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Occupational Radiation Exposure Record
(Privacy Notification is on the reverve side.) Page 6 of 12

NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rem) LENS OF EYE EXTREMITIES
February Monthly

March ‘Monthly

April Monthly

May Monthly

Sune ‘Monthiy

July Monthly

August Monthly

September ‘Monthly

October Monthly

‘November Monthly

MEASUREMENT PERIOD 1966
RADGR TYPE

January Monthly 0.900

INTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

Las Alamos National Lebortiory POR 1663 Las Alamos New Mexico 61546



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June 24, 2006

To whom it may concem:

This letter is being written to help encourage and expedite any and ail matters conceming my
workman's compensation case with the Los Alamos National Laboratory (LANL). In 19741 began
‘working at LANL as a_ During the first five to six years of my employment
aft LANL there was little if no monitoring of contamination. At this time | was working with and
exposed to fead, PCBs, asbestos and many other chemicals that more than likely were harmful to
my life. At different times we were exposed to various types of exhaust and waste materials that
we were not familiar with and moreover not monitored for. Later in my career | found that these
chemicals needed to be monitored but was never tested or examined for any past contamination.
| believe that LANL knowingly exposed us to these hazards and then consciously made it a point
to avoid and ignore this time in my work history. in 1978 | was involved in a targe project that was
responsible for removing @ nuclear reactor from its site. My job was to disconnect any piping or
wiring that was attached to the actual reactor. I'm certain that there was a considerable amount
Of radioactive contamination, that again, was not monitored in the least, After this ! was assigned
to Technical Area 56 (TA-55) another facility that deals with high levels of contamination, My job
description was electrical foreman for the area. This included TA-21, an area which also deals
with uranium and plutonium. On several occasions my crew and | were asked to work on glove
boxes and other radioactive handling equipment. In fact, thefe were mary times when we were
fequired to exit ceftain areas of the building because of radioactive spills, Over eight years there
were twenty times or better that we had to be evacuated hurriedly. There were times when we
had to move through the entire basement expeditiously because of the intensity of the spill, At
TA-21 we had a situation in which we were not informed of some very serious contamination that
was found under a coat of paint. If i look back at my career in this facility | could bet money that
there were other episodes like this, I'm ceytain that the testimony | have given you is suffident
enough to exhort you fo seek any and ali other informational files that may not have been shared
with you. { thank you for your attention and concam for my case.

Sincerely yours,



AFFIDAVIT OF HARRIET RUIZ

State of New Mexico )
} ss.
County of Bemalillo )

COMES NOW.__ . _ and being duly swom upon oath deposes and states as
follows: :
1 My name is” ~ * and I am over the age of 18.
2, I was married to ‘from. _ 1958 until his death on
2004.
3. worked for the Zia Company, a subcontractor for Los Alamos

National Laboratory, from approximately 1960 to 1971.

4, During the course of his employment, __ was over-radiated on
several occasions,

5. From late 1963 until late 1965, my husband and I attempted to conceive a
third child. During this two-year period, __ aad a sperm count test. At
that time, the treating physician stated that was “almost sterile.”

6. In addition, i vividly remember that during this same two year period my

husband was prohibited from entering a “hot” site because he was already

over-exposed.
7. During this same time period dosimetry readings were zero.
8. At this time, I have requested all of medical records from the Los

Alamos Medical Center. Unfortunately, the Los Alamos Medical Center has

responded that no records could be found or located.

I declare under penalty of perjury that the foregoing is true and correct.



Hin. S001, my primary ghysican, =
dthe Los Mamos Medical center, discovered a nodule on.
hwy thyverd... upon fucther toting, the nodules was...

identiGed os being Cancerous On 8008,

underwent Suroery to remove. my thyrrid . Sine. then

EF have. undevaene. radiation Aveatmerdts for reocourth

cancer Gells. The tgneer cells have reonaured. twice.”
dinge,-chen.— rely on. daily medieeton as a .Sukstihdion

_ fr my, errbvre, hy roid

1 have applied for Crancial. assistance, aud compensation
- Ahrough he. Energy Employees. Ocaupational Tilness
. Lompensatiun Program. Ack and. have loeen denied, I am
 psking Br your assictance. in qcking. muy claim Ceconeldeted..

Sincerely,

~ | SIRTE OF Mew MEK Ice wee ee

. Gorasrry ve Rio Reena

“TI Loy Jume 22, J006, Berune me Aphetned

Plo, OFFICAL seat



2 Los Alamos

NATIORAL LABORATORY 18-Feb-04
Rathation Protection Services (HSR-1: PAT:
PO-ox 1053, Man supiaes Relorter HER-RIMT-0 982g
Los Alamos, New Mexico 87545
(505) 687-5296/Fax (605) 687-9726

Claims Processing

ORAU Cincinnati Operations Center
2100 Sherman Ave/ Suite 250
Norwood, Ohio 45212

SUBJECT: EEOICPA DOSIMETRY RESPONSE
‘RE:

Enclosed is the Dosimetry Response as per your request under the
Energy Empioyee Occupational illness Compensation Program Act
{EEOICPA). if you have any questions, please call me at (505) 665-0398.

Yvonne Montoya
HSR-12 Radiation Information

Ene: als
Cy: HSRAZRIM Fila

‘An Equal Opaurunily Bruphayer/Operated by the University of Caltomia

EXHIBIT

a



Occupational Radiation Exposure Record
{Privacy Notification is on the reverse side.) Page 10 of 12

NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rem} LENS OF EYE EXTREMITIES
July Non
Angust Monthly

September ‘Monthly

October ‘Monthly
‘November ‘Monthly:
December Monthly

TOTAL DOSE BY YEAR 1969

MEASUREMENT PERIOD 1970

BADGE 1YPE
January Monthly
L. . February Momtly
| March Monthly
| i : April moténty
July Monthly 0,600
August Moathly 0.000

INTERNAL DOSE EQUIVALENT Ste page 12

PERSONAL INFORMATION . 1

Los Alamos National Laboratory POB 1863 Los Alamos New Mexico $7544

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June 23, 2006

Dear Congressman Udall:

My name is {am a former Los Alamos National Laboratory employee. I was hired by the Zia
Company in 1960 and worked at this facility until my retirement in the year My job classification was .
that ofa

My daily activities consisted of entering into designated “hot areas”, working on the rooftops of buildings
where chemicals, metals and radioactive sources were present. Because I was on the roof of these buildings, I
was constantly exposed to the airborne contaminants that were released through the ventilation systems, as well
as exposure to the contaminated buildings themselves.

From 1960 until the late 1980’s (when the Tiger Team came in to conduct their assessment of the facility) I had
no personal protective equipment, training on the hazards that I was routinely exposed to or even knowledge of
the potential exposure in these areas. I was also exposed to the chemicals and solvents that were used to roof
the buildings. I was routinely exposed to the beryllium, asbestos, contaminated water, fumes and old materials
from when the buildings were first constructed. There was no way possible that I could have known what was
processed in these buildings over the course of when the LANL first started. There were areas where I bad to go
into that required that we waterproof the containers (which were almost like big vats) so that whatever was
placed in these containers would not leak into the surrounding areas,

Inthe _years that | was employed at the LANL, I worked in every single Tech Area, building, Storage area
and contaminated area throughout the entire LANL property. In the early years, the areas where we worked
was not monitored for contamination, therefore we were never advised to use protective clothing. It wasn’t
until after the Tiger Team assessment that we started to be monitored in areas where potential exposure was
presént. After working 20+ years with no protection, the damage was already done.

There were substances that 1 worked with where I would come home with lesions on my face and skin. I would
go to the medical facility and they would give me a cream and send me back to work. My records will show
little to no exposure because I was not monitored for half of my career.

IT worked hard to support my family and now that I’ve been diagnosed with cancer, I have to spend what I’ve
saved over the past _ years to pay for my cancer medication, because this medication is not covered by
insurance. [had to pay $2000 in one month for this medication out of pocket. I applied for the EEOICPA and
am still waiting for a decision. I can’t go much longer without some type of assistance because it has put such a
hardship on myself and on my family.

EXHIBIT

Lf.

Anv assistance you can offer. would be greatly appreciated.
E2308.

come aaa

tabbier



von oe

* Special Exposure Cohort Petition U.S. Department of Health and Human Services
under the Energy Employees Occupational Centers for Disease Control and Prevention
Uiness Compensation Act National Institute for Occupational Safety and Health

. . OMB Number: 0920-0639 Expires: 05/31/2007,

Special Exposure Cohort Petition — Form B Page 5 of 7

F Basis for Proposing that Records and information are Inadequate for Individual Dose —
Complete Section F. ~

Complete at least one of the following entries in this section by checking the appropriate box and providing
the required information related to the selection. You are not required to complete more than one entry.

FG (We have attached either documents or statements provided by affidavit that indicate that
Tadiation exposures and radiation doses potentially incurred by members of the proposed class,
that relate to this petition, were Tot monitored, either through personal monitoring or through area
Monitoring,

(Attach documents and/or affidavits to the back of the petition form.)

Describe as completely as possible, fo the extent it might be uncléar, how the attached
documentation and/or affidavit(s) indicate that potential radiation exposures were not monitored.

F.2 $& i/ We have attached either documents or statements provided by affidavit that indicate that

radiation monitoring records for members of the proposed class have been lost, falsified, or
destroyed; or that there is no information regarding monitoring, source, source term, or process
from the site where the employees worked.

(Attach documents and/or affidavits to the back of the petition form.)

Describe as completely as possible, to the extent it might be unclear, how the attached
documentation and/or affidavit(s) indicate that radiation monitoring records for members of the
proposed class have been fost, altered illegally, or destroyed.



Occupational Medical Dose
rays}

+ Frequency of employer-requited x rays.

+ X-ray equipment and techniques used,

+ Use this information to reconstruct
radiation doses.

Occupational X-fay: Dose (Cont)

+ Only chest x rays required by the
employer are included.

+ The x-ray equipment changed over time.

+ Older equipment gave off more x-ray
radiation raguiting in higher doses.

In Conclusion

+ Developing a usable Site Profile is an
Important fask.

» The Site Profiles can change besed
on your input,

800/800 8 4a]Uag ssinasay efouedsy SBLBLPLS0G X¥4 11-20 9002/0 ‘90



Occupational Radiation Exposure Record

(Privacy Notification is on the reverse side.) Page 7 of 12
NAME SOCIAL SECURITY NUMBER ENO

EXTERNAL DOSE (rem) SKN LENS OF EYE EXTREMITIES

February Monchly 0.000
‘March Monthly 0.000
Aptis Mathly 0.000
May Monthly 0.000
| June Monthly 0.000
L July Monihly 0.000
Avgust Monehly 0.000 y
September Monthly 0.000
October Monthly 0.000 .
ee November Monty §=——.000
December Monthly 0.000

TOTAL DOSE BY YEAR 1966 0.000 #

MEASUREMENT PERIOD 1967
BADGE TYPE

January Moothly 0.000

INTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

{Los Alamos National Laboratory POB 1663 Los Alamos NewMexico 87544



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Los Alamos PU/AM INTERNAL DOSE REPORT

FOR: _____} sen [J Birthdate [
2No "  }Pia [Group r sex fj
INTERNAL DOSE: TOTAL ceDE =m = (_o000}
TOTAL ANNUAL (remlyr) 0.000; for Year ending !12/31/2003]

NUCLIDE 20-239 | tora cepe (rem) [7 0.000} ANNUAL (romiyr}: [[bat0:

NUCLIDE CALCULATION INFORMATION

Z,valid bioassay samples from [11/16/1960] to[10/22/1970| Chisq/Ndatas 0.3055
[~" Die intakes 7 ChisqOINdata= 03055
Method (UFS7e jhcps0 | Catcnate: [5/21/2000

PERSONAL INFORMATION

Wednesday, Fehruary 18, 2004 Pagel



Occupational Radiation Exposure Record
‘«@rivacy Notification is on the reverse side.) Page 9 of 12

NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rem) LENS OF EYE EXTREMITIES
April Monthly 0.000
May Monthly 0.000
June Monthiy 0.000
July Menahly 0.000
November Mamy 0.000
December Marcy 6.000

TOTAL DOSE BY YEAR 1968 0,000

MEASUREMENT PERIOD 1969

BADGE TYPE
January ‘Monthly 0.000
= February - Monthly 0.006
March Monthly 0.000
Aprit Monuhty 9.000
May Monthly 6.000
June Momly 0.000

INTERNAL DOSE EQUIVALENT See page 12 -

PERSONAL INFORMATION

Los Alamas Nanonai Laboratory POB 1663 Los Alamos New Mevica 87544



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Send Comments on Site Profiles

Directly to NIOSH

National insfftute for Gocupational
Safety and Heath (NIOSH)

Robert A. Taft Laboratories MS-C34
4876 Columbia Parkway

Cincinnati, OH 45226

Fax: (613) 533-8230

email: sitearofle@ede.cev

NIOSH Office of Compensation

Analysis and Support Website

600/600 B

4a,ueg eoinosay eTouedsy

GRLGLPLGOS X¥S 14:20 B00S/¢ /9¢



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Occupational Radiation Exposure Record
(Privacy Notification is on the reverse side.) Page 4 of 12

NAME SOCIAL SECURITY NUMBER Zxo

EXTERNAL DOSE (rem) LENS OF EYE EXTREMITIES

February Montily

March Monthy
April “Mossy
May Monthly
Sune Monthly
July Monty
August Monty

September ‘Monthy
October Moothly
November Monty

December Monthly

TOTAL DOSE BY YEAR 1963

MEASUREMENT PERIOD 1964
BADGE TYPE,

January Mosthly 0.000

INTERNAL DOSE EQUIVALENT Seepage 12

PERSONAL INFORMATION

Los Alermas National Laboratory POB 1663 Los Alamos New Meaicg 87544



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enrolled and participating in the bioassay program. Whatever the circumstance,
protocols were not adhered fo consistently or conscientiously, which gravely
endangered employees.

Even today members of the protective force tell about the lack of personal protective
equipment in potentially hazardous areas. Members of the force must stand guard even
in situations that have been identified as harmful by other LANL employees. Often
times areas are evacuated by staff members, but members of the protective force are
tequired to stand guard without respirators or minimal protective equipment. These
stories hold true throughout the history of the Lab.

Although it has taken years for the U. S. Department of Energy's facilities to recognize
the significant impact that radioactive materials can have on a human life. During the
years of production of the atomic bomb, the risk to emiployee’s health may have been
affected more so than at other DOE facliities.

Environmental Dose

The LANL is the site where most nuclear weapon tests within the Continental U.S. were
conducted, These detonations disperse materials, of various types, to the atmosphere
and could have caused exposure fo LANL employees. The waste matter can affect
workers present in nearby TAs and can result in intemal and external exposures by
inhalation of airborne radionuclides, re-suspension of radionuclides in soil, and by
submersion in an effluent. However, the environmental monitoring efforts of LANL are
lacking, to say the least. In Section 4.3.1 of the Site Profile, it mentions:

Many Tech Areas have unreported results and data are missing for some

radionuclides an some years, or there have not been data to report due to

changing conditions at LANL. Unless it is provided in the claimant files, locations

to the air monitoring stations in relation to the.specific worker's location(s) in a
Tech Area are not well known.

The work environment at LANL, in the early years, is one that has lacked occupational
radiation protection. Since workers could have inhaled, ingested or absorbed particles
that emit alpha radiation, it is crucial to have exceltent health practices and detection
devices in place. When important Safety procedures are violated or ignored, such as
individuals not required to tum-in their personnel dosimeter at each exchange period
(Tiger Team Report 4-780), all employees are at risk.

The men and women involved in the day to day production at LANL were well aware
that we are living in a radioactive world. However, valid radiological readings
necessary for individuals to be found eligible or ineligible for benefits through the
Energy Employees Occupational Illness Compensation Program (EEOICP) do not
exist for this class, and thus justify acceptance as a Special Exposure Cohort.

ce



Extemal Dosimetry

+ Dosimeter technology

Gamma and x-ray ~ 1943 fo
present

Beta ~ 1949 to present
Neutron ~ 1949 to present

+ Exchange frequency

+ Workplace radiation fields.

+ Worker locations around sources

Occupational intemal Dosimetry

We include information on:

+ Sources of exposure.

+ Minimum detectable activity (MOA) for:
- Invitro bioassay
- Whols body and chest counting

+ Reporting levels

Internal Dosimetry

+ Bloassay program started in 1944.

= Nasal swipes for plutonium done in 1244,

+ Invitro bioassay started in 1944,

Gamma-ernitting radioactive materials were
Measured inside the body by:

Whole borly caunting started in 1955
Chest (lung) counting started in 1979.
* Wound counting was started in 1959.
5
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600/300 8 482Ua9 B2sngsey eTovedsz $929202505 X¥3 LL-20 900z/0 90



ae

NIOSH ~ National Institute for
Occupational Safety and Health

Office of Compensation , 7
Analysis and Support (OCAS)

Contractor — Oak Ridge Associated
i Universities (ORAU) Team

Significant Dates
+ Devernber 2000 EEOICPA signed into
jaw.

}

* duly 2001: Department of Labor (DaL)
began aocepting alalms.
-* + September 2002; ORAU Team awarded
contract to support radiation dose
reconstruction.
= Amended October 2004: all claims go to
Department of Labor.

Purpose of This Meeting:

+ Discuss the Site Profile for the Los Alamos
National Laboratory (LANL).

+ Describe what the Site Profile is used for.
+ Ask for your suggestions and information.
+ Document your concems and issues.

+» Answer your questions,

ny

g00/600B 38}U8) sdinosay epoueds3 SSLBLPLAGOS XVI 01:20 GO0Z/C /90



Special Exposure Cohort Petition U.S. Department of Health and Human Services

under the Energy Employees Occupational Centers for Disease Control and Prevention
liiness Compensation Act National Institute for Occupational Safety and Health
OMB Number: 0920-0639 Expires: 05/31/2007

Petitioner Authorization .

Page 1 of 2'

Instructions:

W you wish to petition HHS to consider adding a class of employees to the Special Exposure Cohort and you
are NOT either 2 member of that class, a survivor of a member of that class, or a labor organization
representing or having represented members of that class, then 42 CFR Part 83, Section 83.7(c) requires
that you obtain written authorization. You can obtain such authorization from either an employee who is a
member of the class or a survivor of such an employee. You may use this form to obtain such authorization
and submit the completed form to NIOSH with the related petition. Please print legibly.

For Further Information: If you have questions about these instructions, ptease call the following NIOSH
toll-free phone number and request fo Speak to someone in the Office of Compensation Analysis and
Support about an SEC petition: 1-800-356-4674.

Authorization for Individual or Entity to Petition HHS on Behalf of a Class of Employees for

Addition to the Special Exposure Cohort

Name of Class Member or Survivor

Street Address of Class Member or Survivor Apt. # P.O, Box

City, State, Zip Code of Class Member or Survivor
do hereby authorize:

Name of Petitioner
Address of Petitioner Apt. # P.O. Box

City, State and Zip Code of Petitioner

to petition the Department of Health and Human Services on behalf of a class of employees
that includes:

i i ~1975
Name of Glass Member (employee, not the employee's survivor)

for the addition of the class to the Special Exposure Cohort, under the Energy Employee’s
Occupational Illness Compensation Program Act {42 U.S.C. §§ 7384-7385),

In providing this authorization, | recognize that the petitioner named above will have all the tights
of a petitioner as provided for under 42 CFR Part 83.

Signature of Class Member or Survivor Date

Name or Social Security Number of First Petitioner:



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Special Exposure Cohort Petition : U.S. Department of Health and Human Services

inder the Energy Employees Occupational Centers for Disease Control and Prevention
ines Compensation aa . . National Institute for Occupational Safety and Health
a: “ . . OMB Number: 0920-0639 Expires: 05/31/2007
Special Exposure Cohort Petition — Form B Page 6 of 7

F.3 Q lWe have attactied a report from a health physicist or other individual with expertise in
radiation dose reconstruction documenting the limitations of existing DOE or AWE records on
radiation exposures at the facility, as relevant to the petition, The Feport specifies the basis for
believing these documented limitations tight prevent the completion of dose reconstructions for
members of the class under 42 CFR Part 82 and telated NIOSH technical implementation
guidelines. :

{Aitach report to the back of the petition form.)

F.4  O IWe have attached a scientific or technical report, issued by a government agency of the _
Executive Branch of Govemment or the General Accounting Office, the Nuclear Regulatory

Commission, or the Deferise Nuclear Facilities Safety Board, or published in a peer-reviewed

journal, that identifies dosimetry and related information that are unavailable {due to either a lack

of monitoring or the destruction or loss of records) for estimating the radiation doses of
employees covered by the petition.

(Attach report to the back of the petition form.)

G Signature of Person(s} Submitting this Petition — Complete Section G,

All Petitioners should sign and date the petition. A maximum of three Persons may sign the petition.

Signature Date
Signature Date
Signature Date
Notice: Any person who knowingly makes any false Statement, misrepresentation, concealment of

fact or any other act of fraud to obtain compensation as provided under EEOICPA or who
knowingly accepts compensation to which that person is not entitled is subject to civil or
administrative remedies as well as felony criminal prosecution and may, under appropriate
criminal provisions, be punished by a fine or imprisonment or both. | affirm that the information
Provided on this form is accurate and true, .
Send this form to: SEC Petition
pike of Compensation Analysis and Support
OSH ; - ; ,
4876 Columbia Parkway, MS-C-47
Cincinnati, OH 45226

Name or Sociat Security Number of First Petitioner:



Occupational Radiation Exposure Record oar
@rivacy Notification is on the reverse side.) Page 5 of 12 : |

NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rem) LENS OF EYE EXTREMITIES
February Monthly
March ‘Momtly 0.000
Apeil ‘Monthly
May Monty 0.000
June Montbly 0.000
July ‘Montbly 6.000
7 August ‘Monthly 0.000
September Monthy 0,000
October Meoathiy
re November Moatiy
December Monthly

TOTAL DOSE BY YEAR 1964

MEASUREMENT PERIOD 1965
BADGE TYPE

January Montbly

INTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

‘Los Alamos National Laboratory POB 1663 Los Alamos New Mexico 87544



The LANL has been a research and development center for nuclear weapons design, '
high-energy physics research and other scientific endeavors. There are many
incidents and accidents documenting the history of occurrences at the LANL |
which are not Included or made available in the dose reconstruction process,
The men and women endangered by the lack of health and safety protocols, and the
lack of consistent oversight of workers involved in radiological operation is evident
throughout history of the Lab, but especially so in the early years.

Section 5.6 of the Site Profile begins explaining the working conditions at the LANL in
the early years.

in 1844, shoe covers wom by secretaries and others working throughout the
buildings had significant count rates of 2,500 to 7,500 cpm (LASL 1944a). In
June and July 1945, over 50% of the laboratories had areas that routinely
exceeded the maximum removable contamination level. The potential for
unmonitored intakes was significant in the early years (1944-1 946) for any
site worker.

“However, because of the urgency of the times, work with plutonium had to
proceed, and improvised methods of monitoring and decontamination were
unbelievably primitive by today’s standards” (Hempeimann, Richmond, and Voelz
1973).

Occupational Environment

The site profile identifies that there was a significant potential for unmonitored intakes of
plutonium and uranium, either depleted or enriched, although natural uranium was used
extensively in conventional weapons testing from 1943-1946, (Site Profile 5.6.2)
Workers with potential exposures to fission or activation products prior to 1955
(possibly 1958) were not monitored. (Site Profile 5.6.2} :

in the early history of the Lab, it was not uncommon for a person to work outside
of their normally assigned work area and be asked to Patticipate as a substitute
in a task involving radiation or radioactive materials. These persons were not
likely to have regularly, or possibly ever, participated in the bioassay program.
(Site Profile 5.1.2)

Travel throughout areas of LANL to perform work assignments was often necessary for
some classes. For example, a technician may have traveled to TA 56, TA 3, & TA 21 all
in.one day as part of his or her regular work duties. Even though this individual traveled
to these areas, he or she was not required to participate in the bioassay program. Many
of the exposure histories and work records are not specific to the assigned work areas
of individuals.

Bioassay programs were not set up for ail employees. Perhaps because of the size and
its rapid growth it was difficult for monitors to track individuals and ensure that they were



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Occupational Radiation Exposure Record

(Privacy Notification ts on the reverse side.) Page 1) of 12

NAME SOCIAL SECURITY NUMBER

ZNO

EXTERNAL DOSE (rem) SKIN 3

LENS OF EYE EXTREMITIES

September Monthly 0.000
October Monthly 0.000

November Monthly 0.000

December Monbly 0.000

TOTAL DOSE BY YEAR 1970 0.000

MEASUREMENT PERIOD 1971

BADGE TYPE

January Monthly 0,000

February Moothly 0.000

March ‘Monthly 0.000
~Apat Monthly 0.900

May Monthly 0.000 2

June Monthly 0.000

July ‘Monthly 0.008

TOTAL DOSE BY YEAR i971 0,000 800g

INTERNAL DOSE EQUIVALENT Seepage 12

PERSONAL INFORMATION

‘Los Alamos Nanonal Laboratory POB 1663 Los Alamos New Mexico 87544



ae

[Spectat Exposure Cohort Petition
under the Energy Employees Occupational

U.S. Department of Health and Human Services
Centers for Disease Control and Prevention’

iiness Compensation Act Nationa} Institute for Occupational Safety and Health
. OMB Number: 0920-0639 Expires: 05/31/2007 |
ial Exposure Cohort Petition — Form B ix — Petitioner 3

Use this Appendix for Petitioner 3,

This appendix form is to be used as needed. Petitioner 3, or his or her representative, should complete the
parts applicable to him or her.

Refer to the General Instructions on completing petitioner information for Parts A, B, or C.

[f you need more space to provide additional information, use the continuation Page provided at the end of

the form and attach the completed continuation page(s) to Form B.
Except for signatures, please PRINT all information clearly and neatly on the form.

Q An Energy Employee (current or former}, Start at C
if you are; {Q A Survivor (of a former Energy Employee), Start at B
fk A Representative (of a current or former Energy Employee), Start at A

Representative Information — Complete Section A if you are authorized by an Employee or
Survivor(s} to petition on behalf of a class.

Al Are you a contact person for an organization? O Yes (Go to A.2) & No (Go to A.3)
A2 Organization information:
Name of Organization
Position of Contact Person
A3 Name of Petition Representative:
Mr/Mrs./Ms. ~ First Name Middle Initial Last Name
A4 — Address:
Street Apt # P.O. Box
City” State Zip Code
AS Telephone Numbe’
A6 Email Address:
A7 © Check the box at left to indicate you have attached to the back of this form written authorization to

petition by the survivor(s) or employee(s) indicated in Parts B or C of this form. An authorization
form for this purpose is provided.

Name or Social! Security Number of First Petitioner: _



AFFIDAVIT OF RONALD A. CHAVEZ

STATE OF NEW MEXICO

)
) ss.
COUNTY OF Beer ¢ )

COMES NOW and being first duly sworn upon oath deposes
and state:
1. That my name isi
2. That I worked with. at the Los Alamos National
Laboratories in Las Alamos, New Mexico

3, That I recall an incident where and I were assigned to move
shielding blocks from Mason (TA53) to the hot dump (TA54) with an
approximate weight of each shielding block 19,00 pounds. The RCT’s
cleared certain blocks to take. When exiting Mason the RAD alarms were
Set off at exit gates, :

4. That the RCT’s and management direct. and myself to continue on to
the hot dump.

FURTHER AFFIANT SAYETH NAUGHT.

SUBSCRIBED AND SWORN TO before me this
June 2006 by RONALD A, CHAVEZ



It is imperative that these facts are addressed and that the men and women who _
worked at LANL, in the early years, who were exposed fo radiological substances be
given the attention they so greatly deserve. The consistent disregard for occupational
safety and health at LANL is unacceptable. There is a lack of intemal dose (bioassay
data) data and occupational environment dose (air sample test results) data for the
stated class of employees.

The Site Profile clearly states that no definitive historical information exists. As
sited, in reports as current as the ORAU TEAM Dose Reconstruction Project
Report for NIOSH, dated August 16, 2005, no environmental exposure data exists
prior to 1965. Also, there are references made in the U. S. Department of Energy
Environment, Safety and Health, Tiger Team Assessment, November 1991, to the
lack of documentation and administrative requirements for evaluating personnel
exposures from unusual internal exposures to radioactive materials. Since
NIOSH has established that a lack of access to Sufficient information needed to
estimate a complete radiation dose exists we find it imperative that Special Exposure
Cohort status be given to the class mentioned,

We request that claims made by current and former workers, or their survivors, by
reviewed in a timely manner. Many claimants have been waiting four years or more to
receive a determination from NIOSH. We are requesting that these claims be given
priority in order that the claimants are provided closure.

Statistical information provided by the Department of Labor shows that claims for sites,
with similar work activities as LANL are paid more aggressively and are reviewed in a
timely manner. For example, as of 12/1 5/2005, the total number of part B claims paid
out for Hanford totals $43,575,000. The total number of claims paid for LANL is
$10,550,000. 71.4% of all Hanford cases are referred.to NIOSH compared to 38.7% of
LANL cases. Hanford - of the 2,381 cases that were referred to NIOSH 1,366 have
been processed for a 57.7% review rate. LANL — of the 777 cases that were referred to
NIOSH and only 262 have been processed for a 33.7% review rate.

The petitioners recognize the interest that NIOSH and the U.S. Department of Labor
have paid to the claimants of the Los Alamos National Laboratory. However, the
identified class that requires special attention and consideration as data is not
available to legitimately construct a valid dose reconstruction on their cases.



One time I was told to bury a truck which was lined with beryllium and lead. This truck
was used to transport waste. I dug a smaller pit inside a larger pit, 55’ deep so that I
could burry the truck. This was done after normal working hours and the area was
considered high security during the burial. I had to bury culverts full of sludge on top of
the truck, I lined up 200 culverts on top of this truck. One culvert busted and the whole
work site was shut down. I don’t know what they did because the area was evacuated. I
don’t think that there are any records of these activities because they were high security
and they were done after normal work hours.

One time before Christmas break we placed a bunch of barrels outside of the shed
because there was not enough room in the shed. They were brought over from TA 55 and
needed to be stored. Normally we would put about 300-400 in the shed and then we
would haul them to the pads, stack them up, and box them in to hold them in place. We
would surround them with dirt. Anyway, this one year when we returned from Christmas
break we started to uncover the barrels. We then realized that they had bullet holes in
them. Plutonium 238 was stored in these barrels and radiation was leaking and had
leaked all over. By that time we were already exposed to the plutonium.

was the Supervisor at the time, he and the monitor came to the site and
told us to repack the barrels. We repacked them and transported them to the pads,

In 1990 I broke my ankle. I was going to have a second surgery and I went in for blood
work. At that time they diagnosed me with leukemia. Two weeks before that Ihad had
my annual physical at LANL and they never told me that my blood work was abnormal
or anything like that. I was terminated from LANL because of extended absence, yet I
was under workers’ comp. | began intense cancer treatment and I am still going through
treatment. Years later I retumed to the Laboratory to pick up my records, at the request
of my doctor. I know the lady that worked in the records area and she told me that my
records had been destroyed. She said, “} you’re supposed to be dead. We were
told to destroy your records.” .

In 1996 I had a relapse and I almost died. At that time my doctor performed a buffy coat,
which was a new procedure where your donor is surgically opened on the throat and they
place the white blood cells into the recipient, which was me. 1 had a bad reaction,
although it saved my life, but I’ve suffered ever since with after affects.

After being gone from the Los Alamos National Laboratory for some time I took my
dosimetry badge to my old supervisor and I was told that I was no longer employed up
there so they didn’t need it. We had many incidents at Area G that were probably never
recorded. Many of my co-workers have died over the years these are men who worked
along side me, There were many times when I would not get my urine kit for three or
four months. There was one time when I was at-TA 54 that our urine samples stayed
sitting in the restroom for about three months,



s

LANL Site Description

* Provides an overview of the facilities and
activities at LANL since 1943.

+ Documents the radioactive materials and
eadiation sources at the sites.

H * Identifies potential radiation exposures

| from occupational and environmental

4 radiation sources,

LANL Site Description

+ Weapons design

+ High explosivas and ordnance design

+ Weapon auely

+ Nuclear reactor research

+ Wate ciepoel and naeraton

+ Grltcalty experiment

. + Bp an doco east
handling

* Raging ioctl mixed fssinn and acivation
Products, ‘vansuranics, noble gases
> Radiation sourdea fated by Technical Atea ln Table 2-4
+ Accidents and inpldents ant: ited in Table 24

Occupational External Dosimetry

‘We include information on:
+ Sources of exposure
"+ Types of dosimeters used
+ Methods and practices
+ Adjustments to recorded dose
+ Minimum detectable levels (MDLs)

800/00 4a}ueg aoinosay etouedsy GOL8LHLG0G XVI LL-Zo 900Z/0 “30



The Site Profile Supports
Dose Reconstruction

The Site Profile:

+ Is used by radiation specialists (Heatth
Physicists) to reconstruct radiation doses.

+ Provides site-specific technical information. ‘

+ Minimizes the interpretation of data.

‘ « (s revised a6 new information comes to

i fight.

Contents of the
Site Profile

H The Site Profile has sections on:

+ Site Description

* Extemal Dose

* Internal Dosimetry

* Occupational Environmental Dose
* Occupational Medicat Dosa

LANL Site Profile

* The Team was established In May 2003,
» The Team Leader is Jack Buddenbaum,
+ The Site Profile is completed and has

been approved by NIOSH,
+ The Site Profile is on the NIOSH website:
1.x is locas!
3
600/700 B 418208) B22noSay BeTOUedsZ GRL8LvL50E X¥I 11:20 9007/0 ’80



i
i
j

|

Special Exposure Cohort Petition for

Los Alamos National Laboratory (LANL)

The petitioners are requesting Special Exposure Cohort status be granted to the
employees working in all Tech Areas of the Los Alamos National Laboratory

(LANL) from 1943 to 1975.

A Brief History of the Los Alamos National Laboratory (LANL)

The U.S. government built the Los Alamos National Laboratory (LANL) as a key
Fesearch and development center for the secret effort during World War II, to create the
first atomic bomb as part of the Manhattan Project. This complex site conducted
applied research, which involved many sources of radioactive materials that were
present at some time at each Tech Area.

As a result the population in Los Alamos grew extremely rapidly and included
individuals from all areas of the globe. In January 1943 the population was 1,500. By
the end of 1944 Los Alamos nearly quadrupled to 5,675 and by 1945 over 8,000 people
{ived on the hill, many of them working for the LANL.

In the early years of the Lab, the rapid growth often made for unsafe working conditions.
Policies addressing health endangerment involved in the development of sophisticated
nuclear physics were not developed and implemented as quickly as needed. The site
Profile of the LANL does not include many incidents and/or accidents that occurred
during the early years.

The Petition

This petition is made in accordance with 42 C.E.R § 83.13 (c)(3) because current
Statistics show that National Institute of Occupational Safety and Health (NIOSH)
is not able to estimate with sufficient accuracy radiation doses for members of
the identified class, it is also determined that there is a reasonable likelihood that
such radiation doses may have endangered the health of members of the class.
The lack of bioassay data raises the issue of possible chronic exposure to external
sources Of radiation.

With respect to these employees it has been determined that there Is Insufficient
information to estimate either the maximum radiation dose incurred by any
member of the class being evaluated. The information available from the site profile
and additional resources is insufficient to document or estimate the maximum internal
and extemal potential exposure to members of the class during the period of
radiological operations at LANL; 1943-1975. Plus NIOSH has stated that such data
does not exist for the early years of the Los Alamos National Laboratory.



oacesescmna

Occupational Radiation Exposure Record

(Privacy Notification is on the reverse side.)

NAME SOCIAL SECURITY NUMBER

Page 8 of 12
ZNG

LENS OF EYE EXTREMITIES

EXTERNAL DOSE (rem) SKIN
February Monthly
March Monty

- May Mosstiy
Tune Monthly
July Meothly 0.000
August Monthly 0.000
september Monthly 0.000
October Monthly 0.000
December Monthly 0.000

TOTAL DOSE BY YEAR 1967" 0.020

MEASUREMENT PERIOD (968

BADGE TYPE
January Monty 0.000
February ‘Monthly 0,000
March Monhly 0.000

INTERNAL DOSE EQUIVALENT See page 17.

PERSONAL INFORMATION

Los Alamos National Laboratory POB 1663 Los Alamos NewMexico 87544



(
i
'
i
|

I

Tam ,- - ‘he daughter of two former Department of Energy-Los Alamos Laboratory
employees, both of whom died of cancer. I am giving this statement about my father to support the
request for a Special Exposure Cohort for Los Alamos employees.

My father,’ . _ .» Worked on the Security Pro Force at Los Alamos
National Laboratory from [947 to. He then worked for the rest of his career (" at the
DOE Albuquerque Operations Office as a Transportation Analyst to schedule and track shipments of
nuclear materials around the United States,

My father grew up in a smail farming town in Bast Texas and married my mother,” oe
when they finished high school. They moved to Washington, D.C where he worked in the

* fingerprint division and she worked as a courier for the FBL After a year he joined the Army Air Force

and left for Europe to serve in World War II (England, Scotland, and France). When he retumed to his
wife and son at the end of the war, he was asked to come back to the FBI, but instead chose to work at
Los Alamos. My brother was four and I was about one year old when we arrived in Los Alamos, and two
more daughters were born over the next four years. To supplement the family income, my mother
worked as a Lab Technician from 1953 to We left Los Alamos when I was about 10 years old

At Los Alamos, my father’s job took him into all areas of the facility and site. [ well remember seeing
him in his uniform, at times riding his motorcycle, He was very proud of his job and his service to his
country. He never discussed his job with us, but many of our family friends were his co-workers on the
Pro Force, and in conversation my father and his friends would occasionally mention (without disclosing
details) being at the Front Gate and the Back Gate, patrolling the roads and canyons, and working in the
faboratory buildings.

One evening (I would estimate when I was about four years old) a group of laboratory personnel showed
up at our home and conducted tests. The marks of his footprints were clearly visible to the testing
instruments, His clothing was all confiscated and he never saw any of it again. My father was
particularly upset to lose his shoes (not easily replaced except by a shopping trip to Santa Fe), and was
concerned because we had all been exposed to the contaminated foot tracks, especially my sister, a
toddler of perhaps 18 months crawling about on the floor. {remember the distress and knew something
was wrong, although I didn’t really understand what was happening. I recently learned from my aunts,
his sisters, that he had during that time period expressed concern to them about that incident and other,

. unspecified exposures. He of course could not be very detailed with them due to the nature of his job.

My father was very fit and healthy. Shortly before he became ill with the cancer, he had a physical
examination and his doctor told him he should live toa ripe old age. He died about six months after he
was diagnosed with a very aggressive, fast-moving cancer (Burkitt’s Lymphoma/Lymphoblastic
Leukemia) at the age of 69. He was well loved, highly respected, 2 “salt of the earth” ‘type of man, and
his death left a deep hole in our hearts,

Attested as true by:

G0. 2204
Date



Tam’ the daughter of two former Department of Energy-Los Alamos Laboratory
employees, both of whom died of cancer. I am giving this statement about my mother to support 2
request for a Special Exposure Cohort for Los Alamos employees.

My mother, moved to Los Alamos in 1947 with her husband,
, and two small children (ages 4 and 1), Two more children
were subsequently born. To suppiement the family income, my mother worked at LANL as a Laboratory
Technician (1953- ). She was responsible for counting the molybdenum and silver in atmospheric
fallout samples, and was the first person to test the samples to determine how “hot” they were so others
could safely perform their tests. in 1955, my mother witnessed an Operation Teapot overhead nuclear
explosion (“doughnut”) in the open atmosphere at the Nevada test site, during which she stood outside
without protective clothing in a fallout zone. She went to work the morning after their return to perform
the initial tests on the samples, but was sent home early “due to measles, or a measles-like rash”,

My mother died suddenly of brain cancer in 1999, but because she had overcome endometrial cancer
several years earlier, the brain cancer was considered secondary. The well-knowa oncologist ( )
was horrified to find that cancer was scattered throughout her brain when she suddenly started having
headaches and other major symptoms. He had earlier treated my father for Burkitt’s lymphoma and my
sister’s husband for prostate cancer, and had watched my family suffer through their deaths from cancer.
He was aware that ail three had worked at Los Alamos, and mentioned the Los Alamos connection to us,
also told us that he had looked through medical journals and searched the internet, and that he
had not found any cells that were at all similar to my mother’s brain cancer cells. Unfortunately, when
endometrial cancer was listed as the cause of death on the death certificate, we didu’t challenge it at the
time, but the three of us are convinced because of the oncologist’s statements that my mother died of a
primary aggressive brain cancer. However, since endometrial cancer was listed as primary, her case was
finalized in November 2005 as having less than 50% probability of causation through her work at LANL.

Because of security issues, my mother never discussed much about her work at Los Alamos, although her
Operation Teapot certificate was displayed on the wall of our den throughout our growing up years. I
interviewed her on videotape in January of 1996, and she discussed her ‘job and the trip to the Nevada
Test site. On the tape she mentioned that she was outside, with her head uncovered, and that she was
exposed to fallout. She also mentioned “breaking out with measles” the next morning after returning and
running the initial tests. That tape is available for anyone to view who is interested. Unfortunately, the
batteries went dead during the interview and the videotaped session ended abruptly. My-mother and I
‘continued the discussion off Camera, and she brought up some of her concerns about exposure through her
Job and also through my father’s job. She mentioned the time when laboratory personnel came to our
home and confiscated his clothing one evening after work, which I remember from my childhood. She
also expressed uneasiness about my father’s death and wondered if it was connected with his work at Los
Alamos. After her diagnosis of brain cancer, during one of her brief moments of consciousness before
death, she whispered “Los Alamos”.

My mother was very health conscious — always took vitamins and tried to do the right thing. She came
ftom a strong family -- her older sisters lived into their nineties, and her mother died at 88. She was very
talented musically and was beloved by all who knew her.

Attested as true by:

6 [29/2006

Date

ANDREA M. WILLIAMS
Notary Public
Prince George's County

Maryiand
My Commission Expyes Dec 30, 2003

&



(BIN ORAU TEAM
a Dose Reconstruction
Wee Wy Project for NIOSH

Development of the

Site Profile

for the

Los Alamos National
Laboratory

National Institute for Occupational Safety and Health (NIOSH)
Los Alamos National Laboratory Site Profile Meeting

August 16, 2005

Oak sje Assocsted Unversiies | Dade Moeller & Associstes_1_NUW Corporation
‘Smith Rood Suite 200 Gecinnat, Ohio 45212
4548) 924-1000 4-800822-0114

600/100 8 , Jepueg svinosey eTouedsy GOLGLPLSOS XV4 O1:ZO G00Z/O ‘90



|
|

; ele i ug pee
exh or . . vn FU ATOR j

COMMISSICN

Me

t

. RG__3a6 .
- UNITED ‘stares ection OS Zo. ,
ATOMIC ENERGY covmrssron | Collection OC& Zo!

Washington 25, 0. ¢. | Box 1363...
0 [Folder 3: MAES 6-5 Aceh ot

No. B~30 ‘FOR IMMEDIATE RELEASE
Tel. HAZelwooa 7-7831 mt (Monday, March 2,°1959)
Ext. 3446 7, . . i

AEC ANNOUNCES COMPLETION OF INVESTIGATION AND REVIEW
, OF DECEMBER 30 RADIATION ACCIDENT
: AT LOS ALAMOS SCIENTIFIC LABORATORY

General Manager A.-R,
- Commission announced today that

Iuedecke of the Atomic Energy
oratory hai

the- Los Alamos’ Scientific

d completed its investigation of the circum. - WR
stances Surrounding the radiatio;

m accident at the Los Alanos’
Laboratory on December 30, 1958, which resulted in the fatal
injury of one employee. 4 Technical

detail the c,roumatances of the acci

recovery process, The Commit;
cedures for this

depended substantially on the ab:
dividual operators bit

SSOE



—

a Mine 99 200 |

_— US. Representelive “Tam Udall ee.
—_— _ 4 se HOR — |
i . is~ ee

Representative Ton udeli

a oe nf ne e+

— — fe names hae worked far Los.
-—- . Maes National Laboratory Bre the past IS years as.
———.. - Ptustodian. Wiluin these 15 years TC received a.
and was assigned tp work ns ide).

dled *hot" areas. where, Where is radiation octivcay
~ —j@OWg ene a

These. work sites naluded S-dik, cMR DHART and.
_. . Pherinew _uohen uous. ‘in hese aveas Were yas We
Med ieed sronttoring done, Oud —c uns nat ase to
2 Pacticipak tn afty bioassay monitoring ether Upon

——... entering a puilding , used coveral $, gloves and

~~ boohes; buck never had amd type of respritory peoteeton, .
~~ on fhen teavisig the building I oClen set off vaduachon. _
—.jalarms buck wus never properly alwebed fy contamination
. .. fin example oF his uses while. usorking in te Phermor.
-.. puildtwa, uscd leave the Quildtia 40 Shes arash in.

the. dumpsters. The bllewing day ie avea —L pusseal
Hhrough. wold beteped deduce, to corrbamiiation

iv

ee Ne Oven ae one
“—



18-Feb-04
Please direct al inquities to:
» Los Alamos Te nin
NATIGNAL LABORATORY Los Alamos Naffonal Laboratory
Los Alamos, New Mexico 87544
Phone: 505-665-0398 Fax: $05-665-2052

‘This report is furnished ta you in response to an Energy Employee Occupational Iliness Compensation
Act Request. All doses are in units of Rem,

Occupational Radiation Exposure Record

(@rivacy Notification is on the reverse side.) Page } of 12
NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rom) LENS OF EYE EXTREMITIES

MEASUREMENT PERIOD 1960

i

i BADGE TYPE

| March Monty

{ 7 April Menthly

I May Monthly
October Monthly

November Monty

TOTAL, DOSE BY YEAR 1960

MEASUREMENT PERIOD 1961

BADGETYPE
January Monthly 0,000
March, Monthly 0.000

WTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

‘Los Alamos National Laboratory POB 1663 Les Alamos New Mexico 87544

4



Occupational Radiation Exposure Record
(Privacy Notification is om the reverse side.) Page 3 of 12

NAME SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rem) LENS OF EYE EXTREMITIES
March ‘Monthly 0.000
Aptil Monthly 0,000
May Monthly 0.000
June ‘Monthly 0.110
july Monthly 0.000
August Monthly 0.000
August - Monthly 9.000
August Monthly 0.000
September Monthly 0,000
October Monthly 0.000
November , Monthly 0.000
December Mosihy 0.000

TOTAL DOSE BY YEAR 1962 0.110

MEASUREMENT PERIOD 1963
BADGE TYPE.

January Monthly 0.000

INTERNAL DOSE EQUIVALENT See page 12 .

PERSONAL INFORMATION

‘Los Alamos Netional Laboratory POB 1663 Los Alamos New Mexico 87544



oe
‘

* ” [Special Exposure Cohort Petition U.S. Department of Health and Human Services

of
under the Centers for Disease Control and Prevention
reteaten Ne 8 ean ¢ bd ont Pre

OMB Number: 0920-0638. Expires: 05/34/2007
Page 4 of?

Special Exposure Cohort Petition — Form B
E Proposed Definition of Employee Class Covered by Petition — Complete Scction E.

Name of DOE or AWE Facility: Los Alamos National Laboratory (LANL)
E.2 Locations at the Facility relevant to this petition:
Al} TechhAreas of the LANL from 1943=1975

E.3 List job titles and/or job duties of employees included in the class. In addition, you can list by
name any individuals other than petitioners identified on this form who you believe should be
included in this class: -

+ALL DOE employees, contractors, and subcontractors employedbby the LAND;
“including all Predgcessor agencies,

E4 Employment Dates relevant to this petition:

Start I-1~1943 End _12-31-1975
ai

Start End

Start End

E.5 Is the petition based on one or more unmonitored, unrecorded, or inadequately monitored or
recorded exposure incidents?: 4 Yes Q No

lf yes, provide the date(s) of the incident(s) and a complete description (attach additional pages
a8 necessary): |
tn many cases from 1943-1975 personal exposures in some job categories

‘with significant radiation exposures were unrecorded. These exposures
may have endangered the members of this class 0: employees who worke:

at LANL.

ccurate data required for NIOSH to conduct precise dose reconstructions
of members of the specified class does not exist for some employees.

FExbibit 1 is a clear example that hécessary-pyetautions were mot
always taken by supervisors and/or employees of LANL.

Name or Social Security Number of First Petitioner:



Executed on Jume 20, 2006.

SUBSCRIBED AND SWORN to before me this 20th day of June, 2006, by Harriet Ruiz.

Notary Public

OFFICIAL SEAL

i BEN Tatiana D. Engelmann



Occupational Radiation Exposure Record

@rivacy Notification is on the reverse side.) Page 12 of 12
NAME SOCIAL SECURITY NUMBER, ZNO

EXTERNAL DOSE (rem) SKIN LENS OF EYE EXTREMITTES

TOTAL (rem) 0.200

INTERNAL DOSE EQUIVALENT 2NO 066926
MEASUREMENT (CRITICAL ORGAN: ‘NUCLIDE ESTIMATE OF ‘METHOD OF DOSE
PERIOD INVOLYED DOSE(rem) ASSESSMENT

Authorized Signature Whine Cup Date alot

xe: File. HSR+I2, MS E546

INTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

‘Los Alamos Nanonal Laboratory POB 1663 Los Alamos New Mexico 87544



- OMB Number: 0920-0639
Special Exposure Cohort Petition — Form B

Special Exposure Cohort Pi U.S. Department of Health and Human Services|
under the Energy Employees Occupational . Centers for Disease Control and Prevention
liness Compensation Act National institute for Occupational Safely and Health

Expires: 05/34/2007
Appendix — Petitioner 3

B Survivor Information — Complete Section B if you are a Survivor or representing a Survivor.

Name of Survivor:

Employee information — Complete Section C.

Name of Employee:

Q Grandparent

Mr/MrsJMs. First Name Middle Initial Last Name

B.2 Social Security Number of Survivor:

B.3 Address of Survivor:
Street Apt# P.O. Box
City State Zip Code

B.4 Telephone Number of Survivor: ) =

8.5 Email Address of Survivor:

B.6 _ Relationship to Employee: G Spouse Q Son/Daughter 0 Parent

Q Grandchiid

Mr/MrsJMs. FirsfName

Middle Initial

Last Name

C.2 Former Name of Employes (e.g., maiden name/legal name change/other):
Mr/Mrs/Ms. First Name Middle Initial Last Name

C3 Social Security Number of Employee:

C4 — Address of Employee (if living):
Street ~ —— Apt# P.O. Box
City ~~ State Zip Code

C.5 Telephone Number of Employee: ¢

C.6 Email Address of Employee:

C.?7 Employment Information Related to Petition:

C.7a Employee Number (if known):

C.7b Dates of Employment: Start End

C.7¢ Employer Name:

C.7d ‘Work Site Location:

C.7e Supervisors Name:

Name or Social Security Number of First Petitioner:



Occupational Environmental Doss :
{for workers who were riot monitored) |

Workers who are not monitored oan still be
exposed fo radiafion on sits from:

+ Radioactive materials in the air.
+ Radiation sources in buildings,

+ Radioactive materials in the work
environment.

‘ Environmental Extamal Dose

+ The extemal radiation dose results from
Tadiation sourcas inside buildings, radioactive
westes, storage, ete. ’

+ Available site-wide monitoring date are used to
calculate external dese for unmonitored workers.

+ The average snsual ambient dose ranged from
32 f §6 marem fram 1971-2002. re

= From 1985-1970, It ranged from 31-100 mrem.

* No data prior to 1985,

Environmental internal Dase

The annual intake of radioactive material
is caloulated from the average annual air
Concentration.

Estimated site-wide, maximum intakes are
given for 2H, 11, 27h, #4U, Py, Mam,
mixed fission products, and particulate/
Vapor activation products from 1971-2003.

Data for many years are missing,

800/100 B sajuag eoincsay etouedss GSLSLHAG0S AVS 11°20 SO0Z/O 9D



wt

aa

June 22, 2006

To Whom It May Concern:

J started working at the Los Alamos National Lab in 1976. I was stationed at TA 54, the
hot dump. This area is also known as Area G. They would drop us off in the morning
and the site supervisor would lock the gates behind us. We stayed in the area all day with
no shelter whatsoever, Our food was exposed to all of the dust from the pits that held all
of the radioactive material in them. We had to carry our own water, because there was no
water in the area. In the afternoon our supervisor would take us out of the fenced area.
Another supervisor from Zia Co. would take us to our vehicles. At that time we never
showered.

We would cover the pits on a daily basis, I would go to SM 39, TA 29 or TA 50 to
shower. In the afternoons we would stop what we were doing and go cover the pits,
whatever came in during the day. Eventually 1 was transferred over full time to just work
in the pits area and they finally installed showers.

One time that I was “hot” they had me undress and they sent me home dressed in my
boxer shorts, coveralls, booties without shoes, and a T-shirt. They took me to TA 50 to
take a shower; the monitor would monitor me, who was a lady. Finally, after five (5)
showers I was able to leave. I was car pooling at the time and my ride had already left so
the Lab called a taxi to take me home,

After that the Lab bought me government issued shoes which were to be left at the site.
The also began furnishing me with clothing. Basically during my normal work day I
never wore any kind of protective equipment besides coveralls and a film badge. My
film badge was worn inside my coveralls. I often worked without a radiation monitoring
badge for months at a time because of the type of work that I did they would fall off of
my clothing. Even after major exposures I was never put on a monitoring program. I
never had to give urine samples to measure exposure to radiation.

We often disposed of animals which were cancerous and dissected. Monkeys, elk, rats,
pigs and other animals were brought from the “rat lab” and Los Alamos and J had to
dispose of them, Elk that were in radioactive areas were killed and then dissected. Those
animals would then need to be disposed of, that was my job. The disposal shafts are 55”
deep. The animal would be placed on a rope and we’d cut the rope to send it down.
Gloves from TA-55, isotopes, graphite and beryllium barrels were also disposed of in the
shafts. It was my job to dispose of anything and everything that came to Area G,

They used TA 54 as a training site for monitors. Summer students were there, people
from other facilities; however, we never knew who that monitor of the day was. There
were times when trucks leaving the area would set off monitors and they'd have to tum
back and bring a monitor from another area of the Lab to check the vehicle. If the
vehicle was extremely contaminated they would dispose of the vehicle.

EXHIBIT



Development of the
Site Profile for the
Los Alamos National Laboratory

‘Bil Murray
Oak Ridge Associated
Universities Team

|

August 16, 2005

Energy Employees

|
(
)
|
|

Occupational {Iiness

Compensation Program Act

: (EEOICPA)
} L
|
EEQICPA — Department of Labor
Two Types of Claims
+ Subtitie B + Subtiie
+ $160,000 + medical = Exposure
expenaas cone ene
~ Ractatloninduced = Can apply tor dor
Boryfium dieasea programs: no offset in
Sileoals benefty
— Radiation claims goto ~ Omibuduman
NIOSH for dose
- {Thi ts wirtwn ore
‘frre to talk shout)

600/200 4ajuaQ eoinosey eTouedsy G8L8LPLSOS X¥4d 01:20 9002/0 “90



STATE OF NEW MEXICO )
) ss.

COUNTY OF Barn z )

COMES NOW: _ and being first duly sworn upon oath deposes
and state:

1 That my name is”

2. That L worked with at the Los Alamos National

Laboratories in Las Alamos, New Mexico
3. That I recall an incident where! and I were assigned to do

welding in the Pandoras Box at the Mason Facility and that we were
required to docimeter up.

‘That when and | entered the experimental area, the docimeters
maxed out and

That J and I then exited directly to the RCT station where the
RCT’s zeroed out the docimeters.

FURTHER AFFIANT SAYETH NAUGHT.

ion expires

STATE OF,

Gem OFFICIAL SEAL} Pe a SEAL
ROTA ARIA PUBLIC
ike fx / f aaumlesion Epics



Occupational Radiation Exposure Record
{Privacy Notification is on the reverse side.) Page 2 of 12

NAME . SOCIAL SECURITY NUMBER ZNO

EXTERNAL DOSE (rom) SKIN LENS OF EYE EXTREMITIES

April ‘Monthly
June Monthly
June sonny
july Monty
July Monthly
August ‘Montaty
August Monthly

September Monthly
October Momtly
November Monthly

December Mostly

‘TOTAL DOSE BY YEAR 1961

MEASUREMENT PERIOD 1962

BADGE TYPE
January Monthly 0.000
February Monthly 0.000

INTERNAL DOSE EQUIVALENT See page 12

PERSONAL INFORMATION

Los Alamos National Laboratory POB 1663 Los Alamos NewMexico 87544