MOE F $120.2

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(4-80)

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U.S. DEPARTMENT OF ENERGY
FIELD TASK PROPOSAL/AGREEMENT
1, WORK PACKAGE NUMBER] 2. TASK NO.|3. REV. NO. 4. PROJECT NO. {5. DATE PREPARED

.

7. TASK TITLE

4/23/82
8. WORK PACKAGE TITLE

Marshallese Patients’ Medical Travel
9. BUDGET AND REPORTING CODE| 10. TASK TERM
Begin:

HA-05-Ol-c

|
End:

G. CONTRACTOR NUMBER

DE~AC08-76NV00020/ 003402

Marshall Islands & Related Health Programs
11. CONTRACTOR NAME
112. CODE
Holmes & Narver,

Continuing

Inc.

tsee instructions}

Energy Support Div./PO

13. CONTRACTOR TASK MANAGER (Name:Last, First, MI} (ETS No.) 14. PRINCIPAL INVESTIGATORS (Name:Last, First, MI)
Stanley, W.J.; Director, PASO/USDOE
FTS No. 556-0220
Ask for (808)422-9211

N/A

15. WORK LOCATION (See instructions): Name of facility. City, Stare, Zip Code

Marshall Islands TTPI

.

16. Is this tasx
17. Does this task include
included in the
any management
Institutional Plan?
services offorts?

O ves

QO ves

CNno

Te)

18. TASK DESCRIPTION [fApproach, relation to work package, in 200 words or /ass}

SEE ATTACHED SHEETS.

19

CONTRACTOR TASK MANAGER

{Stgnature)
20.

Q)..

DETAIL ATTACHMENTS.

Pacelty Requiregenends

Date)

(See mstrucnuoas}

Oa.

Backyround

arn

Future accomplishments

Chi.

Explanation of
milestones

Ola.

tuniiearens

Ole.

apornacn

Cn.

Relationships tu other proects

(J.

o. 4.

Vargsercee

0D t.

Teehmical prowess

O t

Enviranmentat assessment

On.

Za8 Detail
Other (Specily):

Select target paragraph3