ML20210B616
| ML20210B616 | |
| Person / Time | |
|---|---|
| Issue date: | 12/23/1985 |
| From: | Mcoscar J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML20210B604 | List: |
| References | |
| FOIA-86-643 NUDOCS 8609180122 | |
| Download: ML20210B616 (1) | |
Text
THIS NUMBER MUST APPEAR ON ALL PACKAGES
- 'WItc3 Q AND PAPERS RELATING TO THIS ORDER a
T 5 PURCHAOE CROER l^
POfMT OF ISSUE: U,0. NUCLEAa aEIULATORY COMestSStON, g}
re me 1 Ap gypytJaK gg REOuismoN NUMBER ENN INSTRUCTID.4Su See billing address. lowetgggog( 0;'
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PURCHASE ORDER PER YOUR NES 8I 17
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19 filtfd CF DELIVERY ORDER UNDER CONTRACT NUMBER APPROPRIA TION /ALL OTME N T FIN 8 4 R NUMBER CONSsGNEE AND DESTINATION (Ship TO NRC WAREHOUSE UNLESS OTHERWISE SPECIFIEDe l
1110F00_916 91.20.25-51 2 US Nuclear Regulatory Camaission, Regisie I TO tsen.o gp Dr. Stewart B. Forman Associates, Inc.
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ma teans DELivEMY F 0 8
}FLACE OTihSe8ECTION AND ACCEPTANCE lDATE j Phoenixville PA 19460 Ela 1 Im InLennIns GONERNMENT 8/L NUMBER DISCOUNT PAVSENTTERMS '
Mt-M PLEASE FURNISH THE FOLLOWING ON THE TERMS SPECtFIED ON tsOTH SIDES OF THIS SHEET AND ON THE ATTACHED.tF ANY. EXCEPT THAT ANY SUCH TE INCONSISTENT WITH THE TERMS OF ANY EXISTING FEDERAL CONTRACT OR AGREEMENT UNDER WHICH THIS ORDER IS PLACED WILL NOT APPLY.
3 NEGOTIATED PURSUANT TO THE AUTHORITY OF 41 USC 252(C)(3L ITEM NO ARTICLES OR SERVICES OUANTITY UNIT UNIT PRICE AMOUNT Einployee Health Ptysicals as fbilems:
1.
Standard ptwsical examination shall include complete
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history and plysicc1 emaalaaties, which shall routtaely include SNA-12, CBC electrocardiogram, serology, complete urtaalysis, semplete blood cuent facludtag a white blood cell count. differential and homoflebia and/or hematocrit deteraienties and other tests such a cholesterel, SUN and bleed sugar, and diabetes screesteg. Examination shall alsentaclude vistoa scremains and hearing. testing, and such other EST p7:: "_.e as W by attending physician.
200 ea.
$110.00
$22000.00 2.
Evalmsta phys? cal and mental ability to perfem work
.while weartsg respiratory prttection equipneat.
190 na.
N/C M/C 3.
Certification of Regies I Forms 190 ea.
M/C N/C 4.
Pelvic exas and Papanicolaen smear 10 na.
$25.00
$ 250.00 5.
Chest X-Ray 10 ea.
$20.00
$ 200.00 6.
Tosametry for glancesa 2
aa.
N/C N/C
'i 7.
Pmetastspooidoscopy 2
na.
$25.00 50.00 s
ESTIMATED TOTAL 522500.00 l
.._..-----NOTHING FOLLOWS------
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$22500.00 Charlene Giantos W
I SUBMifiNvosCE IN DUPttCATEIN ACCORD ANCE W!TH INSTRUCTIONSON REVERSE iPO NUMBER MuST BE INOLUDEDD AND FORWARD TO gp GerCe MaBagement Branch S
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OlVISION OF ACCOUNTING AND FINANCE
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SMALL PURCHASES SECTtON ADMIN TRATIVE CO ORANCH WASHINGTON. D C 20555 JACKET COPY
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