ML21067A200
Text
Survey#: :JO l 9- 0003 Unit: tJ/tt BLDG: o/S ELEV: S-</.2"'
RWP: JOl'f Ooo I Dosimetry Placement: M Chest Head Thigh Other
/11/p, Instrument Model Serial#
Mil / 4'-1* IO
'jo';lO(.fL/
==
Description:==
ff,...,\\ Tc'\\\\c.~ fe +\\.-..
Surveyor Name(sLiPrint) C'. lerp Date: I I 7 JI q Time: IS"30 (Sign) 0- T-
~
ZIONSou.lTJONSw*
Air; ( --:~-........ \\~_,._,
Rad Posting: flJ/ t\\,
I Air Sample taken: Dyes ~no All dose rates in mrem/hr unless otherwise noted
_j_
I
-I-NIA NIA
~
z 7
'All Smears and/or Large Area Swipes ______ _
<1000 dpm/100cm 2 (unless noted below) I Masslin ns I
- 113-v 1a
- 113-v la
!Letter! j3-y
_j_
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z
=a:
/\\) 1:L AA I/
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jORPs detected; Yes ~No N/A Purpose of Survey: !Comments:
~
Routine D lnvestigatlonal D Release D Other (specify)
IX(
Decon Recommended Shielding Recommended Release Recommended None Other (specify)
... -...,..,.'II,,,._. ____
_. __,_~
i r-----,
I I Debris I
i 1Pile I
ij I C,RM, I
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I ~=Er:,~ I
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t7-rll<i.r-2-r---'.z,.....,zl"""""Tz--z7A-
, CRPBE r
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M A-L: 44q,q, c::rW'\\
I No re.s""l-k ~bove Ml\\\\,..
1(--,
I I
8lenot P1 le:
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lO/EO R~Q.
NEOS, CR?BE ~.
c:,
FSSAREA 1-----*-
- * * * = Rad boundary *#/# = Contact/ 30cm dose rates I
- = Gamma dose rate I
AB - Average Background in cpm
~
A A
(!) = Smear location t:;;1 = large area swipe
!2Zlincficat~ area(s) where 44-10 survey was performed Peer Check {Signature):
t'ii:2 -
RPS Approval (Signature):~~ j!./ <:?::;:e) 77
Survey#: ~OlC\\-0005"""
==
Description:==
H,... ) li!Ac.,,l::. P0+~ Date: I /g /l
3 O :l041.f All dose rates in mrem/hr unless otherwise noted NF~
AIJSmearsand/orlargeAreaSwipes _____
_. I AB: iooo cp-A-8: JS'oo c-r.-v\\
48: /'l,oOce-
<1000 dpm/100cm 2 (unless noted below) Masslinns
,"II AL: 44 M PtL: Ji~ Cf'""'
MAL: ;J,q~l Cf>""
~-v a It - ~-:L a Letter ~-v
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-* I Debris I
1""---t-----1i----t--...---t----t---t----i...... ----t.--l PIie I
l~~I Q
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t--+---11--+--t--+---+---i.+-----t:::l-TlD/ED I
Unit 1
(,._~~1-_.\\
1
~containment
~Containment
1-----1----1----------1 I NEDS, i-"'--il-,...J~L...L-,l_l_j I
,~R
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[7 7
I/
DRPsdetected: Yes 18-No ON/A Purpose of Survey: I Comments:
RWP 18 Routine D lnvestlgational D Release D Other (specify)
Decon Recommended Shielding Recommended Release Recommended g
None Other (specify)
I MAL-Minimum Action limit
= Rad boundary
- /#
~
= Contact/ 30cm dose rates
- = Gamma dose rate
._ ___ _j FSSAREA
~
1~i~~:Aeq, TI.0/EO Req,
\\
NEOS, CRPBE
/Vo co"'"ts,
~ bovt, Ml\\l IZZ!indicate~ area(s} where 44--10 survey was performed AB - Average Background in cpm All Results < MAL unless otherwise noted (i) = Sl'l'lear location E:J = Large area swipe I
J Peer Check (Signature): (:i]J::,/ a RPS Approval (Signature):~BD.~
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==
Description:==
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Date: \\ I?\\ I \\C:\\. ~ime: \\ cl.~,
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Survey#:
Surveyor Name{s): (Print)\\ \\...\\~***0~11 /.l.U...., (Sign) i°tnUJ1/t.l.1k ):'..:-r-,
ZlONSoLUTJONS,,,.
Unit:~ BLDG:li.fA._ ELEV: ~C\\::'\\
N:.--.,,..~
~-.-,
RWP: ~D\\~
-c--, -~~~ '\\
Rad Posting: See Below if
/
I Air Sample taken: Dyes llno Dosimetry Placement:~ Chest Head All dose rates in mrem/hr unless otherwise noted Thigh Other h}.lH-
\\ '::)~C, \\~. \\~
Instrument Model Serial#
l fl 15
-H-+00
"<<\\-,-;:i I \\.\\~-, C\\
~,l..\\1C\\l11 mflL
).'SS~
!--..\\ I
~I I a....
I A-J I
I
~-,"'1e' M-a.-o NAF All Smearsand/or Large Area Swipes Do
<1000 dpm/100cm 2 (unless noted below) Massi inns
-"/~I~
~L.--:s~I>
- ~-v a
~-v a
Letter ~-v
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ctnment I.,._
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Blend Pile:
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Nl:OS,CRPBE I
I DRPsdetected: Yes 8No ON/A Purpose of Survey:
Comments:
I
/
/
/
/
I 0 RWP Decon Recommended II Routine Shielding Recommended ft6 Jlt,0C1 D lnvestigational Release Recommended
/nlrL d.li> ~(
D Release I!
None D Other (specify}
Other (specify}
MAL-Minimum Action limit
~indicate~ area(s) where 44-10 survey was performed
,. * * * = Rad boundary
- /#
AB - Average Background in cpm
~
= Contact/ 30cm dose rates All Results< MAL unless otherwise noted
- = Gamma dose rate
= Smear location
~
= Large area swipe A
,//
Peer Check {Signature}: -'"\\.,-....
i-t RPS Approval (Signature}~_j/~0_...,,t( ~
~
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Survey#: ~()>)":\\. ~)'1/4()
==
Description:==
\\\\eo.9'/ )\\o,µ.} ~l\\. Date: I / Jo 1,9 Time:
Id}(')
_. ~
Unit:.hla. BLDG: N/J:)... ELEV: Ii/fr Surveyor Name(s): (Print)\\\\,nA""""" n 'C,6,n.?l"/ (Sign) j 1L.I -
-- /r..r~
Z !O;tiSOLJ.l[!Q!Y§*~*
RWP:
- },ri1r
- ,
- I) - r... ox. J Rad Posting: See Below I
I 7Air Sample taken: Dyes lino Dosimetry Placement: liD Chest Head All dose rates in mrem/hr unless otherwise noted Thigh Other Ml 19:
Instrument Model Serial #
1 m-ra J 44-)/\\
- J74;q1n NI
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n~,-s~
l}~-J()o0
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NAf All Smears and/or Large Area Swipes
_ ~
m.&. f/'/r'.i' VIAA,/ _ 25::, * :;1
'5'5
<1000 dpm/100cm 2
(unless noted below) Masshnns
=-
r-
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C ;
1t 13-v a
n 13-v a
Letter 1f-v" l / / / //
/ / //// / / / / / / / \\ /
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I Req.
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/ ~ ~: RM, RWP *Req, Conu.lnment Contl_/lnmant rl 1 I NEOS.
Y; / '/ / / /
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--+--+----+--+-+--+---'ltl"--.....=-------t
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--+-+---+--+----t-+--+-~"'-....---1 I
DRPs detected: Yes QNo N/A
/
/
/
/
/
/
/
/
Purpose of Survey:
Comments:
D RWP D
Decon Recommended Iii Routine D
Shielding Recommended D lnvestigational D
Release Recommended D Release II None
~
D Other (specify)
O Other (specify)
!2Zlin<fic::ates area(s} where 44-10 survey was performed MAL - Minimum Action limit
= Rad boundary
- I#
AB - Average Background in cpm
~=Contact/ 30cm dose rates All Results < MAL unless otherwise noted
~
- = Gamma dose rate i) = Smear location
~
= large area swipe J
A Peer Check {Signature):
U T ~
RPS Approval (Signature):.tll /I' Jlc_ "" _,,,,/J f
Survey#:
~\\':)\\'\\- DD\\.\\::),.
==
Description:==
~l)~ ~w,~:\\\\\\
Date: \\ AA I\\<:\\
Time: \\ ~&~
~..
1unit:'\\l..\\h1.BLDG:NJ l'l. ELEV~~~
Surveyor Name(s): (Print)i )*..,d.,.,,,.~- lR""-"-"'-'n~rUQ(Sign)'/,..,.,
1
- --/~
~-/ ZIO:-JSoLQ'!!QJY§,m*
RWP: ~"'\\<t.
- r-... - ~~
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Rad Posting: See Below I
IAir Sample taken: Dyes lilno Dosimetry Placement: Chest Head All dose rates in mrem/hr unless otherwise noted Thigh Other
"'-'I~
Instrument Model Serial#
I A J3 /50(}
1 I\\,"(\\... 1:\\ 1 it4-,t\\
~l'\\,Y:::.
AB : 1ooo mllL *d.ss I
'\\1..1 "ti.I I MAL: 4'-{gg
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MAL: q11'l NAF All Smears and/or Large Area Swipes ______
\\
D
<1000 dpm/100cm2 (unless noted below) Masslinns 13-v a
13-v a
Letter 13-v
\\....-----/ 7 7-/--/ / /
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I tr---+-./--..,(.
lnD/ED Req, I CRPllf I
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~------------.... _._..,
t:;~:~;:Req,
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1 1
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(,_...,.1,...-----1.----L....-..L..---L--....L....-.&.....-.-~........
I I I I I
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IDRPs detected ; Yes ill No ON/A J3 Purpose of Survey:
Comments:
fl I U. () 0 D RWP D
Decon Recommended 111 fl l..
a ~
~ 1 Ii Routine D
Shielding Recommended D lnvestigational D
Release Recommended 0
Release II None D Other (specify)
D Other (specify) rz?,3indicates area(s) where 44-10 survey was performed MAL-Minimum Action Limit
- * * * = Rad boundary
- I#
AB - Average Background in cpm
~=Contact/ 30cm dose rates All Results < MAL unless otherwise noted
- = Gamma dose rate
= Smear location jAiicl = Large area swipe
~
)'Peer Check (Signature):,~ wl, r'.l..
.[)
RPS Approval (Signature):!! fijf/p?,_,,. £,f_~ ~
Survey#: ~)~---- ~~~~
==
Description:==
\\\\H"~\\'1-.I \\\\n,,\\ ~\\..D Date:3
/ \\ !\\:\\
Time: \\\\rL'(~'i
- =-
Unit:llifr: BLDG: ~
ELEV:~~ d.
-7
~
Jiu
' 'rilM O ~SOLJ!.l]OJY.§11, Surveyor Name(s): (Print) " '"'.~,... \\~\\ \\f\\t\\.-,,,,nv n~(Sign) 1 JN'\\ M "f/J1urn1 r, RWP:
N l 'A.- -
Rad Posting:
N/11-
!Air Sample taken: D yes Dho Dosimetry Placement: Iii Chest Head All dose rates in mrem/hr unless otherwise noted Thigh Other N \\ v:1.
Instrument Model Serial #
"('{"\\.. \\~ \\ \\-\\\\.. L\\0
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N
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-f.\\-~
All Smea rs and/or Large Area Swipes
<1000 dpm/100cm2 (unless noted below) Masslinns
~o
~-y
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~-y
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a a
Letter
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1-p37 NAF
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313 I yn '1,/2 RWP f!eq, 1 /
3 TLD/EO "3iS
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- Req, 1/1'! I/// I
- NEDS, I
CRPBE I ;;
~~ /~
FS SAREA
~ '\\ ~e,(S, DRPs detect ed : Yes 1§1:No N/A
%~\\..,,
Purpose of Survey:
Comments:
~C\\so 0 RWP Decon Recommended IP Routine Shielding Recommended D lnvestigational Release Recommended D Release
@I None D Other (specify)
Other (specify) f-\\\\:)::. \\-\\ue,D..9)_ "b_~fGu-f\\~
\\\\\\ ?,.-"\\_-:.._ \\'-\\., "'-\\ '<'f\\.'~ "I~ \\\\6 () Y\\ 1/4 '0 E: \\
= Rad boundary
- /#
~
= Contact/ 30cm dose rates \\\\,\\\\ ~\\-.0\\~ L m ~\\t)
- =Gamma doserate
/// =. \\\\iec,~<....~\\:t.~eo.
@) = Smear location a = Large area swipe
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Peer Check (Signature): _& __ LI. P
,r"'\\
RPS Approval (Signature):£}~,,_?/~ ~
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I 1 I./
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Survey#: ~ DlC\\ - (') ~~~
==
Description:==
\\\\eo.._0¥ f1.al-J / a1-h Date: 3 L 'J.L ):1 Time:
\\ '-\\ Y
)
~
Unit:n;l"- BLDG:M&._ ELEV: ~~~\\
Surveyor Name(s): (Print) '-......"'"" i., V1,l_;,,_,,., _ _
(Sign) J/, *-- ~,1/2; - _,
-,,,, ZlO~SOLUTJONS11,
-..r - u *.....
RWP:
NlA-Rad Posting:
NI l9-Air Sample t aken: D yes U no Dosimetry Placement: liltChest Head All dose rates in mrem/ hr unless otherwise noted Thigh Other Instrument M odel Serial #
%A~
1../4-10
.;J<JC, 9f!Q
\\\\.\\
l'\\\\
~~
~
All Smears and/or Large Area Swipes
<1000 dpm/100cm2 (unless noted below) Massi inns r=
~-y a
~-y a
~-y
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Letter
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fl-8,3:JotJ I tnffl t/737
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Pile I/ 3"13 rr" C, RMI, I
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RWP fleq, I I'-...
TLD/ED I ( ( !
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f-l-/3 CRP8E 1/
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- l;500
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FS.S AREA
~ A-'3
~isi 1i00 DRPs detected: Yes Ill No N/A
'(n\\9--L Purpose of Survey:
Comments:
a 950
\\
RWP Decon Recommended Iii Routine Shielding Recommended D lnvest igational D
Release Recommended D Release Ill None D Other (specify)
Other (specify)
\\\\~ -:. \\-\\ue~-o°\\l ~il.ZC\\lOlA.1\\c\\
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- * * - = Rad boundary
- /#
\\"I\\\\\\-\\__,-._ "-\\"'I'\\, \\ '<\\. \\,;'<\\ v-. \\JY"\\. ~ o.' o*, ~ '{
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= Contact/ 30cm dose rates
- = Gamma dose rate
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= Smear locat ion E3 = Large area swipe 17 J " /i-Peer Check (Signature): \\ 0 Q_ n.
RPS Approval (Signatur~
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l I 11-V L..,.,,--"
Survey#: olO \\ °I -
O;J..(g5"
==
Description:==
Lawer Scco:\\-kTruJ.. P... +h Date:3 L ~ L \\C, Time: 1.500
~
N/4 1/2 ELEV: 59;;..'
Surveyor Name(s): (Print) c)o\\" l'ec.~
(Sign) "'- Q_ iJ, "
(\\
ZIONSOLUTJONSw*
Unit:
BLDG:
s
.... <--.,-~
~
!Air Sample taken: Dyes 18lno RWP: ;2.0 l C\\
-o - ooo I Rad Posting: C, RM, RWP Req, TLD/ED Req, NEDS, CRPBE Dosimetry Placement: ~ Chest Head
- All dose rates in mrem/hr unless otherwise noted Thigh Other
,-1/4
~
1.nstrument Model Serial#
A\\\\ *o.<"CQ.S.::. ~\\l"d... C'l'c.cr+
M -IJ. lt.1t.f-lO
,:30;).,0'f '-f.
~k.~c. no-te~
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AB,;:-,;;._ 4 0 0 c. pM
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l\\j /
I
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I 7
~
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All Sm~arsand/or Large Area Swipes
~
<1000 dpm/100cm2 (unless noted below) Masslinns,***,-
'//
~-y a
~-y a
Letter
~-y A~::..3000c;,""
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or I b*se,.,.~ **
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I Debris I ;;.,,:':+-/' tc.. '
/
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- Pile I
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-..-,.I DRPs detected: Yes.a;(No ON/A Purpose of Survey:
Comments:
0 RWP Oecon Recommended if Routine Shielding Recommended D lmiestigational Release Recommenred 0 Reiease s
None O Other (specify)
Other (specify) f.ZZ! indicate~ area(s} where 44-10 survey was performed
- * * * = Rad boundary
- /#
~
= Contact/ 30cm dose rates AB - Average Background in cpm
- = Gamma dose rate
= Smear location E3 = Large area swipe.
/"\\
/I
.A -
Peer Check (Signature): ~k?-3 RPS Approval (Signature)/)2:)i/£.?- j/ JJ,~
/.M I 7-A
~
Survey #: d O I ~ -
Od'J_.;-
==
Description:==
Tr... c. k 1-\\-...,.\\ r~.\\-l Date:.3 / /~ L ttt Time: !'-130
~
Unit: o/A BLDG:~
ELEV: 59~
1 Surveyor Name(s): (Print).j, R.ee.J..
(Sign) ~ t,j.~
ZIONSOLUTIONS,,,.
....,,_,_,_~
- 3/4 1.../
I Air Sample taken: D yes ~no RWP:
A -
Rad Posting: C, RM, RWP Req, TLD/ ED Req, NEDS, CRPBE Dosimetry Placement: D Chest Hea d
- All dose rates in mrem/hr unless otherwise noted Thigh Other 1/4
//
Instrument Model Serial #
A & :::: olG:. o o,._ f'""
Mloi / "IL/ - JO
.,;,~9 °' ~o
/
I
/
MAL:: 39 8 S c.P""-
!'.//
N
/
,/
/
/
I
/
< MAL-
/
//~
/
/
All Smears and/or Large Area Swipes
/
/
<1000 dpm/100cm 2 (unless noted below) Masslinns
'*I*,~ -
/
/
f3--:v a
[3-y a
Letter
[3-y
/
/
.,..v
/
/
V V
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DRPs detected : Yes D(]No N/A Purpose of Survey:
Comments:
0 RWP Decon Recommended J&] Routine Shielding Recommended D lmiestigational Release Recommenred D Reiease 12!1 None D Other (specify)
D Other (specify)
!2ZJ indicate~ area(s) where 44-10 survey was performed
- * * - = Rad boundary
- /#
~
= Contact/ 30cm dose rates AB - Average Background in cpm
- = Gamma dose rate
= Smear location E3 = Large area sw.wn
/1 /)
~
Peer Check (Signature):
/
/I RPS Approval (Signature),&k2 V u r9- /,,..--,--
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/
(.;,
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Survey#: a?O \\ ~ - 035 I
==
Description:==
in1~"- PP>+-hLAce~
Date: 3 / )<j /1)
Time: 07,30
~
Unit: % BLDG: :1/s ELEV: 55:d-Surveyor Name(s): (Print).)o\\.,.. ~eeJ
{Sign) &_ i,,L~
ZIONSOLUTIONS,u
... -..--.,.-~
RWP: c,16 \\ <\\ -o-ooo l Rad Posting: C, RM, RWP Req, TLD/ED Req, NEDS, CRPBE V
I Air Sample taken: Dyes [2ifno Dosimetry Placement: Ix! Chest Head All dose rates in mrem/hr un less otherwise noted Thigh Other
"'/4 Aree<..s c;,...\\\\ L. MA. l.- exc.epf Instrument Model Serial #
M.. /J. /'14 -f O
-~~~\\.<:::;
<D::,;io,ooo c.p,... er,,beJdcJ.
N
/
N
/
, n cl, r-.\\- ~ c:.c-<A \\ J. "°.\\-
/
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reccv er-,
/A
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<1000 dpm/100cm2 (unless noted below) Masslinns '*I*,~ -
~-y a
~-y a
Letter
~-v f'\\i:>\\!)_(.,.C O C 'P""
/
I"\\ Ac..: :5CJf!5 40?~
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/
V
,-.--r,, ' *o '-\\"!>o'i'"' I l
I I
D\\r\\-
I"' p.t..* I /
v
-1...,,..
Debris
/
\\
I
""1\\e.
Pile I
/
I DRPs detected: Yes il!No O N/A Purpose of Survey:
Comments:
RWP D
Decon Recommended
~ Routine Shielding Recommended
~
0 lmiestigational Release Recommen~ed
~
D Reiease rEl None D Other (specify)
Other (specify)
~
indicate~ area(s) where 44-10 sur.,ey was performed
= Rad boundary
- /#
~
= Contact/ 30cm dose rates AB - Average Background in cpm
- = Gamma dose rate (Jf) = Smear location
~
= Large ar~,,a swipe.
1.,
/)
Peer Check (Signature): ~2--? z ~
Jlai--2ZJa':?2:/'
RPS Approval (Signature):- j2-J, ~p ~
,..--...--J )
I/
,,f
Survey#: ao I 9- 031,,e,
==
Description:==
lo. '>,/J/.e.( ~a1,1,+-\\.. lt~c.l<. e.1-h Date: 3 L JroLI '1 Time: IS-Lo
- =-
Unit: iv }A BLDG: IV//>i ELEV: S°ld-'
Surveyor Name(s): (Print) B. G4l1.t.l (Sign) ~
ZIONSOLUTJONS,,,
.... t.---~~,
RWP:
Air Sample taken: Dyes R)no Dosimetry Placement: 12S-Chest Head
- All dose rates in mrem/hr unless otherwise noted Thigh Other r.J/A 1.nstrument Model Serial #
\\~
. J,500 c.pr" f,9>,
L/Ll -/0 / ;vi-1~
~~'t~ 'ri O
/
3i$ i c.()M
/
I f'I\\AI,..-
l'f/
JV'/11 l"'1 Ii 8 *. ~~oO
/
A
/
'I l., _' S'-f Cp,-,.
All Sm~ars and/or Large Area Swipes 7'f c,"' ---
<1000 dpm/100cm2 (unless noted below) Masslinns '*I*,-
13-:Y a
13-v a Letter 13-v
~
/
. d>'loO
<-~ii"'-
/.
\\
f.~.
/ v
/
f'\\I\\L:. YJ3'o q>~
I ~
..-----** ~----,
rJ
/
V V
\\
~
I I
/
V A
I V
I I
I
~
I I/
Debris
/
\\
I
_ Pile I
I
/v
~
11111. --....
DRPs detected: Yes 1i(!No ON/A Purpose of Survey:
Comments:
~
0 RWP Decon Recommended
~ Routine Shielding Recommended 0 lmiestigational Release Recommen~ed D Reiease IS?l None tJ o l 011\\\\1\\t~
- above, f'/\\ f\\L*
D Other (specify)
Other (specify) l;223indicate~ area(s} where 44-10 sur.-ey was performed
- - * * = Rad boundary. #/#
~
= Contact/ 30cm dose rates AB - Average Background in cpm
- = Gamma dose rate (if) = Smear location E3 = Large area swipe A
//
/J Peer Check (Signature): /4,--, 46::::::'
RPS Approval (Signature): -::r m,,wft~~
,,--;y,,~ ~
IA./ y
/A j I ~
Survey#:
rJO 12 -o.J 7,r
==
Description:==
7/r.d,./1.JJ, Date: 3 /'J]I Ii Time: IS oo
~
Unit: 111 /t4 BLDG:_Lftt___ ELEV: 5"2;)'
Surveyor Name(s): (Print) 2 -~.~,-.,/P, /Jr-('?Ctl-&I'(.
(Sign)r-=il / 'P. ~',
1'-
ZlO~SOLJ/lJQN§.,u*
RWP:
Jo /'1 - <J - 600 /
Rad Posting: Su. Eelo,A, I
Air Sample taken: Dyes !Slno Dosimetry Placement: rjl_ Chest Head All dose rates in mrem/hr unless otherwise noted Thigh Other
/VI.o Instrument Model Serial #
JI}-Id 44-JO
~~qq ~n
~,...
/,./,./lJ-1!117 fl,,(-12 I 'l'-/-1"
>o io'f-4 AIISmearsand/o:LargeAreaSwipes ~-----l
?:le Do5e. Rei.HS
'- 0. \\ M~)hr
<1000 dpm/l 00cm {unless noted below) Masslinns I __ -
1
~-y a
~-y a
Letter
~-y I Debris I
Av~. '54j- -.Jc:,oo e,t,-a Pile I
/"?Al. - ¥-II#<-'-
I
<,...,.,,_,.,,,L
- 2A:. --32.ct'c~M I c, RM,
~ 1-a..,.a,-11 A,,;.,,f,~ *- 1-.5ooc,~,11 j_vi_:: J I"---
1 RWP Req,
~-...._.i...,,..__,.--,_
f-14{ -
3 s-s 8 C/~'"
~ ~ !~l !._ cp 1 TLD/ED
/ //1/" / /j L. MA-'r r - -::..,~
~, A
- ~ri>s.
I l~
il!}U{JJ 1---1--+---+--+-4-i'-..~..,.._-i-----l I CRPBE I
7!71ll! ~
'-.....r--..
L
_ _j TLO/EO, NEOS, CRPBE l---+--------l----4-4---"-""---I 1--........__........__........___,_ _ __,_ _ __,__....._ __
"-------.:i
'°'5,;
A~CN DRPs detected: Yes./YNo O N/A Purpose of Survey:
Comments:
D RWP D
Decon Recommended D Routine D
Shielding Recommended lfl lnvestigational D
Release Recommended D Release I!!
None D Other (specify)
D Other (specify)
= Rad boundary
, #/#
~
= Contact/ 30cm dose rates
- = Gamma dose rate
= Smear location E3 = Largfa,area swipe
,1
/)
/,} /I Peer Check (Signature): ~/J-'7/77 a.,,,niJ&?/Y'J"JCJ::MM RPS Approval (Signature): I/?,_, _ ?/t::J __.,,, ff =:::::::::_*c,,,,.-:::::Z. - - -
....,"C?
\\7 v'
Survey #:
ao lj - tJsFJ
==
Description:==
rrCA.C.lc. /4h, f:l!/"IA Date: 3 /;}..'6/l t:r Time: I 'I t)t)
~
Unit:,.,J~ BLDG:~
ELEV: 5ct t
,ii':-
/.
-/2.L..}
ZlO~SOLUTIONS,,,
Surveyor Name(s): (Print) 3.t...Du.\\ 2.t..,h>J>/ (Sign~cr=r. '{ 1!!5 RWP:
~01~ - fl* f'Jn('}\\
Rad Posting: Sc~ RP Io,,.1 IAir Sample taken: D yes l&lno Dosimetry Placeme nt: ~ Chest Head All dose rates in mrem/hr unless otherwise noted Th igh Othe r
"' IA
-t AVi, 11/0i-lAL s"iA Rv~YMS':., f. Al?,ctt~R/ C, \\l)( l,{,.$ON
(,;!fA) f~/._ c....l Ll,\\.-..)
Instrument Model Serial#
~
l"l-11 I l-3/4L-1-10 30~0 1~
re,le/Jo le lo&./'1-n/ I
,t{r/2. I J.f'f* /(/
30 '2,.1) If I./
Gf'tt M * /2 /1'/* JtJ
- 2. 8fi 'fr t) 1J{~
A8 -i;'fDO err R ~)JC rl f. $
µ/IL-c;,01 C.f,,,,
All Smears and/or Large Area Swipes
~oO vf
\\
~or,;~,:1~'{'-D
<1000 dpm/100cm2 (unless noted below) Masslinns J. \\
~-v q
~
_,_~
a
~-v a
Letter
~-y I Debris I
~-
~
t)
/
~ -~
'\\~
t ~
I Pile I
/
~~v*
')
/
I C, RM,
~-- ~\\(T
.AS : z.,;oo<-;";.
Iii!: J O(IO C-J',.,
//
I RWP Req, I/
~-~\\
.Al '!'i/5"H c
_!!"1AL! 'lv.r,r
/\\II
~I I ///1 ~ l-~fi,..
/
I TLD/ED I
~
rl I
~I
/
I Req, WI/, ;;:
I LI,,~cl J
- NEDS, I
/
/
I CRPBE I
I
- ,?... _/
~cl ftM1 RWP Re~
I/
1--l
~--_J II~ *..;l.1-\\oO <..fl'I\\
~
TLD/ED1 NEDS1
/
MAL : ~73> \\ trW\\
CRPBE
/
I/
!- S ~ Ao f'::°"A-
~E,-;J~,..,,
DRPs detected : SY es ~
N/
Purpose of Survey:
Comments:
No Lovi,/\\h QOOve 0 RWP Decon Recommended Mftt....
IE!. Routine Shielding Recommended D lnvestigational Release Recommended D Release l8r None D Other (specify)
Other (specify)
.NIAL :: /V'I.~;,.,."""" A"\\-: o "
1,..; "" ; ~ - /J/1/' /..,'c,/e, ffi, =
Averr..~~ ~ o.c..k5rov.~
,c;, w,J 0-J t..,.J a..J re-ttJl/e(j
- * * * = Rad boundary,#/#
- 2.
- r """J( e,.,, I 1ar
~
= Contact/ 30cm dose rates fZZ2J = Are.o. of 1./l/. IO SV.f"lle_j
- = Gamma dose rate
<o*IJ+t~/J,/
@) = Smear location E3 = Large area swipe A
Pee r Check (Signature):
~
VJd? Ai.,,.;,. n @-4~ 1/
RPS Approval (Signaturetf f( /
, /tJ ~
J )
,1\\..-,'G-- -
-