401429
DOR Fore BI29.2

U.S. DEPARTMENT OF ENERGY

(.3-7o)

FIELD TASK PROPOSAL/AGREEMENT

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2. TASK

a, REV,

no:

FTOCASA TITLE

(4. PROJECT NO.[5, CATE PREPARED 6, CONTRACTOR NUMBER

NO.

7 P37

DE-ACO8-76NYO0920/000472. .

B. WORK PACKAGE TITLE

Human Health Effects

Medical Surveys of Marshallese
9, BUOCGET AND REPORTING CODE

|10. TASK TEAM
Beatin:

(mm ed

HA 02-01-01(a)

il. CONTAACTOR NAME

yy)

13. CONTRACTOR TASK MANAGER (Nama, FTS No.}

Holmes & Narver, Inc., PTO
14, PRINCIPAL INVESTIGATORS

;

USDOE/PASO

FTS No. 556-0220
Ask for (808) 422-921]

[22. CODE
(nee laa trusctions)

fmm dd yy}

Continuing

W. J. Stanley,J: Dir ector,

,

End:

-

a

Brookhaven National Laboratories

13. WORK LOCATION (See Inafrucnions): Name of fecility, City, State, 21P Code

16. Does this task include

any minazement
services efforts?

Marshall

LO ves

Islands - TTPI

fol NO

17. TASK DESCRIPTION (Approach, relation to work package, in 200 words or fess)

See Attached Sheets.

BEST COPY AVAILABLE

oN
i, CONTRACTOR TASK MANAGER

£

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aoe, {Signature

19. GEV AIL ATTACHMENTS: (See instrictions},
(Ja. Pachity Requirements
(Jd. Background

Ch, Vublticatiors
{lis Durpese

.

\

(Je. Appreach
(Of. Eechaigalpre

J

c

Ce

:
a

y

,

(_'g. Puturs accomplishments

Tt

[ 54 Z [

(Th, Palationshins to other projects
(Ji. Environmental assesinest:

x

LD,’,
Ty

:

-

(Geter)

CJj. Explanation of

milestonss
CJ&. Other (ecraty):

Select target paragraph3