ML20141J642

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Registry of Radioactive Sealed Sources & Devices,Safety Evaluation of Device for Models Rlp Series,Rhp Series,Fb Series,Fp Series,Sg Series,Rbw Series & Fbw Series. Certificate:NR-1028-D-101-E
ML20141J642
Person / Time
Issue date: 08/18/1997
From: Steven Baggett, John Lubinski
NRC
To:
Shared Package
ML20141J647 List:
References
SSD, NUDOCS 9708210021
Download: ML20141J642 (16)


Text

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REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO.r NR-1028-D-101-E DATE: August 18, 1997 PAGE: 1 OF 8 DEVICE TYPE Illuminated Sight Assenbly MODEL: RLP Series, RHP series, FB Series, FP Series, SG Series, RBW Series and FBW Series MANUFACTURER /DISTRIBUTORt Trjlux Technologies, Inc.

3900-C West Point Blvd.

Winston-Salem, NC 27103 SEALED SOURCE MODEL DESIGNATION: SRB Technologies (Canada) Inc.

Betalight type: "MH" Part Numbers 2500G0350150A 2510350G0250A 2520350G0250A ISOTOPE MAXIMUM ACTIVITY:

Hydrogen-3 (Tritium) 30 mci (1.1 GBq)

(Max. 3 sources per gun or bow)

LEAK TEST FREOUENCY Not required PRINCIPAL USE: (R) Gas Source CUSTOM DEVICE: YES X NO 9708210021 970818 PDR RC

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES-SAFETY EVALUATION OF A DEVICE NO.: NR-1028-D-101-E DATEt-August 18, 1997 PAGE: 2 OF 8 DEVICE TYPE: Illuminated Sight Assembly DESCRIPTION:

Model RLP Series, RHP series, FB Series, FP Series, SG Series, RBW Series and FBW Series all contain the model Betalight "MH" light source. The Betalight "MH" is a source consisting of a small cylindrical borosilicate glass' vial containing tritium and a fluorescent substance which emits light. These sources are mounted into metal or plastic gun or bow sights.- When they are mounted so as to expose the end of the cylinder, they produce a round " dot" of light. When they are mounted so as to expose part of the side of the cylinder, they produce a short "line" of light. Typically, for gun sights there is a single " dot" source on the front sight. The rear sight may have either two " dot" sources, or two "line" sources located end-to-end.

The glass vials may be surrounded by a thin layer of plastic to cushion it inside the gun sight structure. They are held in the sight by a press fit and an adhesive (Loctite-Black Max).

Side areas which are exposed to emit light are sharply convex surfaces which are strong and resist puncture. End areas which are exposed to emit light may have a protective glass sapphire window or sharply convex surfaces which are strong and resist puncture. The devices are designed to withstand the vigorous vibrations from firing the gun on which they are mounted, as well as expected drops from heights as much as 6.5 feet (2 meters) in any direction. All series of sights have a minimum protective wall thickness of 0.016" (0.4 mm) to the light source.

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REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO.: NR-1028-D-101-E DATE: August 18, 1997 PAGE: 3 OF 8

. DEVICE TYPE: Illuminated Sight Assembly DESCRIPTION! (Cont.)

Different sets of sights are distributed which will fit on several kinds of guns and bows. The sights are designated by the following series and drawing numbers:

RLP, dwg. no. TL-1005, rear sight with low profile RHP, dwg. no. TL-1006, rear sight with high profile l FB, dwg. no. TL-1007, front blade sight FP, dug. no. TL-1008, front post sight RBW, dwg. no. TL-1009, rear bow sight FBW, dwg. no. TL-1010, front bow sight SG , dwg. no. TL-1013, for shot guns and long barrels LABELINGt All sights will be permanently stamped or etched with "H3" and the licensee's name, "Trilux" DIAGRAM: i See attachments 1 through 5.

CONDITIONS OF NORMAL USE:

The illuminated gun sight units are' inserted in gun sights and attached to the barrels of various kinds of guns and bows. Gun sights will be subjected to an intense shock each time the gun is fired, and to other shocks when the gun is accidentally dropped during field use.

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REGISTRY OF RADIOACT;_VE SEALED SOURCES AND DEVICES SAFETY _ EVALUATION OF A DEVICE NO.: NR-1028-D-101-E DATE: August 18, 1997 PAGEr 4 OF 8 DEVICE TYPE: Illuminated Sight Assembly PROTOTYPE TESTING:

The manufacturer reports that testing for these devices was

  • performed according to the requirements in_ draft NRC/SSSS

" Standard Requirements for Tritium Illuminated Gun Sights Containing Tritium Gas Sealed in Glass Vials." The following tests required by this document were made:

3.2.1 - Chemical 3.2.2 - Temperature 3.2.3 - Te.nperature shock 3.2.4 - Vibration 3.2.5 - Pressure 3.2.6 - Penetration 3.2.7 - Mechanical Shock 3.2.8 - Firing 3.2.9 - Evaluation The firing test for the illuminated gan sight assemblies was conducted on an Army M-14 rifle, which was judged to subject them to larger shocks than any other weapon on which they are likely to be used.

The manufacturer reported there was no apparent damage to the devices or loss of containment or shielding following any of the tests. They passed the evaluation tests based on an allowable loss of tritium into the rinse water used in the test.

EXTERNAL RADIATION LEVELSr Since tritium is a soft beta emitter, its radiation is not very penetrating. The sources are contained in glass vials, which are in turn encased in thin plastic. These are in turn surrounded by metal except for one end, or a slim line on one side to allow the light to be emitted. Hence, it is concluded that any radiation emitted from the gun sight assemblies will be so near background levels as to be undetectable.

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO.: NR-1028-D-101-E DATE: August 18, 1997 PAGE: 5 OF 8 DEVIC" TYPE Illuminated Sight Assembly OUALITY ASSURANCE AND CONTROL:

The quality assurance program for the assembly of the sights by Saunders-Roe Displays, Inc. has been reviewed, and found to be acceptable to NRC for-producing devices for distribution by Trilux Technologies, Inc.

LIMITATIONS AND/OR OTHER CONSIDERATIONS OF USE:

These devices may be distributed to any person who is exempt from the requirements for a license in accordance with I

Section 30.19 of 10 CFR Part 30.

This registration sheet and the information contained within the references shall not be changed without the written consent of the NRC.

I SAFETY ANALYSIS SUMbB m Based on our review of the information and test data cited below, we conclude that the product is designed and manufactured so that:

In normal use and disposal of a single exempt unit, it is unlikely that the external radiation dose in any one year, or the dose commitment resulting from the intake of radioactive material in any one year, to a suitable sample of the group of individuals expected to be most highly exposed to radiation or radioactive material from the product will exceed the dose to the appropriate organ as specified in Column I of the following table.

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO. NR-1028-D-101-E DATE: August 18, 1997 PAGEr 6 OF 8 DEVICE TYPEt Illuminated Sight Assembly SAFETY ANALYSIS .9UMMARY: (Cont.)

In normal handling and stcrage of the quantities of exempt distribution, installation, and servicing of the product, it is unlikely that the external radiation dose in any one year, or the dose commitment resulting from the intaxe of radioactive material in any one year, to a suitable sample of the group of individuals expected to be most highly exposed to radiation or radioactive material from the product will exceed the dose to the appropriate organ as specified in Column II of the following table.

It is unlikely that there will be a significant reduction in the effectiveness of containment, shielding, or other safety features of the product from wear and abuse likely to occur in normal handling and use of the product during its useful life.

In use and disposal of a single exempt unit, or in handling and storage of the quantities of exempt units likely to accumulate in one location during marketing, distribution, installation, and servicing of the product, the probability is low that the containment, shielding, or other safety features of the product would fail under such circumstances that a person would receive an external radiation dose or dose commitment in excess of the dose to the appropriate organ as specified in Column III of the table below, and the probability is negligible that a person would receive an external radiat ion dose or dose commitment in axcess of the dose to the appropriate organ as specified in Column IV of the table below.

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REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO.: NR-1028-D-101-E .DATE: August 18, 1997 PAGEr 7 OF 8 DEVICE TYPEr Illuminated Sight Assembly SAFETY ANALYSIS

SUMMARY

. 2 (Cont.)

TABLE OF ORGAN DOSES (Rem)

Part of the body Col. I col. II col. III col. IV WB, head, trunk, 0.001 0.01 0.5 15 gonads, eyes l Extremities, skin 0.015 0.15 7.5 200 I Other organs 0.003 0.03 1.5 50 7 This device was previously registered by SRB Technologies. SRB Technologies has since formed Trilux Technologies Inc., to manufacturer / distribute these devices. Therefore, this registration certificate has been issued, to replace SRB Technologies certificate, recognizing Trilux Technologies Inc. as the new manufacturer / distributor.

Based on the information and test data cited in the references listed below, we continue to conclude that these device designs are acceptable for exempt licensing purposes.

Furthermore, we continue to conclude that these devices would be expected to maintain their containment integrity for normal conditions of use and accidental conditions which might occur during uses specified in this certificate.

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF A DEVICE NO.: NR-1028-D-101-E DATE: August 18, 1997 PAGE: 8 OF 8 DEVICE TYPE: Illuminated Sight Assembly

REFERENCES:

The following supporting documents for the series of sights listed on page one of this certificate are hereby incorporated by reference, and are made a part of this registry document:

SRB Technologies letters dated July 9, 1997, April 30, 1997, July 24, 1996, July 21, 1995, June 12, 1995, May 22, 1995, and March 1, 1995, with enclosures thereto.

  • SRB Technologies letter of October 28, 1994, with enclosed application for an Exempt Materials License for gun sights, i

ISSUING AGENCY:

U.S. Nuclear Regulatory Commission ~

Date: August 18. 1997 Reviewer:

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-. PAGE1-NRC FORM 567 U. S. NUCLEAR REGULATORY, COMMISS40N likoM -

REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION U

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t INSTRUCTIONS:

N: CNet, OWFH Mail Stop 6 H3, Change the Ucense Tracidng System milestone to 19 and seeign .

to twtower code B-5.

NOTE: Retain a copy of tNs request with the appl 6 cation and background files.

t REQUES4R REGION / LOCATION. -

TELEPHONE NUMBER s

]1 11 R lil IV V R HQm LFDCB DATE TYPE OF ACTION REQUESTED (Check as ;; Me)  !

APPucerra '

SOURCE REVIEW

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/ DATE TO FEES hY U

TYPE OF ACTION (Ind6cate the numtier of each type) l COMMERCIAL DISTRIBUTION (FORMAL) l USE BY A SINGLE APPUCANT(CUSTOM) g SOURCE (9C) DEVICE (9A) SOURCE (90) DEVICE (98)

NEW NEVy NEW NEW AMENDMENT QAIENDMENT AMENDMENT AMENDMENT JNO SAFETY EVALUATION REQUIRED -

NO FEES REQUIRED J UCENSING ACTION REQUIREC IF KNOWN -

NO

) OTHER (CpecWy)

TOTAL NUMBER OF NOTES REVIEW HOURS NUMBER OF kN'N DEFICIENCY LETTERS NUMBER OF DEFICIENCY CALLS '

FOR BILLING PURPOSES ONLY NAME CHANGE ADDRESS CHANGE j NEW REGISTRATION - _j PRODUCT INACTIVE -

ADD TO BILUNG REMOVE FROM BILLING FOR FEE USE ONLY WPE OF FEE -

FEE CATEGORY

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E SRB Technologies, Inc. PO Box 252C7 WinstonSalem. NC 27114 5267 Tel. (919) 6592610 FAX: {919) 768-7720 April 30,1997 Mr. John Libinski Mail Stop T8F5 U.S. Nuclear Regulatory Commission Washington, DC 20555 0001 Ref: License No. 32-23774-02E,

Dear Mr. Libinski:

l With reference to a telephone conversation we had at the end of last year, I hereby respectfully request that the above license be amended to show the new licensee as Trilux l Sights Inc. l As explained, our company Trilux Sights Inc. markets and sells our illuminated gun sight products and we feel it should be this company which holds the NRC license to distribute rather than SRB Technologies. The way it stands at this time is that SRB Technologies' name is labeled on the sights, but it is the Trilux name which is known in the market place for gun sights. It wculd be better served to have the Trilux name identified on the sights, thus causing less confusion in the marketplace should there be any questions regarding the radiological aspects of the product. To reflect this change I have attached a revised copy of drawing no TL-1015 which shows the new labeling details for the product. New Licensee shall be: Trilux Sights Inc. 3900-C West Point Blvd. Winston-Salem, NC 27103 Tel:(910) 659-9438

  • In order to make the gun sight business stand alone, and be known by a common name, we have also formed Trilux Technologies Inc. who will assemble all the gun sights. This

company has obtained a license from the State of North Carolina for the assembly of gun sights (copy attached). Again we would ask that the above license be amended to reflect the change. Also the Registry of Radioactive Sealed Sources and Devices document (No. NR-0585-D-104 E)- should be amended to show the Manufacturer / Distributor to be Trilux Technologies Inc.

             - located at: 3900-C West Point Blvd., W'mston Salem,- NC 27103.

All other details of the license conditions remain unchanged. {

                                                                                                        '\

Should you have any questions regarding the above then please do not hesitate to contact me. Sincerely, a 1 gl$& ff Brian G. Pullen President

             - encs.

DIVISION CF RADIATION PROTCCTION N.C. DZPAR'IMENT OF ENVIRONNENT, HEALTH, AND NATURAL RESOURCC5

                                                                  ,            . RADIOACTIVE MATRRIALS LICENSE Purcuant to North Carolina Regulations for Protection Against Radiation and in reliance on Ct0tements and representations heretofore made by the licensee, a license is hereby issued cuth: rising the licensee to receive, acquire, own, possess, transfer and import radioactive matcrials listed belows and use such radioactive material for the purpose (s) and at the piccO (s) designated below. This License is subject to all applicable rules and regulations of the North Carolina Department of Environment. Health, and Natural Resources now or hirCOfter in effect and to any conditions specified below.

Licensce

1. Names Trilux Technologies, Inc. 3. License No.: 034-1066-1 2c. Mailing P.O. Box 24600 Address: Winston-Salem, NC 27114 4. Erpiration Dates April 30, 2002
b. Physical 3900 West Point Boulevard-Suite C Address: Winston-Salem, NC 27103
5. New License
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. Hydrogen-3 A. Glass Capsule A. 1000 curies total (no single Type MH source to exceed 50 l mil 11 curies)

9. Authorized Use:

1 A. Licensee is, authorized to use the sources in the manufacturing of illuminated sight assemblies. The licensee shall manufacture the devices in accordance with statements and representations accepted by the Nuclear Regulatory Commission in support of the issuance of Sealed Sources and Device Registration No. NR-0585-D-104E. l Conditions

10. The authorized place of use is the licensee's address stated in Item 2b. above.
11. The licensee shall comply with the provisions of 15A NCAC 11 .1600, " Standards for Protection Against Radiation," and 15A NCAC 11 .1000, " Notices, Instructions, Reports and Inspections." (The North Carolina Regulations for Protection Against Radiation are contained in 15A NCAC 11.)

12A. Radioactive material shall be used under the supervision of Brian G. Pullen as Radiation Safety officer. All users of radioactive material must have read the Radiation Safety Manual and completed the quiz as outlined in the licensee's application dated April 7, 1997, and in accordance with 15A NCAC 11 .1003. B. The Radiation Safety Officer for the activities authorized by this license shall be Brian G. Pullen. C. The licensee shall provide a consultant service to the facility through someone who is registered with the North Carolina Division of Radiation Protection to perform services specified in the application dated April 7, 1997

13. The licensee 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."
14. The licensee is authorized to transfer tritium waste generated by licensed activities to SRB Technologies, Canada Inc., for reclamation in accordance with procedures outlined in the application dated April 7, 1997, signed by Brian G. Pullen, President.
15. Bioassays shall be dove in accordance with Enclosure 11, procedures and frequency as outlined in the application dated April 7, 1997.

N.C. DZPAR11 TENT CF ENVIRONMENT, NEALTH, AND NATURAL C~ SOURCES

                                    .                            kADI0 ACTIVE MATERIALS LICENS3               Lic:n3o Na. 034-0534-1 supplementary sheet Conditions (continued):
16. The licensee shall annually review its Radiation Protection Program for content end implementation (Ref. 15A NCAC 11 .1603(c)]. Documentation of the Radiation Protection program reviews shall be retained for inspection by the agency (Ref. 15A NCAC 11 .1636).
17. The licensee shall-institute the provisions of 15A NCAC 11 .1610 when an occupationally.

exposed woman voluntarily informs her supervisor, in writing, of her pregnancy and the estimated date of conception.

18. The licensee shall ensure that no individual " member of the public" [

Reference:

15A NCAC 11 .0104(64)) receives a radiation dose in excess of the limits specified in 15A NCAC 11

                                  .1621(a) while conducting licensed operations.
19. 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 April 7, 1997; and, letter with attachments dated April 11, 1997, all signed by Brian G. Pullen, President. O A-s Dato of Issuance: Anril 15. 1997 ----.- .-,..r- - or - R.M. Fry Actin ( Director Division of Radiation Protection (Rav. 04/97)

e E SRB Technologies Inc. ' R O Box 25267 Wmton Salem, NC 2711452C7 Tkl (0f0) 659 2610 rn wr0) ree rm July 9,1997 Mr. Tony Kirkwood Mail Stop T8F5 U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Ref: License No. 32-23774-02E

Dear Mr. Kirkwood:

With reference to my letter dated April 30, 1997 and our subsequent telephone conversations, I would confirm the following: Firstly, my previous request for amendment shows the new licensee to be Trilux Sights Inc., on reflection and per our discussions, the transferee should read Trilux Technologies Inc. Most of the questions raised in your fax (entitled: information needed for change of ownership application) are not applicable as ownership and control has not changed. SRB Techologies Inc. shall continue to operate under their existing State General and specific licenses. Taking each point as listed in your fax:

1. The name and address of the new licensed organization is Trilux Technologies Inc.

Mailin3 address: P.O. Box 24608 Winston Salem, NC 27114 Physical address: 3900-C West Point Boulevard Winston-Salem, NC 27103 i,w W v h 2_ ~ M ' " * ~a h N:TI 26s 6 Inf N TJ

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2. The new licensee contact name is unchanged;- Brian G. Pullen . Telephone No. is (910) 659 9438.
3. There are no changes in personnel having control over the licensed actisities.

4; The transferor is remaining in a licensed business covered by existing North Carolina licenses.

5. Not applicable.
6. There are no planned changes in operating or emergency procedures. The changes in location, facility, etc. are covered in my letter of April 30,1997 and have been approved by North Carolina State, Division of Radiation Protection.
7. There are no changes in the use of the licensed material. Changes in location, storage, possession are covered in my April 30* letter and the previously submitted copy of the new North Carolina license.
8. Not applicable.
9. All records etc. are current.
10. Not applicable.

I 1. Not applicable.

12. Not applicable.
13. Not applicable.
14. Not applicable.
15. The transferee commits to abide by all constraints, conditions, representations and commitments identified in the existing license I hope the above answers any questions you may have regarding the license amendment, please contact me should you require any additional information.

Sincerely,

                                     /r Brian G. Pullen President S.O 'd      8C:II     26, 6 1%.                 02i2-892-016:x0                            ,

SRB Technologies, .c. R o. Box 2s2b? Winston Salem, NC 2711&s267 Tel (C10) 659-2610 FAX:(910) 768 7720 October '18,1994 Dr. Josephine Piconne- M/S T8FS U.S Nuclear Regulatory Commission Division ofIndustrial and Medical Nuclear Safety, NMSS Washington, DC 20555

Dear Dr. Piconne:

Further to my previous discussions and instructions from Mr. John Libinski, please fmd enclosed application for the distribution of exempt products (gun sights). A check for the appropriate application fee is also included (Section 3, category H, l Byproduct material - $2,400 and Section 9, category A, Device, product, or sealed source f safety evaluation - $3,700). You will note that the name of the licensee is SRB Technologies Inc. who will act as the i marketing / distributing company. The assembly of the sights will be performed by Saunders-Roe Displays Inc. who is an affiliated company and will act as a sub-contractor. Saunders-Roe Displays currently holds a Specific License (# 034-0534-1). As previously agreed and advised by Mr. Libinski, those sights which have been subjected to the testing as outlined in the NRC document, " Standard requirements for tritium illuminated gun sights containing gas sealed in glass vials", are the sights which are the

                                     " worst case" from a design point of siew, i.e. those sights with the minimum amount of protection such as wall thickness of the housing and most vulnerable to breakage when exposed to use on a weapon. All the sights referenced in the application use similar design and assembly methods to those subjected to the tests. The test sights included both the
                                    " Dot" and "Line" method ofinstallation. As the samples submitted for testing passed the qualification, the balance of sights can also be deemed to have passed and therefore                        i included in this license per the above referenced NRC document.

With regard to the weapon on which the firing tests have been performed, the weapon used was an M14. This weapon was chosen for the tesiing, as the M14 would subject the i'-. .' '

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f~ ' ' 03 y g sights to the most rigorous forces and would certainly far exceed the conditions that of the sights shown in the application would normally be exposed to. The results of the tests are attached. We hope the attached information is sullicient to grant the license, should you require additional information, then please give me a call: In order for me to plan a product launch, I would ask that you confirm to me the approximate length of time required b your office to process this application. Sincerely,

    #c.    -r ff Brian O. Pullen President c c. Mr. S. llaggett encs.

l l l l l l l l .. .

                                                     . U.8, NUCLEAR REGULATORY COMMISSION NRj FORM an                             ,

ggy g , g4 A pgg UCENSE FEE AND DEST CO L CTION sRANCH DivislON OF ACCOUNTING AND FINANCE

                                  - LICENSE FEE REQUIREMENTS                                                OFFICE OF THE CONTROLLER U.S. NUCLEAR REGULATORY COMMIS$10N WASHINGTON, DC 20666 0001 301 -l/ /T-lof d TYPE OF ACTION NEW LICENSE RENEWAL OF LICENSE SRB Technologies,Inc.

ATTN; Mr. Brian G. Pullen  % AMENDMENT TO LICENSE President REOUESTED DATE P.O. Box 25267 03097 Winston Salem, NC 27114 5267 LICENSE NUMBER 32 23774-02E CONTROL NUMBER 021901

1. APPLICATION FEE DUE _

li. FEE NOT REQUIRED Your request for a licensing action is subject to the fee (s)in the category (es) noted below in accordance with Section 170.31 of the E'nclosed is Check No which accompanied your enclosed Federal Register notice Payment of the fee 6s required prior to request The fee is not required because: the Osuance of the l# cense, renewal, or amendment. We received your Check d% APPLICATION RENEWAL AMENDMENT No in payment of 3H 's s  : 1,000.00 the tee. 6 8 8 s~ s s The Licensing staff has informed us that your request is to be g' -

                                       -g                    g                                    considered as a continuation of your request dated 8                           8                   8
                                                                                                                        . Control No.

5 ,S ,8 I ,I I Your request was combined, prior to revew, with your I I request, Control 3 8 $ No S S 8 111. CHECK RETURNED F2E(s) DUE s 1,000.00 PAYMENT RECEIVED 8 0.00 " " by ba k

;                              AMOUNT DUE                    8            1,000.00 INSUFFICIENT FUNDS li       ..Your ret.est was received without the prescribed apphcation tee.                                                                                   ACCOUNT CLOSED
         . We received your Check                                                                  OTHER No                                             in the amount of Payment of the additional fee noted

_ ;above is required.

      ~ Your request willincrease the scope of your heense program.                MAIL THE REPLACEMENT CHECK TO THE ADDRESS LISTED AT THE i.*         Therefore, your request is subsect to the application fee (s) noted     TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL NUMBER.

_ above Refer to Section 170 31 and Footnote 1(d)(2). IV. LICENSE ISSUED WITHOUT THE REQUIRED FEE Your license expired pnot to the receipt of your application for License , Amendment renewal. Therefore, your request is subject to the apphcation fee (s) No. No. , issued on

noted above. Refer to Section 170 31 and Footnote 1(a).

was issued without the required fee heing 4-

  '                                          g                                           collected The fee required is noted in Section I of this

~ MAKE PAYMENT OF THE FEE (S)TO Tile U S NUCLEAR Nscope of your heensed program was increased Therefore, your REGULATORY COMMISSION AND Mall THE PAYMENT TO THE request is subject to the application fee (s) noted en Section 1 of this ADDRESS LISTED AT THE TOP OF THIS FORM lF WE DO NOT form Refer to Section 170 31 and Footnote 1(d)(2).

 -I RECElVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM
 ~

i THE DATE LISTED DELOW. WE SHALL ASSUME THAT YOU DO NOT WISH TO PURSUE YOUR APPLICATION AND WILL VOID THIS Because of the urgency of your request, the hcense was issued ACTION *ithout remittance of tna presenbed fee noted in Section 1 of this form. SIGNATURE-LICENSE f EL ANALYST LFDCB LFDCB Oistnbution: DATE

                                                        *g                         eef e n           44 5 F       (rJ 3.2 7)

Sandra Kimberley 5/6/97 c'We uo no st'* eeNe oe-aeW4WC -a* V loff f. Neciow sn o w mi emn reom,uc,, me.or u. r...e, nc

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                                                                                    /}}fAh?A&S fM74L 26 br/MPfD of fTC//ED l                CR P/9a P4NMD.

REMOVE ALL SHARP EDGES 0.6 RAD mad. A N OVED TOLERANCES UNLege I. MATERIAL OTHER'l'iti utA;tti dim. .XX i .!O DATE DIM. E i .3 OtM. x. 1 ANDOrJR CHECKED DlMS IN])h.tn PRSIECYlVE FINISH b f/fe/ 6 - 8.'8 SCALE g gpg - g,/ SURF. TEXT. iss. DATE CH. Nott NO. SiONED DATE _ _ _ ,

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