ML20204C255
| ML20204C255 | |
| Person / Time | |
|---|---|
| Issue date: | 10/01/1988 |
| From: | Tyler R NRC |
| To: | |
| References | |
| SSD, NUDOCS 9903220394 | |
| Download: ML20204C255 (3) | |
Text
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~ UNJTED SJATES NUCLEAR REGULATORY COMMISSION l'
_l 7f G p WASHINGTON. D. C. 20555 h.
~.....l CATA COLLECTION (SITE VISITS) 1 INTERVIEWER: newAto ti , Ts wR 1 1 DATE: 1 GENERAL LICENSEE INFORMATION:
NAME: cv a nu t R cc,wAus M c.. .
ADDRESS: rvto u.s. am avan n CITY / STATE: u wtos NT ovos3 CONTACT PERSON: CiwTm A (ARmW ) 6-EC#M A WILROR i
POSITION IN COMPANY: qEwie n em MKT [ RES EARCHC MEfMM
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TELEPHONE NUMBER: (cy) en t- zweca COMPANY'S PRINCIPAL BUSINESS: E w C4 NEEROJL-,
- WATEA TREA7ME4 ECuiPNMT PRIMARY USE OF DEVICE: 6W CHRomrwocritAPai DOES THE GEN. LIC. HAVE A COPY OF THE GENERAL LICENSE REGS. (31.5)YES_ N0,1(
NAME OR TITLE OF EMPLOYEE RESPONSIBLE FOR ASSURING COMPLIANCE WITH THE PROVISIONS OF THE GENERAL LICENSE: cw wTatA (Anmm 531.5(a) -
general license is issued to commercial, educational and medical institutions, to individuals in the conduct of their business and to federal, state or
.s O local government agencies to acquire, j.pV 'l0 receive, possess, use or transfer s'
9903220394 881001 m 3PT y"7 PDR RC * !V '
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l'le:na fald in fourths (with addr$ss visab$e). Srapste and return worhaut tielay. Thank you.
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Note of Acknowledgernent To Varian Radiation Gafety Of ficer:
I am aware of the fact that Nickel G3 Electron Captu.e Detectors must be tested for leakage every six (6) months or in accordance with my license. I know that I am required to keep records which indicate that these leak tents have been performed I know that non-license holders may use the 03 049041 -00Varian Wipe Kits, but that the analysis must be performed by a specific hcensee.
O Please send me a wipe kit in the month of b [rs ,
and every b months thereafter.
O Do not send me anything. I will take care of this myself.
For Varian's records, as required by the Radiation Authorities, I give you:
Company Name & Address. c. b crin g- (n (Location of Use) N10 l3h bsg cN bdnion, is) 7 6 ~/() E '3 Responsible Person's Name & Function; C- ~ u C~ C Cd' W Nr. f.ke es s Telephone Number 2OI 9[p V r2b/O ECD Senal Number: M NI7 Date Received U f have inore than one ECD and plan to test thern simultaneously:
Total Number: Month Wanted Other Serial No.mbers-Manufacturer (s)
Signature. < r - - A-. %
0 Our organization has a Radiation Safe:y Officer and he is informed of my possession.
Edread the Radiation Safety Manual and am prepared to follow the regulations.
I arn aware of the following; o The wipe kit is sent to me at no charge. For analysis, I return th- kit with a $20 00 check enclosed Canadian customers, please enclose U.S. S22.00. U S. bank check.
o i may include a $200 00 purchase order for a 10 leak analysis contact. (United States only) o Varmn's wipe kit may also be used on Ni' 3 ECD s of dif ferent make W-50%
- . .. .. ....-.__- -._- -.. - .. - - . . . ~ . - . . . . . - - _ . _ . . . . . . . . .
co ADDITIONAL DEVICES (vARfAfd]
USER: C'8LA"E A (CidPAw y tut. DEVICE TYPE: F oretRcN CAP. DET.
MODEL: 01-0o1971-00 CR 61- 9 e t3 l'1 -o ci !
4 DATE RECEIVED: 4lt5 l 3 5
- IST 07R /tS ISOTOPE / ACTIVITY: Ni-63 / 'i m c t
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