al
O 2B 0 §%
l. -@—
Code
r PNL
3. Custodian/Phone
Health Protection
Vicki L. Berndt
7. Retiring Unit and Code
‘
8. Hanager/Phone
9. Org.
Code
10. HSIN
li. Hay records be destroyed as
scheduled without further concurrence?
Matt Lyon/376-7758
07A31
A3-60
{[] Yes
Dosimetry Records
Ie. Bux
Na.
128023
5. Date
4. Location of Records
(Area-Bldy-Rin)
2. Departient and Code
Instruction:
13, Description of Record
Type general description in capital letters and follow
with detatl description of contents.
underline key words.
Also, please highlight or
Dosimetry Historical File- Hardcopy Record
tas force
Bachicediguy Prorecthow
Hardcopy documents
14, Classification
(c,S,U)
From
To
U
1990
1993
=,
hedorical farel Cope
SLauiel Deeurertls (lem
«
oy
1S. Inclusive Dates
6. Page 1 of |
01/12/93
700 -Fed-301K
16,
Cubic
Feet
1.0
[X] No
i. Disposal
18. petention
OOE 1324.2A
Permanent
uthortty
1.5b (1)
\
2--A
103 “
ORP- 4003334 -DHP-4003432
RECORDS TRANSFER/
DATA INPUT
§4-3000-626 (02/93) GEF220
NN T9094 R
13, teeer aauested By
yeisnature)
fy
3
—/2_
v L Bont 74
20. Records Management
Approval
Wy
2t. Data Entry
Mee oa | ] sto { J
tty t- MNS heante s9([]
/
su { ]
22. Recelved by RHA
FEB Q
7 199
sy (19)
‘
23. Date
Recelved