Performance Assessment Monitoring Plan for the Hanford Site Low Level Waste Burial Grounds Page: 2 of 100
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INFORMATION CLEARANCE FORM
A. Information Category B. Document Number DOE/RL-2000-72, REV. 0
Q Abstract Q Journal Article C. Title
Q Summary Q Internet PERFORMANCE ASSESSMENT MONITORING PLAN FOR THE HANFORD SITE
Q Visual Aid Q Software LOW-LEVEL BURIAL GROUNDS
E Full Paper Q Report
D. Internet Address
E. Required Information
4. Does Information Contain the Following: (MANDATORY)
1. Is document potentially Classified? 7 No El Yes (MANDATORY) a e rNvl(aetbe ujc atr N e
a. New or Novel (Patentable) Subject Matter? No El Yes
Manager's signature Required If "Yes", Disclosure No.:
b. Information Received in Confidence, Such as Proprietary and/or Inventions?
If Yes ADC Signature Required No E Yes Classified No El Yes If "Yes", Affix Appropriate Legends/Notices.
ADC Signature Required
2. Integral Review Required? No Yes c. Copyrights? No E Yes If "Yes", Attach Permission.
If Yes, Document Signatures Below d. Trademarks? No E Yes If "Yes", Identify in Document.
Counsel 5. Is Information requiring submission to OSTI? No Q Yes
Program If Yes UC- and B&R-
3. References in the Information are Applied Technology M No E Yes 6. Release Level? Public Q Limited
Export Controlled Information Z No Q Yes 7. Charge Code
F. Complete for a Journal Article
1. Title of Journal
0. Complete for a Presentation
1. Title for Conference or Meeting
2. Group Sponsoring
3. Date of Conference 4. City/State
5. Will Information be Published i Proceed/ gs? E E Yes 6. Will Material be Handed Out? E No L Yes
H. Author/Requestor Responsible Manager
J. C. SONNICHSEN J R. H. ENGELMANN I-- I40
(Print and Sign) (Print and Sign)
1. Reviewers Ye Print Sin a Public Y/N (If N. complete J)
GeneralCounsel L. F. WILLIS Y / N
Office of External Affairs Q Y / N
DOE-RL T . A. S udI /" 0 Y / N
Other Q Y / N
Other E Y / N
J. If Information Includes Sensitive Information and is not to be released to the Public indicate category below. Infor learance Ap val
E Applied Technology E Protected CRADA FOR
E Personal/Private E Export Controlled . *t.....I.. "
Q Proprietary E Procurement-Sensitive OQ vIC/ C
Q Business-Sensitive E Patentable .r j
E Predecisional Q Other (Specify) . .._ _ _,__ _
E UCNI *%5 ' i
K. If Additional Comments, Please Attach Separate Sheet
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SONNICHSEN, J.C. Performance Assessment Monitoring Plan for the Hanford Site Low Level Waste Burial Grounds, report, November 15, 2000; United States. (digital.library.unt.edu/ark:/67531/metadc740344/m1/2/: accessed October 17, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.