ML20205J431
| ML20205J431 | |
| Person / Time | |
|---|---|
| Site: | 03007710 |
| Issue date: | 03/02/1999 |
| From: | Campbell V NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 467026, 50-14102-01, 50-14102-1, NUDOCS 9904120043 | |
| Download: ML20205J431 (15) | |
See also: IR 05000141/2002001
Text
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"U
u.s. NUCLEAR REGULATNtY CoMMlsSION
MATERIALS LICENSE
I
Pursuant to the Atornic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 ;r ublic Law 93-438), and Title 10.
2
Coda of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,36,39,40, and 70, and in relance on statements and
representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and
trInsfer byproduct, source, and special nuclear material designated below; to use such rnaterial for tim purpose (s) and at the place (s)
designated below; to delives or transfer such material to persons authorized to receive it in accordance v/th the regulations of the
rpplicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Aemic Energy Act of 1954,
Es cmended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Corenission r.9w or hereafter in
effect and to any conditions specified below.
Licensee
in accordance with letters dated
October 30,1998, and February 25,1999
1. State of Alaska
3. License number 50-14102-01 is amended in
Dept. of Transportation & Public Fac.
its entir s ./ to read as follows:
2. Headquarters Materials
.
4. Expiration date July 31,2001
5800 E. Tudor Road
5. Docket No.' 030-07710
j
Anchorage, Alaska 99507-1225
Reference No.
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6. Byproduct, source, and/or special, J
7. Chemical and/or physical form
8. Maximum amount that licensee may
nuclear material
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possess at any one time under this
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N..
license
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A.
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SeRsource
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Not to exceed 10
M
(Tr8xler'Dwg. i-
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millicuries per source
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a e neutron",
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Not to exceed 50
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'ources (T20Yler
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millicuries per source
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Not to exceed 330
millicuries per source
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No.
100337,
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D.
D.
Sea
so rces
D.
Not to exceed 100
(Troxler Dwg. No.A-
millicuries per source
100608)
E.
E.
Sealed sources
E.
Not to exceed 10
(Campbell Pacific
millicuries per source
Nuclear Model CPN-
131)
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F.
Amcricium-241
F.
Sealed neutron
F.
Not to exceed 50
sources (Campbell
millicuries per source
Pacific Nuclear Model
CPN-131)
G.
G.
Sealed neutron
G.
Not to exceed 50
sources (Campbell
millicuries per source
Pacific Nuclear Model
],:aUSS
CPN-131)
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9904120043 990302
ADOCK 03007710
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OmCIAL RECORD Gut 7
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NRc FORM 374A
u.S. NUCLEAR REGULATOR 7 COMM!sslON
PAGE 2
of 5
PAGEs
License Number
50-14102-01
,
'
MATERIALS LICENSE
o em r Reference Number
SUPPLEMENTARY SHEET
030-07710
Amendment No. 25
6. Byproduct, source, and/or special
7. Chemical and/or physical form
8. Maximum amount that keensee may
nuclear material
possess at any one time under this
license
H.
H.
Sealed sources
H.
Not to exceed 11
Humboldt Scientific,
millicuries per source
in.c. Dwg.,No. 220064
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Sealed sburc s
1.
Not to exceed 44
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Humboldt Scientific,
millicuries per source
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Inc. Dwg. No 220067
J.
Califomium-252
J.
Sealed neutron
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Not to exceed 66
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sources Troxler Dwp
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microcunes per source
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No.105560
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Not to exceed 100
K.
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souc'es (Troxle[Dwg.
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microcuries per source
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Authorized use
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For use in Troxler Mod,el 45
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.. . roperties of materials.
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A. and B. For use in Troxler Model 3400 eri
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construction materials'
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C.
For use in Troxler Model 2226 or 3241' gauges to rn'easure asphalt content of construction materials.
D.
For use in Troxler Model 3241 Series gauges to measure asphalt content of construction materials.
E. and F. For use in Campbell Pacific Nuclear Model MC Series gauges to measure properties of
construction materials.
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G.
For use in Campbell Pacific Nuclear Model AC-2 gauges to measure properties of construction
materials.
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H. and I. For use in Humboldt Scientific, Inc. Model 5001 series gauges to measure properties of
construction materials.
J.
For use in Troxler Model 3400 series gauges to measure the properties of materials.
K.
For use in Troxler Model 3242 asphalt content gauges to measure properties of construction
materials.
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NRC FbRM 374A
U S. NUCLEAR REGULATORY COMMISSION
PAGE
3
Of 5
PAGEs
Ucense Wmber
50-14102-01
l
.
MATERIALS LICENSE
Dociet or Reference Number
SUPPLEMENTARY SHEET
030-07710
Amendment No. 25
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CONDITIONS
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10. Licensed material may be used at the licensee's facilities located at 5800 East Tudor Road, Anchorage,
Alaska; 2301 Peger Road, Fairbanks, Alaska; Mile 7 Old Glacier Highway, Juneau, Alaska; and may be
used at temporary job sites of the licensee anywhere in the United States where the U.S. Nuclear
Regulatory Commission maintains jurisdiction for regulating the use of licensed material.
11. A.
Licensed material shall only be used by, or under the supervision of and in the physical presence of,
Patrick H. Harmon, Maureen Lee, Howard J. Jerue, or individuals who have received the training
described in letters dated February 15,1991, May 31,1991, June 10,1991, and February 25,1999,
have received copies of, and training in, the licensee's operating and emergency procedures, and
th_e Radiation Safety Officer.
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have been designated by\\ \\
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B.
The Radiation Safety Office
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Sealed sources and detector ciills'shbe>tIsted forkakage and/or contamination at intervals not
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12. A.
to exceed 6 months or at such5thebiManAIM enecified-by.the certifi6 ate of registration referred to
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in 10 CFR 32.210:
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B.
Notwithstanding Paragrap
.aled s ,
s designed to emit alpha particles
shall be tested for leakage at,
ag go atioD,atant
not to exceed 3 months.
rari'sfeIror'in}dicati'ng that a ieak test has been m
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In the absence of a certificate from
6 months prior to the trarder, a sealed soufedt or detector cell received from another person shall
not be put into use until tested. yL
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D.
Sealed sources need not be leak tested if:
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(i)
they contain only hydrogen-3; or
(ii)
they contain only a radioactive gas; or
(iii) the half-life of the isotope is 30 days or less; or
(iv) they contain not more than 100 microcuries of beta and/or gamma emitting material or not
more than 10 microcuries of alpha emitting material; or
b)
they are not dasigned to emit alpha particles, are in storage, and are not being used.
However, when they are removed from storage for use or transferred to another person, and
have not been tested within the required leak test interval, they shall be tested before use or
transfer. No sealed source or detector cell shall be stored for a period of more than 10 years
without being tested for leakage and/or contamination.
kn
u.S. NUCLEAR REGULATORY CoMMISsloN
PAGE
4
of 5
PAGEs
License Nuraber
50-14102-01
.
' MATERIALS LICENSE
D cm a Rdece Nune
SUPPLEMENTARY SHEET
030-07710
Amendment No. 25
E.
The leak test shall be capable of detecting the presence of 0.005 microcurie of radioactive material
on the test sample. If the test reveals the presence of 0.005 microcurie or more of removable
contamination, a report shall be filed with the U.S. Nuclear Regulatory Commission in accordance
with 10 CFR 30.50(b)(2), and the source shall be removed immediately from service and
decontaminated, repaired, or disposed of in accordance with Commission regulations. The report
shall be filed within 5 days of the date the leak test result is known with the U.S. Nuclear Regulatory
Commission, Region IV 611 Ryan Plaza Drive, Suite 400, Arlington, Texas 76011, ATTN: Director,
Division of Nuclear Materials Safety. The report shall specify the source involved, the test results,
and corrective action taken.' v ~
The licensee is authorizeb to ollect leak test samples for analysis by Troxler Electronics Laboratory
F.
or Microtec Services,, Altematively, tests for leakage and/or contamination may be performed by
,
persons specifically licensed by the Commission or an Agreement State to perform such services.
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13. Sealed sources or detector cells 'contaliiing licensed materfaf shall not be opened or sources removed
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from source holders bype license }
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sic *afinverstgr$8WhiD d' I/M 95onths to,accountgr all so
14. The licensee shall conduct a p
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received and possesse'd' unde
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15. Each portable gauge stiallihav
'or o ler locked;
tain
esigned t6 prevent unauthorized or
accidental removal of th' Teale
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n. The gau' ge or its container must be
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locked when in transport,Ttorage,
n not'
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sun /eilla'nce of an authorized user.
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16. Except for maintaining labeling as required by O'C#R Part 20 or 7.1, the licensee shall obtain
authorization from NRC before making any changes in the,_ sealed source, device, or source-device
y
combination that would alter the description or specific 5tions'as indicated in the respective Certificates of
Registration issued either by the Commission purs'uant to 10 CFR 32.210 or by an Agreement State.
17. The licensee may remove the source rod from portable gauges for the purposes of cleaning,
maintenance, or repair of the gauge (s)in accordance with procedures outlined in letter dated February
15,1991.
18. 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."
19. The licensee shall not use sealed sources or probes containing sealed sources at depths exceeding 3
feet below the surface.
20. 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 specified in 10 CFR 30.35(d) for establishing
decommissioning financial assurance.
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-
.
.
U.s. NUCLEAR REGULATORY cOMMisSloN
PAGE
5
of 5
t' AGES
'
Ucense Number
50-14102-01
.
MATERIALS LICENSE
D cw r Reference Number
SUPPLEMENTARY SHEET
030-07710
Amendment No. 25
21. Except as specifically provided otherwise in this license, the licensee shall conduct its program in
accordance with the statements, representations, and procedures contained in the documents, including
any enclosures, 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.
1 O
CCm
A.
Letter dated February 15,1991 5m
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B.
Letter dated May 31,1991 c M '
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C.
Letter dated June 10,199.1f
D.
Letter dated October 5fi992
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E.
Letter dated May 28,.1997
Letter dated Septenit@r 18
F.
Letter dated Octobei,30, M 1997
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Letter dated February 25,1999. .&
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FOR THE U.S NUCLEAR REGULATORY COMMISSION
Date
By
1M d4
VivIa'n H. Campbell, Senior Rad 4 tion Specialist
Nuclear Materials Licensing Branch
Region IV
Arlington, Texas 76011
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UNITED STATES
NUCLEAR REGULATORY COMMISSION
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REGloN IV
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611 RYAN PLAZA DRIVE, sulTE 400
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ARUNGTON, TEXAS 76011-8064
,
March 2,1999
State of Alaska
Department of Transportation and Public Facilities
ATTN: Robert L. Farmer
Radiation Safety Officer
5800 E. Tudor Road
Anchorage, Alaska 99507-1225
SUBJECT: LICENSE AMENDMENT
Please find enclosed License No. 50-14102-01. You should review this license carefully and be
- sure that you understand all conditions. If you have any questions, you may contact the
reviewer who signed your license at (817)860-8143.
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
Reports to Workers: Inspection and Investigations," 10 CFR Part 20, " Standards for
Protection Against Radiation," and other applicable regulations.
2.
Possess 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 writirt of any change in mailing address (no fee required if the location of
radioactive mak
semains the same).
5.
Request a"
obtain written NRC consent before transferring your license or any right
l
thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of
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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
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interest in your company whether it is a corporation, partnership, or other entity. In
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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 contrary
to representations made in your license application, as well as supplemental
correspondence thereto, which are incorporated into your license. A license fee may be
charged for the amendments if you are not in a ee-exempt category.
6.
Maintain in a single document decommissioning records that have been certified for
completeness and accuracy listing all the following items app l';able to the license:
Onsite areas designated or formerly designated as restricted areas as defined in
10 CFR 20.3(a)(14) or 20.1003.
+
.
.
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State of Alaska
-2-
Onsite areas, other than restricted 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
occurrences involving the spread of contamination in and around the facility,
I
equipment, or site have occurred that required reporting pursuant to 10 CFR
l
30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures
~
have removed the contamination.
Specific locations and radionuclide contents of previous and current burial areas
within the site, excluding 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 authorized for use at temporary job sites.
Location and description of all contaminated equipment involved in licensed
operations that is to remain onsite after license termination.
7.
Submit a complete renewal application, or termination request at least 30 days before
the expiration date on your license. You will receive a reminder notice approximately
90 days before the expiration date. Possession of radioactive material after your license
expires is a violation of NRC regulations.
8.
Request termination of your license if you plan to permanently discontinue activities
involving radioactive material.
You will be periodically inspected by NRC. Failure to conduct your program in accordance with
NRC regulations, license conditions, and representations made in your license application and
supplemental correspondence with NRC will result in enforcement action against you. This
could include issuance of a notice of violation; imposition of a civil penalty; or an order
suspending, modifying, or revoking your license as specified in the " General Statement of
Policy and Procedure for NRC Enforcement Actions" (Enforcement Policy), NUREG 1600, Rev.
1.
Thank you for your cooperation.
Sin erely,
h.
Vivian H. Campbell
Senior Radiation Specialist
Nuclear Materials Licensing Branch
Docket: 030-07710
License: 50-14102-01
Control: 467026
.-
Enclosures: As stated
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State of Alaska
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DOCUMENT NAME: P:\\ -
To receive copy of document, Indicato in box: *C' = Copy without enclosures *E" = Copy with enclosures "N" = No co)y
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RIV:NMSB1
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OFFICIAL RECORD COPY
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DEPARTMENT OF TRANSPORTATION AND PU8UC FACIUTIES
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se00 Tucon RoAo
sTA TEnGW D6NGW & BVQnEB9NG BBMCES DMSDM
ANCHORAGL ALASKA 99607-UM
NEADOUARTB98 ACATBliALS
1907) 26S 6230 IFAX 26042311
Colleen Murnahan
U.S. Nuclear Regulatory Commission, Region IV
Ilarris Tower,611 Ryan Plaza Drive, Suite 400
Arlington, TX 76011-8064
February 25,1999
i
Re:
Amendment to License 50-14102-01
Dear Ms. Murnahan
Attached is a copy of the State of Alaska Amendment to License 50-14102-01, letter
mailed January 15,1999 and a follow up letter with corrections mailed later. Apparently I
mistakenly did not date these letters.
Also attached is the State of Alaska Warrant Detail Inquiry which describes payments
made through the Warrant system. It states that the $340.00 fee was paid December 23,
1998 to:
U.S. Nuclear Regulatory Commission
License Fee & Debt Collect Branch
i
P.O. Box 95414
l
St. Louis, MO 63195-4514
Should any of these statements be incorrect, please contact me at 907-269-6246 and I will
correct them.
Sincerely,
G
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Robert L. Farmer, P.L.S.
State of Alaska, Department of Transportation /Public Facilities
Statewide Radiation Safety Officer
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DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES
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sva remor oesoen a swonernaa senwces omsson
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AncuanAos atAsKA 90607-12H
NEADQUARTERs MA TERIALs
(907)269-6230 (FAX 269-6231)
United States Nuclear Regulatory Commission
Region IV
Harris Tower
611 Ryan plaza Drive, Suite 400
Arlington, TX 76011-8064
Attn: Charles Cain
Branch Chief-Licensing
Re:
Amendment to license 50-14102-01
Dear Mr. Cain:
January 15,1999 an application to renew license 50-14102-01 was forwarded to your
office, the intent being to renew NRC License 50-14102-01 based upon NUREG 1556.
,
Vol.1. However, as a result of a telephone conversation with you Friday, January 29
1999, application is not due until renewal July 31,2001. Please void that material.
NUREG form 313, Application for Material License, was forwarded January 15,1999 in
(above stated) application as an amendment and renewal request of the licenses. Please
process that form. Additionally, in response to your request of January 29,1999 attached
is a completed US NRC FORM 577.
There have been some changes in personnel at the State of Alaska DOT /PF as outlined
below:
Mr, Howard Jerue, State of Alaska Radiation Safety Officer retired November 1,1998
'
and Mr. Russ Sirian replaced Mr. Jerue as State of Alaska Radiation Safety Officer (see
attached letter dated October 30,1998).
Mr. Robert L. Farmer was licensed as a Radiation Safety Officer by Troxler November
20,1998 (see three attached Troxler documents). However, I can not train Gauge
operators as I have not completed the required 40 hour4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> Radiation Safety Officer course,
plus 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> RSO course and 30 hours3.472222e-4 days <br />0.00833 hours <br />4.960317e-5 weeks <br />1.1415e-5 months <br /> onsite training that is required.
l
A retired State of Alaska Radiation Safety Officer, Mr. Jerry Roach shall conduct NRC
required training classes for State of Alaska Gauge operators in Southcentral region in
1999 (see attached NRC letter dated April 24,1990).
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Regrettably, Mr. Russ Sirian died December 4,1998. As of this date, please remove Mr.
'
Sirian as acting Statewide Radiation Safety Officer.
Per application submitted January 15,1999 Mr. Robert L. Farmer is appying for the State
Radiation Safety Officer and (Central Region) Radiation Safety Officer. Additionally,
,
Mr. Jerry Roach shall be training new and renewal of Gauge Operators tests this summer
through fall of 1999. Mr. Robert L. Farmer shall attend classes in order to meet NRC
standards for teaching Gauge Operators fall of 1999.
,
Should you have any questions, or comments please contact me at 907-269-6246.
Sincerely,
!
Robert L. Farmer, R.L.S.
l
State of Alaska, Department of Transportation /Public Facilities
State Radiation Safety Officer
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INQ-WD: WARRANT DETAIL INQUIRY
02/01/1999
WARRANT CLASS GN - GENERAL
m vsidNUf98EKG259541837
ROUTING CODE ' MAIL
STATUS AW
DATE LAST ACTIVITY 12/23/1998
SCHED PRINT DATE 12/08/1998
WRT PRINT _ AMOUNT
340.00
WRT PRINT __DATE__12/R 4}jjj
__ACCUM LIAB AMOUNT
REDEEMED Dg M 24R]41pjb
RE TC NCl T DATE 12/23/1998
5
ADDRESS NAME: U.S. NUCLEAR REGULATORY COMMISSION
L1: LICENSE FEE & DEBT COLLECT BRANCH
L2: P.O. B0X 954514
CITY / STATE: ST. LOUIS
M0 63195 - 4514
................................ BANK DATA *********************************
BANK NUMBER 050
ACCOUNT NUMBER 2070729001
CASHED AMOUNT
340.00
REDEEMED DATE 12/23/1998
MICROFILM NUMBER 122398257075
INQ-WD: WARRANT DETAIL INQUIRY - REMIT ADVICE
02/01/1999
g ANT NUMBER 25954183_
IINE
--
T--------------
MESSAGE -------------------------------------
1 ATINLALIM5JJ3 301-415-6e67
gjuoAggI0g
2
U.S. NUCLEAR REGULATORY COMMISSION
3 ILICENSE FEE & ACCOUNTS RECEIVABLE BRANCH
4 RE: STATE OF ALASKA DEPT OF TRANSPORTATION & PUBLIC FACILITIES
LICENSE NUMBER 50-14102-01_
FEE CATEGORY 3P AMENDMENT
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INQ-WD: WARRANT DETAIL INQUIRY - REF LINES
02/01/1999
WARRANT NUMBER 25954183
OVERFLOW YES
REF TYPE
NUMBER
AMOUNT
DATE
COMMENT (TRUNCATED)
1 PVN NRC91205
US NUCLEAR REGULATOR
2 STM 501410201
340.00 11/18/r998 DOT &PF D&ES HQ MATLS
3 IND 1_1J31SS)-
11/18/.1998 USNRC LICENSE /INTERI
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9
10
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12
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15
16
17 SRD 25137
12/15/1998
18 OD AA12328500015
12/15/1998
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT QUIT
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October 30,1998
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RE:
Docket No.
0307710
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License No.
50-14102-01
Control No.
571699
U. S. Nuclear Regulatory Commission
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1450 Maria Lane
Wahiut Creek, CA 94596-5368
!
Attn: Beth A. Prange
Sr. Health Physicist (licensing)
'
Dear Mrs. Prange:
l
I am retiring November 1,1998 and Mr. Robert L. Farmer has been selected as my
l
replacement. Mr. Farmer will send his resume after he has attended the RSO class
l
offered by Troxler Electronics on November 19,1998.
!
Please amend the Department of Transportation and Public Facilities license to indicate
'
the following:
Mr. Robert L. Farmer will be the Statewide Radiation Safety Officer for the State
'
Remove Howard J. Jerue as the Statewide Radiation Safety Officer.
Mr. Russ Surian, Radiation Safety Officer for the Central Region, will act as Statewide
Radiation Officer in the interim until Mr. Farmer completes the RSO course.
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Please call Mr. Surian if you have any questions.
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Sincerely yours,
'
Iloward J. Jerue
Statewide Radiation Safety Officer
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467028
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L Famx)
ORM 577
U.S. NUCLEAR REGULATORY COMMISSION
AITN: RITA MESSIER 301 415-8067
-
U.S. Nuclear Regulatory Commission
LICENSE FEE REQUIREMENTS
License Fee and Accounts Receivable Branch
P. O. Box 954614
St. Louis, MO 63195 4614
-
TYPE OF ACTION
NEW LICENSE
RENEWAL OF LICENSE
STATE OF ALASKA
Q AMENDMENT TO LICENSE
NITN: HOWARD J.JERUE
RADIATION SAFETY OFFICER
REQUESTED DATE
$800 E. TUDOR ROAD
10/30/1998
ANCHORAGE, AK 99507-1226
uCENSE NUMBER
50-14102-01
'
CONTROL NUMBER
467026
L APPLICATION FEE DUE
II. FEE NOT REQUIRED
Your request for a licensing action is subject to the fee (s) in the category (ies)
Check
Enclosed is your check which
noted below in accordance with Section 170.31 of 10 CFR Fort 170.
Number
accompanied your request. The
Payment of the fee is required prior to the issuance of the license, renewal, or
fee is not required because:
amendment.
cEIIony
APPLICATION
RENEWAL
AMENDMENT
U
N
r
po
nt
3P
s
6
s
340.00
$
$
$
Date of
The Licensing staff has Iriormed
Request
us that your request is to be
S
$
$
Control
considered as a continuation of the
I
I
.
Number
request hated.
5
S
5
$
$
$
$
5
$
Date of
Your reqmt was combined, prior
(
Request to review, with the request listed.
Control
$
3
$
Number
$
$
$
Ill. CHECK RETURNED
FEE (s) DUE
s
340.00
Check
Enclosed is your check which was
PAYMENT RECEIVED
$
Number retumed to us by the bank for:
4
AMOUNT DUE
s
340.00
INSUFFICIENT FUNDS
Q Your request was received without the prescribed apphcation
ACCOUNT CLOSED
OTHER
U We received your check hated below.
Payment of the additional fee
MAllTHE REPLACEMENT CHECK TO THE ADDRESS LISTED AT TH1
Check Number
noted above is required.
TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL
$
Amount
f tUMBER.
Your request willincreene the scope of your Icense program.
IV. LICENSE ISSUED WITHOUT THE REQUbRED FEE
Therefore, your request is sutyct to the application fee (s) noted above.
Refer to Secten 170.31 and Footnote 1(d)(2).
hk'*r
The hated
was ad
without the required fee being
Your license expired prior to the receipt of your applicaton for renown!.
ku"m'
en
he ted. The fee required is
ed h e t n i f hos form.
Therefore, your request is subject to the applecaton fee (s) noted abom.
Dak
Refer to Section 170.31 and Footnote 1(a).
Issued
MAKE PAYMENT OF THE FEE (S) TO THE U.S. NUCLEAR
] The scope of your licensed program was increased. Therefore, your
REGULATORY COMMISSION AND MAIL THE PAYMENT TO THE
request is subject ha the applicaten fee (s) noted in Secten 1 of this form
ADDRESS LISTED AT THE TOP OF THIS FORM. IF WE DO NOT
naw tc Secten 170 31 and Footnote 1(d)(2).
RECEIVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM
THE DATE LISTED BELOW,WE SHALL ASSUME THAT YOU DO NOT
Belca se of the urgency of your request, the hcense was issued without
WISH TO FURSUE YOUR APPLICATION AND WILL VOID THIS
remittance of the prescribed fee noted in Secten 1 of this form.
ACTION.
SIGNATURE - UCENSE FEE ANALYST
LFDCB
l // LFDCB
Distributon:
Pending Cy
REMessier N@
OC/DAF/LFARB S/F (LF-3.2.7)
RITA ME! ilER
11/18/98 I
NN/kRB RF
cc: Region IV
jjfjgf1993
f.9C FORM 577 (5-1998)
PRHrED ON RECYCLED PAPER
This form we s desegrad using informs