ML20205J394
| ML20205J394 | |
| Person / Time | |
|---|---|
| Site: | 03031760 |
| Issue date: | 03/26/1999 |
| From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 467065, 50-29015-01, 50-29015-1, NUDOCS 9904120033 | |
| Download: ML20205J394 (67) | |
See also: IR 05000290/2015001
Text
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u.C. NUCLEAR REGULATORY COMMIS$loN Am:mdmant No.13
MATERIALS LICENSE
Pursu nt to the Atomic Energy Act of 1954, as amended, the Energy R%rgan;zation Act of 1974 (Public Law 93438), and Title 10,
Code uf Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and
- represent
- tions heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess
trInsfrr byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place
design;ted below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the
applic;bla Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of
as eminded, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in
effect End to any conditions specified below.
Ucentee in accordance with application dated
December 22,1998,
1. ASCG inspection, Inc. 3. Ucense number 50-29015-01 is amended in
its entirety to read as follows:
2. 301 Arctic Slope Avenue, Suite 100 4. Expiration date March 31,2001
Anchorage, Alaska 99518-3035 5. Docket No. 030-31760
Reference No.
7. Chemical and/or physical form 8. Maximum amount that licensee may
6. Byproduct, source, and/or special possess at any one time under this
nuclear material
license
A. Sealed sources A. See Condition 10
A. See Condition 10
B. TO Mode: 77302 B. Not to exceed 165
8. Cesium-137 .
millicuries per source
q } sealed sources
C. Uranium, Natural or DC: hhielding meteri,al i' , C 999 kilograms
y
Depleted -fE
-
,
.;
,
,
~
49 - 3,
. c,. v
9. Authorized use
A. For use in industrial radiography and replacement of sources. !
B. For use in TO Model 773 instrument calibrator for calibration of licensee's survey instruments and
dosimetry equipment required by 10 CFR Part 34.
For use in shielding in radiography equipment. 9-/
C. /.
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.
9904120033 990326
PDR ADOCK 03031760
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OfnCIAL RECORD COPY ML40 1
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NRC FORM 374A u.s. NUCLEAR RE0uLAToRY coMtWBaloM PAGE 3 of 4 PAGES
uoenee Number
50-29015-01
DW or Reference Number
MATERIALS LICENSE
030-31760
SUPPLEMENTARY SHEET. _
Amendment No.13
CONDITIONS
10. Sealed sources, exposure devices, and source changers authorized for use are as follows:
Manufacturer & Maximum Manufacturer & Manufacturer &
Model No. of Activity per Model No. of Model No. of
l
Isotope Source Assemblies . Source ,
Exposure Devices Source Chanaers g;:,
c ,
p
A. Ir-192 IN Model 32 120 curies IN Model IR-100 IN Model IR-50
B. Ir-192 AMSHM Model 87703 120 curies IN Model IR-100 IN Model IR-50
C. Ir-192 IN Model 7 120 curies AMSHM Model 6608 IN Model IR-50
'
D. Ir-192 AMSHMe Model 86520 200 curies .AMSHM Model 865 NONE
7 .;s ,
,,
-
,4
E.Co40 AMSHM Model N .,1 70 millicuries 4 AMSHM Model660B NONE
A 424-19 's
,
>
i, < . .
-
s -
F. Ir-192 AMSHM Model 442'4-9 '1M cidrie { ' AMSHM Model6608 NONE
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ABBREVIATIONS USED IN LICENSE!M \N P
d,,
Amersham (AMSHM), Industrial 3i NubleaI(IN) gh,-w 3.; ; w%.,[ ~
11. Radioactive material shall be used'oni at the folioIwing:41
'
N,g
A. LOCATION OF USE: Lot 3A, Block 1 Subdivision, Dimond Industrial Center,301 Arctic Slope
Avenue, Anchorage, Alaska. l
B. FIELD STATIONS: Lot 3A, Block 1 Subdivision, Dimond Industrial Center,301 Arctic Slope l
Avenue, Anchorage, Alaska; ;
I
7930 King Street. Suite A, Anchorage, Alaska; l
611 East 30th Avenue, Fairt>anks, Alaska;
54932 Coringa Avenue, Kenai, Alaska;
Kuparek River Unit, Kuparek, Alaska;
BP Exploration, Prudhoe Bay, Alaska;
Valdez Marine Terminal, Valdez, Alaska;
ARCO EOA, Prudhoe Bay, Alaska l
! I
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U.S. NUCLEAR REOuLAToRY CoM8MSSloN PAGE 3 of 4 PAGES
< IstC FQC 374A
Ucense Number
50-29015-01
DocW or Reference Number
MATERIALS LICENSE
030-31760
SUPPLEMENTARY SHEET
Amendment No.13
11. (Continued)
C. PERMANENT RADIOGRAPHIC INSTALLATIONS: NONE
D. TEMPORARY JOB SITES: Anywhere in the United States where the U.S. Nuclear Regulatory l
f
Commission maintains jurisdiction for regulating licensed material, including areas of exclusive
federaljurisdiction within Agreement States.
,. ,
if the jurisdiction status of a federal facility hthin an Agreement State is unknown, the licensee should
contact the federal agency controlling the job site in question to determine whether the proposed job
site is an area of exclusive federal jurisdiction. Authorization for use of radioactive materials at job
sites in Agreement States not under exclusive federal jurisdiction shall be obtained from the
appropriate state regulatory agency.
12. Licensed material shall'be u$ed by, or under the supervision and in the physical presence of, Jeff
Arveson, Terry Stokan, Tom Llyerance,' Dan Smith, Lany Russell, Keenan Remele, or individuals who
have been designated in writing by thkRadiation Safety Officer and have been trained:
,
A. As specified in the applicatio'n da'ted' March 11,1998 and in the letter dated April 22,1998
'" ~
t . , , .. t.n --
.
B. In accordance with the provisi,ons of 10 CFR 34.43.
C /i x .. o
13. The Radiation Safety Officer fo~r this license is Keenan E./ Remete.
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- ,3 ; .
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14. A. Notwithstanding the periodic lea test'irequirM b/10 CFR 34.'27(c)(1) and (e), the requirement '
does not apply to radiography sources that are stored and not being used. The sources
exempted from this test shall be tested for leakage before use or transfer to another person. No
sealed source shall be stored for a period of more than 10 years without baing tested for
leakage and/or contamination.
B. Sealed sources authorized for a use other than radiography shall be tested as radiography
sources in accordance with Section 34.27 of 10 CFR Part 34.
15. The licensee is authorized to receive, possess, and use sealed sources of iridium-192 or cobalt-60
where Jie radioactivity exceeds the maximum amount of radioactivity specified in this license
provided:
I
A. Such possession does not exceed the quantity per source specified in item 8 by more than 20%
foriridium-192 or 10% for cobC 60;
8. Records of the licensee show that no more than the maximum amount of radioactivity per
source specified in this license was ordered from the supplier or transferor of the byproduct
material; and
C. The levels of radiation for radiographic exposure devices and storage containers do not exceed
those specified in Section 34.21,10 CFR Part 34.
__
_ _ _ _ _ _ _ - _
PAGE 4 of 4 PAGES
, NRC FORM 374A U.s. NUCLEAR REOLA.AToRY COMMISstoN l ,
Ucense Number i
i
50-29015-01 l
DwM or Reference Number
. MATERIALS LICENSE 030-31760
SUPPLEMENTARY SHEET
Amendment No.13
-.
16. The licensee is authorized to transport licensed material only in accordance with the provisions of 10
CFR Part 71," Packaging and Transportation of Radioactive Material."
17. In addition to the possession limits in item 8, the licensee shall further restrict the possession of
licensed material to quantities below the minimum limit soecified in 10 CFR 30.35(d) for establishing
decommissioning financial assurance.
18. Except as specifically provided otherwise in this license, the licensee shall conduct its program in f
accordance with the satements, representations, and procedures contained in the documents, 4
including any enclosure:. listed below. The Nuclear Regulatory Commission's regulations shall
govem unless the statements, representations, and procedures in the licensee's application and
correspondence are more restrictive than the regulations.
A. Application dated March 11,1998
B. Two letters dated March 27,1998
C. Letter dated April 17,1998
D. Letter dated April 22,1998~ ,
i .
Letter dated May 18,1998 ',
'
E. ,
g
. F. Letter dated June 2,1998 , VE r ^> ,
G. Three telefacsimiles dated June 5,1998 I
H. Application dated Decernber 22$1998
,
1. Letter dated March 15,1999 v- . ..s
.
....
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION
Date
26 W By ~
/ James L. NIontgomerf(Senior Heliith Physicist
Nuclear Materials Licensing Branch
Region IV
Arlington, Texas 76011
_
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.
March 26,1999
ASCG Inspection, Inc.
ATTN: Kennan E. Remele
Radiation Safety Officer
301 Arctic Slope Avenue, Suite 100
Anchorage, Alaska 99518-3035
SUBJECT: LICENSE AMENDMENT
Please find enclosed amendment 13 to Ucense No. 50-29015-01. You should review this
license carefully and be sure that you understand all conditions. Based on the close out
survey and leak test information enclosed with your March 15,1999 letter, we are assuming
that the " July 3,1999" date listed in item 3 of your letter should read July 3,1998, if this
assumption is incorrect or if you have any questions, please contact me at 925-673-0112.
NRC expects licensees to conduct their programs with meticulous attention to detail and a high
standard of compliance. Because of the serious consequences to employees and the public
which can result from failure to comply with NRC requirements, you must conduct your
program involving radioactive materials in accordance with the conditions of your NRC license,
representations made in your license application, and NRC regulations. In particular, note that
you must:
1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, instructions
and Repot$ to Workers: Inspection and Investigations," 10 CFR Part 20, " Standards
for Prote . ton Against Radiation," and other applicable regulations.
2. Possest radioactive material only in the quantity and form indicated in your license.
3. Use radioactive material only for the purpose (s) indicated in your license.
4. Notify NRC in writing of any change in mai!ing address (no fee required if the location
of radioactive material remairr, the same).
5. Request and obtain written NRC consent before transferring your license or any right
thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of
control of your license to any person or entity. A transfer of control of your license
includes not only a total change of ownership, but also a change in the controlling
interest in your company whether it is a corporation, partnership, or other entity. In
addition, appropriate license amendments must be requested and obtained for any
other planned changes in your facility or program that are contrary to your license or
i
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2
ASCG Inspm. bon, Inc.
contrary to representations made in your license application, as well as supplemental
correspondence thereto, which are inco'TKieted into your license. A license fee may
be charged for the amendments if you are not in a fee-exempt category.
6. Maintain in a single document decommissioning records that have been certified for
completeness and accuracy listing all the following items applicable to the license:
- Onsite areas designated or formerly designated as restricted areas as defined
in 10 CFR 20.3(a)(14) or 20.1003. I
- Onsite areas, other than ,ostncted areas, where radioactive materials in
quantities greater than amounts listed in Appendix C to 10 CFR
20.1001-20.2401 have been used, possessed, or stored.
- Onsite areas, other than restricted areas, where spills or other unusual i
occurrences involving the spread of contaminsbon in and around the facility, l
'
equipment, or site have occurmd that required reporting pursuant to 10 CFR
30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures
have removed the contamination.
- Specific locahons and radionuclide contents of previous and current burial areas
within the site, excludeg radioactive material with half-lives of 10 days or less,
depleted uranium used only for shielding or as penetrators in unused munitions,
or sealed sources authonzed for use at temporary job sites.
- Location and description of all contaminated equipment involved in licensed
operabons that is to remain onsite after license terminabon
7. Submit a complete renewal application with proper fee, or termination request at least
30 days before the expirabon date on your license. You will receive a reminder notice
approximately 90 days before the expirabon date. Possession of radioactive matenal
after your license expires is a violation of NRC regulations.
8. Request terminsbon of your hcense if you plan to permanently discontinue activities
involving radioactive matenal.
You will be penodically inspected by NRC. Failure to conduct your program in accordance with
NRC regulabons, license conditions, and representations made in your license application and
supplemental correspondence with NRC will result in enforcement action against you. This
L could include issuance of a nobce of violabon; imposition of a civil penalty; or an order
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. .
.
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ASCG inspection, Inc.
suspending, modifying, or revoking your license as specified in the " General Statement of
Policy and Procedure for NRC Enforcement Actions"(Enforcement Policy), NUREG 1600.
Thank you for your cooperation.
Sincerely,
h &
James L. Montgomery
ova a V
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Genior Health Physicist
Nuclear Materials Licensing Branch
Docket: 030-317S0
License: 50-29015-01
Control: 467065
Enclosure as statm
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ASCG inspection, Inc.
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bec w/ enclosure:
LFARB, T-9, E10
Inspection File
Docket File
State of Alaska (License Only)
DOCUMENT NAME: C:W67065.jm
a enclosures "N" = No copy
To recohm cosw of documert. Indicate in box: "C" = Cosrs without enclosures "E" = Copy w h
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JLMontgomery y
3 MI/99
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March 15,1999
James L. Montgomery
Senior Health Physicist j
Nuclear Materials Licensing Branch l
Mail Control No. 467065
Dear Mr. Montgomery,
The following is in response to the information that is required for the
amendment to our Materials License #50-29015-01.
1. We are requesting a change of the company name. There wi!!
be no change of management personnel, radiation safety
practices or procedures. Answers to the questions stated on IN
89-25 are on page two of this letter.
2. Attached you will find the leak tests for the exposure devices
that were in current use at the 43800 Kenai-Spur location at the i
time of decommissioning. The final radiation survey of the
facility was performed at the time of release, July 3,1999. I
have attached the wipe test results and the letter to Mr. George
Haugen stating that the requirements for decommissioning had
been met.
3. With exception of the Kenai location, all sites listed on the
Materials License will remain the same.
4. Questions number 4 and 36 have been corrected.
5. Names have been deleted and substituted per your request in
Section 13.0, page 3.
E
w 70 65
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-64 30
-
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Information needed for change of ownership
1. Name of business to be changed from:
ASCG Incorporated dba ASCG Inspection, Inc.
To:
ASCG Inspection, Inc.
2. No change of contacts or telephone numbers.
3. No change of personnel
4. N/A
5. N/A
6. No planned changes
7. No planned changes
8. N/A
9. N/A
10. N/A
11. N/A
12. N/A
I
13. N/A i
14. N/A
15. All commitments will be abided by.
Sincerely,
Keenan E. Remele
ASCG Inspection, Inc.
Attachments: Wipe Test Results
Letter of Decommissioning
.
. W-
ASCG
Inspection,
I n c.
an ASCG company
July 21,1998
George Haugen
CTI Alaska, Inc.
200 W. 34'" Ave. .
Anchorage, AK
Dear George,
This fax has a message and a request involved.
The message is to inform you that we received the results back from
Amersham on the wipe tests performed on the storage vault located in the
Kenai building. The results were reported as less than 0.001 microcuries.
The decommissioning of your building is complete.
Would it be possible to meet with you next week, at your convenience, to
search for records stored at your warehouse. It is possible that some "new
hire" records got mixed in with past employees' records.
I can be reached at 267-6427. Appreciate your time.
Sincerely,
i
s
Keenan E. Remele
RSO/ Training Instructor ,
4
301 Arctic Slope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
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! Amersham Corporatim cm
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urin o ,$assachusetts 01803 f 518 ~ 4
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Telephone (617) 272-2000 ( LEAK TEST ,
Co. Name ACE, A30PEfTinPO s
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P.O. No. - REE0hf0 RE#1Et5
Street Assarne. % ror AVE. % tvs 1Q0
City State 43cestaw , AA. . NRC or %D4014 - rn
Projector 49618 State License No.
Model No._ wors.: wrowTani,oemo,o SuMEY
Olp M OA6tLT 'bEcommiStiero
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Source Serial No d,A
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i Model No._ ed l,A _- FRom er- gre%ig,w voeg. l
Serial No. tuh
IR-192 -Curies - M.
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Wipe CO-60- CS-137 - :
Other -
Performed By hh,N ko.On. '
g- Date ,R
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IThe United States Nuclear Regulatory Com.'I ,.
mission requires that radiographic sources be Fon TECH-OPS UsE oNLY
tested for evidence of leaking at the time of
manufacture and thereafter at not more than @' 0 CESSED AT AMERSHAM ONNdT/L 9
six-month intervals. ' 10 "Y d o oo / MICR RIE
The amount of removable contamination
must not exceed 0.005 microcuries. If the test TF,STPF)NpgMED8Y W M _
shows more than 0.005 microcurie of remova-r. LEAKTES DUE 3iTMA> D
ble contamination, the source and equipment o<ie ;
_ , _ _
must be immediately taken out of service and ' ~
be repaired or_be disposed of. Please note that
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PAmersham
40 North Avenue
QSA / 518 ^
Burlington, Massachusetts 01803
Telephone (617) 272-2000
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Co. Name WA W"h , 1,W N c.. 5
P.O. No. . KED0Afd TFmn e-
Street % rate, C wr swr e.urrr itn
NRC or EB*%Dl6-01
City, State _ brunstnes cot State License No.
' 4451R
Projector ROTE "MitDanAt%csm iod S4MEd FOR.
Model No. _ h OM"EW'DO
Serial No. O}A - FR.t>3T* OF STtR/M.E,M
Source
Model No. OIA i
SerialNo. Rh Curies ._td
IR-192 X- CO-60 CS-137 - Other
rformed By Ah1
y ,3de 'r > Date *1% S
[ The United States Nuclear Regulatory Com- 3[
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mission requires thattadiographic sources be
tested ter evidence of leaking at the time of
FOR OFFICE USE ONLY
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PROCESSED AT AMERSHAM ON./tM ff
manufacture and thereafter at not more than
six-month intervals. ggggy M.d O / M]CR '
The amount of removable contamination must TpTPERFORMEDBY h I
not exceed 0.005 microcuries. If the test shows
more than 0.005 microcurie of removable WW
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TEST DUE 3 JdA> 4 9 .
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contamination, the source and equipment must
be 1mmediately taken out of service and be
repaired or be disposed of. Pleae note that this
source must be tested again on or before
( ) ( J
ORIGINAL
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I PAmersham QSA f 518 ^
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Burlington, Massachusetts 01803 k LEAK TEST
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Telephone (617) 272-2000 '
, Co. Name b P.O. No.
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Street 1Mb NU NRC or Y O/ DI
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City, State MDc po44(, e AK 79f/f .
M e o. O Serial No. O k
Sou. rce-
Model No. Serial No. Curies
IR 192 CO-60 _ CS-137 _._ Other ') O
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rformed By e
Date 3DN [
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. ( The United States Nucisar Regulato[Com- T[ FOR OFFICE USE ONLY 3
mission requires that radiographc sources be /
tested for evidence of leaking at the time of MlOCESSED AT AMERSnAl.;vt4 7/Jo/f f
manufacture and thereafter at not more than RAD 10 ASSAY M,w /
six-month intervals. WCR URtE
The amount of removable contamination must TESTPERFORMEDBY .b.
not exceed 0.005 microcuries. If the test sho"
86Tl.EAK TEST DUE 3ho/t f
.
more than 0.005 microcurie of removable -
contamination, tha source and equipment must '
be immediately - en out of service and be .
-
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repaired or be disp. sed of. Pleae note that this
source must be tested again on or before
N ) N )
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ORIGINAL ,
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BURLINGTON Page: 1
g 40 NORTH AVE
BURLINGTON, MA 10803 USA
RECEIVING REPORT
Whe: 1 Receipt No: 21791
RMA Number:
Date Received: 9/29/9C
Mail to: Received From:
CT! INCORPORATED ASCG INCORPORATED
4831 OLD SEWARD HWY 301 ARCTIC SLOPE AVE STE 200
ANCHORAGE AE 99503 ANCHORAGE AK 99510
Carrier: Federal E:: press Corporation Freight Bill #: 005700G50070
(Prepaid)
------------------------------------------------------------------
Model: CP660E CUSTOMER PROP. 660B GRP Serial: 31026
- CUSTOMER PROPERTY *
Sales Order: 1 CO I coto:~e : IR!DIUM-100
Customer: 1 01122300 Over Pack S/N:
Model # Serial # Activity
424-9 C6402 36.0 Curies
Surface Radiation: 6 mr/hr Transport Inde:.: .C mr/hr
Removable Contamination Level is <.001 UCI
Commente
LOAD WITH NEW SOURCE
P.O.# SZ 9007PLW
CUSTOMER PROPERTY METAL OVERPACK BARREL
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This form is to acknowledge that the material li.sted shove wn. receiyp,d,b-j ,
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CENTINEL
AMERSHAM CORPORATION
6134 Hollyfield Drive
Baton Rouge, Loulslana 70809
Telephone: 504-751-5893
Fax: 504 756-0365
ASCGINCORPORATED
DBA: ASCG INSPECTION
7930 KING STREET
SUITE A
ANCHORAGE, AK 99518
This is to advise results of the leak test samples received by Amersham Corporation.
Isotope Serial Number Date of Test Results
DU-238/ CAMERA A4995 8-14-98 < .005uCi
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Analyzed by Rusty Barrett rO ;
Date Analyzed: 8-14-98
PAmersham QSA
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BATON ROUGE, LA 70509
TEL: (504) 75*-5893
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34. The 1bjgt half-life of a 100 curie IR-192 source would be:
,
a. 50 curies
b. 25 curies
c. 12.5 curies
35. Three elements of an atom are the:
a. proton, electron and neutron
b. alpha, beta and gamma .
c. electrons, neutrons, betatrons
36. The inverse Square Law is defined as
- 2
i 12 (D
" lli(D)
(Dq==12
(D)3)2
li(Ds) = 12(D2)*
37. You have a 100-curie Iridium 192 source, unshielded. What is the dose rate at 50 feet?
(show work on back)
38. What is the distance for the 2 mR/Hr boundary posting when using and 80 curies Iridium 192
source using a 2 inch steel shield? (half value layer of steel is %") (show work on back)
39. At 2 feet from a source you receive a dose rate of 500 mR/Hr, what is the dose rate for the
same source at 20 feet? (show work on back)
40. For 10 minutes of exposure in any one hour, what is the maximum mR/Hr reading at the
restricted area boundary? (show work on back)
41. Survey meters and rate alarms should be cheded for response to radiation:
a. when they are due calibration
A when it suspected they are not working properly
c. at the commencement of each shift
d. all the above
42. Who is responsible for radiation safety?
a. the Radiation Safety Officer
b. all members of the radio 0raphy crew
c. the Radiography Supervisor
43. Which 10 CFR outlines radiation safety requirements?
a. Part 20
b. Pa.132
c. part 34
,
Radiation Safety Program 5 7/6/98
Revision 0
. .
ANSWERS
1. A 11. B 21. D 31. A 41. C
2. C 12. B 22. A 32. A 42. B
3. B 13. B 23. B 33. C 43. C
4. B 14. C 24. B 34. C 44. B
5. C 15. C 25. C 35. A 45. C
6. D it. D 26. A 36.' C 46. C
7. B 17. B 27. B 37. 236 mR 47. D
8. C 18. B 28. A 38. 121ft 48. D
9. C 19. D 29. C 39. 5mR 49. B
10. C 20. B 30. B 40. 12 rnR 50. B
I
,
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Radiation Safety Program 7 7/6/98
Revision 0
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Web. *WULKM E1WLA70tY COXXI8 810M
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TIME
TELEPHONE OR VIRBAL CONVERSATION
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Materials Lictnse Tarmination/Ratiromant Form
LICENSE #(s): Q, -2 9 0 //~-o / DOCKET #(s): OJo 4/7 6 o
/ ADDRESS: A C C 6- he,td b EXPIRATION DATE: 3 /2/ /r n /
' b / aneti2i4 4-A /o o DATE OF CONTACT: /2 /s z /9p
d~ /~s , Mk 9V5"/P CONTACTED BY: 01.4 kwh
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TITLE: b W d hko k }~:f
, T.ELEPHONE: 90 '7 - 2 # 7 - g y z>
LICENSE TERMINATED: N/4
LICENSE TRANSFERRED: O/d
LICENSE TRANSFEP. RED TO: Name:
Address:
.
Telephone:
/4 mbt
BASIS FOR TERMiENATION-AND/OR-RETiEREMEN@: a
cAC % 1#m b .A l
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TERMINATION DOCUMENTATION
a.-
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1. License termination m M.s Type I criteria: Y, N
b Licensee used sealed sources only and the most recent leak
test demonstrates that they did not leak while in the
,
licensee's possession
'
Licensee us.ed radioactive material with T if $ 60 days and
it has decayed to less than the activity in 10 CFR Part 20
Appendix C
,
2. License termination meets Type II criteria: Y N S
Licensee possessed and used only sealed sources but cannot
demonstrate that the sources did not leak while in the
licensee's possession
Licensee possessed unsealed radioactive material with T1/25
60 days but the maximum activity authorized under the
license has not decayed to less than the quantity specified
3n 10 CFR Part 20, Appendix C -
Licensee possessed unsealed radioactive material with T3f >
60 days but i 120 days.
Licenses possessed 1'C or 8 H but the total activity (s) and
use authoristed under the licens6 warrants decommisoning
under Type II (describe rationale above)
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3. License termination meets Type III criteria: Y_NE
-
_ Decommissioning qualifies for a categorical exclusion under 10 CFR 51.22 (c) and
)
_ Licensee will decommission its facility in accordance with the NRC's criteria for unrestricted
use.
4. License termination meets Type IV criteria: Y _ N _^
_ Decommissioning does not qualify for a categorical exclusion under 10 CFR 51.22 (c)
_ Licensee will decommission its facility such that residual radioactive material may remain in
excess of NRC's criteria for unrestricted use.
5. Termination survey required: YSN_
Termination survey submitted by licensee
.- Termination survey satisfies NRC survey requirements
6. Form 314 or equivalent submitted: Y[ N _._
bStaff verified disposition of sealed sources: .
1
or unsealed radioactive matuial
by:
s etter from Form 314 recipient
') ._ 1 to Form 314 recipient
4. . : . <
7. Licensee transfer records discussed in 10 CFR Parts 30.35,30.36, a
30.51 ; 40.36, 40.42, 40.61; or 70.25, 70.38, 70.51 Y6N_
To USNRC
3 T individual
9 assuming _ responsibility for the license with a copy of the cover letter to NRC
pm (A LcG) pCR twM e2 &h
8. NRC closcout inspection required: Y _ N.h
_ Closeout inspection performed:
on:
Inspector: ,
9. Closeoutsurveyperformed: Y ._ N M
on:
by:
Licensing assistant
completing form: Date:
or
License reviewer
completing form: as . h SAw M,- Date: 3 2_/99
y .u - (
,
Branch Chief: Date:
-- )
NUREG/BR-0241 F-2 Rev. O, December 1996
[
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8 UNITED STATES
gf9"1%s)?' 4
NUCLEAR REGULATORY COMMISSION
,g REGION IV
G11 RYAN PLAZA DRIVE, SUIT E 400
kg [g AR LINGT ON, TEXAS 760118064
- .'.*
MAR 3 1999
ASCG Inspection, Inc.
ATTN: Keenan E. Remele
301 Arctic Slope Avenue, Suite 100
Anchorage, Alaska 99518-3C.i
Dear Mr. Remele: ,
1
This is in reference to your request dated December 22,1998 for amendment of your
byproduct material license, in order to complete our review, we need the following additional
information:
1. Conceming the name change for your company, I am enclosing a copy of NRC
Information Notice 89-25, Revision 1. Please read the notice and answer the questions
listed in Attachment 1. If the name change does not involve changes in ASCG's
management or radiation safety practices and procedures, many of these questions f
may not apply and can be answered with a "not applicable". {
2. Since you have added a new Kenai location, have you vacated the 43800 Kenai-Spur
Highway location? If so, please submit a copy of your last leak test results for all
sealed sources that were stored at the old location along with your final radiation survey
of the facility. Also, please indicate the date that you released the old facility for
unrestricted use.
3. Except for the Kenai location change, are the other sites listed in Condition 11 of you
license to remain?
4. The answer to question 4 of your radiation safety examination appears to be
inconsistent with 10 CFR 34.47. The dosimeter range is 0-200 mR. Please check the
answer and correct accordingly. Also, correct the typographical error for what should
be answer"c" in question 36.
5. In section 13.0, page 3, please delete " Gene Bates" and his phone number and
substitut6 " Dwight Chamberlain" (800-860-8249) for Ross Scarano.
We will continue the review of your amendment request upon receipt of this information. In
order to continue prompt review of your application, we request that you submit your response
'
, .; i
s .-
l1
-2-
ASCG In::.
to inis letter within 20 days from the date of thi: letter. Please reply in duplicate and refer to
Mail Control No. 467065. If you have questions concoming the above items, please call me at
925-673-0112.
Sincerely,
James L. Montgomery
)
Senior Health Physicist
Nuclear Materials Licensing Branch
Enclosure as stated
Docket No. 030-31760
License No. 50-29015-01
Control No. 467065
i
f . ;. . _
3-
ASCG, Inc.
bec:
Docket File
LFARB, T-9 E10
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DOCUMENT NAME: C:%SCG
To recolve copy of document, indicate in box: "C" = Copy without arciosuree "E" = Copy with enclosuree "N" = No copy
RIV:NHLB _ , l
JLMontgomery( k
s; f / 7 /99 V
0FFICIAL RECORD COPY
.
CBGE~X) 313 ~ l9.CMEfEEGULATORY COMulS360N NMrD No,31ee+1co E m m T2 viese
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APPLICATION FOR MATERIAL LICENSE "32 *,Ob*"?'",:ge="'? "M*
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NSTRUCTIONS: SEE THE APPROPRIATE UCENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING
APPUCATION. SEND TWO COPlES OF THE ENTIRE COMPLETED APPUCATION TO THE NRC OFFICE SPECIFIED BELOW.
APPUCAT1088 POR DesTsusWT1ON QP EJttMPT PRODUCTS PfLA APPuCAftONS WrTN: IP YOU ARE LOCAT180 lek
' DMIBION CF INDUSTRIAL A#dD HECICAL NUCLEAR $ANTY ELUNOIS 18804ANA,10WA,letCHIGAN, usuto0TA, lettt0UR4,0N14 0R W4CONSf%
CPPK1 OF MUCLEAR MATE 84MLS SAFETY AND SAFEQUArmt $DtD APPUCATIONS TQ:
VS. NUCLEAR RECIAATORY COMM4500H
WASNeeGTON, DC 10ti&6m01 MATEA1ALS UCENSING $4CTION
ALL OTMR Pest 00N$ MLE APPUCATIONS AS FOLL0eWS
N CW862. MON W
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eDt WutREDMLLE RD.
l 17 v00 ARE LOCATE 00ft: U5LE,IL 00532 4351
coesseCnCUT, DELAWARE, OSTRICT OF COLUMesA, hEAINei, MARYLAND. ALAsetA AmtEONA. ARNAMSAA, CAUFORNIA, COLORAD4 HAWAN, IDAHO, KANSA4,
taA$$ACNOGETTs. assW HAMPSNests, NEW JE8teEY, PetW #0RK, PENNSYLVAN6A, LQut94ANA,160NTANA, usam a u a $tEVADA, NEW beEJOCOL NORTH DAKOTA,
RN00649 LAND,ORVERMotsf.$sMD APPUCATIONS 70: CettA6eOMA, OREGON PAC 4flic TRV4T TERRtT0ffiES, SOUTH DAKOTA,TEXAB, UTAN,
.
)MASNaNGTON,CR WYObel86G. BGMD APPUCATONS TO:
UCENSWO A&&isTANT SECTION
NUCLEAR MATEllilALS SAFETY BRANCN NUCtf>A MATERIALS UCD483NG SECil0N
. U.S. NUCLEAR REGULATORY C0hedt& SON, REGION 1 U.8L NUCLEAR 8tEOULATORY COMMIS8 ION. RECON W
47$ ALL& NOM E ROAD $11 HYAN PLA2A 08tNE, SLitTE 400
. IGNG OF PRusstA, PA 1940$.1411 #1UNGTON.TX 76011 eati4
ALAaAasA, PLOpuoA,040RCIA, MENTUCKY, esiseese8PPI, s#0ftTN CAROUNA PUEftto
RJCO, SOUTM CAROUNA, TEN 8eE8&EE, VIRGINIA, VIRGift 18(AN05, Oft WE51 VlftGINIA,
asNO APruCATioNs Tor
ATLANTA F50EBAL CENTUt
U & MJCLEAA REGMATORY Com"*AN. REGION N
01 FOR3YTH 8 MET.SW. 8UrTE 2STs5
ATLANTA.060ROLA 903013443
P9M80NS LOCATEC IN AGMEtsENT STATES SEls0 APPuCAYt0NS to TME U.S. IduCLEAR REOULATOfIYCCMasStas0N ONLY IP TNey tiesH TO Posses $ AND Utf UC004880
MATEIMALIN STATEE sueJECT To tLLWuCLEAR M0JLA70ftymamme= JustssocTchs.
% _ tnt 3 IS AN APPUCATIC44 FOR (Cher,t apstrameno ass 9 2. NAME AND MAluNG ADORESS Of APPLICAMT pr/were 4pande)
A NEwuCsNas ASCG Incorporated dba ASCG Inspection, Inc
50-29015-01
d s. AMENDMENT TO UCENSE NUMBER
RENemLoF uCENsE NuMeER
301 Arctic Slope Avenue - Suite 100
_
C. Anchorage, AK. 99518-3035
3. ADDRESSiE8)WHERE UCf NSED MATERnALVAL DE USED OR POSSESSED 4. MAME OF PERSON 70 SE COefTACTED AACUT Nat
301 Arctic Slope Ave., Anchorage, AK For Use in the APPUCATION
611 E. 30th Ave., Fairbanks, AK. State of Alaska and Keenan E. Remele
54932 Coringa Ave., Kenal, AK. Anywhere in the
Tsme NuMeER
United Statesr Under
Tha Polac anti Ranotatinne nf thm MDr (907) 267-6427
sussilliITEM6 4 THROUDDI11 ON 54a Xit' PAPER THE TYPT AND SCOP 6 OF piFORMATION 70 SE P8tCMDED 18 of$CRIBEQIN TFE UCENSE APPUCATION GUIDE.
g. MADIOACTNE MATERML.
Element and mese nenibec b. essemica: andner physionisomi;.nd c mendmen sensure t , PURPOSE (5) FOR VetCN UCE43ED MATERIAL WILL SE USED.
whkR we to W .t erw one ame.
T. -1NDMOQAL(S) RESPONSleLE FOR RADIATON SAF ETY PROGRAA4 AND THEIR
& TRApelNG FOR IMOiVIOUALS WOfucNC IN OR FRECQENTesG RESTRcTED AAEAll
MMeNG h -
- FeciLTiEs AuC EouirieEwf. so. RAoiArioN SAFETY PROGRAM
t2. UCENSEE FEES (See TO CFM 1?CutSensun 1703Q
u. WASTE MAwEMENT.
Pts CATEcony lNEo
13. CERTFICATICN. (Adlestbe conqpsened Dr ApoAtenQ THE APPUCANT UN0043TANDS THAT ALL STATEMENTS ANO REPRESENT AT1080E lAADE iN TNtS APPUCAllOsd ARE BINDING
700.00
UPON TME APPUCANT.
TM APPLICAMT A,e aNy oFriCiAt ExteUTwo TN CER1,iriCATioN oN eo LF oF TNE APPuCAnr. nAMEo N rTEM 2. eERT,YTuAT THis APPuCATioN i:PRePA,iE0 iN -
CoseFDetusTY wwrNTITLE 10. CODE OP FEDERAL RE0VLAT10 set, PARTS to,32,33, Se,36, se,3e AND 40. AND THAT ALA perQNM4Tiott CONTAINED NEREIN IS TRUE AND
C08tRECT TO TM DEST OF THEIR 1040MEDGE AND mELEF.
WAANING: it U A.C. SECTIOel SODt ACT OFJUNE 26.1688 62 STAT.Tde MAfG5 f7 A CRihWItAL OFFENSE TO MAKE A WILLFULLY FAL3E STATEMENTOR REMASENTATION TO
Afff DEPARTMENT OR A004CY OF THE UNETED STATd8 A8 70 ANY e4ATTEft NT3aN ITpWFW30pTIOft ,
CEntniNo orrcER-Tveto,eRento MAuf ANotrrte
( s oNA
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Jarnes Kingrea, Senior Vice-President / 2
'
FOR NRC USTE ONLY // ' '
T m orrEE *Estoa m emooRy AMou=Ta Cawo esEcxNuM eR cos.nNTs v
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A,P,um .Y om
NRC fORht $33 ($ 1987) PRDf!ED ON RECYCLED PAPER j
I
L a67065 l
J
.
ASCG
Inspection, DEC 2 9 998
Inc.
an A>LL (umpany
United States Nuclear Regulatory Commission December 22,1998
Nuclear Materials Licensing Section
Region IV
611 Ryan Plaza Drive, Suite 400
Arlington, TX. 76011-8064
To Whom It May Concern,
Please accept the following amendments to the Radiation Safety Program for
Materials License 50-29015-01.
. Please change the name on the license to:
ASCG Inspection, Inc.
301 Arctic Slope Avenue, Suite 100
Anchorage, AK. 99518-3035
. Section: Front Matter
. Add page iv of iv
. Part l, Section 1.0
. Address change for the Kenai Office
. Add page 3 of 11
. Change page 7 of 11
. New drawing of Kenailocation
. Part I, Section 8.0 4
. Change pages 7 through 12 of 23
. New Radiation Safety, Appendix C. Exam #1 with answers
. Part 11 Table of Contents, Page lii of iii
. Part II, Section 1.0
. Page 1 of 2 add paragraphs 1.2 and 1.3 and renumber remaining l
"
paragraphs
. Part II, Section 2.0
. Add paragraphs 1.6 and 3.5.3
l
. Part II, Section 4.0 ;
e Add " contract carriers" to paragraph 1.1 i
. Add Section 2.0 in it's entirety
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (90A 267-6480 ,
b 467065 '
.
ASCG
inspection,
Inc.
II
en AM.G (urnpany
. Part II, Section 13.0
. 1.7, change emergency telephone number
. Page 3 of 3
. Correction of telephone numbers
. Deletion of Walnut Creek information
. Change State of Alaska address and telephone number
. Part II, Section 18.0
. Correction of mR/Hr limits
. Part II, Section 19.0
. New in it's entirety
. Part 11, Section 20.0
. New in it's entirety
Please do not hesitate to contact me if there are any complications or
questions.
Sincerely,
S... h
Keenan E. Remele
ASCG Inspection, Inc.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
.
. .
,. . . . . . ..
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APPLICATION FOR MATERIAL LICENSE **"S c"""-a % oc -"" aa* * ** 'm. (
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INSTRUCTIONS. SEE THE APPROPRIATE UCENSE APPLICATION Gul0E FOR DETMLED INSTRUCT)ONS FOR COMPLETING
APPLICATION. SEND TWO COPlES OF THE ENDRE COMPLETED APPt.lCATION TO THE NRC OFFICE SPECIFIED BELOW.
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UCENelNQ A&&stTANT SECTION f
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MUCLEAM MAffR64LS SAFETY SRANCH NUCtfWt MATER &ALS UCENSNG SECTICN
. U.S. NUCLEAM ftEGULATONY COneimS$s0N, REGlong i UA asWCLEAA REOULATORY Coedasie860*t. AECsON fV
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1, TNis is AN APPUCATICet FOA (C6scJt annamese amed 2. NMd5 AND MAluNG MNES OF Af'PLICAMT pnr/ wale 4p cosI.)
A IHLICENSE ASCG Incorporated dba ASCG Inspection, Inc
50-29015-01
d 8. *ENDidErr TO LICNSE NUDSEa
mEwat OF ucENsf MunneER
301 Arctic Slope Avenue - Suite 100
__
C. Anchorage, AK. 99518-3035
s. Acontss<Es)wNEnt tentEo MATERALWILL #E UEED OR posse 46ED 4 NAME OF PE ASON TO 8E COefTACTED ABOUT Telt
301 Arctic Slope Ave., Anchorage, AK For Use in the APPUCKn0N l
611 E. 30th Ave., Fairbanks, AK. State of Alaska and Keenan E. Remele
54932 Coringa Ave., Kenai, AK. Anywhere in the
sm NuunR
United States Under
ina Rui.e anet Ranniatinne ra th Nor- NDMMU
SUBMIT ITEM 8 4 THROVON 11 ON 3-ta X 11*PAPEi THE TYPE Also SCOP 9 OF IN' FORMATION TO DE PROVDED 18 DESCRIBERist THE UCENSE APPUCATION GUICE.
t AADCACTIVE NATE8hAL.
s. Etement end m.se runhec IL themica: anset phytices kyrt, and e elekirN#W trn@M & PURP0$E(s) FOR WNaCH UCEN$ED MATERIAL wtLL SE USED.
eNei wa es possessed at arve one time.
E. 4NDfVOUAL(5) RESPON%'LE FOR R*04AT10N SMETY PROGRAM AND THEIR
TRAstsNG EXPEfttENCE.
9 * FAca.rfits Ape 0 EQUIPedENT. 40. RADLATION SA#ETY PROGRAM
. 11 UCENSEE FEES (See f0 CH4 f m eW hr*= f7020
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13. CERTPaCATION. (44ef 6e comPsefodDropsetanr/ THE APPUCANT UNDERSTANDS TNAT ALL STATEhAEWr$ AND REP 9tESENTAT10805 8MDE IN TNtS APPUCADON ARE thMDueG
UPONTM APPLICMtT.
T4 APPLtCANT AND NNY OFf1CiAt EXECUT980 THit CERTIFICATPON ON BOlAlf 0F THE APPuCANT,64AMED IN ITEM 2, CfJtTIFYTHAT THIS APPUCATION 88 PREPAftED IN -
COedFDueWTY WrfM TITLE 10. CODE OF FEDERAL PIE 0VLAT10est, PAATS to,32. M,34. 36. 38. 30 AND 00, AND THAT All pePORMAT8004 CONTAp4ED NEREPd IS TRUE AND
C04ftECTTO TNE DEST OF THEIRl@eOt4 EDGE AND DELEF.
WadueMO: 94 UJ.C. SECTIOes 5001 ACT OFJUNE 26. test 62 $ TAT. Tee 64AMES f7 A CRIMINAL OFFENSE TO MAaG A WILiful1Y FALSE STATEh0ENT Oft ftEPRESO(TAft0N TO
AffY DEPARTn8pfr OR AGENCY OF THE UNETED 8TATES AS TC ANY MATTER YWTHIN ITg)URr3DpTaON. ,
cERTirveea arrcER -TvPEosensNTEo seAssE ANo TiTta ( es0NA E DATE
James Kingrea, Senior Vice-President -
- NE / 2h8
FOR MtC US$ ONI Y // ' '
nPeorrsE *EEtoa ,EEcATEooRr aseouNT aECwEo eNEenNuuw= Co seem v
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NRC TORh4 813 {g tes?) PRetf ED ON RECYCLE 0 PAPER
'
RADIATION SAFETY PROGRAM S::ctien:Frent Mntt:r
ASCG ^ '
9F '" ""
Eevision: 1
Inspection, Date: 11/20/98
inc.
II
.,msm m ,,x
DEC 2 9 "3
2 11/4/98 1 1.0 1,2,7 Address
changes &
deletion.
Drawing
additions
2 11/4/98 I 2.0 1 Address
Changes
3 11/4/98 1 3.0 1 Org Chart
2 11/20/98 1 8.0 7-12 Anpendix C
Examination #3
2 11/4/98 11 Front Add Section 19
Matter & 20
2 12/10/98 ll 1.0 1 edit 1.2
add 1.3
renumber
sections
2 11/4/98 11 2.0 1 Add 1.5,1.6
3.5.3
2 11/4/98 11 4.0 2 Add 2.0
2 11/23/98 11 13.0 3 Change
Telephone
q '
Numbers
2 11/232. 3 [11 18.0 1 correction of
mR readings
0 11/23/98 ll 19.0 initial Release
0 11/23/98 11 20.0 Initial Release
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM S:cticn: 1.0
ASCG PARTI Page: 2 of 11
~ ~ ADMINISTRATIVE PROCEDURES Revision: 2
inspection, Date: 11/3/98
Inc.
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an Ah tumpany
ASCG Inspection, Inc. ASCG Inspection, Inc.
54932 Coringa Ave. 611 East 30th
Kenai, AK. 99611 Fairbanks, AK. 99701
Telephone: (907) 776-5775 Telephone: (907) 452-5032
Fax: (907) 776-7001 Fax: (907) 452-1348
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year.
All radiation exposure devices will be locked and the storage facilities will
be kept locked. The storage facilities will be posted " Caution-Radioactive
Materials" at the entrance.
2.3 On remote job sites the exposure devises may be stored in the shipping
container of the transporting vehicles, or locked in a temporary storage (
area. Each vehicle will be equipped with a source / exposure device, l
storage container with the required posting and a locking device.
Radiation levels on transport vehicles and temporary storage areas will
not exceed 2 mrem when used as a temporaiy storage for
source / exposure devices. '
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year. ,
,
2.4 A shielded storage room has been constructed at the permanent storage
facilities. Inspection of the shielded rooms will be conducted by the
Radiation Safety Officer or Radiation Safety Supervisor and documented
{
on ASCG Inspection Inc.'s Radiation Survey of Storage Areas form. I
1
2.5 The Rediation Safety Officer, Radiation Safety Supervisor or Radiography
Supervisor will safeguard the keys for controlling access to the permanent
storage facilities.
2.6 ASCG inspection, Inc.'s storage facilities floor plans are shown on the
following pages.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Ssction: 1.0
PARTl Page: 3 of 11
ASCG ADMINISTRATIVE PROCEDURES Revision:
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3.0
Inspection,
Inc.
Date: 02/10/98
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RECORDS '
3.1 All records required under the NRC regulations for review and inspection
will be kept in the office of the Radiation Safety Officer at 301 Arctic Slope,
Avenue, Suite 100, Anchorage, Alaska 99518-3035.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM S:ction: 1.0
ASCG PARTI Page: 7 of 11
ADMINISTRATIVE PROCEDURES Revision:
II
2
inspect.ion, o ,,,: inf3f93
Inc.
an AKL tom (tany
ASCG Inspection, Inc.
54932 Coringa Ave.
Kenai, AK 9999611
Storage Lot at rear of building
150' by 200'
Surrounded by woods on two sides. '
East side - infrequently traveled dirt road 80' away
Main highway - 250' from front offices.
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ASCG Inspection, Inc N
Kenai Field Station
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349 5148 fax (907) 267-6480
)
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RADIATION SAFETY PROGRAM SeCtion: 8.0
,ASCG PARTI g 3 age: y
1 7 of 23
EXAMINATIONS Re%ision: 2
Inspect.ion, Date: 11/20/98
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Inc.
Radiation Safety Appendix C. Exam #1 N/A Closed
IIILE OF EXAMINATIOff TYPE /NO. OF EXAM LEVEL OPEN7CT05ED EUDr
NAME LAST Fl'A ST Mi DATE
SIGNATURE (LEGIBLE)
PROCTOR Rs0 REVIEW
- OF CORRECT ANSWERS OF 50 POsslBLE = % CORRECT
1. Damage to body tissue as a 7esult of radiation exposure is caused by: l
a. lonization
b. loss of neutrons
l
I
c. by exposure to 300 rems or more j
d. gaining of electrons )
)
2. The unit of measure of personal exposure is:
a. becquerel
b. curie I
c. rem
d. roentgen
3. Survey meters are calibrated at _ month intervals,
a. 3
b. 6
c. 9
d. 12
4. Dosimeters have a range of 0 to _ m/R.
a. 100
b. 200
c. 400
d. 1,000
5. A unit that expresse - the biological dose in humans for radiation is:
a. rad
b. roentgen
c. r 'm
d. RBE
6. The primary hazard in radiography comes from:
a. internal radiation
b. gamma rays and alpha particles
c. beta particles
d. external radiation ,
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Ssetion: 8.0
PARTI Page: 8 of 23
ASCG EXAMINATIONS Revision:
~ ~ 2
Inspection, oate: 11/20/98
Inc.
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7. Three basic types of personal protection are:
a. Rems, MLD and RBE
b. Time, distance and shielding
c. Age, time at work and allowable exposure
8. The inverse square law states that:
a. Radiation intensity varies inversely as the square of the time spent near the source,
b. Radiation intensity varies proportionally with distance from the source.
c. Radiation intensity varies inversely as the square of the distance from the source.
9. The thickness of a material which stops one-half the radiation penetrating it is called:
a. Half-life
b. Half shield
c. Half-value layer
d. Tenth value layer
10. The strength of a radioactive source is measured in:
a. becquerels
b. gigabecquerels
c. curies
d. millicuries
11. During a work shift it is noted that your dosimeter is offscale. You should:
a. recharge the dosimeter and continue to work.
b. store the source, notify your supervisor and send the film badge in for processing.
c. notify your supervisor at the end of your shift.
12. The yearly permissible occupational dose for an individualis:
a. 1% rem
b. 5 rem
c. 10 rem
13. The required personnel on a radiography crew consists of:
a. A radiographer and one other person,
b. A radiographer and one other qualified person.
c. Two radiographers
14. A " Caution - Radiation Area * sign should be posted at what mR/Hr boundary.
a. 100 mR
b. 10 mR
c. 5mR
d. 1mR
15. What is the maximum reading on the surface of an exposure device?
a. 50 mR
b. 100 mR
c. 200 mR
d. 10 mR
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Section: 8.0
PARTI Page: 9 of 23 l
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ASCG EXAMINATIONS Revision: 2 l
Inspect. ion, Date: 11/20/98 l
Inc. j
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16. What mR/Hr readings define a Yellow ll label?
a. <=200 mR on the surface and <10 mR/Hr at one meter
b. <= 50 mR/Hr on the surface and <10 mR/Hr at one meter I
c. >= 50 mR/Hr on the surface and <= 1 mR/Hr at one meter j
] d. <=50 mR/Hr on the surface and <= 1 mR/Hr at ine meter
17. Personal dosimetery !s defined as:
a. film badge, TLD, and rate alarm
b. film badge, dosimeter and rate alami
c. TLD, rate alarm and survey meter
d. film badge, dosimeter and survey meter
18. Leak testing of sealed source is required every months.
a. 3
b. 6
c. 9
d. 12
19. You discover in the field that you have lost your film badge. You should:
a. l.r rm your supervisor and get a new one before the next shift.
b. Look for the old one and not worry about it untillater.
c. Stop work, inform your supervisor and get a new badge issued.
d. Stop work, inform your supervisor and get a new badge issue before returning to work.
20. A is the best way to determine the amount of exposure received during a work shift.
a. film badge i
b. dosimeter j
c. TLD 1
21. Survey meters have a range of 0 to I
a. 10 mR
l
b. 100 mR l
c. 200 mR
'
d. 1000 mR
22. The " Caution - Radiation Area" sign may be posted at what mR/Hr
boundary?
a. 2 mR/Hr
b. 5 mR/hr
c. 100mR/Hr
23. The acronym ALARA stands for:
a. As Low As Reasonably Possible
b. As Low As Reasonably Achievable
c. As Long As Radiographers Act Responsibly
24. If a vehicular accident occurs during the transportatior s a sealed source, you should
301 Arctic Slope Ave., Suite 100 Ancho age, Alaska 99518 phone (907) 349 5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Section: 8.0
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PARTI Page: 10 of 23
ASCG EXAMINATIONS Revision: 2
Inspection, Date: 11/20/98
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a. Get the other drivers name and the name of his insurance company
b. Using a calibrated and operable survey meter, establish that the sealed source is still contained in
the safe and shielded position.
c. Notify the State Troopers and wait for further instructions. ,
25. After cranking the source back into the exposure device you note that your survey meter is indicating
a abncimally high reading, you should:
a. get another survey meter,
b. lock the camera and call your supervisor
c. assume that the source is not in the safe and shielded position, establish secure boundaries,
follow the procedures in the O&E Manual
26. During your work shift you stop for lunch, the exposure device:
a. must be returned to the source storage box and the box locked
b. may be chained to any unmovable object
c. may be chained to any unmovable object and the key removed
27. The Radiographer is required to fill out:
a. film badge reports, daily activ!ty reports and dosimeter reports
b. daily radiation job sheets, transport logs and utilization reports
c. shipping and receiving reports, film badge reports utilization reports
28. The half life of IR-192 is:
a. 74 days
b. 3 months
c. 7.5 years
29. A Radiographer and his assistant are required to:
a. maintain direct and constant surveillance of the exposure device
b. maintain direct and constant surveillance of the high radiation area
c. maintain direct and constant surveillance of the restricted area and the high radiation area
30. When an radiographic , ,ca.nt occurs, such as a dosimeter going offscale:
a. you should notify your supervisor before the end of your shift
b. you should notify your supervisor and fill out an incident report within 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> and send the film
badge in for processing
c. you should notify your supervisor and wait for further instructions
31. Assistant Radiographers can assist in radiography;
a. after completion of 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> of radiation safety training
b. after completion of 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> of radiation safety training
c. under the direct supervision of a Radiographer
d. a&c
e. b&c
32. Exposure devices and related equipment are inspected:
a. prior to the beginning of the work shift
b. every 6 months
c. every 12 months
301 Arctic Slope Ave., Suite 100 Anchorage, A!aska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Section: 8.0
ASCG PARTI Page: 11 of 23
EXAMINATIONS Revision: 2
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an Ax.L, compariy
Inspect.ion,
Inc.
Date: 11/20/98
33. Dosimeters are calibrated
a. every three months ;
b. every six months
c. every twelve months [
!
34. The third hah ,ife of a 100 curie IR-192 source would be:
a. 50 curies
b. 25 curies I
c. 12.5 curies
35. Three elements of an atom are the:
a. proton, electron and neutron
b, alpha, beta and gamma
c. electrons, neutrons, betatrons
36. The Inverse Square Law is defined as
a.
b.
l i(D2 )*=
=1
2
1 (D )2
i
- lli(Di)
(D)1 (D
22=2)# 2(D)3
37. You have a 100-curie Iridium 192 source, unshielded. What is the dose rate at 50 feet? (show work
on back)
38. What is the distance for the 2 mR/Hr boundary posting when using and 80 curies Iridium 192 source
using a 2 inch steel shield? (half value layer of steel is %") (show work on back)
39. At 2 feet from a source you receive a dose rate of 500 mR/Hr. what is the dose rate for the same
source at 20 feet? (show work on back)
40. For 10 minutes of exposure in any one hour, what is the maximum mR/Hr' reading at the restricted
arsa boundary? (show work on back)
41. Survey meters and rate alarms should be checked for response to radiation:
a. when they are due calibration
b. when it suspected they are not working properiy
c. at the commencement of each shift
d. all the above
42. Who is responsible for radiation safety?
a. the Radiation Safety Officer
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Srction: 8.0
ASCG PARTI Page: 12 of 23
EXAMINATIONS Revision: 2
Inspect.ioni Date: 11/20/98
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b. allmembers of the radiography crew I
c. the Radiography Supervisor .-
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43. Which 10 CFR outlines radiation safety requirements?
a. Part 20
b. Part 32 e
c. part 34
>'
44. The key may be leftin the exposure device: j
a. When stored in the vehicle source storage container l
b. when under the direct supervision of the Radiographer
c. when stored in the source storage vault
45. The 7 ransport Index refers to:
a. the dose rate at the surface of the vehicle transporting radioactive material.
b. the surface dose rate at the surface of the source storage contai,1er.
c. the highest dose rate at one meter from the source storage container.
46. The surface of the source storage container is 30 mR/Hr and the dose ra'e at one meteris 1.1 mR/Hr.
The source may be transported under a:
a. White I label.
b. Yellow ll label.
c. Yellow lit label.
47. Which are the proper steps to take in making a survey after and exposure?
a. Survey the tip of the guide tube, the length of the guide tube and then the front and back of the
camera.
b. survey the guide tube and all four sides of the camera.
c. any order or sequence is permissible as long as it is established that the source is in the safe and
shielded position.
d. survey all four sides of the camera and the length of the guide tube.
48. Radiographers and Assistant Radiographers are required to have a filed inspection every:
a. 30 days
b. 60 days
c. 90 days
d. 180 days
49. Exposure devices must be kept locked and the key removed:
a. after each exposure.
b. when not under the direct surveillance of the radiographer.
c. after each exposure and when in storage.
50. Alaska is an:
a. Agreement State
b. Non-Agreement State
C. Neither above choices is correct.
301 Arctic Slope Ave., Suite 100 Arichorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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.ASCG
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Inspection,
Inc.
ANSWERS
1. A 11. B 21. D 31. A 41. C ,
2. C 12. B 22. A 32. A 42. B -
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3. B 13. B 23. B 33. C 43. C
4. D 14. C 24. B 34. C 44. B k
5. C i s. C 25. C 35. A 45. C
6. D 16. D 26. A 36. C 46. C
'
7. B 17. B 27. B 37. 236 mR 47. D .
8. C 18. B 28. A 38. 121 ft 48. D I-
9. C 19. D 29. C 39. 5mR 49. B
-
10. C 20. B 30. B 40. 12 mR 50. B
Radiation Safety Program 7 7/6/98
Revision 0
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148
fax (907)$67-6482 8 7 0 6
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RADIATION SAFETY PROGRAM Section: Forward 1
PARTll Page: ill of lii
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ASCG Revision: 2
Inspect.ion, Date: 11/5/s8
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SECTION TITLE PAGE
14.0 FORMS AND EXHIBIT 1
15.0 LICENSE 1
16.0 U.S.N.R.C. RULES AND REGULATIONS 1 i
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17.0 CASE HISTORIES OF RADIOGRAPHY EVENTS 1
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18.0 OFF SHORE PLATFORM RADIOGRAPHY PROCEDURE 1
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19.0 SOURCE RETRIEVAL PROCEDURES 1
1
20.0 SHIPPING AND RECEIVING PROCEDURES 1
1
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 207-6480
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RADIATION SAFETY PROGRAM Section: 1.0
PARTll Page: 1 of 2
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ASCG GENERAL POLICY Revision: 2
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Inspection,
inc.
Date:12/10/98
1.0 The procedures stated herein are designed to control the use of the radiation
producing devices licensed by ASCG Inspection, Inc. in Anchorage, AK.
1.1 Direct responsibility for the overall radiation safety program in regards to
radiographic operations is assigned to Keenan E. Remele. He is
designated Radiation Safety Officer for all radiographic operations. Jeff
Arveson is designated QA/QC Team Leader / Level Ill. Terry Stokan, Tom
Liverance, Dan Smith, Larry Russell are designated Radiation Safety
Supervisors.
1.2 Radiographers shall be trained and qualified in accordance with Section
7.0, Part I of the Company Safety Manual. This shall remain in effect until
June 27,1999.
1.3 Effective June 27,1999, radiographers will be certified by an independent
certifying entity. All certifications will be verified by the issuing entity.
1.4 Qualified radiographers shall have the authority to use and supervise the
use of, while in constant surveillance of the job-site, the sealed sources
authorized by the company license.
1.5 A copy of these instructions will be made available to each employee
concerned with the handling or use of radiation producing devices. Other
company personnel, after training is completed as required by the
company-training program, will be designated as assistant radiographers
and may operate the exposure equipment under the constant surveillance
of a qualified radiographer.
1.6 Each concerned employee will sign a statement as to the fact that he/she
has read and understands these instructions by means of an examination
prior to performing and working with radiation producing equipment.
1.7 Radiation Safety Regulations of the United States Nuclear Regulatory
Commission have been used as guides in the preparation of these
instructions. The objectives of these instructions presented here are to
protect the health of the general public and employees of the firm, and to
prevent disabling accidents. It is the responsibility of every concerned
employee to have a working knowledge of these instructions.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Snction: 1.0
PART il Page: 2 of 2
ASCG GENERAL POLICY Revision: 2
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1.8 The Nuclear Regulatory Commission has the authorny to modify, suspend,
or revoke any radioactive material license which the, issue, or to take any
actions necessary to insure careful handling of radiation producing
equipment in their jurisdiction. These instructions must be followed
explicitly as set forth by Federal and State authorities. If any doubt exists
concerning these instructions or the safety conditions in the performance
of radiographic operations, the Radiation Safety Officer shall be contacted
immer 'ately.
1.9 Violati. e of the conditions and procedures set forth in these instructions,
by an evioyee, shall be just cause for punitive action.
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RADIATION SAFETY PROGRAM S2ction: 2.0
PART 11 Page: 1 of 3
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'ASCG GENERAL POLICY Revision: 2
Inspect.ion, Date:11/5/98
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1.0 POCKET DOSIMETERS
1.1 All radiography personnel shall wear a pocket dosimeter when performing
radiographic operations. These dosimeters shall have a range of 0-200
mR. Pocket dosimeters shall be calibrated annually.
1.2 All dosimeters are to be recharged daily - prior to commencement of
radiographic operations. Dosimeter readings shall be taken at frequent
intervals during the workday and a total daily reading shall be recorded -
after work is completed on the Daily Radiation Job Sheet.
1.3 The dosimeter shall be carried in a pocket on the body or in a leather
pouch with the film badge.
1.4 Care should be taken to ensure that the dosimeters are not dropped or
jarred, as they are delicate instruments and can easily be damaged. If a
dosimeter is damaged, the Radiographic Supervisor shall be contacted
immediately.
1.5 If a dosimeter is noted to have gone off scale, the following steps shall be
taken:
a) Stop work and return radiation exposure device to a safe condition.
b) Notify the Radiographic Supervisor and the Radiation Safety Officer
who will send in the film badge (s) for immediate proces(ng.
c) The effected personnel will not be issued a new film badge until the
RSO has been notified that there was not an over exposure.
d) The effected personnel's dosimeter will be sent to the Radiation
Safety Officer for response verification.
e) An incident Report will be completed within 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> and forwarded ;
to the RSO.
1.6 Out of calibration or nonfunctioning dosimeters will be tagged and
removed from service.
2.0 FILM BADGES
2.1 A film badge shall be assigned by name and number to each employee
performing radiographic operations. Under NO circumstances will an
employee be permitted to use a film badge other than his own.
301 Arctic Slope A.e., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM S:ction: 1.0
ASCG PART ll Page: 2 of 3
GENERAL POLICY Revision: 1 !
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Date:2/10/98
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2.2 The Radiation Safety Officer will be responsible for the distribution of the
film badge and the procedures governing their use.
2.3 Film badges will be worn attached to the body or in a feather pouch with
the dosimeter during all operations, which involve possible exposure to
radiation.
2.4 Film badges will be returned to the Radiation Safety Officer at the end of l
the control period for the badge. l
2.5 Care should be taken to prevent exposure of film badges to environmental I
conditions which involves excessive heat or moisture as such exposure
will impair the ability of the badges to measure radiation dosage. {
3.0 RATE ALARM
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3.1 All radiography personnel shall wear an issued rate alarm when
performing radiographic operations. The rate alarm is a safety device
designed to reduce overexposure to radiography personnel.
3.2 Rate alarms shall be attached to a belt or carried in a pocket on the body.
3.3 There are headphones available when working in high noise areas.
3.4 Rate alarms shall be calibrated annually. Rate alarms shall activate at
450 to 500 mR/hr and will be verified to produce a 75dB audible alarm at 6
inches.
3.5 Operating Procedures
3.5.1 Slide on-off selector switch to on position. When the power switch
is turned on, a single chirp should be heard. If the unit is operating
properly, a low frequency (about 400/ minute) " motor-boating" sound
should be heard when the unit is held close to the ear in a quiet j
location. Check battery and alarm tone using a paper clip or
equivalent to push where indicated. The red LED battery light will
light if the battery i; OK and the alarm should sound. Do not use if
either test fails. Repace battery if indicated or replace rato alarm.
NOTE
It is recommended that the unit be tested periodically in a radiation field.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Section: 1.0
gg PART ll Page: 3 of 3
GENERAL POLICY Revision: 2 '
Inspection, Date:11/5/98
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3.5.2 If an individual alarm rate meter sounds (or alarms) under other i
than normal conditions, such as cranking out or in, immediately
move out of the radiation area and check your pocket dosimeter. l
Secure the area and notify the Radiation Safety Supervisor and the
Radiation Safety Officer. If radiation exposure cannot be ruled out
by the Radiation Safety Officer or the RSO designee as the cause,
the individual's film badge must be sent for processing within 24
hours. The individual whose rate alarm has alarmed will not
resume work with licensed radioactive material until the RSO or
RSO designee has determined the individual's radiation exposure.
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3.5.3 If a unit is out of calibration or nonfunctioning, it will be tagged and
removed from service.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Section: 4.0
f PART ll Page: 1 of 3
[
ASCG TRANSPORTATION OF Revision: 2
Inspection, RADIOACTIVE MATERIALS Date:11/3/98
Inc.
dn Ah company
1.0 TRANSPORTATION OF RADIOACTIVE MATERIALS
1.1 Radiation sources will be transported only in company vehicles,
comrnercial carriers or contract carriers.
1.2 Whenever an exposure device containing a sealed source is transported
in a company vehicle, it must be secured in a storage compartment of the
transporting vehicle to prevent shifting or loss. The device and the
compartment must be locked to prevent unauthorized entry and the
compartment must be posted on two opposite sides with a sign bearing
the radiation caution symbol (magenta on yellow background) with the
Transport Index (T.I.), source type and Curies /GBq strength stated.
1.3 A physical radiation survey shall be made of the storage compartment and
the levels of radiation shall not exceed 200 mR/hr at the surface nor 10
mR/hr at one meter. The radiation level at the driver's location shall not
exceed one (1) mR/hr. A record of the survey shall be made on the Daily
Radiation Job Sheet.
1.4 The transporting vehicle must be posted (if Transport index is Yellow
Label lil) in accordance with Department of Transportation regulations,
with radiation warning signs stating " RADIOACTIVE" The signs shall be
magenta or purple on yellow background and display the conventional
three-bladed radiation safety symbol.
1.5 Shipments of radioactive material (sources) will be done only in containers
or over-packs authorized for such shipments.
1.5.1 The outside surfaces of the shipping containers /overpacks
will be monitored with a radiation survey meter to ascertain
that the dose rate does not exceed 200 mrem /hr on contact
of any surface or 10 mrem /hr at a distance of one (1) meter.
1.5.2 All shipping containersloverpacks shall have labels posted
(DOT Required Labels) designating the Transportation Index
(T.I.) the radioactive material and curie strength.
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1.6 A radiation survey will be performed around the outer surfaces of any
l cc 1pany vehicle housing radioactive material before the vehicle is used
for transportation purposes. The areas around a vehicle containing
i radioactive materials are to be considered as unrestricted areas, thus, the
l radiation dose rate in these areas must not exceed the 2mR/hoor levels.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Ssction: 4.0
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ASCG PART11 Page: 2 of 3
TRANSPORTATION OF Revision: 2
Inspect.ion, RADIOACTid MATERIALS Date:11/3/98
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1.6.1 A written record will show the highest reading on the vehicle
or in the cab of the vehicle does not exceed the limits on the
Daily Radiation Job Sheet.
1.6.2 All company vehicles carrying radioactive material shall be
locked when not occupied or attended by a company
employee.
1.6.3 Vehicles containing radioactive materials should not be used
for unnecessary transportation purposes.
1.7 A radioactive material shipping document shall be completed and kept
within reach of the vehicle driver when sources are transmitted in
assigned company vehicles.
2.0 TRANSPORTATION OF RADIOACTIVE MATERIALS BY CONTRACT
CARRIER TO REMOTE JOB SITES
2.1 The exposure device shall be surveyed upon removal from storage. The
exposure device and related equipment will have daily inspectiqns
performed prior to !oading into over-pack and transportation lockers.
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2.2 The over-pack's outer surface will be surveyed to insure that the dose rate
does not exceed 50 mR/Hr on contact or 1 mR/Hr at a distance of one
meter for labeling as a Type 11 package.
NOTE
There will NO shipnient of Type 111 labeled over-packs to any remote job
site.
2.3 The over-pack shall have all DOT required labels attached and in good
condition. The Type ll labels will be attached and designate the
Transportation Index, type af radioactive material and curie strength.
2.4 A radioactive material shipping document Declaration of Hazardcus
Goods and transportation paper work will be completed and carried by the
Radiographer. This paperwork will be presented to the pilot of the
aircraft / helicopter upon arrival.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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RADIATION SAFETY PROGRAM Snction: 4.0
ASCG PART11 Page: 3 of 3
. TRANSPORTATION OF Revision: 2
.nspection,
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RADIOACTIVE MATERIALS Date:11/3/98
Inc.
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2.5 NO personnel other than the pilot, copilot, radiographer and
assistant (s)will be allowed on the aircraft when transporting an exposure
device.
2.6 The over-pack will be located as far from the passenger compartment as
practical and braced in position. The storage compartment is considered
an unrestricted area; thus the radiation dose rate must not exceed 2
mR/Hr levels. 3
2.7 The passenger and cockpit compartments will be surveyed to insure that
the radiation dose rte does not exceed 1 mR/Hr levels j
2.8 For the return trip, steps 2.1 through 2.7 will be performed. Ensure that
extra required paperwork is taken to the job-site. I
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267 6480
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RADIATION SAFETY PROGRAM S:ction:13.0
Page: 2 of 3
AASCG PART ll
EMERGENCY PROCEDURES Revision: 2
Inspection, Date:11/5/98
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1.4 In the event that a source is lost or stolen, immediately notify the Radiation
Safety Officer or the Radiation Safety Supervisor. If not available, notify
the Nuclear Regulatory Commission or the State of Alaska, Department of
Health.
1.5 In the event of a fire, the radiographic exposure device in use is to be
reiurned to a safe condition, locked and removed from the fire hazard
erea. If a radiation source cannot be returned to a safe condition and
removed from the area, notify the Fire Department personnel when they
arrive at the site. Also notify the Radiation Safety Officer, Radiation Safety
Supervisor, the Nuclear Regulatory Commission or the State of Alaska,
Department of Health.
NOTE
in the event of any other form of accident involving radioactive material or
radiation producing devices, take applicable safety measures and notify
the Radiation Safety Officer or the Radiation Safety Supervisor. If the
event cannot be resolved, immediately notify the Nuclear Regulatory
Commission or the State of Alaska, Department of Health.
1.6 The radiographic crew must initiate a written " Radiography incident And
Equipment Failure Report"'orm (see Part 11, Section 14.0 of the Radiation
Safety Program) within 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> after an incident or equipment failure
occurs.
NOTE
lt shall be the responsibility of the supervisor (or lead radiographer where
no supervisor is assigned) to see that the Radiatict Safety Officer's office
receives the completed report, a copy or a facsimde within the 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />
period.
0.7 ASCG Inspection, Inc.'s 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> emergency telephone number is (907)
268-0654.
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RADIATION SAFETY PROGRAM S:cticn:13.0
ASCG PARTll Page: 3 of 3
EMERGENCY PROCEDURES Revision: 2
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PERSONNEL TO BE NOTIFIED IN CASE OF AN EMERGENCY
Jim Kingrea (907)267-6251 Office (907) 6964880 Residence
Jeff Arveson (907) 267-6417 Office (907) 348-0810 Residence
Tom Liverance (907) 659-7735 Office (907) 561-6168 Residence
Terry Stokan (907) 452-5032 Office (907) 474-2034 Residence
Dan Smith (907) 659-8360 Office (907) 373-3272 Residence
Keenan E. Remele (907) 267-6427 Office (907) 745-1724 Residence
(907) 268-0654 Pager
Larry Russell (907) 452-5032 Office (907) 452-8958 Residence
NRC - Reaion IV: Texas (800)952-9677
Ross Scarano, Director (800)860-8106
Jack Whitten (817) 860-8197
Gene Bates (817)860-8233
NRC Emeraency Headauarters. (301)816-5100
(301) 951-0550 (Backup)
(301) 415-0550 (Backup)
(301) 816-5151 (Fax)
NRC Safety Hotline (800)695-7403
Office of Inspector General (800)233-3497
State of Alaska
(907)562-3979
Radiological Health Program
Department of Health & Social Services
Anchorage, Alaska 99503
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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Radiction Safety Progrcm S:ctien: 18.0
ASCG Part 11 Page: 1 of 4
Inspection, Off Shore Platform Radiography Revision: #1
Inc. Procedures Date: 11/3/98
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1.0 GENERAL
1.1 This procedure will cover the transportation, safe use and storage of
exposure devives when performing radiographic operations on offshore
, Platforms.
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1.2 Platform radiography requires additional paperwork and safety
considerations not encountered in normal field radiography.
Communication l'etween Platform personnel and the Radiographer is an
essential factor in the performance of radiographic operations
- 2.0 TRANSPORTATION
1
2.1 The exposure device shall be surveyed upon removal from storage. The
surface of the exposure device shall not er::eed a dose rate of 200 mR/Hr.
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2.2 The exposure device and related equipment will have the daily inspections
performed prior to loading into the over-pack and transportation lockers.
2.3 The over-pack's outer surfac , will be monitored to insure that the dose
rate does not exceed 50 mR/Hr on contact of any surface or 1 mR/Hr at a
distance of one (1) meter for labeling as a Type ll package.
NOTE
There will be NO shipment of Type ill labeled over-packs to offshore
Platforms.
CAUTION
There will NO shipment of an over-pack if the outer surface exceeds 50
mR/Hr or 19 mR/Hr at one meter. Contact the RSO immediately for
further instructions
2.3.1 The over-pack shall have all DOT required labels attached and in
good condition. Two Type 11 labels will be attached designating the
Transportation Index, type of radioactive material and curie strength
2.3.2 A radioactive material shipping document, Declaration for
Dangerous Goods and transportation paperwork will be completed
and carried by the Radiographer. The Declaration for Dangerous
Goods and transportation paperwork will be presented to the pilot
of the aircraft / helicopter upon arrival.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 f ax (907) 267-6480
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Radiation Safety Program Section: 19.0
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ASCG Part ll Page: 1 of 6
Inspection, Source Retrieval Revision #0
Inc. Procedures Date: 10/26/98
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DEC 29 ?
1.0 GENERAL 4
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1.1 This procedure will cover the safe retrieval of a sealed source that has .
become unintentionally disconr.ected, stuck in the guide tube or will not'
return to the safe and shielded position. ,
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1.2 Only trained Radiographers or personnel supervised by trained )
Radiographers will perform source retrievals. These personnel will
receive training from a licensed agency.
1.3 No cealed source that is exposed or stuck in a guide tube shall be
handled directly by any personnel.
1.4 Electronic or alarming dosimeters shall not be used as survey instruments
during a source retrieval operations
1.5 All personnel shall practice ALARA and that extra precautions are taken
to insure that the General Public is protected at all times.
1.6 In all cases all personnel will fill out an incident Report within eight hours
or by the end of the shift so that a determination can be made if the
incident is reportable under NRC regulations.
2.0 POSSIBLE BINDING OF DRIVE CABLE ASSEMBLY
2.1 If it is determined, by a survey of the exposure device, that the source has
not returned to the safe and shielded position, personnel will retreat to a
safe distance. Dosimeters will be read, the reading recorded and zeroed
before continuing. Insure that all boundaries are correctly established and
the area can be kept under direct constant surveillance.
2.2 The first step is to attempt to return the source to the collimated position.
With the source returned to the collimated position, take the time to
inspect the relationship of the crank assembly and the guide tube (s) to the
exposure device. Insure that the crank assembly and the guide tube are
laid in as straight as possible position.
2.2.1 Guide tubes should have a bend radius greater than twenty (20)
inches.
2.2.2 The crank assembly should have a bend radius greater than thirty-
six (36) inches.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-0480
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Rcdiation Safsty Program S: ction: 19.0
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Inspection, Source Retrieval Revision #0
Inc. Procedures Date: 10/26/98
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2.3 If required, reset the position of the exposure device and/or crank
assembly and guide tube (s)and attempt to return the source to the safe
and shielded position. If the source will not return to the safe position,
return it to the collimator and retreat to a safe distance.
2.4 Contact the Radiation Safety Supervisor or Radiography Supervisor for
furthor instructions. DO NOT LEAVE THE SOURCE UNA ,
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3.0 UNINTENTIONAL DISCONNECT, SOURCE STUCK - CONTAINED WITHIN !
GUIDE TUBE !
3.1 If it determined by a survey of the exposure device that the source has not
returned to the safe and shielded position, the first step is to attempt to
return the source to the collimated position. With the source returned to
) the collimated position, take the time to inspect the relationship of the
crank assembly and the guide tube (s) to the exposure device, insure that
the crank assembly and the guide tube are laid in as straight as possible
position. Insure that all boundaries are correctly established and the area
can be kept under direct constant surveillance.
3.2 Attempt to return the source to the sxposure device. Should the surv.sy
determine that the source has not entered the exposure device, return the
source to the collimator.
i 3.3 Dosimeters will be read, the reading recorded and zerced before
continuing.
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3.4 Contact the Radiation Safety Supervisor or Radiography Supervisor for l
further instructions. DO NOT LEAVE THE SOURCE UNATTENDED.
NOTE
The Radiation Safety Supervisor or Radiography Supervisor will notify the
RSO at this time of the possibility of an unintentional disconnection.
He/she will report to the scene of the incident with the source retrieval
emergency kit. See Appendix A for kit content verification.
3.5 There are two methods for determining approximately where the source is
be!ng stuck in the guide tube.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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Radiation Safsty Program Ssction: 19.0
ASCG Part 11 Page: 3 of 6
inspection, Source Retrieval Revision #0
I, Inc. Procedures Date: 10/26/98
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3.5.1 Revolution Method Table: (To be used if source can be placed fully
into the collimator and partially retracted)
660B - One revolution equals approximately 10 inches of cable movement.
IR 100 - One revolution equals approximately 8 inches of cable movement.
Guide Tube Length 4 Foot 7 Foot 14 Foot 21 Foot
660B - Revolutions 5.5 9.1 17.5 25.9
IR 1'no - Revolutior.s 6.8 11.3 21.8 32.3
3.5.2 By counting the number of revolutions you can determine if the
drive cable is retracting all the way into the exposure device or the
area of the of the guide tube where it is stopping.
3.5.3 Triangulation Method' (Source unable to be moved to the
collimated position)
3.5.3.1 Walking two paths at 90 degrees to each other at a
distance from the guide tube that allows the survey meter
to indicate 100 mR/HR but does not exceed this reading
performs the triangulation method. ;
3.5.3.2 Re.fer to the below figure.
D ecreasing Maximum
Meter Meter i
R e a ding
R e a ding
I _ _ _ _ . . _ . . _ _ _ . _ _ c re a s ing
R ea ding
.._ . - . - - .. - _._
..
. . . . .
"***""
ra _-i.--__. -- t
Rendmg
,{ou e . ._ /
S:fe'7"
_] Readmg
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349 5148 fax (907) 267-6480
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Radiction Safsty Program Section: 19.0
ASCG Part ll Page: 4 of 6
Source Retrieval Revision #0
TT Inspection,
inc. Procedures Date: 10/26/98 l
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Il CAUTION ll
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DO NOT proceed with the next steps until the RSO has arrived on the
scene or directly communicated with the Radiographer in charge of the
incident that it is permissible to do so. ,
3.6 Working from the area of maximum shielding, approach the exposure
device as rapidly as possible carrying the emergency shielding. Place the
emergency shielding over the guide tube as close to the source as i
possible. Retreat to the area of maximum shielding quickly. Read your
dosimeter and record the reading.
3.7 Using a survey meter, determine whether this action has shielded the
source. Place additional shielding by repeating step 3.8 until the source is
shielded as well as possible.
3.8 Adjust the boundaries of the Restricted Area to the 2 mR/HR zone. Place
a Radiographer and atleast one other qualified individual to maintain
constant and direct surveillance of the exposure device and source.
3.9 DO NOT attempt to retrieve the source unless specifically instructed to do .
so by the RSO. l
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4.0 UNINTENTIONAL DISCONNECT - NOT CONTAINED WITHIN GUIDE TUBE
NOTE
DO NOT attempt to shield an exposed source without the express authorization i
of the RSO. This operation will be carned out under the direct supervision of the l
RSO and/or other specifically trained personnel.
4.1 Before attempting shielding operations, you must determine the exact l
location of the source by visual confirmation or the triangulation method l
noted in paragraph 3.6.2
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4.2 Working from the area of maximum shielding, approach the exposed
source as rapidly as possible carrying the emergency-shielding block. l
Place the emergency-shielding block over the source. Retreat to the area
of maximum shielding quickly. Read your dosimeter and record the
reading.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349 5148 fax (907) 267-6480
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Radiation Safr,ty Progrcm S:ction: 19.0
ASCG Part 11 Page: 5 of 6
Inspection, Source Retrieval Revision #0
Inc. Procedures Date: 10/26/98
II
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4.3 If a source changer is present, do not use the emergency-shielding block.
Place the source changer approximately five (5) feet from the source.
Retreat to the area of maximum shielding quickly. Read your dosimeter
and record the reading.
NOTE
If your dosimeter is approaching 100 mR, recharge it to zero before proceeding.
Il CAUTION ll
Prior to approaching the actual source make several practice pickups of a
" dummy" source with the sour e handling tongs, timing the operation. l
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4.4 Carrying the source handling tongs (6'), approach the source rapidly.
Standing, as far your reach will allow from the source, grasp the pigtail
midway between the connector and the source capsule. Pivot and deposit
the source, capsule end first, into the source changer. Retreat from the
area as rapidly as possible. Read your dosimeter and record the reading.
NOTE
in the event of a " source out emergency", no radiographic personnel may attempt
to recover the source and retum it to the exposure device without the specific
authorization and direction from the RSO. The radiographer must limit his/her
actions to shielding operations only until directed otherwise by the RSO. If there
is any doubt that the shielding operations can be completed safely, or if your
dosimeter goes offscale STOP all attempts to shield the source. Maintain direct
and constant surveillance of the Restricted Area until the RSO arrives or further
ins +JuCtions are delivered.
In some areas it may be necessary to alert Security, Fire and Rescue personnel
or client contacts to inform them of the situation. This notification should take
place after the source is in a controlled enviorment. These personnel may be
used to help control the effected area. In no case may these personnel cross
the Restricted Area boundaries.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-514E fax (907) 267-6480 I
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Radiation Safety Program Section: 19.0
ASCG Part ll Page: 6 of 6
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Inspection, Source Retrieval Revision #0
Inc. Procedures Date: 10/26/98
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EMERGENCY SOURCE RETRIEVAL KIT
CONTENTS ;
The emergency source retrieval kit shall contain the following items and be
located at each field location. (
),
1. Four each - five pound lead shot bags
2. One each - emergency-shielding block ; '
3. One set - 6' tongs
4. One each - 5 R dosimeter
5. Four each " Caution Radiation Area" signs
6. Four each " Caution High Radiation Area" signs
7. Four each - 100 foot bundles of rope
8. One each- Abridged O&E manual
9. One each - Hacksaw
10. One Each - Dosimeter Charger and Ratteries
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267 6480
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Radiation Safety Program Section 20.0
ASCG Part 11 Page:1 of 9
- -
Inspection, Shipping and Receiving Revision #0
.
Inc. Procedures Date: 11/2/98
. . .
an ASLb company ,
1.0 General .
)
1.1 Source orders will be wri ten, with authorization, and placed via fax
with the Materials Coord,nator at (907) 563-1846.
2.0 Receiving Exposure Devices ,
I
. Perform inspection of the over pack for tampering.
. Retain copy of HAZMAT paperwork, cargo billing
f
1
. Initiate " Radioactive Source IJtilization Log" (Attachment #1) I
. Source Serial Number
. Exposure Device Serial Number
. Date Received
. Check In
. Date and Time
. Name of person doing the receiving
. Location.
. Initiate " Radioactive Material Transport Survey Record" 1
(Attachment #2)
. Location - Project No. or Job location .
. Job No. -insert appropriate job number ,
. Date being initiated
. Who is performing the survey and wha'. is their title? .
(Radiographer, Assistant Radiogrucher) l
. Enter the exposure device serial number in appropriate box.
. Check off what is being surveyed.
. Enter Source model number, serial number and curie strength.
. Survey and enter results
- Container
. Surface
. 1 meter
. Exposure Device
. Surface
. Perform inspection of the over pack for tampering.
. Enter the model, serial number and celibration due date of the
survey meter used to perform the surveys.
- Check the " Source Received" box.
. Check the " Survey on Receipt of Overpack" box and fill in the "At:"
location
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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/ Radiation Safety Program Section 20.0
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ASCG Part ll Page: 2 of 9
Inspection, Shipping and Receiving Revision #0
Inc. Procedures Date: 11/2/98
II
.n ma mme ny
. Check the " Survey on Receipt of Exposure Device" box and fill in
the "At:" location.
Perform the survey of the storage vault area and initiate a new " Radiation
Survey of Storage Area" form. (Attachment #3)
. Name of person performing survey
. Date
. Check off the appropriate box for location.
. Total number of curies currently being stored thers.
. Enter meter reading for each position. This is the inner storage
vault / container.
. Enter survey meter model number, serial number and date meter
was calibrated.
. List each source serial number and the strength in curies. The best
time to perform the survey is when all sources at that locatiun are in
the storage vault.
. Perform the outer survey of the storage vault. Answer the
questions and perform the required calculated dose rates and enter
them on the form.
3.0 Shipping Exposure Devices
. The exposure device will be removed from the storage vault and
surveyed.
. ** The surface of the device shall not exceed 200 mR/hr. If this
condition exists, the RSO shall be notified.
. The exposure device shall be inspected and any noticeable repairs or
illegible labels shall be noted for replacement at the ASCG Inspection
warehouse or by the source supplier.
. The exposure device shall be checked for the current wipe test due
date. If the wipe test is past due, one must be performed and the
results received prior to shipping the camera
. The " Radioactive Material Transport Survey Record" shall be
initiated at this time. (Attachment #1)
. Location - Project location or name
. Job No. -insert appropriate job number
. Date being initiated
. Wno is performing the survey and their title? (Radiographer,
Assistant Radiographer)
. Enter the exposure device serial number in appropriate hox.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267 6480
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Radiation Safety Program Section 20.0
ASCG Part ll Page: 3 of 9
Shipping and Receiving
I Inspection, Revision #0
Inc. Procedures Date: 11/2/98
an AhLL company
. Check off what is being surveyed.
. Enter Source model number, serial number and curie strength.
. Survey
.
Container (For Yellow Label 11)
. Surface must be =< 50 mR/hr.
. 1 meter must be =< .1 mR/hr.
NOTE: If the survey readings exceed these requirements, extra shielding
shall be added to lower the readings to appropriate levels for a Yel!ow
Label ll.
. Exposure Device
. Surface
. Perform inspection of the over pack.
. Insure that all labeling is present and legible
. Caution-Radioactive Material
. Yellow Label ll
. Danger Label
. Insure that the overall condition of the over pack is acceptable.
. A check mark on the form indicates that the condition is
acceptable.
. Enter the model, serial number and calibration due date of the
survey meter used to perform the surveys.
. Check the " Transferred" box.
. Check the "St, ey of Exposure Device" and " Prior to transport" box
and fillin the datination of the shipment.
Place a copy of the decay chart inside the over pack.
A wire seal shall be placed around the bolt and nut or latch to prevent
tampering.
Close out the " Radioactive Source Utilization Log" (Attachment #2)
initiated when the source was received.
. Hazmat Paperwork (Shipper's Declaration For Dangerous Goods)
(Attachment #4)
. Shipper box
. Your Address
. Consignee
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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,. Radiation Safaty Program Section 20.0
ASCG Part il Page: 4 of 9 !
inspection, Shipping and Receiving Revision #0
Inc. Procedures Date: 11/2/98
II
an Ah company
. Materials Coordinator - 7930 King Street, Suite A - !
Anchorage, AK 99518 l
. Air Waybill No. t
. Provided by carrier
. Call On Arrival {
. 562-4527 ,! l
. Cross out" Passenger and Cargo Aircraft" )
. Airport of Departure
. Dead Horse
. Fairbanks
. Va;dez
. Kenai
. Anchorage
. Other
. Cross out "Non-Radioactive"
. Metal Solid l
. IR-192
l
.
Curies (OPTIONAL) ;
'
. As of 4/97 curies alone is no longer legal.
. GBq
. Multiply the number of curies by 37.
. Check off Yellow ll box.
. Special form Certificate (Type of Sealed Source)
. 0297
. IR-100 with INC source
. 660B with INC source
. 0335 ;
. 660B with Amersham source :
. 0179
. 865 with Amershtm source
. Enter number of packages being shipped ;
. Enter Transport index l
. Must be .1 or less for Yellow ll label. !
. Shielding will be added if T.I. is greater than .1.
. Type B(U) Package Certificate
. 9157
l
. IR-100 Exposure Device
. 9033 ;
. 660B Exposure Device ;
.
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301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 f ax (907) 267-6480
'
Radiation Safety Frogram Section 20.0
ASCG Padil Page: S of 9
T Inspection, Shipping and Receiving Revision #0
inc. Procedures Date: 11/2/98
{
an Ah company
. 9187
. 865 Exposure Device
l . Check type of overpack
l
. List Exposure Device and Source serial number
. ERG # *
. 164 (always)
. Circle " Cargo Only"
. Emergency contact number
.
(907)268-0654
. Check " LATA regulations"
. Print Name and Title
. Print Place and Date
. SIGN THE FORM!
The paper work shall be attached to the exterior of the over pack.
Copies of all paper work should be kept on file. To keep the amount of
paper work at Field locations to a minimum, the paperwork shall be held
for a period of one year and then transferred to the main office in
Anchorage.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99S18 phone (9d7) 349-5148 fax (907) 267-6480
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Radiation Safety Program Section 20.0
ASCG Part 11 Page: 6 of 9
inspection, Shipping and Receiving Revision #0
inc. Procedures Date: 11/2/98
II
an AM.O tumpany
Attachment #1
RADIATION SAFETY PROGRAM Page of I
RADIOACTIVE SOURCE ,
UTILIZATION LOG Source S/N
Exp. Device S/N
To Exp. Device S/N
Date Received / / j
i
Date Disposed / /
CHECK IN* RADIOGRAPHER LOCATION Uill.1ZEO l CHECK OUT*
DATE TIME OR RSO REP. CLIENT. JOB NO. DATE TIME
_
-_
_ _ _ _ _ _ _ _ . . _ _ .
.._
_ _ _
._
7
_____ _
-.-
_e- w--m-.
l
.._ __
- - - - - - -.
. _ _ _ . .
d
SOURCE CHECK OUT / CHECK IN IF FROM TO ASCG* PERMANENT STORAGE.
NOTE: If source is changed in this exposure device, a new log must be initiated.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
'
Radiation Safety Program Section 20.0
ASCG Part ll Page: 7 of 9
Inspection, Shipping and Receiving Revision #0
Inc. Procedures Date: 11/2J98
an A L company
Attachment #2
1 h
RADIAllON SAFETY PROGRAM
'f RADIOACTIVE MATERIAL TRANSPORT
1 SURVEY RECORD (parts 34.21 & 71.47)
Location: Job No.: Date: / /
.
Survey Performed By: Title:
,
Manuracturer Exposure Device Q GaugeO Source Type Source source
Changer O DruC Boa O Model No, serial Activity
ca O storaes O
Crete O.no s.=ria
Mooel Numb.r
Number No. C urles
Amersham
_
industrial Nuclear
sm ,
1
NOTE: survey. mu.e be maae on asi container. < Type e s overpaen. wn.n receiving and .hinning .ource.
OVERPACK Exposure O Expsoure O Other
Drum O Changer O Changer O
SURVEY Crate O Storage O Stoi age O
Box 0
Case O
HIGHEST 1 METER SURFACE SURFACE 1 METER
READING ON - (39 375") CONTACT (39.375")*
OVERPACK
AND DEVICE
a comp 4ete thee survey only if any of these oevices are shipped or received with out an overpacit.
OVERPACK INSPECTION: LabelingO Inner Bracing O Outer ConditionO
Check mark andicates satisfactory Bolt / Nut O Hinge / Ring O Screws O
ff highest reading on any container is less than 60 mR/hr at the surface and does not exceed 1
mR/hr at meter (Transport index), use Yellow Label 11. If the measurernent exceeds 1 mR/hr or
60 mR/hr, use Yellow Label lit.
Do not transport or use exposure device with source if readings exceeds 200 mR/hr at it's
surface and/or 10 mR/hr at 1 meter. CONTACT THE OFFICE OF THE RSO IF EITHER OF THESE
READINGS EXCEED THE STATED LIMITS.
Survey Meter
Model: S/N Calibration Due Date: / /
CHECK ALL THAT APPLY: Source Received O Transferred O Disposed O
Survey on Receipt of Overpack O At:
Survey on Receipt of Exposure Device O Changer O At:
Survey of Expsoure DeviceO Changer O after transfer of source from ChangerO Exposure DeviceO
Survey of Expsoure DeviceO Changer O Prior to transport O To:
Survey of Overpack prior to transport O To:
.~ ...n.
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267 6480
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Radiation Safety Program Section 20.0
ASCG Part ll Page: 8 of 9
Edri A Lts(ompatiy
(nspection,
Inc.
Shipping and Receiving
Procedures
Revision #0
Date: 11/2/98
Attachment #3
RADIATION SAFETY PROGRAM
Dose Limits For Individual Members of the Public
10 CFR Part 20,1301 & 20,1302
RADIATION SURVEY OF STORAGE AREA
O Anchorage
O Feiibanks Date / /
O Kenal Cignature of Surveyor
O Vaidez
O BPX Total (Maxlamure) Number of Curies in Storage (Ir-192, Cs-137, & Co-60)
O PRB
C KUP
Dose Rate mh/hr (msv/nr)
Surface (Perimeter) of the
Storage Vault Survey Meter Survey Meter
(East) (North) (West) (South) (Top) Model No. & S/N Calibration Date
/ /
I l l 1
Sources / Curies i I I I
in Storage at i I i 1
Time of Survey I I I I
l
Does the General Storage Minutes / Days of j
Public Have Access Vault Access To Area Calculated Dose (mrem) l
A g_a_ To The Storace Area Surface mR/hr Min (s) I Da.ys DayjWeeklMon (Year i
(East) Yes No 1 I l l
(Nodh) Yes No i I I l
(West) Yes No i I I I
(South) Yes No l 1 1 I
(Top) Yes No l i i 1
20.1302(b) Compliance with dose limits for individual members of the publio ;
The Licensee shall make or cause to be made, as appropriate, surveys of radiation levels in unrestricted '
and controlled areas to demonstrate compliance with dose limits for the individual members of the public.
Demonstrating by measurement or claculation that the total effective dose equivalent to the individual i
likely to receive the highest dose from the licensed operation does not exceed the annual limit. I
(1) The tota' effective dose equivalent to the individual likely to receive the h;ghest dose does not exceed i
O.1 rem (imSv) in a year, or (2) If an individual were continuosly present in an unrestricted area, the dose I
from external sources would not exceed 0.002 rem (0.02 mSv)in an hour and 0.05 rem (0.5mSv)in a year,
Note: Survey of the storage area shall be made on the outside surface (perimeter) of the storage vault or
inside against the walls adjoining other companies facilities. All storage vaults are on the ground floor with
no offices overhead. The highest radiation level (s) shall be recorded and calculations made to to venfy
compliance with the above noted requirement. Survey of storage area (s) shall be completed each time
a new source is added to determine if any radiation can be detected at any of the five (5) surfaces. The
readings of the survey shall be recorded on this document if any radiation is detected. See oposite side for
directions.
m., . t ses l
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518 phone (907) 349-5148 fax (907) 267-6480
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Rcdiation Safsty Prcgram Section 20.0
ASCG Padil Page: 9 of 9
~
Inspection, Shipping and Receiving Revision #0
Inc. Procedures DE29 Date: 11/2/98
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an A$w c.cmpany
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Attachment #4 .._ _ , . . ,
,
,
SHIPPER'S DECLARATIOel POR nanntwROUS 00006
^" **#
k ASCG INSPECTION. INC.
Page of Pages
Stuppes Heterence Number
(op#0n88)
Consignes Callon Arrivat:
% %
'
> %
wARenneo
' _Too compe!ott and egnett copses of thos Declarate must
.m .__ %
g y gg Felure to compty m at respects with the applecable
D.egerous Gorxhs Regulahorts may be en breach of the
_Thisvnent
a e withm the %irport af lkparture! applicable law. Subpect to legal p.. " ~ That Declaratiort
-
I"'inal a pescrims W must not, m any circumstances, be completed and/or
Ol signed by a convoluhator, a tarwarder or an LATA cargo '
_f8"#
Ak RAFT
.
,AaFW , WT ONI V
i Shipment type towsse mne aushwel
"
lNON RADIOACTIVE IRADIOACTivEl
. . _ . _ . _ . . . - - _ . _ . _ _ _ _ . _ . _ _ .
NATUHE AND OUANTITY OF DANGEROUS GOODS
........ __
""9"' "8_ . N ' .,'"". . .,.. .
.
o-
"**' 8'"ppiae Nanw
- c: : a; ,,pe 7.:*, i ~: N ! --.-
f Dn* { ID f l !
No ;
"'*"*Y i !
- enn l {
.__ . .. , .,. .p . . . . ... ....
RQ 7 {' t N2974 ' ._ Metal Silki ! lSpecial
"7
Redkunct4*e Mmeerial { was. [ Form
Spertad Farin N.O.N. ,
- Glkg furien ; g g Certilkmee
j . ! II O '" ^
{ ! III O i
-
.
- e
'
i t,,e mn r.rt .. !, :Tn-mm
- sudes _. { Mase
,
- ;Certifirase
, . . ismi m.ia
'
h Metul Ikism Overpark 0 : sa - d a : !
l:RG# ._ lM_ "*M C' *"3"* '
I
Fny. lkskv %/%: '
. i
' i
Neurre %/N: . I
Arktimal Harunwy informanon CARGO ONLY
24 Hour Ernergency Contact (907) 268-0654 j
This stupment prepared accordmg to U4RCFR CIATA Regulahuns O icAo Reguiation.
_ l
6 hereby ductare that the contems of trws coimigrwners are tuny and accurately Name/ Tine at Sgistory ,
descytred aDove by proper stuppong name and are cianniided, packed. martied I
and ne ed. a,. a,e ,, e. ,-s m t,. -,on to, t-t b ., . e a, o.,e ,
accorthrig to tre appiscable internehonal exi National Govemment Reguta i
'= s.gna,u,e
. - . ,
301 Arctic Slope Ave., Suite 100 Anchorage, Alaska 99518
phone (907) 349-5148 fax (90g267 6g067065
.
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h g Uc hl0 $0Y0lYOf
AAt 4/o 030N7/o
DIVISION OF ACCOUNTING AND FINANCE
REQUEST FOR REFUND TO EMPLOYEE / VENDOR
-
' THE EMPLOYEE / VENDOR IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR REGULATO
COMMISSION FOR GOODS AND/OR SERVICES PROVIDED AND IS DUE A REFUND
EMPLOYEE / VENDOR / PAYEE CODE:
NANE: HAP $ Y 9 b 0'WIClo ) W.
'
ADDRESS: : Kiri>ad E Ramds _
ADDRESS: 30/ h 84 hM , /80 l
CITY: O'ri STATE: A k ZIP: fM/8'M
TRANSCODE:f,L,
.
TRANS TYPE: FUND: JOB CODE: AMOUNT: 8c90 'Ob
TRANS TYPE: IR FUND: R1435 JOB CODE: INTR AMOUNT:
TRANS TYPE:_IR_,,,, FUND: R1099
JOB CODE: ADCH _ AMOUNT:
TRANS TYPE: 1R FUND: R1099 JOB CODE: FINE AMOUNT:
TOTAL RE D AMOUNT: YMOD
COMMENTS:.
' "
[O'cNU/
eAe(lim beh
,
. om ts to 40 characters, including spaces)
PREPARED BY: , 8bv , DATE: /!7 f
AllTHORIZED BY: Ff
/
~
- DATE: //7[6 '
fb 1 'i
ORIGINAL INV. N0: DATE PAM: AMOUNT: _
REFUND ENTERED INT 0 COLLECT BY:
REFUND DETERMINED BY: DATE:
3g
( 2.05 h hD'
ym ).
PLEASE ATTACH APPROPRIATE SUPPORTING DOCUMENTATION
1%J700
M4?oW
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