ML20154M387

Corrected Page to Registry of Radioactive Sealed Sources & Devices,Safety Evaluation of Devices for Various Models. Certificate:NR-930-S-806-U

ML20154M387
Person / Time
Issue date:	09/09/1998
From:	NRC
To:
Shared Package
ML20154M318	List: ML20154M314 ML20154M351 ML20154M387
References
SSD, NUDOCS 9810200256
Download: ML20154M387 (3)

Text

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SATETY EVALUATION OF SEALED SOURCE (CORRECTED PAGE 1 - SEPTEMBER 09, 1998)

NO.: NR930S806U DATE: July 13, 1966 Pace 1 OF 2 SEALED SOURCE TYPE: Radiography Source Assembly MODEL: Various MAMUFACTURER/ DISTRIBUTOR: IMMEC Subsidiary of Babcock-Wilcox Warren Avenue Apollo, PA 15613 s

MANUFACTURER / DISTRIBUTOR:

ISOTOPE: Iridium-192 MAXIMUM ACTIVITY:

LEAK TEST FREOUENCY PRINCIPAL USE: Industrial Radiography CUSTOM SOURCE: YES X NO l

l 9810200256 981019 '?

PDR RC

• SSD PDR 1 (7 5 f u ( O u d b Y 1

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REGISTRY OF: RADIOACTIVE SEALED SOURCES AND DEVICES .;

SAFETYtEVALUATIOtl.OF, SEALED SOURCE HQ 1 NR930S806U. DATE: July 13, 1966 PAGE 2 OF 2

- SEATRn SOURCE TYPE: ~ Radiography: Source Assembly

• DESCRIPTION: .

NUMEC manufactures the following Iridium 192 sealed source -!

assemblies for use in Radionics,:Inc., radiography units. See i Radionics,'Inc., sealed source sheet for description.

Model Nos. P192-100- P60-5  ;

P192-100-lU P60-10 <

P192-25A P60-30  ;

P60-100 l

ISSUING AGENCY: j U.S. Atomic Energy Commission-

)

I l

l 1

t

1

t PAGE1 fetc FORM 567 U. S. NUCLEAR REOULATORY COMMISSION pes) c REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION 4

INSTRUCTIONS: Send this request AND a copy of all reisted leW*=w and draw.nge to: The Sealed Source Safety Section, ATTN: Chief, OWFN Mail Stop 6 H3. Change the License Tracidng System milestone to 19 and aeolgn to reviewer code I-5.

NOTE: Retain a copy of this request with the application and background files.

REQUESTER REGION / LOCATION:

TELEPHONE nub 8ER

[] [k [ b l1 U 11 U lit IV V HQ LFDCB DATE TYPE OF ACTION REQUESTED (Check sw nednte)

' l APPUCANTS NAME SOURCE REVIEW AMENDMENT OF EGISTRATION SHEET Mast CONTROL NUMBER (S) DEVICE REVIEW R 4

LETTER /APPUCATON DATE UCENSE NUMBER (S) CUSTOM f1EVIEW MR~ 930 ~b~ b~ M sussianny or= LSA SCOCK - WH C OX

WARREN AVEJUuE APOLLO, PA isroi s FOR 8888 USE ONLY MODEL NUMBERS NUMBER ASSGNED REVIEW 3 a A LAn AH / / Va rl 6a s 9 f(-d, 8 DATE RECEIVED DATE ASeGNED DATE TO FEES (o 04l-9 R S/ N/)fb ' b> c0Y- $

TY,. OF ACT,0N (i.,*a.e .,s , ., e .,,e,

% COMMERCIAL DISTRIBUTION (FORMAL) l USE BY A SINGLE APPLICANT (CUSTOM) 4 SOURCE (9C) DEVICE (9A) SOURCE (90) DEVICE (98)

NEW NEW NEW NEW i AMENDMENT AMENDMENT AMENDMENT AMENDMENT 4

% NO SAFETY EVALUATION REQUIRED j UCENSING ACTION REQUIRED IF KNOWN -

YES NO FEES REQUIRED NO

$ _lOTHER (Spec $)

I TOTAL NUMBER OF NOTES

REVIEW HOURS gge h C OIIbb {_ /

NUMBER OF g ggM C6(7~/l/C A7ES ,

DEFICIENCY LETTERS NUMBER OF V gj 6f CMSToN 50urc6 N

5 DEFICIENCY CALLS kd/d $ b FOR BILLING PURPOSES ONLY i NAME CHANGE ADDRESS CHANGE -l NEW REGISTRATION - J PRODUCT INACTIVE- /

ADD TO BILLING REMOVE FROM BILLING FOR FEE USE ONLY TYPE OF FEE f ,, FEE CATEGORY l9A

~

i - i AN k,# U 9B 9C R 90 e #' \ '\ '

AMOUNT RECEIVED L, CHECK NUMBER

~

MATANN UPDATED

(t ,

, j AS REQUIRED 4

DATE OF CHECX LOG j MATSYS UPDATED f

k ;i[ Q,1,) AS REQUIRED APPROVED BY DA4 RETURN DATE

- i 4 NRC FORM 607 (S-e3) l N ., ,

'