ML20154M387
| ML20154M387 | |
| Person / Time | |
|---|---|
| Issue date: | 09/09/1998 |
| From: | NRC |
| To: | |
| Shared Package | |
| ML20154M318 | List: |
| 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 9810200256 981019
'?
(7 5 f u ( O u d b Y 1
a u
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 ISSUING AGENCY:
j U.S. Atomic Energy Commission-
)
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:
[] [k [ b l1 U 11 U lit IV V
HQ LFDCB TELEPHONE nub 8ER DATE TYPE OF ACTION REQUESTED (Check sw nednte)
APPUCANTS NAME SOURCE REVIEW AMENDMENT OF EGISTRATION SHEET Mast CONTROL NUMBER (S)
DEVICE REVIEW R
MR~ 930 ~b~ b~ M LETTER /APPUCATON DATE UCENSE NUMBER (S)
CUSTOM f1EVIEW 4
sussianny or= LSA SCOCK - WH C OX WARREN AVEJUuE
- APOLLO, PA isroi s FOR 8888 USE ONLY REVIEW 3 A LAn AH / / Va rl 6a s 9 f(-d, 8 MODEL NUMBERS NUMBER ASSGNED a
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)
SOURCE (9C)
DEVICE (9A)
SOURCE (90)
DEVICE (98) 4
' NEW NEW NEW NEW i
AMENDMENT AMENDMENT AMENDMENT AMENDMENT
% NO SAFETY EVALUATION REQUIRED j UCENSING ACTION REQUIRED IF KNOWN YES 4
NO FEES REQUIRED NO
_lOTHER (Spec $)
I TOTAL NUMBER OF NOTES REVIEW HOURS gge h C OIIbb
{_
/
g ggM C6(7~/l/C A7ES,
NUMBER OF gj 6f CMSToN 50urc6 DEFICIENCY LETTERS 5
NUMBER OF V
DEFICIENCY CALLS kd/d N
b FOR BILLING PURPOSES ONLY i
-l NEW REGISTRATION -
J PRODUCT INACTIVE-
/
NAME CHANGE ADDRESS CHANGE ADD TO BILLING REMOVE FROM BILLING FOR FEE USE ONLY TYPE OF FEE FEE CATEGORY f
i AN k,#
l9A U 9B
~
9C R 90
- i AMOUNT RECEIVED L, e #' \\ '\\ '
CHECK NUMBER MATANN UPDATED
~
(t DATE OF CHECX 4
j AS REQUIRED LOG f
k ;i[ Q,1,)
j MATSYS UPDATED AS REQUIRED APPROVED BY DA4 RETURN DATE i
4 NRC FORM 607 (S-e3) l N
,