ML12095A382
| ML12095A382 | |
| Person / Time | |
|---|---|
| Site: | University of Michigan |
| Issue date: | 02/14/2012 |
| From: | Occupational Safety & Environmental Health University of Michigan |
| To: | NRC/FSME |
| Shared Package | |
| ML120950629 | List: |
| References | |
| Download: ML12095A382 (15) | |
Text
{{#Wiki_filter:FNR Decommissioning Project Reconnaissance Level Scan Survey Form Sheet / of _ _LC " Survey No: a007- /9! Survey Unit: A -/,0 Pkg. SP- O07-Date: a Co? Survey Location: t.'o , e. k~l tlt I. I.Instrument Information Inst. HV THR 2nt Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) LI q3-1 ,21390,115
- I-ao/ c67- 7 ?-z-e,,
,3 2~q i o*1"S5'S qq-lq.. .k)33 3- /100 1__0,0 35" 13s, NOTE: All cables 6-ft.RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments: ,-v'tA-Initial Performance Test Performed & Satisfactory: Initial / Date
- 11. Background Measurements III. Total Siurfaice A Measuremnits Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)
I-o I q7I 33 _PO 9 1-* I *f7, 50(- Comments: A'11,1 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm 2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: P-f 9/, / " Initial / Date Survey Tech (print/sign): Reviewed By (print/sign): /ý". 2-0-(-, Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: - Survey Unit: Z I2d 1, kg. ,S P- M7 Sheet _ of Date: JQil/,x2 Survey Location: 2AM, Roar RoobM c2/1o9 I. Instrument Information N._., Inst. H THR 27t Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) t a9-aL ,,,W-& cX1'w* o20/6 I1o 35 o.wo
- 2V I/ IS-37 q3 (q3q,.aV 1 o3A 0- 62il 61A/;
3 ,Pf 197Y3 q3,-37 A-39,A,- 175-6 k- 0.3*f* *,*0/0 12,'g-NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: ý2,5qt'? 1 eodd Coears, iA,7q3 l7q3,.'qted o f 1'r1', /1 7Y3 ,-',922t 'oA' Initial Performance Test Performed & Satisfactory: Initial / Date II. Backgro ndMeasurements Ill. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (rin.) (cpm)
! F-10 I ,-93" F--o4 37-I ,v& sd-f . N14 6bV F-01 117.4
'A F-O*3 I 117Z AVG se#o A'/~ V-
-3 E-o 1 1 1757.
3 F -3! Comments: S&PU AC+/- i~O1i ke"4 ý -et Acbo eyue4,2qg, Jel '3 AdC4ioe* 2?A,2 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm?, unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed ~Initial& Satisfactory: / Date Survey Tech (print/sign): K) (4 1 Ia Date:l i/Date Reviewed By (print/sign): ko'-t NpvO4u / Date: 07 Rtto Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+l0
LSheet A, of Tr-- Survey Log
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S. cea* Slassifi eT Uk.W cnon:t "S rw"7 n-eyUr tDescri don: A- trucure Interior urface
~ ~Sura ce Arco 109.9 sq. m r i:Ir Survey Technician:
Mark all grids and survey locations where scan surveys were performed. - 7 Si rface A :52.55 .m (fl4o & F RDP-D WG-l Is,2m&elow) If scan survey measurement results in a count rate that ____ _ " K Kill exceeds the action level, number the grid and record the total 9 920 K9 R1 surface activity on the corresponding survey form. eiig Vl~~~ap]I egend ,
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FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 20c07 / 1 Survey Unit: SP-O01 Pkg. Wd/A Sheet / of Z. Date: 10 - 3( -o- Survey Location: FNA?" 2,M- R 1(/,1a I. Instrument Informatio J P 4 Inst. HV THR 21r Calibration Calibration Set Meter Scaler Detector Detector Setting Setting last. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) t L-z2-2 I197,q3 43--3 zq,*?1 r-U'o Z 3A, % 16zo f, /Z-,'/o Z L--2aZ/ 57-7-q3 Y3-3 II Zq.qqZ_. (7S't Z_O 3 ,-% % 1/1.'-/0 i /0 3 L-21 g2 1Z0c44t-14_z tq.- 0. z2oD 3-*!5. q q /z/ o _ __ NOTE: All cables 6-ft RG-58 (LIMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial /Date H. BackgroundMeasurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm) I 8
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6.K67~ 1l j- 2-2O1 3 6 K6 4t 2 3 J~~&1 ____ Comments-1-.2 Each of the denarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed Satisfactory: A 1-31-0o7 0 SuInitial/ Date Survey Tech (print/sign): IA ýý(1 Date: 16-3'1-0-7 Reviewed By (print/sign): . Filenatne: FSS Characterization SCAN Survey Forms-Rev02 Retention: LP+ 10
Radiological Survey Report DATE: 1-3o0'7 LOCATION: Ir%- & 16 I2(D SURVEY NO.: ,ZOO1- 2(q I TIME: (* 3o Smear Information ,J/A Survey Map Pa,6L Z01 -z No. Beta/ Alpha 't a,,- w_" &Id-. 2A&-V*4t, " Ld*,7 Gamma (20%) 3 4 6 7 109 12 e) 13 14 15 16 'i,, ~ e.(oseT b~&eM~ 2,106 20.1 , 17 919 20 egend: * = Contact; # / # = Contact Reading / General Area; # General Area. () = Smear location; A = Air Sample. Note: Readings in mrem/hr unless noted otherwise. 1;*, 6ack MU~4O Tnsftrument Serial Number Cail. Dlue Date Efficiency Backeround (CPMVf M1)A m1DPMi Instrument Serial Number Cal. Due Date Background (CPM) MDA (DPM)
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Commnts AA I)(.4M* w-- I,
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Date: /0-31-07 AA, U Review By: Date: Equivalent to HP-101, Rev. 5, Attachment 1 Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: *kD 7-;,q'2 Survey Unit:_______ Pkg. Pe- 7 Sheet .1 of___ Date: //- a - o 7 Survey Location: CI)0 141c-, T. Instrument Information Inst. ElV THR 21r Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. ( LVdc) (mVdc) Eff. (Scaler) (Detector) I "Xa *aI IV77q3 qg-37 3 UPqq )J75 0 30.62 6 -. 5-0Y i-h*-e " SI DVQ,,sIO qq-Wq 1 &2 , '93 6 c 5 3 q.)7-0% (,o08 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. 4 Comments: 1o00,, oi f*,,*irR.Plo s q, e.ot*erfS* sci.e4ede- c,
,i. d-. bel,.;w e"4 1*-1 Initial Performance Test Performed & Satisfactory: if J7Y/ C,4.Se Initial / Date HI. Background Measurements mI. Total Surface Acti Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (rin.) (Cpm)
Loation Y__2____ I o -I _,_3-7 2 A1(9 I _____i L3 Q Q~~c -9 __0 ___ _ 3 v ?_ ,-3 3 i Ii !7 _3 (4io ii-' I qo 10 A qvo Comments: ACQ L.eNek. -Por -sek#I- q Se-+* Q -JU 7, gi~- IWO - 7. Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cin 2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: e Initial / Date
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Survey Tech. (print/sign):'t 105 "q/2 Date: 11-2-6-7 Reviewed By (print/sign): - * .ate: I -, 7 Filename: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo: o*bIO'7-0-{V" Survey Unit:,/. Pkg. -oC7 00 Sheet 9 of Date: Survey Location: O9 - Survey Comment Sheet: Filename: Survey ConmmentMapForm_RevOO Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: tZ)7- o7c*3 Survey Unit: Z6 Pkg. 5p-o0l Sheet__ of 2-Date: 11/07/__o_7 Survey Location: o7Ae r'/o," Mens5 8aib &tl6h (,%,'i **/05 I. Instrument Information Inst. HV TEIR 27c Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) /; ,*2ý/ 19'77q5 q3.-37? oq3 q.; q 750 ;20 3.7o*%*A/n 17zg 3 qq-QL/ a vqo716 //01o 3-5 39 -41 o _ 1\ /.4- ____4 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: (.orner.* o-' Room djvi c,, W,",h qq -/Q Poke. Initial Performance Test Performed & Satisfactory: II. Backgroud Measurements Ill. Total Surface Activuy Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. . Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) LG .Y "k-I - I G3__ 193q/34/ K&X *3- o-7 ilxi I IAefi3i kM iixf56
~ l410)1 i*eV4 Nf V388-
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Comrn~ts- ~O 'X~/i0 RObe q.3-3-7,11..-7q3q,;?q I Eachof dpm/1 o00-m Rkor-- unless otherMse the emarked grids o noted5ca 5'oom on the (or'locations) Lattach ur*,eX attached on *the V/,',,
' h rveyPmap g d .tine,sf hasnbeen d/oMexcee 04' aWM t/
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qnevvlo Post-Survey Performance Test Performed &nSatisfactory:
- l/Date Survey Tech (print/sign): A nn Q2 v"r /I . - Date: 1/ e57/,2C Reviewed By (print/sign). Ž21/2122 Filename: FSS Characterization SCAN Survey Forms_Revo02 Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: _?___-___ Survey Unit: di]. Pkg. 50b-J Sheet , of 0-Date: ///07/4007 Survey Location: JA4- FI/tOr &A 0&5M tM :d,.2105 I. Instrument Information Inst. HV TER 2n Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial / Date H. Background Measurements IH. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) 3 &tlz ro-xwdS 4/0,;_ I I01-_ j% &?. Gro~i!3 / 58 ( A*VG6- P/A q* 71
.3 Ac-'eve-t A4A1 '7q Commpnts-&cid/'o 4 o.
rloor ,2mel-~ers c~j Ivall cZ// Rea-mcf-S i _ )U1W /'"-IPA) He VP Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: 0 ./t 1 10712007 Survey Tech (print/sign):
- 0 2)nor //i/A j. ,,)Date: I Z6 7)*9c Reviewed By (print/sign): ____Date: -.
Filenarne: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: o1.O7 "a30? Survey Unit: NiJA Pkg. 07Z Sheet / of /
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Date:. I// -0 7 Survey Location: , -' I. Instrument Information Inst. HV THR 27c Calibration. Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) ral 9C&J&* /A3-37 1 c L Ve *i i1fC 010 6 7-/-oF
/0 A'A/1 ,~
AZA 1,4 ZiIi NOuI E:: All cables 6-ft t*-58 (LMI 44-142, 44.-9=, IP-II--0, or 44-92 probes) or 15- RGt-58u (LMVI 43-37"gas-flow hand-held) unless otherwise noted in the comments below. Zow -,'- Comments:. Ri /iiAn7'*,, 1 , P. . s. i,ýr. ',y/t,,.e Initial Performance Test Performed & Satisfactory: V/ i~'/Ay,,q Initial / Date 4fi 4 k,2 ere Scja LA~e/ II. Background Measurements III. Total Surface Acti
- Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)
L A1k6-g d I I __ _7
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/ cJ.fo*ZLeLS r", c31707 Comments:
Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map. J Post-Survey Perform Test Performed & Survey Tech (print/sign): 1 Reviewed By (pint/sign): Filename: FSS Characterization SCAN Survey Retention: LP+I 0
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,Z)1 - ;-33q Survey Unit: NI__ Pkg*),-(= - Sheet _ of / Date: U -/M Survey Location: ,2 nd A/lo, /Pip. Chase-. J,, z1tp I. Instrument Information HV THR 27c Calibration Calibration Inst. Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector)
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/*77q53 0-3-7 _.2q3q2;_. 175 ;20 51 7!Z/k 1
NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Ti i.*. . , Ak ni4 L'JcLLL Initial Performance Test Perkormed & Satisfactory:
ý- Initial / Dat6 '
I. Backeround Measurements HI. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)
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MIA/ /S127 AboVe- Akn _ __ ___ Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2 dpm/1 00-cm , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: al / Date Survey Tech (print/sign):An 4 af,*nl (1VO R i e Bypn :- r )iI} 4 16A-t Date: D :- Il s l? Reviewed By (print/sign,: \J(.t-/.-/*¢* -\,ý*.---- Date: // io Filename: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,2C)6 -c23Y 7 Survey Unit: A,- Pkg.SPi7L _ Sheet /.-_ of 2__ Date: Ji/[b07 _ Survey Location: A'C)/4 A lev a o4m Vei 6 I. Instrument Information Inst. HV THR 27t Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) 1 -;Z 222-1
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_____ I _________ 1 ___________ 1________ .1____________ _______ 1_______ 1 _______ 1___________ NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-1 ____________ held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial / Dat& LI. Background Measurements 11. Total Surface Activhy Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)
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P- AVG /ei' 3 Co- tsv:mm4en NA .4i57 Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2 dpm/100-cm , unless otherwise noted on the attached survey map. I k Post-Survey Survey Tech (print/sign): _ Reviewed By (print/sign): 111'r? 0-7 Filename: FSS Characterization SCAN Survey FormsRevO2 Retention: LP+ 10
FNR Decommissioning Project Re~onnaissance Level Scan Survey Form Survey No: C& Survey Unit: .2- 7 Pkg. a2 CW-7 Sheet c2 of Date: " Survey Location: Rem)Cfl sc Lf[-c-/- Oý gcOpq 216 I. Instrument Information Inst. HV THR 2n Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc). Eff. (Scaler) (Detector)
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NoI I r-: mill cabls -t*1 '.m- zio k.- ILIVII -+-'- Iq 1 .1./-, 1 I-II-2 10, or ,l.4-92/ probes) or 10-it M.7-00 kLIVI -to-at gas-How hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Init&I / E&e HI. Background Measurements III. Total Surface Acti Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (n.) (c m) 3.5 ajY , 9jl4k*6trflcJ '1 T IAn q( qt ____Oie-d /1 3 Comments:i Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cmn , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: 20-*0 Initial / Date Survey Tech (print/sign): 1 , X.2 / b, - Date: I /)-20 7 Reviewed By (print/sign): K )D/*- i-IIK [.-t7 ate: 11i 9 07 Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 007-9,4 (l Survey Unit: Z- - Z Pkg. $5p107 Sheet I of___ Date: IDIU. SurveyLocation: ROOivM Aid I. Instrument Information Inst. HV THR 27c Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) a -=i AJTy5 63-3.- a4oYLj 50, 1 35,i1 2/J1Lza 1ulaa
-3 AP 1~ 17-751 qiq-lrnz ;L4636~ w~ 35 QUJqi ha~Jj 2A 11/-1v
____ _______I_____44-9,________I All cables 6-ft RG-58 (LMI 44-142, NOTE:______ J I NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-I_______ HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand- __ held) unless otherwise noted in the comments below. Comments: COrfnhýS dfIbm .1WC4t +0 F/oor doii lV/I-h 2* I /8 7751 Probe " qý21 Initial Performance Test Performed & Satisfactory: 1'- i.70io/Zc,&, Initial / Date 1I. Background Measurements III. Total Surface Activity Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) I E3K/3a- I _____ AbovFe AcA46 Ves
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I I ...- Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the Ac inflIveIlf ,750 dpm/1 00-cm 2, unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: L i* ID Qco Initial / Date Survey Tech (print/sign): Date:_/___Dte Reviewed By (print/sin): _ Iflae4.-hAox . Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10
-" FNRDP SECOND FLOOR SURVEY MAP Ky, SURVEY NO.: " DATE: ____67 TIME: II 1NO SURVEY PURPOSE _SP-__-7 Instrument Serial Number Efficiency Cal. Due Date SMEAR RESULTS IN DPM/100CM 2 Beta/
No. Gamma Alpha 1 PI Ni 2 __ 3 4 6 7 8
.9 10 11 12 13 14 15 16 17 18 19 20 *"
Legend:
- Contact; # / # = Contact Reading / General Area; # = General Area. (I) = Smear location; A = Air Sample location.
Note: Readings in mR/hr unless no otherwise. Print/Signatue of Surveyor: Date - Comments:
-- 7 C
Review By: KJ/6I(A4t, (tK ate RetientionLF+1 0}}