ML20056B346

From kanterella
Jump to navigation Jump to search
Forwards Revised Instructions for Model Ai 500 Su Source Changer W/Lock Mechanism Operation Manual,Per 900718 Agreement
ML20056B346
Person / Time
Site: 07109006
Issue date: 08/13/1990
From: Roughan C
AMERSHAM CORP.
To: Macdonald C
NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS)
References
NUDOCS 9008280160
Download: ML20056B346 (16)


Text

w

/

  • Amersham Corporatihn -

j 40. North Avenue -.

l Burlington, Massachusetts 01803 Telephone (617) 272 2000 13 August 1990 l'

L Mr. Charles MacDonald, Chief Transportation Branch Division of Safeguards and Transportation NMSS-U.S. Nuclear Regulatory Commission OWFN 4E4 0

Washington, D.C.

20555 RE: Docket Number 71-9006

Dear Mr. MacDonald:

As agreed in-our meeting on 18 July 1990, Amersham will include instructions.for conducting a physical verification that a: ship-ping-container is empty. prior to shipment.

We.are currently designing a gauge to be'used to conduct this

-test. If the current design passes all of our.in-house tests, we

.will be.able to distribute the gauge by 31 December 1990..

If.we?neec1 to implement another design, distribution would not take place until early 1991. Under the present design, the gauge will consist.of a flexible teflon rod which is marked to indicate proper source tube length, whichzis specific te.each device. A separate' gauge will be designed for each.different device. If there is an obstruction in the tube (cropped source), the gauge will'not be able to. bot *am out in the-tube and will indicate a

. warning signal (i.e. red color).

This gauge will be attached to the device and be sent out with each shipment of the device, so that customers-will have immediate access to.the appropriate

gauge.

The. customer will be required to conduct a physical probe of an~-

empty source tube prior to shipment. The instructions for the shipping-packages are being revised to reflect the use of this

gauge, where applicable.

I've enclosed revised instructions for the shipment of an empty

-500 SU-source ~ changer that has been modified with the lock mecha-r nism.

These instructions include a procedure that the shipper must follow to assure that the container is empty.

t y

.9008280160 900813 M

m

.PDR C'

.ADOCK 07109006 hh i -

. r.". w %

PDC f

I I[l/ /

l I

I 4

l

t i

s i

I' trust this completes the'information needed.for your-review for.

renewal of Type B Certificate of Compliance No. 9006.

If'-you require any additional;information, please contact me.

Sincerely, bY%Ahhhf]lf Cathleen M. Roughan "

j Radiation Safety Officer CMR/bt Enclosures

-i I

c f

Il'

'a o

a

-~ 5

(

t li

?.

j e

r Y

o

,e

^

Modol AI 500 SU SOURCE CHANGER WITH LOCK MECHANISM 4

OPERATION MANUAL NOTICE This device ~is used as a radiographic source changer and Type-B(U) transport package for the Amersham Corporation radioactive sources listed in this manual.

The user should become thoroughly

'l 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 i

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 United States must register his name,-

license number and-package identification number with:

Director t

l 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.

l; Prior to the first export shipment of this source changer from the United States, the user must also register with:

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 /9006/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 respective countries.

lL 7-9 Revision 4 August. 1990

.T General The-AI Model 500 SU source changer-is used primarily for the.-

' transfer.of encapsulated radicactive sources into radiographic exposure devices.

The source changer is designed to contain the radioactive sources during transport and to permit'the field 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.

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.

Shioment 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.

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 aran until it has been determined that he received less than the maximum allowed occupa-tional expe ure 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.

7-10 Revision 4 August 1990 l

o r

i I

Arcco-in which ocurco chonging io p;rforacd 2:uct bo idontificd.

'* - If Do parm nOnt radiogrophic instcllction 10 used, it nuct havo-tha cpprcpricto parconnal accoso control davicas os dofin d in 10 CFR 20.203.

Otherwise, certain' areas must be established as follows:

Access to the Restricted Area must be controlled.

A Restricted Area is defined in 10 CFR 20.105 as the area l

where an individual could. receive an exposure in excess of two milliroentgens in any.one hour, or 100 milli-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 perimeter where an individual could receive'an exposure.

in excess of 100 milliroentgens in any one h^ar.

The radiographer or radiographer's assistant must guard against i

unauthorized entrance into these areas at all times.

No person-4 nel should be allowed into the restricted area without a direct reading pocket dosimeter and either a film badge or TLD.

Recelot of Radioactive Material The consignee of a 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 possible, preferably at the time of pickup and no more

' than three hours later if'it was received during normal working t

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 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, l

the< container should be secured in a Restricted Area, and the l

appropriate personnel notified.

i 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 l

recorded.

Operation L"

l 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.

I; 7-11 Revision 4 L

August 1990 le.

uo o

2.

Locato tho control unit to tho.rediographic cxposuro dovica oc for,Gway 40 po3cib10 from the exposure device and preferably behind radiation shielding.

t 3.-

Unlock'the source changer and open the cover.

Remove the envelope containing-the documentation and rencve the source guide tube extension.

~

J, 4.

Connect the drive cable to the source assembly in the exposure device and connect the control. unit to the--

exposure device in accordance.with the manufacturer's instructions and-the company's operating and emergency g

procedures.

5.-

Connect the guide tube extension to the radiographic exposure device and to the fitting of the source changer over the empty tube, unlock the key-operated lock and raise the lock slide of the source changer to the OPEN position.

1.

i 6.

Assure no unauthorized personnel are in the estricted area.

At the exposure device controls, creak the source assembly rapidly from 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 reduce to. background when the source enters the source changer.

7.

Approach the exposure device with a survey meter; 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 1

than 10 mR/hr at one meter from the surface of the l

source changer.

L 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 cable to source assembly connection.

C. connect the drive cable from the source assembly.

Install the appro-priate holddown cap over the source assembly.

9.

Remove the holddown cap'from the other source assembly.

Connect the drive cable to the source assembly.

L Connect the guide tube extension to the source changer W,

fitting.

Unlock the key operated lock and raise the p

lock slide to the OPEN position.

NOTE:

Assure that the source exchange tube is securely 7-12 Revision 4 August 1990 i

T

V ccnnocted to'tho1oourco'chongor.

If tho courco

'n oxchange tuba ioLnot prop 9rly connscted tho Dourco con not b3 rcmovsd1 from.the source changar, g ~

o.

'10.

Assure no unauthorized' personnel are in-the' restricted op area.- At the exposure, device controls, crank the..

source assembly rapidly from the source changer to the exposure device.

Observe the survey meter during this-

,"g operatior..

The1 radiation intensity should. greatly 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 o

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. tuba, 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 than 200 mR/hr at the surface and less than 10 mR/hr at one meter from the surface of the exposure device and the source changer.

12.

Lock the exposure device.

Move the lock slide of the 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 ho3ddown 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 bolt on the-lock mechanism.

Insert holdown cap over empty tube also.

Assure that the key operated locks are engaged, and remove keys.

15.

Close the source changer cover and insert closure bolt and padlock and secure. Insert sea] wire through closure bolt.

7-13 Revision 4 August 1990

3.-

I'l[

Ehimment of Radioactive ESyrgA 1.

.Ascuro that tho oourco oposably io socured'in tho-

~

p proper storage position and the source changer is E

locked.

Assure that-the source changer cover is y

sealwired with a tamperproof seal.

-2.

If the-source changer is to be packed in a crate or other outer packaging, the outer packaging nust be 7"

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 g

shifting during transportation.

3.

Assure the removable contamination levels on the outside of the package do not exceed 0.001 microcuries prior to shipment.

4.

Survey the package with a survey meter at the surface and at a distance of one meter from the surfacc 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 labelr indicating the radioisotope, activity and the Tran:

t Index.

The Transport Index is ust

...n oc 41ow 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 been b

removed.

The package should be marked with the proper shipping name (Radioactive Material, Special Form, n.o.s.) and the identification number (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 chipping 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 than 10 Ci of Ir-192.

I 1

7-14 Revision 4 August 1990

b.

NOC3 of R3dienuclid3 (Iridiu2-192).

c.

. Activity of.tho.Sourco-(in Curies).

i

.d.-

Category of Label Applied ~(i.e. Radioactive Yellow-II).

e.-

Transport Index.

t f._

Package Identification Number (1.e.' USA /9006/B(U) l Type B).

g.

' Shipper's Certification.

"This is to certify that the above named materials are properly classified, described, packaged, marked and labeled and are in proper condition-for y

transport according to the applicable regulations L

of the Department of Transportation."

L 1

NOTES:

1.'

For air shipraents, 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-governmental regulations."

2.

For air shipments for, from or through the L

United States, a " CARGO AIRCRAFT ONLY" label and the shipping papers must state:

"THIS SHIPMENT IS WITHIN THE LIMITATIONS L

PRESCRIBED FOR CARGO 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 n

radioactive material, articles manufactured from depleted uranium, UN 2909."

3 7-15 Revision 4 August 1990

Ship; ant of on-Empty Packogo ivr

((

For shipment of an empty source changer, first assure the changer does not contain an unauthorized source or cropped source-by: performing a' physical verification using the.

'following procedure.

NOTE:

Use only the gauge provided with the uource changer.IDo not-use any other-tool or a gauge for another device. If you do not have the proper gauge'to perform the-test, contact Amersham Corporation before conducting the test.

.a.

Insert the proper gauge in the empty tube (s) of the source changer. Read the gauge at the top of the outlet-fitting.

b.

The gauge should bottom out in the empty source tube and indicate a safe condition (green signal). Verify that each empty tube indicates a safe condition and proceed to step 2.

If the gauge indicates an unsafe condition (red signal) c.

there may be an obstruction in the tube. Remove the gauge slowly while observing the survey meter. If the radiation levels increase as the gauge is being removed keep the gauge within the device, secure the device-and contact Amersham for further instructions.

If the radiation levels remain normal as the gauge is being removed, completely remove gauge and contact Amersham corporation for shipping instructions.

2.

. When you have assured the container is empty, insert the shipping plugs securely over the empty tubes. Close the cover of the source changer, insert the closure bolt and padlock.

. Seal wire through the closure bolt.

3.

Assure that the levels of removable radioactive contamination on the outside surface of the outer package do not exceed 0.001 microcurie per.100 square centimeters.

4.

Survey the container and prepare the 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 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 7-16 Revision 4

)

August 1990 l

?

. p2ckcgo:

aEx0mptJfromicp0cification packcging, chipp'ing paper and certification,. marking and labeling and exempt from the requirements of Part 175 part 49 CFR 173.421-1 and 49-CFR 173.424."

Additionally, a notice must be enclosed in-or on the package included.with the packing list or.otherwise forwarded with the package.

This notice must include 1

the name-of the consignor or consignee and the

)

statement:

-l "This package conforms to the conditions and 1

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 i

surface, use the criteria of table 1 to determine the proper shipping labels to be applied to.the package.

3 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.

Proper shipping name and identification number (i.e.

' Radioactive Material, LSA, n.o.s.,

UN 2912-11.

Name of the cadionuclide (i.e. depleted uranium-238) 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 i

vii.

USNRC identification number or DOT sp'cification number (i.e. USA /9006/B(U))

viii.

For export shipments, the IAEA identification number (i.e.

USA /9006/B(U) )

l ix.

Shipper's Certification:

l "This is to certify that the above named materials l

l' 7-17 Revision 4 August 1990 F

t cro prep 0rly-cloccified,sd3ceribe'd, packcgcd, narkcd

~

-* 2

_cnd lobeltd,.Ond cro in prcpar condition for tron 3-port:cccording to the applicable regulations offthe Department of Transportation."

NOTE:

1). For air shipments, the following' Shipper's Certifica-tion 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 t

governmental regulations.

l 2).

For_ air shipments, the package must be labeled with L

a " CARGO AIRCRAFT ONLY" label, and the; shipping L

papers must state:-

"THIS SHIPMENT IS WITHIN.THE LIMITATIONS PRESCRIBED FOR CARGO-ONLY AIRCRAFT".

5.

Return the container to. Amersham Corporation according to proper procedures for transporting radioactive material as established in Title 49. Code of Federal 3

Regulations part 172-178 NOTE:

The U.S. Department of Transportation,zin 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.

l 7-18 Revision 4 August 1990

75 E

4

\\%

,, v:

4

c -;p '

1

g:l
o "-

Tcblo 1

% 4 ^-

5U~'

e

' Source Assemblies Used.In 1

7

'.f='

3 i.

j Conjunction With The Model j:

j; ;

-AI'500 SU Source Changer

n..

i With Lock-Mechanism

c l

w g

- Amersham Source Assembiv Deslans Holddown Can Desians 1

. 848 T

-1 1

A-l-A N

A-2-A G

RG-13 N

I RG SA-13 G

-89911 N

j; 89912 G

877 N

879 G

-l l

-)

i

.!'l i

a j

il

- CMR76 i

e' f.

a.

7-19 Revision 4 l

August 1990 l

% r.

3

,
;6
s g.

t

.k t

i,

~~

Maxim.::. Kad ist ion Leve1 -

at Surface at One Meter Radioa'et ive Whit e I

/N\\

4,4 O

0.5 mk/hr None

.~

,ADIDAtilr:I '

Y Radioact ive Yt 110w II

/

/

50 mk/hr 1.0 mR/hr n.

RADi0AUM 11,7 g '.

7.'

Radioact ive Yc-llow III N'

i O

200 mK/t.:

10'mR/hr N RADIDACIM lli d' y

r tf i

i

.I l

l,

.i f

140

.i

CARRigR

-nwi v i nmars i vill UF LADING I

encinat mot menTiata smCPt2 oRDtQ NO ggi,p37g

+

CAD i

L-d CONSIGNEE SHIPPER r-Amersham Corporation Amersham Corporation 40 North Avenue Hollyfteld Drive Burlington, Massachusetts Ot 803 Baton Rouge LA-7039g 1

TELEPHONE $17 272 20b0 L

5 HIPPER 5 $lGN ATURE DECLARED VALUE i

NO OF CARTONS WLIGHT it.s moi ei., e..ee,ense.ooos me,e. co se,.oe. e,e.uepie..n.co..e,.oo. o,oe, ie.co.i.: acie.1 to, i.ees,one cla ssifications anc iatin msoection ate heteterincorporetoo inio one mece part of tms contract Umsess a g'este, value a sh e'f ect as o'the cote he'eo' *Ntb e'e listee m octorcence with la Se.o ru es cressif, cations en -

s prope'iy coscribec he'e.n is reietted to e vefse not eneeecing 850 DC per sNoment SHIPPERS CERTIFICATION ATTACHED FOR THE FOLLOWING PACKING LIST egeoes a %e e,cieres tha O COLLECT rouve ce,init..is one Nemoe, O PREPAID 6.o

.se..nes Kina of Pacsage. oescript'on of Art cies speciai Meess anc Esceptions we.ont or met.

Ch.

wEiowT MATE (Sut' to Co' )

C'ess Co' CHARGE 1

Model 500 Stl source changer fy,"g'E C

radioactive material, special form DE Livt RY NOS, UN2974 CHARGE RQ

- ervaNCE 1 C oo

-Iridium-192 84 curies CHA8 IGE AovAuct TRANS USA / 9006/B(U)

CMARGE Excess CHARGE Type B(U) Package sVB TOT AL consignor's Coo Radioact ive Yellow II labelm C oD FEE transport index 0.8 TOTAL COMMENTS RELEASED VALUE NOT TO EXCEED 40c PEA 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-

,:?

...,7:,;'::::".':,".:.. ':'.,:..m. e.;. ;;; '==;*%, 8=,'.';;*'su.';::::.; a,:.,;':;n;;;*";;.;c.;;?WT

. s ~ e-, e....... -

COURIER SIGNATURE RoVTENo 3,3y CON 5aGNEE ssGNATURE MERE Af CEivED IN GOOO OABEn E tCEDT AS NOTED DATE TIME oA1E TIME gy

} --

ou PM N

4 --

.y v y = = w pW T T W W W WWWWE t

_a...

Amarsham corporation 40 N:rth Avenue Page of Pages Surlington.htA 01803 U. S. A.

ShWper's Reference Number Consgnes Amersham International White Lion Road ENGLAND Two comp 4redend senec copies of ns Decta'etron must be honeseato the ocworo' WARNING TRANSPORT DETAILS This shipment a whn m*'

FaihJre to comply in all respects with the applicable Airport of Departure,-

Danger us Goods Regulations may be in brea:n of the bmitations presentiec sor.

apphcable law. subsect to legal penatties. This Declaraten Logan, Boston must not, in any orcumstances. be completed and/or sgned by a consohdator, a forwarder or an IATA cargo PASSE NGER CARGO agent.

ANDEARGO AIRCstAF'T AIRCRAFT ONLY o h na m

$homent type ~ spoore aion.apo6cetwei w rueh. time W-T -?% l R ADioACTivE l NATURE AND OUANTITY OF DANGEROUS GOOOS

... m..........................................

.....................g.............................................:.............

Dw w w.m oaoesissnescenen

................................................................j

' C*ee ',

UN lw:

M s'id

! Pocas j r

4,,einueton l

'"'pwsn m,esen.

lp,

,e a,

enieo o.av,

wei j ey :l j

j o

.-i...............................:!........................

.........................../,......

Radioacthe Material RQ l7 l UN2974 !

!1R-192 MetalSolid !

l Special Special Form N.O.S.

102.1 curies j yellow : Form l

i i Certificate i

3778 CB9 11 i

t USA /033$5 i

l

}

T.I.

Type B(U) l l

l jPackage 1

j l

l l Certifieste l 0.8 IUSA/9006/B(U e

i l

l Type B(U) Package (s) j j

l j

l Dimensions!

J i

l l

i l

l l

l l

t ;

i 1 ------------------.-:----L-L--------------

u-------

c AdditionalHand6ng informabon

}

?

i i hereby declare that the contents of this consgnment are fully and accuratey Name/ Title of S$natory 9

described aoove by proper shipping name and are classMed, packed, marked and labelied. and are in all respects in me proper condition for transport by *f RadionnpealTechnician h

Place and Date 3

accorchng to me appbcable intomational and Nabonal Govemment Regula.

Burlington. M A U. S. A l

Sqnature h

(seeo w w,acow; Q

l~)h k

1

-~-

.