ML20207F785

Discusses Photo Research License 2189-70 GL Authorizing Distribution of Devices to Persons Who Hold General License Under 10CFR31.5.Requests That Copies of Repts for 1990,1991 & First Quarter of 1992 Be Submitted as Listed

ML20207F785
Person / Time
Issue date:	05/28/1992
From:	John Lubinski NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS)
To:	Fenyvesi K AFFILIATION NOT ASSIGNED
Shared Package
ML20207F750	List: ML20207F745 ML20207F775 ML20207F785
References
SSD, NUDOCS 9903110329
Download: ML20207F785 (37)

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1. g UNITED STATES 8

c-NUCLEAR REGULATORY COMMISSION W

j WASHWQTON, D, C. 205H

\\.....j MAY 2 R 1992 Photo Research-Division of Ko11 morgan Corporation-ATTN Karoly Fenyveni Radiation Safety Officer i

9330 Desoto Avenue' Chadsvorth, CA 91311 Dear Mr. Tenyvesi This letter is in reference to Photo Research's license i

I i 2769-70 GQsuthorizing distribution of devices to persons who hold a general license under 10 CFR Part 31.5.

U.S. Nuclear Regulatory Co: mission (USNRC) regulations require that you report transfers or lack of transfers of such devicss to general licensess under USNRC jurisdiction on a quarterly basis.

A check I

of our files appears to indicate that reports for 1990, 1991 and l

the 1" quarter-of 1992 have not been received by USNRC.

Please sendicopies"of the appropriate reports and copies of i

future reports to7the?Directorzof; Nuclear.; Material; Safety l:and7 l

Safetfuirds,1Ui5'.TNucleliF Regulatory 1CommissionE Washingtoni D.C.J

~

20555:i]

l Your cooperation is appreciated.

If you have any questions,

_please contact me at (301) 504-2689 or Steven Baggett at l.

(301) 504-2542.

l 3

Sincerely,

- /s f // V V i

ohn W. LQbinski, Mechanical Engineer j

Sealed source. Safety section Source containment and Devices Branch i

Division'of Industrial and Medical

)

Nucisar Safety, NMSS cc:

I Lloyd-Bolling, USNRC State Programs Mr. Edgar D. Bailey, California-Department of Health

'wrond)

I L

l h e s I.5

%e correcklicense number i.s 2lB9-70-GL j

t 9903110329 920902 PDR RC E

SSD PDR

j L

l l

i REP _ ORT _OF_ RADIOACTIVE _ MATERIAL _ TRANSFERS.

TO:

State of California Department of Health Services Radiologic Health Section 601 North Seventh Street P.O.

Box 942732 Sacramento, CA 94234-7320 ATTENTION:

Mr. John Hickman Senior Health Physicist This report covers the tim pe iod.from Yarm6r NE.a up to and including'the day of fo 31; 1992 '

when', Radioactive a

materials were transferred from the Licensee indicated below to recipients of Photo Research's products.

Due to the fact that some of'our products are manufactured for and shipped directly or indirectly to U.S. Government (DOD) agencies, and because of the confidentiality of these orders, it may be damaging to our business to distribute, by anyone, these records to any unauthorized person or organization requesting them.

Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C. 552 [b] [4]) and 10 CFR 9.5 (a)

[4] of the Commission's regulations.

As it is required in the Radioactive Meterial License (page 3 of 3) indicated below, we are submitting this report to you with the understanding that you will withhold it from Public Disclosure because it may contain confidential (proprietary) business or sensitive U.S. Government information.

0. M Aor;1 I4, R92.

Date' PHOTO RESEARC1 Div. Follmorgan Corporation License No. 2189-70-GL Karoly I. Tenyvesi Radiation Safety Officer NT. 705CPf7 korb5 cc:

Health' Physicist Radiological Health Dept.

2615 So. Grand Ave., Room 608 Los Angeles, CA 90007

.. I PERIODIC RECORD OF THE RADIOACTIVE SOURCE DISTRIBUTIONS.

Type of device:

CARBON-14, Model RCT-41-08. Light Source, Type of radiation BETA RADI0 ACTIVE QUANTITIES THIS SOURCE IS USED THIS PRODUCT WAS SHIPPED TO:

SOURCE of BACO ODUCT.

3 S/N.

Amount C0!'TAINED Model#

Serial #^

NAME ADDRESS DATE

$ pe 50 NECYO-CE PR-19Bo E s-2628

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01-30-92.

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i REPORT OF RADIOACTIVE MATERIAL TRANSFERS i

l I

TO:

State of Califcenia Department of health Services i

Radiologic Health Section Sol 14o. 7-th S+r.

• Ro. Box 942732 i

Sacemmento. CA 99234 -7320 1

obD l'ckmQO Mr. [SeniOV Wep)}h Physicts)-

ATTENTION:

This report covers the ti

. peri

.f up to

]

and including the day of 8d.

I' when. Radioactive materials were transferred from the Licensee indicated below f

to recipients of Photo Research's products.

Due to the fact that some of our products are manufactured for j

and shipped directly or indirectly to U.S. Government (DOD) i agencies, and because of the confidentiality of these orders, j

it may be deemeing to our business toidistribute by anyone j

these records to any unauthorized person or organization-l requesting them.

i Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C. 552 [b] [43) and 10 CFR 9.5 j

[a] [43.of the Commission's regulations.

i As it is required in the Radioactive Material License (page 3 of 3) indicated below, we are submitting this report to you 1

with the understanding that you will withhold it from Public Disclosure because it says contain confidential (proprietary) business or sensitive U.S.

Government information.

.f..v..c a-i I

i TonunYst 24,I992.

.-k4 % J_% 1h.

PHOTO RESEARCH 1

l' Div. Ko11morgen ( k poretion i

License No. 2189-70-G( -

Karoly I. Fenyvesi a

g Radiation Safety Officer kr. "OS6ph k'arbuS cc:

i Health Physicist

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Radiological Health Dept.

1 2615 So.' Grand Ave.. Room 608 Los Angeles. CA 90007 i

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i REPORT.OF RAD.I_OACTIVE_ MATERIAL. TRANSFERS TO:

State of. California Department of Health Services Radiologic Health Section i

1232 "O"

Street Sacramento, CA 95814 ATTENTI0N:

Mr. Ben Copell, Director of Rules and Records j

1 This report covers the ti ep i

from_

$/

up to and including the day of 80 INI w h'e n, Radioactive materials were transferred 'f'rcxn the' Licensee indicated below to recipients of Photo Research's products.

Due to the fact that some of our products are manufactured for and shipped directly or indirectly to U.S.

Government (DOD) agencies, and because of the confidentiality of these orders, it may be damaging to our business to distribute by anyone these records to any unauthorized person or organization i

requesting them.

Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C.

552 [b] [4]) and 10 CFR 9.5

[a] [4] of the Commission's regulations.

As it is required in the Radioactive Material License (page 3 of 3) indicated below, we are submitting this report to you Nith the understanding that you will withhold it from Public Disclosure because it may contain confidential (proprietary) business or sensitive U.S.

Government information.

i y2.y-.-hm,mur s

Odoher 9,199/

Date PHOTO RESEARCH Div. Ko11morgen borporation License No. 2189 70;GL l

Karoly I.

Fenyvesi l

Radiation Safety Officer M Db YQ d Q4.

cc:

Health Physicist Radiological Health Dept.

2615 So, Grand Ave., Room 608 Los Angeles, CA 90007 l

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I REPORT _OF_RADIOAC_TIVE_(1AJERIAL_. TRANSFERS ETO:

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ATTENTION:

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it may be' damaging to our business to distribute by anyone i

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552 [b] [43)~and 10 CFR 9.5

[a] [4] of the Commission's regulations..

1 As it.is required in the Radioactive Material License (page 3 of 3) indicated below, we are submitting this report to you

.with the understanding that you will withhold it from Public Disclosure because it may contain confidential (proprietary) business or sensitive U.S.

Government information.

.'Tuly 19,1991 y2.y 41muulu.

o Date PHOTO RESEARCN Div. Kollmorgen Corporation License No. 2189-70-GL Karoly I.

Fenyvesi Radiation Safety Officer NT. TOSeph arbLM.

cc:

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1232L"Q" Street i

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.i ATTENTION:

Mr. Ben Copell, Director-of Rules and-Records f

Nr,_NEN0._ Ep U

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[

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' Exemption ~4 of the FOIA (5 U.S.C. 552 [b] [43) and 10 CFR 9.5

[a]-[4]-of the Commission's regulations.

i As it~is required in the Radioactive Material _ License (page 3

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L 5 -PERIODIC RECORD OF TFE RADIOACTIVE SOURCE DISTRIBUTIONS. i' ' ] ', . Type of device: CARBON-14,-Mc.lel RCT-41-08, Light' Sources' Type of radiation BETA-- RADIOACTIVE QUANTITIES THIS SOURCE'IS USED THIS PRODUCT WAS SHIPPED TO: ~ SOURCE ~ 'of BACO - 'IN PRODUCT. 3 S/N. Amount CONTAINED Mode 1#- ' Serial #' NAME' ADDRESS DATE 869 fe % Hicro-Ci PR-ITo C-I680 - Pholo sys4 ems }4illan'o, Holy. 12 9 0 3 crlo i 50 PR-I Coo C -l 672- %'cron lechnitpues Dors eh, Ehcylancl. 12 -ty -90 ,a 889 i So PR-n9 Bob D-2519 TTT Eleclr-oghics Roanoke ; \\/A - I2 -I4 '10 893: So PR-l9 BOA D -25^to ANA ~Traclu'n9 Los Ancyeles, CA-Iz-I7-90 n a 8 83 Co P R-lCoo C-1677: General Elec3ric. Burlin9+co, +fA. 12 -zo-90 n 876> l. Co PR-l5~oo C.-l678 deneral. Eleciric. Bur 1 'n9+on, F/A. t2-20-90 ct ou PR -I Coo C-l679 General.Elecfric 872-L Co .Burlin9 c>n, RA. gg-2o.go 4 o i go L co u 1 .ro J go n 1. .co a u d go n in 7 { f go a ut d-fo .i t ' t. 9 I o II el C. hh ,f a B.. Page 2 of

t o I REP _ ORT OF RADIOAC_TJYK._t1A_TERIAL Tf(ANSEERS TO: State of California Department of Health Services Radiologic Health Section 1232 "Q" Street Sacramento, CA 95814 ATTENTION: Mr. Ben Copell, Director of Rules and Records This report covers the time p riod from up to and including the day of S fD .IOi~lS%D " when, Radioactive materials were transferred f'om the Licensee indicated below r to recipients of Photo Research's p'roducts. Due to the fact that some of our products are manufactured for and shipped directly or indirectly to U.S. Government (DOD) agencies, and because of the confidentiality of these orders, it may be damaging to our business to distribute by anyone these records to any unauthorized person or organization requesting them. Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C. 552 [b] [43) and 10 CFR 9.5 [a] [4] of the Commission's regulations. As it is required in the Radioactive Material License (page 3 of 3) indicated below, we are submitting this report to you with the understanding that you will withhold it from Public Disclosure because it may contain confidential (proprietary) business or sensitive U.S. Government information. i Q CtOer 3,1%O OSA t.Wl Date PHOTO RESdgRCH Div. Kollmorgen Corporation License No. 2189-70-GL Karoly I. Fenyvesi Radiation Safety Officer OS$O T cc: Health Phy'sicist Radiological Health Dept. 2615 So. Grand Ave., Room 6ud Los Angeles, CA 90007 i-

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J f BKP_OR_T OF RADIOAClIVE MATERIAL TRANSFERS TO: State of Californie . Department of Health Services Radiologic Health Section 1232 "O" Street Sacramento, CA 95814 ATTENTION: Mr. Ben Copell, Director of Rules and Records This report covers the time period from bTf'd,3 O [up to and including the day of Tune 3OF/WO! when, Radioactive materials were transferredffrom the Licensee indicated below ] to recipients of Photo Research's products. Due to the fact that some of our products are manufactured for j and shipped directly or indirectly to U.S. G)vernment (DOD) s agencies, and because of the confidentiality of these orders, it may be damaging.to our business to distribute by anyone these records to any unauthorized person or organization requesting them. j i Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C. 552 [b] [43) and 10 CFR 9.5. [e] [4] of the Commission's regulations. As it is required in the Radioactive Material License (page 3 of 3) indicated below, we are submitting this report to you with the understanding that you will withhold it from Puolic Disclosure because it may contain confidential (proprietary) business or sensitive U.S. Government information. l O '7uIts 3, /990 NO USUllA t. PHOTORESEkRCH Date Div. Kollmgrgen Corporation License No. 2189-70-GL Karoly I. Fenyvesi Radiation Safety Officer

1. YOSeDh WDY~ bus, cc:

Healt6 Physicist Radiological Health Dept. 2615 So. Grand Ave., Room 608 Los Angeles, CA 90007

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PERIODIC RECORD OF THE RADIOACTIVE SOURCE DISTRIBUTIONS. Type of device: CARBON-14. Model RCT-41-08. Light Source, Type of radiation BETA RADIOACTIVE QUANTITIES THIS SOURCE IS USED THIS PRODUCT WAS SHIPPED TO: SOURCE of BACO ODUG. 3 S/N. Amount CONTAINED Mode 1# Serial # NAME ADDRESS DATE c);e f p,_ 52, H{cro-Ci pg-\\q80A D-246d> Evans $suMerlanc} Salf lalce cih, UT og-2s-90 f PR-19BOS S-2462-Seneral Eleclric. }{an}sville, AL. oG-25~-90 923 L Co n PR-I980A D-2470 Kelly A FB - Texas. 06-IS -90 844 1 So a n PP.-19 boa D-2471 Welly AFE. IexOS-06-I 3-9D 842. Sb n PR-I9eOA D-2472. k'elly AFS. t egos c6-13-9C) 847 f Co n PR-19 BOA ~D -2V73 14eily A F3. I exa s c6-13-9c) 643 i 50 u o PR-1980A 'D-2474 y'elly A TQS. - t exa s. c6-03 -90 845 L CO o PR-1980.S s-246I Genero) Elec4ric }{unhsville, AL. 06-18-90 930 L Co a a PR-IgoC> C-I6El Rocliological Servic e Solon DH. 06 9D 838 L GD i PR-t G~oo C-I646 Tos}rumaf 5. A. Paris, +ronce. 06-21-9c) BSD L 50 o PR-IGbo C-I656 cAE-UngTilght s*mula'r; Dingbompk>n, A).Y. os-2I-9c> B46 .l. S~o u o PR-19 BOA D-2467 LTV AircrafF- ~Dollos, IX. c6-2s-90 926 L. Co u o PR-issoAR As-165E w/illiams AFB. v)illibms, AZ. 06-27-90 M 8 54 I Sb n PR-l980A D-2463 Seneral D;nomics Ieme cula, CA - 06-28-9c c ~ 92I L So o a n 't PR-15~oo C-I647 Kelly AFS. I exoS. 06-29-9c> f 863 5~o PR -IG~oo C-1648 deily A F5 IekoS-06-29-90( 849 1 5~O u a PR -IS~oo C-Ib49 delly A Fb. ~~~Te~~x o S, C6-29-90 f ~ B5E S'O u n ? Poo e. E o-f 2

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REPORT OF ~ RADJOACILVE_jiA_T_FRI AL TRANSFERS m TO: State of California Department of Health Services Radiologic Health Section 1232 "O" Street Sacramento, CA 95814 ATTENTION: Mr. Ben Copell, Director of Rules and Records This report covers the tim pe iod from 'l b i up to and including the day of 076 lIn MO. ."when, Radioactive materials were transferred from the Licensee indicated below to recipients of Photo Research's products. Due to the fact that some of our products are manufactured for and shipped directly or indirectly to U.S. Government (DOD) agencies, and because of the confidentiality of these orders, it may be damaging to our business to distribute by anyone these records to any unauthorized person or organization requesting them. Under the NRC and/or FOIA provisions, this report fall within Exemption 4 of the FOIA (5 U.S.C. 552 [b] [43) and 10 CFR 9.5 [a] [4] of the Commission's regulations. As it is required in the Radioactive Material License (page 3 of 3)' indicated below, we are submitting this report to you with the understanding that you will withhold it from Public Disclosure because it may contain confidential (proprietary) business or sensitive U.S. Government information. /br//5/990 de- -hm una 1 Date PHOTO RESI ARCH j Div. Kolltorgen Corporation License No. 2189-70-GL Karoly I. Fenyvesi Radiation Safety Officer %So OT /d5 cc: Health Physicist Radiological Health Dept. 2615 So. Grand Ave., Room 608 Los Angeles, CA 90007

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PERIODIC RECORD OF THE RADIOACTIVE SOURCE DISTRIBUTIONS. Type of device: CARBON-14. Model RCT-41-03. Light Source, Type of radiation BETA RADIOACTIVE QUANTITIES THIS SOURCE IS USED THIS PRODUCT WAS~ SHIPPED TO: i SOURCE of BACO IN PRODUCT. 3 S/N. -Amount-CONTAINED Model# Serial # NAME ADDRESS DATE 795~ {ge So Micro-Ci PR-19eoA D-2435' W y c k k o E a c/ 'n e] 'loktf o, Tojoon. of-ce-90 PR-I960A.D-2395-Tiickn. scien}iFik. .DoyJon, Ohio. ot-11-90 l 733 L-go n PR-li'co c-t624 Calen. VA-2 -680 Aus}in, texas. Ot-le-90 783 L Co .e PR-8980A.D-2441 Azirnu/h Inc. guanul<e, \\/A. ou-te-go '793 L 5~o n PR-Isbo c-I6IB Dep+. of +he Air'%ee tJo. H;qhlonels, CA. 01-26-90 781 1 go n PR-89808 S-2437 li:cicheed M*ssiles Sunnyvale CA-01-26-90 798 L Co n a i h i 'P oen x, AZ. ci-26-90 PR-\\9 BOA D-2433 }/oneywell inc-782 L Co n PR-ISbo c-1620 GeneraI-Eleeiric Burlinq}on, H' ass. OI-i6-90 784 L Go~ o a PR-\\ 5bo C-162I Gen eral Bedric.. Burlinty}on, h'oss. 01-26-90 804 L Co PR-89 BOA D-2425 Dsirarnaf S.A. trance, Europe ol-26-w l 788 i So o n PR-\\980A D -2.43If opfeema En9n. Soligen i Germony Cl-26-% ~194.i 5~o u o PR-1980A.D-2428 CA. of TsroeI > lear foric, Al Y. 01-24-90 l 787 L Co u o + PR-153OhR hs-1630 Alh'ec) Signal b }};n, ore, HD OI-zy -90 7 786 1 5'o n .t PR-1530AR A s-1622. 3c,el.ncy }////fory Widiik k's. 01-25-90 h 790 i ro f n a n .i PR-IToo C-l6I9 Seneral Bec4ric- .Burihq}cn, WA. DI-26'90 { Bo9 L So PR-IssohR As-I627 G>n}rol %duc4s. Grand %irie, Texas 02-14-9 0 y 807 ] 5~o o a PR-IGbo C-l63'1 Suns 4 rand D.C. 1?edmond, WA. 02-23-90 y 805~ L 5'o m P Pooe i of 2 l m. m. -mm u -

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~; yc y UNITE;D fjiTATES o g <E NUCLEAR REGULATORY COMMISSION o WASHINGTON, D.C. 20555 SEP 2 1992 Photo Research Division of Kollmorgan Corporation ATTN: Karoly Fenyvesi Radiation Safety Officer 9330 Desoto Avenue Chadsworth, CA 91311

Dear.Mr. Fenyvesi:

This letter is in reference to your letters dated June 2,

1392, and July 20, 1992, which list transfers made to general licensees.

A review of the reports indicates that the following discrepancies exist: The reports do not contain individuals by name and/or position who may constitute a point of contact between the commission and the general licensee. In addition, the telephsne numbers of these individuals would be appreciated. The reports do not contain the complete address of the general licensees includi*g the street and zip code. Please send the above information for the general licensees i listed in the enclosure to the attention of the undersigned. In addition, please modify your reporting procedures so that future reports include the above information. Your cooperation is appreciated. If you have any questions, please contact me at (301) 504-2689 or Steven Baggett at (301) 504-2542. Sincerely,/ / b ohn W. Lubinski, Mechanical Engineer Sealed Source Safety Section Source Containment and Devices Branch Division of Industrial and Medical Nuclear Safety, NMSS

Enclosure:

As stated cc: Lloyd Bolling, USNRC State Programs Mr. Edgar D. Bailey, California Department of Health 6l'i la il C W dp

-_._ _ _._. _ _..._... _. _.. _. ~ _ ___. _ _ _.. _. _ _ _ _.. ,e&.. w.. En losure i 'NAME . CITY AND STATE DATE SHIPPED Teledyne Lewisburg, IN 02-26-92 Allied-Bendix Teterboro, NJ 02-26-92 Azimuth Inc'- Roanoke, VA 02-28-92

Lucky Goldstar-Englewood Cliffs, NJ 04-02-92 Allied Bendix Teterboro, NJ 04-02-92 Grimes Aerospace Urbana, OH-10-31-91 Marine Corps.

Quantico, VA 11-08-91 Naval Avionics. Indianapolis, IN 11-22-92 Naval Regional. Washington,.D.C. 12-20-91 Radiological S. Inst Solon, OH 07-24-91 Int. Assoc. Chief of Arlington, VA 08-21-91 j Police Smiths Industries Florham Park, NJ 08-21 Fort Belvoir, F.O. Fort.Belvoir, VA 04-05-91 DFC/ Van Nuys Colombus, OH 04-09-91 ' Foster' Air Data Colombus, OH 04-12-91 Hoffman' Engineering Stamford,- CT-05-22-91 i McDonnell-Douglas St. Louis, MO 06-26-91 Astronautics Corp.- Milwaukee, WI 01-08-91 Avery Painesvile, OH 01-16-91 Azimuth Inc.- Roanoke, VA 01-21-91 G.M. Techn. Center-Warren, MI 01-21-91 United Technologies Windsor Locks, CT 02-19 Azimuth, Inc.- Roanoke, VA 03-27-91 Hoffman Engn. Stamford, CT 03-28-91 Control Displays Colmar, PA 11-21-90 O Minalco Thompston, CT 11-27-90 (9 ITT:Electr-Optics-Roanoke, VA 12-14-90 General Electric Burlington, MA 12-20-90

bf 4-t ~ Y ' i - NAME CITY AND STATE DATE SHIPPED Defense-Gen. Supply Richmond, VA 08-17-90 Natl. Med.. Diagnostic Cleveland, OH 08-20-90 E.I. Dupont Co. Wilmington, DE 08-24-90' i Hoffman'Engn. Stamford,-CT 09-04-90 l l Storz' Instr. St. Louis, MO 09-25-90 McDonnell' Douglas St. Louis, MO 09-28-90 Astronautics Milwaukee, WI 09-28-90 t DFC/ Van Nuys Colombus, OH 05-08-90 f Dale Electronics Colombus,'NE 05-16-90 Radiological Service Solon, OH 06-19-90 Techn.' Scientific Dayton, Ohio 01-11-90 Azimuth Inc. Ruanuke, VA 01-18-90 General' Electric Burlington, MA 01-26-90 i Oppenheimer Hursham, PA' 03-21-90 ) i 1 ) l l l t L 1 I + s 4 s I, i i 2

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MAY 2 R 1992 Photo Research Division of Kollmorgan Corporation ATTN: Karoly Fenyvesi Radiation Safety Officer 9330 Desoto Avenue Chadsworth, CA 91311

Dear Mr. Fenyvesi:

This letter is in reference to Photo Research's license 2789-70 GL authorizing distribution of devices to persons who hold a general license under 10 CFR Part 31.5. U.S. Nuclear Regulatory Commission (USNRC) regulations require that you report transfers or lack of transfers of such devices to general licensees under USNRC jurisdiction on a quarterly basis. A check of our files appears to indicate that reports for 1990, 1991 and the 1" quarter of 1992 have not been received by USNRC. Please send copies of the appropriate reports and copies of future reports to the Director of Nuclear Material Safety and Safeguards, U.S. Nuclear Regulatory Commission, Washington, D.C. 20555. Your cooperation is appreciated. If you have any questions, please contact me at (301) 504-2689 or Steven Baggett at (301) 504-2542. Sincerely, ISI John W. Lubinski, Mechanical Engineer Sealed Source Safety Section Source Containment and Devices Branch Division of Industrial and Medical Nuclear Safety, NMSS cc: Lloyd Bolling, USNRC State Programs Mr. Edgar D. Bailey, California Department of Health Distribution: SSSS Staff NMSS r/f SCDB r/f IMNS Central Files FBrown JGlenn OFC: SCDB DATE: 05/28/92 OFFICIAL RECORD COPY PHOTORES. SOL s /0 l l O L *) d "~ Wilull V /i?] ~

MAY-21-1992 06:54 FROM PAD HEALTH BRFt4CH TO 913015042260 P.01 Y s m State of Comornb*awani wePare AvenO f>wartmnt of H+nn Seedm s e Page 1 of 3 _ g, RADIOACTIVE MATERI AL LICENSE Purpuent to the Californie Administatin Code, Title 17, Chapter 6. Subchapter 4. Grouc 2. License"9 of Radioective he teriel. end in wience a on stetervence esJ represerstations heretofore mode by the licensee, e lieeme es hereby is%ed euthorizlne the farmee to resive, use. ocyters, trans%r, or dhood of red loottNe meteriallisted below: and to use such radioact ve meter lal for the purposefs) andet the plaa(si desogsar*g bwow. This kene is subject to allapplicable rules, regulat ons, end orders of the Department of Hvetth So< vices now or herra'ter in effet on:t i to any cond?tions anecsfled in this fictnse. Photo Research Division of

3. Ucense No.

Ns9*70 GL isEhereE[arnended iI Ko11rnorgen Corporation -6#'r*oa d*te - - - -amenament no. 6 3000 North Hollywood Way d- ~ its entirety'

2. Address

Burbank, CA 91505

._ cecut,er 2, 191 A tten t,on: Karoly I. renyvesi Radiation Safety Officer LOS fingelec Co. Deat. of Health Servien 6. Muclide 7. For!t 8. Fonession limit, 14 Ca r bon - 14 A. Seals.d youres;&: (Nucler A. See Condit icr. 11. Eriiation Developrnamts Modsi PCT-41-0E or p I-12te Products Mo<lel 40106-1) j ;f 3o 3#

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Authorized ure: KA)MO rpl 7[ T+. To be used as cocTonents of Phote Research Photw+ters FoMelu 15M M iet IW Series, 19E0 Series, 1990 Stcries, Micro Candela III and Micro Gr hl-IV D listritution to parsons gener ally 1icenced purs;uant to Title 17, G li!ernia Adoinistrative Code, Section 30192(c)(1) or equivalent provisicos of the U. S. Nuclear Pegulatory Coumission or Agreetnent State regulations. 1 i 10. This !icenca is subject to an Annual fee of Aixty (60) dallm c due end payn n M the anniversary of the date of issue of this licence, December 3, 1962. 11 Each device distributed under this licenre shall not contain mora than M -icremrie+ I of Cution-t4, 12. The drtv ice:; 3;,ttFc i z ea f or d i g t g ibut,3 pn ; q.j,j g item ", of thi, liceny .i, t, yny) I M,4 'jeV2C, which at*; .;nufaCLUrvd undGT Fa l i f04 h i !. U vi j O j M I T " Ster ! Al Hunt'c r 0*25-70 on] ?. i ch ar s de:;critM in ebr fol le". f .r_ ) Radiologic Health Section g rm 1551 (S/7*L t 714 P Street,Sacrarnento,CA 95814 n;u

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' $1 Aft C4 CALFORNIA ITH AND WD//M AGENCY Ptt! Wil5 DEPARTMENT OF HEALTH. SERVICES p 714/744 P $NG H PC. BOX 942732 ' N V,b F% . 7 8 h' 5ActAMENTO, CA 94234 7320 (916) 445-0931 AIFESS IULY 10: @l H. 7th Stat P.O. B:x 9032 Smrmnto, CA 904-7320 PLEASE DELIVER THE FOLLOWING Doct#fENT(S) T0: @) ( NAME: a A a l, [g g [,* dO!*[0h-2A(0 FAX NO: YERIFYING NO: 0FFICE: Yo k n FROM: Itadtologic fiealth Branch - Sacramento // ' g, h g [ __ ( M / / 9 L DATE: TIME: [,#6'8 A.H. / P.M. The number of pages being transmitted including this cover sheet are: After transmission is completed: [] Return original to sender, [] Discard original Fax Number: (916) 324-3610, ATSS 8-454-3610 Verification Number: (916) 445-0931, ATSS 8-485-0931 I-TOTR P.05 p p.y t.j,ar.;- s: [. c & 21 ~ " 09M

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