ML20134H068

Ack Receipt of Rept of Proposed Activities in Non-Agreement States, & Receipt of Initial Recognition Fee as Required by 10CFR150.20(b) & 10CFR170.31 (Category 16 - Reciprocity)

ML20134H068
Person / Time
Issue date:	01/13/1997
From:	Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:	Worley R GEORGIA, STATE OF
Shared Package
ML20134H071	List: ML20134H068 ML20134H076
References
NUDOCS 9702110139
Download: ML20134H068 (3)

Text

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January 13, 1997 Delta Air Lines. Inc.

ATTN: Raymond L. Worley Foreman /0A/NDT Hartsfield International Airport Department 521. TOC-I Atlanta, Georgia 30320

SUBJECT:

RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1997

Dear Mr. Worley:

This acknowledges receipt of your Report of Proposed Activities in Non-Agreement States (NRC Form 241) dated December 16, 1996, and receipt of the initial recognition fee as required by 10 CFR 150.20(b) and 10 CFR 170.31 (Category 16 - Reciprocity).

License Number GA.2-1 issued by the State of Georgia is recognized as valid for use in non-Agreement States for up to 180 days in calendar year 1997 only.

We have assigned a Location Reference Number (LRN) to the 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 II three days in advance of the proposed activity, along with the fee for the revision. l There is no limit to the number of activities re)orted at one time, and one '

fee is charged without regard to the number on t1e revision page.

Clarifications change already-reported information or cancel jobs: they require no fee. Please indicate the already-assigned LRN for the site.

The Commonwealth of Massachusetts is scheduled to become an Agreement State in 1997. After the transfer, NRC will no longer exercise jurisdiction over your l

activities at Logan International Airport. Jurisdiction will be under the Commonwealth of Massachusetts. We will notify you when the transfer is scheduled, and control group. provide yourecognition Reciprocity with a contact will bewithin thebyradioactive governe materials the Commonwealth of Massachusetts. We have enclosed information on contacting other Agreement States for your convenience.

F l 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 jurisdiction. We have enclosed copies of the 4 pertinent regulations for your use. The regulations, your license and procedures are required to be available so that staff who are 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 i for NRC Enforcement Actions." We shall notify the appropriate NRC offices and l/

Non-Agreement States of your proposed activities. i ,

9702110139 970113 PDR STPRG ESGGEN PDR

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A current license is required for licensed work in NRC jurisdiction. Please i provide us with a renewed license or letter from the licensing agency prior to  ;

conducting work in NRC jurisdictional areas after the expiration date listed l

in your license on file with us, if this occurs prior to the transfer of Massachusetts to Agreement State status.

Our fax numbers are (404) 331-7437/5559. My tele 331-5624. Please call should you have questions phone number is (404) ,

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Sincerely.  !

/s/ l i

David J. Collins. Health Physicist  !

Materials Licensing / Inspection Branch 2 .

Division of Nuclear Materials Safety l

Enclosures:

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1. NRC Form 241 w/LRN's  !

2. Blank Form 241 (carbon set & fax) i

3. 10 CFR Parts 19, 20, 21, 30, 34, 71. 150. 170 l

4. Form NRC-3  !

5. NUREG 1600 -General Statement of Policy and Procedures l for NRC Enforcement Actions

6. Exclusive Federal Jurisdiction Identification Procedure

7. Agreement State Listing i bcc (without Enclosures 2-7)

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Distribution (Without Enclosures 2-7) l l

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$[ND TO PUBtTC OOCUMENT R00M7 // VES I NO i

! 0FFICE RII,QNMS , RII:DNMSw

! $1GNATURE hW /

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! Nw oxomns tter i DATE 01/ //] / 97 01 / h / 97 01 / / 97 01 / / 97 01 / / 97 01 / / 97 1 COPU (lid NO VES NO YES NO VES NO YES NO i

0FFICIAL RECORD COPY DOCUMENT NAME: G:\DNM5\MLIB2\RECIPR97\ DELTA.LTR '

l and includes transmittal letters for states of Massachusetts and Georgia

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- 5 8 4r l NRC FORM 241 U.S.NU .AR REGULATORY COMMISSION APPROVED SY OM1 NO. 3150 0013 EXPlRES SI31196

pgp 10 CFR 150 ESTIMATED BURDEN PER RESPONSE To COMPLY wtTH THIS EfoO4ATm COLLECTION RE QUE ST REPORT OF PROPOSED ACTIVITIES """"* """c^'""""'""""c"""c"="5'"*"*

ACTWIfiEs To ENSURE THAT THEY ARE CONDUCTED IN ACCORDA

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IN NON-AGREEMENT STATES ""*'"*"o EgYs4 ATE T THE NFo"RMATON 4 MD RECORDS MANAGEMENT F33), u $ M.tcL BRANCH (74

• • • "'" Tors comesscN. wAsumm oc smm Are fo THE eAeERwoRn Revuc,E.AR m (Please read the instrucbons on the cover sheet before completing this form) PROJECT (331>0013). OFFICE oF MANAGEMENT AND SVooET. WASHINGTON, oC 20503 1 NAWh OF LICLNSLE (Fwson or fem proposing 80 conduct the actswises concrtbed f.edow) 2. TYPE OF REPORT 3. CONTROL NUMBER (Leave Blank - Number 10 be

X lNITlAL assigned by NRC)

Delta Air Liness Inc. -

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4 ADDRESS OF LICENSEE (Mesimg eddress or other facerson where Jcensee may be bcefed) CLARIFICATION I

Hartsfield Atlanta International Airport 5 LICENSEE CONTACT

! Dept. 521, TOC-I Raymond L. Worley 6.TELEPH NE NUMBER T F ACSIMILE NUMBER l i

Atlanta GA 30320 e pnclude Ann Code) Onclude Area Codel I

! 404-714-116s 404-714-3889 ,

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8. ACliVillES TO BE CONDUCIED IN NON-AGREEMENT ST AT ES UNDER 1HE GENERAL LICENSE GIVEN IN 10 CF R 160 20

, i I WELL LOGGING LEAK TESTING AND/OR CALIBRATIONS TELETHERAPY /lRRADIATOR SERVICE OTHER (5pecify)

PORTABLE GAUGES TRANSPORTATION QA PROGRAM APPROVAL NO & REV NO. REGISTERED AS USER OF PACKAGINGS (CERTIFICATES OF COMPLIANCE NOS )

I X 71-0808 9 CLIENI NAML. ADUNE$5, CalYlCOUNI V. SI AIL. ilP CODL 10. WORK LOCATlON ADOREb5 i,

($9eet and Number or other naceloon Grve es complete on eddress or dnoctrons es possrble)

' Delta Air Lines, Inc.

f 239 Prescott Street i Delta / Hangar East Boston, Mass. 02128 l

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11. CLIENT TELEPHONE NUMBER 12 WORK LOCATION CONTACT 13 WORK LOCATION TELEPHONE NUMBER I pnclude Area Code) pncwe Ame Code)

Ron Temple 617-561-2640

14. DATES SCHEDULED lyy{(R OF 16. LOCATION REFERENCE NUMBER FROM TO LEAVE BLANK FOR INITIAL NRC FORM 241 RLOVESIS-NUMBER TO BE ASStGNED BY NRC As aircraft are i i 2/ January /97 scheduled I

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LIST ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUDE ALLINFORMATION CONTAINED IN ITEMS 916 ABOV'.:.

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• u. uuD, iNoI A EU gncwe .a ,- o, A,x,ikiA,%.Wno,y e an en,, ro.m,od ,.e c,ews,.s,at me se.w so-es,uEU. 5En.vs.e de-cos o e) us. O,R IE5TEU iN NvH-A6kiLMLNi 6T Alib

' Iridium 192-100 Curies - Tech / Ops 660B Projector 16 AGREEMENT SI ATE SPECJFIC LICENSE WHICH AUTHCAlZE5 THE UNDERSIGNED TO CONDUCT ACilVITIES WHICH ARE THE SAME. EXCEPT # OR LOCATION OF USE, AS SPECIFlED IN fTEM 6 ADOVE fFour copsen of the specofe hcense must accompany the onotuet NRC Form 241) i LICENSE NUMBER STATE ExPIRAtlON DATE TOT AL USAGE DAYS TO DATE t GA.2-1 Georgia 11-30-97 0 i 19. CERTIFICATION (MUST BE COMPLETED BY APPLICANT) 10.1, THE UNDERSIGNED, HEREBY CERTIFY THAT:

a. All information in this report is true and complete.

b. I have read and understand the provision of the generallicense 10 CFR 15020 reprinted on the cover sheet of this form set; and i understand that I am required

to comply with these provisions as to all byproduct, source, or special nuclear matenal which I possess and use in non-Agreement States or offshore waters

, under the general hcense for which this report is filed with the U S. Nuclear Regulatory Oommission.

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c. I understand that actwities, including storage, conducted in non-Agreements States under general license 10 CFR 150 20 are kmited to a total of 180 days in

! calendar year.

j d. I understand that I may be inspected by NRC at the above listed work site locations and at the Licensee horne office address for activihes performed in non-Agreement States or offshore waters. I am elso aware that I will be responsible for any fees associated with such inspections.

! e. I undersland th.at conduct of any activities not described above, including conduct of activities on dales of locat ons different from those described above or without NRC authonzation, may subject me to enforcement action, including civil or criminal penalties h sTURE . CEF IF YING OF FICER TYPED / PRINTED NAME T6TLE DATE l j"*" *"k[ h Raymond L. Worley Foreman /QA/NDT 12-16-96 ARNING[ FhSE STATJr"IENTS IN THIS CERTIFICATE MAY BE SUBJECT TO civil AND/OR CRIMINAL PENALTIES. NRC REGULATIONS REQU f, SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS.18 U.S C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO l MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN i ITS JURISDICTION I

FOR NRC USE ONLY hh"h p h h[ gg 7 [g

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