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{{#Wiki_filter:FNR Decommissioning Project Reconnaissance Level Scan Survey Form Sheet / of _ _LC " k~l tlt Survey No: a007- /9! Survey Unit: A -/,0 Pkg. SP- O07-Date: a Co?Survey Location:
{{#Wiki_filter:FNR Decommissioning Project Reconnaissance Level Scan Survey Form                                 Sheet     /   of             _ _LC "
t.'o , e.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)
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 ,21390,115-1- I-ao c67 / 7 -?-z-e,, ,3 2~q i qq-lq.. .k)33 /100 35" 3- 1__0,0 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:  
LI                                     q3-1           ,21390,115
,-v'tA-Initial Performance Test Performed  
* I-ao/ c67- 7         ?-z-e,,
& Satisfactory:
  ,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.
: 11. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I-o I q 7I 3 _PO 9 I 50(-3  Initial / Date III. Total Siurfaice A Measuremnits Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)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  
Comments:                     ,-v'tA-Initial Performance Test Performed & Satisfactory:
& Satisfactory:
Initial / Date
P- f 9/, / " Initial / Date Survey Tech (print/sign):
: 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)
Reviewed By (print/sign):
I-o                                      I    q7I 33      _PO 9                        1-*
/ý". 2-0-(-, Filename:
I          *f7, 50(-
FSS Characterization SCAN Survey FormsRev02 Retention:
Comments:
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:
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.
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-& o20/6 I1o 35 o.wo-2V I/ q3 IS-37 (q3q,.aV 1 0- o3A 62il 61A/;3 ,Pf 197Y3 q3,-37 A- 39,A,- 175-6 k- 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:  
Post-Survey Performance Test Performed & Satisfactory:                                   P-f         9/,     /     "
ý2,5qt'? 1 eodd Coears, iA,7q3 l7q3,.' qted o f 1'r1', /1 7Y3 ,-',922t 'oA'Initial Performance Test Performed  
Initial / Date Survey Tech (print/sign):
& Satisfactory:
Reviewed By (print/sign):                                                                                   /ý". 2-0-(-,
II. Backgro ndMeasurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)! F-10 I ,-93" F-- o4 37-I ,v& sd-f .N14 6bV F-01 1 1 7.4I 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 Initial / Date Ill. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (rin.) (cpm)Acbo eyue4,2qg, Jel '3 AdC4ioe* 2?A,2'A 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  
Filename: FSS Characterization SCAN Survey FormsRev02                                                                 Retention: LP+ 10
& Satisfactory:
 
~Initial / Date Survey Tech (print/sign):
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._.,
K) (4 1 Date: Ia l i/Date Reviewed By (print/sign):
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*
ko'-t NpvO4u /Date: Rtto 07 Retention:
o20/6 I1o                   35           o.wo
LP+l0 Filename:
    -       2V     I/ IS-37 q3                            (q3q,.aV 1                         o3A 0-       62il             61A/;
FSS Characterization SCAN Survey FormsRev02 LSheet A, of Tr--Survey Log No. S cy :3 S eT veyt:3, Slassifi cnon:t Ur F. ,. / .....4 i go For2.d_ .Uk.W"S n-eyUr tDescri don: A- trucure Interior urface rw"7 ~ ~Sura ce Arco 109.9 sq. m r i:Ir Survey Technician:
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.
Si rface A :52.55 .m (fl4o & Is, 2m&elow)Mark all grids and survey locations where scan surveys were 7 F RDP-D WG-l performed.
Comments: ý2,5qt'? 1 eodd Coears, iA,7q3 l7q3,.'qted                                         o f 1'r1', /1 7Y3 ,-',922t               'oA' Initial Performance Test Performed & Satisfactory:
-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  
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)
*Verified-ýinder Block Wall Comments:-,oncret b .9,/85qg -us-d on -fo inally tiled / masti .rema iant _ 7 ._7 q- Lsz.d on FlCor.C.)- Poured Concrete a .:- -'V fe FII-rsc 7ed Survey No: 20c07 1 /Date: 10 -3( -o-I. Instrument Informatio FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit: SP-O01 Pkg. Wd/A Sheet / of Z.Survey Location:
              ! F-10                         I     ,-93" F--o4                             37-I         ,v& sd-f . N14                       6bV F-01                                 117.4
FNA?" 2,M- 1(/ R ,1a 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 r-U'o Z 3A, % 16zo f, /Z-,'/o Z L--2aZ/ 57-7-q3 Y3-3 II Zq.qqZ_. (7S't _O Z 3 % ,-% 1/1.'-/0 i /0 3 L-21 g2 1Z0c 44t-14_ tq.- z 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  
'A F-O*3                    I        117Z AVG se#o                       A'/~ V-
& Satisfactory:
        -3         E-o       1             1           1757.
H. BackgroundMeasurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I 8
3           F -3!
* I I I~ ~ 6KJItt /__ Z1_a ~ ~ ~ 4 Aýi.ýi'V 10 2-1$ K67~ j- 2-6. iKeC--i:" 1l 2O1 3 6 K6 4t 2 3 J~~&1 ____Initial /Date 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-cm 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed Satisfactory:
Comments:
A 0 1-31-0o7 SuInitial/
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.
Date Survey Tech (print/sign):
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
IA ýý(1 Date: 16-3'1-0-7 Reviewed By (print/sign):  
 
.Filenatne:
LSheet A,   of Tr--
FSS Characterization SCAN Survey Forms-Rev02 Retention:
Survey Log
LP+ 10 Radiological Survey Report DATE: 1-3o0'7 LOCATION:
          ,. Ur No.
16 Ir%- & I 2(D SURVEY NO.: ,ZOO1- 2(q I TIME: ( 3o Smear Information ,J/A Survey Map Pa,6L Z 01 -z No. Beta/ Alpha Gamma (20%)3 4 6 7 9 10 12 e)13 14 15 16 17 919 20't a,,- w_" &I d-. " 'i,, ~ e.(oseT b~&eM~2,106 20.1 , egend: * = Contact; # / # = Contact Reading / General Area; # General Area. () = Smear location; A = Air Sample.Note: Readings in mrem/hr unless noted otherwise. 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).clakee-Ekete-cl-or][111 I tector cable length--F :===i5cý ! Tbresbold Voltage mVdc De Print/Signature of Surveyor:
                /F. 4    .   .         ... i                                                                    S    cy      goveyt:3, 11*-01'd-. :3For2.d_
I)(.4M* ~ IiI)Date: /0-31-07 Commnts I, AA w-- '__a--, AA, U Review By: Date: Equivalent to HP-101, Rev. 5, Attachment 1 Retention:
S. cea*
LP+10 FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 7-;,q'2 Survey Unit:_______
Slassifi eT  Uk.W         cnon:t "S rw"7                                                      n-eyUr tDescri don: A- trucure Interior urface
Pkg. Pe-'' 7 Sheet .1 of___Date: //- a -o 7 Survey Location:
                                                                                                                        ~ ~Sura   ce Arco 109.9 sq. m r     i:Ir Survey Technician:
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)
Mark all grids and survey locations where scan surveys were performed.                            -
I "Xa *aI IV77q3 qg-37 3 UPqq )J75 0 30.62 6 -.5-0Y " 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.Comments:
7                              Si rface A :52.55 .m (fl4o &
1o00,, oi .Plo s q, sci.e4ede- , ,i.4 c .d- bel,.;w e"4 1*- 1 Initial Performance Test Performed  
F RDP-D WG-l Is,2m&elow)
& Satisfactory:
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.
if Y/-2 -J7 C,4.Se Initial / Date HI. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I o -I _,_3-7 A1 (9 ______ L3 2 ___ I _____i Q Q~~c __0 -9 ___ _3 v ?_ 3 ,-3 i Ii !7_3 (4 io ii-' I q o A qvo mI. Total Surface Acti Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (rin.) (Cpm)Loation Y__2____10 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  
eiig Vl~~~ap]I egend   ,
& Satisfactory:
                            -   ipe F netralion                                               *Verified
e //-;-,:: Initial / Date Survey Tech. (print/sign):'t 105 "q/2 Date: 11-2-6-7 Reviewed By (print/sign):  
                            -   ýinder Block Wall
-.ate: I -, 7 Filename:
                                      -,oncret b                                                               Comments:
FSS Characterization SCAN Survey Forms_Rev02 Retention:
                                                                                                          .9,/85qg - us-d on Con*,rd
LP+10 FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo: Survey Unit:,/. Pkg. 00 -oC7 Sheet 9 of Date: Survey Location:
                      -fo       inally tiled / masti . rema iant       _                                       q-7._7       Lsz.d on FlCor
O 9 -Survey Comment Sheet: Filename:
                      .C.)- Poured Concrete a :- .        fe         FII-rsc       -'V 7ed
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:
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 20c07            / 1          Survey Unit: SP-O01               Pkg.       Wd/A           Sheet       / of Z.
o7Ae r'/o," Mens5 8aib &tl6h (,%,'i
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               _     __
* 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)
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.
/; 19'77q5 q3.-37? oq3 q.; q 750 ;20 17zg 3 qq-QL/ a vqo716 //01o 3-5 39 -4 1 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:
Comments:
o-' Room djvi c,, W,",h qq -/Q Poke.Initial Performance Test Performed  
Initial Performance Test Performed & Satisfactory:
& Satisfactory:
Initial /Date H. BackgroundMeasurements Counts Inst.                               Count           per Set                                 Time         Minute No.       Grid or Location         (min.)         (cpm)
II. Backgroud Measurements Counts Inst. Count per Set Time Minute No. .Grid or Location (min.) (cpm)__ G3__ .Y / 4 LG "k-I -I 193q/3 K &X *3- o-7 ilxi I IAefi3i kM iixf56~ l410)1 i*eV4 Nf V388-~ft~-__Ill. Total Surface Activuy Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)Comrn~ts-  
I         8
~O 'X~/i0 RObe q.3-3-7,11..-7q3q,;?q I Eachof kor-- o R 5'oom 5ca L ' h g d sf /oMe aWM t/ Ie Ve,/the o emarked grids (or'locations) on the attach rvey map hasnbeen d .tine, xcee & qnevvlo 1750 dpm/1 00-m unless otherMse noted on the attached P V/,',, 04' ,)Vt.Post-Survey Performance Test Performed  
* I                   I I~6KJItt
&n Satisfactory: l/Date Survey Tech (print/sign):
                    ~                                 /__Z1_
A nn Q2 v" I r / .-Date: 1/ e57/,2C Reviewed By (print/sign).
a~       ~       ~   Aýi.ýi' 4V              10 2-1
21/2122 Filename:
            $iKeC--i:"
FSS Characterization SCAN Survey Forms_Revo02 Retention:
6.K67~ 1l               j-            2-2O1 3         6 K6 4t                                 2 3                               J~~&1       ____
LP+ 10 Survey No: _?___-___Date: ///07/4007 I. Instrument Information FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit: di]. Pkg. 50b-J Sheet , of 0-Survey Location:
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.
JA4- FI/tOr &A 0&5M tM :d,.2105 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)
Post-Survey Performance Test Performed                           Satisfactory:                   A 1-31-0o7 0
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  
SuInitial/                                                       Date Survey Tech (print/sign): IA                                 ýý(1                             Date: 16-3'1-0-7 Reviewed By (print/sign):                                                                         .
& Satisfactory:
Filenatne: FSS Characterization SCAN Survey Forms-Rev02                                                         Retention: LP+ 10
Initial / Date H. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)3 &tlz ro-xwdS 4/0,;_j% &?. Gro~i !3 / 58 (P/A 71.3 Ac-'eve-t A4 1 A '7q Commpnts-&cid/'o 4 o.IH. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I I01-_rloor ,2mel-~ers c~j Ivall cZ// Rea-mcf-S i_)U1W /'"-IPA) He VP-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/100-cm 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed  
 
& Satisfactory:
Radiological Survey Report DATE: 1-3o0'7 LOCATION:                           Ir%- &
0 ./t 1 10712007 Survey Tech (print/sign): 0 2)nor //i/A j. ,,)Date: I Z6 Reviewed By (print/sign):
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%)
____Date:  
3 4
-.Retention:
6 7
LP+10 Filenarne:
109 12                               e) 13 14 15 16                                         'i,,               ~           e.(oseT     b~&eM~ 2,106       20.1                       ,
FSS Characterization SCAN Survey Forms_Rev02 FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: o1.O7 " a30? Survey Unit: NiJA Pkg. 07Z-e--Sheet / of /Date:. I// -0 7 I. Instrument Information Survey Location: , -'Inst. HV THR 27c Calibration.
17 919 20 egend:   * = Contact; # / # = Contact Reading / General Area; #       General Area. () = Smear location; A = Air Sample.
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 L c i1fC Ve 010 6 7-/-oF/0 ,~ A'A/1 AZA 1,4 ZiIi NOuI E:: All cables 6-f t (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:.
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)
R i 1, P. .s. i,ýr. ',y/t,,.e Initial Performance Test Performed  
  --F.clakee-Ekete-cl-or][111 I:===i5cý             ! Tbresbold Voltage             mVdc         De tector cable length Print/Signature of Surveyor:
& Satisfactory:
Commnts          AA I)(.4M*
II. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)L A1k6-g d I I __ _7/
w--
r", c31707 Comments: i~' /Ay,,q 4 fi 4 k,2 ere Scja LA~e/V/ Initial / Date III. Total Surface Acti
I,
* Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)/adioC ,_ctcf~,u .)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. J Post-Survey Perform Survey Tech (print/sign):
                                                                ~       IiI)
1 Reviewed By (pint/sign):
                                                                          '__a--,
Test Performed
Date: /0-31-07 AA, U
&Filename:
Review By:                                                                                                 Date:
FSS Characterization SCAN Survey Retention:
Equivalent to HP-101, Rev. 5, Attachment 1                                                                                 Retention: LP+10
LP+I 0 Survey No:,Z)1 -;-33q Date: U -/M FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit: NI__
 
-Sheet _ of /Survey Location:
FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: *kD 7-;,q'2                     Survey Unit:_______                     Pkg.           Pe-''     7     Sheet       .1 of___
, 2 nd A/lo, /Pip. Chase-. J,, z1tp 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)
Date: //- a - o 7                           Survey Location:                 CI)0                       141c-,
M , 0-3-7 _.2q3q2;_.
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)
175 ;20 51 7 1 !Z/k 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:
I     "Xa *aI         IV77q3           qg-37           3 UPqq             )J75 0                 30.62 6 -. 5-0Y                 i-h*-e  "
Ti ., Initial Performance Test Perkormed
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.
& Satisfactory:
4 Comments: 1o00,,           oi         f*,,*irR.Plo     s       q,   e.ot*erfS*            sci.e4ede-                     c,
I. Backeround Measurements Ak ni4 L'JcLLL Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I c , K w / /S 7G5 I 13aiqvGq,,ndlý3  
                                                                                                                          ,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)
/8I756 MIA/ /S127 Comments:ý- Initial / Dat6 'HI. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)IV ,S a4  A/i Ded646i___
Loation    Y__2____
AboVe- Akn _ __ ___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  
I           o         -I                             _,_3-7 2          A1(9 I       _____i L3 Q         Q~~c -9       __0                  ___       _
& Satisfactory:
3            v ?_                               ,-3 3            i                       Ii         !7
Survey Tech (print/sign):A n 4 (1VO r )iI}4 1 6 A-t al / Date Date: I l s ? l R i e Bypn :- D :-Reviewed By (print/sign,:
_3          (4io        ii-'         I         qo                                      10 A                                   qvo Comments:
Date: // io Filename:
ACQ          L.eNek. -Por -sek#I-               q             Se-+* Q -JU 7, gi~-             IWO             - 7.
FSS Characterization SCAN Survey Forms_Rev02 Retention:
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.
LP+10 FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,2C)6 -c 23Y 7 Survey Unit: A,- Pkg.SPi7L
Post-Survey Performance Test Performed & Satisfactory:                                               e Initial / Date
_ 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) 1 222-1 1877Y q3-37 1:2,/39.-
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
175b, 20 3__,6-;Z -2A /87'7q3 p35 ,q , q 1 7 56 ýAO o _____ I _________
 
1 ___________
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  -
1 ________ .1 ____________
Survey Comment Sheet:
_______ 1 _______ 1 _______ 1 ___________
Filename: Survey ConmmentMapForm_RevOO                                       Retention: LP+ 10
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: Initial Performance Test Performed  
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)
& Satisfactory:
/;         ,*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
Initial / Dat&LI. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)/ i Zo;,C*n 1/ ' 61-/AV& V1A //3q 2- ar -I //W'?a- t&ckgn. i _____&2l.opý 13 / ____P- AVG /ei' 3 Co- mm4en tsv: NA .4i57 Comments: 11. Total Surface Activhy Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)waIs a& f//V, o/p ,%eaO/ed I-ee/S 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 2 , unless otherwise noted on the attached survey map. I k Post-Survey Survey Tech (print/sign):
_                                            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.
_Reviewed By (print/sign):
Comments:       (.orner.*            o-'     Room djvi           c,, W,",h qq -/Q                     Poke.
111' r? 0-7 Filename:
Initial Performance Test Performed & Satisfactory:
FSS Characterization SCAN Survey FormsRevO2 Retention:
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)
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:
LG                  .Y "k-I -           I         G3__
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 m- zio '. k.- ILIVII -+-'- Iq 1 .1./-, 1 I-II-2 10, or ,l.4-92/held) unless otherwise noted in the comments below.Comments: Initial Performance Test Performed
193q/34/
& Satisfactory:
K&X *3-                             o-7 ilxi I IAefi3i kM                   iixf56
probes) or 10-it M.7-00 kLIVI -to-at gas-How hand-Init&I / E&e HI. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)3 9jl4k6trflcJ
          ~ l410)1           i*eV4         Nf         V388-
'1 T q.5 ajY , An I q( t 3 Comments:i Comments: III. Total Surface Acti Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (n.) (c m)____ Oie-d /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/100-cmn , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed  
                      ~ft~-__
& Satisfactory:
Comrn~ts-                   ~O             'X~/i0 RObe       q.3-3-7,11..-7q3q,;?q                         I Eachof dpm/1 o00-m              Rkor--
20- 0 Initial / Date Survey Tech (print/sign):
unless otherMse the emarked  grids  o noted5ca 5'oom on the (or'locations)      Lattach ur*,eX attached on *the            V/,',,
1 , X.2 -/ b, Date: I /)-20 7 Reviewed By (print/sign):
                                                                    ' h rveyPmap g d .tine,sf hasnbeen                  d/oMexcee 04'  aWM t/
K [.-t7 i-IIK ate: 11i 9 07 Filename:
Ie Ve,/ 1750
FSS Characterization SCAN Survey FormsRev02 Retention:
                                                                                                                      ,)Vt.
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:
qnevvlo Post-Survey Performance Test Performed &nSatisfactory:
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 JTy5 A 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_____
* 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
________I J I 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-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:
 
COrfnhýS dfIbm .1 WC4t +0 F/oor doii lV/I-h I /8 7 751 Probe " qý21 Initial Performance Test Performed  
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)
& Satisfactory:
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.
1'- i.70io/Zc,&, Initial / Date 1I. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I E3K/3a- I _____e4& 03 / q 51;S KCA1n 1-eveý NA a- _-3 B 0: 39q-3 wt-L I 3cjj 3 OL&1:3 I _ _3 Akcit-i& 1-eý4 MAI/ 36q III. Total Surface Activity Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)AbovFe AcA46-Ves -for Q_ C:V's 5a q r__ .1 _______ 1 ____ .1 ____Comments-~
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         _____
AbovFe AcA46 Ves
                                                                                                      -                -for C:V's 5aq r Q_
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~
a~o+f/~LA~
ZP~k~~.4F
_ ý.gkLk
_ ý.gkLk 4/ibJ I I ...-Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceed the Ac inflIveIlf  
                                                                                                                                            .1
,750 dpm/1 00-cm 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed  
                                                                                                                                                    /ibJ 4
& Satisfactory:
I       I     ...-
L i* ID Qco Initial / Date Survey Tech (print/sign):
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.
Date:_/___Dte Reviewed By (print/sin):
Post-Survey Performance Test Performed & Satisfactory:                                           L i*               ID Qco Initial / Date Survey Tech (print/sign):                                                                               Date:_/___Dte Reviewed By         (print/sin): _ Iflae4.-hAox                 .
_ Iflae4.-hAox  
Filename: FSS Characterization SCAN Survey FormsRev02                                                                       Retention: LP+10
.Filename:
 
FSS Characterization SCAN Survey FormsRev02 Retention:
  -"                                 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/
LP+10  
No.       Gamma             Alpha 1         PI               Ni 2                       __
-" 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:
3 4
* Contact; # / # = Contact Reading / General Area; # = General Area. (I) = Smear location; A = Air Sample location.Note: Readings in mR/hr unless no otherwise.
6 7
Print/Signatue of Surveyor:
8
Date -Comments: C -- 7 Review By: KJ/6I(A4t, (tK ate RetientionLF+1 0}}
    .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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 ,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_

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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, 

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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/,',, 

                                                                    ' h rveyPmap g d .tine,sf hasnbeen                   d/oMexcee 04'   aWM t/

Ie Ve,/ 1750 

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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 / 

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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 

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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.-

q 

                                                                     ,p35 175b, 17 56 20
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_____ 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) 

                                                                          ,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 _____ AbovFe AcA46 Ves 

                                                                                                     -                -for C:V's 5aq r Q_

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

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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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