DOE 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

G. CONTRACTOR NUMBER

4/23/82
8. WORK PACKAGE TITLE

7. TASK TITLE

Medical Survey of Marshallese
9. BUDGET AND REPORTING CODE| 10. TASK TERM

egin:

HA-05-01-b

Continuing

DE~ACO08-76NV00020/000472

Marshall Islands & Related Health Programs
end

11. CONTRACTOR NAME

ne:

Holmes & Narver, Inc.
Energy

13. CONTRACTOR TASK MANAGER (Name: Last, First, Mi) (FTS Na.)

Stanley, W.J.; Director, PASO/USDOE
FTS No. 556-0220

Support

12. CODEmuctions)

‘

Div./PO

14. PRINCIPAL INVESTIGATORS (Name: Last, First, Ml)

Brookhaven National Laboratories

Ask For (808)422-9211

15. WORK LOCATION (See instructions): Name of facility, City, State, Zip Cade

Marshall Islands TTPI

16. Is this task
17. Does this task include
included in the
any management
Institutional Plan?
services 2fforts?

O ves

O ves

C} No

NO

18. TASK DESCRIPTION (Approach, relation to work package. in 200 words or jess)

SEE ATTACHED SHEETS.

19

0 PLE

ple

CONTRACTOR TASK MANAGER

"

(Signature)

{Date

29. DETAIL ATTACHMENTS: [See sestructioass
CD a.

Facihity Requirements

C gd.

Background

O y.

Future accomplishments

Cj i.

Explanation of
Milestones

Cj ta.

Feeatalecatvenres

O &.

Approach

0 hh.

Relatronsnips to ather projects

| .

Borpase

O fl)

Techical praogeess

QO t

Environmental assessment

0 k.

O i,

ZBB Detail

Other (Specity):

Select target paragraph3