IR 05000291/2023001
| ML20236X752 | |
| Person / Time | |
|---|---|
| Site: | 05000291, 03034782 |
| Issue date: | 07/21/1998 |
| From: | Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 50-29123-01, 50-29123-1, 572686, NUDOCS 9808100236 | |
| Download: ML20236X752 (36) | |
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u.s. NUCLEAR REGULATORY CoMM!ssioN aKc'
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MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,
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Cods of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and
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riprssentations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s)
dtsignated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in eff ct and to any conditions specified below.
Licensee I
1. Hart Crowser, Inc.
3. Ucense number 50-29123-01 l
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2.1896 Marika Road, Unit No.1 t,.-
4. Expiration date July 31,2008
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Fairbanks, Alaska 99709 j
5. Docket No. 030-34782
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6. Byproduct, source, and/or speciaI 5
_7. Chemical and/or physical form 8.' Maximum amount that licensee may nuclear material possess at any one time under this hcense A. Americium-241 A. ' Sealed neutron sources A Not to exceed 50 millicuries (Boart Longyear Company per source
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Model CPN-131)
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Authorized use A.
To be used in portable Boart L6ngyear Company (formerly Campbell Pacific Nuclear Company)
Model 503 gauging devices for measurement of properties of construction materials.
CONDITIONS 10. Licensed material may be used or stored at the licensee's facilities located at 1896 Marika Road, Unit No.1, Fairbanks, Alaska, and may be used at temporary job sites of the licensee anywhere in the United States where the U.S. Nuclear Regulatory Commission maintains jurisdiction for regulating the use of licensed material, including areas of exclusive federaljurisdiction within Agreement States.
If the jurisdiction status of a federal facility within an Agreement State is unknown, the licensee should contact the federal agency controlling the job site in question to determine whether the proposed job site is an area of exclusive federaljurisdiction. Authorization for use of radioactive materials at job sites in Agreement States not under exclusive federal jurisdiction shall be obtained from the appropriate state regulatory agency.
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9808100236 900721 PDR ADOCK 03034782 C
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NRc FORM 374A U.s. NUCLEAR REcVLAToRY CoMMisSloN PAGE 2 of 4 PAGEs License Number
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50-29123-01 MATERIALS LICENSE Docket or Reference Number
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SUPPLEMENTARY SHEET 030-34782 l
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11. A.
Licensed material shall only be used by, or under the supervision and in the physical presence of, Russell Grandel, or individuals who have received the training described in application dated June 24,1998.
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The Radiation Safety Officer for this license is Russell Grandel.
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I 12. A.
Sealed sources shall be tested forjeakage and/or contamination at intervals not to exceed the intervals specified in the certificate of registration issued by N,RC under 10 CFR 32.210 or by an Agreement State, y"
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B.
In the absence of a certificate from a transferor indicating that a leak test has been made within the intervals specified i,n.th' certificate of registration issued by NRC under 32.210 or by an Agreement e
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State prior to the transfer,'a sealed source or detector cell' received from another person shall not be put into use until tested.
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Sealed sources need not be leak tested if they are in storage and are not being used. However, when they are removed from storage for use o'r transferred to another person, and have not been tested within the red uired leak test interval, they shall be tested before use or transfer. No sealed l
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source or detector cell shall be stored for a period of more than'10 years without being tested for leakage and/or contamination?
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The leak test shall be capable'of detecting the ' presence of 0.005 microcurie of radioactive material on the test sample. If the test reveals the presence of 0.005 microcurie or more of removable contamination, a report shall be filed with the U.S. Nuc! ear Regulatory Commission in accordance with 10 CFR 30.50(b)(2), and the source shall be removed immediately from service and j
decontaminated, repaired, or disposed ofin accordance with Commission regulations. The report shah be filed within 5 days of the date the leak test result is known with the U.S. Nuclear Regulatory Commission, Region IV,611 Ryan Plaza Drive, Suite 400, Arlington, Texas 76011, ATTN: Director, Division of Nuclear Materials Safety. The report shall specify the source involved, the test results, q
and corrective action taken.
E.
Tests for leakage and/or contamination shall be performed by persons specifically licensed by the Commission or an Agreement State to perform such services. In addition, the licensee is authorized
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to collect leak test samples but not perform the analysis; analysis of leak test samples must be
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performed by persons specifically licensed by the Commission or an Agreement State to perform such services.
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13. Sealed sources or source rods containing licensed material shall not be opened or sources removed or detached from source rods or gauges by the licensee, except as specifically authorized.
14. The licensee shall conduct a physical inventory every 6 months, or at other interval approved by NRC, to account for all sources and/or devices received and possessed under the license.
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NRC FORM 374A u.s. NUCLEAR REGULATORY Commission PAGE 3 of 4 PAGEs y
Licanse Numt:Or j
50-29123-01
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MATERIALS LICENSE Docket or Reference Number j
SUPPLEMENTARY SHEET 030-34782 i
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15. Each portable gauge shall have a lock or outer locked container designed to prevent unauthorized or accidental removal of the sealed source from its shielded position. The gauge or its container must be locked when in transport, storage, or when not under the direct surveillance of an authorized user.
l 16. Except for maintaining labeling as required by 10 CFR Part 20 or 71, the licensee shall obtain authorization from NRC before making any changes i_n the. sealed source, device, or source-device
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combination that would alter the description or specifications ~as indicated in the respective Certificates of Registration issued either by the Commission pursuant to 10 CFR 32.210 or by an Agreement State.
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17. Any cleaning, maintenance, or repair of the gauges that requires detaching the source or source rod from the gauge shall be performed only by the manufacturer or other persons specifically licensed by the Commission or an Agreement State to perform such services g
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18. The licensee is authorized to trarisport licensed material only in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material."
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19.
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If the licensee uses uryshielded sealed sources extended rpore than 3 feet below the surface, i
the licensee'shall use~ surface casing that extends from the lowest depth to 12 inches above the surface and other ap'propriate procedures to reduce the 'pr'obability of the source or probe becoming lodged below the surface if it is not feasible to extend the casing 12 inches above
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obstruction before makin'g ' measurements. _
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the surface, the licensee shall implement procedures 'to ensure that the cased hole is free of
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If a sealed source or a probe containirig sealed sources becomes lodged below the surface and it becomes apparent that efforts to recover the sealed source or probe may not be successful, the licensee shall notify the U.S. Nuclear Regulatory Commission and submit the report
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required by 10 CFR 30.50(b)(2) and (c). The licensee shall not abandon the sealed source or probe without obtaining the Commission's prior written consent.
20. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed l
I material to quantities below the minimum limit specified in 10 CFR 30.35(d) for establishing decommissioning financial assurance.
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NRC FORM 374A u.s. NUCLEAR REGULATORY Commission PAGE
of 4 PAGEs
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Licinsi Number 50-29123-01 MATERIALS LICENSE D eket r Reference Number 030-34782
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SUPPLEMENTARY SHEET
21. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements, representations, and procedures contained in the documents, including i
any enclosures, listed below. The Nuclear Regulatory Commission's regulations shall govern unless the statements, representations, and procedures in the licensee's application and correspondence are more restrictive than the regulations.
Application dated June 24,1998 E ! ' ' p' : r.
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Letter dated July 13,1998
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION l
Date By
/ KM Tam A Beth A. Prange j Materials Branch l
Region IV, WCFO Walnut Creek, California 94596
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(FOR LFMS USE)
l INFORMATION FROM LTS l
BETWEEN:
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l License Fee Management Branch. ARM Program Code:
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and Status Code: 3 i
Regional Licensing Sections
Fee Categor Exp. Date: y:
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u Fee Comments:
Decom Fin Assur Mega: _
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LICENSE FEE TRANSMITTAL REGION (g6[0 j
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APPLICATION ATTACHED Applicant / Licensee: HART CROWSER. INC.
Received Date:
980701 Docket No:
3034782 Cont,r01 No.*
572686 License No.
Action Type:
New Licensee
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2s260
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3. COMMENTS Si ned /
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Da e QQ/A f-y B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered / /)
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Fee Category and Amount: 3 2.
Correct Fee Paid. Application may be processed for:
Amendment Renewal
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License
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OTHER Signed
[14 DM/1 Date-7 /J/ 9,.A
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UNITED STATES
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NUCLEAR RE2ULATORY COMMISSION l
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REGloN IV
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WALNUT CREEK FIELD OFFCE
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1450 MARIA LANE, Suite 30o
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WALNUT CREEK, CALIFORNIA 94596-5368 July 21,1998
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Hart Crowser, Inc.
ATTN: James D. Gill, P.E.
I Principal, Alaska Regional Manager 1896 Marika Road, Unit No.1 Fairbanks, Alaska 99709 SUBJECT: NEW LICENSE Please find enclosed License No. 50-29123-01. You should review this license carefully and be sure that you understand all conditions. If you have any questions, you may contact the reviewer who signed your license at (925) 975-0250.
The NRC is required to have your Taxpayer Identification Number la order to make payments
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(refunds). The self-addressed, stamped NRC Form 531, " Request for Taxpayer Identification Number" is enclosed.
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NRC expects licensees to conduct their programs with meticulous attention to detail and a high standard of compliance. Because of the serious conseque'nces to employees and the public l
which can result from failure to comply with NRC requirements, you must conduct your program involving radioactive materials in accordance with the conditions of your NRC license, representations made in your license application, and NRC regulations. In particular, note that you must:
1.
Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and l
Reports to Workers: Inspection and Investigations," 10 CFR Part 20, " Standards for
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l Protection Against Radiation," and other applicable regulations.
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2.
Possess radioactive material only in the quantity and form indicated in your license.
3.
Use radioactive material only for the purpose (s) indicated in your license.
l 4.
Notify NRC in writing of any change in mailing address (no fee required if the location of
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radioactive material remains the same).
5.
Request and obtain written NRC consent before transferring your license or any right l'
thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of control of your license to any person or entity. A transfer of control of your license includes not only a total change of ownership, but also a change in the controlling interest in your company whether it is a corporation, partnership, or other entity, in
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1 Hart Crowser, Inc.
-2-l addition, appropriate license amendments must be requested and obtained for any other planned changes in your facility or program that are contrary to your license or contrary to representations made in your license application, as well as supplemental correspondence thereto, which are incorporated into your license. A license fee may be
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charged for the amendments if you are not in a fee-exempt category 6.
Maintain in a single document decommissioning records that have been certified for completeness and accuracy listing all the following items applicable to the license:
Onsite areas designated or formerly designated as restricted areas as defined in l
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10 CFR 20.3(a)(14) or 20.1003.
I Onsite areas, other than restricted areas, where radioactive materials in
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quantities greater than amounts listed in Appendix C to 10 CFR 20.1001-20.2401 have been used, possessed, or stored.
Onsite areas, other than restricted areas, where spills or other unusual
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occurrences involving the spread of contamination in and around the facility, equipment, or site have occurred that required reporting pursuant to 10 CFR 30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures
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have removed the contamination.
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Specific locations and radionuclides contents of previous and current burial areas
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within the site, excluding radioactive material with half-lives of 10 days or less, depleted uranium used only for shielding or as penetrators in unused munitions, or sealed sources authorized for use at temporary job sites.
Location and description of all contaminated equipment involved in licensed
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operations that is to remain onsite after license termination.
7.
Submit a complete renewal application with proper fee, or termination request at least l
30 days before the expiration date on your license. You will receive a reminder notice
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approximately 90 days before the expiration date. Possession of radioactive material after your ficense expires is a violation of NRC regulations.
8.
Request iennination of your license if you plan to permanently discontinue activities involving radioactive material.
You will be periodically inspected by NRC. Failure to conduct your program in accordance with l
NRC regulations, license conditions, and representations made in your license application and i
supplemental correspondence with NRC will result in enforcement action against you. This could include issuance of a notice of violation; imposition of a civil penalty; or an order suspending, modifying, or revoking your license as specified in the " General Statement of Policy and Procedure for NRC Enforcement Actions"(Enforcement Policy), NUREG 1600.
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I Hart Crowser, Inc.
-3-Also enclosed, please find the NRC letter dated July 12,1995, to all materials licensees which transmits the NRC Policy on Communications Between the NRC and Licensees. It is the intent
, of this policy to foster greater openness and candid communications and to improve interactions with our licensees. We encourage you and your staff to become familiar with these j
principles so that we can maintain a high level of professional communication at all levels in our
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organizations.
I Thank you for your cooperation.
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Sincerely,
Zhaa7%
Beth A. Prange #
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Sr. Health Physicist (Licensing)
l Materials Branch Docket: 030-34782 License: 50-29123-01 l
Control: 572686 Enclosures: As stated cc: State of AK (License only)
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Hart Crowser, Inc.
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LFARB, T-9, E-10 Files (2)
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DOCUMENT NAME: G:\\BETH\\572686 To receive copy of document. Indicate in box:"C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy RIV:MB M
BPrange
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7/dl/98 OFFICIAL RECORD COPY
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Anchorage, Alaska 99503-1/37 fax 907276 2104 Tel90727x7475 E1rth and Environmental Technologies July 13,1998 U.S. Nuclear Regulatory Commission Region 4 - WCFO 1450 Maria Lane Suite 300 Walnut Creek, CA 94596 Attn: Beth Prange RE: Review Comments of our NRC Application - Control No. 572686 Dear Ms. Prange This letter has been prepared to address concerns that you identified during your review of our NRC application for a CPN 503 moisture gauge. Our radiation safety plan has been modified accordingly and is attached to this letter. Specific changes that addresses your cc,mments are as follows.
Comment 1 - We wish to be licensed for only the 503 gauge. Therefore item 5 of the radiation safety plan was modified to indicate only Americium 241/Be.
Comment 2 - We will have access to tadiation survey meter meeting the requirements NUREG-1556, Vol.1, May 1997.
Comment 3 - We will conduct a physical inventory of the gauge at least once every six months.
Comment 4 - Dosimeters will be analyzed by an NVLAP-approved processor. If
we use film badges they will be exchanged monthly, TLD's will be exchanged quarterly.
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l Comment 5 - Any maintenance performed on the gauge will be conducted in accordance with the manufactures recommended procedures.
I Comment 6 - Document NRC-3 will be posted as a notice to employees of the radioactive source.
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W RE Comment 7 - If the probe becomes stuck down hole, we will not attempt retrieval operations which might rupture the source.
l Please do not hesitate to call me at (907) 451-4496 if you have additional questions I
or concerns regarding our application.
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Sincerely, HART CRO R, INC./
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CRAIG11I4ARTl[Pb Associate Engineer l
l Attachment: Radiation Safety Plan l
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l Radiation Safety Plan L
l-General L
This Radiation Safety Plan covers the procedures for the safe and proper use and l
possession of radioactive material as contained in portable moisture / density gauger used
. to measure soil and other materials. When handled in accordance with this plan, the radioactive materials present no hazard to the licensee's employees, customers or the general public.
Radiation Safety Officer All use and possession is under the direction and supervision of the Radiation Safety Officer (RSO). The RSO is a single point of accountability and responsibility between the Regulatory Agency and the Licensee. The RSO is responsible for all aspects of the Radiation Safety Plan, including the following specific duties:
1..To ensure that all terms and conditions of the license are being complied with and that the information is up-to-date and accurate.
2. To ensure that the equipment is leak tested at the required intervals.
3. To ensure that the equipment is only used by operators authorized by the RSO, and that they use the equipment in accordance with all relevant regulations. This will include wearing of a suitable personnel monitoring device.
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To maintain records as required by the license and the regulations.
5 To ensure that all equipment is properly secured against unauthorized removal at all times.
6. To serve as a point of contact and give assistance in case of an emergency such as equipment damage in the field, theft, or fire and to notify the proper authorities in case
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of an emergency.
l 7. To ensure that all operators have read and understand this Radiation Safety Plan.
l 8. To arrange appropriate training for all operators.
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9. To provide annual refresher training to all gauge operators on operating and emergency procedures, transportation requirements, changes in applicable regulations or license conditions, and correction of deficiencies identified by the RSO.
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10. To post all required signs and notices at gauge storage location.
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l Post document NRC-3, Notice to Employees.
j Label storage cabinet with " Caution, Radioactive Material" and j
l international symbol.
l Post notice of where a copy of the organization's license, safety plan, and a
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copy of regulations are located.
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Operation l
1. The operator will exercise suitable control over the gauge at all times. At no time is it to be left unattended or in the possession of an unauthorized person.
2. When not being used for field measurements, the gauge will be locked and returned to its storage / transportation case.
3. When testing is complete, the gauge will be returned to its permanent place of storage as soon as possible.
l 4. When using the equipment, the operator will wear the personnel monitoring device
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assigned. When the operation is not using the equipment, the monitoring device will be kept in a radiation free, low heat area.
5. At all times operators will observe ALARA principles to minimize any dose received:
As Low As Reasonably Achievable.
6. While the equipment is in the operator's possession, the operator will have a:
Copy of the License Copy of this Radiation Safety Plan with Emergency Procedures and Telephone Call-Down List Copy of Letter / Card of Authorization from RSO Copy of the Gauge Operating Manual and Copy of the Current Leak Test Certificate.
Transportation 1. During transportation, the equipment shall be fully secured in the transporting vehicle and located away from personnel. When transported in a closed vehicle (car or van),
the case will be locked and the vehicle will be locked when the operator is not with the vehicle. When transported in an open bed vehicle (pick-up truck), the case will be locked and the case securely fastened and locked to the tmek bed when the operator is not with the vehicle.
2. The equipment will only be transported in an approved DOT shipping container with l
all the required labels and markings.
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3. During transportation the operator will have Shipping Papers on the seat adjacent to the driver or in a holder which is mounted to the inside of the door on the driver's side of the vehicle describing the radioactive material with the proper nomenclature.
4. When an open bed vehicle is parked overnight at a hotel or motel, the operator shall cover the case in the secured transport position or lock the case in the cab of the vehicle.
5. When shipping by common carrier, the package shall be in compliance with 49 CFR 170-179.
Storage 1. The gauge shall be stored in the cabinet shown on the overhead drawing at the physicallocation on the license.
2. The gauge shall be secured against unauthorized removal by two lock and key mechanisms.
3. The gauge storage location shall be posted with a " Caution, Radioactive Material" sign.
4. A physical inventory of the gauge will be conducted at least once every six months.
I Maintenance 1. Periodic maintenance willinclude cleaning of the gauge. The operator will have received proper instruction on how to clean the gauge and will wear his assigned
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monitoring device. Maintenance will be conducted in accordance with the manufactures recommended procedures.
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2. No maintenance will be performed in which the radioactive source is removed from the gauge. The gauge will be returned to the manufacturer or an approved service center for this type of service.
l 3. A leak test will be performed annually (or at the interval specified in the license) using l
an approved leak test kit provided by CPN, and in accordance with the gauge manufacturer's instructions. The operator will have received proper instruction on how to leak test the gauge and will wear his assigned monitoring desice.
4. The shipping case will be periodically checked for integrity, and to verify that all labels are present and readable.
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5. A radiation survey meter will be available meeting the requirements of NUREG-1556, Vol.1, May 1997.
Records Records will consist of:
i Radioactive Material License
I Personnel Dosimetry Reports Leak Test Cenificates Training Certification Gauge Inventory Check-out/ Check-in Log A check-out log will be attached to storage cabinet. Information on log will include serial number of gauge, operator checking out gauge, date checked out, destination, estimated return date, and actual date of return.
Training All operators wili complete a manufacturer's Operator's Training Course. Operators will be given special training as required for their individual work assignments.
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Emereency Procedures l
See Appendix for Emergency Telephone Numbers Physical anage
1. If any moving equipment is involved, stop its movement until the extent of
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contamination, if any, can be established.
2. Cordon off the area around the incident. An area with a radius of fifteen (15) feet will
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be sufficient.
3. Visually inspect the gauge to determine the extent of the damage to the source (s),
source housing (s) and shielding. If the source (s), source housing (s) and shielding are intact and functional, the gauge can be removed from the site, returned to the shipping container and shipped to the manufacturer for repair or replacement.
4. If the integrity or location of the source (s) cannot be positively identified, at the earliest possible time, when the situation is under control, contact the RSO. Describe the conditions and follow the instmctions of the RSO. The RSO will immediately notify the appropriate regulatory agency.
5. The RSO shall follow the instructions of the regulatory agency.
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6. If the source rod is bent and extended, or the shielding is damaged such that dose rates are likely to exceed those of an undamaged gauge, call the manufacturer for
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Lodged or Lost Down-Hole Probe 1. Operating procedure to prevent a probe from becoming stuck or lost in a bore-hole:
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a. All access holes for probes shall be lined with a continuous casing from the lowest depth to a minimum of six inches above the surface.
b. The cable connectors to both the probe and surface electronics shall be checked daily to assure they are tight.
c. For all access hole sites greater than 12 feet in depth, a dummy prom, whose stiffness, outside diameter and effective length are equal to that of the active probe, will be lowered to the bottom of the hole before deploying the radioactive source (s).
d. Retdeval operations will not be attempted that use techniques which might rupture the source.
2. Emergency procedures if a probe becomes stuck in a bore hole:
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l If a sealed source becomes lodged in a bore-hole and it becomes apparent that
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l efforts to recover the sealed source will not be successful, the licensee shall:
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Immediately secure the area around the hole.
b. Notify the licensing authority immediately by telephone of the circumstances that resulted in the inability to retrieve the source.
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Follow the instructions of the licensing authority.
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Theft or Loss
1. Immediately notify the RSO. The RSO will immediately notify the appropriate reguMory agency and the police.
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Fire 1. Call the Fire Department 2. Take action appropriate with a fire to protect personnel.
3. Notify the RSO.
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4. Stand by to advise the fire fighters as to the nature, locations, and potential hazards of the radioactive materials. Supply them with an information packet consisting of the i
facility layout and a data sheet of the equipment including a photograph. Any other important information will be included.
Melting Points:
- F
- C Stainless Steel 2550 1400
,
Carbide 2000 1090 Aluminum 1005 540 Lead 620 327 Polyethylene 257 125 Temperatures in an industrial fire will normally range from 500 F at floor level to a high at the ceiling of 1400 to 1800 "F. The polyethylene and lead would melt in most fire, the aluminum only in a severe fire. The stainless steel capsule would not reach its melting point.
Disposal / Decommissioning 1. Disposal will only be performed by transferring to a properly licensed organization.
l
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2. The regulatory agency will be notified 30 or more days in advance of any relocation of the storage area. Formal decommissioning will not be required, provided leak tests are
current.
l Radiation Safety Plan This radiation safety plan will be implemented at all times. A copy of these procedures shall be maintained in the radioactive materials license file, and another copy in the shipping case of the nuclear gauge at all times.
Signed Date I
l
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E.
f
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Item 5: Radioactive Material a. Element and Mass Number b. Form c. Maximum Amount I
Americium 241/Be Sealed source No single source to (CPN Model CPN-131)
exceed 50 millicuries
,
,
Item 6: Purposes for which licensed material will be used I
For use in CPN Model 503DR Hydroprobe to measure soil moisture content and properties of soils.
Item 7: Individual (s) responsible for radiation safely program and their training experience Russell Grandel. See attached copy of certificate of corupletion.
Item 8: Training for individuals working in or frequentir.g restricted areas l
All users shall be trained. The RSO shall retain for inspection Certificates of Completion j
from a manufacturer's authorized training class.
,
Item 9: Facilities and equipment
-
,
See attached Storage Location, Radiation Safety Plan.
j Iters 10: Radiation Safety Program See attached Radiation Safety Plan.
Item 11: Waste Management The gauge will only be returned to the manufacturer or transferred to an authorized licensee.
I 57%%
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IRC FORM 218 EEV O t/93 (tT/Lde-RIV)
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M Hart Crowser, Inc.
sare crowser err.
1896 Marika Road, Unit No.1 25500enalistreet swte 705
,
,
Fairbanks, Alaska 99709 Anchorage, Alaska 99503 I
FAX 907-451-4451
/Ax 907276 2704 TEL 9074514496 907276.7475 Earth and Environmental' Technologies A-8548 June 24,1998 l
Nuclear Materials Licensing Section U.S. Nuclear Regulatory Commission, Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-8064 To Wohm it May Concern:
Attached please find the required information fcr the application to receive an NRC material license for an instrument to be located in Fairbanks, Alaska. As we currently have an ongoing project we would greatly appreciate your prompt response to this request.
If you have any questions please feel free to call Claire McNeil at our Fairbanks office at l
(907) 451-4496.
l
Sincerely, j
HART C WSER, INC.
-04~ 5 JAMES D. GILL, P.E.
Principal, Alaska Regional Manager Attachments: NRC Form 313 Certificate of Completion Radiation Safety Plan Shipping Paper Document Enclosure:
Check l
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)
572686 seattle * Tatorna e Richland = Anchorage * Portland * San francisco * Long Beach
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NRC FORM 313 U. S. NUCLEAR REGULATORY COMMISSION APPROVED 0V OMS: NO.313 %120 EAPIRES: Mifes g..el E.re S en, e-e o o,n.iy in,e.n.o,me.on. on 10 CFR 30. 3 34333 3.2.33 m so.-,. u's S.ubmetoi of tne soonceoon is necessary t oste,%ne inet
,couest 7 ho en. 0 e. e. inM so oueM -u.e.
,ume... ouee.sw Fo,.e,. co.n.enM,o.e,.n..e.e M,,-nn.
u en e,,une M tne ardo,menon and Recores Management B,ancn (T 6 F33). U S. Nucles, j
I APPLICATION FOR MATERIAL LICENSE
"a"*'a'v ca*** **n.n C 20$-ian.M u P-
[
Reduccon P,olect (31500120L Othee of Management one Budget, Wen,ungton, DC 205G, NRC may not conouct o, sooneo,, and a pe, son.
not,eauered to,eseand to, a codW of info,menon unione a a so6 eye a cu,snov veied OMB contros numco, INSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION.
i i
SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW, APPUCATION FOR DISTRIBUTION OF EKEMPT PRODUCTS FILE APPLICATIONS WITH:
IF YOU ARE LOCATED IN:
!
DMSON OF INDUSTRIAL AND MEDCAL NUCLEAR SAFETV ILLINotS Ih01ANA, IOWA, MICHIGAN, M4NNESOTA, MISSOURI, OHlo, OR WISCOesSIN, l
OFFCE OF NUCLEAR MATERIALS SAFETY AND SAFEQUARDS SENO APPUCATIOmit 70:
US NUCLEAR REOULATORY-WADENGTON, DC ma"1 MATERIALS UCENSDdG SECTION l
ALL OTHWt PERSOeIS MLE APPUCATIOest AS POLLOWS, OM COedWSSON, REGON N O YOU ARE LOCATED DC UEE. S. 80882-4361 CONNECTICUT, DELAWARE, NSTRICT OF COLue486A. MAANE. MARYLANO, AMSNA AREDedA, ARMAleSAS. CAUFORNIA COLORADO, MAWAll,IDANO, KAleSAS, i
MASSACHUSETTS, NEW HAW PSHNtE, NEW JERSEY NEW YORK, PENNSYLVANIA, LOUISIANA MONTAfdA, NEGRASMA,IdEVADA, NEW AIEACO,leORTH DAMOTA, RHOOE ISLAND, OR VERE 00NT, SENO APPUCATIONS TO:
OMLAHOMA OREGON. PACIPIC TRUST TERRff0 RIES, SOUTH DAMOTA. TEXAS, UTAH, WASH 6880 TON, OR WYOe86MG, SELD APPUCATIONS TO:
NUCLEAR MATERIALS SAFETY BRANCH NUCLEAR MATERIALS UCENSING SECTON U S NUCLEAR REGULATORY COMMISSION, REOCN l U S. NUCLEAR REGULATORY,N**'ON, REGON IV 475 ALLENDALE ROAO 611 RYAN PLAZA DRIVE, SUITE 400 CIING OF PRUSSIA PA 19408141$
ARUNGTON. TX 70011 8064 ALASAh A FLORIDA. OEORGIA KENTUCKY, MISSISSIPPI, NORTH CAROUNA. PUERTO CICO, SOUTH CAROUNA. TENNESSEE, VIRGINIA VIROIN ISLANDS, OR WEST VIRGINIA.
SENO APPUCAflONS 70:
NUCLEAR MATERIALS LCENSING SECTION U S NUCLEAR REGULATORY COMMISSCN, REGCN ll 101 MAR!ETTA STREET, NW, SulTE 2900
,
ATLANTA GA 3032M190 i
PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSON ONLY lF THEY WlSH TO POSSESS ANO USE UCENSED MATERIAL IN STATES SUSJECT TO U.S. NUCLEAR REOULATORY COMMISSON JURISDICTIONS.
1.
THIS IS AN APPLCATION FOR (Check eagwopnem som)
2. NAME AND MAluNG ADDRESS OF APPUCANT (IncAmseLp cade)
X A NEW LCENSE Hart Crowser, Inc.
8 AMENDMEMT TO LCENSE NUMBER 1896 Ma"ih3 Road, Unit No. 1
_C RENEWAL OF LCENSE NUM8ER FairbCnks, AlaSkE 99709 3 ADDRESS (ES) WHERE UCENSED MATERIAL WILL BE USED OR POSSESSED 4 NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLCATION 1896 Marika Road, l' nit No. 1 Fairbcnks, Alaska 99709 Creie Martin And at job sites within Alaska TELEPHONE NUMBER (007) %1-4406
$UBMIT frEMS 5 THROUGH 11 ON 41/2 X 11* PAPER THE TYPE AND SCOPE OF NFORMATION TO BE PROVCED IS DESCRIBED N THE UCENSE APPUCATON GUCE g RADCACTIVE MATERIAL.
i e Element one mese nummer e enencel ond/o, physcal to,m, and c mecomun. amount 6.
PURPOSE (S) FOR WHCH UCENSED MATERIAL WILL BE USED.
j wNch soil be Pr-aaad at any one sme 7.
INDMOUAL(S1 RESPONSIBLE FOR RADATlON SAFETY PROGRAM AND THEIR 8 TRAINING FOR NDMOUALS WORIONG IN OR FREQUENTING RESTRCTED AREAS
,
TRA6 MME 8 FACILITIES ANOEQUIPMENT.
10. RADLATON SAFETY PROGRAM 12, UCENBEE FEES (See 90 CFR f 70 and Seaman f 70Jf)
11. WASTE MANAGEMENT FEE CATECORY 3P l AMOUNT
,,50.00
,
ENCtOsEO 13 CERDFCATON. (Must be _ _ " by appacen0 THE APPUCANT UNDERSTANDS THAT ALL STATEMENTS APuO REPRESENTATIONS MADE IN THt$ APPLCATION ARE SINDING UPON THE APPLCANT.
THE APPUCANT AND ANY OFFCIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLCANT. NAMED IN f7EM 2. CERTIFY THAT THIS APPLCATCN IS PREPARED IN CONFORMfTY Wf7H TITLE 10. CODE OF FEDERAL REGULATIONS. PARTS 30,32,33,34,35. 30. 30 AND 40. AND THAT ALL INFORMATON CONTAINED HEREIN is TRUE AND l
CORRECT TO THE BEST OF THEIR KNOWLEDGE AND BEUEF.
(
WARNING 18 U S C. SECTION 1001 ACT OFJUNE 25.1946 62 STAT 740 MAKES fT A CRIMINAL OFFENSE TO M A A WILLFULLY FALSE STATEMENT OR REPRESENTATCN TO ANY DEPARTMENT OR AGENCY OF THE UNffED STATES AS TO ANY MATTER WITHIN ITS JURISOICTON j
CERTIFYING OFFCER - TYPECWPRINTED NAME AND TITLE SONATURE gg/
DATE P T rii c Mre r t i n. APsre in t e Fn c i r> e e T'
/M/ ZA/
FOR NRC USE ONLY/ '
TYPE OF FEE FEE LOG FEE CATEGORY AMOUNT RECE!VED CHECK NUMBER COMMENTS
~
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APPROVED BY DATE NRC FORM 313 (7 96)
PRINTED ON RECYCLED PAPER i
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PRIVACY ACT STATEMENT Pursuant to 5 U.S.C. 552a(s)(3), enacted into law by section 3 of the Privacy Act of 1974 (Public Law 93 579), the follow.
irg statement is furnished to individuals whol supply information to the Nuclear Regulatory Commission on NRC Form 313. This information is maintained in a system of records designated as NRC.3 and described at 40 Federal Register 45334 (October 1, *.975).
1. AUTHORITY: Sections 81 and 181(b) of the Atomic Energy Act of 1954, as amended (42 U.S.C. 2111 and 2201(b)).
2. PRINCIPAL PURPOSE (S): The information is evaluated by the NRC staff pursuant 16, the criteria set forth in 10 CFR Parts 30,32,33,34,35 and 40 to determine whether the 6pplication meets the reevirements of the Atomic Energy Act of 1954, as amended, and the Commission's regulations, for the issuance of a radioactive material license or amendment thereof.
3. ROUTINE USES: The information may be (a) provided to State health departments for their information and use; and (b) provided to Federal, State, and local health officials and other persons in the event of incident or exposure, fir their information, investigation, and protection of the public health and safety. The information may also be eis.
closed to appropriate Federal, State, and local agencies in the event that the information indicates a violation or potential violation of law and in the course of an administrative or judicial proceeding, in addition, this information may be trans.
- ferred to an appropriate Federal. State, or local agency to the extent relevant and necessary for an NRC escision of to
'
an appropriate Federal agency to the extent relevant and necessary for that agency's decision about you.
4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVID.
ING INFORMATION: Disclosure of the requested information is voluntary. If the requested information is not turn.
ished, however, the application for radioactive material license, or amendment thereof, will not be processed. A request that information be held from public inspection must be in accordance with the provisions of 10 CFR 2.790. Withhold-
~
ing from public inspection shall not affect the right,if any, of persons properly and directly concerned need to inspect
~
the document.
5. SYSTEM MANAGERis) AND ADDRESS: - U.S. Nuclear Regulatory Commission
Director, Division of Fuel Cycle and Material Safety
'
Office of Nuclear Meterial Safety and Safeguards Washington, D.C. 20555
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Item 5: Radioactive Material a. Element and Mass Number b. Form c. Maximum Amount 1) Cesium 137 Sealed source No single source to (CPN Model CPN-131)
exceed 10 millicuries 2) Americium 241/Be Sealed source No single source to (CPN Model CPN-131)
exceed 50 millicuries l
!
Item 6: Purposes for which licensed material will be used For use in CPN Model 503DR Hydroprobe to measure soil moisture content and l
properties of soils.
Item 7: Individual (s) responsible for radiation safely program and their training experience Russell Grandel. See attached copy ofcertificate ofcompletion.
Item 8: Training for individuals working in or frequenting restricted areas All users shall be trained. The RSO shall retain for inspection Certificates of Completion from a manufacturer's authorized training class.
Item 9: Facilities and equipment See attached Storage Location, Radiation Safety Plan.
Item 10: Radiation Safety Program See attached Radiation Safety Plan.
Item 11: Waste Management The gauge will only be returned to the manufacturer or transferred to an authorized licensee.
i
- _ _ _ _ _ _ _ _ _ _ - _ - - _ - _ _ - - _ _ _. - - _ _. _ _ _ -. - _.
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Radiation Safety Plan i
General This Radiation Safety Plan covers the procedures for the safe and proper use and
possession of radioactive material as contained in portable moisture / density gauges used I
to measure soil and other materials. When handled in accordance with this plan, the
radioactive materials present no hazard to the licensee's employees, customers or the general public.
I Radiation Safety Officer l
All use and possession is under the direction and supervision of the Radiation Safety Oflicer (RSO). The RSO is a single point of accountability and responsibility between the Regulatory Agency and the Licensee. The RSO is responsible for all aspects of the i
I Radiation Safety Plan, including the following specific duties:
1. To ensure that all terms and conditions of the license are being complied with and that the information is up-to-date and accurate.
l 2. To ensure that the equipment is leak tested at the required intervals.
3. To ensure that the equipment is only used by operators authorized by the RSO, and that they use the equipment in accordance with all relevant regulations. This will
!
I include wearing of a suitable personnel monitoring device.
4. To maintain records as required by the license and the regulations.
5. To ensure that all equipment is properly secured against unauthorized removal at all times.
6. To serve as a point of contact and give assistance in case of an emergency such as equipment damage in the field, theft, or fire and to notify the proper authorities in case of an emergency.
7. To ensure that all operators have read and understand this Radiation Safety Plan.
i 8. To arrange appropriate training for all operators.
l 9. To provide annual refresher training to all gauge operators on operating and
emergency procedures, transportation requirements, changes in applicable regulations l
or license conditions, and correction of deficiencies identified by the RSO.
i l
E_________________________________________.________
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10. To post all required signs and notices at gauge storage location.
,
Post document RH-2364, Notice to Employees.
Label storage cabinet with " Caution, Radioactive Material" and international symbol.
Post notice of where a copy of the organization's license, safety plan, and a copy ofregulations are located.
Operation 1. The operator will exercise suitable control over the gauge at all times. At no time is it to be left unattended or in the possession of an unauthorized person.
2. When not being used for field measurements, the gauge will be locked and returned to its storage / transportation case.
3. When testing is complete, the gauge will be returned to its permanent place of storage as soon as possible.
4. When using the equipment, the operator will wear the personnel monitoring device l
assigned. When the operation is not using the equipment, the monitoring device will l
be kept in a radiation free, low heat area.
l
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5. At all times operators will observe ALARA principles to minimize any dose received:
l As Low As Reasonably Achievable.
i 6. While the equipment is in the operator's possession, the operator will have a:
Copy of the License Copy of this Radiation Safety Plan with Emergency Procedures and
,
Telephone Call-Down List Copy of Letter / Card of Authorization from RSO
,
Copy of the Gauge Operating Manual and Copy of the Current Leak Test Certificate.
,
Transportation
'
1. During transportation, the equipment shall be fully secured in the transporting vehicle and located away from personnel. When transponed in a closed vehicle (car or van),
the case will be locked and the vehicle will be locked when the operator is not with the vehicle. When transponed in an open bed vehicle (pick-up truck), the case will be locked and the case securely fastened and locked to the tmck bed when the operator is not with the vehicle.
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2. The equipment will only be transported in an approved DOT shipping container with all the required labels and markings.
3. During transportation the operator will have Shipping Papers on the seat adjacent to the driver or in a holder which is mounted to the inside of the door on the driver's side l
of the vehicle describing the radioactive material with the proper nomenclature.
4. When an open bed vehicle is parked overnight at a hotel or motel, the operator shall cover the case in the secured transport position or lock the case in the cab of the vehicle.
5. When shipping by common carrier, the package shall be in compliance with 49 CFR 170-179.
Storage 1. The gauge shall be stored in the cabir et shown on the overhead drawing at the physicallocation on the license.
2. The gauge shall be secured against unauthorized removal by two lock and key mechanisms.
3. The gauge storage location shall be posted with a ' Caution, Radioactive Material" sign.
Maintenance 1. Periodic maintenance will include cleaning of the gauge. The operator will have received proper instruction on how to clean the gauge and will wear his assigned monitoring desice.
2. No maintenance will be performed in which the radioactive source is removed from the gauge. The gauge will be returned to the manufacturer or an approved service center for this type of service.
3. A leak test will be performed annually (or at the interval specified in the license) using an approved leak test kit provided by CPN, and in accordance with the gauge me.nufacturer's instructions. The operator will have received proper instruction on how to leak test the gauge and will wear his assigned monitoring device.
4. The shipping case will be periodically checked for integrity, and to verify that all labels are present and readable.
r l
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Records Records will consist of:
Radioactive Material License Personnel Dosimetry Reports r
Leak Test Certificates Training Certification Gauge Inventory l
Check-outicheck-in Log A check-out log will be attached to storage cabinet. Information on log will include serial number of gauge, operator checking out gauge, date checked out, destination, estimated return date, and actual date of return.
Training
'
All operators will complete a manufacturer's Operator's Training Course. Operators will be given special training as required for their individual work assignments.
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Emergency Procedures See Appendix for Emergency Telephone Numbers j
Physical Damage l
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1. If any moving equipment is involved, stop its movement until the extent of j
contamination, if any, can be established.
j 2. Cordon ofTthe area around the incident. An area with a radius of fifteen (15) feet will be sufficient.
3. Visually inspect the gauge to determine the extent of the damage to the source (s),
source housing (s) and shielding. If the source (s), source housing (s) and shielding are intact and functional, the gauge can be removed from the site, returned to the shipping container and shipped to the manufacturer for repair or replacement.
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l 4. If the integrity or location of the source (s) cannot be positively identified, at the i
earliest possible time, when the situation is under control, contact the RSO. Describe the conditions and follow the instructions of the RSO. The RSO will immediately notify the appropriate regulatory agency.
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5. The RSO shall follow the instructions of the regulatory agency.
6. If the source rod is bent and extended, or the shielding is damaged such that dose rates are likely to exceed those of an undamaged gauge, call the manufacturer for instmetions before shipment.
Lodged or Lost Down-Hole Probe 1. Operating procedure to prevent a probe from becoming stuck or lost in a bore-hole:
All access holes for probes shall be lined with a continuous casing from the a.
' lowest depth to a minimum of six inches abcve the surface.
b. The cable connectors to both the probe and surface electronics shall be checked daily to assure they are tight.
c. For all access hole sites greater than 12 feet in depth, a dummy probe, whose l
stiffness, outside diameter and effective length are equal to that of the active probe, will be lowered to the bottom of the hole before deploying the radioactive source (s).
2. Emergency procedures if a probe becomes stuck in a bore hole:
If a sealed source becomes lodged in a bore-hole and it becomes apparent that efforts to recover the sealed source will not be successful, the licensee shall:
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Immediately secure the area around the hole.
b. Notify the licensing authority immediately by telephone of the circumstances that resulted in the inability to retrieve the source.
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Follow the instmetions of the licensing authority.
j Theft or Loss
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l. Immediately notify the RSO. The RSO willimmediately notify the appropriate regulatory agency and the police.
Fire 1. Call the Fire Department 2. Take action appropriate with a fire to protect personnel.
3. Notify the RSO.
4. Stand by to advise the fire fighters as to the nature, locations, and potential hazards of the radioactive materials. Supply them with an information packet consisting of the facility layout and a data sheet of the equipment including a photograph. Any other l
important information will be included.
Melting Points:
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'C Stainless Steel 2550 1400 Carbide 2000 1090 Aluminum 1005 540 Lead 620 327 Polyethylene 257 125 Temperatures in an industrial fire will normally range from 500 F at floor level to a high at the ceiling of 1400 to 1800 'F. The polyethylene and lead would melt in most fire, the aluminum only in a severe fire. The stainless steel capsule would not reach its melting point.
Disposal / Decommissioning 1. Disposal will only be performed by transferring to a properly licensed organization.
2. The regulatory agency will be notified 30 or more days in advance of any relocation of the storage area. Formal decommissioning will not be required, provided leak tests are current.
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Radiation Safety Plan This radiation safety plan will be implemented at all times. A copy of these procedures shall be maintained in the radioactive materials license file, and another copy in the shipping case of the n r gauge t all times.
Signed _
M Date
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Aopendix Telephone Numbers RSO: Russell Grandel Work (Fairbanks) (907) 451-4496 Work (Anchorage) (907) 276-7475 Home (Fairbanks) (907)455-7279 Home (Anchorage) (907) 745-1622
Fairbanks Police:
Business:
459-6500 Emergen':y:
911 Fire:
Business:
459-6500 Emergency:
911 Radiologic Health: (301) 415-7000 NRC 24 hr.: (301) 816-5100 INFOTRAC 24 hr Emerg. Assist.: (800) 535-5053 CHEMTREC: (8001 424-9300 CPN: (510) 228-9770 Storage Location Hart Crowser 1896 Marika Rd.
Unit No. I Fairbanks, AK,99700 (907) 451-4496 l
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STORAGE LOCATION l
PART CROWSER, INC.
1896 MARIKA UNIT 1 FAIRBANKS, AK 99709 (907) 451-4496 s
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l STCRACE ENTRANCE EQUlpvCNT STORAGE l
GAUGE STORACE
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UNIT 2 U
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METAL CAB NET LOC <ED ANC
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10 FEET FROM M4Y PEOP E WORK STATiorsS CA9tNET INCLUCES CIRCullHY FOR CHARGING AND STORACF OF ONE GAUGE.
PARKINO NOTICE 10 EMPLOYEES.
UTILIZAll0N LOG, AND j
g LOCATION OF LICENSE AND
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p REGULAT10NS POSTED.
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20 THE STORAGE AREA 15 NOT
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EE ER Hart Crowser Telephone (907) 451-4496 Earth and Environmental Technologies Fax (907) 451-6056 l
1896 Marika Road, Unit 1
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Fairbanks, AK 99709
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SHIPPING PAPER
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one case, R.Q., RADIOACTIVE MATERIAL, SPECIAL FORM, N.O.S.,7, UN2974 Cs-137,10 mci Am-241/Be, 50 mci RADIOACTIVE YELLOW II Label Transport Index 0.4 USA DOT 7A, TYPE A PACKAGE 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> emergency contact phone #: (800) 535-5053 (INFOTRAC)
117.817 (e). Shipping paper accessibility - accident or inspection. A driver of a motor vehicle containing hazardous material shall insure that the shipping paper required by this section is readily available to, and recognizable by, authorities in the event of an accident or an inspection. Specifically, the driver and the carrier shall:
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(1)
Clearly distinguish the shipping paper ifit is carried with other shipping papers or papers of any kind, by either distinctively tabbing it or having it appear first; and (2)
Store the shipping paper as follows:
(i) When the driver is at the vehicle controls, the shipping paper shall be: (A)
within his immediate reach while he is restrained by the lab belt; and (B) either readily visible to a person entering the driver's compartment or in a holder which is mounted to the inside of the door on the driver's side of the vehicle.
(1) When the driver is not at the vehicle controls, the shipping paper shall be: (A)
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in a holder which is mounted to the inside of the door on the driver's side of l
the vehicle, or (B) on the driver's seat in the vehicle.
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(b.)
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