ࡱ> z|y7 2bjbjUU )@7|7|.l 5 5 58B5V5=P,&64Z6Z6Z6Z657>s7$7OOOOOOO$iQ SO7575777O=9Z6Z6O=9=9=97"Z6Z6O=97O=9=95?BCZ66 s!0! 57CC P0=PCT7ZTC=9VAMC-LB RESEARCHWEEKLY/MONTHLY WIPE TEST RECORD INVESTIGATOR:ROOM NO(s):EXT:REQUIRED FREQUENCY (Check one) FORMCHECKBOX  WEEKLY  FORMCHECKBOX  MONTHLYRADIATION TYPE (Check one) FORMCHECKBOX  BETA  FORMCHECKBOX  GAMMAISOTOPES USED IN AREACOUNTER USED:PROGRAM #:LENGTH OF COUNTS:MinutesSTANDARD SOURCE:DPM:CALB. DATE: DATEAREAS: Numbers correspond to numbered areas on survey maps.EFFIC.INITIALSTYPEBKG12345678910SRC.CPMDPMCPMDPMCPMDPMCPMDPMCPMDPMCPMDPMCPMDPMCPMDPMCPMDPM DPM = CPM - BKG (in CPM) / EFFICIENCY EFFICIENCY = SRC.CPM / SRC.DPM (calculated) ACTION LEVEL: Notify the RSO if any wipe test result exceeds 200 DPM/100 sq. cm. 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