ML12095A381

Reconnaissance Level Scan Survey Form - Beam Port Nose Cone

ML12095A381
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: ML12095A378 ML12095A380 ML12095A381 ML12095A382 ML12095A383 ML12095A384 ML12095A385 ML12095A386 ML12095A387
References
Download: ML12095A381 (16)

Text

Bklý FNR Decommissioning Project --------------

Reconnaissance Level Scan Survey Form Survey No: ,2607,-27,2- Survey Unit:,SP'o67 Pkg. A/i/1 Sheet / of ..

Date: W167/.2007 Survey Location: w" Pb- R +- /b6 eZ Col)_.

I. Instrument Information Inst. HV TE{R 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) 7I.. -1773 q3-37 24392I..q l7_S 2 39.7 1192)08 7 0/8

___=NA/

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 Perfor.mance Test Performed & Satisfactory:,

Initial / Date H.Rwonn Measurements III. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (nin.) (cpm) No. Grid or Location (min.) (cpm)

/

• 1 51ton

& G,-a&tn / &- / / _5 .60 I AVq /// 3,75

/ Ac+~lfIev] ]in/L1177 / / 5£oo

/ *- / ( 5

/ _____ / /000o

/ *_I

/.,../_,Q /0,o09 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-cn 2 , unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed & Satisfactory: 0i1L4 2cD"(

Initial / Date Survey Tech (print/sign): kn Date: O be!/ j C)O Reviewed By (print/sign): V L/7eJ

// 0 Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo:-2-00"1- A 1* - Survey Unit: 5P-oO7 Pkg. .)4A- Sheet 2- of 2-Date: 11-7-07 Survey Location: A- k x MOe--

Survey Comment Sheet:

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Filenarne: Survey Comment Map_Form_RevOO Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 2-07-- 22-13 Survey Unit: -P-C007 Pkg. Sheet . of Z_

Date: 11-1-o-I Survey Location: tdtj* 0-aw 0ý001 j

1. Instrument Information , - - -,. - " '/,-

Inst. HIV 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 1-22z/ /V743 q4-31 2q,3qzZ.. 17s- Z. 34.7 I/tz/og ,7//7/A 2 L-zzl, 23q11 .. qW-iq.. Z ?Tq/ /oo i00 37,0 ,'$131og ./oI tJ/A 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: m Initial Performance Test Performed & Satisfactory:

Initial / Date 1.Backgrounfd Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)

-

2 -

41L t 3=ý

________________

2- _ _ _

o.mmerits:

kk4e A 64-. *a 'OL4 4.WL A4dt a, dAl,

_ _

Each of the demarked r~m1llr 2

,lc grids (or locations) on

• n.iantAa ,

the attached survey map has been scanned and do not exceed the action level of 1,750 tnhd.mnomn Post-Survey Performance Test Perform ,& Satisfactory: -*-07 (Initial / Date Survey Tech (print/signi: Date: 11`9_"__-61 Reviewed By (print/sign),' I4ý" Date: Iit-:9-0'"

Filename: FSS Characterization SCAN Survey FormsRevO2 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 2o0"7- *-Z1_3 Survey Unit: IP-Co07 Pkg. A/,A Sheet Z of z.

Date: It- Survey Location: 4,o.tg e4 f .a.tc-tt 1i0 ci Survey Comment Sheet:

6eam, e., K) AU-Filename: Survey CommentMapForm_RevOO Retention: LP+ 10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: ,,ý-2,d Survey Unit: JOL. Pkg. S P OD'1 Sheet I ofj Date: I J5 4ac"7 Survey Location: =T jde, 82L2h CORKSc 6MATO7i r-i Pq6mWcAr4-P I. Instrument InformationI1 Inst. lV THI[R 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)

Z2A) 21%59g 14q*J .2Io 71b WA 35 39-L ~16 1 VA W..Mz4 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.

Commens:,&VA .e ol .sije Paails o4ý 4Ac*h.k covers.

Initial Performance Test Performed & Satisfactory: 19% /W7 II. Background Measurements III. Total Surface ActihA! Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (ain.) (cpm) No. Grid or Location (ri) (cpm)

/ a,, 'I I- 75

___ ye-A414 NJ& PIA Z90

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/W Comm ts*~

co ,89m OT- slain..,Ra

~~Pciso~y is1-on IV., .

Each of the dernarked grids (or locations) on the attached survey map has been scanned and do not exceed the action level of 1,750 dprn/100-cm 2 , unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed & Satisfactory: "'Wial I Dafte11 1L512/0-7 Survey Tech (print/sign): 45y1 (fl rI1§J1 l N Date: 154/2W7 Reviewed By (pi/sig: Date: "

Filename- FSS Characterization SCAN Survey Forms-Rev02 Re*tenton LP+ 10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: _2&7-.23"3o Survey Unit:_______ Pkg.&SP-4Z7 Sheet _L of /

(

Date: I Inforato Survey Location: Bm Po4 overH*i end / kA Corn-r-11 Pjk,4m4iM-~ 4-tb oa~,e.

Inst. iiV THIR 2,x 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)

I&RP */,q qq-/qX -;*V 71L 1166 410&k/*z,

- .1 .41=/A!Y 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: P ,kfqrL/-CZ C- flke/ta ChOVf-r AW&17#aI ' _-

Initial Performance Test Performed & Satisfactory: I V1,0gW Initial / Date H. Background Measurements M. Total Surface Activh Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Locationt (rin.) (cpm) No. Grid or Location (ain.) (epm)

I &CXr.v::ownJ ' I __

/do kylw/A S /

I

/ *

• vG .Il/

-W9 ___

3o ab -10 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 dpmnl00-cin2 . unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed & Satisfactory: _ _ I_ -__7

__'=*"Ihita / Date

_

Survey Tech (print/sign): Date: I / ZW-7 Reviewed By (print/sign): _ __________________

Filename: FSS Characterization SCAN Survey Forms_Rev/ Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo: ocWl'- 22319 Survey Unit:-* - Z- Pkg. 6P-MI Sheet t of ý-

Date: I11,g 1./o-) Survey Location: Nci-P'r WaOJJ ea Pcf{ 000K-ov &o"-s' * ,-i Q-L.M 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)

-k, I', A..x.o1 ý'ý-3-ý ý 1 161 )"7,_,0D olo q 1710*w '~*

7/1/I;ooS NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes or 15-ft RG-58 (LMI 3-37 gas-flow hand-held) unless otherwise noted in the comments below.

Comments: nrU,'5 m*,C Floor k WC W h 42- 1 W, 9,4810 q-lqu-- d q3S93 Initial Performance Test Performed & Satisfactory: 1,W nb]'*a Initial / Date II. 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)

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MA flD PUYo-

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__________

Comments:

________________________________ _____________ I_________________

ThP~e (ýn noyAf+-\ UXLU~Q r-Luv-y.rnvl .Iq-4rcyywý 4O'-o k)iS FCc410

_'e Each of the demarked grids Cor 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.

Post-Survey Performance Test Performed Safisfa*ry: L[LL -1121007)

Survey Tech (print/sign): ýefl (7'-no" A Initial / Date Date: l4I2'? 20C Reviewed By (print/sign): JI' /1 . Date: (//Z9 ).,7

¥ Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: -- 9* Survey Unit: 0 . Pkg. 'P-)o7 Sheet 2, of Date: I 1121I, 00" Survey Location: *'orVVY\ WGL~Ju~ ~Rw pbcrvx I. Instrument Information Inst. HV THR 27u 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)

_TE:-E. l -,?c __

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: w/u nQcrwzdS 4m- *-)" a~Y*>3h, qq-t*j- %q3*30 Initial Performance Test Performed & Satisfactory: 1 -7!/,2007 i.2 Initial / Date II. Background Measurements III. 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)

C3 B<e&

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andJCone

_,to 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-cm 2, unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed & Satisfactory: it 1e2/-7*/*2 )

"Initial / Date Survey Tech (print/sign): Date: -r/i)__2"_

_/ _

Reviewed By (print/sign): L 7ate:

Filenarne: FSS Characterizafion SCAN Survey Forms-Rev02 Retention: LP+10

FNR Decommissioning Project e f Reconnaissance Level Scan Survey Form 1-jo Sheet 1 f* d]*/a Survey No: o00-l - J 3S5 Survey Unit: . Pkg. S P- O-'

Date: I11,* /.2eo7 Survey Location: Z.xan 4-or', C icl5e.--

I. Instrument Information Inst. HV THR 27z Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. d (mVdc) Eff. (Scaler) (Detector)

L a=4~ ý1q a / A19599

'-13-31 L/3-31-/

Vk

?q3ql/l 1-75 1750.

.20

,;20 L4

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7 /o/L.

7/6tl2,*

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.3 . / 21I ?8g ID 4q-L X A0330 1100 S5 q3.q q0/ 2 712m ? o///a NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-21 0, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.

Comments: OQOnr-vrecS 5C.9C.weJ ;dA, a4 /-f -/L ,3. ;gg5 Initial Performance Test Performed & Satisfactory: " 11/24/?07 Initial / Date II. Background Measurements Ill. Total Surface Activr 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 BA* *"- / ,,_ Io J 8KG 3 / 1 I AcAl-/on -val M*/ 3707 A/o Arnt _ _

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-. I- ) ee M/I 3q78' p\J eW Af1 iJi_ _

5 k& its

.3Ac-/'n 1ev' R53~___

Cornm Ibc'yo ( XYxcAI Tr QQCk 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: / O JI "Initial / Date Survey Tech (print/sign): ** A Date: I '-* 2"0"I Reviewed By (print/sign): KJ/4 >- '-M1-* Date: JLZZ*/,A2 Filename: FSS Characterization SCAN Survey Forms_RevO Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: *L6 ,2-3}8 Survey Unit: .j Pkg.%_** - Sheet j of I Date: -,Survey Location: W i a- Cb 9v6( k Pod n 0L'i54oraqe./Pxrt,_

I. Instrument Information Inst. HIV 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)

_____ *72*/ ;3*q0 qL, q  ?-37 ;l* 115o3 +/-i/,-.A*x (,12z,3

/ 22ý1~ 2-3"01~-- 91351. Ab IC11 S 5O 75 4I1-;,Z 61ti2OD 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: 01.0\ onh vcdtL 1..0mJwA 0, 1O00 Initial Performance Test Performed & Satisfactory:

Initial / Date II. lak~ond Measurements IIl. 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 AG -I q/0 ANl Ain'~cs __

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q7/ &2ancAi I~ i-If AonA&P-NA -?&2-9-L

2. t*3(, /.

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29& .

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. ,

Post-Survey Performance Test Performed & Satisfactory:

la] / Date Survey Tech (pr] t/sign): K *4' v-nit" Date: iO1/qz ol.

Reviewed By (print/sign): * )4 ,,-' ate: I/ 29/0 7 Filenarne: FSS Characterization SCAN Survey Forms-Rev02 Retention: LP+I 0

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 7.007-3q Survey Unit:--- Pkg. , , "' Sheet _ of '.

Date: //- Z - f07 Survey Location: <i,--Jc. ac_ o{w "e'-sJ5T OF-t C

I. Instrument Information '-B pou-'O. lr/lch Sae- *'* ((L0.A 2-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) 2l49

.2.-z(

& 4337

,,,[?2Z !76O 2 3,'7 /q/Lo 7//7/o0' 2- L4-2zzi 22.z /D '-Iq-t/- Z 3-36 /200 3-S: I3zA Y/ Z-7 o/6 6/o1 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-hold) unless otherwise noted in the comments below.

Comments:

Initial Performance Test Performed & Satisfactory: Z/ 2/-2-F/ -7 Initial / Date II. Background Measurements III. 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)

I _&t I AI ;5 ok. a _ 4L

/A ~ Ma4",

__. I 1*,1 Z Com3 (n 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/lOO-crm2 , unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed & Satisfactory: *6 * - ///zg// 7

. A Initial / Date Survey Tech (print/sign): 6- )tý6' ' Date: 11-2-Y-07 Reviewed By (print/sign): _ Date: [Z Filename: FSS Characterization SCAN Survey Forms Rev02 Retention: LP+I0

FNR Decommissioning Project -

Reconnaissance Level Scan Survey Form Survey No: 2 1-l-X-*L¶ Survey Unit: I-I/,-z!/-3 Pkg. tMa]* Sheet 2_ of 2_

Date: l 4-'- 0"7 Survey Location: . _-,_ *-LtQ--S -. oL(

Survey Comment Sheet:

This radiological survey covers the west-half of the Beam Port Floor overhead. The west-half is from the FNR south wall to the FNR north wall and from the storage ports wall to the north-south reactor pool centerline extended to the north stairwell wall. The ceiling and all sides of all head beams were scanned. The west wall of the FNR that extends from ground level (outside) up to the under side of the pool floor hatches on the west side and from the FNR south wall to the fan room is included.

(The south, west and north walls around the loading bay under the west pool floor hatches. The south and west walls have a one foot wide ledge along their entire lengths). The scope of the survey does not include any perimeter walls, vertical columns or the floor, just overhead surfaces.

Exceptions to the "no measurements > action levels" statement on page one:

1. The underside of the four foot by five foot ceiling grate to the fan room reads 2000 gcpm, which is below the action level. This grate is currently going to be demolished and disposed of as radwaste.

2. This survey was concentrated of structural surfaces not piping systems. The entire water main was not surveyed. A small section under the grate referred to above has a small amount of contamination.

It will be decontaminated. &',O 4C_-Y1 R,, tri 'sq _ i44z_ d .-

Filename: Survey CommentMapForm RevOO Retention: LP+I0

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: d,*00- dqCC) Survey Unit: I- S Pkg. 5*p1:" Sheet I of jk Date: *A160- Survey Location: -S.o4h *k t 6&*w Pord- F0ooric**C M 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)

I I4,49 43--

• I*l-3a 11'5 0 AD O f1,;/ý)4 7/61/=8 2 2 AJ A;L, qq-lqg- q3a'o I Ilot 3'; '13'1 q4l73Joo q/2T/o, NO T:

I All cables 6i-tt R(.8-b5 (ILMI 44-142, 44-9, HP-21U, or 44-92 probes) or 1b-tt RG-58-bt (LMI 43-37 gas-low hand-held) unless otherwise noted in the comments below._ -A Comments: FIDoo* ,-o Ce4,I'c 1 COULA,,e U9 SCo tc. 10,0W) C&4* WS-

. W /O  !~ ~2l.uied Initial Performance Test Performed & Satisfactory: i11 ;aq/obi Initial / Date

11. Background 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)

I K* S3 t ______

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- .2-

_ A dK(, IA

___ ____ LI

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Corrnmen F.:

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:

Initia I / Date Survey Tech (piintsign): VftW G.mko(0 /]d w r)ate: bqz"J Reviewed By (print/sign):

'1  !*- U I)ate:

Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10

I . 1:

FNR Decommissioning Project Reconnaissance Level Scan Survey Form .,..:2..

Pkg. sp-j -he6_J of i Survey No: a~bi-L*tt) Survey Unit: I - 7 Date: I1!301AWo7 Survey Location: F4/4 Ba o+4 Ficor s-ec.( i-1 I. Instrument Information Inst. HV THR 21t 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)

I ~ 2x9-1 gIS s,-3'Y7 3935q25 I&9O ao "*,A, lti,, -.I*.za

, - 3-1 117q7q q3.,- 1700 2 .

'5i3,,#,, 2l1L9A 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: WaiN.[ CeinLtA OinA P< *rtvr\..aN4 /P Itox off)

Initial Performance Test Performed & Satisfactory: I11L0/2W1 Initial / Date II. Background Measurements III. Total Surface Activi Measurements Counts Counts Inst. Count per Inst. Count per Set Time Minute Set Time Minute No. Grid or Location (ain-) (cpm) No. Grid or Location (ain.) (cpm)

Bk 8K P I -V1 on SUN,-,/

j /3K7- 1i3 I I~lg a bale__

6ni~A2 2 Acl-'I I-etie Al/A 3oao-i3 86A< Wt I /I qe AiýLT 1-?c& NIA -299 151J16I//(o0 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-cm 2 , unless otherwise noted on the attached survey map.

Post-Survey Performan e Test Performed & Satis tactory:

Survey Tech (print/sign): Date: 1)

Reviewed By (printsign): ate: [-0 7" Filename: FSS Characterization SCAN Survey Forms-Rev02. Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 26 2-45-6 Survey Unit: - 13 Pkg. . AcJA Sheet ( ofj Date: 1 2/W-/0" Survey Location: FiK_

Fft,

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I. Instrument Information11 Inst. HV THR 27c Calibration Calibration Set Meter Scaler Detector Detector ISetting Setting Inst. Due Date Due Date No. Model Serial No. Model Serial No. (Vdc) (mVdc) Eff. (Scaler) (Detector) 1 .-

2ZZ'( ~2,19o60 'q3-37 -175-0 Z 6..7¢i ZL."7 v7/, Q 2q13392-Z NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or44-92 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: Tr -07 Initial / Date II. Background Measurements Il. 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)

/J,7 K t3 __M I M/A 3,2_3 1ýql z

g4g4ý&Lý /-92 24C/

, omments: 124ywem, Each of the demarked I .

grids (or locations) on the attached surey map has been scanned and do not exceed the actionlevel of 1,750 2

dpm/fOO-cM , unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed Sa* factory: j//4 Initial/ Date Survey Tech (print/sign): 110 /Aý._ I/ Date: 19L-F 07 Reviewed By (print/sign): KJ*i A* K Date: /'Ž-I 7 Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+10