ML20141F753
| ML20141F753 | |
| Person / Time | |
|---|---|
| Issue date: | 06/25/1997 |
| From: | Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
| To: | Blakely W FLORIDA, STATE OF |
| Shared Package | |
| ML20141F757 | List: |
| References | |
| NUDOCS 9707030172 | |
| Download: ML20141F753 (3) | |
Text
. _ _ . _ . _ _ _ _ _ _ . _ . __ . _ _ _ _ _ _ . _. _ _ _
OfFKLRKORD 0W June 25. 1997 l
l Certified Testing Laboratories ATTN: William R. Blakely Radiation Safety Officer 7532 Narcoossee Road Orlando. Florida 32822 -
SUBJECT:
RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1997
Dear Mr Blakely:
l This acknowledges receipt of your Report of Proposed Activities in Non-i Agreement States (NRC Form 241) dated June 23. 1997, and receipt of the initial recognition fee as required by 10 CFR 150.20(b) and 10 CFR 170.31 (Category 16 - Reciprocity).
l License Number 2332-1 issued by the State of Florida 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 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 II three days in advance of the proposed activity, along with the fee for the revision.
There is no limit to the number of activities re)orted at one time, and one l 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.
I 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 l 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.
Some NRC regulations may differ from those of your Agreement State. You are
, responsible for the content and compliance with NRC regulations while l conducting work within NRC jurisdiction. We have enclosed copies of the l pertinent regulations for your use. The regulations, your license and l procedures are required to be available so that staff who are occupationally l
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.
l Enclosed is a copy of NUREG 1600. " General Statement of Policy and Procedures
(- for NRC Enforcement Actions." We shall notify the appropriate NRC offices and 3 Non-Agreement States of your proposed activities.
l 9707030172 970625 PDR STPRO ESOF l
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Our fax number is (404) 562-4955. My telephone number is (404) 562-4735.
Please call should you have questions.
Sincerely.
/s/ i David J. Collins. Health Physicist Materials Liceasing/ Inspection Branch 2 Division of Nuclear Materials Safety i
Enclosures:
- 1. NRC Form 241 w/LRN's
- 2. Blank Form 241 (carbon set & fax)
- 3. 10 CFR Parts 19, 20, 21. 30. 34. 71. 150, 170
- 4. Form NRC-3
- 5. NUREG 1600 General Statement of Policy and Procedures for NRC Enforcement Actions
- 6. Exclusive Federal Jurisdiction Identification Procedure
- 7. Agreement State Listing Distribution (Without Enclosures 2-7)
PUBLIC
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SIGNATURE HAM [ .c ins .ter DATE I!O6 /d / 97 06 /dh / 97 06 / / 97 06 / / 97 06 / / 97 06 / / 97 COPf? YES YES NO
{ ([NO) YES NO YES N0 YES NO YES NO OftICIAL RECORD LV r DuCuMtNi NAMt: 6:\DNM5\MLIb2\RECirKsi\CtRilf1.Lik and includes transmittal letters for state ef Florida and Patrick AFB l
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a<~a es m nom.,y IN NON. AGREEMENT STATES =* C ""
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- 2. TYPE OF REPORT t coNYn L NuhesER cae,e sur - Nuww n te Certified Testing Laboratorles 1 #"
- """*"'*9 REWSION
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Aconess ce uCsNs6s me see,o or en,er =.-.--mer ce=.wo CLARrecATiON 7252 Narcoessee Road e. uces,see ca.m:T Orlando, FL 32822 William Blakely s is.Enone N. neem 7. r Acsur.e nuwsen m
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- 8. ACTIVITIES TO BE CONDUCTED IN NON-AGREEMEf4T STATES UNDER THE GENERAL LICENSE GIVEN I WELL LOGGING LEAKTESTING AND/CM CAU$ RATIONS TELETMERAPY.1RRADIATOR SERVtCE PORTABLE GAUGES TRAtaspoRTArioN CA PROGMAM APP 90YAL NO & MV NO.
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- RE257meo AS USEA 0F PACKA0ltsc3 (OERTU:lCATE$ OF 00MPLIANCE NC 9033 and 9029 8 CLENTNAME, ACOREss.CITYrcouhTV. STAT 121PCo0E 10 WCRuCCAh A009Es3 (steetendwmserare:ne apoews. G&eu Federal Jurisdiction of Cape Kennedy Flcrida "g,ggs aum $2 wcRuocATm Tsm.iciAN e0arze0 rc re= row wou a wc m ocA m Tae cNa o .cr-we Am Coen emou it DATES $CNEOULEO to
( 14. LOCATION REFERENCE NUMBER l 6/23/97 12/31/97 Less teAve Num ToS.AN
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Call out laboratory. Dates to be determined at time of call out.
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UST AD0tTIONAL WORK SITES ON SEPARATE SHEET 70 NCLUDE ALL INFORMATION CONTAINED INITEMS 9-14 j P.OnchmeL5T RNA.';DvFn MATER ees::9 peon C/r)De toe (Anhy Ai,, Wnot messie/,
e/redmacewe vvu BE e Pce44hEa.e ed sowses, er devaaes !p 6e useejLSED. th5T ALLEO Sem/Esa GM i a G iN NO
' ( fQ g ggd in Itdel 67th Iridhn 192 Will be tm:1 in WrWe PC 660A ard JC 663et-N A.msu,dere.M7,/M#, Fm4 MJLREaTuGNT STATE SPf 0.elC uCErosE wHIC>t A4TM0t2!$ THE UNOGkSiGNG TG CCh0VCT A;7MT.ES w%CM AM Tri6 SAME. EXCEM FOR LOCA30cv Oe U$E A
$P8clMED N rrEM 6 ASO/E, (Cour $cenes er me seecAc heeree # Net sacarep.ny the inhal NRC Fe m 241.)
LCtNSE NUMBER STATE ID@MATION DA!t TOTAL USAGE Cave 70 Dart 2332-1 Florida January 31, 1998 0 l
- 19. CERTtFICATtDN (MJST BE COMPLETED BY APPUCAVT)
I, THE UNDER$1GrWD, MERE 5Y CERTIFY THAT:
- a. AJI infarmehon in th,s repoft is true and nompWo.
b, I have reed and unoerstend the procsion of the Generalicense to CFR into resrinted on the cover sheet of tmo form set. and I underWend that i em required 84 comp 4 enth these pr3vens as to all byproduct. source, or special nurseer metettal whech I possess erid use e pen-Agreement States or onshore waters under the perieral hoenes forwhich this report .s filed wnh the U.S. NucJear Regulatory Comrmssen.
c.
I understand ce6encer year. tint actmhos, inclu&ng storage, conducted in non Agreements States umfer general license 10 CFR 150.20 are limited to a total of 14C da d.
I anderstand tNW 3 may the inspeded by NRC at the above hated worti sete locations and at the Ucensee horr4 once edaress for act>vn.ee pedormed norWreement Sts ce or offshore wa6ers. I am *Jeo owere (net I will be responsible for any does associet<rd wdh suon inspechons.
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I under38end that conduct of ersy activities not dos:nbod above. vscluding conduc of edevbes on detes or locatena different from those desenbed above or W4%t NRC outhor.gelion, may mat $ect me to enforcement act.or!. including cent of Crtmanel penef'Mrs.
cEaiirym oemenai . mw e M,n.a..ene e.;r_ = g,.ae-wee ue eu re.j ec~a A - oATu Y~ YT M
-A U $5Ml
- WARNING: FAL$f STATEMENTS IN 'KS CfRTIMCATE MAY BE $U6 JECT TO CML ANO/OR CRlWNAL PENA!. TIES. PftAECULATIONS
[ SUBMSSCNS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATE 10AL RESPECTS.18 U.S C. SECTION 1001 hWEs ti A CR MAKE A WUfULLY FALSE STATEMENT OR REPRESENTATION TC At# CEPAP.TM2NT OR AGENCY OP rNE UNITED STATES AS TO ANY its ,lVRJSDCTION.
FOR NRC ^^****
- Fr=*ar**e~ ~ % i .
USE ONLY o David J. Collir.s Div Nuclear Materials Safety g *h 'W 0
' #3 /,9,Q Nac eceM ui p.ee USNRC Region 11 ED 9006598 VJ WOdd NdPS:3 466L-EE-9
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