ML20205J779
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| ML20205J779 | |
| Person / Time | |
|---|---|
| Site: | 03015266 |
| Issue date: | 03/19/1999 |
| From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 467121, 50-14858-02, 50-14858-2, NUDOCS 9904120191 | |
| Download: ML20205J779 (35) | |
See also: IR 05000148/1958002
Text
{{#Wiki_filter:NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 1 of 1 PAGEs
Lk:enne Number
50-14858-02
MATERIALS LICENSE Docket or Reference Number
SUPPLEMENTARY SHEET 030-15266
Amendment No. 07
State of Alaska
Department of Environmental Conservation
EQM&LO, Juneau Laboratory
10107 Bentwood Place
Juneau, Alaska 99801-8552
in accordance with NRC Form 314 dated January 27,1999, License No. 50-14858-02 is hereby terminated.
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION
D:te 'E By 4 um -
pames i_. Montgomery,Venior Hea@hysicist
Nuclear Materials Licensing Branch
Region IV
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# 611 RYAN PLAZA DRIVE. SulTE 400
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. State of Alaska Dept. of Environmental Conservation
EQM&LO Juneau Laboratory
ATTN: Alan Love, Ph.D.
Laboratory Supervisor, Acting
10107 Bentwood Place
Juneau, Alaska 99801-8552
SUBJECT: TERMINATION OF YOUR NRC RADIOACTIVE MATERIALS LICENSE
By NRC Form 314 dated January 27,1999, you contacted the U.S. Nuclear Regulatory
Commission and indicated that you wished to teminate your NRC radioactive matenais
license. The NRC staff has reviewed your sealed source leak test results. Based on its
review, the staff has concluded that: 1) all licensable radioactive material has been removed
from your facilities, and 2) residual radioactive material attnbutable to licensed activities does
not exceed cunent NRC criteria.
Based on these conclusions no further remediation or actions with respect to NRC regulated
material is required._ Your facilities are suitable for unrestricted use and NRC license number
50-14858-02 for your facsisties at 10107 Bentwood Place, Juneau, Alaska, is hereby
terminated.
If you have questions or rrg ire clarification on any of the information stated above, please
contact me at 925-673-0112.
Sincerely,
1
James L. Montgomery, Senior Health Physicist
Nuclear Materials Ucensing Branch
Docket: 030-15266
License: 50-14858-02
Control ~ 467121
Enclosure: As stated
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DOCUMENT NAME: C:\ TERM 99\50-14858.02T :
To receive copy of A-- ^___ indicale in boa: "C" = Copy without enclosures "E" = Copy wtth enclosures "N" = No copy j
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611 MYAN PLAZA DRIVE, SUITE 400
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State of Alaska
Department of Environmental Conservation
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EOM&LO, Juneau Laboratory
ATTN: Alan Love
10107 Bentwood Place
Juneau, Alaska 99801-8552 j
SUBJECT: NOTIFICATION OF CESSATION OF LICENSED ACTIVITIES
By telephone conversation on October 7,1998, you informed the NRC of your intent to cease
licensed activities and terminate your Radioactive Materials License No. 50-14858-02. The
NRC has specific requirements as specified in 10 CFR 30.36 for decommissioning facilities and
for terminating licenses. The information outlined below may be helpful in understanding these
requiv ments.
Licensees that used only sealed sources, and the most recent leak test demonstrates that the
sources did not leak while in the licensee's possession (i.e., if leak test results have been
<0.005 pCi); or used relatively short-lived radioactive material (i.e., T% s 60 days) in an
unsealed form and the maximum activity authorized under the license has decayed to less than
the quantity specified in 10 CFR Part 20, Appendix C should:
1. Demonstrate to NRC that the sources never Inked, both while in your custody and
upon arrival at the ultimate destination (i.e., L; leak test records) or that the maximum
activity of radioactive material authorized under your license has decayed to less than i
the quantity specified in 10 CFR Part 20, Appendix C;
2. Dispose of or transfer the licensed material in accordance with NRC requirements;
1
3. Transfer the records discussed in 10 CFR Parts 30.35,30.36, and 30.51 to the NRC
Region IV office; and
4. Submit an NRC Form 3#" Certificate of Disposition of Materials" to NRC.
If you possessed and used only sealed sources, but cannot demonstrate that the sources did
not leak while in your possession (i.e., leak tests are not available or indicate contamination
>0.005 pCi); or possessed unsealed radioactive material with T% s 60 days but the maximum
activity authorized under the license had not decayed to less then the quantity specified in 10
CFR Part 20, Appendix C; or possessed unsealed radioactive material with T% > 60 days but s
120 days you should:
1. Determine the extent of contamination at your facility;
2. Remove residual radioactive material to levels that would permit release of the facility;
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State of Alaska -2-
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3. Dispose of the licensed materialin accordance with NRC requirements, usually by
returning sealed sources to the manufacturer or disposing of licensed material as
outlined in the NRC regulations;
4. Determine the radiological status of your facility and perform further remediation, if )
necessary to meet NRC's criteria (See Enclosure 3 for a description of the surveys that
should be performed for licensees rneeting the criteria discussed above);
5. Submit the results of a survey of your facility demonstrating that residual radioactive
materiallevels meet the NRC's criteria for unrestricted use or demonstrate that your
facility, or portion of the facility, meets NRC's criteria for unrestricted use to NRC by I
some other means; j
6. Transfer the records discussed in 10 CFR Parts 30.35,30.36, and 30.51 to the NRC,
Region IV office; and
1
7. Submit an NRC Form 314 " Certificate of Disposition of Materials" to NRC. ]
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8. Please note that if leak test results indicate a presence of 0.005 pCi or more of
removable contamination, you must file a report with NRC in accordance with 10 CFR
30.50(b)(2) and your license conditions.
When you reply to this letter, please identify the license and docket numbers specified below on
your submittal. If you have questions or require clarification on any of the information
discussed, you should contact a member of the Licensing Staff at (817) 860-8100.
Sincerely,
. $.
Christi Hernandez, Radiation Specialist
Nuclear Materials Licensing Branch
w mmg-, nam haDocket:iO30-152066 { License,050;148SS 02P i
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Enclosures: j
1.10 CFR Part 30 1
2. NRC Form 314
3. Survey information to
Support License Termination
4. NUREG/BR-0241 NMSS
Handbook for Decommissioning
Fuel Cycle and Materials Licensees
b 4
67121
_
NRC FORM 314 . U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3160 0028 E XPIRE S 03/30/98
(s.90
10 CFR Jo. M(e) q l) ( Iv 1 EsTIMAT10 tuRDEN PtA nf sPolcif TO COMPLY WITis 31$ MAilBA10RY ildFOINAf!ON CatlC'lom
10 CFA 40 di(c)(1)($v) nt Butst. 30 MNfuTEs THIS CUHh5TTAL is USED BY unc As PARf of mt tasts #3 iTs
10 CFli 70,38(c)(3)(iv) DififwiliAflagi TMAf THE FACIUTY mas Riel CLE AMO N RAal0ACRVE MAftfBAL al04 THE
f ACIUff is MLIAstD f Gn UNRisfluCTIO UGt FonwAAD CGMMENTS elf sanDINs Bun 0EN ESTIMATE
CERTIFICATE OF DISPOSITION OF MATERIALS *'"'""'""'""5""'""*"'**"'""*"'"^^""'"'
COMhassiast NASH4NElus. DC 20 % 5 0001 AND TO ME PAPEnWORK fif DUC110h M4 JECT
0160 00?st OFflCI of MallAEithauf AalD suCGif. WAliHid GION. DC 20603. AN AEf MC1 Maf NOT
INSTRUCTIONS: ALL ITEMS MUST BE COMPLETED - PRINT OR TYPE C0"ouCT on srous3. Asso a pensan is a0T sitauinto to ntsralin to. A CattCTian as
wonMA11ca uultss er msplars A CumEnTiv vaue oms Comina muMust
SEND THE COMPLETED CERTIFICATE To THE NRC OFFICE SPECIFIED ON THE REVERSE
occhat nAuE AND ADDN66 ucENsE huusta
State of Alaska Department of Environmental Conservation 50-14858-02 i
EQM & LO Juneau Laboratory UCEM UPMGoN DATE
10107 Bentwood Place
hme m; . AM 99801-8552
M~p'a
A. MATLRIALS DATA (Check one and complete as necessaryl
THE UCENSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON BEHALF OF THE LICENSEE CERTIFIES THAT:
(Check and/or complete the appropriate item (s) below.)
]1. NO MATERIALS HAVE EVER BEEN PROCURED OR POSSESSED BY THE LICENSEE UNDER THIS LICENSE.
OR
]2. ALL ACTIVITIES AUTHORIZED BY THE LICENSE HAVE CEASED AND ALL MATERIALS PROCURED AND/OR POSSES
LICENSE NUMBER CITED ABOVE HAVE BEEN DISPOSED OF IN THE FOLLOWING MANNER //f additionalspaceis needed, use the
reverse sode or provide altschments.}
Describe specific matenal transfer actior.a and, af there were radioactive wastes generated in terminating this license, the disposal
actions including the disposition of low-level radioactive waste, mixed waste, Greater than-Class-C waste, and sealed sot.rces, if
applicable.
see attached letter
For transfers, specify the date of the transfer, the name of the license recipient, and the recipientT NRC license number or Agreement
State name and license number,
shipped 1/7/99 to Allied Technology Group, Inc. Richland, WA
see attached documents i
if matenale were disposed of directly by the licensee rather than transferred to another licensee, licensed disposal site or waste
contractor, desenbe the specific disposal procedures (e.g., decayin storstel
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B. OTHER DATA
]1. OUR LICENSE HAS NOT YET EXPlRED: PLEASE TERMINATE IT.
2. A RADIATION SURVEY WAS CONDUCTED BY THE LICENSEE TO CONFIRM THE ABSENCE OF LICENSED RADIOACTIVE MATERIALS
AND TO DETERMINE WHETHER ANY CONTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSE. (Cheer onel I
NO (Attach explanation)
T YES, THE RESULTS (Ched onel
X ARE ATTACHED, or
~WERE FORWARDED TO NRC ON (Datel
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3. THE PERSON TO BE CONTACTED [,'",Z"c"",",' "
.
REGARDING THE INFORMATION Alan L. Love, PhD
'
PROVIDED ON THIS FORM (907) 790-2169
4. MAIL ALL FUTURE CORRESPONDENCE REGARDING THIS LICENSE TO
l Alan L. Love l 10107 Bentwood Pl. Juneau, AK 99801-8552
CERTIFYlNG OFFICIAL
i CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
PMsNTED NAME AND TITM stGNAT UNE j DATE
Alan L. Love
Laboratory Supervisor, Acting
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g 1/27/99
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WARNING: FALSE STATEMENTS IN T HIS CERTIFICAT E MAY t.,E SUEiJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRC
REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS.18 U.S.C-
SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY
DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTIONS.
unc Pom na ts-vu g g UN4D UN MGM.MD PMN
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FILE CERTIFICATES AS FOLLOWS: IF YOU ARE LOCATED IN: .
IF YOU ARE A DISTRIBUTOR OF EXCMPT PRODUCTS, SEND TO:
ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI,
OHIO, OR WISCONSIN, SEND APPLICATIONS TO:
OlVtSION OF INDUSTRIAL AND MEDICAL NUCLEAR SAFETY
OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS
U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSING SECTION
WAEHINGTON. DC 20665-0001 U.S. NUCLEAR REGULATORY COMMISSION. REGION lil
801 W ARRENVILLE RO AD
LISLE, IL 60632-4361
ALL OTHERS, IF YOU ARE LOCATED IN:
ALASKA, ARIZONA, ARKANSAS, CALIFORNIA COLORADO,
CONNECTICUT, DEAWARE, DISTRICT OF COLUMBIA, MAINE, HAWAll, IDAHO, KANSAS LOUlstANA. MONTANA, NEBRASKA'
MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA,
JERSEY, NEW YORK, PENNSYLVANIA, RHODE ISLAND, OR OREGON, PACIFIC TRUS1 TERRITORIES, SOUTH DAKOTA,
VERMONT, SEND APPLICATIONS TO: TEXAS, UTAH, WASHINGTON, OR WYOMING, SEND
APPLICATIONS TO:
LICENSING ASSISTANCE SECTION
U S NUCLEAR REG ATORY C MMI ION, REGION 1 MATERIAL RADIATION PROTECTION SECTION
U.S. NUCLEAR REQULATORY COFAMIS$10N, REGION IV
476 ALLEN 0 ALE ROAD
811 RYAN PLAZA DRIVE, SUITE 400
KING OF PRUSSIA PA 19406-1416
ARLINGTCN, TX 70011 8004
ALABAMA, FLORIOA, GEORGIA, KENTUCKY, MISSISSIPPI,
NORTH CAROLINA PUERTO RICO, SOUTH CAROLINA,
TENNESSEE, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA,
SEND APPLICATIONS TO:
NUCLEAR MATERIALS SAFETY SECTION
U.S. NUCLEAR REGULATORY COMMISSION, REGION li
101 MARIETTA STREET NW, SUITE 2900
ATLANTA, GA 30323-0199
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I L J L-'"3 TONY KNOWLES, GOVERNOR
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DEPARTMENT OF ENVIRONMENTAL CONSERVATION TELEPHONE:(907) 790-2169
DIVISION OFENVIRONMENTAL HEi.iTH FAX: (907) 790-2451
l STATE CHEMISTRYLABORATORY 10107 BENTWOOD PLACE
http:Hwww. state.ak.us/dect JUNEAU, AK 99801-8552
l
January 27,1999
l
Christi Hernandez, Radiation Specialist U.S. Nuclear Regulatory Commission 611 Ryan Plaza Drive, Suite 400 Arlington, Texas 76011 - 8064 Dear M. Hemandez, This is to inform you that the process of disposing of radiation sources is completed and we now request termination of Radioactive Materials License No. 50-14058-02. Attached find supporting documents for the disposal of these materials and for the post disposal survey.
l
Pads used to absorb a spilled solution of Americium 241, (A sp"I which occurred in 1991), had been stored in the
i same location as the standard sources. These pads were rinsed with 1% Nitric Acid three times, and with water I three titaes. The rinsates were collected, combined, neutralized and diluted to 20 liters. This solution was then i '
disposed of into a municipal sewage treatment plant. The total activity is estimated at 10 pCl, with a maximum of
15 pCl.
The remaining sources were sent to ATG in Richland, WA for disposal. See Form 314 for details.
l
- The survey was carried out by wipe tests. The ' wipe disks were then sent to Ouanterra in Richland for counting.
l
The results were returned in DPM. The results are listed in the tatle below.
SAMPLE LOCATION ACTIVITY (DPM) _
001 Background- wall near cabinet - 0137
.
002 Shelf in cabinet under the metal storage box .229
003 Top of the metal storage box .0067
004 Side of the metal storage box .0387
All resuM. ware less than the MDA. The sources were stored inside a locked metal box, which was stored in a
vented metal cabinet located inside a locked storage room. The survey was taken and then the sources were
packed for shipment. Actual shipmen', was delayed while the State of Washington processed permit applications.
All sources were sealed. Each source was placed in a container which was then packed into the metal box with
absorbent material. The metal box was appropriately labeled and packed into a larger box which met DOT
standards for the shipping of exempt quantities.
All documentation is attached.
1
Sincerely Yours,
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Alan L. Love, PhD
Acting Laboratory Supervisor
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2025 Bauclle Blvd. j
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Te'ephone:(509)375-5160 )
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. FAX: ($09)375-0613
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January 22,1999 i
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Alan Love, PHD. l
State Chemistry Lab
10107 Bentwood Pl.
Juneau, AK. 99801
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Dear Mr. Love,
in compliance with the requirements of 10 CFR 20, Appendix G, Section TII, C. l., the atta
manifest copy is your notice of receipt and acceptance of the radioactive waste materials specified o
manifest. Manifest 801890827647 was received on January 8,1998.
This is an acknowledgement of receipt only. The following manifest discrepancies were fo
or processmg:
NONE
Thank you for your business.
l 'ncerely, i
W
h
David Bennett
l Non Thermal Materials Control Supenisor
Allied Technology Group. Inc.
Enclosur-(s) 1
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&sc terra Envimnmental
Quanterra incorporated Servkes
2800 George Washington Way
Richland, Washington 99352
l l 509 375 313i Telephone l 509 375 5590 Fax l
CERTIFICATE OF ANALYSIS
State Chemistry laboratory
Div of Environmental Health
10107 Bentwood Place l
Juneau, AK 99801
November 19,1998 ;
i
1
Attention: Alan love
'
SDG Number : 11176
Date SDG Received : November 2,1998
Number of Samples : Four (4)
Sample Type : Air Filter
Order No. : 5076
I. Introduction
On November 2,1998, Four Air filter samples were received by the Quanterra Richland Laborate
(QRL) for radiochemical analysis. Upon receipt, the samples were assigned the following labormary
ID numbers to correspond with the State Chemistry 12b (SCL) ID numbers:
ORL ID# SCL ID# MATRIX ANALYSES RFl)UESTED
81101701 001 Air Filter Alpha
, 81101702 002 Air Filter Alpha l 81101703 003 Air Filter Alpha l
81101704 004 Air Filter Alpha
l
l l
l
II. Analytical Results/ Methodology l
l
l
The analytical results for this report are presented by laboratory sample ID. Each set of data j
includes sample identification information, analytical results and the appropriate associated statistical l
'
errors.
l 1 l
_
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Quanterra Erniremnental
! Quanterra incmporated Senica l
2R00 George Washington Way
Swtana, washington 99352
1998
November
s 3,75-3131 . 19+eQhone
$75 5590 Fax
The requested analyses were: Gas Proportional Counting
Gross Alpha by method RICH-RC-5014
III. Comments
Gas Proportional Counting
Gross Alpha by method RICH-RC-5014
All samples met Quanterra internal specifications. I
I certify that this Certificate of Analysis is in compliance with the SOW, both technically and for
completeness, for other than the conditions detailed above. Release of the data contained in this
hard copy data package has been authorized by the Laboratory Manager or a designee, as verified by
the following signature. )
Reviewed and approved:
:
'
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Stephen L.Xorenkiewicz
TJ R
Project Maneger
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Pra-Shipmsnt Notificntion Form l'
ATG INC.
. Shipm:nt Apprsvil Number l
1. Brok:rl Shipper FedEx 6. Shipper TcI:ph:n) 800-463-3339
2. Client State Chemistry Lab 7. Client Telephone 907-790-2169
3. Carrier FedEx 8. Proper Shipping Name (Circle one or more)
4. Manifest Number 801890827647 LTD QTY
5. Date of Shipment 1/8/99
9. Material Description Radioactive waste lead 210. foil
l radium 226. foil '
strontium 90, foil
americum 241 in sealed vial
10. List Allisotopes and Total Activity of Each: (If more room is needed attach extra sheet)
Isotope Activity lootope Activity isotope Activity
Pb 210 0.000024 mci mci mci
Ra 226 0.000016 mci mci mci
Sr 90 0.000063 mci mci mci
Am 241 0.000023 mci mci mci
mci mci mci
mci mci mci
mci mCl mci l
11. Total SNM for Shiprnent 0 12. Total Source for Shipment 20 gr.
13. Shipment Volume .02 cu ft 14. Shipment Weight 12lbs.
15. Container Type and Number Metal box
Other:
j 16. Processing (list processes to be used by container or state "all"if all containers to have same process) !
Volume Reduction Super Compaction Stabilize Firi Material Pass Through Store for Decay l
l ' l
I
1
I
i
l
Decon & Release Safglas Batch Processing Unit Gas Vitrification
ALL
17. Special processing instructions l
l
u n wnu
18. H va y:u compl:ted a W;rhingt:n State RHF 31 firm ? YES
19. Are ytu cxp:;rting fr:m the R:cky Mruntain Compici? NO
20. If bl ck 19 i3 y 0, d) ytu h:va cn cxp ft permit ?
21. Are you declaring any paft of th's waste to t>e NORfA, NARM or exempt ? NO
22. If block 21 is yes, do you have a determination letter ?
23. End Disposition (circle one or more, if more than one specify in space provided below)
DOE Burial Onsite generator Offsite Generator
US Ecology WA St. Site Use Permit # G2100 US EcologyGenerator #
all matenal
Bamwell Access Fee Contract !! SC Transport Permit #
Envirocare
Thermal Destruction
Free Release
Retum to Generator
Notice: Th. materias you are exp.cting to ship to Aiiiod T.cnnoiogy oroup, ps:hiand wA, must enter tne state at on. of two .ntry points.
The driver will be required to stop for en inspection of the vehicle to insure compliance with the State of Washington and oepartment of
Transportation requirements for vehicles carrying hazardous materiale. The transport vehicle will not be allowed es try into the stato until the
the veh6cle passes this inspection. The shipment can not be accepted et ATG without a certificate ofinspection from ont of these checkpoints:
1.) Weigh Station at Plymcuth (I-82) Phone (E09) 734 7043
2.) Weigh Station at Spokane (190) Phone (509) 226-3368
The drtver must notify one of these checkpointe by phone 4 hours prior to entering the state. A personal monetary fine of $100 can be levied f"
failure to stop at one of the above checkpoink. A lengthy delay may also be expected in addition to the $100 fine. Please make all drt~ers aware
of these requirements before leaving your facility. ,
24. I hereby certify this form ~ plete to th my knowledge.
Shepper Signature:
-
Mf// v v
67[ Date:
,SNpper Name (Pnnt): 7/f dN Phone: [[~ [h Y/d f
This form is to be completed and sent to Allied Technology Group, Richland WA, three days prior to the arrival
cf your shipment. If a shipment arrives without a shipment approval number it may result in excessive delays
rnd demurrage charges or possible return of the shipment to the generator.
*1:/ share /haz
f
~
Pra-ShipmOnt Notification Form
-
-
~
ATGINC.
ShipmInt Approval Number l
1. Brek rl Shipper . FedEx 6. Shipper Tsliphons 800-463-3339
2. Cliint -
State Chemistry Lab 7. Client Telephone 907-790-2169
3. Carrier FedEx
8. Proper Shipping Name (Circle one or more)
4. Manifest Number 801890827647
LTD QTY
5. Date of Shipment 12/16/98
9. Material Description Radioactive waste lead 210, foil
radium 226, foil
strontium 90, foil
americum 241 in sealed vial
10. List All isotopes and Total Activity of Each: ,
Isotope (If more room is needed attach extra sheet)
Activity Isotope ' Activity isotope Activity
Pb 210 0.000024 mci mci mci
Ra 226 0.000016 mCl mci mci
l Sr 90 0.000063 mci mCl mci '
Am 241 0.000023 mci mci mci
mci mci mci
mci mci MCI
mci mci mci
11. Total SNM for Shipment 0 l 12. Total Source for Shipment 20 gr.
i
13. Shipment Volume .02 cu ft 14. Shipment Weight 12lbs
15. Container Type and Number
Metal box
Other:
16. Processing (list processes to be used by container or state "all"if all containers to have same process)
Volume Reduction - Super Compaction Stabilize Fill Material Pass Through Store for Decay
.__
Decon & Release Safglas Batch Processing Unit Gas Vitrification
ALL
\_n
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l
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\ \.
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17. Special processing instructions l '
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STATE OF WASHINGTON
Ml 1998 1
7_ j GENERATOR SITE USE PERMIT APPLICATION
p,'l l ? 'A', p ',' ; FOR THE
tE C 0 L 0 G Y COSL\lERCIAL LOW-LEVEL RADIOACTIVE WASTE g ,2 1
DISPOSAL SITE AT RICHLAND, WASIIINGTON
. t.
N:me of the company, organkation, institution, etc., that is the original generator of the waste to be dhposed of under this permit. (If the name changes, you
must noeffy us by mailon the nzw letterhead.) Original generator means the last person who puts radioactive material to practical use. A broker may not fut
itsdf as the original generator ofits client's radioactive material or waste, nor sign on behalf of the generator
p
Lcdtnrm 'spoi d Lu/,roitentitM Swect
,
b b LO. /dll/(A
APPUCANT'S NAME: ( '
B. Address where waste h generated. D'ou MUSTin- le the 94igit Zip Code. Contact your local Post Officeforfunher information.) Generaton who own
multiplefacilities wkhin the same state may applyfor one permit if the same contact person wulun the generator's organi:ation will be responssblefor handling l
the :vaste shipmentsfrom the multiplefacilities (attach a list ofin-statefacilities to the appiication). Otherwise, separate permits will be required. Facilities
which are owned by the same genera,or but located in different states will require separate permits.
\ C\ DT Senk idCCb OCA-- -
Scnu -
ADDRESS WilERE WASTE IS GENERA TED MA1DNG % DRESS 10F CONTACT PERSON)
CITY
O Mi1LL k$ 0l ~Yb 2
STA TE ZIP CODE (9 DIGITS) CITY STATE ZIP CODE (9 DIGITS)
C. Nzme of contact person who will be able to provide answen to a_n1 questions we may have on your appikation, waste gener sting activities or shipments.
(NOTE: Permits wdl be mailed addressed to contact person: ensure mailing address and contact name agree.)
baw L Lmw- nnnoc,er SC7 > MC. 2M%t
(Fint) (M.I.) (l.astl TITLE J PHONE
D. A Nuclear Regulatory Commission or agreement state license is requiredfor activities involving the possession, use. ownership or transfer of must radioactive
materials. List aillicense numbers pertaining to materials to be duposed. Ifyou do not have a license relating lo the materials ta be disposed. please explain
blh in the space provided.
Er - M G ((- 0 2- W/V * JC306 -f
NRC UCENSE I(S): OR AGREEMENT STA TE UCENSE t
ok
EXPNRA TION DATE(S):
%sh
EXPIRATION DATE:
IF YOU DO NOT llA VE EITHER UCENSE PLEASE EXPLtlN.
E. Type ofpermit you are applyingfor. Ifyou possess a current permit, or previously had a permit that expired, please state your permit number e,d volume of
saste dhposed of at the Rkhland site in the most recent calendar vrar in whkh you held a permit. Firsuime appikants should enter projected volume of waste
to be dhposed during the pened 3/It98 2/28i99.
RENEWAL - SITE USE PERMIT # . VOLUME (CU FT) O' EAR)
X nRSr-nuE ArPuCANr votUuE rR0isCTION ailips - 2:2s:99) 1 <CU Fn ,
!
F. Calculate the permitfee due using the enclosedfee schedule and indicate amount offee enclosed. i
l
AMOUNT ENCLOSED $ Y. N
G. Do you use a broker's services? Ifyes, indicate your broker's name and its Wasnington State Broker She Use PermV number, ifyou use more than one
broker, lht them all.
I
YES NO -
I
HRUKER NAME(S) BRUKER'S SITE USE PERMIT R(S) j
l
ECY oto.75-G (Rev 12/97)
1
it. Mease indicate att one spectjic :rpe < men best Jesenbes your .sedits: - ~
l
'
1. FUEL CYCLE - i\l)CSTRI.tL
a. NUCLLt? "'M '? ' '"" t I a. RESEARCH & DEVELOPMENT t >
b. REACTOR FCEL PRODUCTION i ) b. MANUFACTURING 1 e g
c. OTHER (NON. REACTOR) ( ) . NUCLEAR PHARMACY s > \
d. WASTEBROKER ( )
2. \lEDICAL e. OTHER ()
e. HOSPITAL / CLINIC ( )
b. RESEARCH ( ) 3. .tCADEMIC INON \fEDICAL)
c. LABORATORY () a. RESEARCil ()
d. OTHER ( ) b. LABORATORY ( )
c. REACTOR ( )
3. GOVERNMENT (NON-MEDICAD d. OTHER ()
a. MILITARY ()
b. RESEARCH ()
c. REGULATORY (8
d. OTHER ()
1. Types of wastes (e.g. absorbed / solidified liquids, aqueousinon-aqueotes liquids in vials (with required sorbent material), Jon exchange resins, activated
esmponents, pipe scale, building rubble, etc.), and all radionuclides (e.g. C 14, H.3) thatyou will be shippingfor disposaiin Washington State.
f. / . NL:/DM @!/ r6b /H N
TYPES OF WASTES "
2.
RADIONUCUDES
..
J. *
Estimated volume of waste in cubicfeet, and amount of actsvity in millicuries (mCl) that you will dispose ofin Washingtoc State during calendar year 1998.
DO NOT USE SC1F]TIFIC NOTATION FOR A CTIVITY,
sO If mCl
l \
K. Estimated percs z ete of each class of waste (as defined by WAC 246-249440 (see attached)). Total ofpercentagefrom all classes should equal 100%
CLASS A (/N %) CLASS B ( %) CEASS C ( %)
'
L. The permitfee is required at the time ofsubmitting an application (WAC 173-326-040(f)). Make check or maner order payable to the State of Washington. ,
with your Washington State site use permit number (if renewing) wriaen on the check or money order. Please provide thefollow'ng information: '
~l0Y5Y
CHECK OR MONEY ORDER #
/ f/l}$WN/// $$$ /N
NAME OF COMPANY ISSUING CHECK On MONEY ORDER
M. I centfy that I amfully autherted to enter into the terms and conditions of this permit and am legally authorted to bind the applisant thereto. I hereby agree
l '
to esmply with all applicable state andfederal regulations related to the safe management oflow-level radioactive waste tincluding the assurance that the waste
. cor.tains no ha:ardous components as defined in Washington Administrative Code. Chapter 173 303, Dangerous Waste Regulations, and complies wuh the site
eperator's Radioactive Materials Ucense and with au Depanment of Transponation packaging and shipping requirements as defined in 49 CFR 170 through
179). I understand that the State of Washington reserves the right to suspend or revoke this permit. The information provided on this form is complete and
true e2 the best of my anewledge. i
'
SIGNA TURE OF PERSON AUTHORIZED TO SIGN
~} l
THIS ArPUCATION (IN BLUE INK) -
'?
'
_s /?T _
PRINTED NAME OFPERSONSIGNING b 0M . O ll(
rirtE &wht
DA TE OF SIGNA TURE Yf h f $
N. Mail check or money order and applicationform (with orielnalink sienature) to: Correspondence (other than applicationforms) may be addressed to:
Depanment of Ecology Depanment of Ecology
Cashiennt Section Nuclear Waste Program
PO Box $128 PO Box 47600
lacey. WA 98509-S!28 Olympia , WA 98504.7600
Tel' phone numberfor information is (360) J07 7109 or contact dkh0303Odoh.wa. gov.
PLEASE ALLOW A MINIMUM OF 4 WEEKS TO PROCESS AND ISSUE SITE USE PERMIT. INCOMPLETE APPUCA TION OR LATE PA YME
CAUSE DElA Y.
I
k
7, s
. .
.
*
Materiale Licanzo Termination /Ratiremont Form
,
')/ LICENSE /(s : 80-/995f-0~2_ DOCKET #(s): o 3h-/f.2_6 4
l ADDRESS: d2 ,% d F u /u EXPIRATION DATE: / 2./7/ / 2 eev l {1 J. n Ifu e A F L w ,DATE OF CONTACT: f'/24 /c/9 ! F W CO; A c,i 64 CONTACTED BY: M% 'f L l
/n / o 7 &JIZi--.- 2 /V - TITLE: If 5 o
QW< 4-K TELEPHONE: '/ o '7- O C/ 0 - 2 f (, C/
V /
LICENSE TERMINATED:
LICENSE TRANSFERRED:
LICENSE TRANSFERRED TO: Name:
Address:
Telephone:
'
BASIS FOR TERMINATION AND/OR RETIREMENT: . '
blo.u o o in 0 mu , ,1m - ao Lud V)GXc 13 l
w" hn '
Ae a u> h M V 1 m e 4~K "WwaL Xe N ,
D
1
l
.
TERMINATION DOCUMENTATION
1. License termination meets Type I criteria: Y ,
N
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.:d radioactive material with Tt/2 $ 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 N
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 T2/25
60 days but the maximum activity authorized under the
license has not decayed to less than the quantity specified
in 10 CFR Part 20, Appendix C
Licensee possessed unsealed radioactive material with Ti/2 >
,
,
60 days but i 120 days.
Licensee possessed 2'C or 8H but the total activity (s) and
use authorized under the license warrants decommisoning
under Type II (describe rationale above)
l
c' . T
)
l
. .
Y_NM
~
-
3. License termination meets Type III criteria:
,
_ 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_NM
_ 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: YSNN
2iTennination survey submitted by licensee
.
-
3 Termination survey satisfies NRC survey requirements i
6. Form 314 or equivalent submitted: Yh_N_
3 Staff verified disposition of sealed sources:.
or unsealed radioactive material
by:
s Yletter from Form 314 recipient
') call to Form 314 recipient
a..: . ,,
7. Licensee transfer records discussed in 10 CFR Parts 30.35,30.36,
30.51; 40.36,40.42,40.61; or 70.25,70.38,70.51 Y N_
To USNRC
$ To individual assuming responsibility for the license, with a copy of the cover letter to NRC
8. NRC closcout inspection required: Y_Nb
_ Closcout inspection performed:
on:
Inspector:
9. Closcout survey performed: Y_N3
on:
by:
Licensing assistant
completing form: Date:
or
p eting fo :J / m - Date: /f 9
V f/ &f '
-.) Branch Chief: Date:
NUREG/BR-0241 F-2 Rev. 0, December 1996
~
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TIME
TELEPHONE OR VERBAL CONVERSATION
-- RECORD
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[] INCOMING CALL, -
[ g OUTGOING CALL ( ) VISIT
{ 07TICE/ ADDRESS: PSOE ELP3ER:
PERSON CALLIN3:
j
\ p'n ine2pm 7BOE KLMEEE:
PIRSON CALLED: OTTICE/ADORESS:
G A t s h ,- z gfjq y 90'7-9 90- 2I L 9
CONV"ERSATION
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License: 50-14858-02 Amendment: 07
.
Docket: 030-15266
Licensee: State of Alaska
Certification of Application Review for a Part 30,40, and 70 License
. I certify that I have reviewed the NRC Form 314 dated January 27,1999, as supplemented
by any letters referenced in the license in accordance with guidance provided by the Office
of Nuclear Materials Safety and Safeguards applicable Standard Review Plan and associated
checklist and have concluded that:
X A. If the license is being terminated, I have received adequate documentation to
demonstrate that all radioactive materials and contamination possessed under
this license has been properly removed and tho licensee's facilities are suitable
for unrestricted use, or that the radioactive material is covered by another valid
license.
B. For a new license, amendment, or renewal:
(1) The application is for a purpose authorized by the Act;
(2) The applicant's proposed equipment and facilities are adequate to
protect health and minimize danger to life or property;
(3) The applicant is qualified by training and experience to use the material
for the purpose requested in such manner as to protect health and
minimize danger to life;
(4) The applicant satisfies any special requirements contained ir, Parts 32-
40 and 70; and
(5) The application is not for commercial waste disposal by land burial or for
any other activity which the Commission has determined will
significantly affect the quality of the environment.
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