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ControlledCopyCCP-TP-001, Rev. 11CCP Project Level Data Validation and VerificationAttachment 5-Effective Date: 03/23/2005Page 40 of 103CCP Site Project Manager Data Validation SummaryOn-Line Headspace Gas Analysis (HSG)Nondestructive Examination (NDE)Visual Examination (VE)Nondestructive Assay (NDA)XDirect-Canister HSG AnalysisHomogeneous Waste Analysis (HWA)Radiological CharacterizationIBATCH DATA REPORT NUMBER:Description of Criteria Reviewed1.2.3.4.DATE: 4/22/2004LA-RTR2-04-0004ITR, Tech Sup, and Facility QA checklistsare complete and signed.Reference Source: WAP B3-10b(2)Verification Source: DGL ChecklistThe batch data report is complete.Reference Source: WAP B3-10b(2)and WAC A.5.2Verification Source: Data SheetsQAOs have been met.Reference Source: WAP B3-10b(2)Verification Source: QC Data SheetsData reported with correct units icant figures.Reference Source: WAP B3-10b(2)Verification Source: Data Sheets5.6.7.8.9.Data have been assessed correctly.Reference Sources: WAP B3-10b(2)and B3-10b(3)Verification Source: Data SheetsIs there a reference to or copy of theassociated NCRS?Reference Source: WAP Tables B311, B3-12 and B3-13Verification Source: NCRThe applicable SPQAO Project LevelValidation Checklist is complete, signed,and dated.Reference Source: WAP B3-10b(2)Verification Source: SPQAO ChecklistNDA batch QC checks (e.g., weeklyinterfering matrix, background,performance, and transmission checks,measurement system checks) wereproperly performed.Reference Source: WAC A.4.2and/or WAC Table A-4.3Verification Source: QC Data SheetsHSG All data are reported with the-appropriate flags.Reference Source: WAP B3-10b(2)Verification Source: Data 71638817162593975938259371X59326 59079XNo NCRs generatedXXXNDE BatchNDE Batch
ControlledCopyCCP-TP-001, Rev. 11CCP Project level Data Validation and VerificationAttachment 5-Effective Date: 03/23/2005Page 41 of 103CCP Site Project Manager Data Validation Summary (continued)I8ATCH DATA REPORT NUM8ER:DATE: 4/22/2004LA-RTR2-04-0004CriteriaMet?Y /N/NADescription of Criteria Reviewed10. HSG batch QC checks (e.g., on-lineblanks, duplicates, and laboratorycontrol samples) were properlyperformed and meet the establishedusability criteria.XReference Sources: WAP 83-10b(2)and Table 83-3 and/or 81-1 bVerification Source: QC Data Sheets11. HSG DAC assignment is valid basedupon an assessment of the dataXComments/QualifiersNDE BatchNDE Batchcollection and evaluation necessary tomake the assignment.Reference Source: WAP 83-10b(2)Verification Source: Drum Data Form12. NDE data are complete and acceptablebased on the videotape or equivalentmedia review (independent observationand replicate scan).Reference Sources: WAP, 81-3b(2)and 83-10b(2)Verification Source: QC Data Sheets13. VE data is complete and properlyContainernumbers:XXreported.Reference Sources: WAP 81-3b(3)and 83-10b(2)Verification Source: 8DR14. HWA Solid/Soil VOC batch QC checksRep:10:NDE BatchXNDE BatchXNDE BatchXNDE Batch(e.g., laboratory duplicates, blanks, andcontrol samples) were properlyperformed and meet the establishedusability criteria.Reference Sources: WAP 81-2b, 8310b(2) and Table 83-5Verification Source: QC Data Sheets15. HWA Solid/Soil Semi-VOC batch QCchecks (e.g., laboratory duplicates,blanks, and control samples) wereproperly performed and meet theestablished usability criteria.Reference Sources: WAP 81-2b, 8310b(2) and Table 83-7Verification Source: QC Data Sheets16. HWA Solid/Soil Total Metals 8atchQC checks (e.g., duplicates, blanks,and laboratory control samples) wereproperly performed and meet theestablished criteria.Reference Sources: WAP 81-2b, 8310b(2), and Table 83-9Verification Source: QC Data SheetsS81716259397
ControlledCopyCCP-TP-001, Rev. 11CCP Project Level Data Validation and VerificationAttachment 5-Effective Date: 03/23/2005Page 42 of 103CCP Site Project Manager Data Validation Summary (continued)IBATCH DATA REPORT NUMBER:DATE: 4/22/2004LA-RTR2-04-0004Description of Criteria Reviewed17. OSR for LANL Sealed Sources, doesthe waste meet the definition of sealedsources per 10 CFR 30.4 and 10 CFRCriteriaMet?Y /N/NAXNDE BatchXNDE BatchXNDE BatchXNDE BatchXNDE BatchComments/Qualifiers835.2 (effective January 1, 2004) anddocumentation included with the AKinformation?Reference Source: WAP B-3a(1)(iii)Verification Source: AK informationand Data Sheet18. OSR for LANL Sealed Sources, doesthe Pipe Overpack Container (POC)only contain sources and packagingmaterial (no non-packaging items areallowed in the waste container)?Reference Source: WAP B-3a(1)(iii)Verification Source: Data Sheet19. OSR for LANL Sealed Sources, is thesealed source a US DOT Special FormClass 7 (Radioactive Material) per 49CFR 34.27 (effective January 1, 2004)and is this documented in the AKinformation?Reference Source: WAP B-3a(1)(iii)Verification Source: AK informationand Data Sheet20. For LANL Sealed Sources, is theintegrity of each sealed sourcevalidated by documented contaminationsurvey results to meet the requirementsof 10 CFR 34.27 (effective January 1,2004), and is assembled as part of AKdocumentation?Reference Source: WAP B-3a(1)(iii)Verification Source: AK informationand Data Sheet21. OSR for LANL Sealed Sources, is eachsource a rigid sealed container or is it ina rigid sealed container less than orequal to 4 L?Reference Source: WAP B-3a(1)(iii)Verification Source: AK informationand Data Sheet
ControlledCopyCCP-TP-001, Rev. 11CCP Project Level Data Validation and VerificationAttachment 5-Effective Date: 03/23/2005Page 43 of 103CCP Site Project Manager Data Validation Summary (continued)IBATCH DATA REPORT NUMBER:LA-RTR2-04-0004Description of Criteria Reviewed22. OSR for LANL Sealed Sources, doesthe AK information document that noVaG or VaG-bearing material areconstituents of the waste?Reference Source: WAP B-3a(1)(iii)Verification Source: AK information23. OSR for LANL Sealed Sources, doesthe AK information document that theCriteriaMet?Y /N/NAXNDE BatchXNDE BatchDATE: 4/22/2004Comments/Qualifiersouter casing of the sealed source is anon-VaG bearing material and is thisverified during VE?Reference Source: WAP B-3a(1)(iii)Verification Source: AK informationand Data SheetThe data for all containers in this batch are complete, properly reported, technicallyreasonable, representative and meet the Quality Assurance Objectives (QAOs). On aper waste container basis, as evidenced by my review of the Batch Data Report, alldata have been validated in accordance with the QAPjP (CCP-PO-001) and areacceptable. This validation was accomplished through the generation level and projectlevel data review, validation, and verification of this Batch Data Report.Larry PorterSite Project Manager/ ure3/28/05Date
ControlledCopyCCP-TP-001-A3, Rev. 1Effective Date: 10/16/2003CCP SPQAO Nondestructive Examination Project levelValidation Checklist and SummaryPage 1 of 5CCP SPQAO Nondestructive Examination Project level ValidationChecklist and SummaryIBATCH DATA REPORT NUMBER:CriteriaMet?Description of Criteria Reviewed1.EXAMINATIONDATE:LA-RTR2-04-0004Batch number?Y/N/NA 0 e Source: WAP Table B3-11Verification Source: Cover Sheet2.Batch data report date? 003/3/05 00CCP-TP-053, Rev. 0013 containers 0000 No NCRs associated with this BDR.The original review date was crossed out andreplaced with a second review date. RTR personnelhave been asked not to cross out initial review datesif another review is requested.The original review date was crossed out andreplaced with a second review date. RTR personnelhave been asked not to cross out initial review datesif another review is requested.Reference Source: WAP Table B3-11Verification Source: Data Sheets3.Implementing procedure and revisionnumber?Reference Source: WAP Table B3-111Verification Source: Data Sheets4.5.6.Listing of all the container numbers inthe batch?Reference Source: WAP Table B3-11Verification Source: Data SheetsTwenty or fewer samples in the batch?Reference Source: WAP B3-10Verification Source: Data Sheets andor Cover SheetIs there a reference to or copy of theassociated NCRs?Reference Source: WAP Table B3-11Verification Source: NCR7.Technical Supervisor Checklist?Reference Source: WAP B3-10aVerification Source: TS Checklist 008.Facility QA Officer Checklist?Reference Source: WAP B3-10a 00 00 00 00LA-RTR2-04-0004 A (DVD)LA-RTR2-04-0004 B 004/21/04 00LA211, LA116-119, LA125Verification Source: FQAO Checklist9.A radiography data form was submittedfor each waste container in the batch?Reference Source: WAP B3-4Verification Source: Data Sheets10. Is each data sheet signed and dated bythe operator?Reference Source: WAP Table B3-11Verification Source: Data Sheets11. Is there a documented reference to thevideotape for each container?Reference Source: WAP Table B3-11Verification Source: Data Sheets12. Date of radiography examination?Reference Source: WAP Table B3-11Verification Source: Data Sheets13. TRUCON Code?Reference Source: WAP Table B3-11Verification Source: Data Sheets
ControlledCopyCCP-TP-001-A3, Rev. 1Effective Date: 10/16/2003CCP SPQAO Nondestructive Examination Project levelValidation Checklist and SummaryPage 2 of 5CCP SPQAO Nondestructive Examination Project level ValidationChecklist and SummaryI8ATCH DATA REPORT NUM8ER:LA-RTR2-04-0004Description of Criteria Reviewed14. Waste Matrix Code?15.16.17.18.19.20.Reference Source: WAP Table 83-11Verification Source: Data SheetsIndication of Liner?Reference Source: WAP Table 83-11Verification Source: Data SheetsIndication of liner type?Reference Source: WAP Table 83-11Verification Source: Data SheetsIndication of number of layers ofconfinement?Reference Source: WAP Table 83-11Verification Source: Data SheetsAmount of free liquid?Reference Source: WAP Table 83-11Verification Source: Data SheetsIndication of sealed containers 4L?Reference Source: WAP Table 83-11Verification Source: Data SheetsAbsence of prohibited items?Reference Source: WAP Table 83-11Verification Source: Data Sheets21. Indication of vented rigid liner?Reference Source: WAP Table 83-11Verification Source: Data Sheets22. Container gross weight recorded?Reference Source: WAP Table 83-11Verification Source: Data Sheets23. Indication of heavy and/or sharp objectbraced?Reference Source: TRAMPAC 2.7Verification Source: Data24. Fill factor reported in percent (%)?Reference Source: CCP TechnicalCriteriaMet?Y/N/NA 0 0 00 00 00 00 00 00 00 00 00 00 00 00 00ProceduresVerification Source: Data Sheets25. Verification that the physical formmatches the waste stream description?Reference Source: WAP Table 83-11Verification Source: Data Sheets26. Verification that the physical formmatches the Waste Matrix Code?Reference Source: WAP Table 83-11Verification Source: Data Sheets27. Operator signature release and date?Reference Source: WAP Table 83-11Verification Source: Data SheetsEXAMINATIONDATE:Comments/Qualifiers85400 and 831204/21/04
ControlledCopyCCP-TP-001-A3, Rev. 1Effective Date: 10/16/2003CCP SPQAO Nondestructive Examination Project levelValidation Checklist and SummaryPage 3 of 5CCP SPQAO Nondestructive Examination Project level ValidationChecklist and SummaryIBATCH DATA REPORT ription of Criteria Reviewed28. Space for Comments?Reference Source: WAP Table B3-11Verification Source: Data Sheets29. Estimate of each material parameterweight? (Kg)Reference Source: WAP Table B3-11Verification Source: Data Sheets30. Description of each material parameter?Reference Source: WAP Table B3-11Verification Source: Data Sheets31. The replicate scan and independentMet?Y/N/NA 0 0Comments/Qualifiers 00 00 00 005817162 0059397 00 00 00 00observation were performed on differentwaste containers?Reference Source: WAP B1-3b(2)Verification Source: Data Sheetsand/or BDR32. Replicate scan was performed once perday, or once per batch, whichever isLESS frequent?Reference Source: WAP B1-3b(2)Verification Source: Data Sheets33. An independent observation wasperformed once per day, or once perbatch, whichever is LESS frequent?Reference Source: WAP B1-3b(2)Verification Source: Data Sheets34. The MPWs of the replicate scan arewithin V 50% of the weights of theoriginal scan?Reference Source: CCP TechnicalProceduresVerification Source: Data Sheets35. The MPWs of the independentobservation scan are within V 50% ofthe weights of the original scan?Reference Source: CCP TechnicalProceduresVerification Source: Data Sheets36. Operational checks for the radiographyequipment were performed prior toanalysis?Reference Source: WAP B3-4Verification Source: Data Sheets37. Operational checks were performeddaily?Reference Source: WAP B3-4Verification Source: MeasurementControl Report4/21/04
ControlledCopyEffective Date: 10/16/2003CCP-TP-001-A3, Rev. 1CCP SPQAO Nondestructive Examination Project LevelPage 4 of 5Validation Checklist and SummaryCCP SPQAO Nondestructive Examination Project Level ValidationChecklist and SummaryIBATCH DATA REPORT NUMBER:LA-RTR2-04-0004CriteriaMet?Description of Criteria Reviewed(replicate38. All the appropriate QC formsindependentobservation,scan,operational checks)?Reference Source: WAP Table B3-11Verification Source: QC Sheets39. Weight Scale Calibration Check?Reference Source: CCP TechnicalProceduresVerification Source: Measurement.Control Report40. Scale Weight Check?Reference Source: CCP TechnicalProceduresVerification Source: MeasurementControl Report41. Lines-Pair Resolution Test Check?Reference Source: WAP Table B3-11Verification Source: MeasurementControl Report42. DGL Video/audio check?Reference Source: WAP Table B3-11Verification Source: MeasurementControl Report43. Was the person performing the replicatescan a qualified radiography operatordifferent from the individual whoperformed the original scan?Reference Source: WAP B1-3b(2}Verification Source: Data Sheetsand/or Training Recordsthe independent observerWas44.aqualified radiography operator differentfrom the individual who performed theinitial observation?Reference Source: WAP B1-3b(2}Verification Source: Data SheetsEXAMINATIONDATE:Comments/QualifiersY/N/NA181 001810018100181001810018100181004/21/04
ControlledCopyEffective Date: 10/16/2003CCP-TP-001-A3, Rev. 1CCP SPQAO Nondestructive Examination Project LevelPage 5 of 5Validation Checklist and SummaryCCP SPQAO Nondestructive Examination Project Level ValidationChecklist and SummaryIBATCH DATA REPORT Description of Criteria Reviewed4/21/04Comments/QualifiersY/N/NA45. A videotape or equivalent media with aunique identifier was submitted for eachwaste container in the batch?Reference Source: WAP B3.4Verification Source: Data Sheets1810046. Training qualifications for allradiography personnel are acceptable?Reference Source: WAP Table B3-10Verification Source: Training181000181Records47. Is CCP-TP-001-A6 included?The container QC checks were properly performed and meet the Quality Assurance Objectives (QAOs).is complete, acceptable,Proper procedures were followed during data reduction and analysis. The batchand includes all supporting data and documentation required by the QAPjP. -""\;Irene QuintanaSite Project QA OfficerIII\kI ()(\\)'-'---.ISignatur 3/16/05Date
CCP-TP-001, Rev. 11 CCP Project Level Data Validation and Verification Effective Date: 03/23/2005 Page 43 of 103 Attachment 5 - CCP Site Project Manager Data Validation Summary (continued) I BATCH DATA REPORT NUMBER: LA-RTR2-04-0004 DATE: 4/22/2004 Description of Criteria Reviewed Criteria Met? Y /N/NA X Comments/Qualifiers 22.
