ML20107B212

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Draft 6 of Amity Township,Berks County,Radiological Emergency Response Plan for Incidents at Limerick Generating Station,Implementing Procedures. Related Correspondence
ML20107B212
Person / Time
Site: Limerick  Constellation icon.png
Issue date: 09/30/1984
From:
ENERGY CONSULTANTS, INC.
To:
Shared Package
ML20107B197 List:
References
OL, PROC-840930, NUDOCS 8411020116
Download: ML20107B212 (58)


Text

.

l AMITY TOWNSHIP BERKS COUNTY RADIOLOGICAL EMERGENCY RESPONSE PLAN FOR INCIDEt'TS AT THE LIMERICK GENERATING STATION IMPLEMENTING PROCEDURES A

i I

SEPTEMBER 1984 Copy Number 8411020116 841012 PDR ADOCK 05000 Uraft 6 F

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l IMPLEMENTING PROCEDURES Table of Contents

. t Page Introduction....................... .................................. ii Annex A. Emergency Management Coordina.ur.............................. A-1 Appendix A Fact Sheet..................................... A-1-1 Annex B. Police Services............................................... 8-1 Appendix B Recall Roster and Resource Inventory........... B-1-1 Appendix 8 Traffic Control Points and Access Control Points................................. B-2-1 Annex C. Fire Services................................................. C-1 Appendix C Recall Roster and Resource Inventory........... C-1-1 Appendix C Route Alerting................................. C-2-1 Attachment 1 - Route Alert Teams............... C-2-2 Attachment 2 - Route Alerting Sector Map....... C-2-5 Attachment 3 - Message - Hearing Impaired...... C-2-6 Annex 0. Communications................................................ U-l Appendi x 0 Resou rce Invento ry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-1-1 Appendix 0 Special Assistance............................ 0-2-1 Annex E. Transportation............. .................................. E-1 Appendix E Persons Requiring Transporation Assistance..................................... E-1-1 Appendix E Transportation Resource Requirement............ E-2-1 Annex F. Public Works.................................................. F-1 Annex G. Radiological.................................................. G-1 Appendi x G Muni cipal Do simetry/KI L1 st . . . . . . . . . . . . . . . . . . . . G-1-1 i Appendix G Municipality Dosimetry /KI Receipt Fonn......... G-2-1 Appendix G Emergency Worker 00simetry/K! Receipt Form..... G-3-1

! i Oraft 6

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INTRODUCTION

,This section is intended to provide detailed innediate action guidance to those emergency response personnel designated to. support the Amity Township Radiological Emergency Response Plan (RERP). These actions represent the steps necessary to ensure that theogeneral public is adequately protected.

However, because conditions for emergency situations may vary, further actions may be dictated through the Berks County E0C or local elected officials.

Guidance for development of these implementing procedures has oeen provided through the policies contained within the Amity Township RERP to which tnese procedures'are annexed.

For ease of reference, implementing procedures have been color-coded by incident classification as follows:

Blue - Unusual Event Blue - Alert Yellow - Site Emergency Pink General Emergency Implementing procedures contained herein are assigned to the respective Amity Township EMA staff officers:

1. Emergency Management: Emergency Management Coordinator Deputy Emergency Management Coordinator
2. Police Services: Police Services Officer
3. Fire Services: Fire Services Officer
4. Medical / Ambulance Services: Communications Officer
5. Communications: Communications Of ficar
6. Transportation: Transportation Officer
7. Public Works: Public Works Officer
8. Radiological: Radiological Officer 4

NOTE: IF YOU NEE 0 TO DEVIATE FROM THIS PLAN OR IF ANY PROBLEMS ARE

ENC 0VNTEREO, NOTIFY THE COUNTY EOC.

, 11 Oraft 6 I

. - - + , + , , - - - - , . - - , , . . - - - - . . , , , , - - , . , - - - - - - - - , , , -

s ANNEX A Implementing Procedure -

l Emergency Mana'ement g Coordinator Emergency' Management Coordinator: Harold Reigel Alternate: (name)

UNUSUAL EVENT

1. If notified, document:

Date:

4.

b. Time:
c. Source:
d. Details:
e. Actions Recommended:
f. Actions Taken:

l l

4 i

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A-1 Oraft 6

Implementing Procedure Einergency Management Coordinator ALERT

1. Document:
a. Date:
b. Time:
c. Source:
d. Details:
2. Notify:

Telephone Time

a. Elected Officials I'

(1) George Graefe, Jr. ome President ffice (2) William E. Legrandge, Jr. hm (3) Jacob S. Oxenford home (4) Walter J. Alphin (5) Myron S. Wheeler he

b. Key Staff (1) Police Services Officer ome or office deputy home office (2) Fire Chief - Amity home or office deputy home ffice i

l A-2 Oraft 6

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(3) Communications Of ficer deputy home

. - office (4) Transportation Officer deputy home -

office (S) Fire Chief - Monarch ome or office Deputy ome office (6) Public Works Officer home or office deputy home office (7) Radiological Officer ho deputy home office (8) Deputy EMC home office Have key staff report to EOC.

(time)

3. Verify that the following have been notified:

Telephone Time

a. Police Department 375-454b D. Fire Department Amity 375-4546
c. Fire Department - Monarch 375-454b
d. Verification Message:

"This is (name & title) . I would like to verify tnat you have been notified tnat an incident classification of ' Alert' has been declared at the Limerick Generating Station."

4. Report to and activate local Emergency Operations Center (EOC).
a. Activated (time) I A-3 Oraft 6

-__s -. -, _,y _,-,-,-,.w- _ - . . . - - , . . , , , , , - , , , y y., y ,..-_._p._,7.-,, __ .,_ , ,_

b. County Municipal Liaison notified of EOC activation M .

(time) '

c. Check communication systems for operability.

(time)

d. Establish EOC security.

(time)

e. Monitor EBS station WHUM 1240 AM.

(time)

f. Ensure Route Alert Teams have been mobilized as necessary.

(time) 9 If public alert system has been activated, notify hearing impaired.

(time)

h. In the event of a siren failure, receive notification from the County that appropriate Route Alert Teams have been dispatched.

(time)

1. Review fact sheet (reference Appendix A-1)

(time)

5. Verify that the following have been notified:

Telephone Time

a. Schools (1) Daniel Boone School Joseph Minella home District Superintendent office (2) Amity Elementary Ralph Bagnato home Center Principal M office
b. Major Industries (1) Kiwi Corporation George Barrett office Plant Engineer Phillip R. Metzler office Personnel Director

! (2) American Crane & Pat Olock office l Hoist, Inc. General Manager l

Odevar Norhein home Vice President office (3) Precision Technology Donald S. Volk M office

c. Verification Message:

1 A-4 Oraft 6

"This is (name) . I w:uld like to verify tnat you have been notified tnat an incident classification of ' Alert' has been declared at the Limerick Generating Station."

6. Notify the following:

Telepnone Time

a. Special Facilities (1) St. Paul's Carol Keane home Christian Preschool of fice (2) Hickory Dickory Dock Marie Nace home

)

ffice

b. Message:

"Tnis is (name/ title) . An incident classification of ' Alert' nas been declared at the Limerick Generating Station."

Note: This is provided for informational purposes only. No actions are normally required.

7. Ensure RACES operator contacts the County RACES base upon arrival at municipal EOC.

(time)

8. Review remaining emergency procedures in the event of escalation.
9. Report all unmet needs to the County Municipal Liaison .

(time)

10. Maintain Alert status until notified of tenaination, escalation or reduction of classification:
a. Date:

D. Time:

c. Source:
d. Disposition (1) Termination (2) Escalation (3) Reduction
11. If escalation, accomplish appropriate Implementing Procedure. If termination or reduction of classification, verify / notify the following:

1 1

! A-S Draft 6 l

Telephone Time

a. Verification:

(1) Police Department 375-4546 (2) Fire Department Amity 375-454b (3) Fire Department - Monarch 376-4b45 (4) Schools (a) Daniel Boone Joseph Minella ome School District Superintendent 582- office (b) Amity Elem. Ralph Bagnato home Center Principal 689-9b21 office (5) Major Industries (a) Kiwi Corp. George Barrett 385-3041 office Plant Engineer Phillip R. Metzler 385-3041 office Personnel Director Ext. 209 (b) American Crane Pat Olock 385-6061 office

& Hoist, Inc. General Manager Odevar Norhein nome Vice President 385-6061 office (c) Precision Donald S. Volk 38b-6091 office Technology (6) Verification Message:

"This is (name) . I would like to verify that you have been notified that the emergency at the Limerick Generating Station has been terminated or reduced to Unusual Event."

b. Notification:

(1) Elected Officials (a) George Graefe, Jr. e President ffice (D) William E. Legrandge, Jr. no (c) Jacob S. Oxenford ho l

A-6 Draft 6

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(d) Malter J. Alohin h in (e) Myron S. Wheeler hm (2) Special Facilities (a) St. Paul's Carol Keane ome Christian 85-6 office Preschool (D) Hickory Dickory Marie Nace ome Dock (unlisted) 385-3318 office (3) Message:

"This is (name/ title) . The emergency at the Limerick Generating Station has been terminated or reduced to Unusual Event."

12. Remarks / Actions Taken:

i A-7 Oraft 6

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Implementing Procedure Emergency Management Coordinator SITE EMERGENCY If this is the first notification received or if escalation from Unusual Event, accomplish all actions; if escalation from Alert classification, Item 4 may be omitted:

1. Document:
a. Date:
b. Time:
c. Source:
d. Details:
2. Noti fy:

Telephone Time i

a. Elected Officials (1) George Graefe, Jr. home President ffice (2) William E. Legrandge, Jr. home (3) Jacob S. 0xenford ham (4) Walter J. Alphin hom (5) Myron S. Wheeler home
b. Key Staff i (1) Police Services Officer home or ffice deputy home office (2) Fire Chief - Amity home or office deputy home office A-8 Draft 6

(3) Commun cations Officer home deputy home

, , office (4) Transportation Officer home deputy home of fice (S) Fire Chief - Monarch ome or office Deputy oma office (6) Public Works Officer e deputy home of fice (7) Radiological Officer home or office deputy home office (8) Deputy EMC home office Have key staff report to E0C.

(time)

3. Verify that the following have been notified:

Telepnone Time

a. Police Department 375-4545
b. Fire Department Amity 376-4545
c. Fire Department - Monarch 375-4545
d. Verification Message:

"This is (name) . I would like to verify that you have been notified that a ' Site Emergency' has been declared at the Limerick Generating Station."

4. Report to and activate the local Emergency Operations Center

+

a. Activated (time) b.

County Municipal Liaison notified of EOC activation M).

(time)

c. Communications system checked for operability.

(time) l A-9 Oraft 6

d. Establish EOC stcurity.

(time)

e. Monitor EBS station WHUM 1240 AM.

(time)

f. Ensure Route Alert Teams have been mobilized as necessary.

(time) 9 If the public alert System has been activated, notify hear ng impaired.

(time)

h. In the event of a siren failure, receive information from the County that appropriate route alert have been dispatched.

(time)

1. Review fact sheet (reference Appendix A-1)

(time)

5. Have additional emergency personnel report to the E0C (for 24-hour operation), or where needed.

(time)

6. Ensure that appropriate E0C staff have placed their respective emergency workers on standby status.

(time)

7. Verify that the following have been notified:

Telephone Time

a. Schools (1) Daniel Boone School Joseph Minella home District Superintendent S82- office (2) Amity Elementary Ralph Bagnato home Center Principal 689-9521 office
b. Major Industries (1) Kiwi Corporation George Barrett 385-3041 office Plant Engineer Phillip R. Metzler 386-3041 of fice Personnel Director Ext. 209 (2) American Cr?ne & Pat Olock 38b-6061 office Hoist, Inc. General Manager Odevar Norhein home Vice President 385-6061 office (3) Precision Donald S. Volk 385-6091 office Technology
c. Verification Message:

"This is (name) . I would like to verify that you have been notified that an incident classification of ' Site Emergency' nas been declared at the Limerick Generating Station."

A-10 Oraft 6 l

8. Nctify thn following:

Telephone Time

a. Special Facilities (1) St. Paul's Carol Keane home I Christian Preschool 38 - office (2) Hickory Dickory Dock Marie Nace home M(unlisted) 385-3318 office
b. Message:

"This is (name/ title) . An incident classification of ' Site Emergency'-has been declared at the Limerick Generating Station." (Provide appropriate instructions as necessary.)

9. Verify Resource Availability:

Ensure appropriate E0C staff have reviewed their respective resource inventories and have reported deficienci to ou. Report all unmet needs to the County Municipal Liaison ( .

(time)

10. Ensure Radiological Officer has distributed dosimeters /KI to emergency workers.

(time)

11. Revie'.s road conditions with EOC staff, i.e., there is no construction or other activity whicn would hinder movement of personnel or vehicles to/from the area. Ensure that the Transportation Officer and the County Municipal Liaison are aware of any problem areas.

(time)

12. Ensure RACES operator contacts the County RACES base upon arrival at municipal EOC.

(time)

13. Review remaining emergency procedures in the event of escalation.
14. Maintain Site Emergency status until notified of termination, escalation, or reductian of classification:
a. Date:
b. Time:
c. Source:
d. Disposition:

(1) Termination (2) Escalation (3) Reduction

15. If escalation, accomplisn appropriate Implementing Procedure. If termination or reduction of classification, notify / verify the following:

A-ll Draft 6

a. Verification:

Telephone Time (1) Police Department 375-454S (2) Fire Department Amity 375-4645 (3) Fire Department - Monarch 375-4545 (4) Schools i (a) Daniel Boone Joseph Minella home School District Superintendent 582- office (b) Amity Elem. Ralph Bagnato home Center Principal 689-962T office (S) Major Industries (a) Kiwi Corp. George Barrett 385-3041 office Plant Engineer Phillip R. Metzler 385-3041 office Personnel Director Ext. 209 (b) American Crane Pat Olock 385-6061 office

& Hoist, Inc. General Manager Odevar Norhein home Vica President 385-6061 office (c) Precision Donald S. Volk 385-6091 office Technology (6) Verification Message:

"This is (name) . I would like to verify you nave been notified that the emergency at the Limerick Generating Station has been terminated / reduced to .

b. Notification Te lephone Time (1) Elected Officials l (a) George Graefe, Jr. e  ;

President office 1 (b) William E. Legrand9 e, Jr.

(c) Jacob S. Oxenford hom A-12 Draft 6

(d) Walter J. Alphin home ffice (e) Myron S. Wheeler hom (2) Special Facilities (a) St. Paul's Carol Keane home Christian office Preschool (b) Hickory Dickory Marie Nace home Dock (un ,d) l 386-3318 office (3) Message:

"This is (name/ title) . The emergency at the

. Limerick Generating Stat. ion nas been terminated / reduced to

16. Remarks / Actions Taken:

l l

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A-13 Oraft 6 i

l Implementing Procedure Einergency Management Coordinator l GENERAL EMERGENCY l

If this is the first notification or escalation from Unusual Event, accomplish l l all actions; if escalation from Alert or Site Emergency, Item 4 may be l omittec:

1. Document:
a. Date:
b. Time:
c. Source:

1

d. Details
2. Notify:

Telephone Time

a. Elected Officials (1) George Graefe, Jr. nome President ffice (2) William E. Legrandge, Jr. n (3) Jacob S. Oxenford e (4) Walter J. Alphin hom (b) Myron S. Wheeler he D. Key Staff (1) Police Services Officer ome or office deputy home of fice (2) Fire Chief - Amity home or ffice deputy home office A-14 Oraft b

(3) Commun cations Officer he deputy home

, , office (4) Transportation Officer home deputy home office (b) Fire Chief - Monarch home or office Deputy home ffice (6) Public Works Officer home deputy home office (7) Radiological Officer home d6puty home office (8) Deputy EMC home of fice Have key staff report to EOC. .

(time)

3. Verify that the following have been notified:

Telephone Time

a. Police Department 375-4545 t
b. Fire Department Amity 375-4S4b
c. Fire Department - Monarch 375-454b 4
d. Verification Message:

! "This is (name) . I would like to verify that you have been notified that a ' General Emergency' has been declared at the Limerick Generating Station. The recommended protective action is 4 Report to and activate the local Emergency Operations Center.

a. Activated (time)

A-15 Draft 6

b. County Municipal Liaison notificd of EOC activatien M .

(time)

. - c. Communications system checked for operability.

(time)

d. Establish EOC security.

(time)

e. Monitor EBS station WHUM 1240 AM.

(time)

f. Ensure Route Alert Teams have been mobilized as necessary.

(time) 9 Review fact sheet (reference Appendix A-1)

(time)

6. Ensure that all necessary emergency response personnel have reported to tne EOC, wnere needed, or to pre-assigned location.

(time)

6. Verify that the following have been notified:

Telephane Time

a. Schools (1) Daniel Boone School Joseph Minella home District Superintendent 582-2261 office (2) Amity Elementary Ralpn Bagnato home Center Principal 689-9521 office
b. Major Industries (1) Kiwi Corporation George Barrett 385-3041 office, Plant Engineer Pnillip R. Metzler 385-3041 office Personnel Director Ext. 209 (2) American Crane & Pat Olock 385-6061 office Hoist, Inc. General Manager Odevar Norhein ome Vice President 385-6061 office (3) Precision Donald S. Volk 385-6091 office Technology

! c. Verification Message:

"This is (name) . I would like to verify tnat you nave been notified that a ' General Emergency' has been declared at the Limerick Generating Station. The recommended protective action is l A-16 Oraft 6

1

7. Notify the following:

Telephone Time a.

Special Facilities (1) St. Paul's Carol Keane home Christian Preschool 385-6616 office (2) Hickory Dickory Dock Marie Nace M(unlisted) bome __

385-3318 office D. Message:

"This is (name/ title) . A ' General Emergency' has been declared at the Limerick Generating Station. The recommended protective action is .

Note: If a protective action has not yet been determined, instruct them to tune to the EBS station.

8. Verify Resource Availability:

Ensure appropriate EOC staff have reviewed their respective resource inventories and have reported deficiene u. Report all unmet needs to the County Municipal Liaison .

(time)

9. Ensure Radiological Officer has distributed dosimeters /KI to emergency workers and EOC staff.

(time)

10. Review road conditions with EOC staff, i.e., there is no construction or other activity which would hinder movement of personnel or vehicles to/from the area. Ensure snat the Transportation Officer and the County Municipal !.iaison are aware of any problea, areas.

11.

(time) i Ensure RACES operator contacts the County RACES base upon arrival at Municipal EOC.

(time)

12. If sheltering is reconnended:
a. When public alert system has been activated, notify hearing impaired.

(cime)

b. Monitor EBS station to ensure proper instructions are being given to l

the general population.

(time)

, c. In the event of a siren failure, receive notification from the i

County that appropriate Route Alert Teams have been dispatched.

(time)

d. Ensure Access Control Points nave been manned.

(time)

A-17 Draft 6

l I

13. If cvacuation is ord: red: I
a. When the public alert system has been activated, notify hearing impaired.

(time)

b. Manitor EBS station to ensure proper instructions are being given to the general public.

(time)

c. In the event of a siren failure, receive notification from the County that appropriate Route Alert Teams have been dispatched.

(time)

d. Ensure Access Control Points have been manned.

(time)

e. Ensure Traffic Control Points nave been manned.

(time)

f. Assign sufficient emergency workers to Transportation Officer to support transportation resources, i.e., one emergency worker should be available for each vehicle used to evacuate those persons who do not have transportation.

(time) 9 A nty Municipal Liaison of any additional unmet needs (time)

(1)

(2)

(3)

h. Monitor evacuation process and report any problem areas to the County Municipal Liaison.

(time)

(1)

(2)

(3)

14. Maintain General Emergency status until:
a. Reduction of classification.

(time)

D. Termination of emergency.

(time)

c. EOC must be evacuated.

(time) l l

4 l

l A-18 Oraft 6

4

15. If reduction of classification or termination of emerg:ncy, notify / verify the following:

l

a. Verification:

Telephone Time (1) Police Department 375-4545 l (2) Fire Department Amity 375-454S (3) Fire Department - Monarch 375-4545 i

(4) Schools '

(a). Daniel Boone School District Superintendent Joseph Minella M home 582-2261 office (b) Amity Elem. Ralph Bagnato nome Center Principal 689-9b21 office (S) Major Industries (a) Kiwi Corp. George Barrett 385-3041 office Plant Engineer Phillip R. Metzler 38b-3041 office Personnel Director Ext. 209 (b) American Crane Pat Olock 386-6061 office

& Hoist, Inc. General Manager Odevar Norhein home Vice President 38S-6061 office (c) Precision Donald S. Volk 385-6091 office Technology (6) Verification Message:

"This is (name) . I would like to verify you have been notified tnat the emergency at the Limerick Generating Station has been terminated / reduced to .

b. Notification (1)

(a) George Graefe, Jr. e President office (b) William E. Legrandge, Jr. ho e (c) Jacob S. Oxenford e A-19 Oraft 6

(d) Walter J. Alphin (e) Myron S. Wheeler he (2) Special Facilities l

(a) St. Paul's Carol Keane home Christian 385- office Preschool (b) Hickory Dickory Marie Nace Dock M ome (unlisted) .

385-3318 office (3) Message:

"This is (name/ title) . The emergency at the Limerick Generating Station nas been terminated / reduced to

." Provide instructions as appropriate.

16. Maintain General Emergency status until notified of termination or reduction of classification.
17. Remarks / Actions Taken:

1 A-20 Oraf t 6 l _. _ - _ _ _ _ _ _ _ _ - . _ . . - _ _ _ _ _ _ _ _ . _ . _ _ _ _ _ _ _ . . _ - . . - _ - - ._ _ . _ . _ _ _ _ _ . _ . _ _ _ .

App:ndix A-1 FACT SHEET

" Abbreviations:

ACP Access Control Point ARES Amateur Radio Emergency Service EBS Emergency Broadcast Service EPA Environmental Protection Zone

~

EPZ Emergency Planning Zone KI Chemical symbol for potassium iodide PAG Protective Action Guide RACES Radio Amateur Civil Emergency Services REACT Radio Emergency Action Citizens Team TCP Traffic Control Point TLD Thermoluminescent Oosimeter Evacuation Information:

EBS Stations: WHUM-1240 AM; WBYO-107.5 FM; WRFY-102.5 FM; WRAW-1340 AM; Weeu-860 AM Evacuation Route: Local routes to Rt 662 N or Rt 422 W Reception Center: Oley Valley (Rt 662); Pathmark Plaza (Rt 422 W)

Host School (s): Amity Elementary to Daniel Boone dr/Sr High School Decontamination Station: Daniel Boone Jr/Sr High School

  • Transportation Staging Area: EOC Homebound Support Hospital: St. Joseph's Hospital in Reading
  • Agreement under development STATUS BOARD FORMAT DATE TIME MESSAGE ACTION / COMMENTS A-1-1 I

_ , _ _ _ . _ , - - , . , - , - ---,----~-'r '" " ' ~ ^ ~

1 ANNEX 8 Implementing Procedure Police Services Police Services Officer: Maurice Eschbach Alternate: Officer-on-outy UNUSUAL EVENT No response necessary unless police services are required at the Limerick Generating Station.

ALERT The Police Services Officer shall:

1. Upon request of tne Emergency Management Coordinator, report to the EOC.

(time)

2. Review remaining emergency procedures in the event of escalation.

1

3. Maintain Alert status until notified of termination, escalation ~ or reduction of classification.
4. Renarks/ Actions Taken:

1 8-1 Oraft 6

Police Services SITE EMERGENCY The Police Services Officer shall:

1. If this'is the first notification received or if escalation from Unusual Event, then: -
a. Report to the EOC. '

(time)

b. Proceed to Step 2.
2. If escalation from Alert or if proceeding from Step 1, then:
a. Mobilize, if necessary, additional police personnel (reference Appendix 8-1) and have them report to police station. Make assignments as necessary.

(time)

b. Review personnel / equipment inventory (reference Appendix B-1), verify availability, and report unmet needs to Municipal EMC.
c. (time)

Ensure police emergency workers have been issued dosimetars-KI.

(time)

d. Review remaining emergency procedures in the event of escalation.
e. Maintain Site Emergency status until notified of termination, reduction of classification or escalation. (NOTE: If a protective action is recommended at Site Emergency, accomplish the appropriate steps indicated in the General Emergency section).

I

3. If termination, have police personnel return dosimeters and unused KI to the Radiological Officer.

(time)

4. Remarks / Actions Taken i

1 B-2 Oraft 6

- , , . - , - -. - , - . . , , . .----,-,n--

- -- - , - - - - - . . . -- - ~ - - - - .--

i Polic9 S rvichs GENERAL EMERGENCY l

The Police Services Officer shall:

1. If this is the first notification received or if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

5. Mobilize additional police personnel and have tnem report to police station (reference Appendix B-1). Make assignments as necessary.

(time)

c. Review personnel / equipment inventory (reference Appendix B-1), verify availability, and report unmet needs to Municipal EMC.

(time) '

d. Ensure police emergency workers have been issued dosimeters-KI.

(time)

e. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding from Step 1, then:
a. If reconnended protective action is sheltering, (1) If requested, have Police Department personnel assist Fire Department with route alerting (reference Fire Services Implementing Procedure).

(time)

D. Initiate increased security measures, i.e., increase vehicular patrols conditions permitting and, if applicable, man Access Control Points (reference Appendix B-2).

(time)

b. If recommended protective action is evacuation, (1) Ensure Traffic Control Points and Access Control Points are manned (reference Appendix B-2). If necessary, contact Berks County Communications at 378-5500 to have police personnel dispatched.

(time)

(2) Note: Upon completion of emergency tasks during a contaminating i

incident, each emergency worker is to report to the decontamin-ation station located at Daniel Boone High School.*

i

  • Agreement under development.

i B-3 Oraft 6 f

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-._..m_ _..,_. _ _____ ________._____. ,__ m. _ __. - , _ _,_,, . . _ _ _ _ , _ _ . . ~ , _ , _ _ . - _ . . . - . . . . _ _ . _ , , , _ _ , .

3.. If terminaticn, hava polics p;;rs:nnal return d2simeters and unused KI to -

the Radiological Officer.

(time)

-4 Remarks / Actions Taken: .

i

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i B-4 Oraft 6

1 Appendix 8-1 a

  • POLICE - EMERGENCY RECALL'R0 STER-4 1

6 1

.+

1 (Names and telephone nuncers are on file Township EOC.)

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I Appendix 8-2 l TRAFFIC CONTROL POINTS Responsible Post Police # Officers Number Location dryanization Assigned PSP-5*- Route 422 & Route 662 PSP 2 PSP-6* Route 422$LimekilnRoad PSP 2 PSP-7* Route b62 & Old Airport Road PSP 2 A-1 Route 662 & Ricnards Ave. Township 1 A-2 Route 662 & Nicholson Avenue Township 1 A-3 Route 422 & Park Lane Township A-4 'ths 1 Route 422 & Old Airport Road Township 1 A-5 Route 662 & Pine Forge Road Township 1 A-6 Route 662 & Weavertown Road Township 1 A-7 Old Airport Road & Route 662 Township 1

  • Also Access Control Point ACCESS CONTROL POINTS Responsible Post Police # Officers Number location Organization Assigned 103 Route 422 & Limekiln Road PSP 2 104 Hill Road & Geiger Road PSP 1 104-A Old Airport Rd. & Weavertown Rd. PSP 1 lub Route 562 & Old Airport Road PSP 2 1

B-2-1 Oraft 6

,- , - - . - - , , - . , , . - , - . . . . - , , , , - . - - , - . . -n- - , . . , . - - - , ,

ANNEX C Implementing Procedure Fire Services Fire Chief - Amity: Ron Henry Fire Chief - Monarch: Lee Wassner UNUSUAL EVENT No response necessary unless Fire Services are requested at tne Limerick Generating Station.

ALERT Th'e Fire Services Ufficer shall:

1. Upon request of Emergency Management Coordinator, report to the EOC.

(time)

2. Review remaining emergency procedures in the event of escalation.
3. Maintain Alert status until notified of termination, escalation or reduction of classification.

4 Remarks / Actions Taken:

C-1 Uraft 6

I Fire Services ,

' SITE EMERGENCY The Fire Services Officer shall:

1. If this is the first notification received or if escalation from Unusual Event, then:
a. ' Report to the EOC.

(time)

b. Proceed to Step 2.
2. If escalation from Alert, or if proceeding from Step 1, then:
a. Mobilize additional personnel as necessary and have them report to fire station (reference Appendix C-1).

(time)

b. Ensure Fire Department Emergency workers nave been issued dosimeters /KI.

(time)

c. Review personnel / equipment inventory (reference Appendix C-1), verify availability, and report unmet needs to Municipal EMC.

(time)

d. Review remaining emergency procedures in the event of escalation.
e. Maintain Site Emergency status until notified of escalation, termination or reduction of classification.
3. If termination, have fire personnel return dosimeters and unused KI to tne Radiological Officer.

(time)

4. Remarks / Actions Taken:

l l

[

C-2 Oraft 6 l

l

Fire Services

. GENERAL EMERGENCY The Fire Services Officer shall:

1. If this is the first notification received or if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

b. Mobilize additional fire personnel and have them report to fire station (reference Appendix C-1).

(time)

c. Ensure Fire Department emergency workers have been issued dosimeters /KI.

(time)

d. Review personnel / equipment inventory (reference Appendix C-1), verify availability, and report unmet needs to Municipal EMC.

(time)

e. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding fran Step 1, then:
a. Monitor route alerting, if required.

(time)

b. Note: Upon completion of emergency tasks during a contaminating incident, eacn emergency worker is to report to the decontamination station located at the Daniel Boone High School.*
3. If termination, have fire personnel return dosimeters and unused KI to Radiological Officer.

(time)

4. Remarks / Actions Taken:

4 1

1

  • Agreements under development.

C-3 Oraft 6

Appendix C-1 FIRE SERVICES EMERGENCY RECALL ROSTER (Names and telephone numbers are on file in the Township EOC.)

FIRE - RESOURCE INVENTORY Amity Fire Company Monarch Fire Company 1 pumper 2 pumpers 1 rescue 1 tanker 1 brush 1 brush 1 tanker C-1-1 .Oraft 6

Appendix C-2 1

I ROUTE ALERTING 12Qgs I. GENERAL A. -The Amity Township is divided into 4 Sectors.

B. Each Sector is assigned a Route Alert Team (reference' Attachment 1).

C. Two (2) persons should be assigned to each team.

II. PURPOSE The purpose of route alerting is to supplement the.puolic alert system in the event the system fails. It may also be used to alert the hearing impaired (reference Attachnent 3).

II

I. PROCEDURE

S A. When dispatched by Berks County, commence route alerting in designated sectors (reference Attachment 2).

B. Route Alerting is accomplished by driving slowly along designated roads, periodically activating the vehicle siren and making the following announcement on the PA system:

"There is an emergency at the Limerick Generating Station; please tune to your EBS station WHUM 1240 AM."

C. Upon completion of route, notify Berks County and return .to station.

Note: If route alerting has taken place during a contaminating incident, proceed to the designated ' emergency worker /

decontamination station.

t ,

C-2-1 Draft 6

, Attachment 1 4

ROUTE ALERT TEAMS Sector No.1 Alert Team: Amity Fire Department Leader:

Assistant:

1 Transient Location (s):

Hearing Impaired: List is on file in the E0C.

Sector No. 2 Alert Team: Amity Fire Department Leader:

Assistant:

Transient Location (s):

Hearing Impaired: List is on file in the E0C.

Sector No. 3 Alert Team: Monarch Fire Department Leader:

^

Assistant:

Transient Location (s):

Hearing Impaired: List is on file in the EOC.

Sector No. 4 Alert Team: Monarch Fire Department Leader:

Assistant:

Transient Location (s):

Hearing Impaired: List is on file in the EOC.

l l

C-2-2 Uraft 6

Attachment 2 ROUTE ALERTING SECTOR MAP Map will be inserted in final draft C-2-3 Draft 6 l

1

Attachm:nt 3 MESSAGE - HEARING IMPAIRED l

There is an emergency at the Limerick Generating Station.

Please contact a relative, friend or neighbor 50 that you can receive important information being broadcast over the emergency broadcast system.

Please review your public information brochure for incidents at the Limerick Generating Station for additional important information.

If you do not have a relative, friend or neighbor nearby to assist you, please tell the individual who gave you this information immediately.

l l

C-2-4 Draft 6 l

9y "3

/p

// .

,/ .

P pages ACFHOWLEDCHEHT Ol' RECElFT BY EHEncr.HCY IMMtKERS FOR 110$lHETRY-KI AND SURVEY HETERS j E' rCency uorkere seeigned to decontamination sionttoring teams at decon- DATE

  • tamination aionitoring statione or centere do NOT receive a CD V-730 or DCA 622 (see column 2). Ontg members of Jecontaminetton sionttoring teams receive a NAHE OF EHERCENCY ORGANIZATION CD V-700 survey sutter (see column 6).

1HSTRUCTIONS FOR Dl5Talauflotte Enter (1) or (0) ist columne 2 and 6. Record tiie ~

RE5F0tidleLE INDIVIDUAI. .

I Elat nuiaber of the DCA-622 1n column 2 and the earlal number.of the TLD in ,

column 3. ny slaning column 8. the inet tvidual accepts responsjbility for each ORCAHlZATlotl ADDRESS jien Indigated on the respective line and entees to return cliese items (less the EQuthorised to be used) upon request and automatically unien tlee nuclear puuer' 2 } .*a l inflde nJ_1,j3 e t aln at ed .

IIISTRitCTIOH5 FOR RETURN OF ITEMS-DESCRISED l / ) by tle organisation's '

El

! responsible individual indicates. return of each item. *

  • I 2 3 4 5 6 I

a CD V-742 CD V-730 TLD (THERHO- KI (r0TAS$1DH 1)05 t HETRV- CD V-700 1NulVIDUAl.'5 HAHg DOSlHETER OR DCA- IMOIVIDUAL'S SICHATURE LUHINESCENT 100lDE) Kl REPORT SURVEY (print lettkly)

(0-200R) 622 (Serial DOSlHETER) (Tablete) FORH ltETER

  • 4 Huaiber) *  !

2

- ~ - - ~ ~ 8 1 O (0-20R) (Serial Number) e i l d f d i E kh e 1 each I bottle 1 eccle w - -_

I each _ _

l 1.ottle I eacle l each _ _

l bottle 1 each , _

l each 1 bottle i encli 1 each , I bottle I each- -

l'ench

  • 1 bottle " _

1 each I eacli I bottle 1 escle e l each _

'l bottle ,

1 each ,

4 1'each _

1 b'attle _

1 each ,

. I each I bottle 1 each D

. 13 o I each se su

_ _ l bottle _

1 escle , _

g

-4 I each l liattle I uncle X

  • 1 each m' 1 bottle 1 each -

a ,-

w 4

ANNEX D Implementing Procedure Communications

  • Communications Officer: Matthew Beckett l Alternate: (name)  :

UNUSUAL EVENT No response required.

ALERT The Communications Officer shall:

1. Upon request of the Emergency Management Coordinator, report to the EOC.

(time)

2. Verify the County has assigned a RACES unit to the Municipal EOC.

(time) 3 Log all messages which provide information or require action.

(time)

Post pertinent information on status board.

4. Update the list of those individuals requiring special assistance in the event of evacuation (reference Appendix 0-2).

(time)

a. Notify Municipal EMC of changes in requirements for of those-individuals requiring ambulance support.

(time)

b. Notify Municipal Transportation Officer of changes in requirements for those individuals requiring special transportation support other than ambulance.

(time)

5. Review equipment inventory (reference Annex 0-1), verify availability, and report unmet needs to Municipal EMC.

(time)

6. Review remaining emergency procedures in the event of escalation.
7. Maintain Alert status until notified of termination, escalation or reduction of classification.
8. Remarks / Actions Taken:

,

  • Note: This procedure has been modified to include Medical / Ambulance procedures .

0-1 Oraft 6

Communicatiens

,' SITE EMERGENCY The Communications Officer snall:

1. If this is the first notification received or if escalation from Unusual Event, Then:
a. Report to the EOC.

(time)

b. ~ Verify the County has assigned a RACES unit to the EOC.

(time)

c. - Log all messages which provide information or require action. -Post pertinent information on status board.

(time) d.

Review equipment inventory (reference Appendix D-1), verify availability, and report unmet needs to Municipal EMC.

(time)

e. Update the list of those individuals requiring special assistance in the event of evacuation (reference Appendix D-2).

(time)

-(l) Notify Municipal EMC of changes in requirements for those individuals requiring ambulance support.

(time)

(2) Notify Municipal Transportation Officer of changes in requirements for those individuals requiring special transportation support otner than ambulance.

(time)

f. Ensure communications emergency workers have been issued dosimeters /KI.-

9 Proceed to Step 2.

2. If escalation from Alert, or if proceeding from Step 1, then:
a. Review remaining procedures in the event of escalation,
b. Maintain Site Emergency status until notified of termination, escalation or reduction of' classification.

4

3. If termination, return dosimeters and unused KI to the Radiological Officer.

(time)

4. Remarks / Actions Taken:

i i

4 1 0-2 Oraft 6 l

_- _ _ - - - . - _ _ _ _ _ _ _ _ . - _ _ . . - _ - . - - _ . - _ , .- ._-._.__.-.--..__--_._..--_-_,_,,.__m-- . _ _ . - ._-

Communications

,- GENERAL EMERGENCY /

The Communications Officer'shall:

1. If this is the first notification received or 'if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

b. Verify the County has assigned a RACES unit to the EOC.

(time)

c. Log all message which provide inforraation or require action. Post pertinent information status board.

(time)

d. Review equipment inventory (reference Appendix D-1), verify availability, and report unmet needs to Municipal EMC.

(time)

e. Update the list of those individuals requiring special assistance in the event of evacuation (reference Appendix D-2).

(time)

(1) Notify Municipal EMC of changes in requirements for those individuals requiring ambulance support.

(time)

(2) Notify Municipal Transportation Officer.of changes in requirements for those individuals requiring special transportation support other than ambulance.

(time)

f. Ensure communication emergency workers have been issued dosimeters /

KI.

(time) '

g. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding from Step 1, then:
a. If recommended protective action is evacuation, ensure that population requiring ambulance transportation is served.
3. (time)

If termination, return dosimeters and unused KI to Radiological Officer.'

(time) 4 Remarks / Actions Taken:

l D-3 Draft 6

Appindix 0-1 RESOURCE INVENTORY Equipment Equipment Unmet Required Available -Need Telephone: 4 4 0 RACES: 1 0 1 J

4 4

a 3

4 1

i 0-2-1 Draft 6 l

'AppGndix 0-2 l RESIDENTS WITH SPECIAL TRANSPORTATION REQUIREMENTS A. Residents Requiring Ambulance Support List is on file in the EOC..

B. Residents With Other Special Requirements List is on file in the E0C.

0-2-2 Oraft 6

ANNEX E Implementing Procedure Transportation l Transportation Officer: Jay Rhoads Alternate: Bill Klein UNUSUAL EVENT No response required.

ALERT The Transportation Officer shall:

1. Upon request of the Emergency Management Coordinator, report to tne EOC.

(time)

2. Update the list of those individuals who do not normally have transportation available 24-hours a day (reference Appendix E-1).

(time)

3. Review remaining procedures in the event of escalation.
4. Maintain Alert status until notified of termination, escalation or reduction of classification.
5. Remarks / Actions Taken:

i E-1 Uraft 6 l

_ _ _ _ _ _ _ _ _ _ . , _ _ - _ - . . - - - - . . - - - - - - - - - - - - - - ~- - -- ' ~ ' ~ ~

Transportation SITE EMERGENCY The Transportation Officer shall:  ;

1.

If this is 1%e first notification received or if escalation from Unusual Event, then:

a. Report to the EOC.

(time)

b. Update the list of those individuals who do not normally have transportation available 24-hours a day (reference Appendix E-1).

(time)

c. Proceed to Step 2
2. If escalation from Alert or if proceeding fran Step 1, then;
a. Ensure that the Transportation Staging Area, which is located at the EOC, is accessible and available, b.- Contact Communications Officer to obtain list of those individuals who require specialized transportation (other than ambulance).

(time)

c. Notify the Municipal EMC of any changes in requirements.

(time)

d. Review remaining emergency procedures in the event of escalation.
e. Maintain Site Emergency status until notified of termination, escalation or reduction of classification.
3. If termination, return dosimeters and unused KI to Radiological Officer.

' (time)

4. Remarks / Actions Taken:

i t

-2 Oraft 6

Transpertation

' GENERAL EMERGENCY The Transportation Officer shall:

1. If this is the first notification received or if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

b. Update the list of those individuals who do not normally have transportation available 24-hours a day (reference Appendix E-1).

(time)

c. Contact the Communications Officer to obtain a list of those individuals who require specialized transportation (other than ambulances).

(time)

d. Ensure that the Transportation Staging Area, which is located at the E0C, is accessible and available.
e. Notify the Municipal EMC of any changes .in requirements.
f. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding from Step 1, then:
a. If recommended protective action is sheltering, no further action is required.
b. If recommended protective action is evacuation, then:

(1) Add to Appendix E-1 the names and 7Adresses of those individuals who call in requesting transportation assistance.* (Note:

Multiple copies of this list may de necessary).

(time)

(2) As transportation resource requirements, including those for special needs (vans, etc.), exceed availability (reference Appendix E-2), notify the Municipal EMC of additional require-ments.

(time)

(3) Inform the EMC of the number of vehicles that have been requested thru the County and request that an emergency worker be made available for assisting each vehicle.

(time)

c. Prepare a list of names and addresses of persons to be picked up for each vehicle including ambulances.

(time)

  • A pick-up point can be established at Regner's IGA to accommodate Amity l Gardens.

l E-3 Oraft 6

l

d. Up:n tha arrival of vshicles at tha municipal, transportation staging I area located at tha Tcwnship Building, ensura that an emergIncy worker L is assigned to each vehicle..A list of names and addresses of persons L to.be picked-up should be provided-for each vehicle along with L

instructions to return to the municipal transporation staging area l where they wi'l receive directions to the designated Reception Center l and-assigned Mass Care Center. . Persons being evacuated by ambulance j shall be evacuated to St. Joseph Hospital, Reading. Emergency workers i i

need not accanpany vehicles to reception facilities.

l (time)

3. If termination, return dosimeters and unused KI to Radiological Officer.

~~~

(time)

4. Remarks / Actions Taken:

4 e

E-4 3 raft 6

V App:ndix E-1

, PERSONS REQUIRING TRANSPORTATION ASSISTANCE List is on file in the EOC.

n i

E-1-1 Oraft 6 l

Appindix E-2 TRANSPORTATION RESOURCE REQUIREMENTS Resources Resources Unmet.

j..

Required Available Needs l

1 0 1.

i 4

k i

i.

f l

l E-2-1 Draft 6 t

I t

i - .- . . . - , --- .-. . . . . . - - . - - - . , - ..- -- ..-- . . -.-, --- - - - . - -

~

ANNEX F Implementing Procedure Public Works Public Works Officer: Jacob 0xenford Alternate: (name)

UNUSUAL EVENT No response required.

ALERT Tne Public Works Officer shall:

1. Upon request of the Emergency Management Coordinator, report to the E0C.

(time)

2. Review equipment / personnel inventory (reference Appendix F-1), verify availability, and report unmet needs to the Municipal EMC.

(time)

3. Review remaining procedures in the event of escalation.
4. Maintain Alert status until notified of termination, escalation or reduction of classification.
6. Remarks / Actions Taken:

i F-1 Uraft 6

Public W rks

< SITE EMERGENCY The Public Works Officer shalt:

1. If this is the first notification ~ received or if escalation from Unusual Event, then:
a. Report to the E0C.

(time)

b. Notify the Municipal EMC of any personnel or equipment unmet needs.

(time)

c. Proceed to Step 2. .

2 If escalation from Alert or if proceeding from Step 1, then:

a. Place Township Public Works personnel on standby as necessary.

(time)

b. Monitor weather conditions.

(time)

c. Ensure public works emtrgency workers have been issued dosimeters /

KI.

(time)

d. Review remaining procedures in the event of escalation.
e. Maintain Site Emergency status until notified of termination, escalation or reduction of classification.
3. If termination, return dosimeters and unused KI to Radiological Officer.

(time)

4. Remarks / Actions Taken:

l I

F-2 Oraft 6

Public Works GENERAL EMERGENCY The Public Works Officer shall:

1. If this is the first notification received or if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

b. Monitor weather conditions.

(time)

c. Ensure equipment operator emergency workers'have been issued dosimeters /KI.

(time)

d. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding from Step 1, then:
a. Mobilize Township Public Works personnel as necessary. Noti fy Municipal EMC of any unmet needs.

(time)

b. If recommended protective action is evacuation, be prepared to conduct road clearing operations as necessary.

(time)

c. Assist in obtaining material for traffic control as necessary.

j 3. If termination, return dosimeters and unused KI to the Radiological Of ficer.

(time) 4 Remarks / Actions Taken:

4 F-3 Uraft 6

-,- -w -- -- w, - -nm---w -

,w-e- - - - -, - - - - , , - -

ANNEX G Implementing Procedure Radiological I

Radiological Officer: Richard Scnulze I Alternate: (name)

UNUSUAL EVENT No response required.

ALERT The Radiological Officer shall:

1. Upon notification, report to the EOC.

(time)

2. Upon delivery from County EOC, inventory dosimeters /KI and prepare for distribution; complete a Receipt Form for 00simetry . Survey Meters - KI (reference Appendix G-2). Report unmet needs to your Coordinator.

(time)

3. Review remaining procedures in the event of escalation.
4. Maintain Alert status until notified of termination, escalation or reduction of classification.
5. Remarks / Action Taken:

l l

l G-1 Oraft 6

. . _ . . ~ . . . . _ _ . _ . __

m- . -_ _.

Radiological SITE EMERGENCY-The Radiological Officer shall:

1. - If this is the first notification received or if escalation from Unusual Event, then:
a. Report to the EOC.

(time)

b. Upon delivery from County E0C, inventory dosimeters /KI and prepare for distribution; if applicable, complete a Receipt Form for Oosimetry -

Survey Meters - KI (reference Appendix G-2). Report unmet needs to your Coordinator.

(time)

c. Proceed to Step 2.
2. If escalation from Alert or if proceeding from Step 1, then:
a. Distribute dosimeters /KI to municipal emergency workers (reference Appendix G-1) and E0C staff; obtain a signed receipt (reference Appendix G-3).

(time)

b. Review remaining procedures in the event of escalation.
c. Maintain Site Emergency status until notified of termination, escalation or reduction of classification.
d. If termination, collect dosimeters /KI and forms from emergency workers, inventory, and prepare for return to County EOC.

(time)

e. NOTE: All dosimeters will be returned to the County.
3. Remarks / Actions Taken:

I G-2 Oraft 6 l

Radiological

- GENERAL EMERGENCY - I The Radiological Officer shall:

1. If this is the first notification received or if escalation fran Unusual Event, then:
a. Report to the E0C.

(time)

b. Upon delivery from County EOC, inventory dosimeters /KI and prepare for distribution; if applicable, complete a Receipt Form for 00simetry -

Survey Meters - KI (reference Appendix G-2). Report unmet needs to your Coordinator.

(time)

c. Distribute dosimeters /KI to municipal emergency workers (reference Appendix G-1) and E0C staff; obtain a signed receipt (reference Appendix G-3).

(time)

d. Proceed to Step 2.
2. If escalation from Alert or Site Emergency, or if proceeding from Step 1, then:
a. Relocate to alternate EOC after population has departed.

(time)

3. Upon termination of emergency, collect dosimeters /KI and forms from emergency workers, inventory, and prepare for return to County-EOC.

(time)

NOTE: All dosimeters will be returned to the County.

4. Remarks / Actions Taken:

i l .

l l

G-3 Draft 6

App 2ndix G-1

, MUNICIPAL 00SIMETRY-KI LIST AGENCY NUMBER OF EMERGENCY WORKERS A. Emergency Management Agency Amity Township Building 21 P. O. Box 215 Douglassville, PA 19518 B. Fire Companies

1. Amity Fire Co. 35 Box 383 Douglassville, PA 19518
2. Monarch Fire Co. 35 Monacacy Station, PA C. Police Department Amity Township Police 14 P. O. Box 215 1

Douglassville, PA 19518

0. Communications Matthew Beckett 2 P. O. Box 215 Douglassy'lle, PA 19518 E. Public Works Jacob 0xenford 3 P. O. Box 216 Uouglassville, PA 19518 F. Transportation Jay Rhoads 3 P. O. Box 215 Douglassville, PA 19518 Total Units of Dosimetry-KI Required 113 1

G-1-1 Draft 6 e - - - - w -- - ,e--- -, n-w,s ,-a-w- - p- - - -

9 giri,7-

c .

App;ndix G-2 n '

, RECEIPT FORM FOR 00SIMETRY-SURVEY METERS-KI, ISSUED BY ISSUED TO

-ADDRESS. A00RESS RESPONSIBLE INDIVIOUAL TELEPHONE INSTRUCTIONS: . Curing a nuclear power plant incident, use this form to maintain proper trol when distributing the items listed below to municipalities and decontamination :nn,ty itoringcon-teams. This form should be used for transfer of these items in bulk form from: il) the county emergency management agency to risk municipalities and decontamination monitoring teams.; and (2). the municioalities to their local emergency response organizations (such as fire, police, and ambulance associations).

LINE NUMBER DESCRIPTION CUANTITY

1. CD V-742 Self-Reading Dosimeter (0-200R)

, ?. CD V-730 Self-Reading Dasimeter (0-20R)

+ ,

l _

2. OCA-622 Self-Reading Oosimeter (0-20R)
4. CD V-750 Dosimeter Charger i S. TLD (Thermoluminescent Oasimeter)

Serial Numbers THROUGH

6. Potassium Iodide -(KI) Tablets (Bottles of 14 Tablets Each)
1. CD V-700 Survey Meter
8. Dosimetry-KI Reoort Form
9. Decontamination Monitoring Recort Form -
10. Receiot Form for Oosimetry-Survey Meters-KI i
11. Acknowledgement of Receipt by Emergency Workers 'for Desimetry-KI and Survey Meters

! RECEIVE 0 BY: TITLE S.- %TURE: X OATE l

l G-2-1 Oraft d i .

- -. . -,-- - . - . . - - - . . - - . . - . - . . . - - . . . - , - - - - - - . . - , - . , - ,. ~. . - - - ....-. -