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`Project# <br /> • Project Name: <br /> Wcation: <br /> Date: <br /> PERSONAL PROTECTIVE EQUIPMENT <br /> Lewd of Resp€ratory Protection Activity Performed <br /> Used <br /> Fiidd Dress Activity <br /> MONTPORING EQUIPMENT <br /> I <br /> HNU/OVA/CGI <br /> • Background reading <br /> - Readings above bad kground? <br /> Location of high readings <br /> Radiation <br /> • Readings above badkgnoand? Yes No <br /> • U yes,specify where veadiugs mere found and what action was taken <br /> Page 2 of 3 <br /> ROUX ASSOCIATES NO t�esiosa-sterno <br />