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
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.,APR 4 UJ FRI 8:54 P.02 y-m op
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- caincs, NRC FORM 241 U.8.NUCLEAM HEGULATORY COMMISSION 1ousjm gt p
@98) request s.e.rn.ewise. TNs reelkeaa.n a meulred se that NRC..mey ed.iedule insp
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REPORT OF PROPOSED ACTIVITIES
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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.)
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- 2. TMOF REPORT 3-
'" Y""' #I Duke Engineering and Servicco REV1580N CLARIFICATION Apodss or ucENsEh (weer emen er wiw mas on en.re wesse may to We*U y
4 s icENm coNiacT Duke Engineering and Services James E. Rohrbacher (ILS0) 580 Main St.
Bo1 ton, MA 01740
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'- L^",,,,"Pe"C",i" (non netnehAdi (978) 568-2545 (978) 568-2510
- 8. ACTIVIMS TO DC CONDUCTED IN NON AGREEMENT STATES UNDER THE GENERAL UCENSE GIVEN IN to CFR 150 WELL t[bQGtt40 LEAX TESTING AND/OR CALfBRATIONS TgtgTHERAPY/nARADIATOR SFRVICE Q THt.M (& cup)
POR TABL,E GAUGE $
X See 8ttached claElf1 Cation supplement TMAHE80RTAr10N QA PROGHAM ANNOVAL NO. e RCV Nr)
REG 6STERED A$ l)9ER OF PACKACf 4GC (CERTir'ICATES OF COMpuAACE NOS )
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
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- 16. LOCATION REFERENCE NUMBER
- 14. DATES SCHEDULCD LEAVE OLAM FdR lNMAL NRC FORM 241 RLOVt 513
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FROM TO NUM9iA To GE AblGHED By tptC See See attached See attached OO%E attachec U3T ADDITIONAL WORK SITES ON SEPARATE SHFET TO INCLUDE ALL INFORMATION CONTAINED IN ITEMS 918 ABOVE,
- 17. U$l R@,sAGTIVE MATEkiA. WHICH WILL.DE FW%.w%ED,ew m,INb.i ALLBu. butvM.e i, 4H Mit D IN esuNMmMDsF & mig, U.n U5EU 6
piewe e.wTm w we es wary or,.m.u.e m ei, w - se-re See attached clarification supplement st AoauutNi si Are ac+c uccNse ms. Aumown.n.e eno.i.ape,,u.emuucucwmes mea.m r4 sius, axctriroR tocAinN ce' usc, As E
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Lit.tNac trauhR ATATE direoNvA e twL v;Anc ons r0 DArE 14-5911 Massachusetts September 30, 2004 19, CERTlflCATION (MUSTBE CCMPLETFD 8Y APPUCANT)
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- l. THE UNDERtGNED,HEREBY CERTIP Y THAT:
All en%rmation in this report is inse and complel4, g
e.
i have feed and understand the provtsson of the Denerallecense to CFR 150.20 reprinted on the cover sheet of this form set; and Iunde 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 b
under the general faense for wh>ch this repevi es Gled vnth the U.S. Nuclest Reguletery Cemenisswt I understand that adMiins,includmg storage, conducted in non. Agreements 51eles under general license 10 CFR 150.20 are timele e.
es' ender year.
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 non-Ayeement $tates or oftshore waters, I am W$o aware that I wul be responsite for any fees sasoc.ved with such inspMoas, d
j I undersund thei cunduce of arv octraties not deoonbod above 6ncludmg condvet or erwties on dates or locauons d#erent from tt.ote describe w
e.
without NRC authorestion, may sutieet rne to enforcement actirn incksdino dvif or criminal penethes ID 0A4 MsMTWii
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A*l 37 H GAlifitN()Ns%R e R$C er MersegemWitepresentahw [f yre64tirled Name sad rsteef at James E. Rohrbacher RSO
~BE SUBJECT TO CIVit, AND/OR CRMNAL PENALTIES. NRC REGUI.AllONS REQUIRE THAT 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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p' m NE05 RETURN TO REGION I
. APR-30-03 FRI 8:55
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I SUPPLEMENTAL SHEET TO l
NRC FORM 241 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:
}
Perform field (in-situ) gamma measuiements j
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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:
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 I