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Container <br />Survey <= mR/hr Neutron at Contact <br />Survey Swipe data complies with on-site transfer requirements YES <br />Survey Meter ID Survey Meter Model <br />Survey Meter ID Survey Meter Serial Number <br />Survey Meter ID Survey Meter Reading <br />Survey Meter ID Survey Meter UOM N/A <br />Survey Meter ID Survey Meter Calibration due date <br />Survey Meter ID Check source jig number <br />Survey Meter ID Detector Response (+/- 30%) Satisfactory N/A <br />No Underlying Hazardous Constituents (UHCs) specified <br />No Holds present <br />Container Approval Review <br />Information <br />Date User Comments Locked <br />11/1/2004 Harpreet CC review Yes <br />Grewal complete <br />11/9/2004 Joyce RWCR No <br />Walkup CHANGE <br />START AND <br />END <br />DATES <br />11/9/2004 Joyce DONE Yes <br />Walkup <br />12/2/2004 Will CHANGING No <br />Coleman START/END <br />1. DATE <br />12/2/2004 Will I CHANGING Yes <br />Coleman START/END <br />DATE <br />RCRA Biennial Report Information <br />Form Code 8211 <br />Describe if code is 'other" <br />Source Code A593 <br />Describe if code is "other" <br />http://haztrack.llnl.govlbtilhtlrequesticontainer view.jsp?i=14472&iid=20103 <br />Page 4 of 5 <br />12/3/2004 <br />n <br />