RBG-46878, Submittal of Revisions 19 to Emergency Implementing Procedures EIP-2-103

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Submittal of Revisions 19 to Emergency Implementing Procedures EIP-2-103
ML090130094
Person / Time
Site: River Bend Entergy icon.png
Issue date: 01/08/2009
From: Lorfing D
Entergy Operations
To:
Document Control Desk, Office of Nuclear Security and Incident Response
References
RBF1-09-0002, RBG-46878 eip-2-103, Rev 19
Download: ML090130094 (45)
v • d • e


Text

Entergy Operations, Inc.

River Bend Station 5485 U.S. Highway 61 N En t rgyTel St. Francisville, LA 70775 225 381 4157 Fax 225 635 5068 dlorfin@entergy.com David N. Lorfing Manager-Licensing January 8, 2009 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555

Subject:

River Bend Station - Unit 1 Docket No. 50-458 License No. NFP-47 Submittal of Revisions to Emergency Implementing Procedures File No.: G9.5, G9.20.6 RBG-46878 RBF1-09-0002 Ladies and Gentlemen:

Pursuant IOCFR50 Appendix E,Section V, enclosed are copies of an Emergency Implementing Procedure that has been revised. Procedure, EIP-2-103 revision 19 is attached. In accordance with 10CFR50.54(q), changes do not decrease the effectiveness of the Emergency Plan.

If you have any questions or require further information, please contact David Lorfing at (225)-381-4157.

Sincerely, D. N. Lorfing/G Manager-Licensing DNL enclosures

Submittal of Revision to the RBS Emergency Implementing Procedures January 8, 2009 RBG-46878 RBF1-09-0002 Page 2 of 2 cc: U. S. Nuclear Regulatory Commission (2)

Attention: Senior Emergency Planning Inspector Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011 NRC Senior Resident Inspector P. 0. Box 1050 St. Francisville, LA 70775

REFERENCE USE j K ENTERGY RIVER BEND STATION STATION SUPPORT MANUAL

  • EMERGENCY IMPLEMENTING PROCEDURE
  • EMERGENCYEQUIPMENTINVENTORY PROCEDURE NUMBER: .*EIP-2-103 REVISION NUMBER: *19 Effective Date:
  • 12/10/08 NOTE: SIGNATURES ARE ON FILE.,

TemRev 2 AddCounter 18 Att Enc DS MSet REGULAR KWN OFF

  • INDEXING INFORMATION

TABLE OF CONTENTS SECTION PAGE NO.

1 PU R P O S E ................................................................................................................................. 2 2 REF EREN CE S ........................................................... / ............................................................ 2 3 DE FINITION S ... .. ................................................................................................... 2 4 RE SP ON SIB ILIT IE S ............................................................  !................................................... 2 5 GENER AL ................................................................................................................................ 2 6 P RO C ED URE .............................. ............................................................................................. 3 7 D O CUM EN TA TION ...................................................................................................... 5 ATTACHMENT 1 - INVENTORY COVER SHEET .............................................................. 6 ATTACHMENT 2 - MAIN CONTROL ROOM ...................................................................... 7 ATTACHMENT 3 - TECHNICAL SUPPORT CENTER ........................................................ 10 ATTACHMENT 4 - OPERATIONS SUPPORT CENTER ...................................................... 14 ATTACHMENT 5 - EMERGENCY OPERATIONS FACILITY .......................................... 20 ATTACHMENT 6 - DECONTAMINATION ROOM .............................................................. 31 ATTACHMENT 7 - AMBULANCE/OFFSITE FIRE DEPARTMENT KITS ....................... 33 ATTACHMENT 8 - ACTIVITY CENTER .............................................. : ................ 34 ATTACHMENT 9 - WEST FELICIANA PARISH HOSPITAL ...................... 37 ATTACHMENT 10 - OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ..... 40 ATTACHMENT 11 - REMOTE SHUTDOWN PANEL .............................................................. 43 EIP-2-103 REV- 19 PAGE 1 OF 42

PURPOSE The purpose of this procedure is to provide instructions for the periodic inventory, inspection, and calibration verification of emergency equipment.

2 REFERENCES RP-502, Inspection and Maintenance of Respiratory Protection Equipment 3 DEFINITIONS NONE 4 RESPONSIBILITIES 4.1 Manager - Emergency Preparedness - ensures maintenance, and availability (as appropriate) of emergency equipment which may be required during an emergency.

4.2 Manager-Radiation Protection - ensures calibration of radiological monitoring equipment and maintenance of respiratory equipment.

4.3 Emergency Planner - schedules and conducts inventories.

5 GENERAL The RP instruments of Our Lady of the Lake Hospital may be stored in the Nuclear Medicine lab.

FTP-2-103 RFV - 19 PAGE PAGE 22 OF OF 42 42 EIP--1 0 REV- 19

6 PROCEDURE NOTE The actions of this proceduremay be completed in any sequence, however, the sequencepresented is recommended.

6.1 The Manager - Emergency Preparedness should:

6.1.1. Review all attachments and indicate review by signing Attachment 1.

6.1.2. Ensure that deficiencies and inventories are corrected as necessary. The contents of emergency lockers should match the equipment listed in this procedure.

6.2 The Emergency Planner should:

6.2.1. Inventory equipment listed in Attachments 2 through 11 quarterly, after each use and any time it is suspected that the equipment has been tampered with or used for unauthorized purposes. An inventory of emergency equipment shall be performed within 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> after a drill/exercise for all kits and lockers where the integrity has been compromised (LC

  1. 13622).

6.2.2. Perform an operational check of portable survey instruments as follows:

1. Check calibration sticker date.
2. Visual inspection for physical damage.
3. Perform battery check.
4. Use check source provided, obtain reading above background.

EIP-2-103 REV - 19 PAGE 33 OF PAGE 42 0F42 EIP-2-103 REV-19

6.2.3. Perform an operational check of portable air sampler instruments as follows:

1. Check calibration sticker date,
2. Visual inspection/housing integrity,
3. Briefly run sampler, and
4. Inspect O-rings for signs of cracking/brittleness. Replace as necessary.

6.2.4. Perform an operational check of portable radios.

6.2.5. Verify correct revision of procedures contained in the lockers.

6.2.6. Items with expired expiration dates (e.g. eye wash solution, batteries) should be replaced.

6.2.7. Immediately correct identified deficiencies. Major deficiencies should be entered into the corrective action program.

NOTE Silver Zeolite Cartridgesare considered hazardous waste and must be disposed of in an appropriatemanner. Contact Environmental Servicesfor disposal requirements.

6.2.8. If calibration dates are found that will expire within the next inventory period, notify Radiation Protection by memorandum and copy to file.

6.2.9. If a locker/kit deficiency cannot be corrected in one day notify the Manager - Emergency Preparedness.

6.3 The Manager-Radiation Protection should:

6.3.1. Ensure the calibration of radiation monitoring equipment in accordance with applicable procedures.

6.3.2. Ensure the availability of sufficient reserves of instruments and equipment from normal station inventories to replace instruments/ equipment removed from the emergency lockers/kits for calibration or repair.

EIP-2-103 REV - 19 PAGE PAGE 44 OF OF 4242 EIP-2-103 REV 19-

6.3.3. Ensure that respiratory equipment is inspected at least once each month in accordance with RP-502.

7 DOCUMENTATION Completed inventory sheets shall be maintained by Emergency Planning for a period of 12 months. Attachments 1-11 shall be forwarded to Permanent Plant Files (PPF).

EIP-2-103 REV - 19 OF 42 PAGE 55 OF PAGE 42 EIP-2-103 REV - 19

ATTACHMENT 1 PAGE 1 OF I INVENTORY COVER SHEET UNSAT. SAT.

A. Quarterly Emergency Equipment Locker Inventory (Attachments 2 - 11)

Reviewed By:

/ /

Manager - Emergency Preparedness KCN Date Additional Comments:

EIP-2-103 REV - 19 PAGE 6 OF 42

ATTACHMENT 2 PAGE 1 OF 3 MAIN CONTROL ROOM DESCRIPTION: MAIN CONTROL ROOM EMERGENCY LOCKER LOCATION: MAIN CONTROL ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT TSC/CR Communicator 1 N/A N/A SAT/UNSAT Communications Equip.

Radioactive Material 10 N/A N/A SAT/UNSAT Tags Calculator 1 N/A N/A SAT/UNSAT Contamination Smears 1 Box N/A N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/UNSAT Particulate Filters 1 Box N/A N/A SAT/UNSAT Silver Zeolite Cartridges 5 N/A SAT/UNSAT Dosimeter 0-500 mR 15 N/A SAT/UNSAT Dosimeter 0-1 R 5 N/A SAT/UNSAT Dosimeter 0-10 R 5 N/A SAT/UNSAT Dosimeter Charger 1 N/A N/A SAT/UNSAT B/G Dose Rate Meter 2 SAT/UNSAT SAT/UNSAT Frisker with Probe 1 SAT/JNSAT Spare Probe 1 N/A N/A SAT/UNSAT

-8 uCi Cs 137 Check 1 N/A SAT/UNSAT Source EIP-2-103 REV - 19 PAGE 7 OF 42

ATTACHMENT 2 PAGE 2 OF 3 MAIN CONTROL ROOM 2

DESCRIPTION: MAIN CONTROL ROOM EMERGENCY LOCKER LOCATION: MAIN CONTROL ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Rad. Tape 1 N/A N/A SAT/UNSAT Masking Tape 2 N/A N/A SAT/UNSAT Step Off Pads 2. N/A N/A SATIJNSAT Caution Signs 2 N/A N/A SAT/UNSAT Contaminated Area 2 N/A N/A SAT/UJNSAT Insert High Rad. Area Sign 2 N/A N/A SAT/IUNSAT Rad. Area Insert 2 N/A N/A SAT/UNSAT Barrier Rope (Feet). -50 N/A N/A SAT/UNSAT Poly Bags (XL) 5 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/UNSAT Protective Clothing Sets 10 N/A N/A SAT/UNSAT Full Face Filter 1 Small N/A N/A SAT/UNSAT Last inspected:

Respirator 10 Medium SAT/JNSAT 1 Large SAT/UNSAT EIP-2-103 REV - 19 PAGE 8 OF 42

ATTACHMENT 2 PAGE 3 OF 3 MAIN CONTROL ROOM DESCRIPTION: MAIN CONTROL ROOM EMERGENCY LOCKER LOCATION: MAIN CONTROL ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Flashlights with Batteries 5 N/A N/A SAT/UNSAT Batteries "D" Cell 24 N/A N/A SAT/UNSAT Lantern with Battery 2 N/A N/A SAT/UNSAT Spare Lantern Batteries 2 N/A N/A SAT/UNSAT Lamps with Batteries 4 N/A N/A SAT/UNSAT Spare Lantern Bulbs 2 N/A N/A SAT/UNSAT Air Sampler 2 SAT/UNSAT SAT/UNSAT SCBA 10 N/A N/A SAT/UNSAT Last inspected:

5 Small N/A N/A SAT/UNSAT SCBA Masks 10 Medium Last inspected:

8 Large SCBA Spare Bottles 30 N/A N/A SAT/UNSAT Batteries "9 V" 4 N/A N/A SAT/UNSAT KI Bottles/Packets 10 N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS/AIR SAMPLERS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 9 OF 42

ATTACHMENT 3 PAGE 1 OF 4 TECHNICAL SUPPORT CENTER DESCRIPTION: TSC EMERGENCY LOCKER LOCATION: TSC ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SATIUNSAT B/G Dose Rate Meter 2, SAT/UNSAT SAT/UNSAT Frisker with probe 2 SAT/UNSAT SAT/UNSAT Spare Probes 2 N/A N/A SAT/UNSAT DLR(s) 25 N/A N/A SAT/UNSAT Dosimeters 0-500 mR 40 N/A SAT/UNSAT Dosimeters 0-1 R 20 N/A SAT/UNSAT Dosimeter Chargers 2 N/A N/A SAT/UNSAT

-8 uCi Cs 137 Check 1 N/A SAT/UNSAT Source Silver Zeolite Cartridges 10 N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/UNSAT Smears 1 Box N/A N/A SAT/UNSAT Particulate Filters 2 Boxes N/A N/A SAT/UNSAT Petri Dish 1 Box N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 10 OF 42

ATTACHMENT 3 PAGE 2 OF 4 TECHNICAL SUPPORT CENTER DESCRIPTION: TSC EMERGENCY LOCKER LOCATION: TSC ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Batteries "D" Cell 18 N/A N/A SAT/UNSAT Batteries "9 V" 3 N/A N/A SAT/UNSAT Masking Tape 2 N/A N/A SAT/UNSAT Tweezers 1 N/A N/A SAT/UNSAT Screw Driver 1 N/A N/A SAT/UNSAT Calculator 1 N/A N/A SAT/LNSAT Rad. Tape 1 Roll N/A N/A SAT/UNSAT Radioactive Material 5 N/A N/A SAT/UNSAT Tags EIP-2-103 - 1 N/A N/A SAT/UNSAT Revision:

Surgical Gloves -100 N/A N/A SAT/UNSAT Full Face Filter 1 Small N/A N/A SAT/UNSAT Last inspected:

Respirator SAT/IJNSAT 5 Medium I Large SAT/UNSAT Step Off Pad 1 N/A N/A SAT/IUNSAT Bag Stand 2 N/A N/A SAT/UNSAT EIP-2-103 REV- 19 PAGE 11 OF 42

ATTACHMENT 3 PAGE 3 OF 4 TECHNICAL SUPPORT CENTER DESCRIPTION: TSC EMERGENCY LOCKER LOCATION: TSC ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Poly Bags (XL) 5 N/A N/A SAT/UNSAT Lamps without Batteries 10 N/A N/A SAT/UNSAT Lamp Batteries "D" Cell 80 N/A N/A SAT/UNSAT Protective Clothing Sets 8 N/A N/A SAT/UNSAT Sign '.'Frisk Prior to Entry" 1 N/A N/A SAT/UNSAT Sign "Frisk Prior to Exit" 1 N/A N/A SAT/UNSAT Extension Cord 1 N/A N/A SATAJNSAT Barrier Rope 100 Ft. N/A N/A SAT/UNSAT Radiological Survey Data 10 N/A N/A SAT/ANSAT Sheets Airborne Rad. Activity 10 N/A N/A SAT/UNSAT Data Sheet Air Sampler 2 SAT/UNSAT SAT/UNSAT EIP-2-103 REV - 19 PAGE 12 OF 42

ATTACHMENT 3 PAGE 4 OF 4 TECHNICAL SUPPORT CENTER DESCRIPTION: TSC EMERGENCY LOCKER LOCATION: TSC ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT SCBA 5 N/A N/A SAT/UNSAT Last inspected:

SCBA Spare Bottles 10 N/A N/A SAT/[LNSAT CADAP Lap Top 1 N/A N/A SAT/UNSAT Computer KI Bottles/Packets 20 N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS/AIR SAMPLERS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 13 OF 42

ATTACHMENT 4 PAGE 1 OF5 OPERATIONS SUPPORT CENTER DESCRIPTION: OSC EMERGENCY LOCKER LOCATION: OSC ITEM DESCRIPTION MINIMUM ACTUA SERIAL EXPIRATION CONDITION COMMENTS REQUIRED L QTY. NUMBER DATE SAT/UNSAT Dosimeter 0-500 mR 40 N/A SAT/UNSAT Dosimeter 0-1 R 20 N/A SAT/UNSAT Dosimeter 0-10 R 10 N/A SAT/UNSAT Dosimeter 0-100 R 10 N/A SAT/UNSAT DLR(s) 30 N/A N/A SAT/UNSAT Finger Rings 20 N/A N/A SAT/UNSAT Batteries "D" Cell 48 N/A N/A SAT/IUNSAT Batteries "C" Cell 8 N/A N/A SATiUNS-AT Batteries "9 V" 18 N/A N/A SAT/UNSAT Flashlights without 10 N/A N/A SAT/UNSAT Batteries SAT/UNSAT Air Sampler (DC) 2 SAT/UNSAT Lamps without Batteries 3 N/A N/A SAT/UNSAT Spare Frisker Probes 5 N/A N/A SAT/UNSAT SAT/UNSAT SAT/UNSAT Frisker with Probe 5 SAT/UNSAT SAT/UNSAT SAT/UNSAT EIP-2-103 REV - 19 PAGE 14 OF 42

ATTACHMENT 4 PAGE 2 OF 5 OPERATIONS SUPPORT CENTER DESCRIPTION: OSC EMERGENCY LOCKER LOCATION: OSC ITEM DESCRIPTION MINIMUM ACTUA SERIAL EXPIRATION CONDITION COMMENTS REQUIRED L QTY. NUMBER DATE SAT/UNSAT Portable Radio 6 N/A N/A SAT/UNSAT High Range Dose Rate 1 SAT/UNSAT Meter (- 1O,OOOR/Hr)

-8 uCi Cs 137 Check 1 N/A SAT/UNSAT Source Dosimeter Charger 2 N/A N/A SAT/UNSAT SCBA 10 N/A N/A SAT/UNSAT Last inspected:

Full Face Filter 1 Small N/A N/A SAT/UNSAT Last inspected:

Respirators 10 Medium SATIJNSAT SAT/IUNSAT 1 Large Poly Bags (L) 25 N/A N/A SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/JNSAT Masking Tape 10 Rolls N/A N/A SAT/JNSAT Rad. Tape 2 N/A N/A SAT/UNSAT Plastic Suit 10 N/A N/A SAT/JNSAT Blanket 1 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 15 OF 42

ATTACHMENT 4 PAGE 3 OF 5 OPERATIONS SUPPORT CENTER DESCRIPTION: OSC EMERGENCY LOCKER LOCATION: OSC ITEM DESCRIPTION MINIMUM ACTUA SERIAL EXPIRATION CONDITION COMMENTS REQUIRED L QTY. NUMBER DATE SAT/UNSAT First Aid Kit 1 N/A N/A SAT/UNSAT Camera 1 N/A N/A SAT/UNSAT Toxic Gas Monitor 1 N/A N/A SAT/UNSAT Tool Belts 2 N/A N/A SAT/UNSAT Screw Driver 1 N/A -N/A SAT/UNSAT Contamination Smears 2 Boxes N/A N/A SAT/UJNSAT Smear Envelopes 2 Boxes N/A N/A SAT/UNSAT Particulate Filters 2 Boxes N/A N/A SAT/UNSAT Stick On Labels 1 Box N/A N/A SAT/UNSAT Silver Zeolite Cartridges 10 N/A SAT/UNSAT Contam. Area Insert 20 N/A N/A SAT/UNSAT Radiation Area Insert 20 N/A N/A SAT/UNSAT High Rad. Area Sign 20 N/A N/A SAT/UNSAT Rad. Material Insert 20 N/A N/A SAT/UJNSAT Hot Spot Stickers 15 N/A N/A SAT/UNSAT Rad. Material Stickers 1 Roll N/A N/A SAT/UNSAT Barrier Rope 500 Ft. N/A N/A SAT/UNSAT Sign Holders 10 N/A N/A SAT/UNSAT Radioactive Material 100 N/A N/A SAT/UNSAT Tags EIP-2-103 REV - 19 PAGE 16 OF 42

ATTACHMENT 4 PAGE 4 OF 5 OPERATIONS SUPPORT CENTER DESCRIPTION: OSC EMERGENCY LOCKER LOCATION: OSC ITEM DESCRIPTION MINIMUM ACTUA SERIAL EXPIRATION CONDITION COMMENTS REQUIRED L QTY. NUMBER DATE SAT/UNSAT Trash Can 3 N/A N/A SAT/UNSAT Ropes 225 Ft. 2 N/A N/A SAT/UNSAT Ropes 150 Ft. 2 N/A N/A SAT/UNSAT Ropes 100 Ft. 2 N/A N/A SAT/UNSAT Ropes 50 Ft. 2 N/A N/A SAT/UNSAT Extension Cords 4 N/k- N/A SAT/UNSAT Multi-Receptacle 1 N/A N/A SAT/UNSAT Tool Kit 2 N/A N/A SAT/UNSAT Dose Tracking Cards 20 N/A N/A SAT/UNSAT Hydraulic Jack 2 N/A N/A SAT/UNSAT Bolt Cutters 4 N/A N/A SAT/UNSAT Wrecking Bars 4 N/A N/A SAT/UNSAT Sledge Hammer 2 N/A N/A SAT/UNSAT Protective Clothing Set 50 N/A N/A .SAT/UNSAT (White paper)

SAT/JNSAT SAT/UNSAT Air Sampler (AC) 4 SAT/UNSAT SAT/UNSAT Protective Clothing Sets 20 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 17 OF 42

ATTACHMENT 4 PAGE 5 OF 5 OPERATIONS SUPPORT CENTER DESCRIPTION: OSC EMERGENCY LOCKER LOCATION: OSC ITEM DESCRIPTION MINIMUM ACTUA SERIAL EXPIRATION CONDITION COMMENTS REQUIRED L QTY. NUMBER DATE SAT/UNSAT Bag Stand 1 N/A N/A SAT/UNSAT SAT/UNSAT High Range Dose Rate 2 Meter (-100R/Hr) SAT/UNSAT Portable Rad Monitor 1 SAT/UNSAT with Probe Spare Probe for Portable 2 N/A N/A SAT/UNSAT Rad Monitor SAT/UNSAT SAT/UNSAT B/G Dose Rate Meter 4 SAT/IJNSAT SAT/UNSAT Step Off Pads 20 N/A N/A SAT/UNSAT Yellow Metal 5 N/A N/A SAT/LNSAT Stanchions Frisker Stands 2 N/A N/A SAT/UNSAT SCBA Spare Air Bottles 10 N/A N/A SAT/UNSAT AOP-0031 ENCL. Kits 2 N/A N/A SAT/UNSAT Pass Cask Ramp 1 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS/AIR SAMPLERS PERFORMED: YES NO EIP-2-103 REV- 19 PAGE 18 OF 42

ATTACHMENT 5 PAGE 1 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF EMERGENCY SUPPLIES LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Protective Clothing 50 N/A N/A SAT/UNSAT (White paper)

Paper Towel 1 Roll N/A N/A SAT/UNSAT Plastic Beaker 1 Liter 5 N/A N/A SAT/UNSAT Plastic Container-I gal 5 N/A N/A SAT/UNSAT KI Bottles/Packets 95 N/A SAT/UNSAT Spare Probes 2 N/A N/A SAT/IUNSAT Contamination Smears 1 Box N/A N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/UNSAT Particulate Filters 2 Boxes N/A - N/A SATAJNSAT Petri Dish 1 Box N/A N/A SAT/UNSAT Tweezers 1 N/A N/A SAT/UNSAT Silver Zeolite Cartridges 10 N/A SAT/UNSAT Flashlight without 2 N/A N/A SAT/UNSAT Batteries Batteries "D" Cell 6 N/A N/A SAT/UNSAT Batteries "9 V" 7 N/A N/A SAT/UNSAT Batteries "C" Cell 6 N/A N/A SAT/UNSAT Dosimeter (0-500 mR) 40 N/A SAT/UNSAT Dosimeter Charger 2 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 19 OF 42

ATTACHMENT 5 PAGE 2 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF EMERGENCY SUPPLIES LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Screw Driver 1 N/A N/A SAT/UNSAT DLR(s) 75 N/A N/A SAT/UNSAT B/G Dose Rate Meter 2 SAT/UNSAT SAT/UNSAT

- 8 uCi Cs137 Check 1 N/A SAT/JNSAT Source Rad. Material Tags 25 N/A N/A SAT/UNSAT Masking Tape 1 Roll N/A N/A SAT/UNSAT Radiation Tape 1 Roll N/A N/A SAT/UNSAT Rad. Material Insert 5 N/A N/A SATAUNSAT High Rad. Area Signs 5 N/A N/A SAT/UNSAT Contam. Area Insert 5 N/A N/A SAT/UNSAT Rad. Area Insert 5 N/A N/A SAT/UNSAT EIP-2-103 1 N/A N/A SAT/UNSAT Revision:

Rad. Survey Data Sheets 10 N/A N/A SAT/UNSAT Airborne Activity Data 10 N/A N/A SAT/UNSAT Sheets EIP-2-103 REV - 19 PAGE 20 OF 42

ATTACHMENT 5 PAGE 3 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF EMERGENCY SUPPLIES LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT SAT/UNSAT Air Sampler 4 SAT/UJNSAT SAT/UNSAT SAT/UNSAT Sign Holders 8 N/A N/A SAT/UNSAT Frisker with Probe 2 SAT/UNSAT SAT/UNSAT Container for 2 N/A N/A SAT/UNSAT Radioactive Liquids (15 Gallon)

Eye Wash Solution 2 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/UNSAT Step Off Pads 5 N/A N/A SAT/LNSAT Floor covering 1 pack N/A N/A SAT/UNSAT Surgical Gloves -500 N/A N/A SAT/UNSAT Barrier Rope *-100 Ft. N/A N/AN SAT/UNSAT Wash Cloths 10 N/A N/A SAT/UNSAT Towels 10 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 21 OF 42

ATTACHMENT 5 PAGE 4 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF EMERGENCY SUPPLIES LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED -QTY. NUMBER DATE SAT/UNSAT Bag Stands 2 N/A N/A SAT/UNSAT Detergent 2 N/A N/A SAT/UNSAT Corn Meal 2 N/A N/A SAT/UNSAT Soap 2 N/A N/A SAT/UNSAT Shaving Creme 2 N/A N/A SAT/UNSAT Razors 5 N/A N/A SAT/UNSAT Full Face Filter 1 Small N/A N/A SAT/UNSAT Last inspected:

Respirator 1 Large SAT/UNSAT Extension Cord 1 N/A N/A SAT/UNSAT Water Pump 1 ,N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 22 OF 42

ATTACHMENT 5 PAGE 5 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #1 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT B/G Dose Rate Meter 2 SAT/UNSAT SAT/UNSAT Frisker with Probe 1 SAT/UNSAT

-8 uCi Cs137 Source 1 N/A SAT/UNSAT Spare Frisker Probe 1 N/A N/A SAT/UNSAT Fuse for Air Sampler 1 N/A N/A SAT/UNSAT KI Bottles/Packets 1 N/A SATAUNSAT Rad. Survey Data Sheets 10 N/A N/A SAT/UNSAT Air Activity Data Sheets 10 N/A N/A SAT/UNSAT Road Map 1 N/A N/A SAT/UNSAT One Mile Site Map 1 N/A N/A SAT/UNSAT EPZ Grid Map 1 N/A N/A SAT/UNSAT EIP-2-014 A/S Forms 20 N/A N/A SAT/UNSAT Revision:

EIP-2-012 1 N/A N/A SAT/IJNSAT Revision:

EIP-2-014 1 N/A N/A SAT/UNSAT Revision:

ESP-8-028 1 N/A N/A SAT/UJNSAT Revision:

Air Sampler (DC) 1 SAT/UNSAT Air Sampler Heads 2 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 23 OF 42

ATTACHMENT 5 PAGE 6 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #1 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/UNSAT Plastic Container (-I qt) 6 N/A N/A SAT/UJNSAT Hand Trowel (Garden) 1 N/A N/A SAT/UNSAT Absorbent Material Sufficient N/A N/A SAT/UNSAT Tape Measure 1 N/A N/A SAT/UNSAT Adhesive Labels 1 Pack N/A N/A SAT/UNSAT Compass 1 N/A N/A SAT/UNSAT Screw Driver 1 N/A N/A SAT/IUNSAT Pliers 1 N/A N/A SAT/UNSAT Quarters $5.00 N/A N/A SAT/UNSAT Pens 3 N/A N/A SAT/UNSAT Marker 1 N/A N/A SAT/UNSAT Stop Watch 1 N/A N/A SAT/UNSAT Tweezers 1 N/A N/A SAT/UNSAT Masking Tape 1 Roll N/A N/A SAT/UNSAT Flashlight without 2 N/A N/A SAT/UNSAT Batteries Protective Clothing Set 2 N/A N/A SAT/UNSAT (White Paper)

Surgical Gloves -50 N/A N/A SAT/iUNSAT EIP-2-103 REV - 19 PAGE 24 OF 42

ATTACHMENT 5 PAGE 7 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #1 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Contamination Smears 1 Box N/A N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/JNSAT Silver Zeolite Cartridges 10 N/A SAT/UNSAT Full Face Filter Resp. 2 Medium N/A N/A SAT/IJNSAT Last inspected:

Batteries "D" Cell 6 N/A N/A SAT/UNSAT Batteries "9 V" 7 N/A N/A SAT/UNSAT Batteries "C" Cell 6 N/A N/A SAT/UNSAT Batteries "AA" 6 N/A N/A SAT/UNSAT Grass Shears 1 N/A N/A SAT/UNSAT Dosimeters 0-200 mR 2 N/A SAT/UNSAT Dosimeters 0-500 mR 2 N/A SAT/UNSAT Dosimeter 0-1500 mR 2 N/A SAT/UNSAT Dosimeter Charger 1 N/A N/A SAT/JNSAT DLR(s) 2 N/A N/A SAT/UNSAT Particulate Filters 2 Boxes N/A N/A SAT/UNSAT Scales 1 N/A N/A SAT/UNSAT Calculator 1 N/A N/A SAT/UNSAT

  • RainGear With Boots 2 N/A N/A. SAT/UNSAT Portable Radio 2 N/A N/A SAT/UNSAT Portable Phone 1 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 25 OF 42

ATTACHMENT 5 PAGE 8 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #2 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT B/G Dose Rate Meter 2 SAT/IUNSAT SAT/UNSAT Frisker with Probe 1 SAT/UNSAT 8 uCi Cs 137 Source 1 N/A SAT/UNSAT Spare Frisker Probe 1 N/A N/A SAT/UNSAT Fuse for Air Sampler 1 N/A N/A SAT/UNSAT KI Bottles/Packets 1 N/A SAT/UNSAT Rad. Survey Data Sheets 10 N/A N/A SATAUNSAT Air Activity Data Sheets 10 N/A N/A SATIJNSAT Road Map 1 N/A N/A SAT/UNSAT One Mile Site Map 1 N/A N/A SAT/UNSAT EPZ Grid Map 1 N/A N/A SAT/UNSAT EIP-2-014 A/S Forms 20 N/A N/A SAT/UNSAT Revision:

EIP-2-012 1 N/A N/A SAT/UNSAT Revision:

EIP-2-014 1 N/A N/A SAT/UNSAT Revision:

ESP-8-028 1 N/A N/A SATAJNSAT Revision:

Air Sampler (DC) 1 SAT/UJNSAT Air Sampler Heads 2 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 26 OF 42

ATTACHMENT 5 PAGE 9 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #2 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/UNSAT Plastic Container (-1 qt) 6 N/A N/A SAT/UNSAT Hand Trowel (Garden) 1 N/A N/A SAT/UNSAT Absorbent Material Sufficient N/A N/A SAT/UNSAT Tape Measure 1 N/A N/A SAT/UNSAT Adhesive Labels 1 Pack N/A N/A SAT/UNSAT Compass 1 N/A N/A SAT/UNSAT Screw Driver 1 N/A N/A SAT/UNSAT Pliers 1 N/A N/A SAT/UNSAT Quarters $5.00 N/A N/A SAT/UNSAT Pens 3 N/A N/A SAT/UNSAT Marker 1 N/A N/A SAT/UNSAT Stop Watch 1 N/A N/A SAT/UNSAT Tweezers 1 N/A N/A SAT/UNSAT Masking Tape 1 Roll N/A N/A SAT/UNSAT Flashlight without 2 N/A N/A SAT/UNSAT Batteries Protective Clothing Set 2 N/A N/A SAT/UNSAT (White Paper)

Surgical Gloves -50 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 27 OF 42

ATTACHMENT 5 PAGE 10 OF 11 EMERGENCY OPERATIONS FACILITY DESCRIPTION: EOF OFFSITE EMERGENCY KIT #2 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Contamination Smears 1 Box N/A N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/UNSAT Silver Zeolite Cartridges 10 N/A SAT/IJNSAT Full Face Filter Resp. 2 Medium N/A N/A SATA/NSAT Last inspected:

Batteries "D" Cell 6 N/A N/A SAT/AJNSAT Batteries "C" Cell 6 N/A N/A SAT/UNSAT Batteries "AA" 6 N/A N/A SAT/UNSAT Batteries "9 V" 7 N/A N/A SAT/UNSAT Grass Shears 1 N/A N/A SAT/UNSAT Dosimeters 0-200 mR 2 N/A SAT/UNSAT Dosimeters 0-500 mR 2 N/A SAT/UNSAT Dosimeter 0-1500 mR 2 N/A SAT/UNSAT Dosimeter Charger 1 N/A N/A SATA/NSAT DLR(s) 2 N/A N/A SAT/UNSAT Particulate Filters 2 Boxes N/A N/A SAT/UNSAT Scales 1 N/A N/A SAT/UNSAT -

Calculator 1 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 28 OF 42

ATTACHMENT 5 PAGE 11 OF 11 EMERGENCY OPERATIONS FACILITY

--DESCRIPTION: EOF OFFSITE EMERGENCY KIT #2 LOCATION: EMERGENCY EQUIPMENT STORAGE ROOM ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Rain Gear With Boots 2 N/A N/A SAT/UNSAT Portable Radio 2 N/A N/A SAT/ NSAT Portable Phone 1 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS/AIR SAMPLERS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 29 OF 42

ATTACHMENT 6 PAGE 1 OF 2 DECONTAMINATION ROOM DESCRIPTION: DECONTAMINATION ROOM LOCATION: 2ND FLOOR SERVICES BUILDING ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Frisker with Probe 1 SAT/UNSAT Treatment Table 1 N/A N/A SAT/UNSAT Contam. Material Sign 2 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT Poly Bags (S) 25 N/A N/A SAT/UNSAT Plastic Container -1 gal 5 N/A N/A SAT/IUNSAT Plastic Beakers 1 Liter 5 N/A N/A SAT/IUNSAT Surgical Gloves -100 N/A N/A SAT/AN, SAT KI Bottles/Packets 70 N/A N/A SAT/U7NSAT Paper Towels 1 Roll N/A N/A SAT/UNSAT Log Book 1 N/A N/A SAT/UNSAT Hand Soap 1 Gallon N/A N/A SAT/UNSAT Detergent 1 Gallon N/A N/A SAT/UNSAT Wash Cloths 10 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 30 OF 42

ATTACHMENT 6 PAGE 2 OF 2 DECONTAMINATION ROOM DESCRIPTION:' DECONTAMINATION ROOM LOCATION: 2 ND FLOOR SERVICES BUILDING ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Cotton Towels 10 N/A N/A SAT/UNSAT Shaving Cream 2 N/A N/A SAT/UNSAT Disposable Safety Razor 2 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 31 OF 42

ATTACHMENT 7 PAGE I OF 1 AMBULANCE/OFFSITE FIRE DEPARTMENT-KITS DESCRIPTION: AMBULANCE KIT LOCATION: PRIMARY ACCESS POINT (PAP)

ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Protective Clothing Sets 4 N/A N/A SAT/INSAT Dosimeter 0-200 mR 4 N/A SAT/UNSAT Dosimeter Charger 1 N/A N/A SAT/JNSAT DLR(s) 4 N/A N/A SAT/LNSAT Clipboard 1 N/A N/A SAT/UNSAT Note Pad 6 N/A N/A SAT/UNSAT Pens 2 N/A N/A SAT/UNSAT Surgical Gloves - 100 N/A N/A SAT/IUNSAT Masking Tape 2 Rolls N/A N/A SAT/UNSAT Rad. Tape 1 Roll N/A N/A SAT/UNSAT Floor covering for 1 Pack N/A N/A SAT/UNSAT Ambulance Floor DESCRIPTION: OFFSITE FIRE DEPARTMENT KIT LOCATION: PRIMARY ACCESS POINT (PAP)

ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Dosimeter 0-1000 mR 20 N/A SAT/UNSAT DLR(s) 20 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

EIP-2-103 REV - 19 PAGE 32 OF 42

ATTACHMENT 8 PAGE 1 OF 3 ACTIVITY CENTER DESCRIPTION: DECONTAMINATION SUPPLIES LOCATION: ACTIVITY CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Frisker with Probe 1 SAT/UNSAT Spare Frisker Probe 1 N/A N/A SAT/UNSAT Poly Bags (L) 25 N/A N/A SAT/UNSAT Poly bags (S) 25 N/A N/A SAT/UNSAT Container for Rad. 2 N/A N/A SAT/UNSAT Liquids (15 Gallon)

Container for Rad. Trash 1 N/A N/A SAT/UNSAT Material Floor Coverinig 3 Packs N/A N/A SAT/UNSAT Step Off Pads 2 N/A N/A SAT/UNSAT PolyBeakers 1 Liter 10 N/A N/A SAT/UNSAT Surgical Gloves -100 N/A N/A SAT/UNSAT Cotton Towels 12 N/A N/A SAT/UNSAT Eye Wash Solution 2 N/A N/A SAT/UNSAT Protective Clothing Set 50 N/A N/A SAT/UNSAT (White Paper)

Contamination Smears 1 Box N/A N/A SAT/UNSAT Smear Envelopes 1 Box N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 33 OF 42

ATTACHMENT 8 PAGE 2 OF 3 ACTIVITY CENTER DESCRIPTION: DECONTAMINATION SUPPLIES LOCATION: ACTIVITY CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Flashlights without 2 N/A N/A SAT/UNSAT Batteries Batteries "D" Cell 4 N/A N/A SAT/UNSAT Masking Tape 1 Roll N/A N/A SAT/TJNSAT Log Books. 2 N/A N/A SAT/UNSAT Clipboard 3 N/A N/A SAT/UNSAT Note Pad 3 N/A N/A SAT/UNSAT Pens 6 N/A N/A -SAT/UNSAT EIP-2-103 1 N/A N/A SAT/UNSAT Revision:

RP-104 1 N/A N/A SAT/UNSAT Revision:

Sign Holders 6 N/A N/A SAT/UNSAT Rad. Area Insert 10 N/A N/A SAT/UNSAT Contam. Area Insert 10 N/A N/A SAT/UNSAT Rad. Material Insert 10 N/A N/A SAT/UNSAT Paper Towel 1 Roll N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 34 OF 42

ATTACHMENT 8 PAGE 3 OF 3 ACTIVITY CENTER DESCRIPTION: DECONTAMINATION SUPPLIES LOCATION: ACTIVITY CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Soap Bar 2 N/A N/A SAT/UNSAT Shaving Cream 2 N/A N/A SAT/UNSAT Safety Razor 5 N/A N/A SAT/TJNSAT Cotton Balls 2 Boxes N/A N/A SATAUNSAT Q Tips 2 Boxes N/A N/A SAT/UNSAT Corn Meal 2 N/A N/A SAT/UNSAT Detergent 2 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 35 OF 42

ATTACHMENT 9 PAGE 1 OF 3 WEST FELICIANA PARISH HOSPITAL DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: WEST FELICIANA PARISH HOSPITAL ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE- SAT/UNSAT Frisker with Probe 2 SAT/UNSAT SAT/JNSAT B/G Dose Rate Meter 1 SAT/UNSAT Hose With Spray Head 1 N/A N/A SAT/JNSAT Decon Table Top and 1 N/A N/A SAT/UNSAT Stretcher Insert Poly Water Container 2 N/A N/A SAT/UNSAT (15 Gallon)

Contam. Waste 2 N/A N/A SATiUNSAT Container with Base (35 Gallon)

Stanchions Metal/Plastic 6 N/A N/A SAT/UNSAT Metal Storage Cabinet 1 N/A N/A SAT/IUNSAT (Locked)

EIP-2-103 1 N/A N/A SAT/UNSAT Revision:

Step Off Pad 1 N/A N/A SAT/IUNSAT Accident poster 2 N/A N/A. SAT/INSAT EIP-2-103 REV - 19 PAGE 36 OF 42

ATTACHMENT 9 PAGE 2 OF 3 WEST FELICIANA PARISH HOSPITAL DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: WEST FELICIANA PARISH HOSPITAL ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Floor Covering 3 Packs N/A N/A SAT/UNSAT Plastic Trash Can Liners 10 N/A N/A SAT/UNSAT Plastic Trash Bags 6 N/A N/A SAT/UNSAT Rad. Warning Rope Sufficient N/A N/A N/A SAT/UNSAT Sign Inserts 3 per Sign 15 N/A N/A SAT/UNSAT Rad. Warning Sign 10 N/A N/A SAT/UNSAT Holder Rad. Material Tags 50 N/A N/A SAT/UNSAT Lead Container 1 N/A N/A SAT/UNSAT Sample Taking and 1 N/A N/A SAT/IUNSAT Decon Cart (Locked)

Surgical Gloves 1 Box N/A N/A SAT/UNSAT Dosimetry and Dress Out 1 N/A N/A SAT/UNSAT Cart (Locked)

Protective Clothing 20 N/A N/A SAT/UNSAT

-8 uCi Cs 137 Check 1 N/A SAT/UNSAT Source Finger Rings 8 N/A N/A SAT/UNSAT Dosimeters 0-200 mR 10 N/A SAT/UNSAT DLR(s) 10 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 37 OF 42

ATTACHMENT 9 PAGE 3 OF 3 WEST FELICIANA PARISH HOSPITAL t' DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: WEST FELICIANA PARISH HOSPITAL ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Dosimeter Charger 1 N/A N/A SAT/UNSAT Batteries "D" Cell 6 N/A N/A SAT/iJNSAT Masking Tape 2 inch 9 Rolls N/A N/A SAT/UNSAT Anatomical Diagram 10 Sheets. N/A N/A SAT/UNSAT Personnel Dosimetry 10 Sheets N/A N/A SAT/AJNSAT Log Record Keeping Chart - 1 N/A N/A SAT/UNSAT Clipboard -_

Procedure Manual 1 N/A N/A SAT/UNSAT Floor Wipes Sufficient N/A N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS PERFORMED: YES NO EIP-2-103 REV - 19 PAGE 38 OF42

ATTACHMENT 10 PAGE 1 OF 3 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Frisker with Probe 2 SAT/UNSAT SAT/UNSAT B/G Dose Rate Meter 1 SAT/UNSAT Hose with Spray Head 1 N/A N/A SATAUNSAT Decon Table Top and 1 N/A N/A SAT/UNSAT Stretcher Insert Poly Water Container 2 N/A N/A SAT/UNSAT (15 Gallon)

Contain. Waste 2 N/A N/A SAT/UNSAT Container with Base (35 Gallon)

Step Off Pad 1 N/A N/A SAT/UNSAT EIP-2-103 1 N/A N/A SAT/UNSAT Revision:

Accident Poster 2 N/A N/A SAT/UNSAT Stanchions Metal/Plastic 4 N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 39 OF 42

ATTACHMENT 10 PAGE 2 OF 3 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER t

DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Floor Covering 3 Packs N/A N/A SAT/UJNSAT Plastic Trash Can Liners 10 N/A N/A SAT/UNSAT Plastic Trash Bags 6 N/A N/A SAT/UNSAT Lead Container 1 N/A N/A SAT/IJNSAT Rad. Warning Rope Sufficient N/A N/A N/A SAT/UNSAT Sign Holder 5 N/A N/A SAT/UNSAT Sign Inserts 3 Per Sign 15 N/A N/A SAT/UNSAT Rad. Material Tags 50 N/A N/A SAT/UNSAT Sample Taking and 1 N/A N/A SAT/UNSAT Decon. Cart (Locked)

Dosimetry and Dress Out 1 N/A N/A SAT/UNSAT Cart (Locked)

Surgical Gloves 1 Box N/A N/A SAT/UNSAT Batteries "D" Cell 6 N/A N/A SAT/IUNSAT Masking Tape 2 inch 9 Rolls N/A N/A SAT/UNSAT Anatomical Diagram 10 Sheets N/A N/A SAT/UNSAT EIP-2-103 REV - 19 PAGE 40 OF 42

ATTACHMENT 10 PAGE 3 OF 3 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER DESCRIPTION: EMERGENCY EQUIPMENT LOCATION: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT Personnel Dosimetry 10 Sheets N/A N/A SAT/UNSAT Log Record Keeping Chart - N/A N/A SAT/IUNSAT Clipboard Procedure Manual 1 N/A N/A SAT/UNSAT Yellow Floor Wipes Sufficient N/A N/A N/A SAT/UNSAT 8 uCi Cs 137 Check 1 N/A SAT/UJNSAT Source Finger Rings 8 N/A N/A SATAUNSAT Dosimeters 0-200 mR 10 N/A SAT/UNSAT DLR(s 10 N/A N/A SAT/UNSAT Dosimeter Charger 1 N/A N/A SAT/UNSAT Protective Clothing 20 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

OPERATIONAL CHECKS ON INSTRUMENTS PERFORMED: YES __NO

)

EIP-2-103 REV - 19 PAGE 41 OF 42

ATTACHMENT 11 PAGE 1 OF 1 REMOTE SHUTDOWN PANEL DESCRIPTION: REMOTE SHUTDOWN LOCKER LOCATION: REMOTE SHUTDOWN PANEL ITEM DESCRIPTION MINIMUM ACTUAL SERIAL EXPIRATION CONDITION COMMENTS REQUIRED QTY. NUMBER DATE SAT/UNSAT SCBA with Bottles 2 N/A N/A SAT/UNSAT Last inspected:

Flashlight Type Lantern 4 N/A N/A SAT/UNSAT with Battery Spare Lantern Batteries 4 N/A N/A SAT/UNSAT Headlights 6 N/A N/A SAT/UNSAT Batteries "AAA" 18 N/A N/A SAT/UNSAT Clipboards 3 N/A N/A SAT/UNSAT Note Pads 3 N/A N/A SAT/UNSAT Pens (Black) 6 N/A N/A SAT/UNSAT INVENTORY CONDUCTED BY/KCN/DATE:

EIP-2-103 REV - 19 PAGE 42 OF 42

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