### DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0 April 15, 2013 Acceptable Knowledge:

Needed a Documents Provided to EPA [indicate document name, source document #, or N/A)]

CCP-TP-005 Attachments: Attachment 6 (Waste form, parameters, prohibited items, and packaging), including WMP Calculation
Memorandum Attachment 7 (Radionuclides), including NDA memorandum (CH only)* Attachment 8 (Waste Containers list)
b Attachment 10 (AK Re-evaluation) b Attachment 11 (AK Discrepancy) Attachment 13 (Characterization checklist) Attachment 14 (AK Accuracy Report) Attachment 15 (Correlation and Surrogate Summary Form)

Note: Attachments 2 and 3 are submitted as AK source documents; Attachment 5 is not in EPA’s purview; Attachments 9 and 12 are not forms for completion/review
AK Procedures (provide the specific revision requested) AK Tracking Spreadsheet and Add Container
Memoranda
AKE Training records SPM Training records

Source Documents and Related CCP-TP-005
Attachment 3s Characterization Reconciliation Report (RH only) Characterization Information Summary Waste Stream Profile Form and Change Notices (as applicable) and Summation of Aspects (Draft is acceptable)

NCRs*
AK records used by radiological characterization team submitted to AKE for inclusion as AK source documents (list AK source document numbers if not identified elsewhere)

*May also have been requested for NDE or NDA/RC evaluation

a – All documents marked with “  ” are required for EPA’s review if applicable to this T1 request. Specific

documents or revisions of document s may be listed along with the “  .” b – These items are always required if applicable to the T1 scope. For example, if EPA’s scope of review includes physical characteristics and Attachment 6 has been requested, any AK re-ass essments or discrepancy resolutions related to physical char acteristics should also be provided.

### DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0 April 15, 2013 Non Destructive Examination (RTR & VE):

Needed a Documents Provided to EPA [indicate document name, source document #, or N/A)] VE/RTR Procedures and SOPs (provide the specific revision requested) Visual Examination Expert (VEE) appointment letters Training Records for operators, including video of training drum VE/RTR A/V Recordings

VE/RTR BDRs

NCRs* Training and Qualification cards for SPMs, ITRs, and operators, training visual and/or audio recordings where applicable Current LOQI, RTR & VE, as applicable

* May also have been requested for AK evaluation

a – All documents marked with “  ” are required for EPA’s review if applicable to this T1 request. Specific

documents or revisions of document s may be listed along with the “  .”

### DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0 April 15, 2013 Non Destructive Assay, CH TRU/Radiological Characterization, RH TRU:

Needed a Documents Provided to EPA [indicate document name, source document #, or N/A] NDA system description, design and history performing WIPP assays System calibration, confirmation, and verification(s) System performance indicators, e.g. radionuclide performance checks, background determinations and weekly interfering matrix checks, typically in NDA BDRs Total measurement uncertainty (TMU) documentation for system System’s lower limit of detection (LLD) documentation, including system’s ability to discriminate TRU/Non TRU Performance Demonstration Program (PDP) status
Replicate testing with respect to the EPA Replicate Testing Protocol Documentation of RH determination, Health Physics surveys or the equivalent (RH only) Calculation packages referenced in RCTR and applicable excel files and attachments (RH only) Software code (MCMP5, MicroShield etc.) input and output documentation, if not included in calculation packages NDA/RC Procedures (provide the specific revision requested) NDA/DTC/Sampling/Analytical/Measurement/Other BDRs and BDR equivalents
Analytical laboratory instrument calibrations, analyst qualifications Operator, Expert Analysis, Radiological Technical Staff Qualification Cards
AK records used by radiological characterization team submitted to AKE for inclusion as AK source documents (list AK source document numbers if not identified elsewhere) *
Training documentation for radiological characterization personnel, LOQI (CH & RH)
NDA memorandum, or equivalent document*

* May also have been requested for AK evaluation
a – All documents marked with “  ” are required for EPA’s review if applicable to this T1 request. Specific

documents or revisions of document s may be listed along with the “  .”