ML20055G161
| ML20055G161 | |
| Person / Time | |
|---|---|
| Issue date: | 05/19/1989 |
| From: | NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | NRC |
| References | |
| 252679, NUDOCS 9007200192 | |
| Download: ML20055G161 (31) | |
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To be use on PR-22 Highway Storage Construction From Rio La Plata, Road PR-695, Intersection PR-694, Km.l.8 Dorado to PR-2 Intersection at
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Vega Alta.
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- 4. NAME OF PERSON TO St CONT ACTED ASOUT THis APPLICATION TELEPHONE NUUSER
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(809) -796-4530 SUSMIT ITEMS S THROUGH 11 ON 84 a 11" PAPER, THE TYPE AND SCOPE OF INFORMATION TO St PROVIDED IS DESCRIS40 IN THE LICENSE APPLICATION GUIDO '
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IJ CERTIFICATION, fAfust becompreled 6y apptraorf THE APPLICANT UNDERST ANDS THAT ALL ST ATEMENTS AND HEFRESENTATIONS MADE IN THIS APPLICATION ARE SINDING UPON THE APPLICANT.
THE APPLICANT AND ANY OFFICIAL E XtCUTING THl3 CERTIFICATION ON BEHALF OF THE APPLICANT. NAMED IN ITEM ?, CERTIFY THAT THl$ APPLICATION is FREPARED IN CONFORMITY WITH TITLE 10 CODE OF FEDERAL REGULATIONS. PARTS 30,32,33,34,35, AND 40 ANO THAT ALL INFORMATION CONTAINED HEREIN, IS TRUt AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND SELIEF l.
WARNING 18 U S.C. SECTION 1001 ACT 05 JUNE M.1948. 82 STAT. 749 marts IT A CRIMIN AL 08FINSE TO MAKE A WILLFULLY F ALSE ST ATEMENT OR REPRESENTATION ll TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY M ATTER WITHIN ITS JURaSDICTION StyNATURE -CtRTIF YING OF FICER TYPED / PRINTED NAME TITLt DATE Juan A. Vazquez Hern6ndez Project Engineer Feb 7, 1989 y
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NRC FORM 313 ITEM #7) Individual responsive for radiation safety program and their trainning and experience.
(RS0) - Juan A. Vnzquez'Pernnndez, P.E.
Completion of CPN trainning course 1988.
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All employee will complete the device manufacturer's training 4
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Records' documenting the training of each employee will be maintained.for two years from the date the training is completed.
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. Device.will be stored at 10or more apart from any desk or'em-4 ployee full time attention location.
Radioactive material may.be used at temporary job sites of the licensee in areas not under exclusive federal jurisdiction through-out.the Island of Puerto Rico.
Radioactive material may be perma-i 7
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NRC FORM 313 ITEM #10) : Radiation Safety Program.
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- 1) The Nuclear Gauge will be securely retrained in vehicles to prevent f
theft er loss while unattended or in an accident. Metal clamps, v
chains, or bars will be-used.
- 2) The Nuclear Gauge and its shipping case'will be hidden irom view
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- 3) All users will wear film badges when using.the Nuclear Gauge.
Badges will be stored away from gauges when not in use and will be protected from external heat.
j w) Gauges will be securely locked'in storage areas when not in use.
Keys will be restricted to authorized users only.
- 5) The Nuclear Gauge will 've used only by users specifically autho-rized'in writing by the' Radiation Safety Officer.
.i 6)_ The Gauge will be leak tested' annually using Campbell Pacific Nuclear Test Kit TD-llB or other approved kit. -Results will be--
maintained for permanent record and inspection.
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7).- Disposal of the source or of the device will not be done by.
licensee directly.
1 In the event of emergency disposal, we shall contact the factory or other authorized disposal facility for instructions.
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in our files.,with proof of license authority.by the recipient, in the event of sale, trade, loan, or other transfer.
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In the event lof emergency with possible damage.to the radio-active sources
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- Restrict access to 10' from the gauge, vehicles, or tracks.
- . Call for competant, trained assisttuce RSO : ' Juan A. V8zquez Hernandez orks (809)796-4530-N ** (809)746-0201 (No. Cal (415) 557-3390.. Day CALOSHA (So. Cal (818) 782-4625.. Day PUBLIC HEALTH OFFICC.
0FFICE OF EMERGENCY SERVICE:
(916) 427-4990. 24 Hrs.
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Police:
343-2020-Fires 343-2330 34-T I!(
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