, rO06-01; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rOO5-02; 4.8.5-024, r001-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rOO0-01 Associated ARs Reviews Print Sign Date Department cb19 6 cnO(Sen Q)~i ZW 02-A f390 WC 9 Att 3 Req. O Yes C No El Ucensing Basis / RCD 1 ACM. Johnson (50.59 Screen Req. 0 Yes 0 No) _________________R Tech Independent A.M. Johnson//3 Validation 0 None I Field -Use ] Simulated Performance - E Table Top and D. Comparison MP-05-DC-SAP01004 Use MP-D5-DC-SAP01I-004 Walk-through (minimum of two) Print Sign Date Dep Coordinator Member Training: El None O Nuclear Training El Briefing O Familiarization 5 SOR Review and ADproval F SORC Review and Approval bI Denartment Head Review and Approval Approval 5 Disapproval D WA

-A.M. Johnson t- t jA/ (1) Department Head Sign/Date (1) Department Head Approval Sign (1) SQR , Slgn/Date (2)SORC Meeting Number (2) Departmeo va Sign

.' V ` . (3) SORC Aproval Sign Approval Date: OA/AR/o Effective Date: o RI//T/0 MP-05-DC-FAPo1.1-005 Rev. 001 l . ~Pagel1 of J

fi

\  :,

D /lW/O OAIIWO0t Approval Date Effective Date Unit 2 Control Room Date:

Quntt Returned Item Description Quatit______

Required As Found Quantity Date Team I Kit Portable Count Rate Meter Serial No. Date Due _

DIG-S Portable Scaler 1 Serial No. Date Due_ _

RO-2A or Equivalent 1 Serial No. Date Due Air Sampler 110 Volt Serial No. Date Due_ _

Batteries, Spares For Meters -Batteries Replaced (4th quarter) 3 Sets Dosimeters (Low Range) Date Due_ 3 Dosimeters (High Range) Date Due_3 Dosimeter Charger - Batteries Replaced (4th quarter) 1 .Id Batteries,Spares For Charger - Batteries Replaced (4th quarter) 1 Set TLD Badges (Replace Semi-annually) Date Due 3 iciG Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due 6 Ida Stopwatch 1 lai Screwdriver 1 Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter)

Plastic Bags 6x12 5 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 Coin Envelopes 5 Forceps 1 Particulate Filters (Pkg of 12) 1 Smears (Pkg of 50) 1 Ballpoint Pens 2 Markers, Felt Tip 2 Surgical Gloves (Pairs) 8 Rain Gear (Sets) 4 Clipboard With Paper 1 RMT No. 1 EPP Notebook 1 On-Site Field Monitoring Map 1 RPM 4.85-011 Rev. 005-01 Page 1 of 2

I Quantity l Returned I Item Description I Required I As Found l Quantity l Date .I Emergency Locker Portable Count Rate Meter 2

1. Serial No. Date Due

2. Serial No. Date Due________

Ieletector or Equivalent 1 Serial No. Date Due____

Batteries Spares For Survey Meters 3 Sets Batteries Replaced (4th quarter) ._ .

Dosimeters (High Range) Date Due 10 Dosimeters (Accident) Date Due 3 Dosimeter Charger 1 Batteries Replaced (4th quarter) .

Batteries Spare For Charger 1 Set 1a Batteries Replaced (4th quarter)

Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due 10 1ic Plastic Booties (Pairs) 8 Cotton Gloves (Pairs) 8 Paper Coveralls (Sets) 4 PCs Complete Sets 10 Respirators With Charcoal Canisters 12 Date Inspection Due Scott Air Paks 2 Survey Forms I Set Source Plaque 1 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-011 Rev. 005-01 Page 2 of 2

03 07 0 02 2 7 02/27103 -03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -o f;?A Writer. Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson C>5 02 Tte:Cn Aonnmnio La-o~-Tt2 ry For New Documents: Document is QA El DH

Title:

O Revision, 0 Minor Revision E Cleanup Revision 0 Biennial Review O Cancel. E Vold (Do Not Use) O Expire E Superceded By:

Comments: O Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, r007-01; 4;8.5-011, r005-01; 4.8.5-13A, r005-02; 4.8.5-015, rOO0-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02401; 4.8.5-020, rO0G-o6; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs /

Reviews Print Sign Date Department.

El El _ _ _ _ _

GIsb -( Is -janb. sen C WC 9 Att 3 Req. O Yes 0 No Ucensing Basis / RCD Johnson (50.59 Screen Req. 0 Yes 0 No) _ ________________R Tech Independent iA.M.Johnson Validation 3 None 0 Field - Use E Simulated Performance- ] Table Top and Comparison Cl MP-054DC-SAPO1I004 Use MP-054DC-SAP01-4 Walk-through (minimurn of two) Print Sign Date Dept Coordinator I Member Training: El None El Nuclear Training El Briefing El Familiarization El SQR Review and Approval n SORC Review and APproval 64 Department Head Review and Approval Approval E Disapproval I WA

-A.M. Johnson Z Ž (1)Department Head Sign/Date (1)Department Head Approval Sign (1)SQR Sign/Date (2) SORC Meeting Nunber (2)Departmnen proval Sign

'V ,. (3) SORC Approval Sign , __

Approval Date: Effective Date: 1  ?/qf69LM MP-05-DC-FAPO1.1-005 Rev. 001 lI-. Page 1of

A//Date o . OSOL6/zk Eft Approval DateI Effectlive Date Environmental Laboratory I Date:

.Quantit Returned Item Description ~tyu 1 Reuie ItemDescriptionRequired l As Found Quantity. Date Overwater Kit Portable Count Rate Meter 1 Serial No. Date Due______

DIG-5 Portable Scaler1 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 (4th quarter) .

Dosimeters (Lowv Range) Date Due ______2

. Dosimeters (High Range) Date Due 2 Dosimeter Charger - Batteries Replaced (4th quarter) 1 Batteries, SparesFor Charger - Batteries Replaced (4th quarter) 1 Set .la

.1i TLD Badges (Replace Semi-annually) Date Due 2 1(a

• Stopwatch 1

. Forceps. 1 Smears (Pkg of 25) 1 Filters, Particulate (Pkg of 50) 1 Bags, Clear Plastic 4x6' '12 Bags, Clear Plastic 6x12 6

.I pe 1 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 1d Calculator, Extra Battezy (N/A Solar) 1 la Batteries Replaced (4th quarter) .

Surgical Gloves (Pairs) 6 Coin Envelopes . 12 RPM 4.8.5-013A Rev. 005-02 Page 1 of 2

Quantity Returned Item Description.

Ite. DRequired As Found Quantity Date Rain Gear (Sets) 2 Sets Ballpoint Pens 2 Markers, Felt Tip. 2 Screwdriver 1 Stapler 1 Box of Staples 1 Scissors 1 Clipboard With Paper 1 Overwater Team EPP Notebook 1 Map of Sample Locations 1 Bottle of Potassium Iodide Tablets (Expiration Date: ) 1 Overwater Team Emergency Locker All Weather Suit 2 Battery Powered Lantern (Replace battery 2nd quarter, 2008) 1 01(

Flashlight. 2 Spare Batteries for Flashlights (D-Cell) 2 Sets Respirators with Charcoal Cartridges 6 Date Inspection Due:

Complete set of PCs 6 Source Plaque 1 Inventoried By: Date:

Reviewed By: Date:.

RPM 4.8.5-013A Rev. 005-02 Page 2 of 2

r 02/27/03 03/07103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - o Writer. Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson coO O l

Title:

k1iiF 2 PetrSb'I~eerencj For New Documents: Document is QA k onl rn LO DH Tile: (J Tsr u-e ThQ ri k.--

O Revislon , Minor Revision 0 Cleanup Revision [ Biennial Review O Cancel (:I Vold (Do Not Use) O Expire O Superceded By, Comments: O Administrative Correction FLS._

The followirig forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-01 1, rO05-01; 4.8.5-13A, r005-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-01 9s,rO02-01; 4.8.5-020, r006-01; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, rOO3-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-01 Associated ARs /

Reviews Print Sign Date Department E l_ _ _ _

1[9I 6n. Olsen X WdiIA4A i3 WC 9 At 3 Req. O Yes 0 No E.

LUcensing Basis / RCD A.M. Johnson (50.59 Screen Req. 0 Yes 0 No) Jhnson VM.

Tech Independent A.M. Johnson //31?/,5 fR Vaildatlon HeNone l Field - Use El Simulated Pertormance- El Table Top and Comparison C

MP054DC-SAPO1-004 Use MP-05-DC-SAPO1-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: 0 None 0 Nuclear Training El Briefing 0 Familiarization El SOR Review and ADProval n SORC Review and Approval 5 DePartment Head Review and Approval Approval E] Disapproval NA W

Aprv Elhnso Disappovl

-A.Johns on e ' '

(1) Department Head Sign/Date (1) Department Head Approval Sign (1) SOR / Sign/Date (2)SORC Meeting Number (2) Department roval Sign

_ _ __ _ _ _ _ (3)SORCApproval Sign __I Approval Date: Effective Date:

MP-05-DC-FAPO1.1-005 f

Rev. 001 .

Page 1 of

Approval Date 6S/q./&

Effective Date Unit 2 Personnel Decon Room Emergency Personnel Decon Kit Date:

Quantity Returned Item Description RF lRequired lAsFound Quantity Date Fingernail Brushes 12 Mild Soap, Bars 24 IG Abrasive Soap, Bars 12 1(d Razors 24 Skin lotion, Bottles 2 Shampoo, Bottles 24 Shaving Cream, Cans 2 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-015 Rev. 000-01 Page 1 of I

03/07/03 02/27/03 02/27/03 03107103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5- 016 Writer Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson I O 01o

Title:

SAP PlLam 2 Kg&

For New Documents: Document is QA El DH

Title:

o Revision, 0 Minor Revision a Cleanup Revision 0 Biennial Review o Cancel- O Vod (Do Not Use) E Etxpire 0 Superceded By:

Comments: 0 Administrative Correction FLS._

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, r003-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, r003-01; 4.8.5-009, rO07-01; 4;8.5-011, rO05-01; 4.8.5-1 3A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rOO6-01; 4.8.5-021, rOO6-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, r001-01; 4.8.5-025, rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs /

Reviews Print Sign Date Department

.i '_ '-O_ _ _ _ _ __ _ _ _ _ _

Cyzss -  %>i u ~m1h 2 WC 9 Att 3 Req. O Yes O No El Ucensing Basis / RCD 1 Johnson (50.59 Screen Req. 0 Yes 0 No) _ _________R Tech Independent - A.M Johnson ,o( L/30 , 0e Validation ED None [] Field -Use SimulatedPerformance- E TablelTopand ], Comparison MP-05-DC-SAPOI-004 Use MP-05-DC-SAP01-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: El None El Nuclear Training El Briefing El Familiarization

[l SOR Review and Approval n SORC Review and ADproval 1 Department Head Review and Approval Approval n Disapproval N/A WA A.M. Johnson C (1)Department Head Slgn/Date (1) Department Head Approval Sign (1) SOR / Sign/Date (2)SORC Meeting Number (2) Departmen Sign iroyal Y__ _(3) SORC Approval Sign __1 Approval Date: D9 //I 1/14 Effective Date: 02//e7/6aLf MP-05-DC-FAPO1.1-005 r- Rev. 001/

Page 1 of L

O, ,

Approval Date e Effective Date SAP Team 2 Kit Date:

. D Quantity Returned

.te De o Required As Found Quantity Date Portable Count Rate Meter Serial No. Date Due .

DIG-5 Portable Scaler Serial No. Date Due_ _

RO-2A or Equivalent 1 Serial No. Date Due_ _ _ _

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

Batteries, Spares For SurveyMeters 3 Sets Batteries Replaced (4th quarter)

Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter) .

TLD Badges (Replace Semi-annually) Date Due 4 Id Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due . 8 II Dosimeters (Low Range) Date Due_4 Dosimeters (High Range) Date Due 4 Dosimeter Charger - Batteries Replaced (4th quarter) 1 Ida Batteries, Spares For Charger - Batteries Replaced (4th quarter) I Set Ida 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 By 4th quarter 2005) 4 Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs) 6 Ballpoint Pens 2 Markers, Felt Tip 2 Barrier Thpe 1 Tape 1 I

RPM 4.8.5-016 Rev. 003-01 Page 1 of 2

Quantity Returned Item Description Required As Found Quantity Date Stopwatch 1 Screwdriver 1 Forceps

. Scissors

. Stapler 1

. Box of Staples 1 Clipboard With Paper and Survey Forms 1 RMT No. 2 EPP Notebook Bottle of Potassium Iodide Tablets (Expiration Date: )1 On-Site Field Monitoring Map 1 Inventoried By: Date: .

Reviewed By: Date:

RPM 4.8.5-016 Rev. 003-01 Page 2 of 2

I 02/27/03 03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - 0 t Writer. Jean Olsen. Rev. No. Minor Rev.

initiator Bridget Robertson o 0

Title:

SA- o ~-

For New Documents: Document is QA O DH

Title:

O Revision 0 Minor Revision O Cleanup Revision O BiennIal Review O Cancel- O Void (Do Not Use) O Expire [ Superceded By:

Comments: 0 AdminIstrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-011, rOO5-01; 4.8.5-13A, r005-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-41; 4.8.5-017, r003-02; 4.8.5-019, rO02-01; 4.8.5-020, rOO6-01; 4.8.5-021, r006-02; 4.8.5-022A, rO04-01; 4.8.5-022B, r005-02; 4.8.5-024, r001 -01; 4.8.5.025, r003-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs Reviews Print Sign Date Department Gvss - - ___ 4 teY 'si

__ _ __ _ __ _ IS jfani.O((scrn ____1gl P WC 9 Aft 3 Req. O Yes O No ]

Ucensing Basis I RCD A.M. Johnson (50.59 Screen Req. 0 Yes 0 No) A Jn //_______RP Tech Independent - AM. Johnson -/t - r R Validation ED None I Field - Use El Simulated Performance - E Table Top and ] Comparison MP-054)C-SAPOI-004 Use MP-054DG-SAPOI-004 Walk-through.

(minimum of two) Print Sign Date j Dept Coordinator Member Training: 0 None El Nuclear Training 0 Briefing Ol Farniliarization 0 SOR Review and Anproval ln SORC Review and Aporoval i3 Denartment Head Review and Approval Approval El Disapproval El W __

-A.M. Johnson ti t (1) Department Head Sign/Date (1)Department Head Approval Sign (1) SQR 'SignlDate

_z (2) SORC Meeting Number (2) Departmeroal S V 3SORCApproval Sign Approval Date: OA//R/O Effective Date: ()>f/c/ 1 L MP-05-DC-FAPO1.1-005 Rev. 001 Page 1 of

0622/f V Approval Date Effective Date SAP Locker Date:

i Quantity . Returned t Required As Found Quantity Date'.

RMT Kit No. 2 1 RM-14 or Equivalent 1 Serial No. . Date Due________

110 Volt Air Sampler '

Serial No. Date Due____

Radiation Area Signs 3 Respirators With Charcoal Filters 5 Date Inspection Due.

Emergency Lanterns (Replace battery 2nd quarter, 2008) 5 I1 Silver Zeolite Cartridges (Replace by 4th quarter 2005) 4

..dl Particulate Filters 50 Extension Cord 1 PCs Complete Sets 6 Source Plaque 1 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-017 Rev. 003-02 Page 1 of 1

k .

02/27103

• 03107/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -O(q l Writer Jean Olsen l Rev. No. l Minor Rev.

Initiator Bridget Robertson l 002 l o f

Title:

VA? /SA#P AhAa ce '

For New Documents: Document is QA El DH

Title:

E Revision 0 Minor Revision E Cleanup Revision 0 Biennial Review 0 Cancel- 0 Void (Do Not Use) 0 Expire E Superceded By: -

Comments: 0 Administrative Correction FLS:_

The following forms have been revised with this procedure and follow with a separate PAR for each fQrm: RPMs 4.8.5-002, rO03-01; 4.8.5-003, r003-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-011, rO05-01; 4.8.5-13A, r005-02; 4.8.5-015, rOO0-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002-01; 4.8.5-020, rOO6-01; 4.8.5-021, rO06-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025; rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs /

Reviews Printl Sign Date Department-El _ _

El GVS5 - I-iaplig &V4ip 44Vs bt&Y s WC 9 Att 3 Req. E Yes O No O ____

,Lcensing Basis / RCD 1 kM. Johnson (50.59 Screen Req. 0 Yes 0 No) _ __________________R Tech Independent - A.M. Johnson Validation None E Field - Use Q Simulated Performance - E Table Top and E- comparison MP-054DC-SAPOI-004 Use MP-05-DC-SAPOI-004 Walk-through (minimum of two) Print Sign Date Depi Coordinator Member Training: El None El Nuclear Training El Briefing El Familiarization El SOR Review and Approval n SORC Review and Aporoval 1 Department Head Review and Approval Approval El Disapproval E WA A.M. Johnso 6 / (1) Department Head Sign/Date (1) Department Head Approval Sign (1)SOR Sign/Date (2)SORC Meeting Number (2)Departme nt3ppRval Sign r

_ _ _ _V_ _ _*_ _ , (3) SORC Ap royal SIg _ ._ _ _ _ _ _ _ _ _ _

Approval Date: aA 11 04 Effective Date: ) 0 4?0//q' 4 MP-05-DC-FAPO1.1-005 Rev. 001 /

Page 1 of L

A figk Approval Date Effective Date/

VAP/SAP Ambulance Kit I.

Date:

Quantity Returned Item DescriptionI t Required As Found Quantity'. Dater Paper Coveralls 3 Rubber Shoe Covers (Pair) 3 Plastic Booties (Pair) 3 Rubber Gloves (Pair) 3 .

Surgical Gloves (Pair) 3 TLD Badges (Replace Semi-annually) Date Due 4 '10 Dosimeters (Low Range) Date Due 4 Dosimeter Charger Batteries Replaced (4th quarter) 1 10 Batteries, Spare For Charger 1 IG Batteries Replaced (4th quarter)

Cotton Gloves (Pair) 3 Plastic Rain Suits 3 Herculite Sheet I Radiation Area Sign 1 Emergency TLDs (Replace Semi-annually) Date Due_ _ 24 10 Duct Thpe (Roll) 1 Waste Bag I Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-019 Rev. 002-01 Page 1 of 1

I 02/27/03 03/07103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - OZO Writer Jean Olsen, Rev. No. l Minor Rev.

Initiator Bridget Robertson 0 I)(

l)

Title:

tLnitt 3 CoracolVcoron For New Documents: Document is QA DH

Title:

O Revision 0 Mnor Revision O Cleanup Revision 0 Biennial Review O Cancel. O Void (Do Not Use) El Expire 0 Superceded By:

Comments: 0 Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4.8.5-011, rO05-01; 4.8.5-13A, rOOS-02; 4.8.5-015, rO00-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rOO6-01; 4.8.5-021, rO06-02; 4.8.5-022A, r004-01; 4.8.5-022B, rOO5-02; 4.8.5-024, rO01-01; 4.8.5-025,.r003-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-01 Associated ARs /

Reviews Print Sign Date Departmentl

• El ____

cyv%

- t . vB i 1 WC 9 Att 3 Req. O3 Yes 0 No Licensing Basis / RCD (50.59 Screen Req. 0 Yes [0 No) 7 yoson

_____________Y_-RP Tech Independent AM. Jnson//3/

Validation None [ Field -Use E Simulated Performance - [ Table Top and El Comparison MP-05-DCSAPO1004 Use MP-054DC-SAPO1-004 Walk-through (minimum of two) Print Sign Date Dept Coordinator Member Training: El None El Nuclear Training El Briefing El Familiarization El SOR Review and ADDroval n SORC Review and Approval ba Department Head Review and Approval Approval El Disapproval E WA

-A.M. Johnson t 30/oP

, (1)Department Head (s' Slgn/Date (1) Department Head Approval Sign (1) SOR / Sign/Date (2)SORC Meeting Number (2) Departrne proval Slgn r

" . (3)SORC Approval Sign ___

Approval Date: Effective Date: 11q10q-MP-05-DC-FAP01.1-005 Rev. 001 /

Page 1 of L

I

@I)A1/ dq Approval Date Effective Date Unit 3 Control Room Date:

Quantity Returned Item Description .t. -

. ecp nRequired As Found Quantity Date Teaml Kit Portable Count Rate Meter Serial No. Date Due DIG-5 Portable Scaler 1 Serial No. Date Due RO-2A or Equivalent 1 Serial No. Date Due Air Sampler 110 Volt 1 Serial No. Date Due Batteries, Spares For Meters - Batteries Replaced (4th quarter) 3 Sets Dosimeters (Low Range) Date Due 3 1(3 Dosimeters (High Range) Date Due __

. Dosimeter Charger -

Batteries Replaced (4th quarter) 3 1

Ia Batteries,Spares For Charger - Batteries Replaced (4th quarter) 1 Set la TLD Badges (Replace Semi-annually) Date Due_ _ 4 ici ila Finger Rings [Ref.6.8] (Replace Senui-annually) Date Due 8 ic@

Stopwatch I Screwdriver 1 Calculator, Extra Battexy (N/A Solar) I Batteries Replaced (4th quarter)

Plastic Bags 6x12 5 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 la Coin Envelopes 5 Forceps 1 Particulate Filters (Pkg 4th quarter 12) 1 Smears (Pkg of 50) 1 Ballpoint Pens 2 Markers, Felt Tip 2 Surgical Gloves (Pairs) 8 RPM 4.8.5-020 Rev. 006-01 Page 1 of 2

. Quantity Returned Item Description Required As Found Quantity Date Rain Gear (Sets) 4 Clipboard With Paper 1 RMT No.1 EPP Notebook 1 On-Site Field Monitoring Map 1I=

Emergency Locker RM-14 orEquivalent 2

1. Serial No.__ Date Due

2. Serial No. Date Due_

Teletector or Equivalent .

Serial No. Date Due Batteries Spares For Survey Meters 1 Set Batteries Replaced (4th quarter)_

Dosimeters (High Range) Date Due 10 Dosimeters (Accident) Date Due 3 Dosimeter Charger- Batteries Replaced (4th quarter) I id Batteries Spare For Charger - Batteries Replaced (4th quarter) 1 Set Finger Ring [Ref.6.8] (Replace Semi-annually) Date Due 10 id~

Plastic Booties (Pairs) 8 Cotton Gloves (Pairs). 8 Paper Coveralls (Sets) 4 PCs Complete Sets 10 Respirators With Charcoal Canisters 12 Date Inspection Due Scott Air Pals 2 Survey Forms 1 Set Extension Cord 1 Source Plaque . I Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-020 Rev. 006-01 Page 2 of 2

I 02127/03 03107103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 -0 Z I Write-r Jean Olsen Rev. No. I Minor Rev.

Initiator Bridget Robertson cO&

G I echnicfo' S P(Aine For New Documents: Document is QA OL DH

Title:

n Revision - Minor Revision 3 Cleanup Revision 03 Blennial Review O cancel. 3 Vold (Do Not Use) O Expire O Superceded By: -

Comments: El Administrative Correction FLS._

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, r007-01; 4;8.5-011, rO05-01; 4.8.5-13A, rOO5-02; 4.8.5-015, rO00-01; 4.8.5-016, rO03-01; 4.8.5-017, r003-02; 4.8.5-019, r002-01; 4.8.5-020, rO06-01; 4.8.5-021, r006-02; 4.8.5-022A, rO04-01; 4.8.5-022B, r005-02; 4.8.5-024, r001-01; 4.8.5-025; rO03-01; 4.8.5-026, rO03-02; 4.8.5-028, rOOO-01 Associated ARs Reviews . Print Sign Date Department.

El Grs5 - IISM Mat VBCoI § Ig- b-PY RC> _at__'6.(___

WC 9 Att 3 Req. O Yes O No iUcensing Basis / ROD (50.59 Screen Req. 0 Yes O No)

Tech Independent Jo3/r /A.M.

Validation None [: Field -Use ] Simulated Performance'- i- Table Top and E Comparison MPO0.DCSAPOI004 Use MP-054DC-SAP01004 Walk-through (minimum of two) Print Sign Date l Dept Coordinator .

Member Training: E None El Nuclear Training E Briefing El Familiarization

. l SOR Review and ApDroval n SORC Review and Approval I5I Deoartment Head Review and Approval Approval El Disapproval El .

kAM. Johnson ((1)Department Head Slgn/Date (1)Department Head Approval Sign (1)SOR / Sign/Date (2)SORO Meeting Number (2) Departme roval Sign ' __

'V . 3SORC Approval Sign Approval Date: M ARA)1o 1 Effective Date: ) //af61L/

MP-05-DC-FAPO. 1-005 Rev. 001 /

r - Page 1 of a

DApol Da te 02o1/q1/O Approval Date Effective Date Technical Support Center Date:

QuantityReturned Item Description

._Required lAs Found Quantity Date Technical Support Center Locker RM-14 orEquivalent 3

1. Serial No. Date Due

2. Serial No. Date Due

3. Serial No. Date Due Teletector or Equivalent Serial No. Date Due_ _

RO-2A or Equivalent Serial No. Date Due_ _

110 Volt Air Sampler Serial No. Date Due_ _ _

Batteries, Spare For Meters Batteries Replaced (4th quarter) 1 Set ic:

Radiation Area Signs 12 Respirators With Charcoal Filters 20 Date Inspection Due Emergency Lanterns (Replace battery 2nd quarter 2008) 5 Paper Coveralls 20 Survey Forms 1 Set PCs (Sets) 20 Dosimeters (Low Range) Date Due 4 IG2 Dosimeters (High Range - 5R) Date Due 20 Dosimeters (Accident) Date Due 3 Dosimeter Charger Batteries Replaced (4th quarter) 1 Battery, Spare For Charger Batteries Replaced (4th quarter) 1 I1.

Source Plaque 3 TLD Badges (Replace Semi-annually) Date Due 4 1.

Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due 8 Smears (Pkg of 50) 1 Stopwatch 1 RPM 4.8.5-21 Rev. 006-02 Page I of 2

.. Quantity Returned Item Description - -

Required. As Found Quantity Date.,.'

Forceps '

Screwdriver 1 Particulate Filters (Pkg of 50) 1 Clear Plastic Bags 6x12. 5 Silver Zeolite Cartridges (Repalce By 4th quarter 2005) 4 Calculator, Extra Battery (N/A Solar) I Batteries Replaced (4th quarter) ._.___.

Surgical Gloves (Pairs) 12 Coin Envelopes 5 Rain Gear 4 Sets Ballpoint Pens 12 Markers, Felt Tip 12 Scissors 1.

Stapler. 1 Clipboard with paper 1 On-Site Field Monitoring Map I RMT Procedures and Forms 1 Potassium Iodide Tbles (Exp. Date.' ) l 1 Technical Support Center Area Radiation Monitor Serial No. Date Due_ _

Electronic Dosimetry Reader 1I.

.SCBA -6;=  ;

Inventoried By: Date:

Reviewed By: Date:

RPM 4.85-21 Rev. 006-02 Page 2 of 2

02127/03 *03/07/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 - °.Z DA Writer Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson 00A

Title:

TemclSyr--QI0 rTC . +

For New Documents: Document is QA O DH

Title:

o Revision , Minor Revision 0 Cleanup Revision 0 Biennial Review E Cancel- . OVold (Do Not Use) O Expre O Superceded By: -

Comments: O Administrative Correction FLS.

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-01 1, rOO5-01; 4.8.5-13A, rOO5-02; 4.8.5-015, rOQO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rO06-01; 4.8.5-021, r006-02; 4.8.5-022A, rO04-01; 4.8.5-022B, r005-02; 4.8.5-024, r001-01; 4.8.5-025, r003-01; 4.8.5-026, r003-02; 4.8.5-028, rOOO-01 Associated ARs Reviews T

El-.__

Print Sign Date Department.

WC 9 Att 3 Req. E3 Yes O No El _ _

r LUcensing Basis / RCD (50.59 Screen Req. 0 Yes O No) _

k Johnson a t  ; r 7 4 0 RP Tech Independent AM. Johnson//o/

Validation None E Field-Use Simulated Performance - a] TableTopand ElComparison MP-05-DC-SAPO1-004 Use MP-054DCSAPOI-M04 Walk-through, (minimum of two) Print Sign Date Dept Coordinator Member Training: El None El Nuclear Training El Briefing El Familiarization El SOR Review and ApDroval n SORC Review and Approval ' 5I DeDartment Head Review and Approval Approval a Disapproval E N/A

-AM.Johnson , (1) Department Head Slgn/Date (1) Department Head Approval Sign (1) SOR 7 Sign/Date _

J g =. N /,, u(2) SORC Meeting Number (2) Department proval Sign.

/ / (3)SORC Approval Sign __ _ _ __ _ _ __ __/_ _ _ _

Approval Date: OAAR/1 41/ Effective Date: ( 6i'f/' )L, MP-05-DC-FAPO1.1-005 Rev. 001 /

Page 1 of 4

b

- O-Alqlov -- -

e I - Date Approval Date Effective Technical Support Center TSC Kit Date:

Quantity Returned Item DescriptionI.

Item DesrRequired As Found Quantity Date Portable Count Rate Meter 1 Serial No. Date Due DIG-5 Portable Scaler 1 Serial No. Date Due__________

RO-2A or Equivalent Serial No. Date Due__ _

11XV Air Sampler Serial No. Date Due Batteries, Spares For Survey Meters Batteries Replaced (4th quarter) 3 Sets I)

Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter) *_ ._._._

TLD Badges (Replace Semi-annually) Date Due 4 10 Finger Rings [Ref.6.8] (Replace Semi-annualy) Date Due Dosimeters (Low Range) Date Due 8

4 I10 Dosimeters (High Range) Date Due 4 Dosimeter Charger - Batteries Replaced (4th quarter) 1 I0 Batteries, Spares For Charger - Batteries Replaced (4th quarter) I Set 10 Smears (Pkg of 50) 1 Filters, Particulate. (Pkg of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6 CoinEnvelopes 12 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 1G Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs) 6 Ballpoint Pens 2 Markers, Felt rip 2.

Barrier.Thpe 1 Duct Tape (Roll) 1 RPM 4.85-022A Rev. 004-01 Page 1 of 2

i Quantity Returned Item Description - - -

Required As Found Quantity Date Screwdriver 1 Stopwatch. 1

Forceps, Scissors 1 Stapler 1 Box of Staples 1_l Clipboard With Paper 1 OSC EPP Notebook 1 On-Site Field Monitoring Map 1 Inventoried By: Date: .

Reviewed By: Date:

RPM 4.8.5-022A Rev. 004-01 Page 2 of 2

-r 02/27103 03107/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5- ZL, Writer Jean-Olsen, Rev. No. Minor Rev.

Initiator Bridget Robertson 00o5 o...

0sc AssemVv Afo-,A W0 475 Ist fi cor For New Documents: Docum nt is QA L DH e:

O Revision 0 Minor Revision 3 Cleanup Revision 0 Biennial Review O Cancel: *O Vold (Do Not Use) E Expire O Superceded By:

Comments: 0 Administrative Correction FLS:

The followirig forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, r003-01; 4.8.5-004, r003-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4.8.5-011, rOO5-01; 4.8.5-13A, r005-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002;-01; 4.8.5-020, rO06-01; 4.8.5-021, rOO6-02; 4.8.5-022A, r004-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025, r003-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs /

Reviews PrInt Sign Date Department.

-b Is O6 - ,iiikd~q IO WC 9 Att 3 Req. O Yes O No 21- Ucensing Basis / RCQ Johnson (50.59 Screen Req. i Yes O No) 6 Tech Independent JohnsonF /AN.

Validation None E Feld - Use E Simulated Performance - E Table Top and D. Comparison MP.05-DC-SAP01004 Use MP-05-DC-SAP01-004 Walk4hrough (minimrnu of two) Print Sign Date Dept Coordinator Member Training: 0 None El Nuclear Training O Briefing El Familiarization El SOR Review and Approval n SORC Review and Anoroval I5l Department Head Review and ApDroval Approval El Disapproval WA

-A.M.Johnson g i' (1) Department Head Sign/Date (1) Department Head Approval Sign (1) SQR SigntDate

. -1 (2) SORG Meeting Nurnber (2) Departmen vwrwalSign 3 i Approval Date: 0AAR1,91-1 Effective Date: 1 q

(

MP-05-DC-FAPO1.1-005 Rev. 001 /

Page Iof

-- a "If I.,  ; X Approval Date ulm/lotf Effective Date OSC Assembly Area, Bldg 475, 1st floor Date:

. Quantity, Returned Item Description t .

._ __Required lAs Found Quantityie Date 1 WSC Portable Count Rate Meter- 1 Serial No. Date Due_ _

DIG-5 Portable Scaler 1 Serial No.; Date Due_ _

R0-2AorEquivalent 1 Serial No. Date Due_ _

110V AirSampler 1 Serial No. Date Due_ _

Batteries, Spares For Survey Meters Batteries Replaced (4th quarter) -

3 Sets 1ic Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter)

TLD Badges (Replace Semi-annually) Date Due_ 4 Finger Rings [Ref.6.8] (Replace Semii-annually) Date Due_ 8 id~

Dosimeters (Low,Range) Date Due_ 4 laD Dosimeters (High Range) Date Due 4 Dosimeter Charger Batteries Replaced (4th quarter) 1 laD ta 1G Batteries, Spares For Charger Batteries Replaced (4th quarter) 1 Set Smears (Pkg Of 50) 1 Filters, Particulate (Pkg Of 50) 1 Bags, Clear Plastic 4x6 12 1 Bags, Clear Plastic 6x12 6 Coin Envelopes 12 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs). 6 Ballpoint Pens 2 Markers, Felt-Tip - 2 Barrier Thpe 1 Tape (Roll}..1 RPM 4.8.5-022B Rev. 005-02 Page 1 of 2

Quantity Returned Item Description.. .

Item DescrRequired As Found Quantity.. Date

. Screwdriver 1 Stopwatch 1

. Forceps . 1 Scissors 1 Stapler 1

. Box Of Staples 1 Clipboard With Paper 1 OSC EPP Notebook 1 On-Site Field Monitoring Map 1

.. Emergency Locker 1Source Plaque I 1A I I II

-0 I Conference Room 475/102 Area Radiation Monitor. 1 Serial No. . Date Due_

Electronic Dosimetry Reader 1

,I' Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-022B Rev. 005-02 Page 2 of 2

I . jA -

02/27/03 03/07/03 Approval Date Effective Date Procedure Action Request 2

Document No.:

Title:

RPM 4.8.5 0 )V-k Writer. Jean-Olsen Initiator Bridget Robertson Rev. No.

x (

Minor Rev.

o(

I v'_ PTs~idlcnro irrpc er~oruei ndn Kl For New Documents: Document is OA EL DH

Title:

O Revislon, 0 Minor Revision . Cleanup Revision 0 Biennial Review O Cancel- 0 Void (Do Not Use) 0 Expire 0 Superceded By.

Comments: 0 Administrative Correction FLS:_

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4:8.5-01 1, rOO5-01; 4.8.5-13A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, r002-01; 4.8.5-020, rOO6-01; 4.8.5-021, rOO6-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025; r003-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-0, Associated ARs Revlews Print Sign Date Department-

_ _ __ _ _ _ _ _ _ _ E l _ _ _ _ _ _

_ _ __ _ _ _ _ _ _ El

- 13i t390

_ _ _ _ _ _ _ _ _ _ ES .ia .. . O tsexn _ _ _ _ _ _ _ _ __~

WC 9 Att 3 Req. E3 Yes 0 No El k I _~~~~~~ _V ___I/

LUcensing Basis / RCD (50.59 Screen Req. 0 Yes 0 No) 07/ k~. Johnson 1/:?,kI RP Tech independent A.M. Jnon/

Validation 0 None E Field - Use ED Simulated Performance - I] Table Top and 5- Comparison MP-05-DC-SAPO1004 Use MP-05-DC-SAPOI-004 Walk-through.

(minimum of two) Print Sign Date 1 Dept Coordinator Member Training:

[] SQR Review and Approval Approval E 0 None Disapproval El O

WA n

Nuclear Training El Briefing SORC Review and APnroval El Familiarization I5I Department Head Review and ApDroval AM. Johnson 6 (1)Department Head Sign/Date (1) Department Head Approval Sign (1) SQR SlgrVDate (2) SORC Meeting Number (2) Departmn ppval Sign

__ / . (3) SORC Approval Sign . __

Approval Date: // A Effective Date: 11f f106f MP-05-DC-FAP01.1-005 Rev. 001 Page I of L

. 0)2116716V Approval Date Effective Date Unit 3 Personnel Decon Room Emergency Personnel Decon Kit Date:

Quantity Returned Item DescriptionI. .

.te De o Required As Found Quantity Date.

Fingernail Brushes 12 Mild Soap, Bars 24 1la Abrasive Soap, Bars 12 .. dl Razors 24 Skin lotion, Bottles 2 Shampoo, Bottles 24 Shaving Cream, Cans 2 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-024 Rev. 001-01 Page 1 of 1

02/27/03 Approval Date I! 03107/03 Effective Date Procedure Action Re~utest Document No.: RPM 4.8.5 - 0 25 Writer Jean Olsen. Rev. No. Minor Rev.

Injiator Bridget Robertson 3 o0 1 1'

Title:

NAP Tea For New Documents: Document is QA o Revisiorn ,

2 &

Minor Revision El DH

Title:

0 Cleanup Revision 0 Biennial Review 3 cancel:

• YVold (Do Not Use) 3 Expire 0 Superceded Byr Comments: 0 Administrative Correction FLS:

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rO03-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, r003-01; 4.8.5-009, r007-01; 4.8.5-011, rO05-01; 4.8.5-13A, r005-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, r003-02; 4.8.5-019, rO02-01; 4.8.5-020, r006-01; 4.8.5-021, rO06-02; 4.8.5-022A, r004-01; 4.8.5-022B, r005-02; 4.8.5-024, r001-01; 4.8.5-025, rO03-01; 4.8.5-026, r003-02; 4.8.5-028, 1000-0 Associated ARs Reviews Print Sign Date Department El m

CjrS5,s - bIs4VIi&qL t 44Ci9124 ?Ut)s icp1i

. _ __ __ __ _sdq _ _

WC 9 Alt 3 Req. O Yes 0 No -.

I Ucensing Basis I RCD (50.59 Screen Req. 1 Yes 0 No) 6____,__________

Tech Independent A.M. Johnson Validation None E] Field - Use E Simulated Performance - El TablelTopand 5.Comparison MP-05-DC-SAPOIO004 Use MP05-DC-SAPOI-004 Walk-through (minimun of two) Print Sign Date Dep Coordinator Member Training: ENone ENuclear Training [I Briefing El Familiarization El SQR Review and ADProval f SORC Review and Approval E Department Head Review and Approval Approval El Disapproval El WA

-A.M. Johnson t (1) Department Head Sign/Date (1) Department Head Approval Sign (1) SOR Sign/Date ._.

(2)SORG Meetin Number (2) Departme royal Sign A (3) SORC Approval Sign . __

Approval Date: /0 / Effective Date: 0 e l q/7/') (/o MP-05-DC-FAPO1.1-005 Rev. 001 Page I of /

O /Q1/6 4/

Approval Date Effective Date NAP Team 2 Kit Date:

. l Quantity Returned Ite D o lRequired As Found Quantity Date 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 Portable Air Sampler (12 Volts) 1 Serial No. Date Due______

Batteries, Spares For Survey Meters Batteries Replaced (4th quarter) 3 Sets 1ic Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter)

TLD Badges (Replace Semi-annually) Date Due _ 4 IG, Finger Rings [Ref.6.8] (Replace Semi-annually) Date Due_8 Dosimeters (Low Range) Date Due 4 Dosimeters (High Range) Date Due 4 Dosimeter Charger - Batteries Replaced (4th quarter) 1 Batteries, Spares For Charger - Batteries Replaced (4th quarter) I Set la~

la Smears (Pkg of 50) 1 I1 Filters, Particulate (Pkg of 50) 1 Bags, Clear Plastic 4x6 12 Bags, Clear Plastic 6x12 6 Coin Envelopes 12 Silver Zeolite Cartridges; (Replace By 4th quarter 2005) 4 I Rain Gear (Sets) 2 Sets Surgical Gloves (Pairs) 6 Ballpoint Pens 2 Markers, Felt Tip 2 BarrierTape . 1 Tape RPM 4.85-025 Rev. 003-01

. Page 1 of 2

Quantity Returned Item Description,.

.tem D o lRequired As Found Quantity Date Screwdriver 1 Stopwatch. 1 Forceps 1 Scissors 1 Stapler. 1 Box of Staples 1 Clipboard With Paper And Survey Forms 1 RMT No. 2 EPP Notebook 1 Bottle of Potassium Iodide Thblets (Expiration Date: ) 1 On-Site Field Monitoring Map . 1 Inventoried By: Date:

Reviewed By: Date:

RPM 4.8.5-025 Rev. 003-01 Page 2 of 2

02 0  !

02127t03 -03/07103 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5- O2(o Writer Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson _o z 0c23

Title:

f neNA P L-.0 J<- =

For New Documents: Document is QA EO DH

Title:

O Revision

• Minor Revision Cleanup Revision [ Biennial Review o Cancel- 0 Vold (Do Not Use) O Expire O Superceded By. -

Comments: 0 Administrative Conrection FLS:_

The followirig forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, r003-01; 4.8.5-003, rO03-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, rO07-01; 4;8.5-011, rOO5-01; 4.8.5-13A, rO05-02; 4.8.5-015, rO00-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, r006-01; 4.8.5-021, r006-02; 4.8.5-022A, 1004-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01-01; 4.8.5-025; r103-01; 4.8.5-026, rO03-02; 4.8.5-028, rO00-01 Associated ARs /

Reviews Print Sign Date Department El _ _ _ _ _ _ _ _ _ _ _

El GyV55. -bl> ik- is W t" bo WC9Att3Req. OYes ONo Licensing Basis I RCD Johnson (50.59 Screen Req. 0 Yes 0 No) C ________________

TechIndependent A._ Johnson/3 /3M. i R Validation None 5 Field - Use E Simulated Performance - [ Table Top and El Comparison MP45-DC-SAP01 004. Use MP-05-DC-SAPO1I004 Walk-through.

(minimum of two) Print Sign Date l Dept Coordinator Member Training: El None El Nuclear Training 0 Briefing El Familiarization E SOR Review and Approval n SORC Review and Approval 1On Department Head Review and Approval Approval I] Disapproval El NA

-AM. Johnson ' 4 i/ (1)Department Head Sign/Date (1)Department Head Approval Sign (1) SQR / Sigr/Date (2)SORC Meeting Number (2)Departmen royal Sign'r

__ . (3) SORC Approval Sign . __

Approval Date: ho Effective Date: p //67/ /4 MP-05-DC-FAPOl.1-005 Rev. 001 /

l, Page 1of /

I IA // lo C -praDqloaefeie Approval Date Effective Date" NAP Locker Date:

Quantity Returned Item DescriptionI.

t DsrpinRequired As Found Quantity Date RMT Kit No.2 1 RM-14 or Equivalent 1 Serial No. Date Due_ ____

110 VoltAir Sampler Serial No. Date Due_ _ __

Radiation Area Signs 3 Respirators With Charcoal Filters 5 Date Inspection Due Emergency Lanterns (Replace battery 2nd quarter 2008) 5

.1la 10 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 la Particulate Filters 50 Extension Cord 1 PCs Complete Sets 6 Source Plaque1 I Inventoried By: Date:

Reviewed By. Date:

RPM 4.8.5-026 Rev. 003-02 Page 1 of 1

%. a1.

02127103 03107/03 Approval Date Effective Date Procedure Action Request Document No.: RPM 4.8.5 OlD W riter Jean Olsen. Rev. No. Minor Rev.

Initiator Bridget Robertson I 00 ( 0O For New Documents: Document is QA [l DH Ttle:

Ci Revision 10 Minor Revision 0 Cleanup Revision E0 Biennial Review O Cancel: 3 Void (Do Not Use) 0l Expire El Superceded By -

Comments: I Administrative Correction FLS:_

The following forms have been revised with this procedure and follow with a separate PAR for each form: RPMs 4.8.5-002, rOO3-01; 4.8.5-003, r003-01; 4.8.5-004, rO03-01; 4.8.5-005, rO03-01; 4.8.5-009, r007-01; 4;8.5-01 1, rOO5-O; 4.8.5-13A, rO05-02; 4.8.5-015, rOOO-01; 4.8.5-016, rO03-01; 4.8.5-017, rO03-02; 4.8.5-019, rO02-01; 4.8.5-020, rO06-01; 4.8.5-021, rOO6-02; 4.8.5-022A, rO04-01; 4.8.5-022B, rO05-02; 4.8.5-024, rO01 -01; 4.8.5-025, rOO3-01; 4.8.5-026, rO03-02; 4.8.5-028, rO0O-01 Associated ARs /

Reviews Print Sign Date Department WC 9 Att 3 Req. Q Yes O No Uicensing Basis / RCD Johnson (50.59 Screen Req. 0 Yes 0No) ED _ _ _ _ _//________ RP Tech Independent AM. Johnson//3/

Validation None I Field-Use I Simulated Performance - 1] Table Top and 0- Comparison MP-05-DC-SAP01-004 Use MP-054DC-SAPO1-004 Walk-through _

(minimum of two) Print Sign Date l Dept Coordinator Member Training: 0 None El Nuclear Training O Briefing 0 Familiarization I SOR Review and Approval n SORC Review and Anproval ra DeDartment Head Review and Approval Approval ] Disapproval El WA A.M. Johnson 1 44a7/o (1) Department Head SignrDate (1) Department Head Approval Sign (1) SOR SigniDate (2) SORC Meeting Number (2) Departmen royal Sign

' g. .(3) SORC Approval Sign . __

Aproval Date: OA Effective Date: *U/e7/

MP-05-DC-FAPO1.1-005 Rev. 001 L

VI Page 1 of

D9A11,- k A AvDE//p/tD Approval Date .Effective bate Goshen Fire Department Date:

. . _QuaReantityuDae Item Description

... Required i As Found Quantity l.Dat .

Team 6 Kit' Portable Count Rate Meter 1 Serial No.- Date Due_ _

DIG-S 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 (4th quarter) l_._l_..

Dosimeters (Low Range) Date Due 2 Dosimeters (High Range) Date Due 2 Dosimeter Charger - Batteries Replaced (4th quarter) 1 Batteries, Spares For Charger - Batteries Replaced (4th quarter) 1 Set TLD Badges (Replace Semi-annualy) Date Due 4 idG 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 By 4th quarter 2005) 4 Calculator, Extra Battery (N/A Solar) 1 Batteries Replaced (4th quarter)

Surgical Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Sets Ballpoint Pens 2 Markers, Felt Tip, 2 Screwdriver. .- 1=

RPM 4.85-28 Rev. 000-01 Page 1 of 4

. Quantity Returned Item Description. ...

I Dct Required As Found Quantity; Date Stapler 1 Box of Staples .

Scissors.: 1 Stopwatch 1 Forceps: 1 Clipboard With Paper 1 RMTEPP Notebook 1 Map of Sample Locations 1 Bottle ofJPotassium Iodide Tablets (Expiration Date: ) 1

.Team 7 Kit Portable Count Rate Meter Serial No. Date Due____

DIG-S Portable Scaler 1 Serial No. Date Due_ _

RO-2A or Equivalent 1 Serial No. Date Due_ _

ASP-1/HP-270 orEquivalent1 Serial No. Date Due____

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

Batteries, Spares For Survey Meters 4 Sets' l Batteries Replaced (4th quarter) . l_ .

Dosimeters (Low Range) Date Due 2 Dosimeters (High Range) Date Due 2 Dosimeter Charger - Batteries Replaced (4th quarter) I I Batteries, Spares For Charger - Batteries Replaced (4th quarter) 1 Set TLD Badges (Replace Semi-annually) Date Due 4 I 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 By 4th quarter 2005) 4 I Calculator, Extra Battery (N/A Solar) 1 I Batteries Replaced (4th quarter) . ._.

RPM 4.8.5-28 Rev. 000-01 Page 2 of 4

Quantity Returned Item'Description -....

e D Required As Found Quantity. -.Date 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 Thblets (Expiration Date: ) 1 Team 8 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)

Serial No. - Date Due Batteries, Spares For Survey Meters 4 Sets ai Batteries Replaced (4th quarter) . .

Dosimeters (Low Range) Date Due 2 Dosimeters (High Range) Date Due .2 .

Dosimeter Charger - Batteries Replaced (4th quarter) 1 .1-Batteries, Spares For Charger - Batteries Replaced (4th quarter) 1 Set la TLD Badges (Replace Semi-annually) Date Due 4_= k3 Smears (Pkg of 25) 1 =

RPM 4.8.5-28 Rev. 000-01 Page 3 of 4

Quantity Returned Item Descrption .

e DRequired As Found Quantity Date Filters, Particulate (Pkg of 50) 1 Bags, ClearPlastic 4x6. 12 Bags, Clear Plastic 6x12 6 Thpe 1 Silver Zeolite Cartridges (Replace By 4th quarter 2005) 4 1(ic Calculator, Extra Battery (N/A Solar)

Batteries Replaced (4th quarter) 1 la 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: Date:

Reviewed By: Date:

i RPM 4.85-28 Rev. 000-01 Page 4 of 4