ML20134G306
| ML20134G306 | |
| Person / Time | |
|---|---|
| Issue date: | 01/15/1997 |
| From: | Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | Welch R FLORIDA, STATE OF |
| Shared Package | |
| ML20134G310 | List: |
| References | |
| NUDOCS 9702100359 | |
| Download: ML20134G306 (3) | |
Text
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- , January 15,1997 1
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Larry M. Jacobs & Associates, Inc.
ATTN: Ronald L. Welch Radiation Safety Officer 1
328 East Gadsden Street Pensacola, Florida 32501 4
SUBJECT:
RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1997 b
Dear Mr. Welch:
i j This acknowledges receipt of your Report of Proposed Activities in Non-Agreement States (NRC Form 241) dated January 7,1997, and receipt of the initial recognition fee as required !
l by 10 CFR 150.20(b) and 10 CFR 170.31 (Category 16 - Reciprocity). !
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l License Number 1508-2 issued by the State of Fiorida is recognized as valid for use in non- !
Agreement States for up to 180 days in calendar year 1997 only. We have assigned a l Location Reference Number (LRN) to each site you have reported (Enclosure 1). We have provided Radiation Protection contact locations and telephones for the bases you have reported (Enclosure 2). Please provide additional information such as jobsite telephone I j contacts and numbers for each location. For the outlying fields, the current information is i not sufficient. Please determine the jurisdiction for these locations prior to conducting licensed activities there. Should they be NRC jurisdiction areas, we will consider the addition of them as a clarification rather than as a revision. New activities should be reported on the i enclosed NRC Form 241 marked as a revision, Revisions should be faxed to NRC Region ll 1 three days in advance of the proposed activity, along with the fee for the revision. There is no limit to the number of activities reported at one time, and one fee is charged without
! regard to the number on the revision page. Clarifications change already-reported information or canceljobs; they require no fee. Please indicate the already-assigned LRN for the site.
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! Licensed activities at Exclusive Federal Jurisdiction areas which are within the boundaries of
) Agreement States (including your state) are under the jurisdiction of the NRC and should be reported to us via the Form 241. We have enclosed a procedure for you to use in seeking determination of the status of federal areas. We have enclosed information on contacting other Agreement States for your convenience. i Some NRC regulations may differ from those of your Agreement State. You are responsible for the content and compliance with NRC regulations while conducting work within NRC l jurisdiction. We have enclosed copies of the pertinent regulations for your use. The regulations, your license and procedures are required to be available so that staff who are i occupationally exposed to radiation can view them on the way to or from licensed activities.
The Commission may, at its option, conduct an inspection of your activities. Enclosed is a copy of NUREG 1600, " General Statement of Policy and Procedures for NRC Enforcement '
l 9702100359 970115 PDR STPRG ESGFL PDR I i
(71\ \ \
HM;
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4 Larry M. Jacobs & Associates, Inc.
Actions." We shall notify the appropriate NRC offices and Non-Agreement States of your
, proposed activities.
Our fax numbers are (404) 331-7437/5559. My telephone number is (404) 331-5624. Please call should you have questions.
Sincerely, i David J. Collins, Health Physicist Materials Licensing / inspection Branch 2 Division of Nuclear Materials Safety
Enclosures:
! 1. NRC Form 241 w/LRN's
- 2. Radiation protection addresses for bases
- 3. Blank Form 241 (carbon set & fax) 4.10 CFR Pads 19,20,21,30,71,150,170 4
- 5. Form NRC-3
- 6. NUREG 1600 General Statement of Policy and Procedures i for NRC Enforcement Actions l
. 7. Exclusive Federal Jurisdiction identification Procedure l I
- 8. Agreement State Listing Distribution (Without Enclosures 3-8)
PDR omer pu es en =s A SIGNATURE [fp NME Collins ter DATE 01/ M/ 97 01//[/97 01 / / 97 01 / / 97 01 / / 97 01 / / 97 COPY? YES (f NO) YES[ NO YES NO MS NO l YES NO YES No RECORD COPY DOCUMENT NAME: G:\DNMS\MLIB2\RECIPR97\JACOBS.LTR and includes transmittal letters for states of Florida and Eglin AFB, Naval Air Stations Pensacola. Corry Field. Whiting Field and Saufley Field i
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FROM Larry Jacobs & /ssec 904 433 7027 01-07-97 01:59PM TO j 043317437 e4 P.2/10
^ g#'*8, L*",',,_ j NRC PORM 241 U. s. NUCLL .E;ULATORY COMM14SION a Pimes
,,,,,g,,,,,, ,,,g m osc , ee i , wee tse . ora.we ,ee .e w.ac n.e,, emes. ..,e e e, seera m .* aue. . e~e w u . e,. .onu,.e w ..e,eme .m re. ,.. e, REPORT OF PROPOSED ACTMTIES *~**"***'-~~~*'N~wie.,...,,
is ~ we,eemen - asse,s.uso.e .,e. - c4 ns u
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. l ON* AGREEMENT S'3.M T^T= n'1 **'"*******"'"*"-
(3150.001Crke **'c***^***'**"****""*>'*'
% af Manaeem.'nt and e've'pst, WasNngba, NRC DO mar 20503 i
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(Pteese read the ksstruc00ns on the cent sheetbetdre completng this tonn.) j" *' R*yRK;*;"** * * **"**'** *' ***"**'**
- NAME 08 (CENsEM Preen er Arm proposang my conei,el ee soevene essensee peew) 2. TYPE OF REPORT 3. CONTR;M. PfVMgr.pt j (Leeve Saenk - NumDet to be I 1.arry M. Jacoas & Associates. Inc. '"*^' *** W r N9C) l RDHDN r A:oasss oNesasse o an e.. ares.rweeca.A.e wen-myse we ien; CL.an.:ATcN l 328 East Gadsden Street s Lear.sse cosTAct l PInsacola, FL 32501 Ronald L. Welch RSO a TEtsPhens auwesa t snCeme hvues.n j M4NM6 (N)$3YO27
. 8. ACTIVITIES 70 BE CONDUCTED IN NON-AGREEMENT STATES UNDER THE GENERAL UCENSE GivEN IN 10 CFR 150 20 WELL LOOGING LEAK TisTING ANDCR Call 8 RATIONS TELETHERAPY 4RRADIATCR SERV 1CE
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QTHER (3pecA)r)
X PORTAsLe oAUotS Sof t Moisture /Def sity Guages - low level Gama Sources TMANSPORTATION QA eetCG8 TAM APP 4CVAL NC 4 REV NO REGNSTERED AS USER OF PACKA3iNGS (CERTllfi CATES OF COMPLLANC2 ho$)
e CUENT NAME, ADORf SS. c!TY/ COUNTY. STATE, Z:P CCOE 10 WOM LCCATICN ACC4ESS (Seest ane Mu,neer er cear brahan GAre es
) teraidete e adsresa er Woceans os posseej i U.S. Government Bases Daily site specific as needed . Fox of daily agenda (See Attached List: Addendum #1) schedule.
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tt t hwerR uCusNrTgaPaoNauvusea $2 woRGCCATICN TECWCIM AUTHOMEED 10 PeWORW WOM 11 *&L C ef
- Ba D pecf/N RPO Offices Site Specific / Job Specific As generated te. DATES ScMECULED , 16. LOCATION R2FIRENCC NUMBEA
,,,ou TO taAn stA.w ron wmat une row 24, neovesrs Not to NUWSER TO SE ASSGNED SY NRC 12-31-97 exceed i 1-7-97 4 180 I calendor i days LIST ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUCE ALL INFORMATION CONTAINED IN ITEMS 916 ABOVE.
3 ACTu Ales
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a 6 =O On immiau e NoHwmetweNT s See Attached: Addendum Sheet #2 - Radioactive sources and guages IT AGAEEwfNT STATE SPECdFIC VCEmsE WalDi AUTsa0Rizes THE WCeR$4NED To CONotcT ACTMrlES WWCM ARE THE SAME, CACEPT POR LOCATION OP V5e. A8
$PisCIPIED si(75W e. AeOVE. (Powe esp es erthe spes>ns soones must oceampany be treel NRC Ferm 241.)
1 UCEN4E NUMBeit STATE EXPtRATlGN D.eT! TOTAL USAGE DAYS T0 0 ATE
- 1608-2 Florida 3-31-98 ; 19. CERT 1FICAT10N (MUST BE COMPLET2D BY APPUCANT)
) 4.THE UNDER54GNED,NCRCSY CERTief TMAT:
- a. All information iri tfWe regori le tna and complete.
- b. I he,e reed and undergaand she provision of Ins generet bconte 10 CFR 15020 reprirded on the corw sheet cd inia form set: and 1.mde%nd that i em regeir ed te esmply with these pr:rviaisne as to oil byproeuct, soaros, or speca'si nuclear snelerial wNot' I poweSe and use in non. Agreement Ste on er ogsbore wesers unoer the general license for which this report is 06ed oath the U.S. Nuc'ess Regwistory Comrnes.c,n.
) c. I understand that e tivelds, incitehag eierege, conducted in norWreemente 31 ales ur' der general Econte 10 CPR 150 23 are rmited se e total of 160 days in sesenser peer.
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- d. I underulend triot I may be inspected by NRC et the above leased worlr sie kcebone end at the Lbensee home emee eddrees for actWee performed in j norwAereemore States or offshore weiefe. I am e>ao severe that I will be respone4 ate for any fees seeooietoe with euch repections.
l e. I undeeetead that eenduet of any met, d.se not dacribed ese*,1ceaudmc eaaduet of activiese on deia or locat, ens e aerent f.om those descrit,.d eso,e o, i without NRC evenertsetiert, may eutnact rne to eriforcement esten, including civit et criminejpenemies.
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- bass nevne ane Tee > SsGNAfustE gATg wevr vno OFFICER = R30 et^ ^c J ., mess Ronald L. Welch. R50 g, ppy 1 7 97 WARNING, FALSE STATEMENTS IN TPlS CERTIFICATE MAY SE $USJECT TO CMI ANDOR CRIM:NAL PENALTit$. NRC REGULATIONS REQUIRE THAT l Sute,4$$60N$ TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATER;AL RESPECT 3. is U s.C $tCfiON 1001 MME4 IT A CRwAAL OrrtNsf TQ i MAa(E A WLLPULLY PALst STATEMENT OR REPRESENTAT ON TO ANY DEPARTMEP(T OR AGthCY OF THE UN:TED STATES AS TO ANY BA4TTER WTTHIN 173 JUsuGC4CTION.
'd*' ***^ 16 FOR NRC
\ USE ONLY N ef l b T (EM's'"*** F"**'""' *"'N"uH N " *^' lclS/ /)' 'c.{ h. Ifhy .
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