ML18256A207
| ML18256A207 | |
| Person / Time | |
|---|---|
| Site: | 03038467 |
| Issue date: | 09/10/2018 |
| From: | Kowalczyk G F. Robert Bell & Associates |
| To: | NRC Region 4 |
| References | |
| 609890 | |
| Download: ML18256A207 (7) | |
See also: IR 05000294/2026001
Text
NRC FORM 314 ...... *ro", (02-2017)
~t'.-... , IY~ li!l u w lnl U SEP 1 2 2018 M U.S. NUC'Bff fflgU LA TORY COMMISSION
APPRO VED BY 0MB: NO. 3150-0028
EXPIRES: 02/29/2020
10 CFR 30.360)(1 ); l-'; Eslimal.ad
burden per retponse lo compfy wilh U,ia; mandatory
colleclion
requast 30 minul.n This submittal
is usad by 40 42U)(1 ); 70 , 3BU)(1 ); CERTIFICATE
OF DISPOSITION
NRC as part of Ina basis {Of ila detennination
U,irt lhe facil i ty i a releaaed for lllreslncl.e
d uae SMd common!& regadiog and 72c54(k){5)(1)(1) 'l: burden 11&l.imet11
lo fie FOIA , Privacy , and lnk>mwllion
Coll&c~ons
Branch {T-5 FS3), US Nuc\e.ar Regulalofy
CQ'MVSl!ion, \ ., OF MATERIALS
W a shington, DC ~1. or by e,mail lo lnlocollecls
Re sooroa@m:
gov , &'ld lo the Desk Ollloa r, Ollioe of ln lonn100'l
... .., *f'* and Reg ulat.cxy Mair$, NEOS.10202 , [3150-0028), Office of Managamflnl
and Bud99l Wasl'Jngl.On, DC 20003 I[ 11 ...... means u sed lo i~se an i nfonnallon
collection
doee no t d i spltrf a CtJl'Tenly
Yalid 0MB control ~!Tiber, the N RC may no t conduci or sponsor , and II person ia nol requ i red lo reapord lo, the inlormelion
ooUeclion.
LICENSEE NAME AND ADDRESS LICENSE NUMBER DOCKET NUMBER F. Robert Bell & Associates
50-29426-01
030-38 467 801 West Fireweed Lane, Suite 201 LICENSE EXPI RATION DATE Anchorage, AK 99503 August 31, 2021 A. LICENSE STAT US (Check the appropriate
box) 0 T h is license has expired. 0 This license has not yet expired; please terminate
it. B. DISPOSAL OF RADIOACTIVE
MATERIAL (Check the appropriate
boxes and complete as necessary.
If additional
space is needed, provide attachments)
The licensee, or any individual
executing
this certificate
on behalf of the licensee, certifies
that: D 1. No radioactive
materials
have ever been procured or possessed
by the licensee under this license. 0 2. All activities
authorized
by this license have ceased, and all radioactive
materials
procured and/or possessed
by the licensee under this license numbe r cited above have been disposed of in the following
manner. [Z] a. Transfer of radioactive
materials
to the licensee listed be' Seasman Nuclear Corporation
PUBLIC Qb. Disposal of radioactive
materials:
Cl Immediate
Rel 0 1. Directly by the licensee:
lf Nonnal Releas t NON.PUBLIC
Cl A.3 Sensitive-S
- "' -0 2. By licensed disposal site: Cl A.7 Sensitive
lnt L .., OWiiliJl9Q
Cl Other: 0 3. By waste ccntractor:
~ibnfJ,, : t1h/rt . Qc. All radioactive
materials
have been removed such that any remaining
residual radioactivity
is within the l im its of 10 CFR Part 20, Subpart E, and is ALARA. C. SURVEYS PERFORMED
AND REPORTED D 1. A radiation
survey was conducted
by the licensee.
The survey confirms: oa. the absence of licensed radioactive
materials
o b. that any remaining
residual radioactivity
is within the limits of 10 CFR 20, Subpart E, and is ALA RA. 0 2. A copy of the radiation
survey results: 0 a. is attached;
or O b. is not attached (Provide explanation);
or D c. was forwarded
to NRC on: 09/10/2018
[ZJ 3. A radiat i on survey is not required as only sealed sources were ever p oss essed under this license, and Date [Z] a. The results of the latest leak test are attached;
and/or D b. No leaking sources have ever been identified.
The person to be contacted
regarding
the information
provided on this form: NAME TITLE TELEPHONE (Include Area Code) E-MAIL ADO RES$ Gary Kowalczyk
RSO for F.R. Bell & Associates
(907) 659-5007 Gary.Kowalczyk@BP
.com Mai l all f u ture corresp o ndence regard i ng th i s li cense to: Frank Bell, 80I West Firewecd Lane, Suite 201, Anchorage
AK 99503 C. CERTIFYING
OFFICIAL I CERTIFY UNDER PENALTY OF PERJURY THAT THE FORE GOING IS TR UE AND CORRECT PRINTED NAME AND T I T L E SIGNATURE
RSO A~ 09/10/2018
JJ WARNING: FALSE STATEMENTS
IN THIS CERTIFICATE
MAY BE SUBJECT TO CIVIL ANO/OR CRIMINAL PENAL TIES. NRC REG ULATIONS REQUIRE THAT SUBMISSIONS
TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPEC T.18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY
FALSE STATEMENT
OR REPRESENTATION
TO ANY DEPARTMENT
OR AGE NCY OF TH E UN ITED STA TES AS TO ANY MA TI ER WITHIN ITS JURISDICTION.
NRC FORM 314 (02-2017)
Seaman Nuclear Corporation
7315 South First Street Oak Creek, WI 53154 USA Tel 414-762-5100 Fax414-762-5106 info@seamannuclear.com
Leak Test Certificate
A l eak test has been performed
on meter, serial number A640, a model C-200, containing
the radionuclide
Ra 226 Owned By: Date Sample Collected: Collected
By: Date Samp*le Analyzed:
Analyzed By: F. Robert Bell & Assoc. 801 W. Fireweed Lane Anchorage, AK 99503 5/22/18 Gary Kowalczyk
6/5/18 Ken Krysiak Most regulatory
agencies consider a source to be leaking if a l eak test reveals the presence of more than 0.005 microcurie
of removable
contamination.
Analysis found contamination
of less than 0.005 microcurie.
Analysis authorized
by Wisconsin
l icense 079-1257-01. Scott C. Seaman Radiation
Safety Officer Seaman Nuclear Corporation
Se aman Nu c lear Co rp oratio n 7315 South First Street Oak Cree k, WI 53154 USA Tel 414-762-5100
Fax 414-762-5106
info@seamannuclear.com
Leak T est Certificate
A leak test has been performed
on meter, serial number L400, a model C-200, containing
the radionuclide
Ra 226 Owned By: Date Sample Collected:
Collected
By: Date Samp l e Analyzed:
Analyzed By: F. Robert Bell & Assoc. 801 W. Fireweed Lane Anchorage, AK 99503 5/22/18 Gary Kowalczyk
6/5/18 Ken Krysiak Most regulatory
agencies cons i der a source to be leaking if a leak test revea l s the presence of more than 0.005 microcurie
of removable
contamination.
Analysis found contamination
of less than 0.005 microcurie.
Analysis authorized
by Wisconsin
l icense 079-1257-01.
Scott C. Seaman Radiation
Safety Officer Seaman Nuclear Corporation
609890
Hill, Carol From: Sent: To: Cc: VonEhr, Jason Wednesday, September
12, 2018 2:08 PM Hill, Carol Subject: Torres, RobertoJ;
Cook, Jackie F. Robert Bell Attachments:
Form 314.pdf; Leak Test A640 Gauge 2018.pdf; Leak Tests L400 Gauge 2018.pdf Carol e t. al., Please set this up for the licens ee to te rm inate their license. If these documents
can be uploaded to ADAMS ASAP -I have a letter I need to issue to the licens ee (ideally before I leave fo r inspections
next week). Thank you, Jason vonEhr From: Kowalczyk, Gary (FR Bell) [1]
Sent: Wednesday, September
12, 2018 2:03 PM To: VonEhr, Jason <Jason.VonEhr@nrc.gov>
Subject: [External_Sender] RE: NRC -friendly reminder Jason VonEhr, My apology as I was walking out to a meeting when I received you email. Like I said I sent them to Frank Bell. I am not sure where the break down took place, but I have attached the documents
to this email. The originals
should be mailed to you from Frank Bell. Again my apology for the tardiness.
Gary Kowalczyk
Senior Geotech F.R. Bell & Associates
p. + 1 907. 659. 5007 C. +1 907.229.8662 h. 4 7 44 e. Gary. Kowa lczy k@BP.com e. akgkowalczyk@aol
.com From: VonEhr, Jason <Jason.VonEhr@nrc.gov>
Sent: Wednesday, September
12, 2018 6:08 AM To: Kowalczyk, Gary (FR Bell) <Gary.Kowalczyk@bp.com>
Cc: Frank Bell <fbell@bel
l alaska.com> Subject: NRC -friendly reminder Gary, From our phone call Monday, I had the impression
that I would have the documents
in hand within the day. Is there a delay that was not anticipated, or were the documents
completed
and sent hard-copy? 1 O 0
Jason vonEhr H ealth Physic i st U.S. Nuclear Regulatory
Commission, Region-IV
1600 East Lamar Boulevard
Ar l ington, Texas 7601 1-4511 Office: (817) 200-1186 Fax: (817) 200-1 083 Emai l: jason.vonehr@nrc.gov
"' /U.S.NRC f'<.' ... , .-. .....,.h*
"'hi ,...._,.,,,"""""""'"'.,._'
................
.................
.................
.......... The i nformation
contained
in th i s message may be privileged
and/or confidential
and protected
from disclosure.
If the reader of this message is not the intended recipient, or an employee or agent responsible
for delivering
th i s message to the intended recipient, you are hereby notified that any disseminat
i on, distribution
or copying of this communication
is strictly prohibited.
If you have received this message i n error, please notify the sender immediate l y by replying to the message and deleting the material from any computer.
Note: Any views or opinions presented
in this message are solely those of the author and do not necessarily
repres e nt those of the Nuclear Regulatory
Commiss i on, Region-IV
or the Mater i als Licensing
and Inspection
Branch. All e-mails a r e subject to mon i toring and arch i val. Finally, the r ecipient should check this message and any attachments
for the presence of viruses. The Nuclear Regulatory
Commiss i on accepts no liability
for any damage caused by any virus transmitted
by this e-mail. 2
BETWEEN: Accounts Receivable/Payable
and Regional Licensing
Branches [ FOR ARPB USE] INFORMATION
FROM WBL Program Code: 03121 Status Code: Pending Termination
Fee Category:3P
Exp. Date: Fee Comments:
Decom Fin Assur Reqd: N License Fee Worksheet
-License Fee Transmittal
A. REGION 1. APPLICATION
ATTACHED Applicant/Licensee:
F. Robert Bell & Associates
Received Date: 09/12/2018
Docket Number: 3038467 Mail Control Number: 609890 License Number: 50-29426-01
Action Type: Termination
2. FEE ATTACHED Amount: Check No.: I 3. COMMENTS Signed: Date: B. LICENSE FEE MANAGEMENT
BRANCH (Check when milestone
03 is entered 1. Fee Category and Amount:---------------
---2. Correct Fee Paid. Application
may be processed
for: Amendment:
Renewal: License: Signed: Date: 1
NRC FORM 532 U.S. NUCLEAR REGULATORY
COMM I SSION (05-2016) t>"IIIEou<
->(,... "> l¥\ ACKNOWLEDGEMENT
- RECE I PT OF CORRESPONDENCE
.. . ,, I; . . . -.. ,, *" .........
Name and Address of Applicant
and/or Licensee Date I 09/13/2018 I Kathleen Stone License Number{s)
Corporate
Secretary/Director
I 50-29426-01 I F. Robert Bell & Associates
Mail Control Number{s}
801 West Fireweed Lane Anchorage, Alaska 99503 I 609890 I Licensing
and/or Technical
Reviewer or Branch C. Hill This is to acknowledge
receipt of your: D Letter and/or [Z] Application
Dated: 09/10/2018
The initial processing, which included an administrative
review, has been performed.
D Amendment
[Z] Termination
D New License D Renewal D There were no administrative
omissions
identified
during our initial review. D This is to acknowledge
receipt of your application
for renewa l of the materia l (s) license identified
above. Your application
is deemed timely filed, and accordingly, the license will not expire until fina l action has been taken by this office. D Your application
for a new NRC license did not include your taxpayer identification
number. Please comp l ete and submit NRC Form 531, Request for Taxpayer Identification
Number, located at the following
link: htlP.://www.nrc.gov/reading-rm/doc-co ll ectio n s/fo rm s/nrc531.pdf
Follow the instructions
on the form for submission.
D The following
administrative
omissions
have been identified: , Your application
has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application
has been forwarded
to a technical
reviewer.
Please note that the technical
review, which is normally completed
within 180 days for a renewal application
(90 days for all other requests), may identify additional
omissions
or require additional
information.
If you have any questions
concerning
the processing
of your application, our contact information
is listed below: Region IV U. S. Nuclear Regulatory
Commission
DNMS/NMSB
-B 1600 E. Lamar Boulevard
Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140 NRC FORM 532 (05-2016)