‘DOR Form B129.2
(123-73)
U.S, DEPARTMENT OF ENERGY
°
ACV7 Ge
FIELD TASK PROPOSAL/AGREEMENT
“Lt UIM NUMBER
2. TASK
3, REV.
No.
14. PROJECT NO.) 5. GATE PREPARED 6. CONTRACTOR NUWSER
No.
(m33°78 0
FOC ASA TITLE
DE-ACOB-76NV00020/090472 .
8. WORK PACKAGE TITLE
Human Health Effects
Medical Surveys of Marshallese
9, BUOGET AND REPOATING CODE
![10. TASK TERM
Begin::
(mm dd yy)
HA 02-01-0Ol(a)
11. CONTRACTOR NAME
Eod:
(mm dd yy)
Holmes & Narver,
Continuing
13, CONTRACTOR TASA MANAGER (Nome, FTS No.)
12. COSE
(new (natructions)
Inc., PTD
14. PAINCIPAL INVESTIGATORS
W. J. Stanley, Director, USDOE/PASO
Brookhaven National Laboratories
FTS No. 556-0220
Ask for (808} 422-9211
15. WORK LOCATION (See inatructons): Name of facility, City, State, Z21P Code
16. Does thus task include
any mMainazement
services efforts?
Marshall Islands - TTP!
Ul ves
fol No
17. TASK OESCARIPTION (Approach, relation to work package, in 200 words or less)
See Attached Sheets.
repositoay DOE - FORRESTITN.
correction
BOX No
.
__
MIX C7
bo > G
2.5 MM SryTLeese
FIiLe>
.
/SiLANOS
coven FL ( REPPRTS ETC)
oN
14, COMTRACTOR TASK MANAGER
,
:
Sly
‘
C
~
a
o
-
/
an
a
ete C.-
aaa ¢Sunatury)
19, CEVAIL ATTACHMENTS: (See instructions),
(Jd. Background
Loja, Paclity Requirements
(Jo. Publicatiocs
(Je. Appreach
Con. Murpose
(Jf. Techaical prozres
LOts2b4
¢
(.
‘7
aD
(7g. Future accomplishments
(Th. Relationshics to other projects
Ci. Environomental assesinent
oe
°
.
a
“
(Octer)
(Jj. Explanation of
milestones
(Ok. Other {sceaty}: