ML18144A434
| ML18144A434 | |
| Person / Time | |
|---|---|
| Issue date: | 05/23/2018 |
| From: | Bill Maier NRC Region 4 |
| To: | Don Lowman NRC/NMSS/DMSST/MSLB |
| Lowman D | |
| References | |
| Download: ML18144A434 (5) | |
Text
1 Weaver, Deborah From:
Maier, Bill Sent:
Wednesday, May 23, 2018 5:36 PM To:
Lowman, Donald
Subject:
FW: Disposition of Tritium Exit Sign Attachments:
2925_001.pdf Follow Up Flag:
Follow up Flag Status:
Flagged Hello Mr. Lowman.
Please see the attached documentation of a H3 exit sign return to the manufacturer. Do we require such documentation from general licensees?
BillMaier RegionalStateLiaisonOfficer U.S.NuclearRegulatoryCommission Region4office 1600E.LamarBlvd.
Arlington,TX760114511 Office:8172001267 bill.maier@nrc.gov From:Kerry.Martin@deq.idaho.govidaho.gov
Sent:Wednesday,May23,20184:15PM To:Maier,Bill<Bill.Maier@nrc.gov>
Subject:
[External_Sender]DispositionofTritiumExitSign
ReceivedthisinthemailIassumeitshouldhavegonetoNRC.kerry
KerryL.Martin Idaho Department of Environmental Quality INL Oversight Manager 900 North Skyline Drive, Suite B Idaho Falls, ID 83402 E-mail: kerry.martin@deq.idaho.gov Work Phone: 208-528-2615 Cell Phone: 208-520-1763
Boise River Montessori, lnc.
4934 N Maidstone Place, Boise lD 837L3 May L7th, 2oL8 Kerry L. Martin ldaho Department of Environmental Quality INL Oversight Program Manager 900 North Skyline Drive, Suite B ldaho Falls, lD 83402 PH (208) s28-26ls Kerry.martin @deq.idaho.gov RE: Notification of Disposal of Tritium Exit Sign, RGA #997133 EN2911
Dear Mr. Martin,
This letter is notification that the following one-sided Tritium Exit Sign was shipped on May 17th, 2018, by UPS Ground to SRB Technologies, 2580 Landmark Drive, Winston-Salem, NC 27Ot3for disposal.
UPS TRACKING NUMBER RGA #
SRB TECH LICENSE SIGN MANUFACTURE SIGN MODEL SIGN SERIAL NUMBER SIGN MANUFACTURE DATE SIGN CURIES or Tbq ORIGINAL INSTALLATION tzwFoor4a3763234L9 997133 (UN2911)
NC Radioactive Materials License #034-0534-2 FOREVER-LITE, INC SLXTUl.-G320 289,096 JUNE 2OO7 tL.2!
2211 N 26TH STREET, BOISE IDAHO 83702 Since Anton oJ Gonzalez, Jr.
dent / Secretary Boise iver Montessori, lnc.
4934 N Maidstone Place, Boise lD 83713 - Home Office 2211 N 26th Street, Boise lD 83702 - School Address Tel 208.939-2827 o.irYY (6
t f
gh 1F THIS iS NOT A SHIPPING LABEL.
IRilIl(IItO sllIplltltl SI{IP REF SltIP IIF tofl RECORDS.
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$16, ll SliIP DflTEI TlttIR 1? l,lRY l0l8 E}(PECIE! DELIIJEII DflIEI illJR e4 ltRY e0lB EoD SltIP FROI'I:
Rilr0r{t0 00ltzRLEz 493{ tt ilnllsl0llE pL r0l$E lD 03?13 H08) 939-lBe?
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ID: I'l11?993l(lltll'Il(l(C ll. r lrll 'r SIIIP IO:
sRI rtcilll0L00lEs I'lELt$$f, ELLI$0ll E5O8 LRIIDI'IfiRI( DR
[it'SI0t{ sf,LE}t ttc l?103'6?16 ru$Ht$$
(316) ?60-??e0 DE$CRIP EIIPIRED IIOII OF EIIII S I 0000s Gil SIIIPIIEITI CllfiIGES:
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IOIfiL c0ltP HTTP 0uEs LETE OIiL I I // THEUPS T rotts? c0 HE TRRCKI 3ToRE. Coil ITTRCT S}II (sE PPED HO:
E83 ltt vouR llEl EITTEN SHIPItEilT I rnollsER I0 TnficK!
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$ignatura:
$ll Iplltltl ID I lll'l?ll3l{}ltJfll(fiC illllllll ilillillllllllllll illffillllllll illllll ililllllllll
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BOX ID AND II\\ryENTORY WORKSTTEET L
L 1
a Man Fcr EVE
" L tTf, al Rs++
Serial Number Date of Curies orTbq SIXTU 1.
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tBJ, o G-zo"F I
I 2 27 zotT 777 t 3\\
SHIP TO:
SRBTECM{OLOGIES 25E0 Landmark Drive Wlnston-Salem, NC 27103 Tcl: (336)659-2610 Far (336)-76&7720 Email: l4lissar@srbteeh_$slaliies.cam
?1 rt3B No Shipmentwill be accepted without a proper RGA number and IlN2911 written on outside of package. '
RGA#
Date Issued:
lryiration date:
'2.) A coDv of the the Box and Inventqrv Worlrsheet must be Blflced inside each corr$rpondine b$x.
3.) The assisned RGA is valid.onlv for tFe numbFr of sisns listed below.
4.) Onlv one shipment can be made usins this RGA p.gmber.
- qq 1 B>
5.) Unde! llR9,.reeul?tionsit is vour resnonsibilitv to notifv vour state requlator and tFe USNRC of the transfer of these siens. See the procedure forr,ns fof a4ditional inforqption im 6.) Please refer to t[e full policv o.n the subseguent pages to insurq vour shipment is nrepared nronerly.
Returned Goods Authorization Bil To: The Exit Light Co., lnc.
ContactName: PurchasingDepartment S* CA Zipz 92081 Vista Cify:
Address: 3170 Scott Street Phone:
877-352-3948 F'ax:
877-352-3949 Email:
pu rchasing@exitlightco. com INSTALLATION AI}DRESS 4934 N Maidstone Place 83713 Boise Name: Boise River Montessori Inc State: ID Company Address:
I have read snd agree to all terms and conditions:
Signature:
lltryrhh Sualq" Replacement Signs Ordered?r @ N Date ordered 3lt5/18 PO#: 186028 Do notwrite belowthisline - This snace resenred forSRBT
- Do not nnite below this line Returned for Disposal:
Replaced under Warranty:
Payment l)ate:
Payment Method:
Y/N Y/N Disposal Fee:
Date Retumed:
Date received:
Checked in by:
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