ML20151J846
| ML20151J846 | |
| Person / Time | |
|---|---|
| Issue date: | 05/24/1988 |
| From: | Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| References | |
| REF-QA-99990003-880524 99990003-88-89, NUDOCS 8808030066 | |
| Download: ML20151J846 (9) | |
Text
/ t-tb UV OO 1Di24 NNU NEli10H 3b P03 GENERAL LICENSE STATIC ELIMINATOR DEVICE COLLECTION F0m 1.
Nye and Address of General Licensee:
C7'C~
fHo70 577c76Hy' 5d#/#6 7s ^/,
f6Wed7~
S20/
2.
Date of Inspection:
d4f
.2 3_ - 2 '-
/98 8 Signature of Inspector (s):_ haAM
/
3.
Principal Business of Licensee:
fhoc% won s NES ldy ft p$p47 v
'u' v
v 4.
Purpose for whic device (s) are used :
Whore.f ca k C 14rqe Of f
gr N t.-.
suvus a% f&u,
?ndho\\&m.
~
er M
V (J
V 5.
Device Specifics:
a, Model Number:
YOL b.
Activity of Po-210 source _ _, _ _
aC1 c.
Date Received:
1 d.
Date lease expires:
6.
Did 11cersee receive 3M notification:
Yes _.
No li c e-W S L c-beWTad.* D oc<
edM E SST EC OWL #
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o 4 *hom ie dt o g hrt S C.d YiS c.
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h,~ m amh c2C coebiodice clekcAed : 26000 d #
f 8808030066 880524 REG 3 04.999 EMV*****
b.tM kcA 5 " W-99990003 PDC
/ FEB 09 '88 15:24 NRC REGION 38 PO4 7.
Survey:
a.
Has survey been performed by 3M: Yes_ /
No By Consultant: Yes _
No If Yes list consultant's name and location:
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W JCA N Q & % M fJi Nf I!M ch O hein M ~$h V $tf b.
Survey Performed by Inspector:
[M 2.7-2
/9/8 Serial Number of Device:
M8 Direct Survey Of Device:
N//F
_ alpha dpm/
car Direct survey Of Work Area:
Smear Survey of Device:
- [r9
_ alpha dpm/
cmr Smear Survey of Work Area: _
Survey Instrurant Used:
bt><. v d PR d @ g@,,rm s:
YE R.-
6 q, /g Model:
hk O D6c-lL So oc ll fin'irerN j,2[][b Serial No.:
I f' D o d;se s o in c, prnr22 Date of Calibration:
(If more than one unit use additional sheets)
If direct survey shows contamination, samples of product must be cbtained.
Type of product:
Nt//fif'Wh',
e'd 6#D d 'g' Ab he ly ox j94CIVc
- rett
.w[Mct A
1-60 UV '80 lb:ZD NRC REGION 38 P05 gg%
Serial Number of Device: _
Direct Survey of Device:
alpha dpm/_
cat Direct Survey Of Work Area:
Smear Survey of Device:
alpha dpm/
cm2 Smear Survey of Work Area:
Survey Instrument Used:
d D L U/M Model:
b/
/ lo l S~! f hb ! [/93 Serial No.:
i Date of Calibration:
/k 2 3 / YW Serial Number of Device:
Direct survey Of Device:
_ _ alpha dpm/
,ce. '
Direct Survey Of Work Area:
Smear Survey of Device:
_ _ _ alphs dpc/ _ _cm2 l
Smear Survey of Work trea: _
i
$arvey Instrwnent Used:
j Model:
Scrial No.:
rate of Calibration:
I i
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ClC hukt) hGhCG
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srs-ss Bloassay Samnlina Procedure
. Av'old any possible contamination of 'he sample by washing hands before collecting.
1.
2.
Collect sample for 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> or until bottle is full.
\\
3.
Do not add preservatives of any type to co:lected sample.
i 4.
Mark all bottles with non-water soluble marking pan. (Include the sample ID and date of evil:ction).
Cover the '.vriting with clear plastic tape.to prevent the marks from coming off.
5.
Also, submit packing slip with name or number of individual and collection data ;o correspond with sample bottle.
Packing slip should be ' sealed in a plastic bag in case of accidental leakage of the samples 6.
Tape each bottl+ :ap with plastic or electrirl tape before sending to prevent leakage.
7.
Complete custody seal with req,. ired information and affix to each bottle o es r the top of the cap.
The sir,aature nn the curtody seal should be that of your i
desigr.ated sample custodian.
- 8. s, Fill out Chain of Custody Forms completely.
Keep one copy for ynur files and return the other copy with the samples.
Chip To:
Controls for Environmental Pollution. Inc.
1925 Rosina Street Santa Fe, NM 87502
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Attn: Bloassay Department CEP RECOMMENDS SAMPLES BE StilPPED BY FEDERAL EXPRESS.
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