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{{#Wiki_filter:FNR Decommissioning Project Reconnaissance Level Scan Survey Form                                  Sheet      /  of            _ _LC "
Survey No: a007- /9!                      Survey Unit: A -/,0                Pkg. SP- O07-Date:              a      Co?            Survey Location:        t.'o , e.                                k~l    tlt I. I.Instrument Information Inst.                                                                      HV          THR            2nt    Calibration      Calibration Set        Meter          Scaler      Detector        Detector      Setting    Setting          Inst. Due Date        Due Date No.        Model        Serial No.      Model          Serial No.      (Vdc)    (mVdc)          Eff.        (Scaler)      (Detector)
LI                                    q3-1          ,21390,115
* I-ao/ c67- 7        ?-z-e,,
  ,3    2~q i            o*1"S5'S        qq-lq..        .k)33  3-      /100 1__0,0    35" 13s, NOTE: All cables 6-ft.RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments:                      ,-v'tA-Initial Performance Test Performed & Satisfactory:
Initial / Date
: 11. Background Measurements                                                III. Total Siurfaice A                  Measuremnits Counts                                                                      Counts Inst.                                Count          per                    Inst.                                  Count          per Set                                  Time        Minute                    Set                                    Time        Minute No.      Grid or Location          (min.)        (cpm)                    No.        Grid or Location          (min.)        (cpm)
I-o                                      I    q7I 33      _PO 9                        1-*
I          *f7, 50(-
Comments:
A'11,1 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm 2 , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:                                  P-f          9/,    /    "
Initial / Date Survey Tech (print/sign):
Reviewed By (print/sign):                                                                                    /ý". 2-0-(-,
Filename: FSS Characterization SCAN Survey FormsRev02                                                                  Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:              -                Survey Unit: Z        I2d        1, kg. ,S P- M7              Sheet _        of Date:  JQil/,x2                        Survey Location:          2AM,  Roar            RoobM c2/1o9 I. Instrument Information                                                                        N._.,
Inst.                                                                      H        THR            27t    Calibration      Calibration Set      Meter        Scaler        Detector          Detector      Setting    Setting        Inst. Due Date          Due Date No.      Model      Serial No.        Model          Serial No.    (Vdc)      (mVdc)          Eff.      (Scaler)        (Detector) t      a9-aL ,,,W-&                                  cX1'w*
o20/6 I1o                  35          o.wo
    -      2V      I/ IS-37  q3                            (q3q,.aV 1                        o3A 0-        62il              61A/;
3        ,Pf        197Y3              q3,-37 A-39,A,- 175-6                          k-      0.3*f*    *,*0/0            12,'g-NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments: ý2,5qt'? 1 eodd Coears, iA,7q3 l7q3,.'qted                                          o f 1'r1', /1 7Y3 ,-',922t              'oA' Initial Performance Test Performed & Satisfactory:
Initial / Date II. Backgro ndMeasurements                                                Ill. Total Surface Activi              Measurements Counts                                                                    Counts Inst.                              Count            per                  Inst.                                Count          per Set                                Time        Minute                    Set                                  Time        Minute No.      Grid or Location          (min.)        (cpm)                    No.        Grid or Location        (rin.)        (cpm)
              ! F-10                          I      ,-93" F--o4                            37-I          ,v& sd-f . N14                      6bV F-01                                117.4
'A F-O*3                    I        117Z AVG se#o                        A'/~ V-
        -3        E-o        1            1          1757.
3          F -3!
Comments:
S&PU AC+/- i~O1i ke"4 ý                                      -et      Acbo eyue4,2qg, Jel '3 AdC4ioe* 2?A,2 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm?, unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed              ~Initial& Satisfactory:                      / Date Survey Tech (print/sign):    K)    (4        1                                          Ia  Date:l    i/Date Reviewed By (print/sign):      ko'-t NpvO4u /                                                  Date:            07 Rtto Filename: FSS Characterization SCAN Survey FormsRev02                                                              Retention: LP+l0
LSheet  A,    of Tr--
Survey Log
          ,. Ur No.
                /F. 4    .    .        ... i                                                                    S    cy      goveyt:3, 11*-01'd-. :3For2.d_
S. cea*
Slassifi eT  Uk.W          cnon:t "S rw"7                                                      n-eyUr tDescri don: A- trucure Interior urface
                                                                                                                        ~ ~Sura  ce Arco 109.9 sq. m r      i:Ir Survey Technician:
Mark all grids and survey locations where scan surveys were performed.                            -
7                              Si rface A :52.55 .m (fl4o &
F RDP-D WG-l Is,2m&elow)
If scan survey measurement results in a count rate that          ____ _    "          K  Kill exceeds the action level, number the grid and record the total            9    920    K9  R1 surface activity on the corresponding survey form.
eiig Vl~~~ap]I egend  ,
                            -    ipe F netralion                                              *Verified
                            -  ýinder Block Wall
                                      -,oncret b                                                                Comments:
                                                                                                          .9,/85qg - us-d on Con*,rd
                      -fo        inally tiled / masti . rema iant        _                                        q-7._7        Lsz.d on FlCor
                      .C.)- Poured Concrete a :- .        fe          FII-rsc      -'V 7ed
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 20c07            / 1          Survey Unit: SP-O01              Pkg.        Wd/A            Sheet      / of Z.
Date: 10 - 3( -o-                          Survey Location: FNA?" 2,M-                                                R      1(/,1a I. Instrument Informatio                                                                                          J      P  4 Inst.                                                                    HV        THR          21r    Calibration      Calibration Set        Meter          Scaler        Detector          Detector    Setting    Setting      last. Due Date          Due Date No.      Model        Serial No.        Model        Serial No.    (Vdc)      (mVdc)        Eff.      (Scaler)        (Detector) t      L-z2-2          I197,q3 43--3                  zq,*?1        r-U'o          Z      3A, %            16zo f,        /Z-,'/o Z      L--2aZ/          57-7-q3 Y3-3 II                  Zq.qqZ_.    (7S't          Z_O 3 ,-%      % 1/1.'-/0          i        /0 3        L-21 g2                1Z0c44t-14_z tq.-                0. z2oD        3-*!5.      q q /z/ o                _      __
NOTE: All cables 6-ft RG-58 (LIMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments:
Initial Performance Test Performed & Satisfactory:
Initial /Date H. BackgroundMeasurements Counts Inst.                                Count            per Set                                  Time        Minute No.      Grid or Location          (min.)        (cpm)
I        8
* I                  I I~6KJItt
                    ~                                /__Z1_
a~      ~      ~    Aýi.ýi' 4V              10 2-1
            $iKeC--i:"
6.K67~ 1l                j-            2-2O1 3          6 K6 4t                                2 3                                J~~&1      ____
Comments-1-.2 Each of the denarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed                          Satisfactory:                  A 1-31-0o7 0
SuInitial/                                                        Date Survey Tech (print/sign): IA                                ýý(1                            Date: 16-3'1-0-7 Reviewed By (print/sign):                                                                          .
Filenatne: FSS Characterization SCAN Survey Forms-Rev02                                                          Retention: LP+ 10
Radiological Survey Report DATE: 1-3o0'7 LOCATION:                          Ir%- &
16                I2(D    SURVEY NO.: ,ZOO1- 2(q I            TIME:    (* 3o Smear Information                ,J/A                                          Survey Map Pa,6L      Z01    -z No.          Beta/            Alpha                    't a,,-                    w_"      &Id-. 2A&-V*4t,            " Ld*,7 Gamma            (20%)
3 4
6 7
109 12                              e) 13 14 15 16                                        'i,,              ~            e.(oseT    b~&eM~ 2,106        20.1                        ,
17 919 20 egend:    * = Contact; # / # = Contact Reading / General Area; #      General Area. () = Smear location; A = Air Sample.
Note: Readings in mrem/hr unless noted otherwise.                  1;*,                6ack                  MU~4O Tnsftrument              Serial Number            Cail. Dlue Date        Efficiency        Backeround (CPMVf          M1)A m1DPMi Instrument                Serial Number            Cal. Due Date                            Background (CPM)          MDA (DPM)
  --F.clakee-Ekete-cl-or][111 I:===i5cý            ! Tbresbold Voltage              mVdc          De tector cable length Print/Signature of Surveyor:
Commnts          AA I)(.4M*
w--
I,
                                                                ~      IiI)
                                                                          '__a--,
Date: /0-31-07 AA, U
Review By:                                                                                                  Date:
Equivalent to HP-101, Rev. 5, Attachment 1                                                                                Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: *kD 7-;,q'2                      Survey Unit:_______                      Pkg.          Pe-''      7    Sheet      .1 of___
Date: //- a - o 7                          Survey Location:                CI)0                        141c-,
T. Instrument Information Inst.                                                                            ElV        THR            21r      Calibration      Calibration Set      Meter            Scaler        Detector          Detector          Setting    Setting        Inst.      Due Date          Due Date No.      Model          Serial No.        Model          Serial No.          (    LVdc) (mVdc)          Eff.        (Scaler)        (Detector)
I      "Xa *aI          IV77q3          qg-37          3  UPqq            )J75  0                  30.62 6 -. 5-0Y                  i-h*-e  "
SI                DVQ,,sIO      qq-Wq 1 &2 ,          '93 6            c          5      3            q.)7-0%            (,o08 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
4 Comments: 1o00,,          oi        f*,,*irR.Plo    s        q,  e.ot*erfS*            sci.e4ede-                    c,
                                                                                                                          ,i. d-. bel,.;w  e"4    1*-1 Initial Performance Test Performed & Satisfactory:                                      if J7Y/                                                C,4.Se Initial / Date HI. Background Measurements                                                      mI. Total Surface Acti                    Measurements Counts                                                                              Counts Inst.                                  Count            per                      Inst.                                    Count        per Set                                    Time        Minute                          Set                                      Time      Minute No.        Grid or Location          (min.)        (cpm)                        No.        Grid or Location            (rin.)      (Cpm)
Loation    Y__2____
I            o          -I                            _,_3-7 2          A1(9 I        _____i L3 Q          Q~~c -9      __0                  ___        _
3            v ?_                                ,-3 3            i                      Ii        !7
_3          (4io        ii-'        I          qo                                      10 A                                    qvo Comments:
ACQ          L.eNek. -Por -sek#I-                q              Se-+* Q -JU 7, gi~-              IWO            - 7.
Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cin 2 , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:                                              e Initial / Date
                                                                                                                    //-;-,::
Survey Tech. (print/sign):'t          105      "q/2                                                  Date:      11-2-6-7 Reviewed By (print/sign):              -                  *            .ate:                                      I -,            7 Filename: FSS Characterization SCAN Survey Forms_Rev02                                                                        Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo: o*bIO'7-0-{V"          Survey Unit:,/.          Pkg.    -oC7 00  Sheet  9    of Date:                            Survey Location:        O9  -
Survey Comment Sheet:
Filename: Survey ConmmentMapForm_RevOO                                        Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:        tZ)7- o7c*3              Survey Unit:          Z6          Pkg. 5p-o0l                  Sheet__        of  2-Date: 11/07/__o_7                          Survey Location: o7Ae r'/o," Mens5 8aib                    &tl6h              (,%,'i **/05 I. Instrument Information Inst.                                                                        HV        TEIR            27c  Calibration    Calibration Set        Meter          Scaler        Detector        Detector      Setting    Setting          Inst. Due Date        Due Date No.        Model      Serial No.        Model          Serial No.      (Vdc)    (mVdc)            Eff.    (Scaler)      (Detector)
/;        ,*2ý/      19'77q5          q3.-37? oq3 q.; q                750        ;20            3.7o*%*A/n                  17zg 3                                        qq-QL/ a vqo716                  //01o        3-5            39 -41 o
_                                            1\ /.4-                          ____4 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments:      (.orner.*            o-'      Room djvi            c,, W,",h qq -/Q                    Poke.
Initial Performance Test Performed & Satisfactory:
II. Backgroud Measurements                                                    Ill. Total Surface Activuy Measurements Counts                                                                    Counts Inst.                                Count          per                    Inst.                              Count          per Set                                  Time        Minute                    Set                                Time        Minute No. . Grid or Location              (min.)        (cpm)                    No.        Grid or Location        (min.)        (cpm)
LG                  .Y "k-I -          I        G3__
193q/34/
K&X *3-                              o-7 ilxi I IAefi3i kM                  iixf56
          ~ l410)1          i*eV4          Nf          V388-
                      ~ft~-__
Comrn~ts-                  ~O            'X~/i0 RObe        q.3-3-7,11..-7q3q,;?q                          I Eachof dpm/1 o00-m              Rkor--
unless otherMse the emarked  grids  o noted5ca 5'oom on the (or'locations)      Lattach ur*,eX attached on *the            V/,',,
                                                                    ' h rveyPmap g d .tine,sf hasnbeen                  d/oMexcee 04'  aWM t/
Ie  Ve,/ 1750
                                                                                                                      ,)Vt.
qnevvlo Post-Survey Performance Test Performed &nSatisfactory:
* l/Date Survey Tech (print/sign):      A nn        Q2          v"r /I                                  . - Date:    1/ e57/,2C Reviewed By (print/sign).                                                                                  Ž21/2122 Filename: FSS Characterization SCAN Survey Forms_Revo02                                                              Retention: LP+ 10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: _?___-___                      Survey Unit:        di].            Pkg. 50b-J                    Sheet ,        of 0-Date: ///07/4007                          Survey Location: JA4-          FI/tOr                      &A        0&5M tM                :d,.2105 I. Instrument Information Inst.                                                                      HV          TER            2n    Calibration      Calibration Set        Meter            Scaler      Detector        Detector      Setting    Setting        Inst. Due Date        Due Date No.        Model          Serial No. Model          Serial No.      (Vdc)      (mVdc)          Eff.      (Scaler)      (Detector)
NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments:
Initial Performance Test Performed & Satisfactory:
Initial / Date H. Background Measurements                                                  IH. Total Surface Activi              Measurements Counts                                                                      Counts Inst.                                Count          per                    Inst.                                Count          per Set                                  Time        Minute                    Set                                  Time        Minute No.        Grid or Location        (min.)        (cpm)                    No.        Grid or Location        (min.)        (cpm) 3        &tlz          ro-xwdS                    4/0,;_
I I01-_
j%      &?.        Gro~i!3          /            58    (
A*VG6-              P/A          q* 71
  .3          Ac-'eve-t                A4A1          '7q Commpnts-&cid/'o                                              4  o.
rloor ,2mel-~ers c~j Ivall cZ// Rea-mcf-S i _ )U1W  /'"-IPA) He VP  Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm2 , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:                                    0    ./t    1 10712007 Survey Tech (print/sign):
* 0 2)nor //i/A                j.    ,,)Date:                      I Z6 7)*9c Reviewed By (print/sign): ____Date:                                                                          -.
Filenarne: FSS Characterization SCAN Survey Forms_Rev02                                                            Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: o1.O7 "a30?                    Survey Unit:            NiJA          Pkg.        07Z            Sheet      / of /
                                                                  -  e--
Date:. I// -0        7                  Survey Location:              ,            -'
I. Instrument Information Inst.                                                                        HV        THR          27c    Calibration. Calibration Set        Meter          Scaler      Detector        Detector        Setting    Setting      Inst. Due Date          Due Date No.        Model        Serial No.      Model          Serial No.        (Vdc)      (mVdc)        Eff.      (Scaler)        (Detector) ral          9C&J&*          /A3-37 1 c L Ve            *i i1fC 010                              6                7-/-oF
                                                              /0        A'A/1      ,~
AZA                                                1,4                                            ZiIi NOuI E:: All cables 6-ft t*-58 (LMI 44-142, 44.-9=, IP-II--0, or 44-92 probes) or 15- RGt-58u (LMVI 43-37"gas-flow hand-held) unless otherwise noted in the comments below.                                                            Zow      -,'-
Comments:.              Ri      /iiAn7'*,,
1                          ,              P.      .                  s. i,ýr.              ',y/t,,.e Initial Performance Test Performed & Satisfactory:
V/
i~'/Ay,,q Initial / Date 4fi 4    k,2 ere Scja LA~e/
II. Background Measurements                                                  III. Total Surface Acti
* Measurements Counts                                                                      Counts Inst.                              Count          per                      Inst.                              Count            per Set                                  Time        Minute                    Set                                Time          Minute No.      Grid or Location          (min.)        (cpm)                      No.        Grid or Location      (min.)          (cpm)
L  A1k6-g  d I                  I      __      _7
                                                                                                                /adioC,_
ctcf~,u                      .)
      /            cJ.fo*ZLeLS            r",        c31707 Comments:
Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map.                                J Post-Survey Perform                  Test Performed &
Survey Tech (print/sign): 1 Reviewed By (pint/sign):
Filename: FSS Characterization SCAN Survey                                                                        Retention: LP+I 0
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,Z)1        -  ;-33q            Survey Unit:          NI__          Pkg*),-(=                - Sheet _          of  /
Date:  U      -/M                        Survey Location: ,2 nd        A/lo, /Pip.          Chase-. J,, z1tp I. Instrument Information HV          THR          27c      Calibration      Calibration Inst.
Set      Meter          Scaler        Detector        Detector      Setting    Setting      Inst.      Due Date        Due Date No.      Model        Serial No.        Model        Serial No.      (Vdc)    (mVdc)        Eff.        (Scaler)      (Detector)
              ,        M
                      /*77q53          0-3-7        _.2q3q2;_.        175          ;20          51                        7!Z/k 1
NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.
Comments:        Ti i.*.                            . ,                      Ak ni4 L'JcLLL Initial Performance Test Perkormed & Satisfactory:
                                                                            ý-    Initial / Dat6    '
I. Backeround Measurements                                                  HI. Total Surface Activi              Measurements Counts                                                                    Counts Inst.                                Count          per                    Inst.                                Count          per Set                                  Time        Minute                    Set                                  Time        Minute No.      Grid or Location            (min.)        (cpm)                    No.        Grid or Location        (min.)      (cpm)
                                                                                          ,S IV a4 Ior~*d I            cK  ,    w              /            /S 7G5 I    13aiqvGq,,ndlý3                          /8I756 A/i Ded646i___
MIA/        /S127                                AboVe- Akn              _    __        ___
Comments:
Each of the demarked  grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2
dpm/1 00-cm , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:
al / Date Survey Tech (print/sign):An      4          af,*nl (1VO R i e Bypn :-
r )iI}      4 16A-t                      Date:
D :-
Il s l?
Reviewed By (print/sign,: \J(.t-/.-/*¢*                      -\,ý*.----                        Date:        //    io Filename: FSS Characterization SCAN Survey Forms_Rev02                                                              Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,2C)6          -c23Y 7          Survey Unit: A,-                      Pkg.SPi7L                  _ Sheet /.-_ of 2__
Date:    Ji/[b07              _          Survey Location:            A'C)/4 A                lev      a    o4m              Vei 6 I. Instrument Information Inst.                                                                          HV          THR            27t    Calibration        Calibration Set        Meter          Scaler      Detector          Detector        Setting      Setting        Inst.      Due Date            Due Date No.        Model        Serial No.        Model          Serial No.        (Vdc)      (mVdc)          Eff.        (Scaler)          (Detector) 1
-;Z 222-1
              -2A 1877Y
                          /87'7q3 q3-37
                                                          ,q 1:2,/39.-
q
                                                                      ,p35 175b, 17 56 20
                                                                                            ýAO 3__,6 o      17*8tifz
_____    I _________    1
___________    1________    .1____________      _______    1_______      1 _______  1___________
NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-1 ____________
held) unless otherwise noted in the comments below.
Comments:
Initial Performance Test Performed & Satisfactory:
Initial / Dat&
LI. Background Measurements                                                    11. Total Surface Activhy Measurements Counts                                                                              Counts Inst.                                Count            per                      Inst.                                    Count              per Set                                  Time        Minute                        Set                                      Time          Minute No.        Grid or Location        (min.)          (cpm)                      No.        Grid or Location            (min.)          (cpm)
      /      i            Zo;,C*n            1/'          61-waIs a& f//V, o/p ,%eaO/ed
        /AV&                                V1A          / 3q I-ee/S 2-            6*
* ar -      I          //W'
        ?a-t&ckgn. *2                        i        _____
              &2l.opý            13      /          ____
P-          AVG  /ei'                        3 Co- tsv:mm4en                        NA        .4i57 Comments:
Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2
dpm/100-cm , unless otherwise noted on the attached survey map.                                I k Post-Survey Survey Tech (print/sign): _
Reviewed By (print/sign):                                                                                        111'r? 0-7 Filename: FSS Characterization SCAN Survey FormsRevO2                                                                      Retention: LP+ 10
FNR Decommissioning Project Re~onnaissance Level Scan Survey Form Survey No:                C&                            Survey Unit: .2- 7                        Pkg. a2 CW-7                  Sheet c2        of Date: "                                                Survey Location:                Rem)Cfl sc Lf[-c-/- Oý gcOpq                        216 I. Instrument Information Inst.                                                                                        HV        THR            2n      Calibration      Calibration Set        Meter                Scaler              Detector            Detector          Setting    Setting      Inst.      Due Date          Due Date No.        Model            Serial No.              Model            Serial No.          (Vdc)      (mVdc).      Eff.        (Scaler)        (Detector)
                                                                          ,fliaA*.
NoI I r-: mill cabls      -t*1 '.m- zio k.-  ILIVII -+-'- Iq 1 .1./-, 1 I-II-2 10, or ,l.4-92/ probes) or 10-it M.7-00 kLIVI -to-at gas-How hand-held) unless otherwise noted in the comments below.
Comments:
Initial Performance Test Performed & Satisfactory:
Init&I / E&e HI. Background Measurements                                                                    III. Total Surface Acti                  Measurements Counts                                                                          Counts Inst.                                          Count              per                        Inst.                                  Count          per Set                                            Time            Minute                        Set                                    Time        Minute No.        Grid or Location                    (min.)            (cpm)                        No.        Grid or Location          (n.)        (c m) 3.5            ajY ,
9jl4k*6trflcJ                '1        T IAn q( qt                                            ____Oie-d /1 3 Comments:i Comments:
Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cmn , unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:                                                                          20-*0 Initial / Date Survey Tech (print/sign): 1 ,                        X.2    / b,      -                                          Date:      I    /)-20 7 Reviewed By (print/sign): K )D/*-                                i-IIK
[.-t7                                                ate:      11i  9  07 Filename: FSS Characterization SCAN Survey FormsRev02                                                                                    Retention: LP+10
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:        007-9,4 (l                  Survey Unit: Z- - Z                  Pkg. $5p107                      Sheet I        of___
Date:      IDIU.                              SurveyLocation:          ROOivM Aid I. Instrument Information Inst.                                                                          HV          THR              27c      Calibration      Calibration Set        Meter            Scaler        Detector          Detector      Setting      Setting          Inst.      Due Date          Due Date No.        Model          Serial No.          Model          Serial No.      (Vdc)      (mVdc)          Eff.        (Scaler)        (Detector) a        -=i            AJTy5  63-3.-                      a4oYLj        50,        1              35,i1        2/J1Lza        1ulaa
-3          AP 1~ 17-751                      qiq-lrnz        ;L4636~ w~ 35                              QUJqi        ha~Jj  2A      11/-1v
____                        _______I_____44-9,________I All cables 6-ft RG-58 (LMI 44-142, NOTE:______                                                                          J              I NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-I_______
HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-                  __
held) unless otherwise noted in the comments below.
Comments: COrfnhýS                    dfIbm .1WC4t +0 F/oor doii                            lV/I-h            2* I        /8 7751 Probe " qý21 Initial Performance Test Performed & Satisfactory:                                  1'-          i.70io/Zc,&,
Initial / Date 1I. Background Measurements                                                      III. Total Surface Activity Measurements Counts                                                                            Counts Inst.                                  Count            per                    Inst.                                    Count            per Set                                    Time          Minute                    Set                                      Time          Minute No.      Grid or Location            (min.)          (cpm)                    No.        Grid or Location            (min.)          (cpm)
I          E3K/3a-                          I        _____
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                                                                                                                                                    /ibJ 4
I        I    ...-
Each of the demarked    grids (or locations) on the attached survey map has been scanned and do not exceed the Ac inflIveIlf              ,750 dpm/1 00-cm 2, unless otherwise noted on the attached survey map.
Post-Survey Performance Test Performed & Satisfactory:                                          L i*                ID Qco Initial / Date Survey Tech (print/sign):                                                                              Date:_/___Dte Reviewed By          (print/sin): _ Iflae4.-hAox                  .
Filename: FSS Characterization SCAN Survey FormsRev02                                                                        Retention: LP+10
  -"                                FNRDP SECOND FLOOR SURVEY MAP                                                Ky, SURVEY NO.:              "          DATE: ____67 TIME: II                1NO      SURVEY PURPOSE                _SP-__-7 Instrument                    Serial Number                  Efficiency                    Cal. Due Date SMEAR RESULTS IN DPM/100CM 2 Beta/
No.        Gamma            Alpha 1        PI              Ni 2                      __
3 4
6 7
8
    .9 10 11 12 13 14 15 16 17 18 19 20          *"
Legend:
* Contact; # / # = Contact Reading / General Area; # = General Area. (I) = Smear location; A = Air Sample location.
Note: Readings in mR/hr unless no    otherwise.
Print/Signatue of Surveyor:                                                                Date        -
Comments:
                                                      --          7 C
Review By: KJ/6I(A4t, (tK                                                  ate RetientionLF+1 0}}

Latest revision as of 17:26, 6 February 2020

Reconnaissance Level Scan Survey Form - Women'S Bathroom #2102
ML12095A382
Person / Time
Site: University of Michigan
Issue date: 02/14/2012
From:
Occupational Safety & Environmental Health University of Michigan
To:
NRC/FSME
Shared Package
ML120950629 List:
References
Download: ML12095A382 (15)
v • d • e


Text

{{#Wiki_filter:FNR Decommissioning Project Reconnaissance Level Scan Survey Form Sheet / of _ _LC " Survey No: a007- /9! Survey Unit: A -/,0 Pkg. SP- O07-Date: a Co? Survey Location: t.'o , e. k~l tlt I. I.Instrument Information Inst. HV THR 2nt Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) LI q3-1 ,21390,115

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Comments: ,-v'tA-Initial Performance Test Performed & Satisfactory: Initial / Date

11. Background Measurements III. Total Siurfaice A Measuremnits Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)

I-o I q7I 33 _PO 9 1-* I *f7, 50(- Comments: A'11,1 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm 2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: P-f 9/, / " Initial / Date Survey Tech (print/sign): Reviewed By (print/sign): /ý". 2-0-(-, Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+ 10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: - Survey Unit: Z I2d 1, kg. ,S P- M7 Sheet _ of Date: JQil/,x2 Survey Location: 2AM, Roar RoobM c2/1o9 I. Instrument Information N._., Inst. H THR 27t Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) t a9-aL ,,,W-& cX1'w* o20/6 I1o 35 o.wo 

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3 ,Pf 197Y3 q3,-37 A-39,A,- 175-6 k- 0.3*f* *,*0/0 12,'g-NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: ý2,5qt'? 1 eodd Coears, iA,7q3 l7q3,.'qted o f 1'r1', /1 7Y3 ,-',922t 'oA' Initial Performance Test Performed & Satisfactory: Initial / Date II. Backgro ndMeasurements Ill. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (rin.) (cpm) 

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3 F -3! Comments: S&PU AC+/- i~O1i ke"4 ý -et Acbo eyue4,2qg, Jel '3 AdC4ioe* 2?A,2 Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm?, unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed ~Initial& Satisfactory: / Date Survey Tech (print/sign): K) (4 1 Ia Date:l i/Date Reviewed By (print/sign): ko'-t NpvO4u / Date: 07 Rtto Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+l0

LSheet A, of Tr-- Survey Log 

         ,. Ur No.
                /F. 4    .    .         ... i                                                                    S    cy      goveyt:3, 11*-01'd-. :3For2.d_

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                                                                                                                        ~ ~Sura   ce Arco 109.9 sq. m r      i:Ir Survey Technician:

Mark all grids and survey locations where scan surveys were performed. - 7 Si rface A :52.55 .m (fl4o & F RDP-D WG-l Is,2m&elow) If scan survey measurement results in a count rate that ____ _ " K Kill exceeds the action level, number the grid and record the total 9 920 K9 R1 surface activity on the corresponding survey form. eiig Vl~~~ap]I egend , 

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                      .C.)- Poured Concrete a :- .        fe          FII-rsc       -'V 7ed

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 20c07 / 1 Survey Unit: SP-O01 Pkg. Wd/A Sheet / of Z. Date: 10 - 3( -o- Survey Location: FNA?" 2,M- R 1(/,1a I. Instrument Informatio J P 4 Inst. HV THR 21r Calibration Calibration Set Meter Scaler Detector Detector Setting Setting last. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) t L-z2-2 I197,q3 43--3 zq,*?1 r-U'o Z 3A, % 16zo f, /Z-,'/o Z L--2aZ/ 57-7-q3 Y3-3 II Zq.qqZ_. (7S't Z_O 3 ,-%  % 1/1.'-/0 i /0 3 L-21 g2 1Z0c44t-14_z tq.- 0. z2oD 3-*!5. q q /z/ o _ __ NOTE: All cables 6-ft RG-58 (LIMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial /Date H. BackgroundMeasurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm) I 8

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6.K67~ 1l j- 2-2O1 3 6 K6 4t 2 3 J~~&1 ____ Comments-1-.2 Each of the denarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed Satisfactory: A 1-31-0o7 0 SuInitial/ Date Survey Tech (print/sign): IA ýý(1 Date: 16-3'1-0-7 Reviewed By (print/sign): . Filenatne: FSS Characterization SCAN Survey Forms-Rev02 Retention: LP+ 10

Radiological Survey Report DATE: 1-3o0'7 LOCATION: Ir%- & 16 I2(D SURVEY NO.: ,ZOO1- 2(q I TIME: (* 3o Smear Information ,J/A Survey Map Pa,6L Z01 -z No. Beta/ Alpha 't a,,- w_" &Id-. 2A&-V*4t, " Ld*,7 Gamma (20%) 3 4 6 7 109 12 e) 13 14 15 16 'i,, ~ e.(oseT b~&eM~ 2,106 20.1 , 17 919 20 egend: * = Contact; # / # = Contact Reading / General Area; # General Area. () = Smear location; A = Air Sample. Note: Readings in mrem/hr unless noted otherwise. 1;*, 6ack MU~4O Tnsftrument Serial Number Cail. Dlue Date Efficiency Backeround (CPMVf M1)A m1DPMi Instrument Serial Number Cal. Due Date Background (CPM) MDA (DPM) 

 --F.clakee-Ekete-cl-or][111 I:===i5cý             ! Tbresbold Voltage              mVdc          De tector cable length Print/Signature of Surveyor:

Commnts AA I)(.4M* w-- I, 

                                                               ~       IiI)
                                                                          '__a--,

Date: /0-31-07 AA, U Review By: Date: Equivalent to HP-101, Rev. 5, Attachment 1 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: *kD 7-;,q'2 Survey Unit:_______ Pkg. Pe- 7 Sheet .1 of___ Date: //- a - o 7 Survey Location: CI)0 141c-, T. Instrument Information Inst. ElV THR 21r Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. ( LVdc) (mVdc) Eff. (Scaler) (Detector) I "Xa *aI IV77q3 qg-37 3 UPqq )J75 0 30.62 6 -. 5-0Y i-h*-e " SI DVQ,,sIO qq-Wq 1 &2 , '93 6 c 5 3 q.)7-0% (,o08 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. 4 Comments: 1o00,, oi f*,,*irR.Plo s q, e.ot*erfS* sci.e4ede- c, 

                                                                                                                          ,i. d-. bel,.;w   e"4    1*-1 Initial Performance Test Performed & Satisfactory:                                      if J7Y/                                                C,4.Se Initial / Date HI. Background Measurements                                                       mI. Total Surface Acti                    Measurements Counts                                                                              Counts Inst.                                  Count            per                       Inst.                                     Count         per Set                                    Time        Minute                          Set                                      Time       Minute No.         Grid or Location          (min.)         (cpm)                        No.         Grid or Location             (rin.)       (Cpm)

Loation Y__2____ I o -I _,_3-7 2 A1(9 I _____i L3 Q Q~~c -9 __0 ___ _ 3 v ?_ ,-3 3 i Ii !7 _3 (4io ii-' I qo 10 A qvo Comments: ACQ L.eNek. -Por -sek#I- q Se-+* Q -JU 7, gi~- IWO - 7. Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cin 2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: e Initial / Date 

                                                                                                                    //-;-,::

Survey Tech. (print/sign):'t 105 "q/2 Date: 11-2-6-7 Reviewed By (print/sign): - * .ate: I -, 7 Filename: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo: o*bIO'7-0-{V" Survey Unit:,/. Pkg. -oC7 00 Sheet 9 of Date: Survey Location: O9 - Survey Comment Sheet: Filename: Survey ConmmentMapForm_RevOO Retention: LP+ 10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: tZ)7- o7c*3 Survey Unit: Z6 Pkg. 5p-o0l Sheet__ of 2-Date: 11/07/__o_7 Survey Location: o7Ae r'/o," Mens5 8aib &tl6h (,%,'i **/05 I. Instrument Information Inst. HV TEIR 27c Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) /; ,*2ý/ 19'77q5 q3.-37? oq3 q.; q 750 ;20 3.7o*%*A/n 17zg 3 qq-QL/ a vqo716 //01o 3-5 39 -41 o _ 1\ /.4- ____4 NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: (.orner.* o-' Room djvi c,, W,",h qq -/Q Poke. Initial Performance Test Performed & Satisfactory: II. Backgroud Measurements Ill. Total Surface Activuy Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. . Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) LG .Y "k-I - I G3__ 193q/34/ K&X *3- o-7 ilxi I IAefi3i kM iixf56 

         ~ l410)1           i*eV4          Nf          V388-
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Comrn~ts- ~O 'X~/i0 RObe q.3-3-7,11..-7q3q,;?q I Eachof dpm/1 o00-m Rkor-- unless otherMse the emarked grids o noted5ca 5'oom on the (or'locations) Lattach ur*,eX attached on *the V/,',, 

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qnevvlo Post-Survey Performance Test Performed &nSatisfactory:

  • l/Date Survey Tech (print/sign): A nn Q2 v"r /I . - Date: 1/ e57/,2C Reviewed By (print/sign). Ž21/2122 Filename: FSS Characterization SCAN Survey Forms_Revo02 Retention: LP+ 10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: _?___-___ Survey Unit: di]. Pkg. 50b-J Sheet , of 0-Date: ///07/4007 Survey Location: JA4- FI/tOr &A 0&5M tM :d,.2105 I. Instrument Information Inst. HV TER 2n Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial / Date H. Background Measurements IH. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) 3 &tlz ro-xwdS 4/0,;_ I I01-_ j% &?. Gro~i!3 / 58 ( A*VG6- P/A q* 71 

  .3           Ac-'eve-t                 A4A1          '7q Commpnts-&cid/'o                                              4  o.

rloor ,2mel-~ers c~j Ivall cZ// Rea-mcf-S i _ )U1W /'"-IPA) He VP Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cm2 , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: 0 ./t 1 10712007 Survey Tech (print/sign):

  • 0 2)nor //i/A j. ,,)Date: I Z6 7)*9c Reviewed By (print/sign): ____Date: -.

Filenarne: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: o1.O7 "a30? Survey Unit: NiJA Pkg. 07Z Sheet / of / 

                                                                 -   e--

Date:. I// -0 7 Survey Location: , -' I. Instrument Information Inst. HV THR 27c Calibration. Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) ral 9C&J&* /A3-37 1 c L Ve *i i1fC 010 6 7-/-oF 

                                                              /0         A'A/1      ,~

AZA 1,4 ZiIi NOuI E:: All cables 6-ft t*-58 (LMI 44-142, 44.-9=, IP-II--0, or 44-92 probes) or 15- RGt-58u (LMVI 43-37"gas-flow hand-held) unless otherwise noted in the comments below. Zow -,'- Comments:. Ri /iiAn7'*,, 1 , P. . s. i,ýr. ',y/t,,.e Initial Performance Test Performed & Satisfactory: V/ i~'/Ay,,q Initial / Date 4fi 4 k,2 ere Scja LA~e/ II. Background Measurements III. Total Surface Acti

  • Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm)

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     /            cJ.fo*ZLeLS             r",         c31707 Comments:

Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/1 00-cm2 , unless otherwise noted on the attached survey map. J Post-Survey Perform Test Performed & Survey Tech (print/sign): 1 Reviewed By (pint/sign): Filename: FSS Characterization SCAN Survey Retention: LP+I 0

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,Z)1 -  ;-33q Survey Unit: NI__ Pkg*),-(= - Sheet _ of / Date: U -/M Survey Location: ,2 nd A/lo, /Pip. Chase-. J,, z1tp I. Instrument Information HV THR 27c Calibration Calibration Inst. Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) 

             ,        M
                      /*77q53           0-3-7         _.2q3q2;_.        175          ;20          51                         7!Z/k 1

NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below. Comments: Ti i.*. . , Ak ni4 L'JcLLL Initial Performance Test Perkormed & Satisfactory: 

                                                                           ý-    Initial / Dat6    '

I. Backeround Measurements HI. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) 

                                                                                         ,S IV a4 Ior~*d I            cK   ,     w              /            /S 7G5 I    13aiqvGq,,ndlý3                           /8I756 A/i Ded646i___

MIA/ /S127 AboVe- Akn _ __ ___ Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2 dpm/1 00-cm , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: al / Date Survey Tech (print/sign):An 4 af,*nl (1VO R i e Bypn :- r )iI} 4 16A-t Date: D :- Il s l? Reviewed By (print/sign,: \J(.t-/.-/*¢* -\,ý*.---- Date: // io Filename: FSS Characterization SCAN Survey Forms_Rev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,2C)6 -c23Y 7 Survey Unit: A,- Pkg.SPi7L _ Sheet /.-_ of 2__ Date: Ji/[b07 _ Survey Location: A'C)/4 A lev a o4m Vei 6 I. Instrument Information Inst. HV THR 27t Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) 1 -;Z 222-1 

             -2A 1877Y
                         /87'7q3 q3-37
                                                         ,q 1:2,/39.-

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                                                                     ,p35 175b, 17 56 20
                                                                                           ýAO 3__,6 o      17*8tifz

_____ I _________ 1 ___________ 1________ .1____________ _______ 1_______ 1 _______ 1___________ NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-1 ____________ held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Initial / Dat& LI. Background Measurements 11. Total Surface Activhy Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) 

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              &2l.opý             13       /          ____

P- AVG /ei' 3 Co- tsv:mm4en NA .4i57 Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 2 dpm/100-cm , unless otherwise noted on the attached survey map. I k Post-Survey Survey Tech (print/sign): _ Reviewed By (print/sign): 111'r? 0-7 Filename: FSS Characterization SCAN Survey FormsRevO2 Retention: LP+ 10

FNR Decommissioning Project Re~onnaissance Level Scan Survey Form Survey No: C& Survey Unit: .2- 7 Pkg. a2 CW-7 Sheet c2 of Date: " Survey Location: Rem)Cfl sc Lf[-c-/- Oý gcOpq 216 I. Instrument Information Inst. HV THR 2n Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc). Eff. (Scaler) (Detector) 

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NoI I r-: mill cabls -t*1 '.m- zio k.- ILIVII -+-'- Iq 1 .1./-, 1 I-II-2 10, or ,l.4-92/ probes) or 10-it M.7-00 kLIVI -to-at gas-How hand-held) unless otherwise noted in the comments below. Comments: Initial Performance Test Performed & Satisfactory: Init&I / E&e HI. Background Measurements III. Total Surface Acti Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (n.) (c m) 3.5 ajY , 9jl4k*6trflcJ '1 T IAn q( qt ____Oie-d /1 3 Comments:i Comments: Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dpm/100-cmn , unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: 20-*0 Initial / Date Survey Tech (print/sign): 1 , X.2 / b, - Date: I /)-20 7 Reviewed By (print/sign): K )D/*- i-IIK [.-t7 ate: 11i 9 07 Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 007-9,4 (l Survey Unit: Z- - Z Pkg. $5p107 Sheet I of___ Date: IDIU. SurveyLocation: ROOivM Aid I. Instrument Information Inst. HV THR 27c Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) a -=i AJTy5 63-3.- a4oYLj 50, 1 35,i1 2/J1Lza 1ulaa 

-3           AP 1~ 17-751                      qiq-lrnz         ;L4636~ w~ 35                               QUJqi         ha~Jj  2A       11/-1v

____ _______I_____44-9,________I All cables 6-ft RG-58 (LMI 44-142, NOTE:______ J I NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-I_______ HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand- __ held) unless otherwise noted in the comments below. Comments: COrfnhýS dfIbm .1WC4t +0 F/oor doii lV/I-h 2* I /8 7751 Probe " qý21 Initial Performance Test Performed & Satisfactory: 1'- i.70io/Zc,&, Initial / Date 1I. Background Measurements III. Total Surface Activity Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (min.) (cpm) No. Grid or Location (min.) (cpm) I E3K/3a- I _____ AbovFe AcA46 Ves 

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e4&03 / q 51; SKCA1n 1-eveý NA a-_- 3 B *0: 39q 

        -3       wt-L                 I                       3cjj 3         OL&1:3                          I          _       _

3 Comments-~ Akcit-i& 1-eý4 MAI/ 36q __ ZP~k~~.4F 

                                                                                                .1_______                    1____

a~o+f/~LA~ _ ý.gkLk 

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                                                                                                                                                    /ibJ 4

I I ...- Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the Ac inflIveIlf ,750 dpm/1 00-cm 2, unless otherwise noted on the attached survey map. Post-Survey Performance Test Performed & Satisfactory: L i* ID Qco Initial / Date Survey Tech (print/sign): Date:_/___Dte Reviewed By (print/sin): _ Iflae4.-hAox . Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10 

 -"                                 FNRDP SECOND FLOOR SURVEY MAP                                                Ky, SURVEY NO.:               "          DATE: ____67 TIME: II                 1NO       SURVEY PURPOSE                _SP-__-7 Instrument                    Serial Number                  Efficiency                     Cal. Due Date SMEAR RESULTS IN DPM/100CM 2 Beta/

No. Gamma Alpha 1 PI Ni 2 __ 3 4 6 7 8 

   .9 10 11 12 13 14 15 16 17 18 19 20          *"

Legend:

  • Contact; # / # = Contact Reading / General Area; # = General Area. (I) = Smear location; A = Air Sample location.

Note: Readings in mR/hr unless no otherwise. Print/Signatue of Surveyor: Date - Comments: 

                                                      --           7 C

Review By: KJ/6I(A4t, (tK ate RetientionLF+1 0}}

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