ML20207R664
| ML20207R664 | |
| Person / Time | |
|---|---|
| Site: | 07003024 |
| Issue date: | 09/24/1986 |
| From: | Holmes C INTERIOR, DEPT. OF, GEOLOGICAL SURVEY |
| To: | |
| Shared Package | |
| ML20207R663 | List: |
| References | |
| 461381, NUDOCS 8703180004 | |
| Download: ML20207R664 (1) | |
Text
Fwe 314 U.S. NUCLEAR REGULATORY COMMISSION APPROVE S 10 CFR 30.364dH1Hw)
E XPtR ES 12 31-88 to C,FR 40 47tdH1Hivl u C R m3='""*'
CERTIFICATE OF DISPOSITION OF MATERIALS hcNIEkpkb (Att i uCENSEE NAME AND ADORE 55 i
LICENSE NUMsER United States Dept. of Interior Geological Survey
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FEBI0G8l SNM-1955 Oflice of Marine Geology
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g uCENsE ExPiR ArioN DATE P.O. Box 6732 1-Corpus Christi, TX 78411 July 31, 1990 THE LICENSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON BEHALF OF THE LICENSEE CERTIFIES THAT:(Check and/orcomplete the spropriate item (s) below.)
A. MATERI ALS DATA (Check one and complete, as neceassey)
] 1. NO MATERIALS HAVE EVER BEEN POSSESSED OR PROCURED BY THE LICENSEE UNDER THIS LICENSE.
- 2. ALL MATERIALS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMBER CITED ABOVE HAVE BEEN TRANSFERRED ON
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Barney J. Szabo. Branch of Isotooe Geoloav 77
'N 9-12-86 Bldg. 15, Denver Federal Center
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MS 424. Denver. CO 80225 GC^ w ^,P
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] 3. ALL MATERIALS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMBER DATE TO WHICH HA$ LICENSE NUMBER lIs$UED BY THE STATE OF AN AGREEMENT STATE PURSUANT TO SECTION 274 OF THE ATOMIC ENERGY ACT OF 1954, AS AMENDED, AND THE ENERGY REORGANIZATION OR ACT OF 1974.
] 4.
MATERIALS HAVE BEEN DISPOSED OF IN THE FOLLOWING MANNER. (Describe wecifs diwosaIprocedures-if additional pace is needed, use the reverse of this form, or provide artachments)
B. OTHER DATA
- 1. OUR LICENSE HAS NOT YET EXPIRED; PLEASE TERMINATE IT.
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- 2. WAS A RADIATION SURVEY CONDUCTED TO CONFIRM THE ABSENCE OF LICENSED RADIOACTIVE MATERIALS AND TO DETEAMING
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_ CONTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSE? (05ece one)h*,h V,
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YES. THE RESULTS (Check one) 3 s
ARE ATTACHED, OR
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WERE FORWARDED TO NRC ON (Dete) 3.
THE PERSON TO BE CONTACTED REGARDING THE INFORMATION PROVIDED ON THIS FORM l TELEPHONE NUMBER NAME Charles W. Holmes P.O.25046,DFC,MS972, Denver,CO 80225 FTS 236-7748 4.
Mall ALL FUTURE CORRESPONDENCE REGARDING THIS LICENSE TO Same as above 8703180004 870218
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REG 4 LIC70 ThYING OFFICIAL RETURN TO.
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lDATE SIGNAT E DIRECTOR. OlVISION OF FUEL CYCLE AND MATERIAL SAFETY OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS fg -
g U.S. NUCLE AR REGULATORY COMMISSION MeasprM [E
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WASHINGTON. DC 20555 Charles W. Holmes Geologist NRC Form 314 0 1 821