ML20129H236
| ML20129H236 | |
| Person / Time | |
|---|---|
| Issue date: | 10/15/1996 |
| From: | Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | Johnston R GEORGIA, STATE OF |
| References | |
| NUDOCS 9610310173 | |
| Download: ML20129H236 (3) | |
Text
--. -. - - - - - - -----
0 3 0 0 1
[i.
i T
0FFml.RK0RDI:0PY l October 15. 1996 ;
I i Johnson Yokogawa Corporation ATTN: R. Frank Johnston Supervisor !
Technical Assistance Center i 4 Dart Road Newnan. Georgia 30265-1040 l
SUBJECT:
RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1996 l
Dear Mr. Johnston:
I This acknowledges receipt of your Report of Proposed Activities in Non-Agreement States (NRC Form 241) dated October 14. 1996, and receiat of the copy of the initial recognition fee as required by 10 CFR 150.20()) and 10 CFR 170.31 (Category 16 - Reciprocity).
License Number 1192-1 issued by Georgia is recognized as valid for use in non- l Agreement States for up to 180 days in calendar year 1996 only. We have assigned a Location Reference Number (LRN) to each site you have reported.
New activities should be reported on the enclosed NRC Form 241 marked as a !
revision. Revisions should be faxed to NRC Region 11 three days in advance of the 3roposed activity, along with the fee for the revision. There is no limit to tie number of activities reported at one time, and one fee is charged ,
without regard to the number on the revision page.
The Commission may, at its option, conduct an inspection of your activities. l
- We shall notify the appropriate NRC offices and Non-Agreement States.
Our fax numbers are (404) 331-7437/5559. My telephone number is (404) 331-5624. Please call should you have questions.
Sincerely.,
/s/
David J. Collins. Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
- 1. NRC Form 241 w/LRN
- 2. Blank Form 241 (fax and carbon)
- 3. 10 CFR Parts 19, 20. 21, 30, 71. 150. 170
- 4. Form NRC-3 310022
~
9610310173 961015 PDR I STPRG ESOGA 1 PDR g,(DI l
' O O- l Johnson Yokogawa Corporation 2 Distribution:
Without Enclosures 2-4 A
SEND TO PUBlIC 00CtPENT 900Mt [ VFS } NO OFFICE R!l:DNMS R11:0NM7A SIGNA 1URE 9
NAME Collins ter DATE 10 // b 96 10 // / 96 10 / / 96 10 / / 96 10 / / 96 10 / / 96 COPY? NO NO YES NO YES NO YES NO YES NO
<0FFICIAL RECORD COPY "' DOCUMENT NAME: G:\DNM5\MLIB2\RECIPR96\ JOHN 50NY.LTR l and includes transmittal letters
- l
10-14-1996 14:54 7702518439 JOHNSON VOKOGAWA TECH SUPPORT P 03/06 l
. U$rRC Mat'l Lic/Insp Fax:404-331-7437 Sep 3 '95 16:39 P.03/05 1 "o. t am :
-NRC f onM 241 U. S. NI)CLE AR RE FUpTORY COM, MISSION A.. G. 8 '.8--,s,,e e . .,,Y ,w w e n. ,,s,s.om em.ai i c m i6e
- w. tp,, - % n. c.:..
e.,4. .,...
REPORT OF PROPOSED ACTlVITIE8 ,,%=,,,a*
,,, a,,~, g gi,-y,7J g*.t, g 7 7; r ,, q, IN NON-AGREEMENT STATES cu 5""e*st c"a"."v"
",-i .w'*s,,y' .t W ">
m .. . ,..e w .<~aun . in.e n ,.n..ts.nn u,,veone ne u ro n. cic 'a'a'.a""*me"-,'",,'m.;g ;, ;.;;,,.,,~,;. "c i = Aue 0sucesss im . sr m. ..e,ww,,ae a.Mu es.w a.a.') 2. TYPE OF REPORT 3. (Lu m.num 6, WMBER nk - N lG 0,
.'fo4NSo,J Yoldo6AWA dOA%A4' nod K "*8"*"Y""
. A= .. ~.n < .. - . .A.. - m x o ci nCAToN
- 4. ~p4RT ' Roe i uc== =~cT R . F R M K. :Tb M SWO NewyAS GA 3o2.66 f PAcat
& ~ TYo'nA is.ert,t.W-)64
=vugga 1 TELE.rnQht su e A. C N.L.N.e)EWI 39 750~254-0 2 8 ACTIVITif 6 TQ SE CONDUCTEDIN NON AGREEMENT STATES UNDER THE OENER AL LICENSE GIVEN IN 10 CFR 160.20 WrLL LOGGING LEAK TESTING ANCIOR CAUBRATONS TELETHERAPYAMRADIATOR SERVnCE OTHER (5p.07/) j
>08tTAstE cAuoEs l
TflANSPQRTAMN QA,R004AM AP.ROVAL NO & REV.780 REGIS'ERED A5 L.ltf4 08.ACKaQ:NOS (CERTiricATus OF COMPtlANCE Hof.)
RADIOGRAPHY => I g evEwt nave. Aconsme.CrrvA::over. STATE. Zip 0008 10 Wo8 tit LOCATiCN AOC.ES. ($F.W .A. ,A, n).e gr Wigy lgggmas C,v. 33 sua Rmmaa < ma.rnms, comay ~ ~ " ~ ~ ~ ~
po w 4.v,, 'DE4Was AVE. 4 s nN Sri MM.c.us @ok. PA 19 OM- M%b M A W ^. 4 He k_ , W u
si en u.se n me,+ w e a womeceisTsCeinmemoto ,o. wC. n* Wo Med m.4 Cm) T - s e .
? 2: 5- MC.de)9 rit.: R . A M V- s o M T o*J S<i s- 33<> - 7: z r l 3 a om8 8CNiovao g=; 38.LOCAveNR m REnesNuu.ER i w- ,. m , g g g - ..r, Ocd.21.,1996 oct, 25, M% 4 !
G 9
H){098 .
Ll4T ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUDE ALLINFORMATION CONTAINED IN ffEM8 818 ABOVE.
a No8.AmurvzuT sm.a u w-.a Ape.:w.,,.ns.u,A.m.
, .,A.t.w,w,,,w,w,.c.ps o s.. w. .w vera r%. .s.a s .m.v.m., .oom w.
Asgaiaus 24.t Sco sci Sea.la he Amsvm AMt.17 W. TIE 5 W.hCw A.E tw$ $ AME, E.XCEP? 504 40CAhoN OF utt. A5 ge 1. E A.3RetwtNT B*tCit:gDIN trgw $YaTE a>$C15,C a Aacyt. (r se UC.w,NSC W,1,C th .p. c in:en.e ,PvW '.AwTMQutst$
.o rrp.my g ene j NfvC TWS UNOS.RE)NED TO C.ONovCT AC'
$.ml $d1)
EXPiRAT'ON DA't T;TA .MGE CAf 5 70 C.A's UT Aft h UC5h5E Hued.84
[ GA ll9 7 -l M 2 4 30,%001 #
s,E 10. CERTIFICATION (MUST BE COMPLETED BY APPUCANT)
- 1. TMC UNDE R$@NED. NERE5Y C8RT7Y THAT:
. .m.,.,,m m ,. o. ,.. . . .,, ..
g,.
.. a. - . .eu....~_m.,.,.-. ., ~L...u ,.. s o.C.m, ~iex.,,, u .. ....,m..s, . .e is.
. r.,,e ..n .u..o,u,,
- ,,.~y . . .,m.e . . .m.. .n ,n..,.
w.....
R. . .. , ..%,
. ,.....,..ino... . . .. n .. rme . . . , .
mm .. ,~ ,m C . .
.St.i...,u......,.a , seCrRi m o...i,, i.,i. iso,, ,c.
.. _oo.m.,i.o.. ,w y . .,......, ... A.
gE ,.
- .ne.u......,,.m.en .,,,..~,..,-.,,..m a .. .. ,.,,m,8t.t.n o, i..,-ia .e .
I't., I will b. f .a., .u...
- p. itie. f., .ny f .es'ated we .uch M p.c. ion..
non Agr m.n o . Rah.r. ws) . l .m t.o aw.
.6 nent . ... .onou.r. e,.,.so,.. m... ....w . .,
- .. n.,,,.,,w.* ,,, . . , e ny w ,.
. . uRC .,,==,i ,. n v .a: . a ,.w i e . in.+. o.er
.mm.m e *,uumim.m.
tr,y = wn..wn.g. oce
$ . # .isomcsn. m -w m .:=.cm G Ntcx M s cao t.s. YAnmsdd >'%h-l nAWN A' WARNING: PAL 6E STATEMENT 8 IN TH;S CERT 7 CATF MAY BE SV6dCT To crA post CR,wNAL/ENALTEs. NAC REcu' AT,0Nb mEQUIRE THAT T5. 18 U.S.C. SEctioN 1001 PAut817 A CR. ANAL OF FENSE 70, suBMi&890N8 TO THE NRC 68 COMPLETE AND ACCURATE IN ALL MAft.LJAL Ret, ost ACgNc'y or THE UNITED STATES As Tc ANY MATTt8t WFxiN MAK,E A WLLLFULLT PALSE STATEMENT OR REPRESENTA?cN TO ANV DCPARTME ,[
ft$ URisDiCTION.
w o as ow p
e - . m r;=
- g T,a.i U QN ti)! OLL /A hOO'b1VS/O3f f h $6 * /U
,_., y