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Grout Treatment Facility Borehole Summary Report ... - Hanford Site

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PLANNING<br />

WHC-MR-0203<br />

PNL QUALITY ASSURANCE DEPARTMENT<br />

SURVEILLANCE REPORT<br />

Surveillance <strong>Report</strong> No.: DRD89040<br />

Project/Activity Title: W-017 Support Drilling, <strong>Grout</strong> <strong>Treatment</strong> <strong>Facility</strong><br />

Groundwater Monitoring Project Well Installation<br />

Client: WHC<br />

QA Plan No.: OHE-18 Project No.: 12090 Impact Level: II<br />

Other applicable document: None<br />

Source of Requirement(s): PNL-MA-567, Procedure DO-1, Revision 0, Collection<br />

and Documentation of <strong>Borehole</strong> Samples and Well Construction Data<br />

PERFORMANCE<br />

Date initiated: 10/13/89 Location: Sigma V Org. Code: D7D34<br />

Contacts: SS Teel<br />

RESULTS<br />

Main Statement: Minor documentation problems were identified as noted on the<br />

attached checklist. All corrective action has been completed.<br />

<strong>Summary</strong>: The purpose of this surveidlance was to verify the implementation of<br />

procedure D0-1. Specifically, the documentation of all aspects of well<br />

construction. Specific areas examined and the corresponding results are<br />

presented in the surveillance checklist (Attachment A). The surveiilance was<br />

performed by review of <strong>Grout</strong> <strong>Treatment</strong> <strong>Facility</strong> Groundwater Monitoring Project<br />

Drill Logs, As-Bui1t Diagrams, and Well Completion/Inspection <strong>Report</strong>s on file<br />

in the project files. This documentation was examined for wells 299-E25-37 and<br />

299-E25-38.<br />

Some minor documentation problems were noted but all were corrected.<br />

Describe attachments: Surveillance Checklist (Attachment A)<br />

CORRECTIVE ACTION<br />

[ ] None Required [^] Complete<br />

(] Reference FoZZowup Corrective Action Document:<br />

REPORTING<br />

QAD Trend Codes: DC: C-T-4 CC: P NQA-1 Criteria: 11 Surv. Type: C<br />

Distribution: Cogn Mgr/Fesk-bdP (Record Copy): MA Chomness, TJ Gilmore,<br />

EJ Jensen, SM Goodwin, MS Hanson, Process Quality epartment<br />

Surveillance performed by: DR Dah1 '(U^ALU Date: 4 713Y 0<br />

IGc<br />

0

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