AOL AAT
Tett Perw B1T0.2

US. DEPARTMENT OF ENERGY

(Li-73} -

5

FIELD TASK PROPOSAL/AGREEMENT
-

1, 12 DIN NUMBER

2. TASK

3. REV.

NO.

|4. PROJECT NO.

NO.

FV.VASA TITLE

45. DATE PREPAR
(mm

dd

yy}

3/3/80

5. CONTRACTOR NUMBER

DE~ACO8-76NV00020/003402

BL. WORK PACKACE TITLE

Human Health Effects

Marshallese Patients Medical Travel
9, HUODGETAND REPORTING CODE

HA 02-01-01 (c)

110. TASK TERM

Begin
(mm dd yy)

11, CONTRACTOR NAME

End:

(mm dd yy}

continuing

13. CONTRACTOR TASK MANACER fName, FTS No.}

Holmes & Narver,

12, CODE
(aw Imatrucitoas)

Inc. , PTD

14. PRINCIPAL INVESTIGATORS

W. J. Stanley, Director, USDOE/PASO

N/A

FTS No- 556-0220

Ask for (808) 422-921]
15, YORK LOCATION (See instructions), Name of facility, City, State, ZIP Code

Marshall

16, Doss this task includ:

any management!

services efforts?

Islands - TTP]

CI ves
R43 NO

17, YAS CESCAIPTION fApproach, relation to work package, in 200 words or fess)

See attached sheet.

BEST COPY AVAILABLE

13, CONTRACTOR TASK MANACER

(Sitgnafurr)

(Dete}

WW. GR TAIL ATTACHMENTS: (See instructions)
(Vy. Fichity Requirements

(Jb. Asstications
Ctc. barpcse

a

Cog. Future accomplishments

CJ d. Background

(Je. Approach

(LJh. Relationshizs to other projecis

Cif. Teghnical hw

SOTD

TZ b

(_}j. Eavironmental

RA tee

amet

(j. Explanation of
milestoris

CO. Other (snecify):

Select target paragraph3