ML20206J051
| ML20206J051 | |
| Person / Time | |
|---|---|
| Site: | Haddam Neck File:Connecticut Yankee Atomic Power Co icon.png |
| Issue date: | 04/30/1999 |
| From: | Rohrbacher J DUKE ENGINEERING & SERVICES |
| To: | Mcgrath J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| References | |
| 000685, 685, NUDOCS 9905120094 | |
| Download: ML20206J051 (3) | |
Text
l i .,APR 4 UJ FRI 8:54 P.02 A ,
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caincs, NRC FORM 241 U.8.NUCLEAM HEGULATORY COMMISSION 1ousjmp gt
@98) request
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REPORT OF PROPOSED ACTIVITIES *to eie
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IN NON-AGREEMENT STATES tit: coo"m om"es e"*ventemei .nd s"wipei,'wn>=naion."oc"2oso"i mc"may'nw' (Please remad the irntaschons on the co,*er sheet before compretog this torrn.) oRR j yguRnMan en, e usacsen at intemsven 3- VM M 1 um o. Lem6 r-.w w rea-s m u-e m. *am es.wr,.e *) 2. TMOF REPORT 0,N _
" '" Y""' #I Duke Engineering and Servicco -
REV1580N 4 Apodss or ucENsEh (weer emen er wiw mas on en.re wesse may to We*U y CLARIFICATION _
s icENm coNiacT Duke Engineering and Services James E. Rohrbacher (ILS0) 580 Main St.
Bo1 ton, MA 01740 ' R&TJE"" '- L^",,,,"Pe"C",i" (978) 568-2510 (non netnehAdi (978) 568-2545
- 8. ACTIVIMS TO DC CONDUCTED IN NON AGREEMENT STATES UNDER THE GENERAL UCENSE GIVEN IN to CFR 150 .
LEAX TESTING AND/OR CALfBRATIONS TgtgTHERAPY/nARADIATOR SFRVICE WELL t[bQGtt40 Q THt.M (& cup)
POR TABL,E GAUGE $ X See 8ttached claElf1 Cation supplement REG 6STERED A$ l)9ER OF PACKACf 4GC (CERTir'ICATES OF COMpuAACE NOS )
TMAHE80RTAr10N QA PROGHAM ANNOVAL NO. e RCV Nr) e CUFNT Nwl', ADDRE SS, CIT ffCOUNTY, ST ATE, ZIP CODE to WORKLOCAT10N ADOR553 (steef end Nwnearceour firetime. Ike es wnes, e. ,mn a s ,mn, en rac See initial filing of Form 241 See attached clarification supplement 4 L IUfM HUMNR u woRnocarwiscw#N WNORGOTOPERFORMWCM
$$ y g 8 p f e va m See attached Sea attached See attached
- 16. LOCATION REFERENCE NUMBER
- 14. DATES SCHEDULCD [ ~
LEAVE OLAM FdR lNMAL NRC FORM 241 RLOVt 513 TO NUM9iA To GE AblGHED By tptC FROM See See attached See attached attachec OO%E U3T ADDITIONAL WORK SITES ON SEPARATE SHFET TO INCLUDE ALL INFORMATION CONTAINED IN ITEMS 918 ABOVE, U5EU
- 17. U$l R@,sAGTIVE MATEkiA 6 . WHICH WILL.DE FW%.w%ED,ew w - se- re m,INb.i U.n ALLBu. butvM.e i, 4H Mit D IN esuNMmMDsF & mig, piewe e.wTm w we es wary or,.m .u.e m ei, See attached clarification supplement rne vN wweo rv eno.i.ape,,u .emuucucwmes mea.m r4 sius, axctriroR tocAinN ce' usc, As E
st AoauutNi spEeno iN rrtwsi Are ac+ctrwr e neove. uccNse cop n e ms.
eseAumown.n.e spec % .t Nnc rer um twL v;Anc ons r0 DArE Lit.tNac trauhR ATATE direoNvA e 14-5911 Massachusetts September 30, 2004 19, CERTlflCATION (MUSTBE CCMPLETFD 8Y APPUCANT) _-
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- l. THE UNDERtGNED,HEREBY CERTIP Y THAT:
- e. All en%rmation in this report is inse and complel4, b
i have feed and understand the provtsson of the Denerallecense to CFR 150.20 reprinted on the cover sheet of this form set; and Iunder to commy wnh ih*9e provisions as to all byptusfuct, source, or traciel nuclear rnalerial which t possess and vee in non-Agenoment Statet or o under the general faense for wh>ch this repevi es Gled vnth the U.S. Nuclest Reguletery Cemenisswt
- e. I understand that adMiins,includmg storage, conducted in non. Agreements 51eles under general license 10 CFR 150.20 are timele es' ender year.
d I understand thei 1 may be impacted by NRC el the atae hsted worit site locations and at the Licei6ee horne office a-JJress for activities j non-Ayeement $tates or oftshore waters, I am W$o aware that I wul be responsite for any fees sasoc.ved with such inspMoas, w e. I undersund thei cunduce of arv octraties not deoonbod above 6ncludmg condvet or erwties on dates or locauons d#erent from tt.ote describe without NRC authorestion, may sutieet rne to enforcement actirn incksdino dvif or criminal penethes ID 0A4 GAlifitN()Ns%R e R$C er MersegemWitepresentahw [f yre64tirled Name sad rsteef MsMTWii at James E. Rohrbacher RSO % s b h [ h u'-
~BE SUBJECT TO CIVit, AND/OR CRMNAL PENALTIES. NRC REGUI.AllONS REQUIRE THAT A*l 37 H WArtrilhG. P AI,EE STATEMENTS IN THIS CERTIFICATE MA Sut%9:*a.ONS TO THE P4RC et COMPLETE AND ACCURATF IN AlL MATER 1AL RESPECT $.18 (J MAKE A WufulLY FALSE STATEMENT OR REPRESENTATON TO AffY DEPARYtAENT OR AGEr4CY O _ _
ITS JURnOiCTION D^ 4 Ap.oCNG CFFIOAL (Typsm nw hme and l* J MMURE 1 F N1 Y M1M N6b /
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U0030~p ,/@-~ NE05 RETURN TO REGION I
.* APR-30-03 FRI 8:55 ,_ ,_ P. 0 3 y . . . . . . . . . . . . .
I SUPPLEMENTAL SHEET TO NRC FORM 241 !
l CLARIFICATION REPORT pstm April 30,1999 ,
l Ileensce: Duke Engineering and Services License: Commonwealth of Massachusetts Materials License 14-5971 Facility and nersonnellocated: Environmental Laboratory 25 Research Dr.
Westboro, MA 01581 j
Item Sa The licensec will perform the following activities in non-agreement states:
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Perform field (in-situ) gamma measuiements j
\
Item 9:
Client : ControlNumber 000685 Connecticut Yankee (Haddam Neck) 362 Indian Hollow Rd.
Ifaddam Neck, CT 06424 Item 10:
The work will be taking place off site of Connecticut Yankee for site characterization and decommissioning activities.
Item 11:
l The client contact will be Pete Hollenbeck and he can be reached at (860) 267-2556 cxt 3805, Item 12:
The individuals performing the work have not been finalized, but all the authorized individuals were listed on initial application.
' Rem 13; l
i APR A FR1 8:5E._. P.04 pd I
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%e work location's cellular number (508) 849-7911 Items 14 The work was initially scheduled to be performed on May 3 through May 15.
Item 15:
The total work duration should be 13 days. I J.lfm 16:
Reference location 000685 Item 17:
The railioactive material to be used by the licensee will consist of-Am-241 0.2 uCi Co-60 0.4 uCi Cs-137 9.7 uCi .
l I