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DATA CAPTURE DOCUMENT ORAUTEAM Dose Reconstruction .u ........ DISCOVERY AND REVIEW Project for NIOSH The attached document may contain Privacy Act data. This lnfonnatlon Is prote<:ted by the Privacy Act, 6 u.s.c. §552a; disclosure to any third party without written consent of the fndlvfdual to whom the Information pertains Is strictly prohibited. Data Capture Team or Other ORAU Team Member Capturing Data: Complete aU information that applies to the data/document being submitted for uploading to the Site Research Database (SROB), attach this form to the front of the document, and send to: ORAU Team, Attention: SRDB Uploading, 4850 Smith Rd., Suite 200, Cincinnati, Ohio 45212. 1. Data Requestor. Tasl<3,10, RSET 2. Reviewer Name (if different from Requestor): Don Moms 3. Target Data: All relevant dam 4. Date Collected: Mardll "t.$"',zoo9 5. Site of Capture: Kansas FRC (Lenel<a) 10. Database Name: NfA 6. Site Box Number. { '\ .v:fv t \0 11. Software/Hardware Requirements: NIA 7. Accession Number: 0 '-\ - \ - <o l <-.. L 8. Location (if not located in box): NIA 9. Folder Title: f 12. Document Date: \ '3. 13. Document Number. 1-f'\ 14. Reviewer Description (if needed) (e.g., keywords, document comments, date ranges): 15. Sites to Which Document Applies (check all that apply): D DOE Sites Names: AWE Sites Names: D General Information ORAUT-FORM-0015 Rev 07, Effective 0411812008 16. Document Type (ched< all that apply): Facilities/Process (i.e., source terms, contamination sul'lleys, general area/breathing-zone air sampling, area radiation surveys, radonlthoron monitoring, fixed location dosimeters, missed dose information, radiological control limits, radiation wor1< permits, incidents/accidents) 0 Medical Monitoring (i.e., X-rays, OcaJpational medical exams, exam frequencies, equipment performance characteristics) 0 Environmental Monitoring (i.e., ambient radiation, onsite releases, onsite radionuclide concentrations) 0 Internal Dosimetry (i.e., urinalysis, fecal, in vivo, breath sampling, radonlthoron, nasal smears, analytical methods, sample frequency, detection limits, recordkeeping practices, codes, performance characteristics} D External Dosimetry (i.e., therrnoluminescent dosimeters, film badges, pocket ion chambers, analytical methods, exchange frequency, detection limits, recordkeeping practices, codes, performance characteristics) 0 Individual/Group Data (i.e., individual or group data) DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES http://www.environmentalarchives.com

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~· DATA CAPTURE DOCUMENT ORAUTEAM Dose Reconstruction

.u ........ ~ DISCOVERY AND REVIEW Project for NIOSH

The attached document may contain Privacy Act data. This lnfonnatlon Is prote<:ted by the Privacy Act, 6 u.s.c. §552a; disclosure to any third party without written consent of the fndlvfdual to whom the Information pertains Is strictly prohibited.

Data Capture Team or Other ORAU Team Member Capturing Data: Complete aU information that applies to the data/document being submitted for uploading to the Site Research Database (SROB), attach this form to the front of the document, and send to: ORAU Team, Attention: SRDB Uploading, 4850 Smith Rd., Suite 200, Cincinnati, Ohio 45212.

1. Data Requestor. Tasl<3,10, RSET

2. Reviewer Name (if different from Requestor): Don Moms

3. Target Data: All relevant dam

4. Date Collected: Mardll "t.$"',zoo9

5. Site of Capture: Kansas FRC (Lenel<a) 10. Database Name: NfA

6. Site Box Number. { '\ .v:fv t \0 11. Software/Hardware Requirements: NIA

7. Accession Number: 0 '-\ - ~ \ - <o l <-.. L 8. Location (if not located in box): NIA

9. Folder Title: ~ f ~

12. Document Date: \ ~ ~ '3.

13. Document Number. ~ 1-f'\ 14. Reviewer Description (if needed) (e.g., keywords,

document comments, date ranges):

~~s~~

15. Sites to Which Document Applies (check all that apply):

D DOE Sites

~ Names:

AWE Sites 5L~+>> Names:

D General Information

ORAUT-FORM-0015 Rev 07, Effective 0411812008

16. Document Type (ched< all that apply):

~ Facilities/Process (i.e., source terms, contamination sul'lleys, general area/breathing-zone air sampling, area radiation surveys, radonlthoron monitoring, fixed location dosimeters, missed dose information, radiological control limits, radiation wor1< permits, incidents/accidents)

0 Medical Monitoring (i.e., X-rays, OcaJpational medical exams, exam frequencies, equipment performance characteristics)

0 Environmental Monitoring (i.e., ambient radiation, onsite releases, onsite radionuclide concentrations)

0 Internal Dosimetry (i.e., urinalysis, fecal, in vivo, breath sampling, radonlthoron, nasal smears, analytical methods, sample frequency, detection limits, recordkeeping practices, codes, performance characteristics}

D External Dosimetry (i.e., therrnoluminescent dosimeters, film badges, pocket ion chambers, analytical methods, exchange frequency, detection limits, recordkeeping practices, codes, performance characteristics)

0 Individual/Group Data (i.e., individual or group data)

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

-----------·- - ···----

BNI NO: ,

FUSRAP S&H TRANSMITTAL/REV1Eve,-rsa 25 -TO: FROM: NO. E· ___ __,;tu:~::;;:o:::::::2..::::..~oOut!!::.--

OATE: __ ---L-/..::;.0_-...;::;8;....':?-£--3=-----TMA/EBERLINE •• - BECHTEL NATIONAL. INC.

0 FUSRAP EH&S SUPERVISOR C/0 FUSRAP PDCC 151 LAFAYETTE DRIVE OAK RIDGE. TN 37830

MAIL ADDRESS: P.O. BOX 350 OAK RIDGE. TN 37831-0350

ITEM NO: DATE

/ r-?-fJ

PAGES

'-I

151 LAFAYETTE DRIVE P.O. BOX 350 OAK RIDGE. TN 37830

14501·191-SC-400

SITE/WBS NO: _ __,_/..:.5:~3;,...._ __ _

AREA: __ ___:S:::.....::L:.:;.:H~I!:....s~--­

DAT A CODE; ____.lu-f___:S.::...-..:;flL.Iufl~--

DESCRIPTION

,;: :.. j A.MD;," ~ /lJ-tl_ L ~~ ~ ... ~.h---.L&. ~-.

, , "-0

0 DATA MEETS ALL REQUIREMENTS Of DATA REVIEW CHECKLIST------0 SITE NOTIFICATION OF DATA RESTRICTIONS/EXCEPTIONS fdatel 0 EXCEPTIONS TO CHECKLIST AND ACTIONS TAKEN ARE NOTED BELOW. REVIEW COMMENTS:

DATA RECEIVED BVQ FUSRAP PDCC: · ~~

ELECTRONIC FILE CHECKED BY

DATE:. __ /:_0-/-/__:./,..!.-,( ,_/.....t.<f.;:::::3:.__ __ r 1

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

----------------------- - --------- ·--·-· . -- ·-·

Chron # 0-15825

~

Conversion of DAC to Hours for SLAPS

Run Time 480 460

OAC Activity Total 3 .0 E- 12 1.2E-12 3 .0E - 12 5 .1E - 13

3.20 1.30

., I

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

REFERENCE NUMBER ' I

TMA/EBERLINE FORM 5B7A2

AIR PARTICULATE SAMPLE REPORTIN.G-lP~~:? :_;

DETECTOR: SAC-4

SERIAL#: S7736 CAL DUE DATE: 10/8/93

SITE/WBS/t: SLAPS I 153 BKGD. CPM: 0.26 DATE COUNTED: 5/12/93 EFFICIENCY /1 00 0 393 DATE OF ENTRY: 9/8/93 BKG COUNT TIME: 50 DATA ENTRY BY: R. C. HALL SAMPLE CT TIME: 50

SAMPLE DESCRIPTION RESULTS SAMPLE LOCATION/ SAMPLE ON ON OFF OFF TIME FLOW GROSS ACTIVITY STD Lc

PERSON($) NUMBER DATE TIME DATE TIME (MIN.) RATE' CPM uCi/ml OEV. uCi/mt

PERIMETER 153-9302 04/27/93 08:15 04/27/93 16:25 490 45.0 0.7 2.4E-14 1.4E- 14 8.7E-15

REMARKS: (' LPM) APPROVED BY: ------------------------------------DATE:

PAGE OF ----------------------------------------------------- -------

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

REFERENCE,NUMBEfl

TMNEBERLINE FORM 58.7A2

AIR PARTICULATE SAMPLE REpQRTl~~ tOG

DElECrQR: SAC-4

SERIAL tt S7736

CAL. UUE DATE: 10/8/93 SITE/WBS#: SLAPS I 153 BKGD. CPM 0.34 DATE COUNTED: 5/3/93 EFFICIENCY /100 0393 DATE OF ENTRY: 9/8/93 BKG COUNT TIME: 50 DATA ENTRY BY: R. C. HALL SAMPLE CT TIME 50

SAMPLE DESCRIPTION RESULTS

SAMPLE LOCATION/ SAMPLE ON ON OFF OFF TIME FLOW GROSS ACTIVITY STD Lc PERSON(S) NUMBER DATE TIME DATE TIME (MIN.) RATE' CPM uCi/ml DEV. uCi/ml

(b)(6) 1153-930< 04/27/93 08:10 04/27/93 16:10 480 2.6 1.7 1.2E-12 3.6E-13 1.7E-13

iMARKS: (' LPM) APPROVED BY: ------------------------------------DATE:

PAGE OF ----------------------------------------------------- -------

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

REFERENCE NUMBER . :·

TMAJEBERLINE FOAM 5B.7A2

AIR PARTICULATE SAMPLE REPOATl~LOG

DETFCTOR: SAC-4

... , . • - ; ! . <. ·=·

SERIAL II: S7736 CAL. DUE DATE 10/8/93

SITE/WBS/1: SLAPS I 153 BKGD. CPM 0.30

DATE COUNTED: 517/93 EFFICIENCY/100: 0.393 DATE OF ENTRY: 9/8/93 BKG COUNT TIME: 50 DATA ENTRY BY: R. C. HALL SAMPLE CT TIME: 50

SAMPLE DESCRIPTION RESULTS SAMPLE LOCATION/ SAMPLE ON ON OFF OFF TIME FLOW GROSS ACTIVITY STD Lc

PEASON(S) NUMBER DATE TIME DATE TIME (MIN.) RATE• CPM uCi/ml DEV. uCi/ml

[l(b)(6) 1153~930 04/28/93 08:20 04/28/93 16:00 460 1.8 0.7 5 1E~13 3.7E~13 2 4E-13

REMARKS: (. LPM) APPROVED AY: ~~~~--~~~------------~------

DATE:

PAGE OF --~~~~~~--~~~~~~~~~~~--~~--~----- ~--~-

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com

REFERENCE NUMBER

TMAJEBERUNE FORM 58.7A2

AIR PARTICULATE SAMPLfiREPORJiN(3 LOG

DETECTOR: SAC-4 ·~ . ·.~ f:') !: :

.. · ... SERIAL II: S7942 CAL. DUE DATE: 10/14/93

SITE/WBS#: SLAPS I 153 BKGD. CPM: 0.38 DATE COUNTED: 8/25/93 EFFICIENCY/1 00: 0.378 DATE OF ENTRY: 9/8/93 BKG COUNT TIME: 50 DATA ENTRY BY: R. C. HALL SAMPLE CT TIME: 50

SAMPLE DESCRIPTION RESULTS SAMPLE LOCATION/ SAMPLE ON ON OFF OFF TIME FLOW GROSS ACTIVITY STD Lc

PERSON(S) NUMBER DATE TIME DATE TIME (MIN.) RATE' CPM uCilml DEV. uCifml

PERIMETER 153-9302 04/28/93 08:10 04/28/93 , 6:10 480 45 0 06 1.2E-14 1 SE-14 1.1E-14

REMARKS: (' LPM) APPROVED BY ------------------------------------DATf

PAGE OF ----------------------------------------------------- -------

DOCUMENT PROVIDED COURTESY OF ENVIRONMENTAL ARCHIVES

http://www.environmentalarchives.com