ML12095A384

Reconnaissance Level Scan Survey Form - Bottom Landing of Cooling Tower Stairs

ML12095A384
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: ML12095A384 (4)

Text

FNR Decommissioning Project 2 2 *4 1*

econnaissance Level Scan Survey Form

-- i.

Survey No:,,7 W

Survey Unit: S1-o00 Pkg.

J/A" Sheet I

of 2.-

Date:

7 Survey Location:Aaq lers#ic r_.

C ATAI-4'c-V I U

I.

Instrument Information Inst.

HV THLR 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)

L L-2, ~z21 2~2-M6 io L(L 1 4-z Z4

.93o oo 3

-C SiA

/

610ir NUI:A! aisb-lXbt Ll4412 4!~,lt-'2U r4-Lpo~s ri-i Ut5 LI4A'(gsflwnni NOTEI: All Cables6 RG11H-b58 (LMI 44-142, 44,-9, HI-2-1l, or 4q-9. prob~es) or 16-rt RG*-5t (LMVI 43-37f gas-flow hand-held) unless otherwise noted in the comments below.

Comnments 'uIM Wva-& 4AA ku'ýk..

S4l~,n 4UU,&

Initial Performance Test Performed & Satisfactory:

IT. Background Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm)

I I

1§5o I

I.

I

,uzfl

_41 AI Initial / Date Ill. Total Surface Activity Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm)

AJA' J"-

Aoy&j 6, J~eý M#

I-3-53 2-p a~e

1. ,q- '74c 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, unless otherwise noted on the attached survey map.

Post-Survey Performance Test Performed jk)Satisfactory:

-( -0 7 Initial / Date Survey Tech (pint/sign):

CJ6t) h L'.t 1

,/f t

Date:

1-_-6-_ 7 Reviewed By (print/sign):

__ c/".

V/.,. -

e 14 0 7 I,

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

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 2ooT-p-j 4 urvey Unit: SF-O67 Pkg.

10 k Sheet Z_ of z_-

Date:

/

Survey Location:

lAV46 &el 4 cx 5"4e%. "

Survey Comment Sheet:

fi" jt t,*0

/CtL Filename: Survey CommentMapForm_RevOO Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: f

/

Survey Unit: 5=!/5-.

Pkg. a:%

Sheet

/

of

/

Date: 1113 -0 7 Survey Location:

7ze S*,@,

4,-' ',

I. Instrument Information Inst.

HV THR 27n Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst.

Due Date Due Date No.

Model Serial No.

Model Serial No.

(VdW) (nVdc)

Eff.

(Scaler)

(Detector)

Q -

9 22 /A C1 %I

-, 37L 21,6797Z J 7,5 2

5 -/-A 7-1-05 J

I

/2.2 WýV a f,,',,.o

/

-3S, 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: 56Vr TaA1100 e

Ain Initial Performance Test Performed & Satisfactory:

tog 49/04 iniia / Dat

r.

7~Waz I-T, II. Background Measurements Counts Inst.

Count per Set LUklad/

Time Minute No.

Grid or Location (rin.)

(cpm) 8

• 1(,4t2 11,'.

/L I/

L3443

1. L m

I L4" AdlJoK lo?!.

I K& I*(

o 2-

&GL,#3 L*

4 42-NO mes 333 Comments:

MI. Total Surface Activi Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(CpmI)

N~o AdieadQX ae-,

Al". a2,&

u/Ze, C.

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 Perfo atisfactory:

0

'"7 Survey Tech ý

=vsigny):

169 VA'4 151 Reviewed By (pri/gn):

1 0-7 Filename: FSS Characterization SCAN Survey Forms_RevO2 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:

/

3,2 Survey Unit: S-3 Pkg..Y-,'7 Sheet

/ of /

Date: //-,Y'-

7 Survey Location: /TJ*/fA I. Instrument Information Inst.

HV R

27r 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)

-2,2212l sY/§ 2

.J V,,?

,292221 ICED

/0 37,3 cl-I,-4-OF 6-0?

3 4

AI 2

19 37 A2Z?2?

17tA A

AS.

Z

-1107 7-1-04?

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:

II. Background Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (in.)

(cpm) 1 3

• F.

H.

Ic/5" I

c

/r

. te,'et u I77 Comments:

InitW i Date III. Total Surface Activy Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location ain.

(cpm)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 Perform ed Satisfactory:

//-/,"-O 2 Survey Tech (pnt/signy): /.ke,/m; D/ae I-0..,7

/Date Reviewed By (pfint/sign): (_____/w:&_

Filename: FSS Characterization SCAN Survey F~ormsRevO2f Retention: LP+10 7/