ML13261A564
| ML13261A564 | |
| Person / Time | |
|---|---|
| Issue date: | 09/18/2013 |
| From: | Maria Arribas-Colon, Jankovich J NRC/FSME/DMSSA/LISD/LB |
| To: | |
| Traci Kime | |
| References | |
| SSD 13-34 | |
| Download: ML13261A564 (1) | |
Text
REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION NRC FORM 567 (1-1999)
U.S. NUCLEAR REGULATORY COMMISSION DATE REQUESTER LICENSE NUMBER(S)
TELEPHONE NUMBER FOR SSSS USE ONLY INSTRUCTIONS: Send this request AND a copy of all related letters/applications and drawings to the Chief, Sealed Source Safety Section, OWFN Mail Stop O-6 H3. Change the License Tracking System milestone to 19 and assign to reviewer code 1-5.
NOTE: Retain a copy of this request with the application and background files.
NRC FORM 567 (1-1999)
REGION/LOCATION:
NAME OF APPLICANT MAIL CONTROL NUMBER(S)
LETTER/APPLICATION DATE I
II III IV HQ LFARB TYPE OF ACTION REQUESTED (Check as appropriate)
SOURCE REVIEW DEVICE REVIEW CUSTOM REVIEW AMENDMENT OF REGISTRATION SHEET NUMBER(S)
COMMENTS:
REVIEWER MODEL NUMBERS NUMBER ASSIGNED DATE RECEIVED DATE ASSIGNED DATE TO FEES TYPE OF ACTION (Indicate the number of each type)
COMMERCIAL DISTRIBUTION (FORMAL)
SOURCE (9C)
DEVICE (9A)
SOURCE (9D)
DEVICE (9B)
NEW AMENDMENT AMENDMENT NEW AMENDMENT NEW AMENDMENT NEW USE BY A SINGLE APPLICANT (CUSTOM)
NO SAFETY EVALUATION REQUIRED NO FEES REQUIRED LICENSING ACTION REQUIRED (IF KNOWN)
NO YES OTHER (Specify)
TOTAL NUMBER OF REVIEW HOURS NUMBER OF DEFICIENCY LETTERS NUMBER OF DEFICIENCY CALLS NOTES FOR FEE USE ONLY TYPE OF FEE AMOUNT RECEIVED DATE OF CHECK APPROVED BY FEE CATEGORY 9A 9B 9C 9D CHECK NUMBER LOG DATE OF RETURN COMMENTS Agilent Technologies
(302) 636-8262 David Hoppy
9/13/2013 NR-348-D-111-B Maria Arribas-Colon/John Jankovich Electron Capture Detector 13-34 9/18/2013 9/18/2013 9/18/2013
2850 Centerville Road Wilmington, DE 19808
Agilent's request to amend NR-348-D-111-B.
ADAMS Package: ML13261A561