ML12095A381

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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:
References
Download: ML12095A381 (16)
v • d • e


Text

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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 24392 I.. l7_S q 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:, H.Rwonn Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (nin.) (cpm)& G,-a&tn / &-I AVq /// 3,75/ Ac+~lfIev]

]in/L1177 Comments: Initial / Date III. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)/ 1 51ton/ / _5 .60/ / 5£oo/ / ( 5/ _____ / /000o/ /0,o09/.,../_,Q 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: be!/ O j C)O Reviewed By (print/sign):

V // 0 L/7eJ Retention:

LP+10 Filename:

FSS Characterization SCAN Survey FormsRev02 FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo:-2-00"1-A -Survey Unit: 5P-oO7 Pkg. .)4A- Sheet 2- of 2-Date: 11-7-07 Survey Location:

A- k x MOe- -Survey Comment Sheet: 4EA2A ~A ~ A~L~ ~'~No$~- -eOAJE.ýtck-a mL1~I~I~Retention:

LP+10 Filenarne:

Survey Comment Map_Form_RevOO FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: 2-07-- 22-13 Date: 11-1-o-I Survey Unit: -P-C007 Pkg. Sheet .of Z_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 i0 0 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: Initial Performance Test Performed

& Satisfactory:

m Initial / Date 1. Backgrounfd Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)-41L t 3=ý2 -________________

2- _ _ _o.mmerits:

kk4e A 64-. *a 'OL4 4.WL A4dt a, dAl, 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 r~m1llr 2 ,lc *n.iantAa , 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- 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 Survey No: ,,ý-2,d Date: I J5 4ac"7 I. Instrument Information FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit: JOL. Pkg. S P OD'1 Sheet I ofj Survey Location:

=T jde, 82L2h CORKSc 6MATO7i Pq6mWcAr4-P I1 r-i 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 covers.Initial Performance Test Performed

& Satisfactory:

19% /W7 II. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (ain.) (cpm)/ a,, 'I I -75 NJ& PIA Z90! _,,'an 1 evA +/-L. (o0/W III. Total Surface ActihA! Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (ri) (cpm)___ ye- A414 Comm ts*~ -~~Pciso~y co ,89 m OT slain..,Ra 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:

11 1L512/0-7"' Wial I Dafte Survey Tech (print/sign):

45y1 (fl rI1 §J 1 l N Date: 154/ 2W7 Reviewed By (pi/sig: Date: " Filename-FSS Characterization SCAN Survey Forms-Rev02 LP+ 10 (Survey No: _2&7-.23"3o Date: I Inforato FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit:_______

Pkg.&SP-4Z7 Sheet _L of /Survey Location:

Bm Po4 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 qq-/qX 71L 1166 -.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 Ch OVf-r AW&17#aI ' _-Initial Performance Test Performed

& Satisfactory:

H. Background Measurements I V1,0gW Initial / Date Counts Inst. Count per Set Time Minute No. Grid or Location (rin.) (cpm)I &CXr.v::ownJ t' I __/ S / ___I .Il/ 3o-W 9 M. Total Surface Activh Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (ain.) (epm)/do kylw/A 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-cin 2.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 -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 '~* 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 Floor k WC W, W h 42- 1 9,4810 q-lqu-- d q3S93 Initial Performance Test Performed

& Satisfactory:

1,W nb]'*a Initial / Date II. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I _______ I~ Kc 2I _______/; .3 / /77q___ dhFv- Lev #,-IH. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)Nlorfh d-si d MA flD PUYo-,ý&k -+2 q rea-¢_ _ Aecpm 04V cve~o-.SJp2-i-42__________

________________________________

_____________

I _________________

Comments: ThP~e (ýn noyAf+-\UXLU~Q r-Luv-y.rnvl .Iq-4rcyywý 4O'-o k)iS FCc4 10_'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 dpm/100-cm 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed L[LL -1121007)Initial / Date Survey Tech (print/sign):

ýefl (7'-no" A 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: --Survey Unit: 0 .Pkg. 'P-)o7 Sheet 2, of Date: I 1121I, 00" Survey Location: WGL~Ju~ pbcrvx ~Rw 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)

_T l __E:-E. -,?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- Initial Performance Test Performed

& Satisfactory:

1 i.2 -7!/,2007 Initial / Date II. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)C3 B<e & t-I:3 BK- tir3 3 Fhm A -oP e..14is 6A __Comments: III. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)1c-las6 0dM oP and JCone_,to 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

)"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 Reconnaissance Level Scan Survey Form 1-jo Survey No: o00-l -J 3S5 Survey Unit: .Pkg. S P- O-'Date: /.2eo7 Survey Location:

Z.xan 4-or', C icl5e.--I. Instrument Information e f Sheet 1 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 '-13-31 Vk 1-75 .20 L4 7 /o/L.a / A19599 L/3-31-/ ?q3ql/l 1750. ,;20 '1/ 'l..z~f 7/6tl2,*.3 ./ 21I ?8g ID 4q-L X A 0330 1100 S5 q3.q q 0/2 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 Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)i / ,,_ Io J 8KG 3 / 1 I AcAl-/on -val 3707-.I- ) ee M/I 3q78'5 k& its.3Ac-/'n 1ev' R53~___Ill. Total Surface Activr Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)A/o Arnt _ _/hee we__ &alneA Worec p\J eW Af 1 iJ i_ _Cornm Ibc'yo ( XY xcAI Tr Q QCk 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 >- Date: Filename:

FSS Characterization SCAN Survey Forms_RevO Retention:

LP+10 FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: ,2-3}8 Survey Unit: .j -Sheet j of I Date: -,Survey Location:

W a- i 9v6( Cb k n Pod 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)

_____ q ?-37 115o3 q0 qL, +/-i/,-.Ax

(,12z,3/ 22ý1~ 2-3"01~--

91351. Ab I C11 S 5O 75 4I 1- ;,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:

II. lak~ond Measurements Counts-Inst. Count per Set Time Minute No. Grid or Location (min.) (Cpm)I AG -I q/0 q 7/I~ i-If Aon A&P- NA -?&2-9-L 2. 3(, /.2.- A3c(.on /,eUE 11 ;29& .Initial / Date IIl. Total Surface Activity Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)ANl Ain'~cs __OTkka.-&2ancAi 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 Performance Test Performed

& Satisfactory:

Survey Tech (pr] t/sign): K v -nit" la] / Date 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 .c_ a 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)

.2.-z( & 2l49 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 Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I _&t I AI ;5__. I 1,1 Z Com 3 (n Comments:*

III. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)ok. a 4L _/A ~ Ma4", 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-crm 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed

& Satisfactory: * -///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. Sheet 2_ of 2_Date: l 4-'- 0"7 Survey Location:

._-,_ tQ--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 _ i44 z_ d .-Filename:

Survey CommentMapForm RevOO Retention:

LP+I0 FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No: dqCC) Survey Unit: I -S Pkg. Sheet I of jk Date: *A160- Survey Location: -S.o4h t Pord-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 43-- I4,49 l-3a 11'5 0 O AD f1,;/ý)4 7/61/=8 2 2 A;L, AJ qq-lqg- q3a'o I Ilot 3'; '13'1 q4l73Joo q/2T/o, NO I T: All cables 6i-tt R(.8-b5 (ILMI 44-142, 44-9, HP-21U, or 44-92 probes) or 1 b-tt RG-58-bt (LMI 43-37 gas-low held) unless otherwise noted in the comments below._ -A Comments: ,-o Ce4,I'c 1 COULA,,e SCo tc.9 U 10,0W) C&4* .WS- W /O hand-Initial Performance Test Performed

& Satisfactory:

i 11 ;aq/obi Initial / Date!~ ~2l.uied 11. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)I S3 t ______-.2-_ A dK(, A I___ ____ ___ LI / 1 7 HI. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm),Wsd ____Corrnmen t 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 Survey Tech (piintsign):

VftW G.mko(0 /]d w r I / Date)ate: bqz"J)ate: '1 U I Reviewed By (print/sign):

Filename:

FSS Characterization SCAN Survey FormsRev02 Retention:

LP+10 I .1: FNR Decommissioning Reconnaissance Level Scan Survey No:

Date: I1!301AWo7 Survey Unit: I -7 Survey Location:

F4/4 Project Survey Form .,.. :2..Pkg. sp-j -he6_J of i 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 lti,, -. q3.,- , 1 117q7q 1700 2 .'5i3,,#,, 2l 1L9A 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 I tox off)Initial Performance Test Performed

& Satisfactory:

I 11L0/2W1 Initial / Date II. Background Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (ain-) (cpm)8K Bk P I -V1 j /3K 7-1i3 I I~lg 2 Acl-'I I-etie Al/A 3oao-i3 86A< Wt I /I qe AiýLT 1-?c& NIA -299-2-151J16I//(o0 Comments: III. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (ain.) (cpm)on SUN,-,/a bale__6ni~A2 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

Survey No: 26-7 45-6 Date: 1 2/W-/0" I. Instrument Information FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit: -13 Pkg. .AcJA Sheet ( ofj Survey Location:

Fft, FiK_ T o ý 1u LA)11 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¢ 7/, i ZL."7 v Q 2q133 92-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 Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)K t 3 __M I M/A 3,2_3 Il. Total Surface Activi Measurements Counts Inst. Count per Set Time Minute No. Grid or Location (min.) (cpm)/J,7 z 1ýql 24C/g4g4ý&Lý /-92 , omments: 124ywem, I .Each of the demarked grids (or locations) on the attached surey map has been scanned and do not exceed the actionlevel of 1,750 dpm/fOO-cM 2 , unless otherwise noted on the attached survey map.Post-Survey Performance Test Performed factory: j//4 Initial/ Date Survey Tech (print/sign):

110 /Aý._ I/ Date: 19L-F 07 Reviewed By (print/sign): K Date: /'-I 7 Filename:

FSS Characterization SCAN Survey FormsRev02 Retention:

LP+10

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