Contaminated Water Dive Man Rev2
Contaminated Water Dive Man Rev2
Contaminated Water Dive Man Rev2
0910-LP-119-0134 Revision 2
04 October 2019
THIS TM SUPERSEDES SS521-AJ-PRO-010
REVISION 01 DATED 15 MARCH 2008
11/18/19
Table of Contents
SAFETY SUMMARY ..................................................................................................... V
CHAPTER 1: INTRODUCTION, SCOPE, AND PURPOSE .......................................1-1
INTRODUCTION ................................................................................................1-1
SCOPE ...............................................................................................................1-1
CHAPTER 2: CONTAMINANTS AND HAZARDS .................................................... 2-1
2-1 GENERAL .......................................................................................................... 2-1
2-2 BIOLOGICAL CONTAMINANTS AND HAZARDS ............................................. 2-1
2-2.1 PATHOGENS. ........................................................................................... 2-1
2-2.1.1 BLOOD-BORNE PATHOGENS AND HUMAN REMAINS RECOVERY ... 2-2
2-2.2 TOXINS. ................................................................................................... 2-2
2-3 INDUSTRIAL TOXIC/CHEMICAL CONTAMINANTS AND HAZARDS ............... 2-3
2-3.1 HYDROCARBONS. .................................................................................. 2-3
2-3.2 HEAVY METALS. ..................................................................................... 2-3
2-3.3 POLYCHLORINATED BIPHENYLS (PCBs). .......................................... 2-4
2-4 CHEMICAL/BIOLOGICAL WARFARE AGENTS ................................................ 2-4
2-5 RADIOLOGICAL CONTAMINANTS AND HAZARDS......................................... 2-4
2-5.1 RADIATION/CONTAMINATION FROM NUCLEAR POWER. .................... 2-4
2-5.2 RADIATION/CONTAMINATION FROM NUCLEAR WEAPONS.. .............. 2-4
2-6 CATEGORIES OF CONTAMINATED WATER DIVING .................................... 2-4
CHAPTER 3: EQUIPMENT ......................................................................................... 3-1
3-1 GENERAL .......................................................................................................... 3-1
3-2 SCUBA EQUIPMENT ......................................................................................... 3-1
3-2.1 FULL-FACE MASK. .................................................................................... 3-1
3-2.2 CLOSED/SEMI-CLOSED CIRCUIT REBREATHERS.. ............................. 3-1
3-3 SURFACE SUPPLY DIVING SYSTEMS .......................................................... 3-2
3-4 DIVING DRESS................................................................................................ 3-2
3-4.1 WET SUITS. . ............................................................................................. 3-2
3-4.2 DRY SUITS.. .............................................................................................. 3-3
3-4.2.1 TESTING DRY SUITS. ............................................................................... 3-3
3-4.3 GLOVES. .................................................................................................... 3-3
3-4.4 OVERSUITS.. ............................................................................................. 3-3
3-5 COMPRESSORS............................................................................................. 3-3
CHAPTER 4: PRE-DIVE PLANNING ....................................................................... 4-1
4-1 GENERAL ......................................................................................................... 4-1
4-2 MEASUREMENT AND MONITORING ............................................................ 4-2
4-3 LEVELS OF PROTECTIVE EQUIPMENT ....................................................... 4-2
4-3.1 CATEGORY 1............................................................................................. 4-2
4-3.2 CATEGORY 2............................................................................................. 4-3
4-3.3 CATEGORY 3. . ........................................................................................ 4-4
4-3.4 CATEGORY 4............................................................................................. 4-5
4-4 DETERMINING WATER QUALITY CATEGORIES .......................................... 4-5
4-5 SPECIFIC DIVING SCENARIOS ...................................................................... 4-5
4-5.1 AFTER RAINFALL.. .................................................................................... 4-5
4-5.2 WORKING IN SEDIMENT .......................................................................... 4-6
4-5.3 POINTS OF DISCHARGE. ......................................................................... 4-6
4-5.4 HUMAN REMAINS RECOVERY ................................................................ 4-6
4-6 EMERGENCY PROCEDURES ........................................................................ 4-6
4-7 SOURCES OF INFORMATION ....................................................................... 4-6
4-8 PERSONNEL QUALIFICATIONS / TRAINING ................................................. 4-7
CHAPTER 5: DIVE STATION DECONTAMINATION PROCEDURES ..................... 5-1
5-1 DECONTAMINATION ........................................................................................ 5-1
5-2 TOPSIDE PROTECTION................................................................................. 5-1
5-3 DECONTAMINATION STATION OVERVIEW .................................................. 5-2
5-3.1 INITIAL DECONTAMINATION. .................................................................. 5-2
5-3.2 INITIAL EQUIPMENT REMOVAL AND WASHDOWN. .............................. 5-3
5-3.3 UNDRESS. .................................................................................................. 5-5
5-3.4 TENDER DECONTAMINATION. ..................................................................... 5-5
5-4 MEDICAL SUPPORT ....................................................................................... 5-5
5-5 HAZARDOUS WASTE ..................................................................................... 5-6
5-5.1 MINIMIZATION. .......................................................................................... 5-6
5-5.2 DISPOSAL. ................................................................................................. 5-6
5-6 DOCUMENTATION............................................................................................ 5-6
5-6.1 DIVE LOGS. ............................................................................................... 5-6
5-6.2 MEDICAL RECORDS. . ............................................................................. 5-6
5-6.3 SAFETY DATA SHEETS (SDS) ................................................................. 5-6
5-6.4 HISTORICAL DATA COLLECTION. .......................................................... 5-7
List of Tables
c. May and need not have been used only when application of a procedure is
discretionary.
d. Will has been used only to indicate futurity; never to indicate any degree of requirement
for application of a procedure.
GENERAL SAFETY
This Safety Summary contains all specific WARNINGS and CAUTIONS appearing elsewhere in
this manual and are referenced by page number. Should situations arise that are not covered by
the general and specific safety precautions, the Commanding Officer or other authority will issue
orders, as deemed necessary, to cover the situation.
SAFETY GUIDELINES
Extensive guidance for safety can be found in the OPNAV 5100.19 AFLOAT and 5100.23
ASHORE series instruction, U.S. Navy Safety Precautions.
SAFETY PRECAUTIONS
The WARNINGS, CAUTIONS, and NOTES contained in this manual are defined as follows:
WARNING Identifies an operating or maintenance procedure, practice, condition, or
statement, which, if not strictly observed, could result in injury to or death
of personnel.
CAUTION Identifies an operating or maintenance procedure, practice, condition, or
statement, which, if not strictly observed, could result in damage to or
destruction of equipment or loss of mission effectiveness, or long-term
health hazard to personnel.
NOTE An essential operating or maintenance procedure, condition, or
statement, which must be highlighted.
The following WARNINGS, CAUTIONS, and NOTES appear in the text of this manual
and are repeated here for emphasis.
WARNING During surface decompression operations, incomplete decontamination
of divers may contaminate recompression chambers and present a fire
hazard. (Page 4-2)
Safety Summary IX
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CHAPTER 1
INTRODUCTION, SCOPE, AND PURPOSE
INTRODUCTION
Contaminated water is defined as water that contains any chemical, biological, or radioactive
substance that poses an acute or chronic health risk to exposed personnel. Some degree
of contamination and/or pollution is present in practically every body of water in the world.
The contamination may be naturally occurring or come from a variety of sources including
terrorist acts, leaking vessels, industrial discharges and/or sewer effluent. However, much
of the contamination that enters the water is not readily apparent. The biggest concern is
from relatively enclosed bodies of water, such as lakes, rivers, or harbors that are within close
proximity to large populations and wrecks, where contamination can accumulate and/or
concentrate.
These contaminants could present a health risk to d ivers and may additionally impact
mission and operational readiness. The effects on personnel may become evident
immediately (acute) or may be delayed for many years (chronic) especially in the case of
exposures to carcinogenic (cancer-causing) substances. For most microbiological exposure,
illness may not develop for several hours after diving and could possibly be delayed for days.
With the exception of chemical/biological warfare agents, acute toxicity and/or incapacitation
is unexpected for most chemical exposures. However, chronic sub-toxic exposure to a
variety of chemical hazards may induce illnesses such as cancer, neurodegenerative
disorders, hormonal dysregulation and others.
SCOPE
The purpose of this manual is to provide general guidance and basic procedures for
diving in contaminated water. Because of the wide variability in contaminants, potential
exposure levels and other variables, only general guidance and recommended best practice
can be provided. It is recognized that this represents a capability gap, which warrants future
research and development efforts. Until then, supervisory personnel are encouraged to
contact local agencies to obtain information on local water contaminants and hazards. This
manual is intended to be a living document, and will be updated as more information about
diving equipment, water sampling, analysis, and exposure limits become available.
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CHAPTER 2
CONTAMINANTS AND HAZARDS
2-1 GENERAL
The four types of contaminants divers can expect to encounter are biological, industrial
toxic/chemical, c h e m i c a l / b i o l o g i c a l w a r f a r e a g e n t s and radiological. The potential
routes of exposure for divers are inhalation, ingestion, absorption, and penetration (forcing
of material into the body, such as through a wound). Unless the response is to a specific
incident, quantitative data on the contaminants present in any specific body of water is rarely
available or measurable. Real-time, or even near real-time, water analysis is not a current
U.S. Navy capability. If a specific contaminant is suspected, information from various sources
is available such as Safety Data Sheets (SDS), shipping manifests, or sampling and analysis.
Additionally, for water bodies where diving will occur recurrently, water and sediment sampling
and analysis can be coordinated to more completely inform divers regarding health hazards.
Bacteria are living microorganisms which, unlike viruses, are capable of reproduction
outside living cells. If pathog eni c bacteria enter the body and if the victim is not
properly treated, the microorganism can multiply and incapacitate the host. Bacteria
can be found in almost any environment. Seawater is estimated to contain up to one
million bacteria per cubic centimeter. Bacteria sometimes concentrate in a thin layer
on the water surface or a thin layer on the top of sediment. Examples of diseases
caused by bacteria are cholera and anthrax. Escherichia coli (E. coli) is also a well-
known bacterium that has been associated with contamination of processed meat
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products. Some strains of E. coli are common inhabitants of the human intestine
and are used as an indicator of water contamination from human sewage.
Viruses are very small biological agents which are able to reproduce. They typically
consist of genetic material within a protein capsule. They cannot reproduce outside of
a host cell. They can be dangerous after entering the human body, because they hijack
cells to reproduce. Smallpox and influenza are examples of viruses. Viruses are
difficult to detect and most hospital laboratories are not equipped to do so routinely.
Viruses are difficult to treat after exposure since they are not susceptible to common
drugs. Some virus protection can be gained by immunizations (e.g., Hepatitis A), but
vaccines do not exist for most viruses.
Parasites are single or multi-celled organisms that live and feed on or in another
animal. Well-known examples of human parasites are malaria and tapeworms.
Most parasites are acquired by ingestion (e.g., such as eating raw meat), but some
can gain entry into t h e h u m a n b o d y by skin contact and through open wounds.
Most water dwelling parasites that can cause disease are found in tropical fresh water
as found in Central and South America and Southeast Asia. Salt water parasites rarely
cause more than a rash and itching. Nevertheless, when working in areas where
parasites are known to exist, contact can be prevented or minimized by wearing
protective clothing (e.g., wet suit or some form of coverall) and also by bathing soon
after exposure.
Most known infectious agents pose a minimal risk to divers since the agents are fragile
and do not survive long outside a host. The Hepatitis C virus is less fragile, but infectivity
in underwater recovery situations is estimated to be low. Divers should complete the
series of the standard immunizations required for healthcare workers, including those
for Hepatitis A and B virus as well as Tetanus. Besides the immediate medical concerns,
the fatigue and mental health issues associated with the recovery of human remains
should be considered as part of operational planning.
Harmful Algal Blooms (HABs) produce toxins that are released into the water. The most
commonly known HAB is known as “Red Tide” but some are yellow, green and orange.
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Algal outbreaks of human concern are usually associated with large fish kills. Toxin
related to HABs can cause cognitive impairment as well as gastrointestinal, respiratory,
and dermal distress. Common symptoms from exposure to HAB toxins are coughing,
eye and skin irritation, runny nose, numbness around the mouth, and nausea.
2-3.2 HEAVY METALS. In aquatic environments, metals can exist as dissolved ions, bound in
insoluble complexes, sorbed onto other solids (e.g., clay or sediment), or chemically
combined into an organic compound (e.g., methyl mercury). Many water quality criteria
for metals are based on the dissolved form of the metal since that form generally has the
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diver. Table 2-1 defines the level of contamination and risk, as well as recommendations for the
type of diving equipment that will provide the best protection to the diver.
Notes:
1. Diving is not recommended in CAT 1 environments and only properly qualified and equipped
diving teams should dive CAT 1. The diving task must be mission essential and the dive team
must have express approval from their Commanding Officer for the dive.
2. Fully encapsulated means a vulcanized rubber dry suit (or other CWD Authorized for Navy
Use [ANU] approved dry suit) with integrated boots mated to dry glove with ring system. In
addition, gloves must be taped and/or clamped to the suit. Equalization tubes between glove
and cuff must not be used.
3. In water exhaust must be at minimum a quadruple exhaust valve (e.g., KM 37 (NS) or the KM
97).
4. Injuries may be major or minor and could include serious illnesses like Hepatitis or minor injuries
like skin, eye or sinus irritation.
6. Water considered “sufficient” or better under the EPA 2012 Recreational Water Quality Criteria
(and subsequent updates, revisions, and reviews).
7. Low risk refers only to risk from contaminants and does not relate to any other aspect of the
dive. A risk analysis is still required.
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CHAPTER 3
EQUIPMENT
3-1 GENERAL
There is no single equipment configuration or material that will protect the diver under all
conditions or from all contaminants. The level of protection needed will be determined by
the expected hazard, type of work, the urgency of the work, and the available equipment.
The diving life support system selection should address both respiratory and physical
protection. The standby diver must be equipped with a level of protection equal to or greater
than the working diver’s. The surface tenders and support personnel may experience as
great a hazard as the divers; therefore, respiratory and physical protection must also be
available for support personnel.
3-2 SCUBA EQUIPMENT
Diving with a standard Self-Contained Underwater Breathing Apparatus (SCUBA)
ensemble, including a half face mask and a mouthpiece regulator, provides very little
protection to a diver. The diver’s mouth is in constant contact with the water, exposing the
diver to contaminants that can enter around the mouthpiece or via water refluxed through
the exhaust valve. The mucous membranes are highly susceptible regions on the body
and, assuming intact skin, are some of the most vulnerable routes microorganisms have to
enter and infect the body. Inhalation of microscopic water droplets from the area of the
regulator mouthpiece and from its exhaust valve may allow contamination into the lungs and
bloodstream. Therefore, isolating these vital areas from the source of contamination is the
primary concern when diving in a biologically contaminated environment. SCUBA is not
recommended for diving in CAT 1, 2 or 3 contaminated water.
3-2.1 FULL-FACE MASK. If the primary hazard is microbial, a full-face mask (FFM) may
reasonably protect the mucous membranes of the diver’s eyes, nose, and mouth. An
advantage in using FFMs is the portability and relative ease of use as they can be
configured to operate in SCUBA or Surface Supplied mode. In a SCUBA
configuration, the diver is afforded unencumbered freedom of movement and
moderate protection but is limited on the gas supply. In the Surface Supply
configuration, the diver is afforded greater endurance in terms of gas supply, but
mobility will be more restricted compared to the SCUBA configuration (see Section
3-3).
A FFM which incorporates a positive-pressure regulator will help eliminate water
entering the mouth, but does not resolve the droplet inhalation concern. Additionally,
FFMs offer no protection for the Diver’s head, neck, or ears, all of which are potential
sites for exposure to waterborne hazards. Although FFMs are used by both the
National Oceanic and Atmospheric Administration (NOAA) and the Environmental
Protection Agency (EPA) for contaminated water diving, an international diving
survey found no commercial diving operations using them.
3-2.2 CLOSED/SEMI-CLOSED CIRCUIT REBREATHERS. Using a FFM with a rebreather
(e.g., MK 16 or MK 25) mitigates exposure through exhaust valve reflux; however,
currently, there is no closed circuit rig available for full encapsulation. Also, the cost
and inability to efficiently decontaminate the equipment consequently eliminates this
equipment from use in CAT 1 or CAT 2 CWD. However, in some mission essential
scenarios, use of these apparatuses may be considered.
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decontamination difficult. Wet suits are not recommended when diving in CAT 1 or
2 contaminated waters.
3-4.2 DRY SUITS. Dry suits, either variable or constant volume, are appropriate for
diving operations in contaminated water. Intact skin is susceptible to many
hazards including PAHs (in high concentrations in petroleum products), PCBs,
pesticides, creosote, and some heavy metals; therefore, isolating a diver in a
dry suit is highly recommended when these materials are present. Dry suits
utilized for contaminated water diving should have a neck dam that creates a
watertight seal when mated to a KM 37 (NS) or KM 97 and the number of
penetrations should be minimized; therefore, a one-piece dry suit is preferred.
Consideration should be made to ensure divers have properly fitted dry suits
as improperly sized suits may allow leakage of water at the seams. Vulcanized
dry suits offer substantial protection from all microbiological hazards and from
many chemical hazards for extended periods of time.
An ANU approved dry suit should be used for all diving in CAT 1 or 2
contaminated water. Dry suit manufacturers publish data for resistance of
their respective suits to a host of chemicals. When concentrations of known
contaminants are available, this information should be referenced for
maximum safe dwell times. The durability of other components of the diving
ensemble (e.g., helmet, gloves, umbilical etc.) should also be considered
when determining dwell times. Evidence of suit degradation from contaminant
exposure is swelling of the material, color changes, tackiness, stiffness when
dry, and exposure of underlying fabric. Suits demonstrating any of these
changes should not be reused.
3-4.2.1 TESTING DRY SUITS. Prior to using a dry suit in CAT 1 or CAT 2 contaminated
waters, the suit shall be tested for leaks. The test can be achieved by first sealing
off the neck and cuffs; the suit may be sealed off using suitably sized bottles, balls
or if available custom-built bungs; the cuffs should be sealed using the dry gloves
intended for use during the dive. The suit should then be inflated and checked for
leaks either with soapy water, a ‘snoop’ liquid or by submersing the suit in clean
water and looking for bubbles.
3-4.3 GLOVES. Chemically resistant waterproof gloves shall be used when diving in
contaminated water. Gloves should be positioned over cuff rings on the sleeves of
the dry suit. For extra security, gloves should be taped, or zip tied to the dry suit
sleeve above the cuff ring. Gloves should not be equalized with dry suits to minimize
the possibility of contamination entering the entire suit in the event of a tear.
Depending on the nature of the diving job, an over-glove may be used to protect
against chafing and punctures. Over-gloves should be a color other than black to
more easily identify contaminants. In cold water, thermal under-gloves may be
necessary.
3-4.4 OVERSUITS. If the diver is expected to encounter bulky, adherent contaminants
during a dive, a disposable oversuit (e.g., TYVEX®) may be used. Disposable
oversuits can be secured to a diver after he has been outfitted with the entire diving
rig. No effort to make the oversuit watertight should be attempted as it could create
air pockets which would further complicate the diving operation.
3-5 COMPRESSORS
Since compressors are often used on site to compress diver quality gas, volatilized
components (e.g., fuel oils, hydrocarbons, etc.) of waterborne hazards can potentially enter
the gas supply via the compressor intake. Diving Supervisors should be careful to position
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compressor intakes upwind of contamination although this might not always be feasible or
reliable; therefore, compressing gas off the site may be a prudent alternative to mitigate the
chances of contaminants entering diver gas supplies.
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CHAPTER 4
PRE-DIVE PLANNING
4-1 GENERAL
NOTE Prior to conducting diving in CAT 1 contaminated water, diving supervisors should
contact NAVSEA 00C3 for support in obtaining information on potential levels of
contamination, specific procedures, and local support agencies.
The majority of U.S. Navy diving will occur in water with few obvious signs of
contamination. In the dive planning stage, operational risk management (ORM)
techniques from OPNAVINST 3500.39 (Series) should be used to balance the risks of
an operation against the potential risks to personnel and equipment. The potential routes of
exposure for divers and topside personnel to chemical/biological contamination are
inhalation, ingestion, absorption, and penetration. A good risk assessment will identify the
expected route(s) of exposure, expected contaminant(s) and reasonable precautions
necessary to minimize the exposure to both the diver and topside personnel.
Most chemical hazards to which divers are exposed cause limited immediate effects. For
most microbiological exposures, illnesses will develop hours to days after exposure.
However, chronic exposure to chemical hazards may cause/effect the occurrence of other
illnesses such as cancer. Recognition and identification of substances is of paramount
importance if adequate and appropriate monitoring of exposed personnel is to be conducted
by medical authorities.
Diving in water heavily contaminated with pathogenic microbes may infect an otherwise
seemingly innocuous skin wound. For this reason, divers with preexisting, unhealed wounds
should be restricted from diving in contaminated water. Any injuries sustained during such
diving should require the diver to surface for immediate medical attention.
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used to ensure seal. Inner chemical protection gloves should also be worn. Outer
glove color should be in accordance with Section 3-4.3.
WARNING The KM 37 (NS) and KM 97 helmets is not suitable for use in CAT 1 diving. Testing
at NEDU confirms there is a risk of some water or vapor ingress into the
h elmet.
c. Diving helmets that utilize a surface return exhaust or a positive pressure free
flow helmet. NAVSEA 00C3 is working with industry to develop a surface return
exhaust system for the KM 37 (NS) and KM 97 which will greatly reduce the risk
of contamination entering the helmet. The system also includes modifications for
the dump valve on the dry suit which connects to the surface exhaust system thus
fully encapsulating the diver. If a requirement to dive in CAT 1 water occurs prior
to the introduction of this system, contact NAVSEA 00C3 for further guidance.
All CAT 1 diving equipment shall be tested for leaks and damage prior to diving
(see Section 3-4.2.1). Diving Commands should maintain logs for all diving life
support equipment exposed to CAT 1 contamination to include exposure times and
details of the contaminant to which it was exposed to enable calculations of exposure
times for future dives. With oil-based contamination, it is likely that silicone
components will be the first to fail (see Section 4-3.2). NAVSEA 00C3 is working to
provide replacement components that will last for hours rather than minutes in such
environments. Breakthrough times are available for ANU dry suits.
Topside Dress will need to be tailored to meet the specific risks of the dive. It may
also be possible to reduce topside dress protection to Level C as detailed by the
Occupational Health and Safety Administration (OSHA) Standard 29 Code of Federal
Regulations (CFR) 1910.120 Appendix B (See Appendix A). Level C is comparable
with current Mission Oriented Protective Posture (MOPP) 4 chemical warfare suits
and protective masks. Note that airborne substances must be known and
monitored, and that Level C will not protect against toxic industrial chemicals
(TIC). Normally for CAT 1 dives Level B protection will be required consisting of a
non-encapsulating, chemical-resistant suit (i.e. splash suit) and self-contained
breathing apparatus (SCBA) worn either inside or outside the suit. In some CAT 1
environments it may be necessary for topside personnel to adopt Level A (tender
is fully encapsulated) protection. Topside dress requirements will be decided by the
onsite commander in consultation with NAVSEA 00C3 until more permanent
procedures are issued.
When a diver is fully encapsulated, overheating can rapidly become a problem if
diving in warm water. A number of commercial systems are currently being
developed. Traditional cooling systems are unsuitable for use during CWD as they use
surface supplied water which introduces more potential points of failure to the suit
and also runs the risk of the surface supply becoming contaminated. One unit in
particular is a topside chiller unit connected via the divers umbilical to a closed loop,
tube suit worn under the diver’s dry suit. This would keep the divers, both working and
standby, comfortable. Current best practice is to provide gel pack cooling vests or ice
vests and to limit the duration of the dive. It is also vitally important that all divers and
tenders remain well hydrated.
4-3.2 CATEGORY 2. For heavily contaminated waters that pose a high risk of injury, divers
must be fully encapsulated and dressed in accordance with Table 2-1 as follows:
a. ANU dry suits with attached boots and neck dam.
b. Dry gloves attached with cuff ring. Tape and/or outer locking rings should
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appropriate. If diving on the hull of a vessel, then a number of risks exist from
abrasion hazards (e.g. barnacles) to the risk posed by special paints used on
some ship hulls. A long-sleeved wetsuit coupled with gloves and a neoprene
hood, or in some circumstances coveralls, should be considered if there is deemed
to be such a risk.
4-3.4 CATEGORY 4. For baseline contamination there are no additional procedures for
diving in CAT 4 water over and above those contained in Table 2-1 and the U.S. Navy
Diving Manual AA521-AG-PRO-010.
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hazards when diving in an area with a reasonable expectation of “first flush” effects.
4-5.2 WORKING IN SEDIMENT. Most persistent contaminants with a density greater than
water will accumulate in the sediment. Sediment routinely has significantly higher
levels of both chemical and microbiological contamination than the adjacent water
column. This contamination may include heavy metals and PCBs.
4-5.4 HUMAN REMAINS RECOVERY. For divers and body handlers in the water, every
effort should be made to protect personnel from injury and unnecessary exposure
to body fluids and tissue. If the recovery is to be made around wreckage where there
is a reasonable concern for injury, divers should wear reinforced gloves to minimize
their exposure to potentially infectious materials.
For sources of information, refer to Appendix A for website and contact information. Appendix
A is not a complete list and other organizations can be used to gather information as required.
Refer to EPA sources for information on water quality, water quality criteria and for
sewage outlets.
You may also contact National Center for Medical Intelligence (NCMI) for
information regarding local water quality. Such information may require a few weeks
to compile. Requests should be initiated accordingly.
For CONUS and OCONUS water testing operations contact the U.S. Navy and
Marine Corps Public Health Center.
When operating OCONUS, contact local authorities and the United States Defense
Attaché Officer (USDAO) for assistance in identifying local points of contact.
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CHAPTER 5
DIVE STATION DECONTAMINATION
PROCEDURES
5-1 DECONTAMINATION
The aim of decontamination is to either rapidly and effectively render contamination harmless
or remove it. The decontamination and monitoring process is unique to each
accident/incident; therefore, the decontamination methods selected should be tailored to the
hazard, responders on scene, location, and equipment available. The tasks performed do
not change significantly between different types of contamination, but the procedures may
vary depending on the nature of the accident/incident and the available equipment.
The objective of systematic decontamination procedures, which may include physical and/or
chemical techniques, is to limit the spread of the contamination and reduce the levels of
contaminants to the greatest extent possible in order to best protect personnel and
equipment. Standard DoD decontamination procedures, as described in various manuals or
instructions (e.g., U.S. Army FM 3-5 NBC Decontamination) can be effectively modified to
work in diving scenarios. Familiarization and platform specific contaminated water diving
drills should be conducted routinely. Such drills should encompass all aspects of diving
in contaminated water including equipment selection, donning protective equipment, and
decontamination procedures.
NOTE Until tests have been completed on various commercial off the shelf
decontamination solutions for CAT 1 CWD, NAVSEA 00C3 will provide tailored
decontamination guidance prior to any CAT 1 dive being conducted.
For operations that involve the recovery of human remains, all body handlers should observe
universal medical precautions and avoid unnecessary contact with potentially infectious
material. All personnel should wear coveralls, thick disposable gloves, and protective
eyewear. The same immunization recommendations for divers apply to tenders.
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Attending technicians should be careful to direct water flow away from potential
points of leakage (exhaust valves, seal junctions, etc.) in the diver’s rig: a high-
pressure jet of water directed at these potential breach points may inject
contaminants into the diver’s protective gear. Tenders should also exercise care to
ensure that overspray does not spread contamination.
Bleach solutions are adequate for most situations and should not degrade equipment
when used for short periods of time and then rinsed away. Commercially available
household bleach (Sodium hypochlorite) is usually approximately 6% concentration.
A 5% solution of bleach (approximately six ounces mixed into a gallon of water) will
kill most bacteria, fungi, and viruses on a hard, non-porous surface after a five-minute
contact time. In order to overcome the consumption of free chlorine by organic matter
in the site water, a 10% solution of bleach (12 ounces mixed in a gallon of water)
should be used for diver decontamination with a 10 minute contact time.
Table 5-1 should be used when deciding on which decontamination solution is most
appropriate. Sometimes a combination of solutions must be used ( e.g. initial scrub
down with Simple Green for oily contamination followed by bleach followed by
potable water). For further advice on decontamination solutions, see the EPA Diving
Safety Manual, Appendix Q, Attachment 1.
WARNING Do not use in tandem, series or combine any bleach solution with any
Ammonia solution. This will result in the creation of chlorine gas,
hydrochloric acid and liquid hydrazine. This is extremely hazardous and can
cause injury or death.
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Potable Water C C 1 1
Antimicrobial A C 1 1
Soap
Bleach A B 2 3
Betadine A C 2 2
Simple Green B B 1 1
Quaternary A B 3 2
Ammonium
(quats)
TSP B A 3 3
Alcohol A C 3 2
Easy DECON TM Df 200 A A 2 1
Effectiveness: Safety/Compatibility:
A = Very Effective 1 = Not Harmful
Notes:
1. This list is not all-inclusive. Other suitable decontamination solutions may be used at the dive
supervisor’s discretion.
3. Safety includes both physical harm to the diver and degradation/staining of equipment.
6. Do not use in tandem, series or combine any bleach solution with any ammonia solution. This
will result in the creation of chlorine gas, hydrochloric acid and liquid hydrazine. This is extremely
hazardous and can cause injury or death.
7. Ensure that any cleaning agent used for decontamination does not contain quaternary ammonia,
if you are going to utilize it with any bleach solution (see note 6). The cleaning agent should have
a warning if it contains ammonia.
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5-3.3 UNDRESS. After the diver has been adequately decontaminated and moved into the
‘warm zone’, the dive gear should then be removed in a stepwise fashion. First, the
locking mechanism from helmet to dry suit should be disconnected and the helmet
removed. Second, the dry suit and gloves should be removed. Third, the dive gear
undergarments should be removed. If nothing indicates that the diving rig has been
breached during the dive, the diver may proceed to the clean zone and take a routine
post dive shower, which should include washing of the entire body with
soap/shampoo. The diver should use Domeboro Otic solution in each ear for a
minimum of 60 seconds per side. Additionally, the area under each fingernail and
toenail should be thoroughly scrubbed with soap and a nailbrush. The diver should
use antiseptic mouthwash to rinse his mouth.
If there are indications of possible dermal exposure to contaminants, then additional
decontamination steps will be required. These steps include scrubbing the bare skin
with a 0.5% bleach solution for approximately 10 minutes and then washing with
soap in a shower. The 0.5% solution can be prepared from a 1:9 dilution of the
equipment decontamination solution already prepared. Label solutions carefully as
applying 5% directly to a diver’s skin can be very irritating. Care should be taken not
to introduce decontamination solution into abdominal or central nervous system
wounds, if present.
In hot environments, a method of cooling the diver should be provided. Shade and
misting fans should be provided topside to prevent heat related injuries. In cold
environments, warm water must be provided for the final wash and rinse phase for the
undressed diver. If the water is too cold, the skin pores will close up and may trap
contaminants in the skin. If the water is too hot, the skin pores may dilate and may
allow residual contaminants easier entry into the body. A warm area should also be
provided for drying, dressing, and medical evaluation.
All the diver’s equipment must undergo secondary decontamination after it has
been removed. This secondary decontamination procedure entails first rinsing bulk
contamination from the equipment, then soaking it in a bleach-based solution for at
least thirty minutes before actively scrubbing the equipment with soft bristle brushes.
Drums or wading pools may be effective repositories for this process. After soaking
and scrubbing, equipment should be rinsed thoroughly until no foaming occurs. Due
to the possibility of cross-contamination, personnel assigned to accomplish the
secondary decontamination of diver’s equipment should not be the same as those
assigned to undress of the divers. In the case of contaminants difficult to remove or
highly toxic contaminants, assign a dedicated team to decontaminate equipment.
Soaking umbilicals in bleach-based solutions is not recommended. An alternative
solution such as TSP or soap such as Simple Green should be used to thoroughly
clean umbilicals. Impermeable Foreign Material Exclusion (FME) covers should be
applied to avoid introducing cleaning solutions into the interior of diving umbilicals and
other diving life support system breathing loops.
5-3.4 TENDER DECONTAMINATION. The tender decontamination procedure is the same as
that for divers. The last person out of the contaminated zone will have to self-
decontaminate.
5-4 MEDICAL SUPPORT
After completing a thorough decontamination, individuals should proceed to a medical
evaluation station, if appropriate to the hazard or if the diver has any symptoms or
complaints. The individual’s vital signs are taken, documented, and compared with
baseline information. Supervisory personnel may be required to h e l p d i s t i n g u i s h
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5-5.1 MINIMIZATION. Federal, state, or local regulations may require that residue
collected in the decontamination process be collected and disposed of as hazardous
waste. This will require prior coordination with local officials to ensure compliance.
Every effort should be made to minimize the amount of waste generated consistent
with personnel safety.
5-5.2 DISPOSAL. When operating in the United States and its territories, dive operations
should comply with all federal, state, and local regulations. To ensure compliance,
disposal efforts should be coordinated with local agencies/officials.
Disposal of the HAZMAT generated and the decontamination effluent can be
accomplished through the nearest military facility HAZMAT disposal program or by
a commercial hazardous material disposal company. Submit all SDS’s for the
known or suspected contaminates along with decontamination solutions used with
the HAZMAT and effluent generated for disposal.
When operating in foreign countries, contact local authorities and the United States
Defense Attaché Officer (USDAO) for assistance in identifying local points of contact
and industry resources.
5-6 DOCUMENTATION
5-6.1 DIVE LOGS. When recording dive logs in the Risk Management Information – Dive
Jump Reporting System (RMI-DJRS) located on the U.S. Air Force’s Safety
Automated System, list the known contaminants and those that may be present as
based upon pre-planning information in the drop-down boxes provided. Develop a
standard response for the DJRS using standard terms and abbreviations found in
the NIOSH Pocket Guide to Chemical Hazards, DHHS (NIOSH) Publication No.
2005-149.
5-6.2 MEDICAL RECORDS. Document known contaminants that the dive team is
exposed to, exposure times, and the team member’s assignment (e.g., diver,
DECON team member); if the team member was assigned more than one job, list
all for the duration of the mission. If other contaminants are suspected but no testing
could be accomplished to confirm their presence, document the suspected
contaminate and reason for their possible presence (e.g., informed by local
authorities of chemical spill in past years). Medical personnel should evaluate dive
personnel exposures and enter appropriate data in each medical record.
5-6.3 SAFETY DATA SHEETS (SDS). Maintain a file of SDSs for all contaminants known
and/or suspected at the site.
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5-6.4 HISTORICAL DATA COLLECTION. For CAT 1 and 2 CWD, provide NAVSEA 00C3
with complete record of the following:
• Provide narrative of mission, including: purpose, safety precautions taken,
explanation of the dive and DECON process, and lessons learned.
• Specifically include data on known and suspected contaminants, including
SDS and resources/testing used to determine contaminants.
• ORM plan.
• Description of any equipment issues encountered during the dive or DECON
phase (if any); this may involve submitting a Failure Analysis Report (FAR) on
the NAVSEA 00C3 secure website (https://secure.supsalv.org/00c3/).
• Equipment exposure times and details of the contaminants (for CAT-1 CWD
only - to enable calculations of exposure times for future dives).
• Personnel issues encountered (if any); e.g., contamination, environmental
stress. Personally Identifiable Information (PII) shall not be included.
• Disposition of HAZMAT generated at site and resources used for disposal.
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5-8
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APPENDIX A
REFERENCE MATERIALS AND INFORMATION SOURCES
29 CFR 1910 Subpart T Occupational Safety and Health Standards – Commercial Diving
Operations, http://www.osha.gov.
40 CFR Part 260 – 273 Regulations governing hazardous waste identification, classification,
generation, management and disposal. https://www.gpo.gov/fdsys/
Civilian/Commercial
Diving in High-Risk Environments 4th Ed., Steven M. Barsky, Hammerhead Press Santa
Barbara, CA http://www.marinemkt.com.
U.S. Environmental Protection Agency (EPA). Lead contact information by region for the EPA
can be found at https://www.epa.gov/lead/epa-region-lead-contacts.
For EPA websites on water quality, access the Microbial (Pathogen)/Recreational Water
Quality Criteria at https://www.epa.gov/enforcement/national-enforcement-initiative-keeping-
raw-sewage-and-contaminated-stormwater-out-our.
For the Watershed Assessment, Tracking and Environmental Results System (WATERS) at
https://www.epa.gov/waterdata/.
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NOAA Hazardous Materials and Assessment Division – provides tools and information for
emergency responders and planners to understand and mitigate the effects of oil and
hazardous materials in U.S. waters. http://response.restoration.noaa.gov/.
NOAA Hazardous Materials and Assessment Division – provides tools and information for
emergency responders and planners to understand and mitigate the effects of oil and
hazardous materials in U.S. waters. http://response.restoration.noaa.gov/.
U.S. Army Field Manual (FM) 3-11.9 Potential Military Chemical/Biological Chemical
Compounds available at http://www.apd.army.mil/epubs/DR_a/pdf/web/fm3_11x9.pdf.
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OPNAVINST 5100.19 Navy Safety and Occupational Health Program Manual for Forces
Afloat.
Contaminated Water Diving Familiarization Training power point on the SUPSALV webpage
at https://secure.supsalv.org/00c3/Default.asp?SystemID=18
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APPENDIX B
STANDARD OPERATING PROCEDURE
TABLE OF CONTENTS
PARAGRAPH PAGE
B-9 DOCUMENTATION………………………………………………….…………...B-5
B-1
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B-1 PURPOSE. This SOP provides general guidance and basic procedures for diving in
contaminated water. Due to the broad spectrum and concentration of contaminants, potential
exposure levels can vary; therefore, only general guidance can be provided.
B-2 APPLICABILITY. This SOP applies to all Military personnel assigned to a dive team as a diver
and/or as support personnel.
B-3 RESPONSIBILITIES. The Commanding Officer (CO) is responsible to ensure all requirements
of Operational Risk Management (OPNAVINST 3500.39 series), Navy Safety and Occupational
Health (OPNAVINST 5100.23 series), and for Navy Safety and Occupational Health for Forces Afloat
(OPNAVINST 5100.19 series) are met. This SOP is intended to supplement those references and
provide further guidance for the safety of personnel. This SOP details the process of determining the
contaminants expected, the personnel protection best suited for the contaminate(s), and the
decontamination process.
This SOP establishes the minimum emergency procedures required and the minimum medical
monitoring/evacuation/follow up. This SOP does not address how to determine the contaminant in
the location of the dive or which contaminants for which to test. It is the Commanding Officer’s
responsibility to identify what contaminant is or may be present by contacting local, state, and federal
organizations that monitor environmental conditions. In foreign countries with little or no
environmental monitoring authorities, the best source may be local law enforcement, businesses, and
citizens.
B-4 OBJECTIVES. The objectives of the CWD Manual, PowerPoint and SOP are to:
B-5 REFERENCES.
a. NIOSH Pocket Guide to Chemical Hazards, DHHS (NIOSH) Publication No. 2005-149
b. OPNAVINST 5100.19 (Series), Navy Safety and Occupational Health Program Manual for
Forces Afloat
c. Operational Risk Management, OPNAVINST 3500.39 (Series)
d. U.S. Navy Diving Manual, SS521-AG-PRO-010
e. Contaminated Water Diving PowerPoint (NAVSEA 00C)
f. Contaminated Water Diving Manual, SS521-AJ-PRO-010, Rev 2
g. OPNAVINST 5100.23 (Series), Navy Safety and Occupational Health Program Manual
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b. Determine and obtain the appropriate Personal Protective Equipment (PPE) for divers and
topside support personnel in accordance with references (a) and (b).
c. Determine the diving platform and space available for the dive station/decontamination
station.
e. Develop Operational Risk Management (ORM) Plan in accordance with references (c)
and (d), including but not limited to:
1) Consider using outside assistance from established and trained DECON teams,
especially for CAT 1 diving/decontamination.
3) The team should consist of members trained in accordance with reference (f).
There is no single equipment configuration or material that will protect the diver under all
conditions or from all contaminants.
The type of protection needed will be determined by the expected hazard, type of work,
the urgency of the work, and the available equipment.
Refer to reference (f), Appendix C inventory for available equipment and model your
decontamination station similar to the layouts shown. The layouts shown in Appendix C
are not mandatory – they are provided as a guide for effective decontamination station set
up.
Determine the DECON stations and equipment required and develop a detailed sketch of
how to lay out the entire station using the decontamination equipment available. Ensure
that the station provides for:
NOTE Excessively cold water may trap any contaminants in skin pores. Excessively hot
water may open skin pores to residual contamination.
If diving in a cold environment, provide warm water for the undressed diver decontamination wash-
down and rinse stations.
If diving in a tropical environment, shade may be required for any supply-water holding tanks to
ensure it is not over heated by direct sunlight.
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APPENDIX C
NAVSEA CWD DECONTAMINATION EQUIPMENT
C-1 CWD DECON Station Assemblies/Components. The following shows the NAVSEA 00C3
CAT 1 Decontamination Station Equipment and Dive Station Van available to augment severe
U.S. Navy CWD operations. This equipment is intended to augment U.S. Navy Commands CWD
inventories as provided in their Table of Allowances (TOAs) per their Required Operational
Capabilities (ROC) and Projected Operational Environment (POE). This equipment is not
intended for use in all CWD that are standard, day-to-day operations (e.g., diving in U.S. Navy
Shipyards) but is for an initial response capability for a large-scale events (e.g., accident, spill,
humanitarian response, etc.). The images below show only one example of how to place and
configure the decontamination station. The configuration/foot-print of the DECON station may be
modified to meet the needs of each situation following the guidelines of Figure 5-1. Refer to
Section C-2 for an inventory list.
C-1.1 Equipment Weights and Shipping. The CONEX box that houses and is utilized to ship the
DECON Station Assemblies has a combined shipping weight of 16,000 pounds. The entire
assembly is requested to augment the requesting command’s TOA for the CWD operation. If
requesting the use of the NAVSEA FADS III Dive System and Trailer to augment the requesting
command’s dive capability for the CWD operation, the shipping weight is 14,000 lbs. Contact
NAVSEA 00C3 for information when requesting the NAVSEA dive system and trailer.
C-1
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FIGURE C-3 Yellow Containment Barrel and Diver’s Umbilical with Berm and DECON Deck
Grating
FIGURE C-4 Wash Shower with Yellow Berm and DECON Deck Grating
FIGURE C-5 Rinse Showers with Yellow Berm and DECON Deck Grating
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FIGURE C-6 Diver Undress Area. Table for Helmet DECON and Yellow Container for Dive Suit
and Clothing. Berm, Seats, and DECON Deck Grating (privacy curtain not shown)
FIGURE C-7 12V Electric Submersible Pump for dewatering berms, 50’ Grey Discharge Hose,
50’ Electrical Power cord with On/Off Switch
FIGURE C-8 110V Electric Water Supply Pump with manifold, shut-off valves, with suction
hose and red supply hoses to showers. White 50 gal clean water supply container
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FIGURE C-9 Zumro DECON Tent Skin Wash and Rinse (two separate showers)
FIGURE C-10 Cold Zone, Final Dry/Dressing Berm (privacy panels not shown)
FIGURE C-12 Zumro DECON Tent Dewatering 110V Electric Pump and Hoses
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FIGURE C-14 Emergency Wash Tub with Stokes Stretcher and Emergency Rinse Tub
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C-2 CWD Equipment Inventory. The following Tables list the CAT 1 Decontamination Station
Equipment and Dive Station Van as maintained by NAVSEA 00C3 via the Emergency Ship
Salvage Material (ESSM) Facility in Williamsburg, VA. The inventory is subject to change and is
not all inclusive for every CAT 1 contaminated diving scenario. This equipment is available to
augment fleet capabilities and provide commands additional deployable assets if needed.
Notes:
With HAZMAT Exhaust Valve, Steel-Toed Boots, KM 37 (NS) or KM 97 Neck Ring Installed, Glove
Ring System, Good Grip Gloves, and HD Dry Gloves.
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APPENDIX D
List of Acronyms
AGE Arterial Gas Embolism
ANU Authorized for Navy Use
ATP Army Technical Publication
CAT Category
CFR Code of Federal Regulations
CO Commanding Officer
CONUS Continental United States
CWD Contaminated Water Diving
DECON Decontamination
DHHS Department of Health and Human Services
DJRS Dive Jump Reporting System
DoD Department of Defense
DOT Department of Transportation
E. Coli Escherichia Coli
EGS Emergency Gas Supply
EP Emergency Procedure
EPA Environmental Protection Agency
ESSM Emergency Ship Salvage Material
EU European Union
FAR Failure Analysis Report
FFM Full-Face Mask
FM Field Manual
FME Foreign Matter Exclusion
HAB Harmful Algal Bloom
HAZMAT Hazardous Material
HAZWOPER Hazardous Waste Operations
IAW In Accordance With
MIL-SPEC Military Specification
MOPP Mission Oriented Protective Posture
NAVSEA Naval Sea Systems Command
NBC Nuclear Biological Chemical
NCMI National Center for Medical Intelligence
NEDU Navy Experimental Diving Unit
NMCPHC Navy Marine Corps Public Health Center
NIOSH National Institute of Occupational Safety and Health
NOAA National Oceanic and Atmospheric Administration
NS Navy Standard
OCONUS Outside Continental United States
OPNAV Office of the Chief of Naval Operations
OPNAVINST Office of the Chief of Naval Operations Instruction
OSHA Occupation Safety and Health Administration
ORM Operational Risk Management
PCB Polychlorinated Biphenyls
PHA Polyaromatic Hydrocarbons
PMS Planned Maintenance System
POE Projected Operational Environment
PPE Personal Protective Equipment
RADCON Radiological Controls
ROC Required Operational Capabilities
SCBA Self-Contained Breathing Apparatus
SCUBA Self-Contained Underwater Breathing Apparatus
SDS Safety Data Sheet (formally Material Safety Data Sheet)
SOP Standard Operating Procedure
TIC Toxic Industrial Chemicals
TLD Thermo-luminescent Dosimeter
TOA Table of Allowance
TSP Tri-Sodium Phosphate
USA United States Army
USCG United States Coast Guard
USDAO United States Defense Attaché Office
USN United States Navy
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D-2
Ref: NAVSEAINST 4160.3 NAVSEA S0005-AA-PRO-010/TMMP
8. ORIGINATOR’S NAME AND WORK CENTER 9. DATE 10. ORIGINATOR’S E-MAIL ADDRESS 11. TMMA of Manual
(NSDSA will complete)
12. SHIP OR ACTIVITY Name and Address (Include UIC/CAGE/HULL) 13. Phone Numbers:
Commercial ( ) -
DSN -
FAX ( ) -
COMMANDING OFFICER
CODE 310 TMDERs
NAVSURFWARCENDIV NSDSA
4363 MISSILE WAY BLDG 1389
PORT HUENEME CA 93043-4307