ML16287A248

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SUE8278, J.T. Baker Chemical Company, Philippines
ML16287A248
Person / Time
Issue date: 12/10/1975
From: Kerr G
NRC/OIP
To:
J. T. Baker Chemical Co
Savoy J
References
91-565-2461-00
Download: ML16287A248 (3)
v • d • e


Text

THIS LICENSE EXPIRES 1 J'uly 19 76 ~. ..

  • 1!!rtittlt 1'tntts nf Amtritci.* ..
  • Atomic Energy Conln;iission* * : *
  • .Pursuant to the At6mic Energy Act of "1954. and* th~ regulations authorizing the export of th*E!* .mat~rials_ aryd/or production o~
  • of. the U. S. Atomic *Energy Commission issued. pursuant th~reto, utilization, facilitie.s list.¢d below, subject to the terms l!n'd.

and in r~liance* on. statements a~d representations.. heretofore provisions herein: The license to export. extends to the licensee's made by the lic.eiisee, a license is* hereby is,sued to the licensee: duly auth.orized s.hipping agent. .

LICENSEE *

  • . :* ~.

ULTIMA~E CONSIG'Ni:~ IN FOREIGN COUNTRY ADDREss 22.2 Jtad Sehool. l.an.e* *: - ADDREss * . 9-18 ~.ieal. A.ven

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'New J~sej'. '

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INTERMEDIATE CONSIGNEE IN FOREIGN COUNTRY OTl;IER PARTIES TO EXPORT

~

. NAME

,.,* .-. - *~ '

ADDRESS.* .

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APPLICANT'S 'REF;; NO.  : : . * '-COUNTRY OF ULTIMATE DESTINATION

. QUANTITY DESCRIPTION OF -MA.TERIALs. OR i=Ac1-uT1E.s_>:.

.(;w.i~'.: it:i ~ pnm"!ds.. '.of:" tit'~iut'l

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  • :Cotii:t- ;:ion:, fo *tJn.* Ii~ .r,w~ .of. this* 11c~a$,~* -*~pp;t!ie.~ 00* ~is. ~i$p0rt~ 1
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Dist ibution: *.--... - la./i/tr'. ;* * . . -' ... :Thepropo.sedexp~r:t~ciuldnoibei~i~lcal LICE SEE: Orig.:& 1 ~opy __ :. State "Radi~~oWt'ifonMJ!he United:States.

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IP: 1 cc. , }f&PPOB: .. 1- Cc* ,c Neither ihis

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  • nor any righi *under this lieense snail be assignl'd .. or ot~erwise transferred in violation of the. provisions of the At~mic Ene.rgy Aci of 1954.

EX?ORT LICENSE

}i~~r~~i~~~~qtl~~£~t*2ft~~kl~t!.l;

Fonn*AEC*7 __ ,J. ATOMIC ENERGY COMMISSION l"orm approved

  • /"-67) Budget Bureau No.

lOC~R 30,40 Washington, D.C 20545 38-R0007.

I APPLICATION FOR LICENSE TO EXPORT BYPRODUCT, SOURCE, OR SPECIAL NUCLEAR MATERIAL Submit in Triplicate Carefully Read Instructions on Back

1. DATE OF APPLICATION 2. APPLICANT'S REFERENCE NO. 3. COUNTRY OF ULTIMATE DESTINATION JUNE 17, 1975 (if any) 91-565-2461-00 PH[LIPPINES
4. NAME OF APPLICANT S. ULTIMATE CONSIGNEE IN FOREIGN COUNTRY J. T. BAKER CHEMICAL CO. (Name and address)

STREET ADDRESS ONE SOURCE SCIENTIFIC 222 RED SCHODL LANE 918 RIZAL AVENUE CITY, STATE, AND ZIP CODE MANILA, SANTA CRUZ LA, PHILIPPSBURG, NJ 08865 PHILIPPINES 6, INTERMEDIATE CONSIGNEE IN FOREIGN COUNTRY'(Give name 7. IF PURCHASER IN FOREIGN COUNTRY IS OTHER THAN and address. If same as ultimate consignee, state "Same.") UL TIM.ATE CONSIGNEE, GIVE NAME AND ADDRESS.

(If same, state "Same.")

SAME

8. (a) QUANTITY TO BE SHIPPED (b) COMMODITY DES CR I PT ION (Include chemical and physical form; for special nuclear material and (See instructions on back) byproduct material. also specify isotopic content; if in a device, identify the device, manufacturer, and model number.)

1.683 lb. Uranium in 3 lb Uranyl Acetate Uranyl acetate reagent powder 1.422 lb. Uranium in 3 lb Uranyl nitrate reagent cristal Uran 1 Nitrate (c) SHIPPING AND PAC.KING PROCEDURES (Required for special. nuclear material.. See instructions on back.)

9. END USE OF cpMMODITIES COVERED BY TH IS APPLICATION: (Describe ful.ly, stating what will be produced OT manufactured, what service will be rendered, or the nature of the research that will be performed.) (See instructiOns on back for special nuclear material.)

FOR RESALE IN COUNTRY OF ULTIMATE DESTINATION AND CONSUMPTION IN THAT COUNTRY.

10. The applicant, and any official executing this certificate on behalf of the applicant named in Item 4, certify that this application is prepared in conformity with Title 10, Code of Federal Regulations, Parts 30 and 36. (if for byproduct material) or Part 40 (if for source material), or Part 70 (if for special nuclear material), and P.art 71 (for transport of radioactive material, if applicable) and that all information contained herein, including any supplements attached hereto, is true and correct to the best of their knowledge and belief.

T. M. MAKOWSKI MANAGER,.EXPORT SERVICES (Title of certifying official authorized _to act on behal.f of the applicant)

Warning: 18 U.S.C. Section 1001; Act of June 25, 1948: 62 Stat. 749; makes it a criminal offense to make a willfully false state-ment or representation to any department or agency of the United States as to any matter within its jurisdiction

~- ,

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Inst-ructions_-_:_

  • _\ --** ( \ __ L, The export of byproduct, source or special nuclear material !s,prphib.!t~d µn~ess the .~?C-. "L porter h_oJ<!li'.~ ;~B_~cUi<!~*AEG .e:J!:pprt license or, with respect to byproduct and source ma- .

terial, unless .m~. expo:qerJs ~~thorized under a general AEC expo~ .li~.er:i_s~ .a~ Px:<?V_ide~:.:

in AEy * ;r::e~~a~ion~.: 10 pF I! Parts 36 and 40. APPLICATION FOR A SPECIFIC AEC EXPORT LICENSE SHQV!-R:B_E FILED IN TRIPLICATE ON '!_'~S-fORM.Af9"'.'7* . .. i .. i . _

Specific or general AEC export licenses cover only the byproduct, source or special nuclear material involved in the' export. If such material is contained in instruments or devices, a license may also be required from the Department of Commerce covering the export of such instruments or devices. ** * * * * ,

Item 8(a) - State the amount of byproduct material.in millicuries or curies (state which

.unit is used). State the weight of contained thorium and uranium in pounds cir kilograms (state which unit is used) and the net weight of the shipment (~qrielf_aJP.ple, tq,~~n~s __ ~J

  • l thorium contained in 250 ppJ!n<;l.§cth9:i:;tum.sJl!a~~~Jy1n:a:~Jox>~--S,tate the weight of C~J!t~!l!.~d 1 __ ;*_:,'.

speci~l nuclear material in parts or multiples of grams. * ..

_~:_:, _*."'i::: j_,:;_ -\~~_: ~*~ *__ :;_* .. ~ _ .--'*",~_:.:, ... ~ ~ .,j_*~ ~ r,_**:.l.~~-~,. ,.!1~ \~~-'.* .l Item 8(c) - If the requirements of 10 CFR Part 71 ("Packaging of Radioactive Materi~l for Transport") are not applicable to the packaging and transport of the byproduct~- i '" ~. -_:
  • source or special nuclear material to be exported, or if the packaging and transport of such material is subject to .a general license or is exempt from the provisions of 10 CFR Part 71, so. indicate. Identify where applicable the specific AEC license and date of is-suance authorizing, pursuant to 10 CFR Part 71, the delivery of such material to a carrier for transport. If. a specific AEC license* ~ran amendment to an existing license is required by 10 CFR Part 71 in connection with the packaging and transport of the ma-terial proposed to be exported, an application containing the inforpiation specified in 10

~'.;C!f.:.l:l~ 7J.~~. *sh2u~c;I~~,*sub~i~edw:ith ..f~:r:m.~~C:--7... -L'.'. J." 1 '.. *. ~ .. *' ." .::, ,.,, . , _ ',\

Item 9 - For special nuclear material, a statemertt of end use from the consignee must accompany this application.

i ... .'

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