AOL AAT
Tett Perw B1T0.2
US. DEPARTMENT OF ENERGY
(Li-73} -
5
FIELD TASK PROPOSAL/AGREEMENT
-
1, 12 DIN NUMBER
2. TASK
3. REV.
NO.
|4. PROJECT NO.
NO.
FV.VASA TITLE
45. DATE PREPAR
(mm
dd
yy}
3/3/80
5. CONTRACTOR NUMBER
DE~ACO8-76NV00020/003402
BL. WORK PACKACE TITLE
Human Health Effects
Marshallese Patients Medical Travel
9, HUODGETAND REPORTING CODE
HA 02-01-01 (c)
110. TASK TERM
Begin
(mm dd yy)
11, CONTRACTOR NAME
End:
(mm dd yy}
continuing
13. CONTRACTOR TASK MANACER fName, FTS No.}
Holmes & Narver,
12, CODE
(aw Imatrucitoas)
Inc. , PTD
14. PRINCIPAL INVESTIGATORS
W. J. Stanley, Director, USDOE/PASO
N/A
FTS No- 556-0220
Ask for (808) 422-921]
15, YORK LOCATION (See instructions), Name of facility, City, State, ZIP Code
Marshall
16, Doss this task includ:
any management!
services efforts?
Islands - TTP]
CI ves
R43 NO
17, YAS CESCAIPTION fApproach, relation to work package, in 200 words or fess)
See attached sheet.
BEST COPY AVAILABLE
13, CONTRACTOR TASK MANACER
(Sitgnafurr)
(Dete}
WW. GR TAIL ATTACHMENTS: (See instructions)
(Vy. Fichity Requirements
(Jb. Asstications
Ctc. barpcse
a
Cog. Future accomplishments
CJ d. Background
(Je. Approach
(LJh. Relationshizs to other projecis
Cif. Teghnical hw
SOTD
TZ b
(_}j. Eavironmental
RA tee
amet
(j. Explanation of
milestoris
CO. Other (snecify):