ML18114A820
| ML18114A820 | |
| Person / Time | |
|---|---|
| Site: | 03039096 |
| Issue date: | 04/20/2018 |
| From: | Kampsen M Alaska Testlab |
| To: | Jackie Cook NRC/RGN-IV/DNMS/NMSB-B |
| References | |
| 602442 | |
| Download: ML18114A820 (6) | |
See also: IR 05000354/1974001
Text
Cook, Jackie From: Sent: Maria Kampsen <mkampsen@alaskatestlab
.com> Friday, April 20, 2018 9:45 PM To: Cook , Jackie Subject: [External_Sender] RE: REQUEST FOR ADDITIONAL
INFORMATION
FOR ALASKA TESTLAB, LLC DOCKET# 030-39096; CONTROL# 602442 Attachments:
Response Letter.pdf
Good morning, Here is my response to the deficiency
email. Please let me know if you need anything else. Thank you very much. Maria *Please note the new email address and contact info Maria E. Kampsen, PE Owner A.. Al as k a T cstl a b 4040 B Street, Ste 102 Anchorage,AK
99503 907.205.1987 (o) 907.290.1453 (d) 907.529.8617 (m) From: Cook, Jackie <Jackie.Cook@nrc.gov>
Sent: Friday, April 20, 2018 1:16 PM To: Maria Kampsen <mkampsen@alaskatestlab.com>
Subject: REQUEST FOR ADDITIONAL
INFORMATION
FOR ALASKA TESTLAB, LLC DOCKET# 030-39096; CONTROL# 602442 Importance
- High Ms. Kampsen: Per our telephone
conversation
earlier today, please find attached a deficiency
email requesting
additional
information
by close of business on Friday, May 4, 2018. Please do not hesitate to contact me at the phone numbers and email address listed below if additional
information
or clarification
is needed. PUBLIC Thanking you in advance for your cooperation, assistance, and prom jDl*"f)cl~~ls matter. Q'Nonna1Relllle
Respectfully
submitted, .Al,.~ Ja&ie :b. e.ao& Senior Health Physicist
1 NON-PUBLIC
a u Sensitive-Security
Related o A.7 Sensitive
Internal :.i:: *cµ:; -'f[:,_~ 1~
US Nuclear Regulatory
Commission
Region IV Division of Nuclear Materials
Safety Nuclear Materials
Safety Branch B 1600 East Lamar Blvd., Arlington, TX 76011 817-200-1132 ( office )/817-200-1263 (fax) Email address: Jack i e.Cook@nrc.gov 2
-~ Alaska Testlab April 20, 2018 Ms. Jacque l ine Cook Senior Health Physicist
US Nuclear Regulatory
Commission
Region IV Division of Nuclear Materials
Safety 1600 East Lama r Blvd Arlington, TX 76011 Subject: Request for Additional
Information
Application
March 13, 2018 for New License Docket No. 030-39096 Control No. 602442 Dear Ms. Cook: Thank you for your assistance
with t he application. As requested, I am providing
the additional
information
requested
i n your email letter received Apri l 20, 2018. 1) The legal entity name is A l aska Testlab, LLC. I have revised the application
cover sheet to reflect this and it i s attached.
2) We will maintain, for inspection
by the NRC, documentation
demonstrating
that unmonitored
individuals
that are not likely to receive a radiat i on dose in excess of the limits i n 10 CFR 20.1502(a).
I have corrected
the form and it is attached. 3) For nonroutine
maintenance, I commit that the gauge manufacturer
or other person licensed by the NRC or an Agreement
State will perform nonroutine
maintenance
or repa i r operations
that require detaching
the source or source rod from the gauge. I have corrected
the form and it is attached. Sincerely, A l aska Testlab iju:cl{p~
Ma r ia E. Kampsen, PE Owner Attachments:
As stated 4040 B Street, Suite 102 Anchorage, Alaska 9 9503 Phone: (907) 205-1987 Fax: (907) 782-4409 www.a l askatest l ab.com
NRC FORM 313 (10-2017)
10 CFR 30, 32, 33 , 34, 35 , 36, 37, 39 , and 40 U.S. NUCLEAR REGULATORY
COMMISSION
APPLIC ATI ON FOR MA TE RIALS LICENSE APPROVED BY 0MB: NO. 3150-0120 EXPIRES: 06/30/2019
Estimated
burden per response to comply with th i s mandatory
collection
request: 4.3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. Submittal
or the application
is necessary
to determine
that the applicant
is qualified
and that adequate procedures
exist to protect the publ i c health and safety. Send comments regarding
burden estimate to the lnlormation
Services Blanch (T-2 F43), U.S. Nuc l ear Regulatory
Com missio n, Washlngloil, DC 20555-0001, or by e-mail to lnrocollects.Resource@nrc
.gov, and lo the Desk Officer, Office or Information
and Regulatory
Affairs, NE0B-t0202, (3150-0120), Office ol Management
and Budgel, Washinglon, DC 20503. If a means used to impose an information
collection
does not display a currently
valid 0MB con~ol number, the NRC may not conduct or sponsor, and a person Is not requ~ed to respond to, the information
collection.
INSTRUCTIONS:
SEE THE C URREN T VOLUMES OF THE NUREG-165 6 TEC HNICAL REPO RT SERIES {"CONSOLID
ATED GUIDANCE ABOUT MATERIALS
LICENSES")
FOR DETAILED INSTRUCTIONS
FOR COMPLETING
THIS FORM: hltp'/lwww
nee goy/readlng-rm/d
oc-c oU o ctlonsln uregGl;;t aff/s d556/. SEND lWO CO PIES OF THE COMPL ETED APPLI CATION TO THE NRC OFFICE SPECIFIED
BELOW. APPLICATION
FOR DISTRIBUTION
OF EXEMPT PRODUCTS FILE APPLICATIONS
WITH: MATERIALS
SAFETY LICENSING
BRA NCH DIVISION OF MATERIAL S AFE T Y, STATE, TRIBAL AND RULEMAKING
PROGRAMS OFFICE OF NUCLEAR MATERIALS
SAFETY AND SAFEGUARDS
U.S. NUCLEAR REGULATORY
COMMISSION
WASHINGTON, DC 20555-0001
ALL OTHER PER SONS FILE APPLICATIONS
AS FOLLOWS: IF YOU ARE LOCATED IN: ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMB I A, FLORIDA, GEORGIA , KENTUCKY, MA I NE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROL I NA, PENNSYLVAN
I A, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERM ONT, VIRGINIA , VIRGIN ISLANDS, OR WEST VIRGINIA, SEND APPLICATIONS
TO: LICENSING
ASSISTANC E TEAM DIVISION OF NUCLEAR M ATERIAL S SAFETY U.S. NUCLEAR REGULATORY
COMMISSIO N , REG ION I 2100 RENAISSANCE
BOULEVARD , S UITE 100 KING OF PRUSSIA, PA 19406-2713 IF YOU ARE LOCATED IN: ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS
TO: MATERIALS
LICENSING
BRANCH U.S. NUCLEAR REGULATOHY
COMMISSION, REGION Ill 2443 WARRENVILLE
ROAD, SUITE 210 LISLE. IL 60532-4352
I F YOU ARE LOCATED IN: ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO , HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OR E GON, PAC IFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASH I NGTON, OR WYOMING, SEND APP LICATIONS
TO: NUCLEAR MATERIALS
LICENSING
BRANCH U.S. NUCLEAR REGULATORY
COMMISSION , REGION N 1600 E. LAMAR BOULEVARD
ARLINGTON, T X 76011-4511
PER SONS LO CATED IN AGREEMENT
STATES SEND APPLICATIONS
TO THE U.S. NUCLEAR REGULATORY
COMMIS SION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S. NUCLEAR REGULATORY
COMM I SSION JURISDICTIONS.
1. THIS IS AN APPLICATION
FOR (Check appropriate
item) [Z] A. NEW LICENSE D B. AMENDME NT TO LICENSE NUMBER D C. RENEWAL OF LICENSE NUMBER 3. ADDRESS WH ERE LIC E NS E D MATEHIALS
WlLL BE USED OR POSSESSED
4040 B Street, Suite 102 Anchorage, Alaska 99503 and Temporary
job sites anywhere in the US where the NRC maintains
jurisdiction
2. NAME AND MAILI N G ADDRESS OF APPLICANT (Include zip code) Alaska Testlab, L LC 4040 B Street, Suite 102 Anchorage, Alaska 99503 4. NAME OF PERSON TO BE CONTACTED
ABOUT THIS APPLICATION
Maria E. Kampsen BUSINESS TELEPHONE
NUMBER 907-290-1453
BUSINESS E-MAIL ADDRESS mkampsen@alaskatestlab.com
I BUSINESS CELLULAR TELEPHONE
NUMBER 907-529-8617
SUBMIT ITEMS 5 THROUGH 11 ON 8-1/2 X 11" P A PE R. THE T YPE AND SCOPE O F INF O RM ATION TO BE PROVIDED IS DESCR IBED IN THE LICENSE APPLICATION
GUIDE. 5. RADIOACTIV
E MATERIAL 6. PURPOSE($)
FOR WHICH LICENSE D MATERIAL WlLL B E USED. a. Element and mass number; b. chemical ancl/or physical form; and c. maximum amount which will be possessed
at any one lime. 7. INDIVIDUAL($)
RESPONSIBLE
FOR RADIATION
SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE.
6. TRAINING FOR INDIVID UALS WORKING IN O R FREQUENTING
R E STRICTED AREAS. 9. FACILITIES
AND EQUIPME NT. 10. RADIATION
SAFETY PROGR AM. 11. WAS T E MANAGEMENT. 03121 12. LICENSE FEES (Fees required only for new app l icalions, with few exceptions*)
I (See 10 CFR 170 ancl Section 170.31) CA ie~';,RY *Amendments/Renewals
that Increase the scope of the exlsling license to a new or higher fee category will require a fee. PER THE DEBT COLLECTION
IMPROVEMENT
ACT OF 1996 (PUBLIC LAW 104-134), YOU ARE REQUIRED TO PROVIDE YOUR TAXPAYER IDENTIFICATION
NUMBER. PROVIDE THIS INFORMATION
BY COMPLETING
NRC FORM 531: bttp s:llwww ore g o y/read lng-nn/doc-coU
ec tlon s/f onnS[nr cS J J l n f o html. 13. CERTIFICATION. (M usi be ccmpleted
by applicant)
THE APPLICANT
UNDERSTANDS
THAT ALL S TATE MENT S AND REPRESENTATIONS
MADE IN THIS APPL/CATION
ARE BINDING UPON TNE APPLICANT.
THE APPLICANT
AND ANY OFFICIAL EXECUTING
THIS CERTIFIC ATION ON BEHALF OF THE APPLICANT, NAMED IN ITEM 2. C ER T I FY THAT THIS APPLICATION
IS PREPARED IN CONFORMITY
WlTH TITLE 10, CODE OF FE D ERAL REG ULATIONS, PARTS 30, 32, 33, 34 , 35, 36, 37, 39, AND 40, AND THAT ALL INFORMATION
CONTA I NED HEREIN IS TRUE AND CO RREC T TO THE BEST OF THEIR KNOWLEDGE
AND BE LIE F. WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 749 MAKES IT A CRIMINAL O FFEN SE TO MAKE A WlLLFULLY
FALSE ST A TEM ENT OR REP RESENTATION
TO ANY DEPARTMENT
OR A GENC Y OF THE UNITED STATES AS TO ANY M ATTER WlTHIN ITS JURISDICTION.
CERTIFYING
OFFICER -TYPED/PRINTED
NAME AND TITLE Maria E. Kampsen, PE, President
FOR NRC USE or~L y TYPE OF FEE I FEE LOG I F EE CATEGORY I$ AMOUNT RECEIVED CHECK NUMBER COMMENTS APPROVED BY DATE NRC FORM 313 (10-2017)
DAT E B/ 1 2 ,/ 1 6 I Q
Item No. and Title Suggested
Response Yes A l ternative
Procedures
Attached 10.1 RADIATION
The applicant
should not submit its Need Not Be Submitted
with SAFETY audit program to the NRC for Application
PROGRAM-A UDIT review during the licensing
phase. PR OGRAM The audit program will be reviewed during NRC inspections. 10.2 RADIAT I ON We will e i ther possess and use, or 0 0 SAF ETY have access to and use, a PROGRAM-radiation
survey meter that meets RADIATION
the criteria in the section titled, MONITOR I NG "Radiation
Safety Program-INSTR UMEN TS Radiation
Monitor i ng Instruments" in NU REG-1556, Vol. 1, Rev. 2, "Consol i dated Guidance About Materials
Licenses:
Program-Specific Guidance About Portable Gauge Licenses," in the event of an inc i dent. 10.3 RADIATION
Physica l inventories
w ill be 0 0 SAF ETY conducted
every 6 months or at PROGRAM-other intervals
approved by the MATERIAL NRC to account for all sealed RECE I PT AND sources and devices received and ACCOUNT ABI LITY possessed
under the license. AND We will develop, implement, and maintain proc e dures fo r ensuring accountability
of l icensed materials
at a ll times. 10.4 RADI ATI ON We will maintain, for inspection
by 't( 0 SA FETY the NRC, documentation
PROGRAM-demonstrating
that unmonitored
OCCUPATIO N AL individuals
are not like l y to receive DOSE a radiation
dose in excess of the limits in 1 O CFR 20.1502(a). OR We will provide and requi r e the 0 use of individual
monitoring
devices (dosimetry).
A ll personne l dosimeters
that require processing
to determ i ne the radiation
dose will be processed
and evaluated
by a NVLA P-approved
processor.
8-4
Item No. and Title Suggested
Response Yes Alternative
Procedures
I* Attached 10.8 RADIATION
Routine Cleaning and Lubrication
1' 0 SA FET Y We w ill implement
and maintain PROGRAM-procedures
for rout ine MAIN TEN ANCE maintenance
of our gauges according
to eac h manufac tur e r's written rec om m endations
and instructions.
Nonroutine
Maintenance
X 0 The The gauge manufacturer
or other information
person li censed by the NRG or an li sted in Ag r eement Sta t e wi ll perform Appendix F nonroutine
maintenance
or repair of this operatio n s that require detaching
NUREG the source or source rod from the supporting
a gauge. request to perform nonroutine
maintenance
in h ouse is attached.
10.9 R A DIATION The applicant
i s not required to Need Not Be Submitted
with SAFE TY submi t a response about Application
PROGRAM-transportation
during the licensing
TRANSPORTATION
process. The NRG w ill re view this i ssue during in spection.
11. WASTE The applica nt is not required to Need N ot Be Submitted
with M A NA GE M E NT-s ubmit a re sponse about waste Applicatio
n GA UGE DISPOSAL management
during the li cens in g AND TRAN S FER process; ho wever, the li censee sho uld establish
and include gauge transfer and was t e disposal procedures
in it s r adia ti on safety program. B-7