ML20044A535
| ML20044A535 | |
| Person / Time | |
|---|---|
| Site: | 07109006 |
| Issue date: | 06/20/1990 |
| From: | Roughan C AMERSHAM CORP. |
| To: | Macdonald C NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| References | |
| NUDOCS 9006290180 | |
| Download: ML20044A535 (29) | |
Text
Amersham Corporation 40 North Avenue s
Burlington, Massachusetts 01803 Telephone (617) 272 2000 20 June 1990 Mr. Charles MacDonald, Chief Transportation Branch Division of Safeguards and Transportation NMSS U.S. Nuclear Regulatory Commission OWFN 4E4 Washington, D.C.
20555 Dear Mr. MacDonaldt This letter provides the additional information you requested concerning Docket No. 71-9006, which is the Model 500SU Type B package with lock mechanism (letter dated 31 May 90).
The information is presented sequentially in the same order as your letter.
1.
Drawing 42402-1 has been revised and is enclosed.
We have deleted drawing 42402-4 as we do not manufacture any of these source assemblies.
2.
Drawing SK 2334-2 is enclosed, which lists the specifications for the holddown caps.
3.
The operatuig procedures have been revised to reflect the correct way to seal wire when one or two holddown caps are used.
These are included as a revised section 7.4.2.
4.
As we have indicated in our comments on NUREG-1405, we do not feel that requiring a physical probe of.the source tubes is necessary.
Amersham is very concerned about the potentia] health and safety problems that could easily arise if we make it a requirement in our operations manual that every user of the package conduct a physical probe of the source tubes, or conduct a borescope inspection of the source tubes to inspect for cropped-off sources.
The potential problems that we' foresee in the radiography industry are as follows:
1)
Due to improper tool use, create damage to S-tube, possibly causing future problems while transferring an authorized' source.
I f 2)
The customer may mistakenly probe a tube with an authorized source assembly and possibly pull the source out of the shielded position.
9006290 900620 sta Oggo m'
Amasham 7'
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Mr. MacDonald Page Two of three j
I 3)
Customers will manufacture their own tool to comply and may not check the proper length of the source tube.
4)
In the improbable instance where an uncropped source is i
in the tubc, a customer could easily pull out the source to an exposed position, creating a source retrieval situation and a possible overexposure.
j We have only received sources cropped from pigtails from users in Korea.
There have been no other incidents of this type occurring j
in the returns from domestic customers or any other foreign user.
The Korean incident occurred due to negligence on the part of the user and to an unauthorized use of the source changer, not to l
incomplete instructions.
One option to prevent a similar inci-dont from occurring would be to place caution notes in the opera-tions manual stating that the changer is only authorized for sources on pigtails.
Any other use of the source changer is i
unauthorized and violates all of the Type B(U) package approvals (NRC and DOT).
We have placed this statement in the Operations Manual for the 500SU.
l In addition, Amersham will be training the Koreans (agents and regulators) in the proper use of any Type B(U) package and the applicable transportation rules.
This training will take place l
in July 1990 and will be designed to retrain the users and will be specific to the personnel that caused the incident.
Another effective method of prevention is our internal QA pro-gram.
Amersham inspects the source tube of every source changer upon receipt and prior to shipment.
This is accomplished upon receipt by a through tube wipe to insure there is no contamina-tion.
This also insures that there is no source within the source tube.
Prior to shipment, a dummy source assembly is placed into each source tube to insure that it fits and locks properly.
This is part of our internal QA program for shipping packages.
Either of these methods would detect an uncropped source before a customer received the container.
Since we receive each container back from the customer with the spent source, these checks are done-frequently.
If a similar problem existed with any other user, we would have detected it due to the large quantity of source changes we proc-ess.
The only user of our packages that has used them for an unauthorized purpose are the Koreans.
We will be specifically retraining them to prevent this.
4 L
Mr. M2cDonald Page Three of three We feel our options are the safest and most reliable methods of preventing a similar incident.
5.
The shipping instructions have been revised to include the appropriate instructions for shipping empty packages exceeding 0.5 mR/hr at the surface.
This is included as a revised section 7.4.2.
I 6.
The shipping instructions have been revised to require the external contamination wipe per 71.87 (1).
This is included in a revised section 7.4.2.
I have included revision instructions to be inserted into the application dated March 1486.
Please contact me if you require any additional information.
Sincerely,
$$W Al' Cathleen M. Roughan Radiation Safety Officer CMR/bt Enclosures l
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Revision Instructions 500 SU with lock mechantsu Remove Page Insert Page 1-3 revision 3 1-3 revision 4 March 86 June 1990 1-4 to 1-9 revision B 1-4 to 1-10 revision C 1-15 revision F 1-15 to 1-17 revision k 1-18 Revision D 7-9 to 7-20 revision 0,1,2 7-9 to 7-21 revision 3, June 90 August 85 b
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Drawing AIS00 SU90 Sheets 1 through 7 Drawing A1500SU91 Sheets 1 through 2 1
Drawing A1500SU92
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Orawing A42402-1 Sheets 1 through 3 i
Drawing SK2334-2 I
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i Model AI 500 SU SOURCE CHANGER WITH LOCK MECHANISM OPERATION MANUAL NOTICE
'1 This device is used as a radiographic source changer and Type J
B(U) transport package for the Amersham Corporation radioactive sources listed in this manual.
The user should become thoroughly familiar with the instruction manual before attempting operation of the equipment.
In order to use this equipment to perform source changes within the United States, the user must be specifically licensed to do so.
Application for a license should be filed on Form NRC-313 with the appropriate U.S.
Nuclear Regulatory Commission Region Office or with the appropriate agreement state office.
Prior to initial use of the source changer as a Type B transport package, the user in the Unitid States must register his name, license number and package identification number with:
Director officer of Nuclear Material Safety and Safeguards U.S. Nuclear Regulatory-Commission Washington, DC 20555 The user must have in his possession a copy of USNRC Certificate of Compliance Number 9006 issued for this package.
Prior to the first export shipment of this source changer from the United States, the user must also register withs office of Hazardous Materials Regulation Materials Transportation Bureau U.S. Department of Transportation Washington, DC 20590 The user must have in his possession a copy of International Atomic Energy Agency Certificate of Competent Authority Number USA /0006/B(U) issued for this source changer.
Users of this equipment outside the United States must comply with the regulatory, licensing and transportation rules and regulations as they apply in their resg.9,tive countries.
1 l.
Page 7-9 Revision 3 June 1990
=-
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General 4
The AI Model 500 SU source changer is used primarily for the transfer of encapsulated radioactive sources into radiographic i
exposure devices.
The source changer is designed to contain the radioactive sources during transport and to permit the field i
exchange of source.
)
The source changer is five inches (127 mm) wide, six inches (152 mm) high and eleven inches (279 mm) long.
The total weight of the source changer is 60 pounds (27 kg).
The source changer contains 39 pounds (18 kg) of depleted uranium as shielding.
I The source changer is approved as a Type B(U) transport package under USNRC Certificate of Compliance Number 9006 and IAEA Cer-tificate of Competent Authority Number USA /9006/B(U).
The capac-ity of the source changer is 120 curies of iridium-192 as one of the source assemblies listed in table 1.
NOTE:
This container is not authorized for sources which are not attached to pigtails or that are not listed in Table 1.
Shipment Data An envelope accompanies each shipment and contains a source certificate with decay data and leak test certification, a source identification plate for attachment to the user's radiographic exposure device, return shipping labels, tamper proof seals and an instruction manual.
Radiation Safety Considerations pursuant to USNRC and agreement state regulations, all personnel present during radiographic and source changing operations are required to wear a direct reading pocket. dosimeter and either a film badge or a thermoluminescent dosimeter (TLD).
The pocket dosimeter must be recharged at the start of each shift.
The operator should frequently check the pocket dosimeter reading throughout the shift.
Dosimeter readings must be recorded at the end of each shift.
Records of the initial and final readings of the pocket dosimeter must be kept for inspection by the USNRC.
3 In the event that a person's pocket dosimeter is found to be off scale, that person must stop all work with radiation immediately.
His film badge (or TLD) must be sent in immediately for process-ing, and he must not reenter a restricted area until it has been determined that he received less than the maximum allowed occupa-tional exposure as defined in 10 CFR Part 20.101.
Personnel performing source changing operations should also have a calibrated and operable radiation survey meter capable of measuring form 2mR/hr to at least 1000 mR/hr to determine radia-tion levels'when performing these operations.
l Page 7-10 Revision 3 June 1990
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1 1
Areas in which source changing is performed must be identified.
If a permanent radiographic installation is used, it must have the appropriate personnel access control devices as defined in 10 CFR 20.203.
Otherwise, certain areas must be established as follows:
Access t o the Restricted Area must be controlled.
A Restricted Area is defined in 10 CFR 20.105 as the area where an individual could receive an exposure in excess
)
of two milliroentgens in any one hour, or 100 milli-l roentgens in seven consecutive days or 500 milli-roentgens in one year.
The Restricted Area should also be posted with signs reading " Caution (or Danger)
)
- Radiation Area."
Signs reading " Caution (or Danger)
- High Radiation Area" should be posted around the 1
perimeter where an individual could receive an exposure in excess of 100 milliroentgens in any one hour.
The radiographer or radiographer's assistant must guard against unauthorized entrance into these areas at all times.
No person-nel should be allowed into the restricted area without a direct reading pocket dosimeter and either a film badge or TLn.
Receipt of Radioactite Material t
The consignee of 6 package of radioactive material must make arrangements to receive the package when it is delivered.
If the package is to be picked up at the carrier's terminal, 10 CFR Part 20.205 requires that this be done expeditiously upon notification of its arrival.
Upon receipt, survey the source changer with a survey meter as soon as possibic, preferably at the time of pickup and no more than three hours later if it was received during normal working hours, or no more than 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> later if it was received after normal working hours.
Radiation levels should not exceed 200 l
milliroentgens per hour at the surface of the source changer nor 10 milliroentgens per hour at a distance of three feet from the surface.
Actual radiation levels should be recorded on the receiving report.
If the radiation levels exceed these limits, the container should be secured in a Restricted Area, and the appropriate personnel notified.
All components should be inspected for physical damage.
The radioisotope, activity model number and serial number of the source and the package model number and serial number should be recorded.
Operation 1.
Locate the source changer and the radiographic exposure device in a restricted area.
Arrange them so that they l
can be connected by the source guide tube extension which accompanies the source changer.
Page 7-11 Revision 3 June 1990
2.
Locate the control unit to the radiographic exposure device as far away as possible from the exposure device and preferably behind radiation shielding.
3.
Unlock the source changer and open the cover.
Reniove the envelope containing the documentation and remove the source guide tube extension.
4.
Connect the drive cable to the source assembly in the exposure device and connect the control unit to the
.g exposure device in accordance with the manufacturer's instructions and '.he company's operating and emergency procedures.
5.
Connect the tinide tube extension to the radiographic exposure device aid to the fitting of the source changer over the (mpty tube, unlock the key-operated lock and raise the lock slide of the source changer to the OPEN positicn.
6.
Assure no unauthoritti personnel are in the restricted area.
At the exposure device contro).s, crank the-I source assembly rapidly tr;r the exposure device to the source changer.
observe the survey meter during this operation.
The radiation intensity should greatly increase as the source is first exposed, decrease slightly as the source moves through the guide tube and i
reduce to background when the source enters the source changer.
7.
Approach the exposure device with a survey meter; l
survey the exposure device on all sides, survey the guide tube and survey the source changer on all sides to assure the source has been properly transferred and stored.
The radiation level should be less than 200' mR/hr and at the surface of the source changer and less than 10 mR/hr.at one meter from the surface of the source changer.
8.
Move the lock slide on the source changer to the LOCK position (down).
Engage the key operated lock.
While maintaining positive forward force on the drive cable and source assembly, disconnect the source guide tube extension from the source changer and expose the drive l
cable to source assembly connection.
Disconnect the drive cable from the source assembly.
Install the appro-priate holddown cap over the source assembly.
1 9.
Remove the holddown cap from the other source assembly.
Connect the drive cable to the source assembly.
Connect the guide tube extension to the source changer fitting.
Unlock the key operated lock and raice the lock slide to the OPEN position.
NOTE:
Assure that the source exchange tube is securely Page 7-12 Revision 3 June 1990
a d
M-connected to the source changer.
If the source p
exchange tube is not properly-connected the source.can not be removed from the source changer.
10.
Assure no unauthorized personnel are in the restricted area.
At the exposure device controls, crank the source assembly rapidly from the source changer to the i
exposure device, observe the survey meter during this operation.
The radiation intensity should greatly i
increase as the source is first exposed, increase slightly as the source moves through the guide tube and decrease to background as the source assembly enters the exposure device.
11.
Approach the exposure device with the survey meter, survey the exposure device on all sides, survey the length of the guide. tube, and survey the source changer-on all sides to assure the source has been properly transferred to its storage position in the exposure device.
Radiation levels should be less thLn 200 mR/hr at the surface and less than 10 mR/hr at one 1
meter from the surface of the exposure device and the source changer.
12.
Lock ut.e exposure device.
Move the lock slide of the i
E
-source changer to the LOCK position.
Remove the guide tube extension from the source changer and exposure device and install it in the front compartment of the source changer.
13.
Affix the identification plate of the new source-to the exposure device.
Place the identification plate for the old source in the source changer, secured-to the
' appropriate holdown cap.
' 14. -
Assure that the proper holddown cap is installed over the source in the source changer (see Table 1).
seal wire the caps in place.
Insert seal wire through the holddown cap and the drilled belt on the lock mechanism.
i Insert holdown cap over empty tube also.
Assure that i
the key operated locks'are engaged, and remove keys.
15.
Close the. source changer cover and insert closure bolt.
and. padlock and secure. Insert seal wire through closure bolt.
3-Pege 7-13 Revision 3 June 1990
i I'
\\
Shipment.of Radioactivo source 1.
-Assure that-the source assembly is secured in the proper storage position and the source changer is locked.
Assure that the. source changer cover is sealwired with a tamperproof seal.
2.
If~the source' changer is to be packed in a crate or other outer packaging, the outer packaging must be strong enough to withstand the normal conditions of transport.
These requirements are outlined in 10 CFR 71.71.
The source changer should be put in the outer package with sufficient blocking to prevent shifting during transportation.
3.
Assure the removable contamination levels on the outside of the package do not exceed 0.001 microcuries prior to shipmer.t.
4.
Survey the package with a survey meter at the surface and at a distance of one meter from the surface to determine the proper radioactive shipping labels to be applied to the package as required by 49 CFR.Part 172.403.
The radiation exposure limits-for each shipping label are given in figure 1. If radiation
. levels above 200 mR/hr at the surface or 10 mR/hr at one meter from the surface are measured, the package must not be shipped.
5.
Properly complete two shipping labels indicating the radioisotope, activity and the. Transport Index.
The Transport Index is used only on Yellow II and Yellow III-labels and is defined as the maximum radiation level in milliroentgens per hour measured at a distance of one meter from the surface of the package.
Put these two labels on opposite sides of the package after making sure any previous labels have bee.n removed.
The package should be marked with the prcper shipping name (Radioactive Material, Special Form, n.o.s.) and the identification nitmber (UN 2974).
If the source changer is packaged inside an outer container, mark the outside package "INSIDE PACKAGE COMPLIES WITH PRESCRIBED SPECIFICATIONS -
TYPE B(U)
USA /9006/B(U)."
6.
Complete the appropriate shipping papers - Examples are shown in Figure 2 and 3.
These shipping papers must include:
a.
Proper Shipping name (Radioactive Material, Special Form, n,o.s.) and Identification Number (UN2974).
THe letters RQ must be placed next to the proper shipping name if shipping more j
than 10 Ci of Ir-192.
Page 7-14 Revision 3 June 1990
g
[h '
1
)
b.-
Name of Radionuclide (Iridium-192).
c.-
. Activity of the Source (in Curies).
d.
Category of Label' Applied (i.e. Radioacti ;
r
-Yellow II).
Y e.
Transport Index.
i f.
Package Identification Number (i.e. USA /9006/B(U) l Type B).
i g.
Shipper's certification.
"This is to certify that the above named materials s
are properly classified, described, packaged, inarked and labeled and are in proper condition for transport according to the applicable. regulations of the Department of Transportation."
NOTES:
1.
For air shipments, the following shipper's certification may be used:
"I hereby certify that the contents of.this consignment are fully and accurately described above by proper shipping name.and are. classified, packed, marked and labeled and are in proper condition for carriage by air according to applicable national governmentel regulations."
2.
For air shipments for, from or through the United States, a "CAFtGO, AIRCRAFT ONLY" label and the shipping papers must state:
"THIS SHT.PMENT IS WITHIN THE' LIMITATIONS' PRESCRIBED FOR ChRGO ONLY' AIRCRAFT."-
'7..
Due to the depleted uranium used as shielding in the source changer, a notice must. also be enclosed in or on the package included with the packing list,.or otherwise forwarded with the package.
This notice must-include the name of the consignor or consignee and the following statement:
"This package conforms to the conditions and
' limitations specified in 49 CFR 173,424 for excepted radioactive material, articles manufactured from depleted' uranium, UN-2909."
8.
For shipment of an empty source changer, assure that L '-
there is no source in the container.
Securely insert the E
shipping plugs.over the empty tubes.
Close the cover of-the= source changer, insert closure bolt and padlock. Seal wire through the closure bolt.
Survey the container and Page 7-15 Revisioe 3 June 1990 1:
l'$,'
)
1 prepare package' depending upon the radiation levels obtained as=given below.
- a. If the radiation level is below 0.5 mR/hr at the surface and there.is no measurable radiation level at one. meter p
'from the container, no label is required.
Mark the outside of the package with the proper shipping name (Radioactive Material, articles manufactured from de-pleted uranium UN 2909).
Mark the outside of the packages.
" Exempt from specification packaging, shipping paper and certification, marking and labeling and exempt from the requirements of Part 175 per 49 CFR 173.421-1 and 49 CFR 173.424."
j Additionally, a notice must be enclosed in or on the L
package included with the packing list or otherwise l
. forwarded with the package.
This notice must include the-name of the consignor or consignee and the j
statement:
"This package conforms to the conditions and I
limitations specified in 49 CFR 173.424 for excepted radioactive-materials, articles. manufactured from depleted uranium, UN 2909."
b.
If the radiation level exceeds 0.5 mrem /hr, or if there is a measurable radiation level at one meter from the surface, use the criteria of table 1 to-determine the proper shipping labels to be applied to the package.
Mark the outside of the outer shipping package with the proper shipping name and identification number (Radio-active Material, LSA, n.o.s., UN 2912).
If the. container is packaged inside a crate or other outer packaging, mark the outer package with the state-ment "INSIDE PACKAGE COMPLIES WITH PRESCRIBED SPECIFICA-TIONS", USA /9006/B(U), Type B.
Properly complete the shipping. papers, indicating:
1 1.
Proper shipping name and identification number (i.e.
Radioactive Material, LSA, n.o.s.,
UN 2912 1
ii.
Name of the radionuclide (i.e. depleted uranium-238)-
t 111.
Physical and chemical form (i.e. Solid Metal) iv.-
Activity of the uranium 5 millicuries v.
Category of label applied (i.e. Radioactive Yellow II) vi.-
Transport Index l
Page 7-16 Revision 3 l.
June 1990
,vii.
USNRC identification number or DOT specification
. number (i.e. USA /9006/B(U))
viii.
For export shipments, the IAEA identification number (1 3.
USA /9006/B(U))
ix.
Shipper's certification:
i "This is to certify that the above named materials are' properly classified, described, packaged, marked i
and labeled, and are in proper condition for trans-port according to the applicable regulations of the Department of Transportation."
4
-l NOTE:
1) air shipments, the following Shipper's Certifica-tica may be used:
"I hereby certify that the contents of this consign-ment are fully and accurately described above by-proper shipping name and are classified, packed, marked and labeled, and are in proper condition for carriage by air according to applicable national
_ governmental regulations.
2)
For air shipments, the package muf, oe labeled with a " CARGO AIRCRAFT ONLY" label, and the shipping I
papers must state:
"THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR CARGO-ONLY AIRCRAFT".
9.
Return the container to Amersham Corporation according to proper procedures for transporting radioactive material as established in Title 49 Code of Federal Regulations part 172-178 NOTE:
The U.S. Department of Transportation, in 49 CFR 173.22 (c) requires each shipper'of Type B quantities of radioactive material to provide prior notification to the consignee of the dates of shipment and expected arrival.
Page 7-17 Revision 3 June 1990 l
l
- ~
i Table 1 Source Assemblies Used In Conjunction With The Model AI 500 SU source Changer With Lock Mechanism Amersham Source Assembly Designs Holddown Cap Designs 848 T
A-1-A N
A-2-A G
RG-13 N
RG SA-13 G
89911 N
89912 G
877 N
879 G
4
$ 1.'
CMR76 s
Page 7-18 Revision 3 June 1990 J
l-
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C
,,.a.
+
i t
Maxim = Radist ioii' Level at Surface at One Meter-i Radioactive White I l
d 0.5 mR/h_r None I
R,ADl3AClif: 8,,,s
.l
?/
kadioactive Yellow II i
R,ADIOACIM II,/.
50 mR/br 1.0 mR/hr 7/
Radioact ive Yellow 111
,/.'x.
200 mR/tr 10 mk/hr I
i RADIOAClir:
l l
i
. : cAmmism-UNIFORM STRAICHT SILL OF LADING
- aAt te asewha
[I l
SMiMER ORDER NO ggspggyg ORD L-d CONSIGNEE SHIPPER Amersham Cor Amersham Corporation 40 North Avenue poratiort Hollyffeld Drive
. Burlington, Massachusetts 01803 Baton Rouge, LA 70898 TELEPHONE $17 272 2000 L
SHIPPER S SIGNATURE DECLARED VALUE NO OF CARTONS WEIGHT tt is mgtgetty egree0 the) the g0006 herein 04tCfsD00 are aCCepte0 in epDefent g000 Of 00' teacept el notec) tot l'ensportet o Cle6Sif 8C8tlOn6 460 tefiff 8 In etteClel0f the 64 e herr Of wh'Ch e'e ltstec in etCorca nce with lew i
el SPet:1 e
propen,0..Cr oeg he,0.n is, ore 190 inlO end meGe pe.r10.f thtlCOntf ect Unlella g'etlef velve 48 00Cier00 hereo insp0CieOn. 8Pe ht'eby encorp u
t 0' which are o veilen g ei.e e6 ic weige noi C. cane sso oc per iniemeni 8 8 n0 00Cla res tnet the velut ot tN SHIPPERS CERTIFICATION ATTACHED FOR THE FOLLOWING PACKING LIST O COLLECT Revie Ce, in.ticis enc Num0e, O PRspaio 40 PeCheces Kin 0 Of Package Description Of Articles. special Meets an0 Esceptions
- 'Oht or Rete Ch.
WEIGHT. RATE (sur to Cor )
Cists Coi CHARGE I
Model 500 SU source channer MAE't radioactive material, special form eEtivE Ry NOS, UN2974 CHARGE RQ AovANCE cod Iridium-192 84 curies CHARGE AovaNCE
~
TRANs USA / 9006/B(U)
CHARGE Excess CHARGE Type-B(U) Package sVBToTAL CoNstGHoR $
cod Radioact ive Yellow II labelm C o D FEE transport index
_O.8 total COMMENTS RELEASED VALUE NOT TO EXCEED 40c PER POUND This is to certify that the above named materials are properly Classified, described, packaged, marked and labeled and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
. E,..'.I.E,,,,E,,.,.Uo'l.."'.a.*..".2.'*j'...N..'o$..*i.ffE..*, ',.*e'7 E... '*c'.I*cN. Ia*SIa's InUe'*da'!,'e' f
5 t..
e.
.0 ICOURIER stONATURE RouTEtev 3,gg CONSIGNEE SIGNATURE HERE_
RECEIVED IN GOOD 00DEQ E RCEPT AS NOTED DaTE TIME oAtt gy TisisE cm
}-gQ AM
- - - - - - - -- - ------ - - - ~ ~ - - - ^ ~ '~~
~
^
L 4HtPPER'8 0tCLARAfl0N FCR OANGEROUS 00008 1-e.
a Air Waybet No Mernham Corporation 40 North Avenue Page of Pages Burlington. MA 01803 U. S. A.
Shipper's Reference Number
,m,,
consenw Amersham Internationa1 White Lion Road ENGLAND Tiro ComPWed end Sspne0 Copoet of his DeCle'etoon most be henaed to lhe opergror.
WARNING TRANSPORT DETAILS Failure to comply en all respects with the applicable This shipment a um, n the Airport of DePerture' 6mrtations prescribed for:
applicable law. Subsect to legal penalties. This Declaraten Logan, Boston must not, in any circumstances. be completed and/or
'8'**#8**
1 sgned by a consolidator, a forwarder or an IATA cargo PASSENGER CARGO agent ANDEARGO AIRCRAFT AIRCRAFT ONLY Mport of sbnabon:
$hipment type roodere wapo6 cedes Nw rs o1._
irr anmatartMfElm l R ADIOACTIVE ]
NATURE AND OUAffTITY OF DANGEROUS GOOOS 1
..................................................-......-...-.c-..
.-.......~......-.......,...~.-.v............-..
Dene.on o.oe seenescamon
..............................................,...............{
- Cases l UN y-Mry and
{ Pemq l 3,,,,,,,,,n wo er pe=%
mai D*
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- No 3.-....}.............................}........{............
i Radioacthe Material RQ 7 l UN297.4 :
l1R-192 MetalSolid :
! Special '
Special Form N.O.S.
102.1 curies j yettow : Form l
i 3778 GB9 II Certificate i
l l
- USA /0337S i
i l
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}
T.I.
Type B(U) l I
j jPackage i
i l 0.8 l Certifieste l
juSA/9006/B(UI e
t Type B(U) Psekage(s)
{
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___________________2________L__L_______________J-____L_______
4
' vut! Handhng informabon l
i 1
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I hereby dociare that the contents of this consagnment are fuity and accuratety Name/ Title of Sqnatory desenbod above by proper shipp ng name and are classsfied packed marked arv labened, and are in all respects in me proper condition for transport by er Radionopal Technician f
i Place and Date according to me app 6 cable intemabonal and Nabonal Govemment Regula-i
- "5 Burlington. M A U. S. A.
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senature r m en w 3-a\\
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