ML20202B895

Ack Receipt of NRC Form 241, & Filing Fee in Listed Amount,Submitted to Rept Proposed Activities in Non-Agreement States Under Authority of General License, Per 10CFR150.20

ML20202B895
Person / Time
Issue date:	01/05/1999
From:	Kinneman J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:	Pettit J AFFILIATION NOT ASSIGNED
Shared Package
ML20202B891	List: ML20202B887 ML20202B895
References
000232, 232, NUDOCS 9901290221
Download: ML20202B895 (13)

Text

my UNITED STATES

.y

. t p,

NUCLEAR REZULATORY COMMISSION 0

l REGloN I G

475 ALLENDALE ROAD 1

%, *... +,o'g KING OF PRUSSIA, PENNSYLVANIA 19406 1415 J

January 5,1999 Mr. John W. Pettit, President Pettit Applied Technologies 7808 Potter Mill Court Rockville, MD 20855-1025

SUBJECT:

APPROVAL OF PROPOSED ACTIVITIES IN NON-AGREEMENT STATES (NRC FORM 241) FOR CALENDAR YEAR 1999

Dear Mr. Pettit:

This acknowledges receipt of NRC Form 241 dated January 4,1999, and the $1,100 filing fee, which you submitted to report proposed activities in Non-Agreement States under the authority of the general license pursuant to 10 CFR 150.20.

In the future, please use the NRC Form 241 and mark the appropriate box for submitting revisions and clarifications. Please fax your revision or clarification and a copy of the appropriate fee to (610) 337-5393.

The NRC Form 241 must include specific changes, such as locations, dates of work and personnel. Work locations are subject to NRC inspection in accordance with requirements j

for a general license.

The total days of usage / storage through this reciprocity request is 3 days. If you have any questions, please call Cheryl Buracker on (610) 337-5093 or Rebecca Brown on (610) 337-5260. Your cooperation is appreciated.

Sincerely, e

h /$. h I a

ohn D. Kinneman, hief hNuclear Materials Safety Branch No. 2 Division of Nuclear Materials Safety License No. MD-31-252-01 Control No. 000232

Enclosure:

NRC Form 241 cc: State of Michigan 9901290221 990104 PDR STPRG ESGMD PDR

A!!- i 6AI 23: O IU m.7..

f f

DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE Page 1 of I pages License N MD-31-252-0.1 Amendment No.:

06 CODE 03620 Pettic Ap, 3 Tecitoelogies 7S08 Pot. - Mill Court Rockville. f aryland 20855-102$

In accor&." e with facsimile dated September 15, 1998, Radioactive Material License Number MD-31-252-01 1

is amend;t...s follows:

j Item 9 to. d:

9A-H. Rt 4 uch and Development of industrial gauges and demonstration of same titroughout Maryland.

Addi:ionally, the licensee is authorized in accordance with COMAR 26.12.01.01 Section C.28(d), to in' :porate Item A into PAT 1000 and distribute these models to general licensees in accordance with C4 AR 26.17.01.01 Section C.22(d).

FOR THE MARYLAND DEPARTMENT OF Tim ENVIRONMENT

[

M

/

September 1*,1998 Roland G. Fletcher Radiological Health Program Manager NAO C.I 7 W 9'8 i

Al! _.

dAi 23:D I.15

' gp g gg i

DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE Page 1 of 1 pages License N: MD-31-252-01 Amendment No.:

05 Code 03620 Pettit A ", ied Technologies 7808 PW *s Mill Court Rockville Maryland 20855-1025 In accos.!arce with letters and manuals dated June 22,1998 & July 29,1998 Radioactive Material License Nunibe, ?.D-31-252-01 is art.caded as follows:

. C_qadiliu ;8 to add:

Quality Assurance Program referenced in letters dated June 22,1998 and July 29,1998.

I FOR TIIE MARYLAND DEPARTMENT OF Tim ENVIRONMENT

[

{_

/

August 4. !998 Roland G. Fletcher Radiological Health Program Manager II DKM 4[

^

JA!!- :.

BAT B:0 P.11 A8 WN DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE 1

1 Page

_ of _ pages Supplementary Sheet MD-31-252-01 Amendment No.

Os cope 03620 Ucens'

'o Petti'. '; plied Technologies 7008

' ters Mill Court nockv'

'e, Maryl.ux3 20055-1025 In acenhe with letter with attadments dated August 6,1997, Radioactive Material Licen; Ntatser FD-31-252-01 is ener&d as followas caridi u_11D to re d:

118.. Podioactive raterial sball be used by, or under.the supervisica of John W. Pettit D.D., Nnk Sykora, Titor Vozner, or Patrick Zirnhelt.

FOR THE MARYLAND DEPARTMENT OF THE ENVIRONMENT Q,

l.

,t J

gust 21, 1997 g,,,

RADIOLOGICAL HEALNi PRdGRAM MANAGER li NA0 MDCR Li (<,

. (11/90)

'a

,g,

,3,7 3;

~--

~

^ J,]g

~

~

8 DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE 1

2 Pege d

peg Supplementary Sheet Ucensr ',a.

MD-31 -252-01 Amendment No.

03 Pettit : plied Tednologies 7808 l' t:ers Mill Cairt Rcchvi.'

t, Marylard 20855-1025 In acc: '?ance with letter dated Novmber 7,1996, Radioactive Material License Nunber 10 ':-01 is wacndad as follows:

6. Padion.'.ive nutorial

7. Chemical e.nd/or physical

8. Retinum amxtnt of radioactivity (elentne ard uses.. _

. form 411ch licensee.nay possess at any nunter )

. cne tine.

D. Cadniwi.109.

D. Sealed Source D. No source to exceed (Isotopo Protets.

100 millicuries.

Laboratories Rdel Total possession PHI-109) 1000 mil 11 curies E. Americiuav-241 E. Sealry.1 Sourco E. No source to exceed (Amersham M dels 200 millicuries.

NC10236, NC 108)

Total p:)ccession 1000 millicuries F. Cadniv.. 109.

P. Scaled Source F. No source to exceed (Amerrham H:dels 20 mil.11 curies.

C1.X'i3055, CUC13065)

Total posseccion 1000 millicuries FOR THE MARYLAND DEPARTMENT OF THE ENVIRONMENT Date RADIOLOGICAL HEALTH PROGRAM MANAGER d MDER-L1 (s

11/90) i

Ali '.

l.AI23:s.!

P. I1 l

DEPARTMENT OF THE ENVIRONMENT RADDLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL t.lCENSE Page of pegen Supplemc..lorf ?':9et Licens<

20-31-252-01 Amendment No.

03

...,.,0 Cati 2nlLEp.....

6. Peits.Liva naterial

.7, Chemical arrVor gitysical,

.8. Maxinum.onount. of radioactivity (elcun, and mass

.fonn.

shicit licensee nay possess at any

.s.

nunbe one tine G. Kr,fptc 05.._

G.. Scaled Suace...

G. !b. source to excees.1

...,(Ancrsham doels 100 millicuries.

...,KAC23,.KAC13 401, Total poscession

.KAC10iO2),

.1000 millicu.cies H. Stront.o m-90,

H. Sealed Source..

H. Ib. source to excM

,..(Amtwsham HoS21s..

20 millicuries.

SIFii74,_SIF1175)

. Total poccession.

1000 millicuries FOR THE MARYLAND DEPARTMENT OF THE ENVIRONMENT Date RADIOLOGICAL HEh(TH PROGRAM MANAGER 11 NA0 MDER.L1 (v (11/90) l l

JE-

. EIT L.4Z F. 0; Ab

? AN DEPARTMENT OF THE ENYlRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE 1

1 Page _ of-pages Supplementary Sheet

. Licens

.a.

1 0 252-01 Amendment No.

02 Pett.:' Applied Technologies 7000 otters Hill Court Rect-

?..le, N r; t'.2..Y T -1;;25 In e' rdance with facsimile dated October 4,1996, Palicactive Material License Nunt;cr M)-2

'!52-01 ic a:rerrbd as follows:

6. Bad!.- 31ve rmterial

7. Chemical arxVor physical

0. Maxinum amount of radioactivity (el" at arx1 nass form.,,.

Milch licenceo nay possess at any one tim nurd 7 !

s.

C. Kry; 4-05 C. Sealed Source C. !b source to exceed (Isotope Prcd2 cts.

400 millicuries.

Laboratories tbdels,

Total possessico BFI--OS. and BFIL) 2000 millicuries 8

FOR THE MARYLAND DEPARTMENT OF THE ENViliONMENT wA ik.

1. b

'/

Date _.

RADIOLOGICAL llCALTH PROGRAM MANAGER M NAD f[k 1

MDER-L1 1

' (11/90)

O 1

,A...:.7; V.--

l c.6. L -

t.

{.-

h' A AN f

DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE Page 1 of.2 pages Supptementary Sh?st Licen:

.' o.

If-31-252-01 Amendment No.

02 Petti'. Trplied Technologies 70 ^? ~ ilters Mill Ccurt Rockvi i]e, thryhnd 20655-1025 In aco'rdance with letter dated August 22, 1995, Radioactive 1%terial License Nuder h i',rmnded ;i3 foll.ws:

Ltsm.

O is am?nded to read:

9A-B.. usearch and developaent of industrial gauges and derronstration of same throughout Wryland. M3itionally, the liconsee is authoriza in accordance with CMa M.12. 01. 01, Section C.28(d), to incorporate Item A into FAT Model 1000 and M ctribute these nrdela to general licensees in accordance with Cot 9R 26.12.01.01

tion C.?2(d).

TO_N i - %*QIIJg.9 i 6. 17. Alg,j qi 16.

h licensee chall report to the Departncnt all tranciers of the devices distributed under this license to persons generally licensed under Section C.22(d).

Such report

hall identify each general licensee by narre and address, the type of device tIonsferred, the epant.ity and ty1x of radioactive material contained in the device, a"d Opocific location Miere each device is installed. 'nie repnt rhall im sulmitted within 30 days af ter the end of each calendar quarter in 411ch any sur.h device is transfenv3 to a generally licented rerzon.

17.

Es licencee shall fumish to each general licensee to whom he transfers a device pursuant to this license a copy of Section c.22(d) "cer tain tieasuring, Gauging or Centrolling Devicco" of 5.he Maryhnd Eegulations 26.12.01.01 "Restlettions for Control of Ionizing Radi:stion" or equivalent regalations of the U.S. Nuclear Pe;ulatory Comiccion or another Agreenent State.

FOR THE MARYLAND DEPARTMENT OF THE ENVIHONMENT Date.

RADtOLOGICAL HEALTH PROGRAM MANAGER 11 MOEH L1 :

1 (11/90)

O I

.. kI [:'.,41 I. h5

^

l AE.-

hY$$

05 SN DEPARTMENT OF THE ENYlRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE 2

2 Page of pngen Sepplementuy Sheet Licent.

O.

10 252-01 Amendment No. 01..

Transportation of radicar.tive tnateriAl in the State of thryland shall te in 18A.

cenpliance with Pstrt T, Section T.5 " Transportation of Licensed Material" of 0.71R

' 12.01.01,

'Ih-licenoco chall transport licensed nuterial or deliver licensed rnnterial to a 10D.

corrier for tranrport in accordance with the provicicns of.ection T.S, S

"T ansportetion of Licen:ud Sterial" of COSR 26.12.01.01, FOR THE MARYLAND DCPARTMENT OF THE ENVlHONVENT 1

,y p p ch a, 1 m o,,, _

RADIOLOGIC LhiEALTb PROC 7 RAM MANAkR ll uptatt,

3 (iifoo;

l 75!i- :.. ENI $ $3 I. 03 l

l' l-(' M b

DEPARTMENT OF THE ENVIRONMENT' j

RADIOLOGICAL HEALTH PROEMAM RADIOACTIVE MATERIAL LICENN Page 1 of pt;;es Pursuas.i io the Maryland Radiation Act, and in reliance on statements and representa:,s heretofore made by the licensee, a license h hereby issued authorizing the IIconsee to receive, acquire, possess and trant or radioactivo material listed below; and to use such radioactive material for the purpose (s) and at the place (s) designated belo'w. This license is subject to all applicable rules, segut.itions and orders of the Maryland Stato Department of the Environment, new or hereinafter in offect and to any condition' 'specified below.

]

LICENSE.E

3. License No.

l Pettit Applied Tecimolcgies 10 252-01 1.Name

• /808 Potters Mill Court

-~

~

Nckville, Maryland 20855-1025

4. Amendment No.

r:EW

8. Address

5. Expiration De'e 1.ugust 31, 2000 I

)

~!

\\

6. Radioact;v6 material (ebment and mass

7. Chemical and/or physical form i Maximum emoet of radioactivity wh:ci<

j fiumbor) licensee may r assess at any one t me A Strot:t l':m-90 A. Scaled Source

. No urt to e> reed (Isotope Pro 11 cts 10 milliruries,"lotal Iaboratories DFI-90) posmssi<.n 100 millicurie a D. Anericium-241 D. Sealed Source D. No cource to exceed 100 (Isotope PrWacts utillicwies Total Posse 55ic"-

PHT-241) 500 mi1Hcuries l

D. Authorizr ' ce A-B.

For research and develot: rent of inchotrial gaugeo.

l MDER-L1 (11 "

lG-nT i:;. f.4 f A.

V. -

CAskg/ D ONttft&nnf DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE l

Page 2 et 4 p,q,,

l Supplementary Sheet i

Ucen1':

f 0,

10-31-252-01 Amendment No-NEW 031DITICES 10 Itt'i.oactive. rat.erial shall be used only at 34 Cessna Court, Gaithersburg, MuGu,S 200'/s.

'Jhe licencee trust notify the Radiological Health Prearwn 30 days prior to vacating a F*rrment use address as is required by Section D.407 of 02'AR 26.12.01.01.

11A. L radiation protection program shall be under the supervision of John W. Pettit Eh.D.

118 TsJioactive traterial chall be used by, or under the supervision of John W. Pcttit Ph.D.

12.

m licensee shall conply with provisions of Part D, "St.ar&rris for Protection Iqainst Radiation" and Part J, " Notices, Instructionc end Reports to Worker s; Inap?ctims" of the Ibr:yland Regulations 26.12.01.01 " Regulations for Control of Ionizing Tadi.ititu

[

23.

hlod cources containing radioactive traterial chall not be opened.

14A.

LL sealed source containing radioactive material, other than Hydrogen-3 eit!.

Al f-life greater than thirty days and in any form other than gas chall be testm ic;. ;kage I

and/or contamination at. intervals not to exceed six (6) rrenths.

In the absence of a carctificate from a transferor indicating that a test has been rmde within six (b) rmathe prior to the transter, the scaled source shall not te pit into use until te u L If there is Ivason to cucpect that a sealed murce might have toen demgel, or - ' " ' be letking, it, nhall be tested for leakage before further ucc.

14B.

'U.o test shall be capable of detecting the presence of 0.005 microcurie of radioactive imterial on the test sartple. '1he test sanple shall be taken from the scaled cource or free the surfaces et a device in which the sealed source is perraanently trcunted er stored on which one might expect contamination to.sccunulato, i

FOR THE MARYi AND DEPARIrvNT OF THE ENV:nn'J"f"f I

~

i Da's.

RADIOLOG CAL HE ALTH PROCHA*/ t/AfD. !i h i

f tADE4Li ('

) (11/90)

O l

I l

65I h.gIO

__ _3d$-

.. ~..

f. 65 i

h/kW

$5 d/f/

DEPARTMENT OF THE ENVIRONMENT RADIOLOGICAL HEALTH PROGRAM RADIOACTIVE MATERIAL LICENSE 3

4 Page of pages Supplementary Sheet b

Mo.

FD-31-252-01 Amendment No.

NEW LVyITIT3.S~Nrnm:S 14c. i.ecords of Icak tests shall be kept in units of microcuries and rreintained for in.S* ction h'/ the Departnent.

14D.

If the test reveals the presence of 0.005 microcurie or nore of remvable contamination, tha licenseo shall inmediately witJdraw the sealed source from use and shall cause it to l

'to decontaminatcd and repired or to be dispored of in a:cordance with Departnr#.

l r ealations.

A report chall be filed within five (5) days of the test with the I&inistrator, Radiological Health Program, 2500 Brocning Highway, Baltimore, mryland l

21224 describing ' lie egalpment involved, the test results, and the corrective action L

d n.

14F rett for leakage and/or contamination shall be perfonned by Ecology Services Inc. or by

'ther persons specifically authorized by the Departmmt, the U.S. Nuclear Regulatory

.canission or another Agreement State to perform such services.

l 15.

1hc licensee shall conduct a rhysical inventory every six (6) nontim to account for all sealed sourecc received and possessed under the license. 'the records of the inventories iai.1 be maintained for tvo (2) years from the dato of the inventory for inspection by i

the Departt:rxit, and shall include the quantities and kinds of radioactivo material, lomtion of scaled sources, and the date of the inventory.

1 FOR THE MARYLAND DEPARTMENT OF THE FNVIRONMENT RADIOLOGICAL HEALTH PROGRAM MANAGER 11 f.tDE i t $

t (11/90)

O

i MI!-

,' h".1 5 iU l6f

\\;* hl INff

~

I DEPARTMENT OF THE Eli'a DNMENT RADIOLOGICAL HEALTl; PROGRAM RADIOACTIVE MATER!? ' ' ! CENSE i-Page 4 ora ___ pages supplemenery Shu s j

Licenw :o.

R>-31-252-01 Amen

nt No.

g ggig2IIEgi_pXtnu a l

19A.

ihe licensee shall not nake any false state.mmt, representation, or certification in miy applicaticci, record, report, plan, or other docune nt regarding radiatien levels, tests perforned or radiation saf ety conditionn or practices. Nor shall the licensee falsify, tanper with, or render inaccurate any enitoring device or method.

I 19B. Uhlation of any tezut, condition, or reg: tion could subject the licensee to aMnistrative or civil penalty or crimina].. rosecution, as erecified in Title 8, Ediation, of the Article Ertvironnent of the tnnotated Code of Mtryland.

20.

C; cept as specifical'.y provided otherwise by

• is licence, the licensec chall possess a:id use radioactive material authorized by t:-

icence in accordance with statements 9pn centations, and procedures contained

plication dated June 28, 1995 and letters clited August 2,

August 22, and wnber'0, 1995, C m AR 26.12.01.01 "F.<vplations for Control of Ionizing Radiatic aall govern the licensee's statemants

% ar.plications or lettnrs, unless the etz

ents are note restrictive than the e

711ations, I

FOR THE t ' ' 1 AND DCPARTMENT OF THE ENVIRONMENT

(,

Date._ '" ' ' ter 11, 1995

'#3 LOGICAL NtiAI.1H PROGRAM MANAGER ll l

NAO l

f.

MDER-Li i s p1/go)

O I

,h

_