ML12095A380

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Reconnaissance Level Scan Survey Form - Basement North Section East to West
ML12095A380
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: ML12095A380 (6)


Text

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FNR Decommissioning Project Reconnaissance Level Scan Survey Form SurveyNo:,2c7-, 356 Survey Unit:

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Pkg. Jýý - 0 7 Sheet

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Date: //-/9-07 Survey Location: &5enP.,f"/A Se"-a

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_*c,_tA/ (_2"7 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)

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NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (MI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.

Comments:

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.I L 4'W Ln ey I&z'.2; Initial Performance Test Performed & Satisfactory:

II. Background Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm)

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' Ipitial / Date I1. Total Surface Activity Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm)

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Comments:

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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 & Satisfactory:

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-,/ -c 7 Initial / Date Survey Tech (print/sign):.

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,*rt Date:

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9-2 Reviewed By (print/sign):

4_k.Date:

24J Filename: FSS Characterization SCAN Survey FormsRevO2 Retention: LP+10

FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey No:,( 7"C.- 2,59 Survey Unit: 0/1 01-i9 Pkg.

V Sheet of Date: /1-/*-0/9 Survey Location:, 42e/

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-e'*,7 Survey Comment Sheet:

Retention: LP+10.

Filename: Survey CommentMapForm RevOO

Survey No: ?bl7 q3 9 Date:,1. -&-0-7 T. Tnstruument Tnfnrmaition FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey Unit:

01 Pkg.

IA Sheet I of 2..

Survey Location:

tA** 4.$f C( t* JtA4 LInst ruet.fraii Inst.

HV TH/R 2nz Calibration Calibration Set Meter Scaler Detector Detector Setting Setting Inst.

Due Date Due Date No.

Model Serial No.

Model Serial No.

(Vdc)

(mVdc)

Eff.

(Scaler)

(Detector)

NOTE: All cables 6-ft RG-58 (LMI 44-142, 44-9, HP-210, or 44-92 probes) or 15-ft RG-58 (LMI 43-37 gas-flow hand-held) unless otherwise noted in the comments below.

Comments:

Initial Performance Test Performed & Satisfactory:

_- 1 Initial / Date I

J H. Rzu~korroiind Measurements III. Total Surface AciiyMeasurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm) iU3!/q I

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4k_1 tis 2JA Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm) 11 Cprnments:

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Each of the demarked grids (or locations) on the attached survey map has been scanned and do not exceelhe action level of dpm/1 00-cm2, unless otherwise noted on the attached survey map.

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Post-Survey Performance Test Performed & S acto y:

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@ *2*[**Initial

/Date Survey Tech (pint/sign):

In-ia /,

D ate:

By (prit/si ***..A**,_7.

iate: 107 it-6-0)7.

Reviewed By (print/siat (0

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

Final Status Survey Survey Area: Phase I Survey Unit: 0-1,2,3,4,5 Classification: 1,2.

Building: Ford Nuclear Reactor Room: Basement Survey Unit

Description:

Structure Interior Surface Surface Area: 624.26 sq. m Grid Spacing for Units: im

.FNRDP-DWG-26 Ceiling

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FNR Decommissioning Project Reconnaissance Level Scan Survey Form Survey

-Survey Unit: 017AoZ_

Pkg. SP-OM Sheet I of,2-Date: AP)lo l

.Survey Location: &SyevytA-I. Instrument Information Inst.

KV THR 271 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)

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+,.- It42, 4,-9, Ill'--Z 10, or " probes) or 10-rT MU-00 kLn/U I4-a gas-nlow hand-held) unless otherwise noted in the comments below.

Comments:,;

%op. -4I -kr A.r?'&S SzLrevaeL Initial Performance Test Performed & Satisfactory:

II. Background Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (mnn)

(cpm)

S/

1357

/ Ac_4iok I~-ev-MAi7 31, at&

03 J) i3~

Co ACents 1h le 9q67 Comments:

Initial / Date IH. Total Surface Activi Measurements Counts Inst.

Count per Set Time Minute No.

Grid or Location (min.)

(cpm) too evels -cr-a rea's sai *)*4L 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:

/

I~

4 Initial / Date Survey Tech (print/sign):

Date:

/

/,

7 Reviewed By (prnt/sign):.

Date: 12-14 0-Filename: FSS Characterization SCAN Survey FormsRev02 Retention: LP+I0

Final Status Survey Survey Area: Phase 1 Survey Unit: 0-1,2,3,4,5 Classification: 1,2.

Building: Ford Nuclear Reactor Room: Basement Survey Unit

Description:

Structure Interior Surface Surface Area: 624.26 sq. m Grid Spacing for Units: I m FNRDP-DWG-26 Nt 6KWEL Ceiling U]

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