ML20206T200
| ML20206T200 | |
| Person / Time | |
|---|---|
| Site: | 07109157, 07109033 |
| Issue date: | 05/03/1999 |
| From: | Goint M External (Affiliation Not Assigned) |
| To: | Easton E NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| Shared Package | |
| ML20206T175 | List: |
| References | |
| NUDOCS 9905240089 | |
| Download: ML20206T200 (17) | |
Text
_-
2 TCb 1),o Mr. Earl Easton Division of Safeguard and Transportation -
NMSS Nuclear Regulatory Commission Waslungton D.C 2055
Dear Sir,
Recently MGI / CTI Inspection became one entity, We are going through the changes of transferring all paperwork with the State of California. If you need any additional infornation, please feel free to call me at -
562-989-0670.
MGI/CTIInspection l
l 9905240089 990503 PDR ADOCK 07109033 C
PDR _
j
Slots of " "
' 1 and % %
Deperlmut of Heellh Services o
Page 1 of 7
pages RADK3 ACTIVE MATERIAL UCENSE b the Caddbrma Code ofAegitatsons Owsa:rt f, Title 17, Chqpror4 Schchapter4, Gtxp 2 LoiruirngofRadod@e Miderraf, andirrrehance on stalernents suf rapresmtatow heretofore macht ty the konsee, a homnse is herebyissuadauthor'ang the kansee forsoene. use, /== transfer, T%ofradoe#einstenalBatedWandtoonesutitradoodheinstenallbrtheptspose(s)arxiatthepiece(s)desgnatedbelow. Thrshoense 38 @ b af appkablerules regttatsons, andorceirs of the Department ofHeath Seruces noworhereaderin edisct axito anystaxtyd orspecric condhon spoodsdin thrs keenee.
f L = see Continental Testing and Inspection 2 L'omse 2 2535-19 Amonctnante 47 2 Amtess 2424 Gundry Avenue t EensoondWe Signal Hill, CA 90806 June 5,2003 (1)
Asenocn Kenneth Puckett s ing. coon agency Radiologic Health Branch President b Angeles In response to the letter dated September 2,1997, signed by Nonn F. Banville, IJcesse Ninnber2535-19 is hereby amended as follows:
6.
Nuclide 7.
Fonn 8.
Possession Limit A.
Iridium 192 A.
Scaled sources (for applicable A.
8 sources not to exceed 100 curies manufacturers and model each.
numbers see condition 9)
B.
Iridium 192 B.
Sealed sources (for applicable B.
2 sources not to exceed 140 curies manufacturers and model each.
numbers see condition 9)
C.
Cobalt 60 C.
Sealed sources (Gamma C.
I source not to exceed 50 curies.
Industries model A-7-A)
D.
Cobalt 60 D.
Sealed sources (Gamma D.
I source not to exceed 50 curies.
Industries model A-9-A)
=
I l:
sw.at canade.namiand wwen. Agency omperm ntatmeniam l
Page 2 of 7
pages RADIOACTIVE MATERtALUCENSE boense Nurrber 2535-19 Stgiplomontary Sheet AmerdnentNurrter 42 9.
Authonzed Use A.-B.
To be used for industrial radiogaprhy. Exposure devices, soun:e pigtail assemblies and source changes shall be used compatibly in accordance with the following table:
l Scaled sources and pigtail assemblies:
Arir.cdeu:
RIS:
SPEC:
Industrial Nuclear:
l
- 1. A424-19
- 12. 702
- 13. G-40F
- 19. 32
- 2. A424-22
- 14. G-40T
- 20. 33
- 3. A424-9
- 15. T-5 4.
91810
- 16. T-5F
- 5. 91811
- 17. T-6 6.
91812
- 18. T-7F 7.
91813 i
8.
87702
- 9. 87703 10.87704 11.89916 Exposure Devices:
Sealed sources and Source Changers:
Sealed sources and pigtail assemblies as pigtail assemblies as coded above coded above.
Amersham Model 660B:
1,2,12,15, and 16 ArruJuan Model 500 SU:
1, 2, 8, 9, 10, 11, 13, Industrial Nuclear Model 14,15,16,18,19 and IR-100:
8,9,10,11,13,14,19 20 and 20 Industrial Nuclear Model AiruJuuri Model 660:
1,2,3,4,5,6,7,12,15, IR-50:
1,9,12,15,16,18,19 17 and 18 and 20 ArroJuun Model 650:
1,2,3,4,5,6,7,8,9, 10, 11, 13, 15, 16, 18, 19 and 20 s.
aer or comami.HeeNh and WsNam Agmcy Depenmut or HeeNh Sav6cee Page 3 of 7
pages
/
RADIQACTIVE MATERIAL UCENSE LJoense Nunter 2535-19 Sgpiemortary Shoot 4-a.a Nunter. 52.
C.-D.
To be used in a (h
-vu Exposum Device and a Gamma Industries Utility Twin Exposum Device for Storage only.
LICENSE CONDITIONS
- 10. Radioactive material shall be used only at the following locations:
(a) 2424 Gundry Avenue, Signal Hill, CA (limited to storage and shielded room facilities only).
(b) 2420 Gundry Avenue, Signal Hill, CA (limited to storage of Cobalt 60 source in a trailer).
(c)
Le-yjob sites of the licensee in areas not under exclusive (See Cardtion 29) fedem! jurisdiction throughout the State of Califomia.
r
- 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time as specified in items 6,7, 8 and 9 of this liceme. The annual fee for this license is required by and computed in auudmw with Title 17, Califomia Code of Regulations, Sections 30230-30232 and is also subject to an annual cost-of-living adjustment pursuant to Section 100425 of the Califomia Health and Safety Code.
- 12. The individuals listed below am the only persons authorized to act as radiographers under this license:
(a)
Rick G. Puckett (d)
Sergio Diaz (b) Norm F. Banville (c)
Tmy Fodor (c)
Walt Waltman l
l
- 13. Exceptasspecificallyprovidedothenvisebythislicense,thelicenseeshallpossessanduseradioactivematerial described in Items 6, 7, 8 and 9 of this license in acevidme with statements, representations, and procedures contained in the documents listed below. 'Ihe Dw=h H's regulations shall govem unless the statements, representations, and procedures in the licensee's application and com:spondence are more mstrictive than the regulations.
(a)
The application with attachments dated April 29,1995, signed by Rick C. Puckett Vice Pmsident, the letter with *C
- ia dated May 29,1996, signed by Norm F. Banville, the letter with attachments dated June 10,1996 (received June 14,1996) signed by Mike Scott, the letter dated June 10,1996 l
(received July 17,1996) signed by Mike Scott, the letter dated August 6,12996, signed by hintin R.
Goint, and the newly revised radiation manual dated received august,1996, all regarding the renewal of the license.
- 14. (a)
'Ihe Radiation Safety Officer in this program shall be Norm F. Bamille.
(b) 'Ihe Altemate Radiation Safety Officers in this program shall be Rick Puckett and Tmy Fodor.
- 15. Scaled soumes W under this license shall be tested for leakage and/or contamination as required by l
Title 17, Califomia Radiation Control Regulations, Section 30275 (c).
l
L sun ercuswweimannenswmmea ency s
neparenne er H W h as M oss Page4 of 7
pages RADIOACTWE MATERIALUCENSE t.mense N m ber 2535-19 SapplemorderySheet Amendmert Nmber.,jl
- 16. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall be performed only by persons specifically authorized to perform that service.
- 17. The following individuals are authorized to collect wipe test samples of sealed sources pn-wd under this bcense using leak test kits MW-bic to the Califamia Department of Health Services:
(a) The Radiation Safety Officer (b) Qualified individuals designated in writing by the Radiation Safety Officer
- 18. Records ofleak test results shall be kept in units of microcuries and maintained for inspection. Records may l-be di=v=d of following Department inspection. Any leak test revealing the presence of 0.005 microcuries l
or more ofremovable radioactive material shall be reported to the Department ofHealth Services, Radiologic Health Branch, 601 N. 7th Street P.O. Box 942732, Sacramento, CA 94234-7320, within fik days of the test.
1his report shall include a description of the defective source or device, the results of the test, and the l
conective action taken.
l
- 19. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or devices received and ;-= +d under the license. Records of the inventories shall be maint,ined for inspection, and may be diW of following Department inspection.
- 20. The licensee shall comply with all requirements ofTitle 17, Califamia Code of Regulations, Section 30373 l
l when L..gnting or delivering radioactive materials to a carrier for shipment. These requirements include; (n=+=ing, marking, labeling, loadmg, storage, pis ding, monitoring, and accident reporting). Shipping papers shall be maintained for inspection pursuant to the U.S. Department ofTiiwpuriation reqtaumu (Title 49, Code of Federal Regulations, Part 172, Sections 172.200 through 172.204).
- 21. Pursuant to Title 17, Califomia Code ofRegulations, the licensee is authonzed to possess up to 999 kilograms (2,203 pounds) of natural or depleted tranium used for purposes of shielding or collimation in radiographic exposure devices listed in Item 9 of this license.
- 22. At any time the licensee is en==d in the performance ofindustrial radiography by authority of this license, at either a permanent or a taupci-yjob site, he shall have a current copy of each of the following documents available for inspection at the site:
(a) Title 17, Califamia Code of Regulations.
(b) This license.
(c) The licensee's operating and emergency procedures.
1
auns or comomi.4isenh and wam As==y onpanmwn at H emism Page 5 of 7
pages RADIOACTIVE MATERIAL UCENSE tseense Mater-2535-19
%piemertary sheet Am nenen a,e c _42
- 23. The licensee shall not authorize any radiographer or radiographer's assistant to use any model of a radiographic c:xposure device, related handling tool, or radiation survey instrument until the radiographer or radiographer's assistant has been trained in the use ofsuch equipment, and has &irumbated competence in its use. For each indiographer or radiographer's assistant, the licensee shall mamtain the following records available for inspectiort (a)
Training received by the radiographer or radiographer's assistant in the use ofsuch equipment, including dates, duration, and name of instructor.
1 (b) Each radiographic exposure device for which the radiographer or radiographer's assistant has demonstrated competence in its use, including date of siruronation of competence.
- 24. (a)
The licensee shall conduct refresher training for all radiogogics and radiographers' assistants at intervals not to exceed six months. Such training shall include, but not limited to:
i (1)
Title 17, Califomia Code of Regulatiois, with emphasis on Sections 30330-30334.
(2)
Subject matter listed in Title 17, Cadfomia Code of Regulations, Section 30335.
(3)
This license.
(4)
The licensee's operating and emergency procedures, with emphasis on any changes which have been made within one year.
(5)
Equipment used under this license for performance ofindustrial radiography with emphasis on equipment which has been used by the licensee for less than one year.
(6)
Prevention of omwgxsares of purunel, with emphasis on prevention of actions and ciretme-e within the past year which have caused, or threatened to cause, 1
okwgx6 ares.
(b) The licensee shall maintain available for inspection records of refresher trainmg described in (a) above, including-(1)
Names ofinstmetors.
(2)
Names ofindividuals trairxxi.
l (3)
Dates and duration of training.
l
F k
( ' 2ne of CaMorrdeMeekh mW Whume Aguey Deputmut of HeeNh Sh Page 6 of 7
pages RADIOACTIVE MATERIAL UCENSE lxanse Nurrter 2535-19 Stggdemontary Shmt Amendrret Msreer: 4. 2 i
l l
- 25. The licensee shall not use 50 or more curies of Cobalt 60 or more than 100 ctaies of Iriditun 192 for performance ofindustrial radiography at tcupmyjob sites except under the following provisions for each site:
(a)
Prior to perfomance ofindustrial radiography, the Radution Safety Officer or an Altemate Radiation Safety Officer shall physically inspect the area where radiography is to be performed, and shall decide l
on location (s) for the exposure device and source tube positioning.
l (b) Performance ofindustrial radiography shall commence only after written authorization by the Radiation Safety Officer or Attemate Radiation Safety Officer, which shall contain the following items:
(1)
Imation of operatioa (2)
Make, model, and serial nturber of exposure device.
l (3)
Specific time pericd (date, time, shift, etc.).
(4)
Detailed diagram of proposed exposure area, including the following items:
a.
Placement of exposure device, taking consideration for maximum safe access in case of equipment malfunction.
b.
Source tube positioning.
I c.
Collimation.
l l
d.
Additional shielding.
e.
Appuxinate perimeter lines and calculated dose rates.
f.
Calculated time per expostne.
g.
Estimated number of expostnes to be taken.
(c)
The licensee shall maintain available for insp:ction nxxrds of all such activities, including a copy of each written authorization.
- 26. Sources of radioactive material shall be changed in each radiographic expostne device only in accordance with instructions of the distributor of the source changer. 'Ihe individuals listed below are the only ones authorized by this license to change sources in radicgraphic exposure devices:
(a)
The Radiation Safety Officer.
I (b)
Qualified radiopapi ers designated in writing by the Radiation Safety Officer.
L.
stone of CaWominManNh ad WWhus Agency DepmHmut of heNh Sh Page 7 of 7
pages RADIOAC11VE MATERIAL UCENSE beense rents-2535-19 WSheet Amendmet w _42
- 27. No individual shall act as a radiographer or as a radiographer's assistant taless at all times during radiographic
. operations, each such individual vears a direct readmg pocket dosimeter, an alanning ratemeter, and either a film badge or thermoluminescent dosimeter as required by the California Code of Regulations, title 17, Section 30333.2. Alarming ratemeters are not required for pmweit radiographic facilities where other oppuriate alarming or wammg devices are in routme use.
- 28. Notwitioi ding the authorized uses of radiographic ~;nipmmt under Item 9 of this license, the use of any mdiographic sealed source, exposure device, sotree changer, or aWa'M equipment which does not meet the requirements of the Califamia Code of Regdatinm-title 17, section 30332, is prohibited except for purposes of storage, transfer, and disposal.
- 29. Before mdioactive materials may be med at a temporary job site at any federal facility, the jurisdictional status of the job site east be deternined. If the juisdctional status is udmown, the federal agency should be contacted to determine if the job site is iederexclusive federal janisdction. A respome shall be ohnised in writing or a record made of the pane and tide of the person at the Federal agency who provided the determinmaion and the date that it was pmvided. Authorization foruse of radoactive materials at the job sites under exclusive Federal jurisdction shall be ohninal either by:
(a)
Sling an NRC 10RM-241 in accordance with the Code of Federal Regulations, tide 10, part 150.20 (b),
' Recognition of Aga
- State Ucenses", or (b) by applying fora speci5c NRC licerne.
Before radonctive material can be used at a temporary job site in anotherState, authorization shall be obtained from the Sense ifit is an Aga _ : State, orfmm the NRC forany nor>Aga State, eitherby Sling for recipmcity or applying for a speci5c license.
l
)
l For the State -
" i&d of Sep Date November 18.1997 Br.
>> W Radolop6lelfh M P.O. Ekx 942732, Ssaamento, CA 94234 7320
01/14/G9 THI* 14:45 FAI 916 323 6491 RAD 10!LGIC HEALTH ERANCH 2 002 State of Caltfomis-Health and Welfare Ageni Department of Health Services
~
Paga 1 of 4 pag:s RADIOACTIVE MATERIAL LICENSE Pursuent to the CaJIfomia code of Rega!stions, Olesson 1. Title 17, Chapter 6, Subchapter 4, Group 2, Uconsing of Radcactive (q
in tellence en etatements and representations herewfore made by the licensee, a license is hereby assued sushorizireg me licensce to re Q) 1980. possess, trans9er, or cilepose of redienative materiallisted below; and to use such radioactke material for the purpose (s) and at the pInces(s) designated befew. This licenseis subject to all applicable ruics, regulations, and orders of the Department of Healm services now or hereerter in e%s and to any stendard or spectroc candluan spectnedin mis license.
- t. Lrconsee MQ) Inspection 3 License htumber 6576-19 Amenomertl,tarrter. I
- 2. Adaress 2760 E. Spring Street. Suite IllC
- f*"""'
Lor.g Beach, CA 90806 D *
(1)
Niseot Marth Goint
- e. tnspection esency Raciolegic licalth Branch Radiation Safety Officer Los Angeles in response to the letter dated January 12.1999, signed by Martin Goint, License Nurnber 6576-19 is hereby amended as follows:
, 6. Nuclide 7.
Form 8.
Possession Limit A. Iridium-192 A. Sealed source A. I source to caccod 100 curies.
(Industrial Nuclear Model32 or Armersham Model87703) 9.
Authorized l'se A.
To be used in Industrial Nuclear exposure device Model IR t 00 for industrial radiography or in industrial Nucleat source change Model IR-50 or in Amershun source changer Model 650L for source exchange.
0 V
LEENSE CONDWIONS
- 10. Radicactise materials may be uwd at temporary job sites of the licensee in areas not under exclusive federal jurisdiction throughout the State of California (see Condition 26). Radioactive materials may be permanently stored only at:
(a) 2760 E. Spring Street, suite 111C,Iang Beach, CA
- 11. This license is subject to an annual fee for sources of radioactise material au:horized to be possessed at any one time as specified in it::rns 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual ce>t-cf-living adjustment pursuant to Section !00425 of the California Health and Safety Code.
- 12. The individuals listed below are the only persons authorized to act as radiographers under this license:
(a) Martin Goint (b) Gildardo Martinez l
l 0
61/14/LU b 3 14:4F FAI 916 323'6491 RADIO 1DGIC HEALTH BRANCH
@ 003 State of CaWorrds Health and Welfare agen' Department of Health Services
~
Pcge 2 of 4 pages RADIOACTIVE MATERIAL LICENSE Ucense Numbes 6576-19 Ar')e'dment Number.1 Q
V
- 13. Execpt as specifically provided otherwise by this license, the licensee shall possess and use radioactive material described in items 6,7,8 and 9 of this license m acccrdance with the statements, representations, and procedures contained in the documents listed below.
The Department's regulations shall govern unless the statements, representations, and procedures in the licensee's application and correspondence are more restrictive than the regulations.
(a) The application dated October 31, 1998 signed by Gilderdo Martinez and Manin Goint with attachments thereto, as modified by the letters whh attachments dated December 9,1998 and December 21,1998 both signed by Martin Goint.
- 14. (a) The Radiation Safety Officer in this program shall be Martin Goint.
(b) The Alternate Radiction Safety Officer in this program shall be Gildardo Martinez.
- 15. Scaled sources possessed under this license shall be tested for leakage and/or contamination as required by Title 17, California Code of Regulations, Section 30275 (c)
- 16. Quantitative analytical assays for the purpose of tests for leakage and/or centamination of sealed sources shall be performed only by persons specifically authorize:I to perform that sersice.
- 17. The following Individuals are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits acceptable to the California Department of Health Services:
(a) The Radiation Safety Olher p
(b) Qualified individuals designated in writing by the Radiation Safety Officer V-
- 18. Records of leak test resuhs shall be kept in units of microcuries and maintained for inspection. Records may he disposed of following Deputment inspection. Any leek test revealing the presence of 0.005 microcuries or more of removable radioactive material shall be reported to the Department of Heahh Services, Radiologic Health Branch, 601 N. 7th Street, P.O. Box 942732 - MS 178, Sacramento, CA 94234-7320, within five days of the test. This report shall include a description of the defective source or device, the results of the test, and the corrective action taken.
- 19. Pursuant to Title 17, California Code of Regulations, the licensee h authorized to possess up to 999 kilograms (2,203 pounds) of natural or depleted uranium used for purposes of shiciding or collimation in radiographic exposure devices listed in item 9 of this lleense.
- 20. At any time the licensee is engaged in the performr.nce ofindustrial radiography by authority of this licenne, at either a permanent or a temporary job site, he shall have a current copy of each of the following documents available for inspection at the site:
(a) Title 17, California Code of Regulations.
l (b) This license.
(c) The licensee's operating and em :rgency procedures.
- 21. The licensee shall not authorite any radiographer or tediographer's assistant to use uny model of a radiographic exposure device, related handling tool, or radiation survey instrument until the radiographer or radiographer's assistaat has been trained in the un of such equipment, and has demonstrated cornpetence in its use. For each l
radiographer or radiographer's assistant, the licensee shall maintain the following rccerds available for !nspection:
v l
I J
01/14/99 THl! 14:40 FAI 916 323 6491 RADIO 14GIC HEA1.TH ERANCH 2 004 l
Stato of Canfornis46aelth and Welfare Agen Departsnent cf Health Services
~
Pag 3 of 4 pages RADIOACTIVE MATERIAL LICENSE ucense % min. 65%19 Amendrnent Nurnbec 1 n
(a) Training received by the radiographer or radiographer's assistant in the use of such equipment, including d duration, and name ofinstructor.
(b) Fach radiegraphic exposure device for which the radiographer or radiographer's assistant hu demonstrated I
competence in its use, including date of demonstnation of competence.
- 22. (a) The licensee shall conduct refresher training for all radiographers and radiographer's assistantr, at intervals not to exceed six months. Such training shall include, but not be limited to:
(1) Title 17, Califomia Code of Regulations, with emphasis on Sections 30330-30334.
(2) Subject matter listed in Title 17. California Code of Regulations, Section 30335, (3) Thislicense.
(4) The licensee's operating and cmvrgency procedures, with emphasis on any changes which have been made within one year.
)
($) Equipment used under this license for performance ofindustrial radiography with emphasis on equipment
)'
which has been used by the licensee for less than one year, (6) Pretention of overexposures of personnel, with emphasis on prcSention of actions and circumstances within the past year which have t aused, or threatened to cause, overexposures.
(b) The licensee shall maintain asailable for inspection records of refresher training described in (a) abuse, including:
(1) Namesofinstructors.
(2) Names ofindividuals trained.
(3) Dates and duration of training.
- 23. Sources of radioactive material shall be changed in each radiographic exposure device only in accordance with instructions of the distributor of the source changer. The individuals listed below are the only ones authorized by this license to change sources in radiographic exposure devices:
(a) The Radiation Safety OtYicer.
(b) Qualified radiographers designated in writing by the Radiation Safety Officer.
- 24. No individual shall act as a radiographer or as a radiographer's assistant unless at all times during radiographic operations, each such individual wears a direct reading pocket dosimetsr, and alarming ratemeter, and either a film badge or thermelumincscent dosimeter as required for permanent radiographic facilities where other appropriate or warning devices are in routine use.
- 25. The licensee shall comply with all requirements of Title 17, California Code of Regulations, Section 30373 when transporting or delivering radioactive materiala to a carrier for shipment. These requirements include; packaging, marking, labeling, loading, storege, placarding, mor.itoring, and accident reporting. Shipping papers shall be maintained for inspection pursuant to the U.S. Department of Transportation requirements (Title 49 Code of Federal Regulations, Part 172, Sections 172.200 through 172.204).
,f3 o
m 10:cy LE U19 423 6491 RADIO 14GIC HEALTH BRANCH tid 003 r- -
State of CsHemie Health and Welfare Agen Department of Heefth Services J
Page 4 of 4 pages RADIOACTIVE MATERIAL LICENSE Lconae Nurnben 65K-19 Arnendment Number: j,
/
( _)
- 26. Before radioactive materials may be used at a temporaryjob site at any federal facility, the jurisdictional status of the l
job site must be determined. If the jurisdictional status is unknown, the federal agency should be contacted to determine if the job site is under exclusive federaljurisdiction. A respona shall be obtained in writing or a record made of the name and title of the person at the federal agency who provided the determination and the date that it was provided. Authorization for use of radioactisc materials at thejob sites under exclusisc federaljurisdiction shall be obtained either by:
(a) Filing an NRC Form-241 in accordance with the Code of Federal Regulations, Title 10, Part 150.20 (b),
" Recognition of Agreement State Licenses", or (b) By applying for a specific NRC licenSc.
4 Before radioactive material can be used at a temporary job site in another State, authorization shall be obtaiacd from the State ifit is an Agreement State, or from the NRC for any non-Agreement State, either by filing for reciprocity er applying for a specific license.
i o)
O l
For the State De nt of Health erviceti}
Date: January 13,1999 By.
4,f W T t
Radiologic HNh $ranen '
P.O. Bem 942732-MS 178. Sacramento, CA 94234 7320 b) u.
j
t1AR-11-1999 14:36 SENTItEL BATON POUGE 5047560365 P.10
___________________,_______m
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CERTIFICATE OF COMPLIANCE li io cm' FOR RADIOACTIVE MATERIALS PACKAGES 4
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.PasAuste Tw c.rtinc.i. i. i..u.d to c.na tnet in. pacm.gmt.nd conto,it, ae.crieed in item s oeio. me.i. th.. oiie.eie.av.<,.tandaro..si forih in Tius io coes r
of Feoeral Regulations. Part F1 *Packagmg and Tran.portation of Radioactive Maten4L"
- b. This Cer11ficata does not relieve the cons (nor from cornplaance with any regwiremerft of the regwisteens of the U.S. Departmoret of Transportation or otner appucable regutstory egencies. Including the governenent of any Country through or into which the sectLege will be transported.
' Amersham Corporation application _ dated
[
40 North Avenue September 24, 1993, as supplemented.
t Burlington, MA 01803 p
- c. Docs.T uvusta 71.qcqq
- 4. CONOLTIONE This cetttflCete la conditional Upon,fulfidirig the roQuirernents of 10 CFR Part 71.,s apeticaele. and the conditions specafied below.
s, 4
(a)
Packaging l
4 (1)
Model No.: 6600.660E, 660Ay 660AE,<660B or 660BE.
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j (2)
Description
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- A. steel.., encased.<.' uranium shi eld'e'di Gamma RaycProjector.
Primary k
naterial, f consist"of {dil".SU tube, and end plugs.aiiilouter'., steel. sh I
components
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utan'ium shiel The contents are l
and. shipping;'pTdpMTa'mper-(proogseals are provided on the p e
If The ' maximum -total weightcof;the pyckage is approximately 53 pounds.
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(3)
Drawings /,
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Q onstructed in accordabe with the following Technical t!
The packaging is y
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(i)
Model No. 6608 - Drawing No. 66025, Sheets 1, 2 and 3 Rev. F;
[I E
(ii) Model No. 660 - Drawing No. 66025, Sheets 1, 2, 3, and 4, Rev. B; t
or Drawing No. 66030, Sheets 1, 2, 3 and 4, Rev. -;
ii E.
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(iii) Model No. 660A - Drawing No. 66030, Sheets 1, 2 and 3, Rev. A; or
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l Drawing No. 66030, Sheets 1, 2, and 3, Rev. D.
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Model Nos. with an E suffix have an electrical circuit.
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Centents (1)
Tr$ and form of material 7[
t-Iridium-192 sources which meet the requirements of special form radioactive
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acclicable regulatory agencies, includy ina governenent of any covenry througn or into wich me pactage neiti be transpotted.
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, ym,g o,ocurricAflON OF ntPon? On AreuCATION; Amersham Corporation Amersham Corporation application dated 5
j 40 North Avenue October 2, i995, as supplemented.
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Burlington, MA 01803
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Model No.: 650L
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Description A welded stainless steel encased.. uranium shielded, iridium-192 i
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source changer. Primary components, consist of a steel or -
stainless steel housing, internal supports, dep.leted uranium.
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Tsliteld,4 and a titanium vtuba;* The tubesis afspeddnithe%.w me l
middle of the "U" to pimvide a' positive stop for the source
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assembly. Additionally, the Model No. 650L has two. source i
locking assemblies mounted on the,, top cover. plate. These assemblies are used to secure the radioactlye source in a i
The;. unit resembles a shielded position during transport.
i' rectangular box approximately 10 inchesttilde,13.25 igches high i
and 8.25 inches long. The maxing wei'ght.of the. package is 90 j
pounds..
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Drawings I
I' The packaging is constructed in accordance with the Amersham l
Corporation Drawing No. R65006, Rev; C, Sheets 1-4.
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Contents I
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(1) Type and form of material I
Iridium-192 as sealed sources which meet the requirements of i
j special fann radioactive material.,
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03-11-1999 11:29At1 FFOI1 I.N.C.
TO 1 624909704 P 02 C FORM 64 CERTIFICATE OF COMPLIANCE u.s. NUCLEAR REIuLATQRY COMMISSloN 4
N pig FOR RADIOACTIVE MATERIALS PACKAGES E
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- e. PACKAGE IDENMRCAMON NUMBER
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E) a. Nis ceruficate is issued to certify that the pachging a,,d contents described in hem $ tdlow, mecu the applicable E
kl Code of Federal Reguladons. Part 71. "Pacbging and Transporudon of Radioacdveherial."
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- b. This cerufacate does not rehave the consignor from compliance with any requirement of the reguladons of the U.S. Department of T k
le regulatory agencies, including the govemment of any country through or into which the package will be transported.
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TICS CERTIF3CATE 15 ISSUED ON THE B ASIS OF A S ARTY ANALYSIS REPORT OF THE PACKAGE DEstGN OR APPUCADON E
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- b. MM.E AND IDENTMCATION OF REPORT OR APPLICADON:
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E Industrial Nuclear Company Industrial Nuclear Company application W
E 14340 Wicks Blvd.
dated December;23,1981, as supplemented.
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San Leandro, CA 94577 l
E i Et c.DocxrT NUMBER 71-9156 E '
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. This cerdricate ic con &tional pron fulfdling the requirements of 10 CIlt Put 71, as applicable. and the condidons specified below.
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Model No.: IR.50 & -
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Description U h.
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The Model No. IR-50 package consists of an IR 50 source changer which is positioned g
11 within a 10 gallon drum. The drum is made of 20 gauge steel, and is' closed with a 12 g
E gauge closure ring and a 5/8 inch diameter steel bolt. Plywood members are used to g
E position and support the IR-50 within the steel drum. ' ly.
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The IR-50 source changer is approximately 8.87 inches long, 4.5 inches wide, and 8.5
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inches high. The radioactive material contents consist of Iridium;192 in source g
E assemblies that meet the requirements for special form material /.The source assemblies g
E are positioned within a zircalloy or titanium "S" tube within the IR-50. The "S" tube is y
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surrounded by a shield assembly made of depicted uranium. The uranium shield l
assembly is encased in a stainless steel housing. The space between the uranium shield g
assembly and the stainless steel casing is filled with a rigid polyurethane foam. The g
I maximum weight of the IR 50 source changeris'53 pounds and the maximum gross g
weight of the package is 75 pounds. 4,; y P
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Drawings g
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The packaging is constructed in accordance with Industrial Nuclear Company 3
Drawing Nos.: OP-100-1, Rev.1, OP-100-2, Rev.1, OP-100-3, Rev.1, OP-100-4, 4
l Rev.1, OP-100-5, Rev.1, IR-50A, Rev. O, and IR-508, Rev. O.
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Contents g
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Type and form of material E
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i tridium 192 as sealed sources that me,et the requ:rements of special form g
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radioactive material.
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Maximum quantity of material per package g
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( f l USA /9157/B(U) 9157 7
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uds certificate is issued to certify that the packaging sad contents described in item 5 below, meets the applicable safety s:andards set fonh Ul 1
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Gode of Federal Regulations. Part 71.
- Packaging and Transportauco of Radioactive Matsnal."
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- b. 'nds certifwane does not rilieve the consgnorinno compliance with any,equirement ed the regulations of the U.S. Department of Tran lk pplicable regulatory agencies, including the government of any couany through or into which the package will be tw /
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1 TMis tuu u iCATE 13 ISSUED ON THE BAS!$ OF A5 AM.TYANALYSIS RDORT OF TME PACKAGE DESIGN OR APP 1.3 CATION a 15 SUEDTo(None auf Aesas) b.Tm.E AND IDENTIRCADON OF REPORTOR APPUCATION.
N lll Industrial Nuclear Company industrial Nuclear Company Application I:
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14320 Wicks Blvd.
dated December 23,1981, as supplemented.
San Leandro, CA 94577 gl l
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Model No.i (R 100 i
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The Model No. IR-100 package consists of an IR-100 exposure device which is I
positioned within a 10 gallon dlum. The drum is made of 20 gauge steel, and is N!
closed with a 12 gauge closure ring and a 5/8 inch diameter steel bolt. Plywood N
members are t, sed to position and support the IR-100 within the steel drum.
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The IR-100 exposiure device is approximately 8.87 inches long,4.5 inches wide, I
and 8.5 inches high. The radioactive material contents consist of iridium-192 in I
source assemblies that meet the requirements for special form material. The I
source assemblies are positioned within a ifrcalloy or titanlu.m "S" tube within the E
IR-100. The "S" tube is surrounded by a shield assembly made of depleted E
)i uranium. The uranium shield assembly is encased in a stainless steel housing.
W The space between the uranium shield assembly and the stainless steel casing is E
I filled with a rigid polyurethane foam. The maximum weight of the IR 100 exposure E
device is 50 pounds and the maximum gross. weight of the package is 75 pounds.
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Drawmss j
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The packaging is constructed in accordarbe with Industrial Nuclear Company 1
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I Drawing Nos.: OP 100-1, Rev.1, OP 100-2, Rev.1. OP-100 3, Rev 1, 5
I OP 10044, Rev.1, OP 100 5, Rw.1, IR 100A, Rev. O, and IR 100B, 8ev.0.
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Contents q
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Type and form of material E
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Iridium 192 as sealed sources tha't meet the requirements of special 4
form radioactive material, q,
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03-11-19,99 11:34AN FF0r1 I.tJ. C.
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i CERTIFICATE OFCOMPLIANCE "T
FOR RADIOACTIVE MATERIALS PACKAGES i
1.sduu u scATE NUMsm b.RIv1sloN NUMBTR c.PACKAGEIDENTFICADON NUMSS
& PAGE NUMBER
- c. TOTAL NUMBIA PAGE$
9185 4
USA /9185/BfU) 1 3
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This cemficate is inued to cemfy that the packaging and contents described in item 5 below, meets the applicable safe a.
e W-Code of Federal Retnistions. Part 71. *Pa:kaging and Transportation of Radioactive Maaria! "
b T?ns ccmricate does not relieve the consignor from compliance with any requirernent of the regolanons of the u.s. Dep gepplicable regulatory agencies. including the government of any country through or into which the package will be transportai W
g' 3.DU CERTFICATT15135UED ON'DE BASIS OF A SAFLTY ANALYSIS REPORT OFTHE PACKAGE DE330N OR APPUCATION
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b.1TTI.a AND IDDmFICATION OF REPORT OR APPUCADON:
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Ej Industrial Nuclear Company Industrial Nuclear Company application i
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dated October 13,1983.
9 San Leandro, CA 94577
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Du) cemfscate is conditional upon fulftIling the regnvetnents of 10 CrR Part 71. as applicableiand the eM*t - specined below.
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Packaging t
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Model No.: OP-100.
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Description
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s exposure device, which is positioned within a 10 gallon drum. The drum is made of 20 E
gauge steel, and is closed with a 12 gauge closure ring and a S/8 inch diameter steel bolt.
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Plywood members are used to position and support either the IR-50 or IR 100 within the s~
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steel drum.
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The IR-50 source changer and the IR-100 exposure device are approximately 8.87 inches y,I i
long,4.5 inches wide, and 8.5 inches high. The radioactive material conter.ts consist of a'
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iridium-192 in source assemblies that meet the requirements for special form material.
E The source assemb!ies are positioned within a zircalloy or titanium "S" tube within the E
j IR-50 or IR-100. The "S" tube is surrounded by a chield assemb!y made of depleted E
at uranium. The uranium shield assemblyis encased in a stainless steel housing. The si space between the uranium shield assembly and the stainless steel casing is filled with a g
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rigid polyurethane foam, The maximum weight of the IR-50 source changer is 53 pounds, E
s' the maximum weight of the IR-100 exposure device is 50 pounds, and the maximum g
j gross weight of the Model No. OP-100 package is 75 pounds.
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Drawings e
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g The packaging is constructed in accordance with Industrial Nuclear Company l
Drawing Nos.: OP.100-1, Rev.1, OP-100-2, Rev.1, OP-100-3, Rev.1, OP 100 4, a
j Rev.1, OP-100-5, Rev.1, IR 50A, Rev. O, IR 508, Rev. O, IR-100A, Rev. O, and 6
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IR 1008, Rev. O.
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