ML20151Z170

Matls Licensing Package for Amend 5 to License 50-21374-01 for Mclane Testing.Control:466856

ML20151Z170
Person / Time
Site:	03020575
Issue date:	08/19/1998
From:	Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
References
466856, 50-21374-01, 50-21374-1, NUDOCS 9809210182
Download: ML20151Z170 (52)

See also: IR 05000213/1974001

Text

{{#Wiki_filter:- -. .. _. = - ~--- -- _ ,. - NRC FORM 374 PAGE 1 oF 4 PAGEs U.s. NUCLEAR REIULAToRY Co Mission Amendment No. 5 t . MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, ! Code of Federal Regulations, Chapter 1, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below. Licensee In accordance with application dated July 13,1998 ' 1. McLane Testing 3. License number 50-21374-01 is amended 7,, [i E 16its entirety to read as follows: 2. P.O. Box 468 M, " 4. Expiration date September 30,2003 Soldotna, AK 99669 f[ 5. Docket No. 030-20575 Reference No. O '" 6. Byproduct, source, and/or speciald ,J. Chemicaland/orphysicalform id , -.,8. N x! mum amount that licensee may nuclear material 4f \\q y possess at any one time under this ' , (,.h , j% (,. t pg - -) license , " gi , A. Cesium-137 '~I, A. Sealed sources (Troxler; A. r Not to exceed 10 millicuries , i- D L Dwg. AC102112)3. 7per source ' g ,4 iwcWG c. L B. Americium-241 hE[(Tro,xlerDwg. A-102451)[J W B. Sealed neutron sources: , B.gNot to exceed 50 millicuries gper source (3

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C. Americium-241 O, 'g UC? Sealed neutron sources C.D ot to exceed 110 millicuries i N % 'i[(Troxle7DwglNo."Ap3 ' (f[ persource 4, 100608)lf Df

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7 % .A ,y D. Cesium-137 / D. Sealed sources i D. Not to exceed 10 millicuries (Amersham Model ' per source 2 ~ CDCW556 or Isotope Products Model No. HEG- 0057) E. Americium-241 E. Sealed neutron sources E. Not to exceed 50 millicuries (Amersham Model No. per source AMNV.997 or Isotope Products Laboratories Model No. HEG-0058) F. Cesium-137 F. Sealed sources F. Not to exceed 10 millicuries (Amersham Model No. per source ' CDCW556 or Isotope f O[ Products Laboratories ! Model HEG-137-8M) / , G. Cesium-137 G. Sealed sources G. Not to exceed 10 millicuries (Amersham Model No, per source V 9,3 CDC W556) - ML40 . , ,4

9809210182 980819 PDR ADOCK 03020575 C PM , OmCIAL RECORD COPY

I. l l NRC Fo.'tM 374A u.s. NUCLEAR F EGuLAToRY Commission PAGE 2 of 4 PAGES License Number 50-21374-01 MATERIALS 1.lCENSE Docket or Reference Numt,er SUPPLEMENTARY SHEET 030-20575 Amendment No. 5 I , ' 9. Authorized use A. and B. For use in Troxler Model 3411B portable moisture-density gauges to measure properties of construction materials. l C. For use in Troxler Model 3241-C gauges to measure asphalt content of construction materials. l ggt. e..

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it , D. and E. For use in Troxler Model.3400 Series portable gaudes to measure properties of construction materials. y" js 'i e O F. For use in Troxler Model 4640 or 4640B portable gauges to measure properties of construction materials. ) 'N , i,. e , A m E and G. For use in Troxler Model 3450 portable gauges to measure properties of construction materials. /% yg V n - 9 L -( , CONDITIONS) -- f Jy - { % > ,v 10. Licensed material may be used at t$e licehsees( fNil'ities at Mile Point 3 w north of Soldotna, Alaskin, and at tehiporary job sites of the licensee anywhere in the United States where the U. S. Nuclear Regulatory Commission maintains jurisdiction for r'egulating the use of licensed ' material, including areas of. excitisive fe'deral }urisdictioil within Agreement States. If KQ4MQ,9$%@ Q) lf the jurisdiction status of!a federal facility.within,an Agreeme,nt State is unknown, the licensee sho contact the federal agency co, ntrolling the job site in, question to determine whether the proposed job site is an area of exclusive federaljurisdiction. Authorization for use of fadioactive materials at job sites in ' Agreement States not under exclusive'federaljurisdiction shall be obtained from the appropriate state , regulatory agency. ' ' ~ " ' - 11. A. Licensed material shall only be used by, or under the supervision and in the physical presence of, S. A. McLane, or individuals who have received the training described in the application dated July 13,1998. B. The Radiation Safety Officer (RSO) for this license is S. A. McLane. 12. Sealed sources or source rods containing licensed material shall not be opened or sources removed or detached from source rods or gauges by the licensee, except as specifically authorized.

_ _ - _ _ _ __ ~ _ -__ _ __ _ ___ _ I .. ! - , NRC FORM 374A U.s. NUCLEAR RE2ULAToRY Commission PAGE 3 of 4 PAGEs ! Ucense Number 50-21374-01 MATERIALS LICENSE oocket r Reference Number SUPPLEMENTARY SHEET 030-20575 l Amendment No. 5 L i 13. A. Sealed sources shall be tested for leakage and/or contamination at intervals not to exceed the l intervals specified in the certificate of registration issued by NRC under 10 CFR 32.210 or by an , ' 4p Agreement State. ' B. In the absence of a certificate from a transferor indicating that a leak test had been made within the intervals specified in the certificate of registration issued by NRC under 10 CFR 32.210 or by an Agreement State prior to the transfer, a sealed source or detector cell received from another person shall not be put into use until tested H ' ~Mr e 9' _ ' __ -. C. Sealed sources need not Oe't$ste#if they are in storage and'not being used. However, when they are removed from storage for use or transferred to another person, and have not been tested within the required leak test interval, they shall be tested before use or transfer. No sealed source shall be stored for a period of more than 10 years without being tested for leakage and/or contamination. w y\\ . , D. The leak test shall be capable of de'ecting the p.resence of 0.005 microcurie of radioactive material on the test sample.iflf the testieveals the presence of 0.005 microcurie or more of removable ^ contamination, a report shall be filed with the U.S. Nuclear Regulatory Commission in accordance with 10 CFR 30.50 (b)(2), and the source shall be removed immediately from service and ' decontaminated, repaired, or disposed 'of in accordance.with Commission regulations. The report shall be filed within 5 days'of the date the leak test result is knosn with the U. S. Nuclear Regulatory Commission, Region IV, Division'of Nuclear Materials Safety,' 611 Ryan Plaza Drive, Suite 400, Arlington, Texas 76011-8064?The report shall specify the source involved, the test results, and i corrective action taken.g'W T'Q ,%l@g r.N ~ w _. %p i v s E. Tests for leakage and/or contamination shall be performed by persons specifically licensed by the Commission or an Agreement Stated,s perform such services. In addition, the licensee is authorized to collect leak test samples but not perform the analysis, analysis of leak test samples must be performed by persons specifically licensed by the Commission or an Agreement State to perform such services. 14. The licensee shall conduct a physical inventory every six (6) months, or at other interval appro ved by NRC, to account for all sources and/or devices received and possessed under the license. 15. The licensee is authorized to transport licensed material only in accordance with the provisions of 10 CFR Part 71," Packaging and Transportation of Radioactive Material". 16. Each portable gauge shall have a lock or outer locked container designed to prevent unauthorized or accidental removal of the sealed source from its shielded position. The gauge or its container must be locked when in transport, storage, or when not under the direct surveillance of an authorized user. i

17. Except for maintaining labeling as required by 10 CFR Part 20 or 71, the licensee shall obtain ~ authorization from NRC before making any changes in the sealed source, device, or source-device combination that would alter the description or specifications as indicated in the respective Certificates of Registration issued either by the Commission pursuant to 10 CFR 32.210 or by an Agreement State. ,

__ _ _ . _ _ _ ___ _ . _ ___ _ . __ < NRC FORM 374A u.s. NUCLEAR REluLAToRY CoMZ1ssioN PAGE 4 of 4 PAGEs License Number 50-21374-01 MATERIALS LICENSE Docket or Reference Number SUPPLEMENTARY SHEET 030-20575 Amendment No. 5 18. Any cleaning, maintenance, or repair of the gauges that requires detaching the source or source rod from the gauge shal.' be performed only by the manufacturer or other persons specifically license by the Commission or an Agreement State to perform such services. 19. A. If the licensee uses unshielded sealed sources extended more that 3 feet below t'he surface, the licensee shall use surface casing that extends from the lowest depth to 12 inches above the surface , and other appropriate procedures to reduce the probability of the source or probe becoming lodged below the surface. If it is not feasible to extend the casing 12 inches above the surface, the licensee shallimplement procedures to ensu' re that the cased hole is f ee of obstruction before making , measurements. N

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& ( B. If a sealed source or.a probe containing sealed sources becomes' lodged below the surface and it becomes apparent that efforts to recover the seaied source or probe may not be successful, the licensee shall notify the U.S. Nuclear Regulatory Commission and submit the report required by 10 CFR 30.50(b)(2) and (c). the licens'ee shall not abandon the sealed source or probe without obtaining the Commission's prior written consent. f '{ ~ L k !! i. $ 0 .7 20. In addition to the possession limits in item 8, the~ licensee shall further restrict the possession of licensed material to quantities below the rninimum limit specified in 10 CFR 30.35(d) for establishing decommissioning financial assurance.yf g! i ,c' - l/ , ' C 3 C S- u d TV r,q , 21. Except as specifically prMided otherwise in this licenselthe licensee shall honduct its program in j accordance with the statements, representations', and_ procedures contained in the documents including any enclosures, listed below.;The Nuclear Regulatory Commission's' regulations shall govern unless the . statements, representations and procedures in the licensee's appliciation and correspondence are more restrictive than the regulations. -. A. Application dated May 27,1993 B. Application dated July 13,1998 FOR THE U.S. NUCLEAR REGULATORY COMMISSION D:te By b6

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, Materials f anch j Region IV, WCFO Walnut Creek, California 94506 !

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NUCLEAR REGULATORY COMMISSION 9 UNTTED STATES

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,,* 1450 MARIA LANE WALNUT CREEK, CALIFORNIA'9NN c August 11,1998 - ) l McLane Testing ! , ATTN: S.A. McLane Radiation Safety Officer i 1 P.O. Box 468 - Soldotna, AK 99669 SUBJECT: LICENSE AMENDMENT i Please find enclosed License No. 50-21374-01. You .should review this license carefully and be sure that you understand all conditions. Please note that as part of this amendment, in accordance with 10 CFR 30.36, effective February 15,1996, the expiration date of your license has been extended by a period of five years. Your new expiration date is stated in item 4 of the license. If you have any questions, you may contact the reviewer who signed your license at (925) 975-0250. ' Our review of the information supplied by McLane Testing indicates that the transfer of control of licensed activities described is in accordance with the Atomic Energy Act of 1954 (68 Stat. 919), including any amendments thereto. We hereby give NRC's consent to same pursuant to i 10 CFR 30.34(b). ' You should note that License Condition 20. has been added to your license relative to the maximum amount of material you may possess under the license. This licensing action was necessary to preclude you from exceeding possession limits of materials requiring that { decommissioning financial assurance be provided. Should you determine that you require possession of materialin excess of 10 CFR 30.35(d). amounts, please notify us regarding an i amendment to your license. The NRC is required to have your Taxpayer identification Number in order to make payments i (refunds). The self-addressed, stamped NRC Form 531, " Request for Taxpayer identification Number"is enclosed. NRC expects licensees to conduct their programs with meticulous attention to detail and a high standard of compliance. Because of the serious consequences to employees and the public which can result from failure to comply with NRC requirements, you must conduct your program involving radioactive materials in accordance with the conditions of your NRC license, representations made in your license application, and NRC regulations. In particular, note that you must: 1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and i Reports to Workers: Inspection and investigations," 10 CFR Part 20, " Standards for Protection Against Radiation," and other applicable regulations. ! 2. Possess radioactive material only in the quantity and form indicated in your license. i ' > !

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, 1 ! McLane Testing -2- 3. Use radioactive material only for the purpose (s) indicated in your license. 4. Notify NRC in writing of any change in mailing address (no fee required if the location of radioactive material remains the same). 5. Request and obtain written NRC consent before transferring your license or any right thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of control of your license to any person or entity. A transfer of control of your license includes not only a total change of ownership, but also a change in the controlling interest in your company whether it is a corporation, partnership, or other entity. In addition, appropriate license amendinents must be requested and obtained for any other planned changes in your facility or program that are contrary to your license or contrary to representations made in your license application, as well as supplemental correspondence thereto, which are incorporated into your license. A license fee may be charged for the amendments if you are not in a fee-exempt category. 6. Maintain in a single document decommissioning records that have been certified for completeness and accuracy listing all the following items applicable to the license: Onsite areas designated or formerly designated as restricted areas as defined in

10 CFR 20.3(a)(14) or 20.1003. Onsite areas, other than restricted areas, where radioactive materials in - quantities greater than amounts listed in Appendix C to 10 CFR 20.1001-20.2401 have been used, possessed, or stored. Onsite areas, other than restricted areas, where spills or other unusual - occurrences involving the spread of contamination in and around the facility, equipment, or site have occurred that required reporting pursuant to 10 CFR 30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures have removed the contamination. Specific locations and radionuclide contents of previous and current burial areas - within the site, excluding radioactive material with half-lives of 10 days or less, depleted uranium used only for shielding or as penetrators in unused munitions, or sealed sources authorized for use at temporary job sites. Location and description of all contaminated equipment involved in licensed - operations that is to remain onsite after license termination. 7. Submit a complete renewal application with proper fee, or termination request at least 30 days before the expiration date on your license. You will receive a reminder notice approximately 90 days before the expiration date. Possession of radioactive material l after your license expires is a violation of NRC regulations. l l 8. Request termination of your license if you plan to permanently discontinue activities ' involving radioactive material. l l

r . 3 . . . .b , McLane Testing ' -3- l l You will be periodically inspected by NRC. Failure to conduct your program in accordance with NRC regulations, license conditions, and representations made in your license application and l supplemental correspondence with NRC will result in enforcement action against you. This

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could include issuance of a notice of violation; imposition of a civil penalty; or an order suspending, modifying, or revoking your license as specified in the " General Statement of Policy and Procedure for NRC Enforcement Actions"(Enforcement Policy), NUREG 1600. Thank you for your cooperation. Sincerely, 8e5 O. frwx. Beth A. Prange d Sr. Healih Physicist (Licensing) Materials Branch Docket: 030-20575 . License: 50-21374-01 Control: . 466856 Enclosures: As stated cc: State of AK ! , l

~. , .4 ,. l i p McLane Testing . 4 J s , i: bcC- . LFARB, T-9, E-10 l' Files (2) . j 1 \\ ' ) I ,.- l ' !: 4 1 ) . 1 I DOCUMENT NAME: G:\\BETH\\MCTEST To receive copy of document. Indicate in box: "C" = Copy without enclosures ' "E" = Copy with enclosures "N" = No copy ' 'RIV:MB - M BPrange' N9 T / fl/98' OFFICIAL RECORD COPY I - . , , . , - ,

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., . im not e.rg. pee to reservie e, e o.a.seen er seym.mn ,e e en, y. e 84ef*8'WF 5=As Chal mewel n.ed.e, SEE THE APPROPRIATE UCENSE APPUCATION cutDE FOR DETAfLED INSTRUCTIONS FOR COMPLETING AP INSTRUCTIONS: SEND TWO CCPIES OF THE ENT1ME CCMPLETED APPUCATION TO THE NRC OmCE SPECtFIED PELOW. en7tys AnaLoCArrose APPucanoes ren mismavm= re exrwPT Paocuevs rika Arvle.Avrpe'r v4 Tie M cr ps0VflTWtAL ANN MFCE"AL Mut"LFAA SArTTY a toeneg, ptDIANA KFurA IICMraAlu, penseryffA, gnsAcurt,0*e4, OR % crPCE CF mr.; LEAN esAff'PtALS 5ArETY ANC SAPPQUARDS gggg gpygggygygg 997 tit MUCLE Am P93ULATCorf Cohnes9u>e MATWRIALS LE"f94?NNG !FL" TION WASHINGTCre.OC *t'WIDt UJL Pe rJf.A4 msCULATORT Conahaassa,( Rego, a ALL OfwtDt Pr7PSCWS FILE APPLCAftONS A$ P8%1 cwt' eni W RO ~ LISL4E N385G1 F 700 AM LOCAftD WE ALA8FA APT'r*8A A8tKA889AS. 68UPtmeA CMeary's, patract icawi, prAK4afL enMeetCTICUT.DFLAWApfL Dr9?Pr'T CP COWW9tA Wam'. m4RTtAssth MIDMAN4 MNTAalA PUFYt#AR.4 PWYaDep pyygg gamme DAFOfA, enAssAewu91!TTS, NPW 'tAsarma**_188W ,FEH*T. pet'W YORK PtwasYLVAN!A, C#rtAr*'M*A OPPM PAdet TeuvT TPitr'rTWtrM entnN pAertlrfa TPy A4, VTast, RftCOE t5LAtse, OR VFFeemeff, $$NO APPLEATR'fMS 10: WA8Hprtitput,tw WY0eemse, goe0 AFTU*ATenesitR LeCWN*NO A$9MTANT Sur"DCoe parigAR asATUrse 91ICEN9stt SCCY'pt NUGLEAR MAT **MS 'tAPY'Y pnAFO4 111 pay 2fAR REra a ATosty CDsemaS9 son, peeries fir ttS. M CLEAM RFSJLA708Pr PDea$$Ot PEMP6t e11 PrAN PJZADPrvs, pfir 00 a i 45 ALLPICALE FW*AO AmuMcTres,n Frunisum @*1CF PRussA,PA tseomtais ALA sAsaA FLneteA. 0ttt"HaJtA, WFNTUCK'Y, pat ****'"'9.P*tm CA'eLMA PurRTO Rst"s, poime can6L! tea. TENW3Mgg, V3tQrNIA, ytpOpl ISLANDS, OR WETT WIRf8MBA. y, SPieO APPUCAftoms 70: ' NUCLEAR MATEnsALS ticrmspa's sot'!v'oe i i U.S NurJ-am Re3t R.ATORY Cx'isoecrm RescN g ,, tot nap'8'TA SW' PPT PfW. 3UffE2p50 ATLArtfA,0A 3tn2'Mvtein j PPP90ert t DcATT5 M moppi"mtwf STAft1 arHD AP*t EAT 10m9 TO THE U JL Mut" LEAR Pev3VLATORY COMMtSWON ONLY F TNFT ws9N TO PotSE eaATTutAL $4 STATT% SU1Ml!f*T TO U RJeuCLfAR PFdfULA* fry COA 8 tiff 9088 JU*HSDICTIONS 2 - ne -,c Aom or AP teuer : 2 ., , 5. mio,. AP.ueAno rnioc, ,, - A. NEW LEEPEMS McLane Testing 50-2137b ol ] P.O. Box 468 a A.,P,eue,rtetx:eMis NUuw "c Reewei.or ucsNss NuuecR Solderna, AK 99669 4 Maeer--.w as cuencTs, Aeriurn s a acensssmwee ucean uaTimAL wu en usen en rossessco " " " ' " Mcl,ane Testing and temporary jobsites Mile 3.5 Kenai Spur Hwv. anywhere in the United States S.A. McLane Soldotna, AK 99669 where NRC maintains jurisd . a,,,,,,,,,, " iction. 907 78L1218 susaarr fnrMs s Twnov2w it eN a 92x 5 r PAret ocTyre Ano un eP prerUmeN Te as mm s -- m nc UCFN$E ArPEATON 0utt a PunPoscatum wNeN LecNren wuaAt wtL ss u,o stAorJAc7vP.M*TURAL m vem: e e n= ,=n anit g ame easm wea be . " er w.y ye one 7. PIDP/fiUAL(S) PE98"Pf5rk,E PQR RADA7DN $AfPTT Pitcc4Ae8 A*e3 TMtR TPA mo w 2 2. SS- RAf1taTON SAFffY Pr8CDUtM. 3 FACIL/"'ES Aaec tryffr' ear 7tf. T1 Ln.rW WES (9 90 Gr# f 70 sad A=sme 17tLPs l Atm nptr a 350.00 ,.anen , it. WAS'Ta MAasAGEM9NT rre cAfrcoPy w j ta curvwm <na,.e c=== or.c,*-o n* AnvCar varmfaucs rNAT Ait sTowe<Ts no PowofrArrass =A* av nas AP'a cAteN APr pratws 1 ureMme APaucuer. THE Af'r'UCAttr Are AFrr errcALtvrctfNst Tief Cfir'1rtCAfinN Cre (WHALf CrTHE APPUCAPdT.MAMPT N Pf'W 2, f97'*1rY THAf De$ AP ~ rpqrwnymygggg coa,M**fTY Yvmt !!TLE 9C, CODE OF,*PWfMAL Pr0'JPJTK3 Pts, PARTS 3rL 32. 33,34,3'k 3sl 30 Of*8Fe:TTotwe =stertNP=rn rme A e earr. frATere TO WAPNPert is U.S c. SPCn0N 10tM ACT CrJUNC 2't toss er f7AT. fee asAPTB ff A.CnpameAt os FPMSE TD WAFE A wt,LPULLY TAL!IF STAT ANT CV"'*ArtTastWT det Actme"? CPr NE UPcTt0 fr"ATES As TU Aper MATT'Tt Wme e fr9 JUP'wuC 7X DATE ['/Mct /Nu/o #% SGNA cg't*1rv1 peg CFNCER - i - CTD NAvr AND TffLE \\/ / S. A. Metane / FOR MRC USE DNLY" - aacum =ww*s omexNU-scR mms T,,.r o, ,re m Lea crecA _ .

s < " Arenoveo o 1 P"*"llO ON RIV't'W P*f*PR NRC PQ8tM )t3 F AM) NURE - 1556 Vol.1 ' Page A-1 b ._ I l b 466856

C eww wNo FAX 110. 6109750381 P.05 'Mcu\\NE ~ - NRfM02 .TESTINO. 1. New Name of Licensed Organization: McLane Testing 2. Contact: S. A. Sam McLane P.O. Box 468 Soldotna, AK 99669 . Tel: 907-283-4218 Fax: 907-283-3265 9 3. INDIVIDUAL (S) RESPONSIDLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE- RADIATION SAFETY OFFICER S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has successfully completed one of the coursos described in the Criteria in the section entitled " Individual (s) Responsible for Radiation safety Program and 'iheir Training and Experience - Radiation Safety Officer" in NUREG-1556, Vol.1 dated May 1997. Before being named as RSO, future RSOs with have successfully completed one of the training courses described in the Criteria in the section entitled " Individual (s) Responsible for Radiation safety Program and Their Training and Experience - Radiation Safety Officerin NUREG-1556, Vol.1 dated May 1997. Further amend license by removing Lawrence B. Johnson. Mr. Johnson is no longer with McLane Testing. TRAINING FOR INDIVIDUALS WORKING IN OR FREOUENTING RESTRICTED AREAS Before using licensed materials, authorized users will have successfully completed one of the training courses described in the Criteria in the section entitled ' Training for individuals Working in or Frequenting Restricted Areas"in NUREG-1556, Vol.1 dated May 1997. 4. Transferor Further Business The transferor, McLane and Associates will not remain in non-licensed business and will not apply for a license in the future. 5. Description of Transaction McLane and Associates is currently owned by a bankruptcy estate and will no longer be conducting business using gauges with licensed radioactivo source materials. Therefore M&A seeks to amend its NRC license to transfer ownership, control and responsibility of Troxler Model 3411B moisture density gauges (serial numbers: 9800,12192 & 13G50) and Troxler Model 3241 asphalt content gauge, serial no. 562 to McLane Testing. The transaction is a disposition of bankruptcy estate assets and liabilities. No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license amendment and transfer of ownership, control and responsibility. McLane Testing, a partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agmes to accept ownership, control and responsibility of the gauges and their seated sources. Page 2 of G

sui si ao i ro a . w ub Wuu HtX NU, bl09tbO381 P.06 'McLANE ' NRC9802 eTESTINGe 6. Operating and Emergency procedures We willimplement and maintain the operating end emergency procedures in Appendix 11 of NUREG 1556, Vol.1 dated May 1997, and provide procedures to all gauge users and at each job site. See additional safety information i ' attached. We will control and maintain constant surveillance over gauges that are not in storage and secure stored gauges from unauthorized removal or use. , 7. Changes in Use, Possession, Location and Storage No changes in location or facility are planned. McLane Testing will occupy the same physical space and facilities as the former owner, McLane and Associates. Equipment and i procedures are being upgraded. Additional gauges and their source materials are listed in the table under item 5 and G. As mentioned above. McLane Testing will and does occupy the former McLane and Associates facility at Mlle 3.5 Kenal Spur Highway. The licensed materials will continue to be stored and used in designated areas. 8. Changes Requiring Amendment Without Change of Ownership New gauges will probably be purchased and are listed in the table of Materials to be Possessed. 9. Surveillance items and Records All surveillance requirements and records for the licensed material are current and will be current at the time of the transfer. Gauges are currently in storage or use. Most recent tests were performed in 1998. Copies are attached. Inventory, utilization and storage logs are current. 10. Records Concerning Safe and Effective Decommissioning of the Facility All records concerning safe and effective decommissioning of the facility; public dose; and waste disposal will be transferred to the new licensee. 11. Status of the Facility The facility consists of a materials lab room with a short-term (ovemight) storage cabinet and a long-term storage facility consisting of a 40-ft. stationary van with locked storage cabinet. The facility is clean. Leak test records document absence of contamination. Decontamination is not expected to occur before transfer. McLane Testing, the successor company, agrees to assume fullliability for decontamination of the facility. Page 3 of 6

ut amo rru w 40 ntPwcFU fnX No. 5109750381 P.07 l . . ' ' McLANE -

• TEGTING e

NRC9802 We will develop, implement, and maintain gauge transfer and disposal procedures as part of our radiation safety program. i 12. Decontamination Plans The transferor, McLane and Associates,is transfening alllicensed source materlat and responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane Testing and all its partners, agree to accept the material and responsibility. 13. Transferee Confirmation The transferee, McLane Testing, agrees to abide by all commitments and representations i previously mado to NRC by the transferor. These include, but are not limited to: maintaining

decommissioning records required by 10 CFR 30.35(g); implementing decontamination activities and decommissioning of the site; and completing corrective actions for open

inspection items and enforcement actions. ~ The transferee, McLane Testing, accepts full liability conceming licensed, radioactive source materials for the site. No financial assuranco is required at this time due to the limited nature and amount of licensed source material. The transferee, McLane Testing, accepts full responsibility for open inspection items and/or ' any resulting enforcement actions. 14. Documentation of Agreement The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the change n ownership of the licensed material and activity, and the conditions of transfer; and the tr sferee is ade aware of all open inspection items and its responsibility for possible fore ner#f cjlffe f re 1 in i je- f % /]V4h 98 b .-senneth BattleyU.S Trusjeb' ' Date S. A. McLene Date / - RSO for McLane and Associates Case No(s). A 95%14 HA A 9e 00015 HA A 95~ 1 A 95-00017 HAR 0hi$ 0 i$ M W _ S. A.McLane Date ' S. A. McLane Date # Partner, McLane Testing RGO for McLane Testing Page 4 of 6

jUL-31-98FRJ12:48 118-14CF0 FAX N0. 51tni?50381 P 08

• .

. . McLANE 'RC9802 e TESTING * 15. Transferee Commitment. The transferee, McLane Testing, commits to abide by all constraints, conditions, requirements, representations, and commitments identified in the existing license. .. RADIATION SAFETY PROGRAM t Audit Program Not submitted with this application. Termination of Activities Not required with this application. However, when the license expires or at the time, the licensee (McLane Tosting) ceases opemtions, NRO Form 314 will be submitted. Survey instruments McLane Testing possesses and will use a Troxler radiation survey meter that meets the Criteria in the section entitled " Radiation Safety Program - Instnaments* In NUREG-1556, Vol.1 dated May 1997 in the event of an incident. Material Receipt and Accountability Physical lnventories will be conducted at intervals not to exceed 6 months, to account for all sealed sources and devices received and possessed under the license. Occupational Dosimetry We will maintain, for inspection by NRC, documentation of dosimetry processed and evaluated by an NVLAP-appro'ved processor that is exchanged at a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc. for dosimetry analysis. Public Dose We will ensure th .t licensed gauges will be used, transported and stored in such a way that members of the public will not receive more than 1 milleslevert (1 mSv)[100 millirem (100 mrar 1)) in any one year, and the dose in any restricted area will not exceedo.02 milleslevert (0.02 mSv){2 millirem (2 mrem)]in any one hour, from licensed operations. Leak Test Leak tests will be performed atintervals approved by the NRC or an Agreement State and specified in the Sealed Sourco anr! Device Registration Sheet. Leak tests will be performed by an organization authorized by NRC or an Agreement State to provide leak testing services for other licensees, using a leak test kit supe %d by by the organization. Currently, Troxler Electronic Laboratorios provides the wipe kits and does the analysis. McLane Testing does not intend to request authorization to perform Leak Testing Sample Analysis. Maintenance Routine Cleanino and Lubrication We willimplernent and maintain procedures for reutine maintenance of our gaugt s according to each manuf acture's recommendations and l ( instructions. I Page 5 of 6 r

JUI-31-98 FR1 12:49 NB-WCF0 FAX 110. 5109750381 P.09 . McLANE NRCP802 eTESTINO+ Non routine Maintenance We will send the gauge to the manufacturer or other person authorized by NRC or an Agreement State to perform non-routine maintenance or repair that require the removal of the sourco or source rod form the gauge. Transportation We will develop, implement and maintain safety programs for the public transport of radioactive mateiial to ensure compliance with DOT regulations. APPLICATION FOR AMENDMENT TO LICENSE No. 50-12374-01 CNANGE OF OWNERSHIP MATERIALS TO BE POSSESSED AND PROPOSED USES oTHERUb YES NO RADIOlSoTOPE MANUFACTURER / QUANTITY MOST MoDEL NO. COMMON NOT SPEcfFIED USE ON SSo CERTIFICATE X Am-241 Trevier 32414 Not to exceed Measure Not applicable Asphett content Gauge maximum Phyofcal actMty per Properties of source as Materials specified in Sealed soures and Devlee registration sheet X Am-241, cs 101 Troxior 3411.B Not to exceed Measure Not applicable Meisture Dens!!y Gauge maximum Pbvsleal actMty per Properties of source as Materials spedfied in Sealed source and Device registradon sheet X Am-241, Cs-137 T roxter 3440 Not to awcoed Measure Not apphcable Moisture Density Gauge merimum Physical actMty per Ptoperties of snuree as Materials specified in Sealed source and Device registration sheet X Co-137 Troter 4640 Not to exceed MeMure Not appikable Moisture Density Gauge marimum Physical actMty per Properties of source as Materials specifiedin Sealed source and Device reg 4tration sheet X Am-241. Cs.137 Troxler 3450 Not to exceed Measure Not applicable Moisture Density Gauge mnvimum Physical actMty per Properties of source as Materielt specified in Scaled source afv:f Devloe I registration , sheet _ l , Page 6 of 6

aut. y so rra ic. w nu-wutu 1.AX NO, 5109750381 P 10

.l ' '. 4 j i Traxl;r Elsett:nic LCborct: rho, Inc,

' 3008 Comwalrs nd., P.O. Pox 12057 Research Trianole Park, NC 27709 Tel: (919) 549-5661 Fax: (919) 549-o761 License: NC 032-01821 LEAK TEST CERTIFICATE ' . DEVICE: - Model: 3411 Serial No: 9800 Sample Date: _ d-3-ib SEALED SOURCES: INITIAL ACTIVITY CURrsENT ACTIVITY NUCLfDE SEfttAL NO. (MCI) (mel) CS-137 40 . 7152 B.3 6.0 AM-241:BE 46 . 1182 40.0 39.0 I LEAK TEST ANAL.YSIS The sample has been analyzed using a counting system capat)le of measuring bete, gamma, and alpha contamination. Dete,of last celibration: 12/15/97 ALPilA ITETA-GAMMA __ Conversion factor (epm /uCl) 4.60E + 05 7.43E + 05 _ 1 24 Background measurement (cpm) 22 1 Sample measurement (epm) __ < MDA < MDA Activity (uCl) Min. Detectable Activity (uCl) 7.fiE-06 1.0E45 This cortifies that the above leak test results are: [d Less than 0.005 uCi (185 Bq) O creater i .n o.00 i (les so) Measuremen' Date: 5/11/98 Certified by: W If M / " if greater then 0.005 uci (185 Bq): f ___ Date Person Notified __ Phone and/or Tax Rev. 4/97 k 466856

- ' - JUL-31-U5 1HI 12:43 TIB-WCFD FAX NO. 5109750381 P,11 Tr xter Electronic L boratori::s,Inc. - - i 3006 Comw:. lits Rd., P.O.Dox 12057

(,TROXLER R e.,e, u.. e.,x. ne ano, Tel: (919) 849-8661 Fax: (919) 549 0761 Lieense: NC 032 0182.I __ 1 LEAK TEST CERTIFICATE DEVICE: - Model: 3411 Serial No: 12192 Sample Date: _[. -/k- 71_ . SEALED SOURCES: INITIAL ACTIVITY CURRENT ACTIVITY NUCLIDE SERIAL NO. WCQ CS-137 50 . 22 7.3 5.5 AM.241:RE 47 . 7537 40.0 39.2 LEAK TEST ANALYSIS: The semple has been analyzed using a counting system capable of measuring bete, gamma, and alpha contamination. Date of last catibration: 1/14/97 ___ ALPHA BETA-GAMMA Conversion f actor (cpm /uci) 4.51 E + 05 7.45E + 05 0 24 R.ekground measurement (cpm) __ 0 25 Sampi, measurement (epm) < MD A <@ Activity tuCD Min. Detectable Activity (oCI) 7 DE 06 1.0E45 This certifies that the above leak test results are: @ Less then 0.005 uCl (200 Bqi O creater then o.cos ..c (200 so) Measurement Date: 5/21/97 Certified by: %1 /[A / if greater than 0.005 uCI : ! Date

Person Notified l _ and/or fax Phone _ flev, 4/97 I (

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JUL

T FK1 T6bU TIB-WUFU FAX 110. 5109750381 P.12 / . Troxler Electronic Laborat:rles, Inc. 3006 Comwaths Rd., P.O.Rox 12057 h Research Triangle Park, NC 27709 Tel: (919) 549-8661 Fac (919) 5494761 ' Ucense: NO 032 01821 LEAK TEST CERTIFICATE l ' i ) , DEVICE: /.2-[~ 7 7 Model: 3411 Serial No: 13650 Sample Date: 6EALED SOURCES: INITIAL ACTIVITY CURMffT ACTTVITY NUCLIDE SFRIAL NO. CS 137 50 . 2413 8.0 6.1 j AM-241:BE 47 . 8967 40.0 39,3 l , LEAK TEST ANALYSIS: l The sample ben been analyzed using a counting system capable of measuring bete, gamma, and alpha contamination. Date of last calibration: 6/18/97 ALPHA RETA. GAMMA Conwrsion factor (epm /uCO 4.6SE + 0S 7.44 E +05 ._ Background measurement (com) 0 27 __ 1 19 Sample measurement (cpm} < MDA < MDA Activity (uC)) Min. Detectable Aetfvity (u01) 5.8E-06 1.1 E-05 This certifies that the above feak test results are: @ Less then 0.005 uCi (200 Bq) O creater an o.cos oci 1200 Ba) Measurernent Date: 12/5/97 Certified by: %f Ald'- - f _ If greater then 0.005 uCI : Person Notified Date Phone and/or Fax Rev,4/97

ut a su t ra u..bu lib-wa u FAX 110. 5109I50381 P.13 . . - - . Troxler Electronic ti;bnrat:rt:s, Inc,

. 3008 Comwalhe Rd., P.O. Dor 12057

• -

noeorch Trieregle Park, NC 277o9 ll p } j .f; i Tel: (919) 549 P661 Fax: (919) 5490761 License: NC 032 01E21 LEAK TEST CERTIFICATE .. DEVICE: b~ 3 ~Y Model: 3241 Serial No: 502 Sample Date: SEALED SOURCES: INITIAL ACTIVITY CURRENT ACTMTY NUCllDE F,ERIAL NO. ImC1) (MCI) . AM-241:BE 55 . 7620 100.0 98.0 LEAK TEST ANALYSIS: The sample has been analyzed using a counting system capable of measuring beta, gamme, and alphe contamination. Date of last calibration: 12/15/97 AlfH A BETA-GAMMA _ Convertien tactor (cpm /uci) 4.60E 4 05 7.43E + 05 0 26 Background messurement lepm) 0 22 Sample measurement (epm) < MDA < MDA Activity tuC1) Min. Detectable Activity tuCt) 7.3E 06 1.1 E45 This certifies that the above leak test results are: O Less than 0.005 uCi(185 Bq) O Greater an0.005 ci (185 sq) Mensurement Date: 5/12/98 Certified by: % ( If greater than 0.005 uCl (185 Bq): Date Person Notified Phone end/or Fax Rev 4/97 L 406856

-- App ndix A . ,, NRC FORM 313 U. S. NUCLEAR REGULATORY CCMMISSION APPRQvtO SY OMS: NCL 81860U g% ygggggg p.etO Esenaamd bwean per mesanos b eemper men Cs immanuten ==a-a.,- emeuest T h _ _g 10 CF14 30. 32,33 u e ows, Suluned er De apenamese is na.meses.y t.o fw .ar u. 36. u. 3 .n. .O m .-a w w P *. nan- tF- e* m n - R.- e. M n. nme. W . 9, a4rn u.1 Nu , APPLICATION FOR MATERIAL LICENSE " 's"u"e"a'T c ,"""""" *-""'"* * '-* ~= 'a-* Re c n P nsed Q1SO41R Caus er Monmoemme and sudest Womungen, DC 20003, NRC may na anneust er eeunner. and a person a nas ,eeueue to essend tA e enesman or - uNees aenspesys a sweney stJld CMS aanWat number. INSTRUCTIONS: EEE THE APPROPRIATE UCENSE APPUCATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPUCATION. SEND TWO COPIES OF THE ENTIRE COMPLETED APPUCATION TO THE NRC OFFICE SPECIFIED BELOW. APPUCATION POR OtSTRISUTlose CP EXEMPT PRODUCTS PLE APPUCATIONS WITH: IP YOU ARE LOCATED pc OrvlSION OP WOUSTRIAL AND MEDCAL NUCLEAR SAFETY LLINOIS, INotANA 80WA IIICNeQAN, MeeNESOTA MISSOUR!, ONIO, OR WISOONSIN, OFYlCE OF NUCLEAR MATERtALS SAFETY AND SAFEQUAROS SEND APPUCATIONS 70: U.S NUCLEAR REGULATORY COMMISSON WASHWGTON. OC met MATmALS uCENSmG SEC90N U.1 NUCLEAR REGULATORY ' m"M REGON O ALL QTHER PERSONS FILE APPUCATIONS AS POLLOWS: 801 WARRENVLLE RO. IF YOU ARE LOCATED IN: LMLE, L e05324361 CONNECTICUT, DELAWARE, OtSTRICT OF COLUMMA, MAME, MARYLAND. ALASKA ARED3NA ARKANSAS, CAUPORISA, COLORADO, MAWAS, CANO, KANSAS, MASSACHUSETTS. NEW MAMPSNIRE, NEW JERSEY, NEW YORK, PENNSYLVANIA, LOURSIANA, MONTANA, NESRASKA NEVADA NEW MFra,M NORTN OAMOTA RHODE ISLAND, OR VERh00NT,8080 APPUCATIONS 70: OKLANonan, CReccet, PACIPic TRUST TERRff0 RIES, SOUTN DAKOTA. TEXAS, UTAM, WASNINGTON,OR WYOtetNG, SIDdO APPUCATIONS TQt LN,, ASSISTANT SEC"10N , NUCLEAR MATERMLS SAFETY BRMCM PRJCLEAR MATUtlALSLED4SDC SEC'ON ~ 't U S. NUCLEAR REGULATORY COwneSSON. REGION l U.S NUCLEAR REGULATCRY mammenn't, REGON [~) , I' 475 ALLENOALE ROAO Sti RYAN Pl.AZA ORn/E, SJrTE 400 U ^~ ' !" , KING OP PRUSSA PA 18400-1415 ARUNGTON,TX TOQM4084 [. ' - R,CO. 80Um CAR .mMN S TUCKY, MISS4 Sal. ppt, NORTM CAROUNA PUERTO ,i ( ) {1 8, Amm A, PLORIDA OEORGIA, KEN t .-NauR .LANO.OR WoniR ONA AUG 3 m3 , ' " " " ^ " " ^ " " NUCLEAR uATERmLS uCENSmG sEC,0N ' U.S NUCLEAR REGULATORY COedMISSION, REGION 8 101 MARiErTA STREET, Nw, Surre :soo ATLANTA, GA 30323 0100 PERSONS LOCATED IN AGREEMENT STATES SEND APPUCATIONS TU THE U.S. NUCLEAR REOULATORY COMMISeaON ONLY IP THEY WISH TO POSSESS AND USE UCENSED MATERIAL IN STATES SUSJECT TO U.S NUCLEAR REGULATORY COMMISSaQN JUfbSDICTIONS, 1. THIS IS AN AP8UCATION FOR (Casas esproprue Anrn) 2. NAME AND MAluNG ADDRESS OF APnUCANT (hshatsZIPansef J A NEw uCENSE 50-21374-01 McLane Testing "]" s. AMENOMENTTQ uCENSE NuMsER P.O. Box 468 C. RENEWAL or uCENSE NuMsER Soldotna, AK 99669 - 1 ADOREsSn wNERE uCENSEO MATERw.Wu sE USED OR PMNn & NAMEOFPERENTOSECONTACTED ASQUTMS APPUCATON Mclane Testing and temporary jobsites Mile 3.5 Kenai Spur Hwy. anywhere in the United States S.A. McLane Soldotna, AK 99669 where NRC maintains jurisd- ,y ,,,, iction. 407-?R1-4?1R , nJBMIT frEMS 5 THROUGH 1108s 8112 X 11' PAPE7L THE TYPE AND SCOPE OF INfCRMATION TO BE PROvCED IS DESCRIBE 0 M THE LEENSE APPUT.AfDN CUCE. g RAOCACTIVE MATERIA 4. a. Dement and mens nummer it anonusal ansfer pnynaami hum; and e rnummurn amowe S. PURPOSE (5) POR WHCM UCENSED MATUtlAL WILL BE USE2 wnen una he : e any one ama S. TRAINING FOR NOrVDUALS WORKING H OR FREQUENTNG RES'RICTED AREA 1 gg - 8. FACILt9ES AND EQUIPMENT. 10. RADIATION SAFETY PROGRAM. 12, UCENSG FEES iSee 10 CFR f 7D a,W Sm: son f 7tLJ1) P E CATEGORY 3p l ENCLOSED $ 350.00 H. WASTE MANA EMENT. 11 CERTIFICATON. (Must De . ^ py epmmung THE APPUCANT UNDERSTANOS THAT ALL STATEMENTS AND REPRESENTADONS MADE N TMS APPUCATION ARE 8ANCENG UPON THE APpUCANT mE APPUCANT AND ANY OmCIAL EXECU9NG THS CERTIFCATION ON SEHAur OF NE APPUCANT. NAMED M ITEM 2, CERTIFY THATTHIS APPUCATION 5 PREPAREO IN CONFORMITY WITH TTTLE 10. CODE OF FEDERAL REGULATIONS, PART3 30,32,33, 34,3% 38,3D AND 40, AND THAT ALL INFORMATCN CONTAMEO HEREN IS TRUE ANO CORRECT TO TkE BEST OFTHEIR paOW , EDGE AND SEUEF. WARNING: 18 U.S C. SEC*10N 1CD1 ACT OFJUNE 21.1946 62 STAT. 748 MAKES IT A CRadhAL OFFENSE TO MAKE A WlU. FULLY FALSE STATEMENT OR REPREENTA ANY OcPARmENT OR AcENCv OF THE uNiTuo STATES AS TO ANY MATTER WfmW ITS JURISOCMON. ' CERT 1PYING OPPICER -TYPELNPRINTED NAME AND TffLE SIGNATUR DATE // $4c4 /3 4(o 98 S. A. McLane FOR NRC USE DNLY" / TYPE OF FEE FEE LOG FEE CATEGORY AMOUNT RECEVEO CHECK NUMBER CXmmaENTS

$ OATE APaROvED SY - PRaN ON RECYCLED PAPER wC FoRu 313 g.se) Page A-1 NURIG - 1556, Vol.1 b 4oue56 A --- m .

. . .. . . . . .- . - - ' . McLANE '

• TESTING *

NRC9802 1. New Name of Licensed Organization: McLane Testing 2. Contact: S. A. Sam McLane P.O. Box 468 Soldotna, AK 99669 Tel: 907-283-4218 Fax: 907-283-3265 3. INDIVIDUAL (S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE - RADIATION SAFETY OFFICER S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has successfully completed one of the courses described in the Criteria in the section entitled " Individual (s) Responsible for Radiation safety Program and Their Training and Experience - Radiation Safety Officer"in NUREG-1556, Vol.1 dated May 1997. Before being named as RSO, future RSOs with have successfully completed one of the training courses described in the Criteria in the section entitled " Individual (s) Responsible for Radiation safety Program and Their Training and Experience - Radiation Safety Officer" in NUREG-1556, Vol.1 dated May 1997. Further amend license by removing Lawrence B. Johnson. Mr. Johnson is no longer with McLane Testing. TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS Before using licensed materials, authorized users will have successfully completed one of the training courses described in the Criteria in the section entitled " Training for Individuals Working in or Frequenting Restricted Areas"in NUREG-1556, Vol.1 dated May 1997. 4. Transferor Further Business The transferor, McLane and Associates will not remain in non-licensed business and will not apply for a license in the future. 5. Description of Transaction McLane and Associates is currently owned by a bankruptcy estate and will no longer be conducting business using gauges with licensed radioactive source materials. Therefore M&A seeks to amend its NRC license to transfer ownership, control and responsibility of Troxler Model 3411B moisture density gauges (serial numbers: 9800, 12192 & 13650) and Troxler Model 3241 asphalt content gauge, serial no. 562 to McLane Testing. The transaction is a disposition of bankruptcy estate assets and liabilities. No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license amendment and transfer of ownership, control and responsibility. McLane Testing, a partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agrees to accept ownership, control and responsibility of the gauges and their sealed sources. Page 2 of 6

, - . . -- .. - . , ' . .. McLANE ' ' s I

• TESTING *

NRC9802 6. Operating and Emergency Procedures We will implement and maintain the operating and emergency procedures in Appendix H of NUREG-1556, Vol.1 dated May 1997, and provide procedures to all gauge users and at each job site. See additional safety information attached. I We w31 control and maintain constant surveillance over gauges that are not in storage and secure stored gauges from unauthorized removal or use. 7. Changes in Use, Possession, Location and Storage No changes in location or facility are planned. McLane Testing will occupy the same physical space and facilities as the former owner, McLane and Associates. Equipment and procedures are being upgraded. Additional gauges and their source materials are listed in the table under item 5 and 6. . As mentioned above, McLane Testing will and does occupy the former McLane and Associates facility at Mile 3.5 Kenal Spur Highway. The licensed materials will continue to be stored and used in designated areas. 8. Changes Requiring Amendment Without Change of Ownership New gauges will probably be purchased and are listed in the table of Materials to be Possessed. i 9. Surveillance items and Records All surveillance requirements and records for the licensed material are current and will be current at the time of the transfer. Gauges are currently in storage or use. Most recent tests were performed in 1998. Copies are attached. Inventory, utilization and storage logs are current. 10. Records Concerning Safe and Effective Decommissioning of the Facility All records conceming safe and effective decommissioning of the facility; public dose; and ' waste disposal will be transferred to the new licensee. 11. Status of the Facility l The facility consists of a materials lab room with a short-term (ovemight) storage cabinet and l a long-term storage facility consisting of a 40-ft stationary van with locked storage cabinet. The facility is clean. Leak test records document absence of contamination. Decontamination is not expected to occur before transfer. McLane Testing, the successor company, agrees to assume full liability for decontamination of the facility. Page 3 of 6

. . _ . . _ McLANE e TESTING * NRC9802 , We will develop, implement, and maintain gauge trensfer and disposal procedures as part of our radiation safety program. 12. Decontamination Plans The transferor, McLane and Associates, is transferring all licensed source material and responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane Testing and all its partners, agree to accept the material and responsibility. 13. Transferee Confirmation The transferee, McLane Testing, agrees to abide by all commitments and representations previously made to NRC by the transferor. These include, but are not limited to: maintaining decommissioning records required by 10 CFR 30.35(g); implementing decontamination activities and decommissioning of the site; and completing corrective actions for open inspection items and enforcement actions. The transferee, McLane Testing, accepts full liability conceming licensed, radioactive source materials for the site. No financial assurance is required at this time due to the limited nature and amount of licensed source material. The transferee, McLane Testing, accepts full responsibility for open inspection items and/or any resulting enforcement actions. 14. Documentation of Agreement The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the change 'n ownership of the licensed material and activity, and the conditions of transfer; and i the tr sferee is made aware of all open inspection items and its responsibility for possible re , in . forc/ner#ge)8u i .st- / D Vuh 98 Renneth'BattleyU.S. Trust # _ Date S. A. McLane Date / Case No(s). A 95- 14 A RSO for McLane and Associates A 9 00015 HA ) A 95 016 l A 95-00017 HAR 0 YS 0lb&V$ S. A. McLane Date ' S. A. McLane Date ' Partner, McLane Testing RSO for McLane Testing Page 4 of 6 i

, - . _ . . . - " McLANE -

• TESTIN G *

NRC9802 15. Transferee Commitment The transferee, McLane Testing, commits to abide by all constraints, conditions, , . 4 . requirements, representations, and commitments identified in the existing ' llc' rise._- jin e Jyc hhy MB 31998 iM RADIATION SAFETY PROGRAM ) i( Audit Program Not submitted with this application. -- ' Termination of Activities Not required with this application. However, when the license expires or at the time, the licensee (McLane Testing) ceases operations, NRC Form 314 will be submitted. Survey Instruments McLane Testing possesses and will use a Troxler radiation survey meter that meets the Criteria in the section entitled " Radiation Safety Program - Instruments" in NUREG-1556, Vol.1 dated May 1997 in the event of an incident. Material Receipt and Accountability Physical inventories will be conducted at intervals not to exceed 6 months, to account for all sealed sources and devices received and possessed under the license. Occupational Dosimetry We will maintain, for inspection by NRC, documentation of dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc. for dosimetry analysis. Public Dose We will ensure that licensed gauges will be used, transported and stored in such a way that members of the public will not receive more than 1 millesievert (1 mSv)[100 millirem (100 mrem)] in any one year, and the dose in any restricted area will not exceed 0.02 millesievert (0.02 mSv)[2 millirem (2 mrem)] in any one hour, from licensed operations. Leak Test Leak tests will be performed at intervals approved by the NRC or an Agreement State and specified in the Sealed Source and Device Registration Sheet. Leak tests will be performed by an organization authorized by NRC or an Agreement State to provide leak testing services for other licensees, using a leak test kit supplied by by the organization. Currently, Troxler Electronic Laboratories provides the wipe kits and does the analysis. McLane Testing does not intend to request authorization to perform Leak Testing Sample Analysis. Maintenance Routine Cleanina and Lubrication We will implement and maintain procedures for routine maintenance of our gauges according to each manufacture's recommendations and instructions. Page 5 of 6 lb 466856

l , . McLANE

• TESTING e

NRC9802 Non-routine Maintenance We will send the gauge to the manufacturer or other person authorized by NRC or an Agreement State to perform non routine maintenance or repair that i require the removal of the source or source rod form the gauge. Transportation We will develop, implement and maintain safety programs for the public transport of radioactive material to ensure compliance with DOT regulations. APPLICATION FOR AMENDMENT TO LICENSE NO. 50-12374-01 CHANGE OF OWNERSHIP MATERIALS TO BE POSSESSED AND PROPOSED USES ' YES NO RADIOlSOTOPE MANUFACTURER / QUANTITY MoST OTHER USES j MODEL NO. COMMON NOT SPECIFIED USE ON SSD CERTIFICATE X Am-241 Troxler 3241-C Not to exceed Measure Not applicable Aspha!t Content Gauge maximum Physical activity per Properties of source as Materials specified in Sealed source and Device registration sheet X Am-241, Cs-137 Troxler 3411-B Not to exceed Measure Not applicable Moisture Density Gauge maximum Physical activity per Properties of source as Materials specified in Sealed source and Device registration sheet X Am-241, Cs-137 Troxler 3440 Not to exceed Measure Not applicable Moisture Density Gauge maximum Physical activity per Properties of source as Materials specified in Sealed source and Device registration sheet X Cs-137 Troxler 4640 Not to exceed Measure Not applicable Moisture Density Gauge maximum Physical actMty per Properties of source as Materials specified in Sealed source and Device registration sheet X Am-241, Cs 137 Troxler 3450 Not to exceed Measure Not applicable ! Moisture Density Gauge maximum Physical ' activity per Properties of source as Materials specified in Sealed source and Device registration sheet Page 6 of 6

u - - , t,- .Q.- Troxler Electronic Laboratories, Inc. l . ! 3008 Cornwallis Rd., P.O. Box 12057

Research Triangle Park, NC 27709 l Tel: (919) 549-8661 Fax: (919) 549-0761 License: NC 032-01821 LEAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 9800 Sample Date: M-3-7[ SEALED SOURCES: NUCLIDE SERIAL NO. ImCl) (mCl) CS-137 40 7152 8.3 6.0 AM-241:BE 46 . 1182 40.0 39.0 LEAK TEST ANALYSIS: The sample has been analyzed using a counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 12/15/97 ALPHA BETA-GAMMA Conversion factor (cpm /uCl) 4.60E + 05 7.43E + 05 Background measurement (cpm) 1 24 Sample measurement (cpm) 1 22 l Activity (uCi) < MDA < MDA Min. Detectable Activity (uCl) 7.6E-06 1.0E-05 This certifies that the above leak test results are: C Less than 0.005 uCi (185 Bq) O creater n0.00 i (185 so) l Measurement Date: 5/11/98 Certified by: ( l f If greater than 0.005 uCi (185 Sq): Person Notified Date ' Phone and/or Fax Rev. 4/97

-- - - - - - . ~ _ . ' Tr:xt:r Electr:nic L::bor:.t:ri:s, Inc.

3008 Cornwtitis Rd., P.O. Box 12037 l, '- . Research Triangle Park, NC 27709 )ll ' ' _ Tel: (919) 549-8661 Fax: (919) 549-0761, , License: NC 032-0182-1 M' lQ a. ; j _ . . LEAK TEST CERTIFICATE ?; DEVICE: Model: 3411 Serial No: 12192 Sample Date: 5-/d- 77 SEALED SOURCES: NUCLIDE SERIAL NO. CS-137 50 . 22 7.3 5.5 AM-241:BE 47 . 7537 40.0 39.2 LEAK TEST ANALYSIS: The sample has been analyzed using a counting system capable of measuring beta, gamma, and alpha contamination. 1 Date of last calibration: 1/14/97 1 ALPHA BETA-GAMMA Conversion f actor (cpm /uCi) 4.51 E + 05 7.45E + 05 Background measurement (cpm) 0 24 Sample measurement (cpm) 0 25 . Activity (uCi) < MDA < MDA Min. Detectable Activity (uCi) 7.0E-06 1.0E-05 This certifies that the above leak test results are. O Less than 0.005 uCi (200 Bq) C Greater than 0.005 uCi (200 Bq) Measurement Date: 5/21/97 Certified by: Af /k / if greater than 0.005 uCi : Person Notified Date Phone and/or Fax Rev. 4/97 k 466856

, . . _ _ _ . _. _ .. - _. . ' - . , ,

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t , - Troxler Electronic Laboratories, Inc. , /(TROKLER 3008 Cornwallis Rd., P.O. Box 12057 Re e.,cn T,i n9 e e.,L. NC 27709 i Tel: (919) 549-8661 Fax: (919) 549-0761 License: NC 032-01E21 LEAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 13650 Sample Date: /o2-/- 7 7 SEALED SOURCES: INITIAL ACTIVITY CURRENT ACTIVITY NUCLIDE SERIAL NO. Cl) CS-137 50 . 2413 8.0 6.1 AM-241:BE 47 . 8967 40.0 39.3 LEAK TEST ANALYSIS: The sample has been analyzed using e counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 6/18/97 ALPHA BFTA-GAMMA Conversion factor (cpm /uCl) 4.65E + 05 L*4E+05 Background measurement (epm) 0 27 Sample measurement (cpm) 1 19 Activity (uCi) < MDA < MDA Min. Detectable Activity (uCl) 5.BE-06 1.1 E-05 This certifies that the above leak test results are: O Less than 0.005 uCi (200 Bq) C Greater an 0.005 uCi (200 Bq) Measurement Date: 12/5/97 Certified by: I If greater than 0.005 uCi : Person Notified Date Phone and/or Fax ! ! Rev. 4/97 l

- . .. ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m .. . Tr:x12r El:ctr:nic Lib:r:t:rlis, Inc. ' 3008 Cornwallis Rd., P.O. Box 12057 0 I Research Triangle Park, NC 27709 i.. .f+. 1 . y- Tel: (919) 549-8661 Fax: (919) 549-0761 4 . License: NC 032-0182-1- 'AJJ3 3:e3 .J}; . g, .; .wd 1 LEAK TEST CERTIFICATE - , _ DEVICE: Model: 3241 Serial No: 562 Sample Date: b~ 3 ~Y SEALED SOURCES: NUC LIDE SERIAL NO. (MCI) (mCl) . AM-!41:BE 55 . 7620 100.0 98.0 LEAK TEST ANALYSIS: The sample has been analyzed using a counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 12/15/97 ALPHA BETA-GAMMA Conversion factor (cpm /uCi) 4.60E + 05 7.43E + 05 Bac6 round measurement (cpm) 0 26 D Sample measurement (cpm) 0 22 Activity (uCl) < MDA < MDA - Min. Detectable Activity (uCl) 7.3E-06 1.1 E-05 This certifies that the above leak test results are: O Less than 0.005 uCi (185 Bq) O creater en o.co5 Ci (185 sq) Measurement Date: 5/12/98 Certified by: I = lif greater than 0.005 uCi (185 Bq): ( Person Notified Date Phone and/or Fax Rev. 4/97 l b 466856 , . .. -

McLANE TESTING NADONAl. BANK OF ALASKA 1663 sotDomA. AK99669 P.O. BOX 468 SOLDOTNA. AK 99669 89-5/1352 O PHONE (907) 283-4218 FAX (907) 283-3265 o EIN 92-0153664 7/30/98 co ' co $Q$E U.S. Nuclear Regulatory Commission s "350.00 0~ . e n ! Three Hundred Fif ty and 00/100"*"*""*"""*""**"***"*"*"*""*"""*"*"""""*""*"" oottAss I M" a , I U.S. Nuclear Regulatory Commission --" i Materials Testing / ATTN: Beth Prange 4 1450 Maria Lane, STE 300 h8 ' . .c l Walnut Creek, CA 94596 ir / /

w . Fee Cat. 3P/ Amendment to Licence #50-213 ( L 64140KJ MEMO z 5 n'O O L S E 3 n"

12 5 2000 5 7s: 1 LOO 78 38 30u'

. . F McLANE TESTING U.S. Nuclear Regulatcry Commission 7/30/98 US NRC Amendment To License 350.00 _ NBA CHECKING Fee Cat.3P/ Amendment to Ucence#50- 350.00 - . e . m . . . . . . . . . - . . . . . .m _.______,r -

- - 1663 l U.S. Nuclear Regulatory Commission 7/30/98 US NRC Amendment To License 350.00 . . NBA CHECKING Fee Cat. 3P/ Amendment to Licence #50- 350.00 . .. - ' . . . r. )\\ e ,. ,,,,,***9sk -

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,M 9 - . . , , e t 9 ~ , 4 e , . 4 ) . O s ' k . .

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~ . . . _ l McLANE TESTING NATMAl. BAM OF ALASM P.o. box 468 "*^*#" S63 SoLDoTNA. AK99669 W 845N52 PHONE (907) 283-4218 FAX (907) 283-3265 EIN 92@N } 7/30/98 to $[$$E U.S. Nuclear Regulatory Commission co . - s "350.00 g.. , $ Three Hundred Fif ty and 00/100""""""""""""*"""""""""""""""**"""""""" 3 couARS " ! U.S. Nuclear Regulatory Commission ,M"

• * -

3 Materials Testing / ATTN: Beth Prange I a ' 1450 Maria Lane, STE 300 8 ,i- E Walnut Creek, CA 94596 i ' % ' to J . - MEMO Fee Cat. 3P/ Amendment to Ucence#50-213 /[ t 3NO.S1464 ) / 5 n'OO LSG 3n= :12 5 2000 5 7s:1 LOO ?B 38 3On" F McLANE TESTING 1663 U.S. Nuclear Regulatory Commission 7/30/98 US NRC Amendment To Ucense 350.00 , , e NBA CHECKING Fee Cat.3P/ Amendment to Licence #50- 350.00 . . O F e & , _ _ _ _ _ _ _ _ _ _ _ . .

i ~ l BL-10-98 FRI 11i5l A I MCLAME CONS LT05^5R00P' ~ FAXIl0.90Y2833265 P. 02 i ~ ~ ~ .

. ~ , Appendix A , -NRc rORw ass u.s.NucumR RROUUWORY COMWisemN eY esa m. tween suPusem mens , m Em,.e, ,, . f.. N - o, w . w ea'm = n -~ > mA . n x =, = ee _ . s. . We . ^ e s. w a e Pe.se. ca.sg.ss.e Samst (74 PM, y 3. gews , APPLICATION FOR MATERIAL LICENSE a"*a"."' c-'='maaa* 8='5.a=. -* * P=--

- === c= o . . .- = . =.e s - . . . w.-= i -- <w~.,..

i .pe sye.as Ossa eul es INsTRUCDONS: SEE THE APPROPRIATE UCENSE APPUCADON GulOE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPUCADON $END TWO COPIES OF THE ENTWC COMPLETED APPUCATION TO THE NRC OFFICE SPECfFIED BELOW, AppuCAftces FOR DesTIMWVTIUef or P3EMPT PitocuCTS PILE APf%sm-.tuffN: IF TWU AAR LetATEP Nt DMAION OP INDU5f46AL ANF14ef@ Cat NU(1fAA $AfRTY y,yggggg, ppggggg ggspA GIN *Beneft, guessggpfA, gpe.ma en gagg,gg ' OFFCE DW NUCLEAR Waff9 TAM 4APPTY AND sam 1UaA06 gesD APPuc4Tiesse Tm , U.5 NUCLEAR flPOULAT0stf COndhA$sWON [ RAAYW9tenLS UCEttedG WIC99000 l WASHpe0TQae. DC 205848VN

U,8,, NUI'1F,A4,nPOU,L,A100tv CDRIAAESION, nESION 5 An ofnet pensome Pite AmxAmae As roena- , ,,,,,,,,,t g U8LP, B 85-14881 OP TOW AME LOGATM IN' ALAswA N AfmAsesis,cAlmletenA cumanAsso,HAssafl,inAsso,MAssaA4, C.OstsetCTiCUf. DALA4 WARE, P'Atmer'T OF 00lJfGlendL nenet, tammTLAsse. f a aamamquegTTg, ngw M4a.psenet. eew Jyngef, esPg Tesuf. POINSTLVaseg LOUWimpe4 WesITAfeA IlmqAaw4 servagg gegw upueno, psestfit pAprefA ' esing DAfterA,Tynes, UTAst, mesoDE ISLAsso, OA VEstuosef, trase APPLfCafenses rtr. "' aaaaaaa susueose, P.earic Tuus? ,_ _ _ venaMussfeet,esturv. a egne Appucagyssesyet LCUN5986 ASesTANT9FCT10N fruCLEAft MATERIALS SAFt'TY gnAre"J4 pgUclynst gnagguALA Uccepsg scTicM ' U.S. NUCLEAR RE0VLAT0fty coastsagt.IN, RGQION l gg pgugk3AA stEGULAft>47"*a"a*"w #50IflN IV 475 ALLENDALE RCAO

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Mclane Testing and temporary jobsites Mile 3.5 Kenai Spur Hwy. anywhere in the United States S.A. McLane l Soldotna, AK 99669 where NRC maintains jurisd . mmeo eNummai iction. 907-7Abid1R ! stwf rf* Jus s TNnoV0H t t ON s.ia a it* P@gfL D( TYPE AND SCCF1 OP DIPORRAAftDM TO SE Pn0WIUt$l$ h-pm(UCENEE APpWCATION P EE 7 specACTYve anafgnat lemene .ad mens eve mer e spents.i s.W.payou.f tuv.; e,. s. m imwn epi at 6. PURPosu(q POR w#ecM LEPteMD RAAftpuALwlLL SE UeEn t ' d. net wR 6. , i .t ear s.w 9,ma F. IN0lvt0VALM) R$FONsDess Post RADIA110N sAPETV PucanAsd Ape 3 TNE'It TC 2 Og'Eftigpecs, 90 SLACIATION 2APf'ff P4004Aal 8. PActVTIES AND EguiPilaENT ! 13, UcaNERE P384 fa., se cat f 79 ow 3 se f 9e39 AssOUNT i 51, WASTE MANAosMENf, b fCIFCATIOpe. (IWyst toe wpas Sy.ppatsMO THE APPUCANT UN01FSTANDS THAT ALL SYA@sD@S AND -.'TATIUMg taADE 94 TH10 AfBPUCAftoM Alte WINUSE) 13. upons THE APruCANT THE Apr8UCANT AND ANY OFFICIAL PKPCU?tNS TW9 CfRfTICATION ON AliH8tP Of THE APPUCANT,8th486D 99 ITBd 1 CEPfYY THATDeB APPUCAf ccNropinaff WffM1TFLE 10 CODE 08 PEDEP.AL esmA ATID*et PAHf3 30. SL R Se,35 Se y aNo at Ass 0 THAT ALL peFolomeATIONCCedTAP4KD#8EftsBN10 CCRRECT TO THE DEff Dr THibit IUngwrm amo guquer, wA,N ,.U e .--,., Aereu e a 4 . .me..A ,r A e.s 4L ermeeTo =A E Aw'umnue afAT,.wroi NrAmN= ANY DEPARTMENT 04 A05Ntv Up"YW LINf'fD pf a*W1 AS TO ANT $dAffER Wrf4EN effi JUBtsgDeCTN . moseafyns oAm cemfirma osma Tweervra ,rso NAus ANoinks S.-A. McLane FOR4RCOSE ONLY ! rrwe or rsu rnsLee r6s Cmuu=T Awowr = .i awen Muuuust comments . 8 o*TE Aermoves ey . P= no oM werCLeo RAP +n i Page A-1 NUEEG - 1556. Vol.1 i " ! JL 1 __ ~- ~ , _ . a

JUL-10-98FR111i52Ali ' 11CLAIN 0011S01Th1G GROUP ~ ~ FAX 110, 9072833265 P. 03 j . , . McLANE eTESTING* NRC9R02 1. New Name of Licensed Organization: McLane Testing 2. Contact: S. A. Sam McLane P.O. Box 468 Soldotna, AK 99669 ' Tel: 907-283-4218 Fax: 907-283-3265 3. INDIVIDUAL (S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THElR TRAINING AND EXPERIENCE- RADIATION SAFETY OFFICER S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has successfully completed one of the courses described in the Criteria in the section entitled " Individual (s) Responsible for Radiation safety Program and Their Training and Experience - Radiation Safety Officer" in NUREG 1550, Vol.1 dated May 1997. Before being named as RSO, future RSOs with have successfully completed one of the training courses described in the Criteria in the section entitled individual (s) Responsible for Radiation safety Program and Their Training and Experience - Radiation Safety Officer" in NUREG 1556, Vol.1 dated May 1997. TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS i Before using licensed materials, authorized users will have successfully completed one of the training coursos described in the Criteria in the section entitled "Trair; lng for Individuals Working In or Frequenting Restricted Areas"in NUREG 1550, Vol.1 dated May 1997. 4. Transferor Further Business The transforor, McLane and Associates will not remain in non-licensed business and will not apply for a license in the future. 5. Description of Transaction McLane and Associates is currently owned by a bankruptcy estate and will no longer be conducting business using gauges with licensed radioactive source materials. Therefore M&A seeks to amend its NRC license to transfer ownership, control and responsibility of Troxler Model 34110 moisture density gauges (serial numbers: 9800, 12192 & 13650) and Troxler Model 3241 asphalt content gauge, serial no. 562 to McLane Testing.1he transaction is a disposition of bankruptcy estate assets and liabilities. No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license amendment and transfer of ownership, control and responsibility. McLane Testing, a partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agrees to accept ownership, control and responsibility of the gauges and their sealed sources. 6. Operating and Emergency Procederas We willimplement and maintain the operating and emergency procedures in Appendix H of NUREG 1550, Vol. I dated May 1997, and provide procedures to all gauge users and at each job site. See additional safety information attached. Page 2 of 5

l "JUL-10-98'FRIill53Ali MCLASE'00NSUI.TINGGRhiiP FAX 50.9072833265 P. 04 i ^ . \\ - . ' . ' ! NicLANE l . T F. S T I N G * NRC9902 ! We will control and maintain constant surveillance over gauges that are not in storage and secure stored gauges from unauthorized removal or use. 7. Changes in use, Possession, Location and Storage No changes in location or facility are planned. McLane Testing will occupy the same physical space and facilities as the former owner, McLane and Associates. Equipment and procedures are being upgraded. Additional gauges and their source materials are listed in the table under item 5 and 6. As mentioned above, McLane Testing will and does occupy the former McLane and Associates facility at Mile 3.5 Kenal Spur Highway. The licensed materials will continue to be stored and used in desi nated areas. 0 8. Changes Requiring Amendment Without Change of Ownership New gauges will probably be purchased and are listed in the table of Materials to be Possessed. 9. Surveillance items and Records All surveillance requirements and records for the licensed material are current and will be current at the time of the transfer. Gauges are currently in storage or use. Most recent tests were performed in 1998. Copies are attached. Inventory, utilization and storage logs are current. 10. Records Concerning Safe and Effective Decommissioning of the Facility All records concoming safe and effective decommissioning of the facility; public dose; and waste disposal will be transferred to the new licensee. 11. Status of the Facility The f acility consists of a materials lab room with a short-term (ovemight) storage cabinot and a long-term storage facility consisting of a 40-ft. stationary van with locked storage cabinet. The facility is clean. Leak test records document absence of contamination. Decontamination is not expected to occur before transfer. McLane Testing, the successor company, agrees to assume full liability for decontamination of the facility. We will develop, implement, and maintain gauge transfer and disposal procedures as part of our radiation safety program. Page 3 of 5 .

l JUL-10-98 FRI 11:53 Att f1Cl.ANE CONSULTING GROUP FAX NO. 9072833265 P. 05 ' . ' . - . ' ' McLANE = TESTIN G e NRC9902 i , 12. Decontamination Plans The transferor, McLane and Associates, is transferring alllicensed source material and responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane Testing and all its partners, agree to accept the material and responsibility. 13. Transferee Confirmation The transferee, McLane Testing, agrees to abide by all commitments and representations previously made to NRC by the transferor. These include, but are not limited to: maintaining , decommissioning records required by 10 CFR 30.35(g); implementing decontamination ) activities and decommissioning of the site; and completing corrective actions for open ' inspection items and enforcement actions. The transferee, McLane Testing, accepts fuli liability conceming licensed, radioactive source materials for the site. No financial assurance is required at this time due to the limited nature and amount of licensed source material. The transferee. McLane Testing, accepts full responsibility for open inspection items and/or any resulting enforcement actions. 14. Documentation of Agreement The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the change in ownership of the licensod material and activity, and the conditions of transfer; and the transforee is rnade aware of all open inspection items and its responsibility for possible resulting enforcement actions. Kenneth Battley U.S. Trustee Date S. A. McLane Date Case No(s). A 95-00014 HAR RSO for McLane and Associates A 95-o0015 HAR A 95-00016 HAR A 95-00017 HAR S. A. McLane Date S. A. McLane Date Partner, McLane Testing RSO for McLane Testing 15. Transferee Commitment The transferee, McLane Testing, commits to abide by all constraints, conditions, i requirements, representations, and commitments identified in the existing license. I l l

Page 4 of 5 i.

. JUL-10-98 FRI 11:53 All 11CIS!!ECONSULTillGGROUP FAX 110.90i2833265 P. 06 ' . - . . . . l McLANE l

• TESTINGe

NRC9802 RADIATION SAFETY PROGRAM Audit Program Not submitted with this application. ] Termination of Activities Not required with this appication. However, when the license f expires or at the time, the licensee (McLane Testing) ceases operations, NRC Form 314 will ) be submitted.

1 Survey instruments McLane Testing possesses and will use a Troxler radiation survey meter that meets the Criteria in the section entitled * Radiation Safety Program - Instruments" in NUREG-1556, Vol. I dated May 1997 in the event of an incident. i Material Receipt and Accountability Physicallnventories will be conducted at intervals not to exceed 6 months, to account for all sealed sources and devices received and possessed under the license. Occupational Dosimetry We will maintain, for inspection by NRC, documentation of dosimetry processed and evaluated by an NVLAP approved processor that is exchanged at ' a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc. for dosimetry analysis. Public Dose We will ensure that licensed gauges will be used, transported and stored in such a way that members of the public will not receive more than 1 milleslevert (1 mSv)[100 millirem (100 mrem)] in any one year, and the dose in any restricted area will not exceed 0.02 milleslevert (0.02 mSv)[2 millirem (2 mrem)]in any one hour, from licensed operations. Leak Test Leak tests will be performed at intervals approved by the NRC or ar. Agreement State and specified in the Sealed Source and Device Registration Sheet. Leak tests will be performed by an organization authorized by NRC or an Agreement State to provide leak testing services for other licenscos or using a leak test kit supplied by an organization authorized by NRC or an Agreement State to provide leak test kits to other licensees and according to the kit supplier's interactions. Maintenance Routine Cleaning and Lubrication We willimplement and maintain procedures for routine maintenance of our gauges according to each manufacture's recommendations and instructions. Non routine Maintenance We will send the gauge to the manufacturer or other person authorized by NRC or an Agreement State to perform non-routine maintenance or repair that require the removal of the source or source rod form the gauge, f Transportation We will develop, implement and maintain safety programs for the public transport of radioactive material to ensure compliance with DOT regulations. , Page 5 of 5

JUL-10-98 FR1 11:54 AM 11CLANE CONSULTING GROUP FAX N0. 9072833265 P. 07 - , ' McLANE e TESTING e NRC91102 j l APPLICATION FOR AMENDMENT TO LICENSE NO. 50-1237441 CHANGE OF OWNERSHIP MATERIALS TO BE POSSESSED AND PROPOSED USES YES NO RAIUUISOTOPE MANUFACTURER / OUANTITY MOST OTHEH USES MODEL NO. COMMON NOT SPECirlED USE ON SSD CERTIFICATE X Am 241 Troxler 32410 Not to exceed Measure Not applicable Asphalt Content Gauge maAmum Physical activity par Properties of source as Materials specified in Sealed source and Device registration sheet X Am 241,Os-137 Troxier 3411 B Not to exc sed Measure Not applicable Moisture Density Gaugo maximum Physical activity per Properties of source as Materials specthed in Sealed source and Device reg!stration sheet X Am441, Cs-137 Troder 3440 Not to exceed Measure Not applicable Moisture Density Gauge maximum Physical activity per Proper 1ies of source as Materials specified in Sealed source and Device registration sheet X Cs 137 Troxier 4640 Not to exceed Metsure Not epplicable Moisture Density Gauge maximum Physical activity por Properties of source as Materials specified in Sonfed source and Device registration sheet X Am441, Cs-137 Troxler 3450 Not to exceed Measure Not applicable Moisturo Dee'iy Gauge mesmum Physical activity per Properties of sourcsas Ma%Is specified in Sealed aource and Device reg lstration sheet __ Page G of 5

JUL-10-98 FRI 11:54 AM MCLANECONSULTikGGROUP FAX NO 90}2833265 P. 08 . , l' 'l

t. . f l Troxler Doctronic Laboratories, Inc, 2005 Cornwellis Rd., P,0. Box 12057 /(TROXLER n....,c,, T,i.,i, r.,u. NC 2,70, Tef: (919) $49 8661 Fax: (919) 549 0761 ' l License: NC 032-01821 l LEAK TEST CERTIFICATE ' DEVICE: Model: 3411 Serial No: 9800 Sample Date: M-3-7[ SEALED SOURCES: INITIAL ACTIVITY CURRENT ACTIVITY ' NUCLfDE SFRIAL NO. (mCy (mC1) C5-137 40 7152 8.3 0.0 AM-241:BE 46 . 1182 40.0 39.0 LEAK TEST ANALYSIS: The cample has been analyzed using a counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 12/15/97 ALPHA BETA-GAMMA Conversinn f actor (cpm /uCi) 4.60E + 05 7.43E + 05 ,. . Bachar,und measurement (cpm) 1 24 Sample rnessurement (epm) 1 22 _ Activity fuCi) < MDA < MDA Min. Detectable Activhy (uCl) 7.6E 06 1.0E-05 This certifies that the above leak test results are: O Less than 0.005 uCl (185 Bq) O creater n0.00 .i ties eq) b Measurement Date: 5/11/98 Certified by: 0 / " if greater than 0.005 uCl(185 Bq): f Person Notified Date I l Phone and/or Tax l

e.v. 4/97 ! !

~ liUL-10-98 FR1 11:54 All t1CLAllE 00115ULTil1G GROUP FAX 110. 9072833265 P. 09 . . , Trrxler Electr:nic Laborat:rles, Inc. . - 3008 Cornwa!4s Rd.. P.O. Box 120$7 /(TROXLER R....,=n 1,i.noie e.,,, NC 2770. Tel: 1919) 549-8661 ras: (919) 549-0761 Ucense: NC 032-01821 LEAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 12192 Sample Date: 8 - /'f - [ 7 SEALED SOURCES: INITIAL ACTIVITY CURRENT ACTIVITY NUCLICE SERIAL No. (mCH (mC31 CS.137 50 . 22 7.3 5.5 - AM-241:8E 47 . 7537 40.0 39.2 LEAK Tr.ST ANALYSIS: 1 The sarnple has been analyzed using a counting system capable of measuring beta, ' gamma, and alpha contamination. Date of tast calibration: 1/14/97 ALPHA BETA GAMMA Conversion facter (epm /wCl) 4.51 E + 05 7.4 S E + 05 - Background measurement (epml 0 24 l l Sample rnessurement (cpml 0 25 . . Activity luCl) < MDA < MDA Min. Detectable Activity (uCi) 7.0E-06 1.0E-05 l This certifies that the above leak test results are: O Less than 0.005 uCl (200 Bq) C Greater than 0.005 uCi (200 Sq) l Measurement Date: 5/21/97 Certifled by: 1 1 .a._ / f If greater than 0.005 uCl : Person Notified _ Date ! l Phone and/or Fax j Rev. 4/97 l

JUI.-10-98 FRl'11:55 AH HCLANECONSOI.TINGGROUP FAX NO. 9072833265 P. 10 . , . ' l

Troxler Electronic Laboratories, Inc. 3008 Cornwallis Rd., P.O. Box 12057 /~hTROXLER Re,e.,,s T,i.n,ie e.,u, uC 2,70, , Tel:(919) 549 8661 Fax: (919) 549-0761 Licente: NC 032-0182-1 LEAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 13050 Sample Date: /2d 77 i SEALED SOUflCES: I INITIAL ACTIVITY CURRENT ACTIVITY I NUCt. foe SERIAL NO. Cl) C5137 50 2413 8.o 6.1 m. AM-241:BE 47 . B967 40.o 39.3 i LEAK TEST ANALYSIS The sample has been anaryred using a counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 0/10/97 l BETA-GAMMA ALPHA Conversion f actor (epm /uci) 4.65E + 05 7.44E + 05 . Beckg ound rnessurement (cpm) 0 27 Sample enessurement (cpm) 1 19 . - - - Activity (uCi) < MDA < MDA Min. Detectable Activity tuCil 5.8E-06 1.1 E.05 This certifies that the above leak test results are: @ Less than 0.005 uCi(200 Bq) C Greater an 0.005 uCi (200 Bq) Measurement Date: 12/5/97 Certified by: N'M Ne f If greater than 0.005 uCi : Person Notified Date l l Phone and/or fax I r nov. 4rs7 l l-

JUL-10-98 FRI 11iS5'AM MCLA!1E 00f1SOLTil10 GROUP FAX t10. 9072833265 P. 11

. , i - - - ! . . t .~ )

Troxler Electronic Laboratories, Inc. ,/(TROXLER 3008 Cornwelfis Rd., P.O. Box 12057 l ne,e.,cn 1,,,noi. e.,x. NC 22,0. ) Tel: (919) 549 8661 Fax: 1919) 549-0761 License: NC 032-01E21 LEAK TEST CERTIFICATE DEVICE: 1 Model: 3241 Serial No: 562 Sample Date: $*~ b Y SEAIID SOURCES: NUCLIDE SERIAL NO. . AM.241:BE 55 . 7620 100.0 98.0 l LEAK TEST ANALYSIS: The sample has been analyzed using a counting system capable of measuring beta, gamma, and alpha contamination. Date of last calibration: 12/15/97 ALPHA BETA-GAMMA Conversion f acter (cpm /uC1) 4.60E + 0S 7.43E + 05 Dack round rnessurement leprn) 0 26 9 - Sample measurement (cpm! 0 22 Activity (uCl) < MDA < MDA Min Detectable Activity luCil 7.3E 06 1.1 E-06 This certifies that the above leak test results are: @ Less than 0.005 uCI (185 Bq) O arente pan o.cos C; (18s eqi Measurement Date: 5/12/98 Certified by: DN ! If greater than 0.005 uCi (185 Bq): ( Person Notified Date l Phone and/or Fax Rev. 4/97 ! !

' " ~ ~~uli- WecOI lA} OM V Q O D j D D i W 7/j3 )q g wcu coxo1 nca .71 l . . TELEPHONE OR VERBAL COINERSATION l TIME ~2: 29 i RECORD l ~00: O& am/@ i , [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT PGSON CALLIN3: OTTICE/ ADDRESS: PBONE WIMSG2 l (M . OTTICE/ ADDRESS: PBONE N'&GER: (PESON CA LED:Voi om<uf ) ) % McLaa M < Lome Ti;;L;r [907) 285 - 92/8 , COINERSAT' ION . "" " ~ f Fbe og 7/io/9e SUMMARY - ls) 0 / O W w nce NGlt m lk OC ba+t.g [& , & Ix lias (i46/. 2b 00 gaages go lwleu) 3 ? ' ' &. /2 ' laats,u as m :s isrya,~ . ' AjJ + & ffn hcl ~ xd4 baa decanad g;p-d, w $lh . l -fj.ha-enf i , } Any1SI XI 01 ACIlot REFERRED TO: TAIII IIITIALS: ACTICI RIQUISTID: DATI: . IIITIALS: ACT10I TAIIII: DATI: --- iTc ToTi fii YzT-~o :762 ier / Q c-xiV) ~ ~~~ ..- -- - --

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. 1: , , l- . L- From:- .Beth Prange ( To ' .ARD1.ARP1.JDC1 !- . Dates, 8/3/98 4:10pm' - l subjects

McLane : and Associates

. This amendment is ready to go, once the fee approval is obtained. Please ' E-mail me when the fee-paid milestone is' issued so I can issue the case. .Thanks.

.;

License No.' '50-21374-01- Docket No.'030-20575. ' Control No. 466856 l l . .. . . . I know this will take.a'few days,-since it was sent to RIV, AO on 7/31/98 by ] -fax. Thanks again. - CC: TWD2.TWP9.SLK, TWD2.TWP9. REM 1 i . b w & s cafGrd $lro/98, - hao & <tced McL W ' ! - l l l l~ L l

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Program Code: 03121

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, A. REGION ,~i - "' ' = .. u_ 1. APPLICATION ATTACHED . Applicant /Lithnsee: MCLANE AND ASSOCIATES -Received Date:- 980731 Docket No: 9- 3020575 " < Control No,oc. 466856 License No,ed 50-21374-01- 'ActionTypeg Amendment

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, f j NUCLEAR REGULATORY COMMISSION ' ' " , t WASHINGTON, D.C. 2006H001 \\, * * * ** / May 23. 1996 ' MCLANE AND ASSOCIATES ATTN: HR. LAWRENCE J. SCHMIDT t Radiation Safety Officer l P.O. BOX 468 SOLD 0TNA. AK 99669 i SUBJECT: ONE-TIME EXTENSION OF LICENSE EXPIRATION DATE LICENSE NUMBER 50-21374-01. DOCKET NUMBER 3020575 Dear HR. LAWRENCE J. SCHMIDT , On January 16. 1996, the Nuclear Regulatory Commission (NRC) amended its regulations in 10 CFR 30, 40 and 70 to extend the expiration date of certain byproduct, source, and special nuclear material licenses J by five years (61 FR 1109). The above ret. -.ced license was extended by this rulemaking and will now expire on September 30. 2003. Your license will not be amended to show this extended date until the next 2 routine licensing action. Until then, you may provide copies of this letter to vendors and other interested parties as evidence that the license has been extended as a result of the rule. The extended license authorizc;s the same activities and contains the same limitations as it previously

did. There will be no change in the frequency that the NRC inspects activities authorized by this ~ license. i The amended rules state that in the case'of licensees who are granted extensions and who have a currently pending renewal application for that extended license, the application will be considered withdrawn by the licensee and any renewal fees paid by the licensee for that application will be refunded. This will apply to licenses with expiration dates after July 1. 1995, for which renewal applications and the appropriate fees have been submitted and the renewal is stP1 pending. Refunds will be mailed to licensees under separate cover. ' All licensees, including those whose renewal applications were withdrawn by this rulemaking, who wish to change their radiation safety programs must request amendment of their licenses to reflect these changes. Amendment requests must include the correct amendment fee since the NRC cannot apply pending renewal refund balances toward amendment fees. 'If you have any questions regarding this letter, please contact the individual below. Arlington. TX: Billie Gruszynski. (817) 860-8120 Walnut Creek. CA: Beth Prange. (510) 975-0250 Thank you for your cooperation in this matter. I Sin / \\' b Cool. Director O Divis on f Industrial and Medical Nuclear Safety i Office of Nuclear Materials Safety and Safeguards

I ' hamn":w - -nannam 1=--.maancma. m .

' NZ Fom. 374 untamna_nnmtwwna me. weerAww7ahm ' . td a a) ) f ~'U.S. NUCLEAR REGULATORY COMMISSION ~ A m e na w m e r1,, w , - l PAGE- '3 ~ _OL _PAGES MATERIALS LICENSE Pursuant to the Atomic Energy Act of1954, as amended, the Energy Reor Amendment No. )4'y l heretofore made by the licensee, a license is hereby iss j I , and in reliance on statements and representatf , , , n i source, and special nuclear material designated below; to use such material f ee to receive, acquire, possess, and transfer by i deliver or transfer such material to persons authorized to receive it in acc or the purpose (s) and at the place (s) designa p [ subject to all applicable rules, regulations and orders o [ - E conditions specified below. , as amended, and is I k h' ory Commission now or hereafter in effect an E ucensee 1 ! Ef+wl-- In accordance with application $ 1. McLane .and-Assobu' tas, dated .May47 -M93 / I 7 3. Ucense number 50-21374-01 is amended 2. P.O. Box 468 in its entirety to read as follows: l [ip'iration date - Soldotna, AK 99669 AQ ~ ' , , s t' 4. E _ . (" \\r , , September 30, ~139),3 - 5. Docket or %l i 6. Byproduct, source, and/or Reference No. 030-20575 i ' 7. Chemical and/or physical I specialnuclear material , ',.8. Maximum amount that licensee _ form s p 'N ' < may possess at any one time ~. A. Cesium -J37 l ' '. s. . y,.;-

• under thislicense

A.i'.'Sealedsources

,,

e A. . Not to exceed 10 %j - , , A-102112) g. / . ' . ( (millicuriesper ! (Troxler'Dw , c- 1 T- - / !, ' t . ! g ii . sourceand-504 e ' < ' mil.licuries-total y... i B. Americium-241 , - - - ~ - . . ' , . . g 8 B. ' Sealed neutron sourcesS B. ., , , 'Not to exceed 50 g !! .' . , (TroxlerDwg.. - ' 9 I ' A-102451)i 2- > ' lmillicuriesper ! bh. E.h y;d OJL.i-[~. [ -

's

' source and-250- I ' - q [ ,. millicuries-total, r s C. Americium-241 V CT:. m .>. .mg

,

e

S'eale'd neut'ron sources C .' i V, (Troxler Dw Al Not to exceed 110 W

// <',) A-100608)' ' g. No. o h millicuries per E ' < source and-220~ l 5:p . millicuries-tota 1

/ - 1 .) , .)

• l-

g l3 3 s /s l' 9. Authorized use 31ll0 h properties of construction materials.For use in Troxler Mod _ g A. and B. ,@ { .{ i [ For use in Troxler Model 3241-C gauges to measure asphalt content 1 C. p materials, b nstruction p t 5 .-

CONDITIONS Licensed material may be used at the licensee's facilities at Mile P - < 10. Kenai Spur Highway north of Soldotna, Alaska, and at temporary job off the licensee anywhere in the United States where the U. S. Nuclear Re . s of the maintains jurisdiction for regulating the use of licensed material y Commission ;I 9312200096 930920 I . PDR - _ C ADOCK 03020575 25C E _L m er = m - PDR <

---

. _. _. c. . . , , e l . . 1 D, cesiw-157 D. %feas% 3,u n g , (hmeutwm hodaf matt:ccuu, p e ' l Do. Coc u) 55Ge

Tschee Preduetr h he m k cle s ko d ef > Oa.HB6-0057)

E. %riciw- 21I E. S000 & Ms 6' IJ0Y " W S~O (%g,q idth'd e s% ! I)o. frM tJ U. 997 m i msakpe Prodaets LaboratoQ, Modd 120. [4EG- 605%) 8 (eslgm - 157 E SaaM Smuced gy gg (" " & * m Hod 2l ' ' w,Ilicmo p yo. CDC10556 h T%Q WM Lakerab'4es VinbilO. Hec > - /37-1r4 ) Ss W s core w G ' ( a a ,o m G. Ces..um- I37 n,ga w mi!!icumi, pa, pc.Coc4)556) S*u^<2 b fortuhl fin m *o, Trsile, Model Moo %s pe,e+o w pn,g, D.s E. . f cmM su~t%&. f Q % in TroAle, hocl:4 46VC m VGVOB poria4ce 9, , p<e p fceJuu % wWik%. 4=w 5.d G A u in Tmle, koM M forkehgaa<g"b " pregan f censust&L sndbido. - -

, __ _ .. _ _ . _ - . _ _ _ . _ ._...____-.-_m ._m -- - - - 4 ,_-________,_______-__________________ , , _ _ _ _ _ _ _ _ _ _ _ _ _ _ , , _

c 6msnA U.S. Nt IAR REcULATcRY COMMISSION 2 3 [ , , , , , y ,,,,,, uceres simber L ' - 50-21374-01 i MATERIALS LICENSE g, ,y,,,_,, L SUPPLEMENTARY SHEET 030-20575 L ' . t ' Amendment No. # 5 [ C C CONDITIONS C (continued) C L 11. Licensed material saall be used by, or under the supervision and in the physical F presence of, S. A. McLane, Lrae=4- kha;;r or individuals who have successfully f completed the manufacturer's training program for gauge users and who have been [ designated by the Radiation Protection Officer, S. A. McLane. The licensee ~shall

maintain records of individuals designated as users. C 12. Sealed sources containing licensed material;shall not be opened. I s,. 3 c . L. .; , i 13. A. The source (s) 'specified in' Item (s) 7. A. through. C. shall be tested for

leakage and/or contamination at intervals not to exceed 6 months. Any source

~ received from another person which is not accompanied by a certificate

indicating that a test was performed within 6 months before the transfer shall

not be put into use until tested. - 3 L .. , .i

. B. Any source in ' storage and not being used need not be tested. When the source ! is removed from storage:for use or transfer to'another person, it shall be

tested before use or transfer. i " ' - -

)'- . t C. The test shall be capatile bf. detecting the presence of 0.005 microcurie of - radioactive material _on'the test sample. ' If the test reveals the presence of i 0.005 microcurie or more of removable contamination, the source shall be

:

~ removed from service and decontaminated, repaired, or disposed of in [ accordance with Commission regulations?. A report shall be filed within 5 days i of the date the leak testlesult.is known with the U. S. Nuclear Regulatory

Commission, Region V, Radioactive' Materials Safety, Branch,1450 Maria Lane,

Walnut Creek, California 94596./ The! report shall specify the source involved, i the test results,'and corrective' action taken., Records of leak test results i shall be kept in units of microcuries and shall'be maintained for inspection F by the Commission. Records may be disposed of following Commission

) inspection. L ~ f 3; E j ' i

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, [Sch' m p4A - ' 3 3 ~lo],] U.S. Ni, )AR RE2ULATORY COMMISSION ' ,, y , f

• "

ucenie tumder i

. ~ ! . MATERIALS LICENSE '

Docket er Reference numkr l SUPPLEMENTARY SHEET 030-20575 l Amendment No. f S l r , I l CONDITIONS l ' I j (continued) , i 4 h

4 l l q D. The licensee is authorized to collect leak test samples for analysis by p 1 1roxler Electronic Laboratories, Inc. or tests for leakage and/or N ! I contamination shall be performed by persons specifically licensed by the F , l Commission or an Agreement State to perform such services. ll ' k 14. The licensee shall conduct a physical iheritory every six (6) months to account for y all sources and/or devices received and possessed under the license. Records of the l i inventories shall be maintained for two (2) years frora ,the date of each inventory. H I p I . ,. 1 15. The licensee may transport licensed material in accordance with the provisions of 10 l , CFR Part 71, " Packaging and Transportation of Radioactive Material". p g .. . . E e 4 16. Except as specifically provided otherwise in this license, the licensee shall y I conduct its program in accordance with.the statements, representations, and 4 procedures contained in the documents including any enclosures, listed below. The l Nuclear Regulatory Commission's regulations shall govern unless the statements, g representations and procedures .in the licensee's application and correspondence are g ( more restrictive than the regulations. ;- 4

. 4 A. Application dated May 27, 1993!'! i

.: .l ' '

. . . . ' ! c - ,s a t., ..} - i g . >( 3 y - - .- 4 ' ) FOR THE U. S. NUCLEAR REGULATORY COMMISSION g 4 5 4 , i SEP 2 01993 ! f Dated: By: M-8[G, hv, ! e BethA.Prange(j p $ Sr. Health PhyMcist (Licensing) h 4 Radioactive Materials Safety Branch li ' j Region V l .N . , ! ( P i e $ P) 4 N , 4 N 4 bli 4 F ( - P; 4 > s kJ $xxwxne-,1,xxxsx mwx_;xg;ganry.vxxnwmgxmwxmxmvzwmL+.N i ! l J

I JUL-10-98 FRI 11:54 Ali 11CLA!E CONSULTING GROUP FAX NO. 9072833265 P. 07 , , . ' McLANE eTESTINGe NRC9802 APPLICATION FOR AMENDMENTTO LICENSE No. 50-12374-01 CHANGE OF OWNERSHIP MATERIALS TO BE POSSESSED AND PROPOSED USES YES NO RADiotSOTOPE MANUFACTUREN OUANTITY MOST OTHER USES MODEL No. COMMON NOT SPECIFIED USE ON SSD CERTIFICATE X Am 7.41 y Troxter 3241 C Not to exceed Measure Not apphcable Asphalt Content Gauge meudmum Physicst activity per Properties of source as Mete tals specttied in Sealed source and Device registration sheet X Am 241, Co 137 Troxior 3411-B Not to exceed Measure Not apphcable Moisture Density Gauge maximum Physical activity per Properties of At- 054C-D- IR-S sa'e* a Mat **'s epeelhed Irt Sealed source and Device registration sheet X Am 241, Cs 137 Trohr 3440 Not to exceed Measure Not applicable Moisture Density Gauge maximum Physical / activity per Properties of source as Materials specified in Sealed source and Device registration sheet X Cs137 Troxter 4640 Not to exceed Measure Not appkeable Moisture Density Gauge maximum Physical activity por Prcperties of k" OM[p-D-/3/-S source as Matehls speelf;ed in Sealed source and Device registrat;on sheet X Am-241, Cs-137 Troxter 3450 Not to exceed Measure Not applicatxe Moisture Density Gauge maximum Physical activity per Properties of NC-C6[h" O * / 3b . source u Mateels $ specified in Seated source and Device reg;stration 8" __ Page G of 5

~ ' JUL-10-98F.91'IliS1A!1 110LN5 CONSUi. TING GP.0UPFAXNO.9072833265 P. 01 - ' ;_ - - . , 4 1 t . . McLANE Testing PO Box 468 Soldotna, AK 99669 Phone: (907) 283-4218 ) l Fax: (907)283-3265 IO E Date: ' Job No. . Fox cover Sheet ' Please deliver the following pages to: 0 hfWe Name: " Company: t4 fL/- - City: c d d ht u I 6 r. e k Fox Number: 92S- 97S- o38) From: Total # of pages (include cover sheet): Il Please call the telephone number above if all pages are not received. Comments: Vfb h ;.5 $U -OY b%lV'4tt0 A l-4Y % (Dl%S FAww.Lbhu . l0 lT lhol< L ok tu ' asili . urn w mM'- . " / . }}