ML18278A217
| ML18278A217 | |
| Person / Time | |
|---|---|
| Site: | 03020360 |
| Issue date: | 10/02/2018 |
| From: | Presler W Shannon & Wilson |
| To: | Carol Hill NRC Region 4 |
| References | |
| 610125 | |
| Download: ML18278A217 (5) | |
See also: IR 05000232/2004001
Text
Hill, Carol From: Sent: To: Wendy Presler <WAP@shanwil.com>
Tuesday, October 02, 2018 7:11 PM Hill, Carol Cc: Subject: Attachments:
Christopher
Darrah; Steve Adamczak;
Torres, RobertoJ [External_Sender]
License No. 50-23204-01
nrc313_signed.pdf;
Presler RSO Training.pdf
Hello. Please be advised that our currently
registered
RSO is no longer employed by Shannon & Wilson, effective
10/1/2018.
We wish to change our RSO to: Wendy A. Presler, P.E. Education:
M.S. Civil Engineering;
B.S. Civil Engineering
Current position:
Senior Geotechnical
Engineer RSO Training:
Appended I have operated nuclear moisture-density
gauges and x-ray fluorescence
analyzers
since 2004. NRC Form 313 and documentation
of RSO training are appended, for your records. Please let me know if additional
information
is needed to complete the requested
change of RSO. Best regards, J'~NONlf\lVIL$0N,INC . . Wendy A. Presler, P.E. J Senior Geotechnical
Engineer 2355 Hill Road Fairbanks, Alaska 99709 www.shannonwilson.com
Phone: (907} 479-0600 Fax: (907} 479-5691 Direct: (907} 458-3126 E-mail: wa p@shanwil.com
fmt:111 Excellence.
Innovation.
Service. Value. We Help Our Clients Achieve Their Goals. 1 PUBLIC !~ediate Release ),,J--fi onnar Release NON-PUBLIC
a A.3 Sensitive-Security
Related a A.7 Sensitive
lntemal a Other: --;-----Rev I ewer: MJ J D )' r II t; --Date: , .> /J 5
NRC FORM 313 U.S. NUCLEAR REGULATORY
COMMISSION
APPROVED BY 0MB: NO. 3160-0120
EXPIRES: 06/30/2019
(10-2017)
10 CFR 30, 32, 33, 34, 35, 36, 37, 39, and 40 APPLICATION
FOR MATERIALS
LICENSE Estimated
burden per response to comply with this 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
of the application
Is necessary
to detennine
that the applicant
is qualified
and that adequate procedures
exist to protect the public health and safety. Send comments regarding
burden estimate to the lnfonnation
Services Branch (T-2 F43), U.S. Nuclear Regulatory
Commission , Washington , DC 2055S-0001, or by &-mail to lnfocollects
.Resource@rvc.gov, and to the Desk Officer , Office of lnfonnation
and Regulatory
Affairs, NEOB-10202 , (3150-0120), Office of Management
and Budge~ Washington, DC 20503. If a me an s used to i mpose an information
collection
does not display a cunenlly valid 0MB control numbe r , the NRC may not conduct or sponsor , and a person is not required to respond to , th e infonnation
collection. INSTRUCTIONS:
SEE THE CURRENT VOLUMES OF THE NUREG-1556
TECHNICAL
REPORT SERIES ("CONSOLIDATED
GUIDANCE ABOUT MATERIALS
LICENSES")
FOR DETAILED INSTRUCTIONS
FOR COMPLETING
THIS FORM: IUtP:/Jwww.m: c.o o v/re adin q-rmldo c-collectlo
n s/nure g s/s ta ff/sr 1 5561. SEND lWO COPIES OF THE COMPLETED
APPLICATION
TO THE NRC OFFICE SPECIFIED
BELOW. APPLICATION
FOR DISTRIBUTION
OF EXEMPT PRODUCTS FILE APPLICATIONS
WITH: IF YOU ARE LOCATED IN: MATERIALS
SAFETY LICENSING
BRANCH DIVISION OF MATERIAL SAFETY, STATE , TRIBAL AND RULEMAKING
PROGRAMS OFFICE OF NUCLEAR MATERIALS
SAFETY AND SAFEGUARDS
ILUNOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS
TO: U.S. NUCLEAR REGULATORY
COMMISSION
WASHINGTON, DC 20555-0001
ALL OTHER PERSONS FILE APPLICATIONS
AS FOLLOWS: IF YOU ARE LOCATED IN: MATERIALS
LICENSING
BRANCH U.S. NUCLEAR REGULATORY
COMMISSION, REGION Ill 2443 WARRENVILLE
ROAD, SUITE 210 LISLE, IL 60532-4352
IF YOU ARE LOCATED IN: ' ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETIS, NEW HAMPSHIRE, NEW JERS!:Y, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA, ALASKA, ARIZONA, ARKANSAS , CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING, SEND APPLICATIONS
TO: LICENSING
ASSISTANCE
TEAM DIVISION OF NUCLEAR MATERIALS
SAFETY U.S. NUCLEAR REGULATORY
COMMISSION , REGION I 2100 RENAISSANCE
BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 19406-2713
SEND APPLICATIONS
TO: NUCLEAR MATERIALS
LICENSING
BRANCH U.S. NUCLEAR REGULATORY
COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD
ARLINGTON, T X 76011-4511
PERSONS L OCATED IN AGREEMENT
STATES SEND APPLICATIONS
TO THE U.S. NUCLEAR REGULATORY
COMMISSION
ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL I N ST A TES S U BJECT TO U.S. NUCLEAR REGULATORY
COMMISSION
JURISDICTIONS. 1. THIS IS AN APPLICATION
FOR (Check appropriate
item) D A. NEW LICENSE 0 B. AMENDMENT
TO LICENSE NUMBER 50-23204-01
D c. RENEWAL OF LICENSE NUMBER 3. ADDRESS V'vHERE LICENSED MATERIALS
V\/1LL BE USED OR POSSESSED
2. NAME AND MAILING ADDRESS OF APPLICANT
(In c lude zip code) Shannon & Wilson, Inc. 2355 Hill Road Fairbanks, Alaska 99709 4. NAME OF PERSON TO BE CONTACTED
ABOUT THIS APPLICATION
Wendy A. Presler 2355 Hill Road Fairbanks , Alaska 99709 BUSINESS TELEPHONE
NUMBER 907-458-3126
I BUSINESS CELLULAR TELEPHONE
NUMBER BUSINESS E-MAIL ADDRESS wap@shanwil.com
SUBMIT ITEMS 5 THROUGH 11 ON 8-112 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION
TO BE PROVIDED IS DESCRIBED
IN THE LICENSE APPLICATION
GUIDE. 5. RADIOACTIVE
MATERIAL 6. PURPOSE($)
FOR WHICH LICENSED MATERIAL WILL BE USED. a. Element and mass number, b. chemical and/or physical form; and c. maximum amount 7. INDIVIDUAL($)
RESPONSIBLE
FOR RADIATION
SAFETY PROGRAM AND THEIR TRAINING AND which will be possessed
at any one t i me. EXPERIENCE.
8. TRAINING FOR I ND I VIDUALS WOR K ING I N OR FREQUENTING
RESTR I CTED AREAS. 9. FAC I LI T IES AND EQUIPMENT. 10. RADIATION
SAFETY PROGRAM. 11. WASTE MANAGEMENT. 12. LICENSE FEES (Fees required only for new applica ti ons , wilh few e x ceptions*)
FEE I (See 10 CFR 170 and Section 170.31) CATEGORY 'Amendments/Renewals
that Increase the scope of 1he existing license to a new or higher fee category will require a fee. n/a I AMOUNT $1 ENCLOSED 0.00 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: https*J/www nrc govlread!ng-nnldoc-coUectjons/formslnrc531
jnfo h1ml. 13. CERTIFICATION. (Must be completed
by applicant)
THE APPLICANT
UNDERSTANDS
THAT ALL STATEMENTS
AND REPRESENTATIONS
MADE IN THIS APPLICATION
ARE BINDING UPON THE APPLICANT.
THE APPLICANT
AND ANY OFFICIAL EXECUTING
THIS CERTIFICATION
ON BEHALF OF THE APPLICANT , NAMED IN ITEM 2 , CERTIFY THAT THIS APPLICATION
IS PREPARED IN CONFORMITY
\/,/ITH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34 , 35, 36, 37, 39, AND 40, AND THAT ALL INFORMATION
CONTAINED
HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE
AND BELIEF. 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 STATEMENT
OR REPRESENTATION
TO ANY DEPARTMENT
OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. * dli A Digitally
si ___ ..., .... CERTIFY I NG OFFICER -TYPED/PR I NTED NAME AND TITLE S I GNA Z;~l * . ._, -1 Chnstophe
Darrah Christopher
Darrah, Vice President, Office Manager Date: 2018 10.02 14:53:4 1 I .I\P PR OVED B Y NRG FORM 313 (10-2017)
FOR NRC USIE OKL Y -0 8'00' I F E Ec;A'TE~RY
I /MOU,N,RECEIV
ED' Cf!ECK*NU MBER CO MMENTS DATE. 6 1 1 2 5
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- ,. ~.~***. 4~.' Instro Tek, Inc. Radiation
Safety Officer Training Wendy Presler --~~.~ ,t.~i.~*-:
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<3M'* ,:*~* .; .. \~.,* )~; Has successfully
completed
a certified
course on the responsibilities
of Radiation
Safety Officer for portable nuclear gauges "....!"" .'-.,**~*
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4o:: ~* ' en 0 "' 01 using special form nuclear material.
Subjects included were: Responsibilities
of Radiation
Safety Officer Commercial
shipping of portable nuclear gauges Applicable
10 CFR Regulations
Portable nuclear gauge security " Records for tracking and logging portable gauges Unit Conversions
Applying for nuclear materials
license lruitroTek,.
Inc. IrtsttoTek, Inc. 5908 Triangle Dr. Raleigh, NC 27617 (919) 875-8371 Radiation
Safety Program Applicable
49 CFR Regulations
NUREG 1556 VoL 1 Rev. 1 Records for Dosimetry
Dose calculations
and calculators
Decay calculations
and calculators
Amending nuclear materials
license ~-, .,,,. &--.......
Instructor:
Date of Training:
Location:
Dr. Larry James 04 Jan 2011 Raleigh, NC
NRC FORM 532 U.S. NUCLEAR REGULATORY
COMMISSION
(0 5-20 1 6) '¥~ * 0 ACKNOWLEDGEMENT
-RECEIPT OF CORRESPONDENCE
- ; '"~ .., ...... Name and Address of Applicant
and/or Licensee Date I 10/04/2018
I Alan M. Vetter License Number(s} Radiation
Safety Officer I 50-23204-01
I Shannon & Wilson, Inc. Mail Control Number (s} 2355 Hill Road I 610125 I Fairbanks, AK 99709 Licensin g and/or Technical
Reviewer or Branch C. Hill This is to acknowledge
receipt of your: D Letter and/or [Z] Application
Dated: 10/02/218
The initial processing, which included an administrative
review, has been performed.
0 Amendment
D 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 renewal of the material(s)
license identified
above. Your application
is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office. D Your application
for a new NRC license did not include your taxpayer identification
number. Please complete and submit NRC Form 531, Request for Taxpayer Identification
Number, located at the following
link: htt o://www.nrc.
a ov/readin a-rm/doc-collections/forms/nrc531.
p df 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 NRG FORM 532 (05-2016)
BETWEEN: Accounts Receivable/Payable
and Regional Licensing
Branches [ FOR ARPB USE ] INFORMATION
FROM WBL Program Code: 03121 Status Code: Pending Amendment
Fee Category:3P
Exp. Date: 02/29/2024
Fee Comments:
Decom Fin Assur Reqd: N License Fee Worksheet
-License Fee Transmittal
A. REGION 1. APPLICATION
ATIACHED Applicant/Licensee:
Shannon & Wilson, Inc. Received Date: 10/02/2018
Docket Number: 3020360 Mail Control Number: 610125 License Number: 50-23204-01
Action Type: Notifications
2.FEEATTAC
7 HED Amount: Check No.: . 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: