ML20134F531
| ML20134F531 | |
| Person / Time | |
|---|---|
| Issue date: | 01/30/1997 |
| From: | Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | Evans W, Followell T, Gonzalez R, Laferty, Mims N, Thompson H NORTH CAROLINA, STATE OF, SOUTH CAROLINA, STATE OF, VIRGINIA, COMMONWEALTH OF |
| Shared Package | |
| ML20134F498 | List: |
| References | |
| NUDOCS 9702100018 | |
| Download: ML20134F531 (12) | |
Text
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January 30, 1997 Commanding Officer, XVIII Airborne Corps Directorate of Safety ATTH: AFZA-SA-RP (Mr. Wilbert Evans)
Radiation Protection Officer Fort Bragg, NC 28307-5000
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License.
This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State license for activities to be performed at your federal installation.
This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 l
The license is valid for the activities and devices described and for the time frame requested.
The license does not limit the licensee to a particular location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations.
The licensee has been
)
informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made.
We shall notify you should this happen.
Should you have any questions concerning this matter, please call me at (404) 331-5624.
My fax numbers are (404) 331-7437/5559.
Sincerel,,
/s/
l David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241--Law Engineering and Environmental Services, Inc.
Raleigh, North Carolina 2.
Agreement State License -
North Carolina 092-0082-6 9702100018 970130 PDR STPRG ESOGEN PDR
l i
g January 30, 1997 Commanding Officer t
ATTH:
Industrial Hygienc Divi:;1cn Naval Hospital PSC Box 8023 l
Cherry Point, North Carolina 28533-0023
SUBJECT:
NOTIFICATION OF RECIPROLITY RECOGNITION 1
Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-4 i
Agreement States (NRC Form 241) and an Agreement State License. This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State license for activities to be performed at your federal installation. This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20). The license is valid for the activities and devices described and for the time frane requested. The license does not limit the licensee to a particular location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations.
The licensee has bean informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made. We stall rotify you should this happen.
Should you have any questions concerning this matter, please call me at (404) 331-5624.
My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety j
Enclostres:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina 2.
Agreement State License - North Carolina 092-0082-6
January 30, 1997 Commanding Officer Navy Public Works Center ATTN: Tim Followell Radiation Safety Officer Code 412.3 9742 Maryland Avenue
- Norfolk, VA 23511-3095
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License. This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State license for activities to be performed at your federal installation.
This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20). The license is valid for the activities and devices described and for the time frame requested. The license does not limit the licensee to a partialar location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations.
The licen;ee has been informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made.
We shall notify you should this happen.
Should you have any questions concerning this matter, please call me at (404) 331-5624. My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina 2.
Agreement State License - North Carolina 092-0082-6
~
January 30, 1997 Pope Air Force Base 23rd MDOS/SG0AB ATTN:
CAPT Laferty i
383 Maynard Street Pope Air Force Base, North Carolina 28308
)
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION i
Gentlemen:
i The enclosures to this letter are a Report of Proposed Activities in Non-j Agreement States (NRC Form 241) and an Agreement State License. This notice is provided to you as a courtesy.
i This office has granted recognition of an Agreement State license for activities to be performed at your federal installation. This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20).
The license is valid for the activities and devices described and for the time frame requested.
The license does not limit the licensee to a particular location.
T!.e licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations. The licensee has been informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made. We shall notify you should this happen. Should you have any questions concerning this matter, please call me at (404) 331-5624. My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina
-2.
Agreement State License - North Carolina 092-0082-6 l
i l
l
January 30, 1997 Seymour Johnson Air Force Ba:e 4 AMOS/SGPB ATTN: Major Henry Thompson Bioenvironmental Engineering 1855 Wright Avenue Seymour Johnson Air Force Base, North Carolina 27531-2463
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License. This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State
' for activities to be performed at your federal installation.
Inis recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20).
The license is valid for the activities and devices described and for the time frame requested. The license does not limit the licensee to a particular location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations.
The licensee has been informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made. We shall notify you should this happen.
Should you have any questions concerning this matter, please call me at (404) 331-5624.
My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina 2.
Agreement State License - North Carolina 092-0082-6 i
1 January 30, 1997 Federal Correctional Complex Construction Site Office ATTN: Mr. Richard Gonzalez P.O. Box 146 Butner, North Carolina 27509-0146
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License. This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State license for activities to be performed at your federal installation. This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20).
The license is valid for the activities and devices described and for the time frame requested. The license does not limit the licensee to a particular location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations. The licensee has been informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made.
We shall notify you should this happen. Should you have any questions concerning this matter, please call me at (404) 331-5624. My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina 2.
Agreement State License - North Carolina 092-0082-6 l
I
January 30, 1997 US Department of Energy Savannah River Site ATTN: Mr. Norman Mims, Manager RadCon and Health Physics Department Westinghouse Savannah River Company Building 730-4B Room 330 Savannah River Site Aiken, SC 29808 l
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:
The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License.
This notice is provided to you as a courtesy.
This office has granted recognition of an Agreement State license for activities to be performed at your federal installation. This recognition is authorized under Title 10, Code of Federal Regulations, Part 150, Section 20 (10 CFR 150.20).
The license is valid for the activities and devices described and for the time frame requested. The license does not limit the licensee to a particular location.
The licensee has been notified that there may be differences between the Agreement State regulations and NRC regulations.
The licensee has been informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.
Further notifications of activities by this licensee within your boundaries may be made. We shall notify you should this happen. Should you have any questions concerning this matter, please call me at (404) 331-5624. My fax numbers are (404) 331-7437/5559.
Sincerely,
/s/
David J. Collins, Health Physicist Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
1.
Form 241 -Law Engineering & Environmental Services, Inc.
Raleigh North Carolina 2.
Agreement State License - North Carolina 092-0082-6
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- 4. AcoRess De uceusee ru.,u udm -w.,=m -nm ~, *e w ctAminCAToN 3301 Atlantic Avenue t ucmu CO.aA=
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- 6. TELO NQh& NVMBLR tumee A= Cane;
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- 8. ACTIVITIES TO BE CONDUCTED IN NON AGREEMENT STATES UNDER THE GENERAL LICENSE GIVEN IN 10 CFR 150 20 WELL LOGGING LEAK TESTNG ANOCR CALIDRATIONS TELETHERAPY /1RRActATOR SERVICE i
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- 9. CLIENT NAME. ADORf 58.CrTYicouNTY.STA~E,2P CCDE to WORKLO:ATION ADDRESS ($>ve' end Numeer cr otherlocahon Give es opmPWie #4 edf9dJ dr #9ce9mf as pots 4ae)
U.S. GoverTsent Fort Bra 99 Fort Bragg, North Carolina reyetteville, terth carolina
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E6-dMD29 Bill Davis 91o_497_5529
- 14. DATE5 SCHEDULEO
- 16. LOCATON REFERENCE NUMBER FAGM TO LEAVE BLAAK FCat INTiAL NRC FC44 24 % REQUESTS NUMB &R TO FE ASSaCNED SY NRC
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usT ADOmONAL WORK SITES ON SEPARATE SHEET TOINCLUDE ALLINFORMATION CONTAINED IN ITEMS 916 ABOVE.
I5C R0 emre maveen nroe ea sve,ary orn.d.eae m m mu ~.a. a em. w u.
Iridium 192 Less than 100 Curies 18 AGMtwCNT STATE Spics 4C LCstsE WeeCH AJTHOR:Zi$ TME UNDER5rN(D 1Q CQwOUCI AC1gy.t&g WH3ON AM THE EAME.E.KCEPT FOR LOCATIONOF W,E. As
$PEDFLED IN r!TM 8. A80".1 (Peer copies of the specWc isease must er.canpany ow inrW NRC Fe m 24t.)
LICEN$$ AVWhER STATE EXPlRATCN DATE TClak V3 ACE Carb 10 BATE 12-31-2000 0
092-0082-6 tbrth Carolina i
19 CERT 1FsCATION (MUST BE COMPLETED B Y APPUCANT)
- 1. TrtE UNDERSIGNE3, HEREDY CERTir'T UtAT; 3.
All enfctmation in this repor11a he and complets, b.
I have read and unders4arra the provision of the gengrs! License to Cf R 150 20 reprned en the cover st.eet of this form sat and I ur'derstarid thall arn requircC to cornoly with these prow'ssons as to att byproduct. source, or spec 2at nucicar materal wnich I pos ess ans use in non Agr evnent s< tics or o*fshore weiers e
unds' the general Tioense br weich this repo't is fued wnh the U.S. Nuclear 5;eguietary Commmsion
! pr'oerstand that a::*ivit;es,inciuding storsps, cond.scled b non Agreements Stales snett gecetallicerse to CFPt 150.20 are timked to a net of 180 days i.s c.
ceiener y...
d.
I i,neermaand it.at I may be inspected by NRC at the above listed w,oek she lor =8vis and at the License, have e emee eddies. for setWes perform.d la non Agreement $tstas or of' shore waters. I am a:so aware that I will be respoisJble for any fees ossociated Mih such 6eispesliens.
I understand thal conduct or any edivities ret described abow,irciuding sonduct ' ctanties on da t
i e
from these descr; bed without NRC authertlation, may Subject rne to enjorCament SCtOn. hC!udinD OiWi Or c eninal pena!!ies,'espr ocat ons difr rent
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Jerry W. By:r.an, Radiation Safety Officerk.g g(, M glj ;h} (
. oan x Cusna Onca. ua a u.,3,emen R,,m.,ae pr eenn.nen m r i se.,
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Q1-9 WA7tNING: FALSE STATEMENTS IN TMS CERTIFICATE MAY DE CutuCC CIVIL ANDOR CRWinth P8.NALT:ES. NRC REC.ULATONS REQUIRE SUBMISSIONS TO THE NRC DE COM/'LETE ANO ACCURATE IN ALL MATER w RESPECT 5.
to U.S C. SECTON 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A W!t.LPVLLY FALSE STATEMENT OR REPRESENTATCN ?O ANY DF,9 TMENT OR AGENCY OF THE UNITED GTATIS AS TO ANY MATTER WITMIN ITS JUR!S0tCTON.
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r ADDITIONAL WORK SITES
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US Government US Government g/ Cherry Point MCAS Pope Air Force Base Havelock, NC
- , Fayetteville, NC
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(919) 394-2306 4 ') ?
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Sgt. Fair (919) 466-3833 f
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Lee Dawkins l work day I work day 7/5/97 2/6/97 US Government US Government Savannah River Site Seymour Johnson Air Force Base Aiken, SC g, ; )
y (919) 736-5556 g/g/4 Goldsboro, NC 7
/ (803) 725-6903 B.J. Miles Major Thompson v
1 work day I work day 11/1/97 8/5/97 Law Engineering and Environmental US Government Services, Inc.
yNorfolk Naval Shipyard
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', / k 804 Pwfessional Place West Portsmouth, VA Chesapeake, VA
/
(804) 396-7814 (804) 436-2040
,9 Gene Wilson Brian Layman
/)'b7n I work day I work day 10/5/97 l
5/1/97 US Government V Butner Federal Prison
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Butner, NC (919) 575-4999 f-C #
Richard Gonzalaz 1 work day 9/5/97
RADIOACTIVE MATERIALS SECTION Page 1 of 3 Pages 6
DIVISION OF RADIATION PROTECTION N.C.
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES RADIOACTIVE MATERIALS LICENSE Pursuant to North Carolina Regulations for Protection Against Radiation and in reliance statements and representations heretofore made by the licensee, a license is hereby issued on authorizing the licensee to receive, acquire, own, possess, transfer and import radioactive materials listed below; and use such radioactive material for the purpose (s) and at the place (s) designated below.
This License is subject to all applicable rules and regulations of the Nor'h Carolina Department of Environment, Health, and Natural Resources now or hsreafter in effect and to any conditions specified below.
Licensee 1.
Name:
Law Engineering and Environmental 3.
License No.:
092-0002-6
' Services, Inc.
2.
Address:
P.O. Box 18288 Raleigh, NC 27619 4.
Expiration Date:
December 31, 2000 AMENDS IN ITS EITIIRETY 5.
Amendment No. 8 6.
Radioactive Material 7.
Chemical and/or 8.
Maximum Amount of Radioactivity (element and mass no.)
Physical Form and/or Quantity of Radioactive Material which Licensee may Possess at any one time.
A.
Iridium 192 A.
Sealed Sources A.
No single source to exceed (Amersham Corp.
100 curies Model No. A4 24 -9)
B.
Cobalt 60 B.
Sealed Sources (Amersham Corp.
B.
No single source to exceed Model A 8-A or 100 curies S-16)
C.
Iridium 192 C.
Sealed Sources C.
No single source to exceed (Amersham Corp.
100 curies Model No. 424-9) 9.
Authorized Use:
A.
To be used in Gamma Industries Models, Century S, Century S Universal, Century SA, 1
Century, SA Universal and Amersham Model 660B exposure devices for industrial radiography and in Gamma Industries Model C-10 and Amersham Models 650 and 500SU and Gulf Nuclear U-110 and Amersham Models 650L source changers for storage and source exchange, j
B.
To be contained in a Gamma Industries Model 100A exposure device for storage only.
C.
To be contained in an Amersham Corp Model 660 radiography exposure device for storage only.
CONDITIONS 10.
Radioactive material may be stored and used at licensee's facility located at 3301 Atlantic Avenue, Raleigh, NC 27604.
11.
The licensee shall comply with the provisions of 15A NCAC 11.1600, " Standards for Protection Against Radiation,a and 15A NCAC 11.1000, " Notices, Instructions, Reports and Inspections."
(The North Carolina Regulations for Protection Against Radiation are contained in 15A NCAC 11.)
12.
Radioactive material may only be used at temporary jobsites of the licensee anywhere in North Carolina. The North Carolina Division of Radiation Protection shall be notified of the location (s) of such use no later than three (3) days prior to the first day of use.
This condition does not prohibit use in the United States where the United States Nuclear Regulatory Commission maintains jurisdiction for regulating the use of radioactive i
material, nc,r in Agreement States under reciprocity procedures which may be established by the Nuclear Regulatory Commission and/or the respective 79reement States.
If for a specific case the three-day period would impose an undue hardship on the licensee, he may upon application to the agency obtain permission to proceed sooner.
j
a RADIOACTIVE MATERIALS SECTION PEge 2 of 3 Pages i
DIVISION OF RADIATION PROTECTION N.C.
DEPARTMENT OF ENVIRONMENT, HEALTH, 1
i AND NATURAL RESOURCES RADIOACTIVE MATERIAL LICENSE License No. 092-0082-6 Supplementary Sheet Conditions (continued).
13A.
Radioactive material shall be used by Jerry W. Hyman or* persons who have successfully completed the training program described in the Law Engineering Radiographic Manual.
licensee shall keep records of each person's training and qualifications that The j is i
authorized under this condition.
B.
The Radiation Safety Officer for the activities authorized by this license shall be Jerry W.
Hyman.
14.
Pursuant to 15 NCAC 11.0507, the licensee is authorized to perform tests for leakage or contamination of the sealed sources authorized by this license 092-0082-6, or tests may be performed by other persons specifically authorized by this agency to perform such services.
15.
Notwithstanding the periodic leak test required by 15 NCAC 11.0507, such requirement does not apply to radiography sources that are stored and not being used.
The sources exempted from this test shall be tested for leakage prior to any use or transfer to another person unless they have been leak tested within six (6) months prior to the date of use or transfer.
]
16.
The licensee is authorized to receive, possess and use sealed sources of Iridium 192 or Cobalt 60,where the radioactivity exceeds the maximum amount of radioactivity specified in Item 8 of this license provided:
A.
Such possession does not exceed the quantity per source specified in Item 8 by more 1
than 20% for Iridium 192 or lot for Cobalt 60; B.
Records of the licensee show that no more than the maximum amount of radioactivity per source specified in Item 8 of the license was ordered from the supplier or transferor of the radioactive material; and C.
The levels of radiation for radiographic exposure devices and storage containers do not exceed those specified in 15A NCAC 11.0503.
17 The licensee is authorized to possess use ano transfer up to 1000 pounds of Uranium contained as shielding material in the radiography exposure devices authorized by this license.
18.
The licensee shall conduct a program for inspection and maintenance of radiography exposure devices and storage containers to assure proper functioning of components important to safety.
The inspection and maintenance program shall be conducted at intervals not to exceed three (3) months.
Records of the results shall be maintained for inspection by the agency.
19.
The licensee shall not transfer possession and/or control of materials or products containing radioactive material as a contaminant except:
A.
By transfer of waste,to an authorized reci~pient; B.
By transfer to a specifically licensed recipient; or C.
As provided otherwise by specific condition of this license pursuant to the requirements of 15 NCAC 11.1628.
20.
The licensec may transport licensed material or deliver licensed material to a carrier for transport, in accordance with the provisions of Section 71.5, Title 10, Code of Federal Regulations, Part 71, Packaging of Radioactive Material For Transport. "
21.
Sealed sources of radioactive material shall not be combined for use in open air techniques to produce a radiation level in excess of the level produced by the largest single source authorized by this license for open air use.
m
RADIOACTIVE MATERIALS SECTION Page 3 of 3 Pages 8
DIVISION OF RADIATION PROTECTION N.C. DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES RADIOACTIVE MATERIAL LICENSE License No. 092-0082-6 Supplementary Sheet Conditions (continue d) :
22.
Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material described in Items 6, 7 and 8 of this license in accordance with statements, representations and procedures contained in:
A.
Application with attachments dated November 30, 1995, signed by Donald B. Chandler, Managing Principal, AVP; and, letter with attachments dated February 1, 1996, signed by Jerry W.
- Hyman, R.S.O., and Donald B.
Chandler, Managing Principal, AVP.
)
i i
l l
1-)
i
)
Date of Issuance:
March 22, 1996
?or:
Dayne H.
Brown Cpf??'"*'*"'"*"*"*"'"""*""""'**'*"
.