ML20202E885

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Voided Matls Licensing Action for Eg&G,Tennessee License R-01082-D02.Controls:001306 & 001307.Portions of Package Considered Proprietary & Being Withheld
ML20202E885
Person / Time
Issue date: 12/22/1998
From: Heim D
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
NRC
Shared Package
ML20136E185 List:
References
001306, 001307, 1306, 1307, NUDOCS 9902030218
Download: ML20202E885 (13)
v • d • e


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'- ATTACHMENT 5 l

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TO: License ree Hanagement Brancn .  ;

FROM: M f I

SUBJECT:

YOIDED APPLICATION 1

'Ih ControLJiumoer: //[l[ /ijd[

Applicant: 7%

Date Voided: / d de/

! 7 98 .i

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Reason for. Void:

0 l/10/' b00[0fh42 (l krG/712 E  ! /98 &tJOr S r/k94e .

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Signature

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Attachment:

Otficial Recoro Copy of Voided Action FOR LFMB USE ONLY Final Review of VOID Completed:

Refund Authorized and processed

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O Q No Refund Due I' Fee Exempt or Fee hot Required O

.I Comments: Log completed

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9902030218 981222 PDR STPRO E90TN PDR

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I NaUlb919b-Y& EGsG INSTRUMEN15 TKI(7TADt0 03G G3 IN FAWENT OF ITEMS E3SCRBED BEL.OW D TMS S NOT CORRECT. PLIASE NOUY US PHOMPRY.

VOUCHER NUMBER g om ,,,,,, }"- ansam j oncau, IWYMENT AMOLWT t_

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KEY BANK NA H EGmG INSTRUMENTS 2Nf5S M Na0159196

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EG&G INSTRUMENTS,INC.

801 SOUTH ILUNOIS AVENUE, OAK RIDGE, TENNESSEE 37831-2011 12/11/98 00159196 ******200.00 PHONE: (615) 483-2121 e TELEX: 6823020

  • FAX: (615) 483-2279 PAY
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2 4twa Am Wh Aay Ament h $2.M To US NUCLEAR REGULATORY COMM.

THE 61 FORSYTH STREET 7" SUITE 23TOS r9;Mresv e M *>gigg., !

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REGION II 6 Calendar Year 1998 TRANSMITTAL FOR NRC FORM 241 & REVISION SUBMITTALS UeCQJMbef~f f7 \

[ ] I ITIAL 241 PACKAGE LRN

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[ !, REVISION LRN

[ ] CLARIFICATION LRN C

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eldholk l LICENSE STATE / NUMBER ~ 'O I O 'I 1 d S E CHECK NO: O N k[s l CHECK AMOUNT: s Q O O.00 FORWARDED BY: cT A t e_. /

Initial Revision Clarification incluces: Form 241 '/

Fee License Copy LICENSE FEE & ACCOUNT RECEIVABLE BRANCH

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.1. Fee Category and Amount: .

2. Correct Fee Paid. Submittal may processed for:

General License

. Revision Signec Date 4/1998 G:\DNMS\MLIB2\RECIPR98\0. FORM. FEE

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Attachment for NRC Form 241 Johns Manville (00186)

9. Johns Manville 6050 River Road g  !

Waterville, OH 43566

10. Some
11. (410) 878-1241
12. Ron Biok (Johns Manville)

Rick Foster (EG&G Berthold)

13. (419) 878 1241
14. December 17 & 18,1998
15. 2 days
16. Leave Blank
17. Cs-137 500 MCI Amersham source; Co-60 500 MCI Amersham source Berthold LB 7444 Bio Lab b 1400 East Michl9an Street Adrian. MI 49221 O O /3 O 7
11. (517) 265-7850 '
12. John Catepecci(Blo Lab)

Rick Foster (EG&G Berthold)

13. (517)265-7650-
14. December 16 & 17,1998  :
15. 2 days i
16. Leave Blank
17. Co 60 <100 MCI Berthold LB 330 l Please note, the work will be sp!!! on December 17,1998, but I put 2 days for each site.

gg# gg Cc A/o /308 / /507 b c k't $ A l6 DIVISION OF ACCOUNTING AND FINANCE REQUEST FOR REFUND TO EMPLOYEE / VENDOR

' THE EMPLOYEER / VEND 0' IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR RE COMMISSION FOR GOODS AND/OR SERVICES PROVIDED AND IS DUE A REFUND EMPLOYEE / VEND 0R/ PAYEE CODE: . .

NANE: kfTk D ADDRESS: ,.

h ADDRESS: IOk 9 CITY: h

  • U STATE: T// ZIP: 3 7S3/ 'OO @C

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TRANS CODE: fL ,

TRANS TYPE:- FUND: JOB CODE: AMOUNT:@dOd'OO TRANS TYPE: IR FUND: R1435 JOB CODE: INTR AMOUNT:

TRANS TYPE: IR FUND: R1099 JOB CODE: ADCH AMOUNT:

TRANS TYPE: IR FUND:_R1099 JOB CODE: FINE AMOUNT:

T TAL REFUND AMOUNT:8JOO ' OD COMMENTS: /M!d N 4b /3Ob [?>D 7 r/b(L

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t,ccimmen s to 40 pharacters, including spafes) j PREPARED BY: bk Sh DATE: /[Sh/77 AUTHORIZED BY: [w ~ DATE:

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REFUND ENTERED INTO COLLECT SY:

REFUND DETERMINED BY:

DATE:

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gg Oak Ridge, TN 37831-0895 a tssia o~eav 6a j: -acs.use a.v=esa

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- 13. CERTW1 CATION .MUST EE *:MPLETED EY APOL!CAND b ' THE UNCER5iCNED. 'aEaEav CgRTirv TwAY 2

a An intornision in mes eecon is irve anc comoiese

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i nave seno ana unoersiane one provesen os iPe generas hcense 10 CFR iSC *O reormiee on the cove, spees os mes torm sei ano i vacersiano mat i am reoverec

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[ c i unoerstano snat scuenes. mcluomg storage, conouctee m non. Agreements States unoer generai heense 10 CFR 150 20 are umaec io a icina of 180 cavs m esionaat wear c t unoersiano inai i man te aisoeciso ev NRC as me soove hsies worn s ie ocauens ano at me L. cense, nome oiGce acoress to< acuenes penormee m

.h non i.geeemem States or onsnore we ecs. I am siso aware mas a vad oe vescons.oie to< snv sees associaiec wim suca intoeciens C

J e a unoersiano mai conevci of an, sciamos nos cescnoee soeve. mciuomg comovet of actwaes on osies ce nocanons eine'eas irem mese

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9' winNmG nose sTATEueNTs = T is CERTecATE wy eE sua;eCT SUBMISSCNS TC THE NRC EE COA 4pt!TE ANO ACOURATE IN ALL MATERIAL Te CgEPECTL ANo.cR CRuNAt ta V S C SECTCN 1001 MAKE! :T A CRP4NAL CFFENSE *:

MAKE A WILL*VLtY FALSE STATEMENT CR REPRESENTATCN TC ANY CE8ARifAENT CR AGENCY OF Th ! VNITEO STATES AS TC ANY IT$ .;URt3DCTCN i A . i E

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- 1s. CERT;F1 CAT:CN ruus? EE :CupLETE: Ev nor. CAun b THE UNCER5iONEC *'E458Y C1RTilN THAT k~ a An iniaemauon sa mes eeoon es irve uo comosese

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. i nave seso ano vner'siano one prov sen or me generai heense 10 CFR 150

  • seonmeo on tne cove, snee4 os m,s term s.i ano i unoersrano inaiI am reovereo

. :o cornorr ~'m mese o'*** ens as io asi evorcouct source. or specias nucitar maierini -n.cn e possess ano use en naa 9,eemeni States or odsnore -see,s unoer ine generai acense one wn.cn m.s recon is iaea wnn tne V S Nucieat Aeguiaiory Comemsson

[  : 6 unoerstano mai actmues. *ctuoing storage, conowcien m non-Agf eements States unoer generai i. cense 10 CFR 150 00 are amneo to a toint of 180 cars ici ca.encar voar h e I unoersiano mat mav oe naspeciso av NRC at :ne soove testeo wors sne ecahons ano at tne Licensee nome olf.ce acotess to' sch'd'es oenormee m

. non ,,eemem staies or onsnore weiers. I am aiso awore mai i ~i ne eesecasioie ior any sees associmiec vam sucn inspecticas f

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w e i uncersiano mai conowet of an. actanues noi cescnoen soove meivomo conovci of aes=mes on caies or iocaions cine.em I, mese onenneo soo.e or Cf. emnout NRC awmongsuon may suo+ect me 10 enforcemeni act.on mciuoMg cwo or enmanas senames ,

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NRC List (cont.)

Comoany Citv State Contact Phone l

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t Rev. 000 Date December 29,1998 6

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