Monthly Routine Monitoring Program

As of 3/8/13

Initials	Location	Initials	Location
	[Encl Access -TeV, MI Svc Bldgs: PPC Stock, instrumentation, and area checks] Checklist	N/A During 2012 Shutdown	AP0 Air Filter Sample to AAL (During weeklies)
	AP10 Service Building		Air Leakage Visual Seal Inspection Locations
	AP30 Service Building		Air Leakage around the 90^0 Beam Monitor Penetration *
	AP50 Service Building		Air Leakage in the MI-12B enclosure Stairwell *
	Beamline Support port-a-kamps (6)		Air Leakage around the 25 meter absorber hatch cover *
	C0 Service Building		Air Leakage through the 4 straight penetrations *
	CUB NW Corner		Air Leakage through the 8 “S”-shaped penetrations *
	Cross-Gallery Utility Tunnel		Air Leakage around the Horn Stripline penetrations *
	F0 Service Building (MVA)		Print readbacks from D106/misc page 14
	MI-8		Log the 4 air monitor MUX read backs *
	MI-12		Check and log the Wells 3 and 6 Holding Tank level *
	MI-60
	Monthly Rad Waste Insp
	Northeast Transfer Gallery
	Rad Material in Gov Vehicle checks
	Transfer Gallery Utility Tunnel
	Trans Gallery North Addition LL
	West Booster Tower LL
	Wilson Hall Kicker Shop		* Required by the August 2002 MiniBooNE Shielding Assessment

All surveys were completed as follows (if different, it will be indicated on the specific survey pages):

Surveyor:

Instrument/Serial Number:

Batt/Source Check (Sat):

Calibration Due Date:

Reviewed by:
	Signature/Date