ML20034E299
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tJ1t5'i'ii"oN SONGS RADIOLOGICAL SURVEY UNIT N
SURVEY REASON AREA YD D Routine __ _
ELEV NI A D Job Coverage ROOM G-48 D Pwr Entry __ %
Floor Monitor BKG.=37cps 2-1 BKG.=60cpm Rm.123A D Post-Decon D Pre-Job SURVEY NO.
1------~---~~-------1 D ShipmenUReceipt f..!M!.!:O~N!.!:0:'...:.*_-+ __
- ,..~1-A-------j D Source/Leak Test 1-'R-'-E=P--'-'N-=O-'-. --1-------==-..;::-----l
[xi OtherConfinnatory Surveys EQUIP. ID.
G-48 Classroom 105 DATE~/E_/2014 1 TIME 0745 Page_I_of_I_
SMEARS MASSLINNS NO.
13-y I a NO.
13-y NO.
Gross a
dpm 1
<lK I NIA 16
17 NIA B
3 18 C
4 19 D
5 20 E
6 21 F
7 22 8
23 9
24 10 25 11 12 13 14 15 I
<lK NIA NIA NIA NIA IN SURVEY CLASS D Trend Pt.
D Component D Boundary
[xi General Area D Individual S URVEY DESCRIPTION: Mesa Confinnatory Surveys REMARKS:AII accessible floor area scanned with the floor monitors. All survey points consist of direct frisk readings and 100 cm2 smears. No detectable counts above background detected. Survey points 1-10 taken on the floor and 11-16 taken on the interior walls.
No floor drains located in room.
Instruments used Model I FLM3B I FLM3B I 2-1 Serial NoJ 01 I
02 I 271981 TECHNICIAN j SURVEY TYPE Print IB.Dynes/M.CrumeslJ.Papso D Shutdown (S/0)
Sign l!?i~ ~
IReferenceNumber S0123-Vll-20.9 Print Form Number 1 Sign I //
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I scE HP (213) 1259-1000 Approvat r/!..,.... /_. ~J(/;m~* /J >,,)
REV. 3 09/07