ML20138N033
| ML20138N033 | |
| Person / Time | |
|---|---|
| Issue date: | 01/17/1997 |
| From: | Charles Brown NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| To: | NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| Shared Package | |
| ML20138N015 | List: |
| References | |
| SSD, NUDOCS 9702270111 | |
| Download: ML20138N033 (3) | |
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January 17,1997 Note to File Reference Registration: NR-0487-D-101-S Based on NRC License.48-25892-01, which was amended on December 23,1991, to reflect a change of name for the manufacturer, registration certificate NR-0487-D-101-S was also amended to reflect the change of name for the manufacturer. Themanufacturer's name was changed from Noresin, Inc. to Dyno Overlays, Inc on the certificate.
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Christopher Brown, General Engineer Sealed Source Safety Section 1
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9702270111 970219 PDR RC SSD PDR
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PAGE1 NRC FORM 567 U. 8. NUCLEAR REGULATORY COMMISSION i
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REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION INSTRUCTIONS: Send this request AND a copy of all related letters /apphcahons and drawings to: The Sealed Source Safety Sechon, ATTN: CNef,
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OWFN Mail Stop 6 H3. Change the Ucense Traciong System milestone to 19 and seeign to reviewer code I-5.
NOTE: Retain a copy of this request with the apphcation and background flies.
QEQUESTER REGION / LOCATION:
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]1 11 111 IV V R HQ R LFDCB VELEPHONE NUMBER DATE TYPE OF ACTION REQUESTED (Check as -
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f APPUCANTS NAME SOURCE REVIEW MENDMENT OF REGISTRATION SHEET uAit CONTROL NUMBER (S)
DEVICE REVIEW BER(S) f ff[~ NI"D WM4 LETVERIAPPUCATION DATE UCENSE NUMBER (S)
CUSTOM REVIEW wom,m
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N9y aMct, WI SHrY3 FOR 8888 USE ONLY
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REVIEWER MODEL NUMBERS NUMBER AS$GNED c6~m aSM-/
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9 ATE RECEIVED DATE ASSONED DATE TO FEES Al/H TYPE OF ACTION (Indicate the number of each type) l COMMERCIAL DISTRIBUTION (FORMAL) l USE BY A SINGLE APPUCANT(CUSTOM) l SOURCE (9C)
DEVICE (9A)
SOURCE (9D)
DEVICE (98)
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NEW NEW NEW NEW AMENDMENT g AMENDMENT AMENDMENT AMENDMENT j NO SAFETY EVALUATION REQUIRED
] LICENSING ACTION REQUIRED IF KNOWN YES i
NO FEES REQUIRED j OTHER (SpecW)
TOTAL NUMBER OF NOTES j
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REVIEW HOURS NUMBER OF fC#7M DEFICIENCY LETTERS h
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NUMBER OF DEFICIENCY CALLS FOR BILLING PURPOSES ONLY j NEW REGISTRATION -
J PRODUCT INACTIVE-NAME CHANGE ADDRESS CHANGE ADD TO BILUNG REMOVE FROM BILUNG FOR FEE USE ONLY TYPE OF FEE FEE CATEGORY l 9A U 9B 20 U 9D CMOUNT RECElVED CHECK NUMBER MATANN UPDATED AS REQUIRED j MATSYS UPDATED DATE OF CHECK loo AS REQUIRED QPPROVED BY DATE RETURN DATE COMMENTS NRC FORM 667 (SS3)
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