DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0    April 15, 2013

Acceptable Knowledge:

Neededa

 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 documents 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-assessments or discrepancy 

resolutions related to physical characteristics should also be provided. 
DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0    April 15, 2013

Non Destructive Examination (RTR & VE):

Neededa 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 documents may be listed along with the “.” 

 
DOCUMENTATION CHECKLIST FOR ___________________ EVALUATION

Revision 0    April 15, 2013

Non Destructive Assay, CH TRU/Radiological Characterization, RH TRU:

Neededa 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 documents may be listed along with the “.”