ML19343C088
| ML19343C088 | |
| Person / Time | |
|---|---|
| Site: | 07002174 |
| Issue date: | 02/18/1981 |
| From: | Mower H SOUTHEAST MISSOURI HOSP., CAPE GIRARDEAU, MO |
| To: | |
| Shared Package | |
| ML19343C089 | List: |
| References | |
| NUDOCS 8102180583 | |
| Download: ML19343C088 (1) | |
Text
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Eb IF, l@
SUGGESTED ORAFT FORMA 1' FOR THE REPORTfNG OF RECORDED i
PERSONNEL WHOLE B00Y EXPOSURES FOR CALENDAR YEAR 19_78 Licensee Reporting (Name & Address)
HRC License No(s).
Southeast Missouri Hospital 1701 1.acey Street SNM-1595 Cape Girardeau, MO 63701 IF PERSONNEL MONITORING WAS NOT REQUIRED v
0URING THE YEAR, CHECK THIS BOX.
OTHERWISE, C0ffLETE THE FOLLOWING TABLE:
Annual Who e Body Dose Nienber of Individuals Ranges * (Rems) in Each Range No Measurable Exposure Measurable Exposure Less Than 0.t00 0.100 -- 0.250 0.250 -- 0.500 O.500 -- 0.750 0.750 -- 1.000 1.000 - 2.000 2.000 - 3.000 3.000 - 4.000 4.000 -- 5.000 5.000 -- 6.000 l,
6.000 -- 7.000 7.000 -- 8.000 8.000 -- 9.000 9.000 - 10.000 10.000 -- 11.000 11.000 -- 12.000
> 12.000 Total numoer of individuals reported The above infomation is submitted for the total number of individuals for whom personnel monitoring was (check one):
l recuired under 10 CFR 20.202(a) or 10 CFR 34.33(a) during the calendar f0.0$
l year.
provided during the calendar year, 8
- Individual values exactly equal to the values separating exposure ranges shall
/f l(
be reported in the"riigher range.
Report prepared by:
Herbert W. Mower, Sc.D.
014) 651-5544 Nane Telephone Number i!
8 I o e a w Sir 3 L_..
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