ML19325C510
| ML19325C510 | |
| Person / Time | |
|---|---|
| Issue date: | 10/04/1988 |
| From: | Heim D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | NRC |
| References | |
| 252427, NUDOCS 8910160326 | |
| Download: ML19325C510 (3) | |
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CERTIFICMT' OF DISPOSITION OF MATERIALS 4
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L (Allitems MUST be completed, please print) n uct=sai Naut ano acoatss
,'uan A. Ocasio Rodriguez (2. - 2 / M - O I F0 BOX 10134 Caparra licights Station RIO Piedras, P.R. 009 2 May 31, 1988 THE LICENSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON BEHALF OF THE I ICENSEE CERTIFIES THAT:ICheck and/or comptere the appropriate itemH) below.)
A. MATE RI ALS DATA (Check one and complete, as necesserv/
] 1. NO MATERIALS HAVE EVER PEIN POSSESSED OR PROCURED BY THE LICENSEE UNDER THIS LICEN;.E.
ca 2i ALL MATERIALS PRO?URiD AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMBER CITED ABOVE HAVE BEEN TRANSFERRED ON O.J.0.S. Inc.
October 1,1.988 Call box 8407, Fernandez guncos Atation
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52-25012-01 tR u
] J. ALL MATERif.LS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LfCENSE NUMBER. CITE oaTL TD
.j WHICH HA$ LICE NSE NUMPEN l155UED BY THE STATE Of AN AGREEMrNT STATE PURSUANT TO SECTION 274 OF THE ATOMIC ENERGY ACT OF 1954, AS AMENDED, AND THE ENERGY F! ORGANIZATION
.l OR ACT OF 1974.
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- 4. MATERIALS HAVE BEEN DISPOSED OF IN THE FOLLOWING M ANNF R. (Descrite vershe veosa/ procedures-if adrhtional race is needed, use the reverse of -
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- 2. WAS A RADIATION SU9VEY CONDUCTED TO CONFIRM THE ABSENC OF LICENSED RAblOACTIVE MATERIALS AND TO DETERMINE WHETHER ANY CONTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSE? (Check one/
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YES. Tile RESULTS (Check onef ARE ATTACHED. OR WERE FORWARDCD 70 NRC ON (Datef 1 THE PERSON TO BE CONTACTED REGARDING THE INFORMATION PROVIDED ON THIS FORM NiME l Tf t(PHONE NUMBER Juan A. Ocasio Rodriguez (809) 798-6085 4.
Mall ALL FUTURE CORRESPONDENCE REGARDING THIS LICENSE TO PO BOX 10134, Caprra Heights Station. Rio Piedras, P.R. 00922 RETURN 70.
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