ML20209G081
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I, N 7 190; W. J. LaGrone, Manager San Francisco Operations Office U. S. Department of Energy 1333 Broadway-liells Fargo Building Oakland, Callfornia 94G12
Dear Mr.' LaGrone:
Enclosed please find the approved NRC Form 445 for W. M. Shay's foreign travel to Japan, from May 9-16, 1981.
Sincerely,
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castNAC s1GNED Bh D' b
- 0. E. Bassett, Director Division of Accident Evaluation Office of fluclear Regulatory Research
Enclosure:
flRC Form 445 DISTR Subj Circ Chron Kosian/rdg Fabic - V J. LaFieur A. Summerour (w/o attach) 8702050267 870120 PDR FOIA f)(pi MURROW85-782 PDR o";cyl. ... .. . .sa .y . .g.
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Nr.C PCEM 318 810 ed NRCM 0240 App l('*l A l pgl"rAQn (ApV
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T U.S. NUCLEAR f.ECULATORY CoMMis$lors NRC FORM 443 g G77) r NncrA 1501 REQUEST FOR APPROVAL OF OFFICIAL FOREIGN TRAVEL l 10. DIRI C10lPS NAML IROM: Cill[F OF BRANCil(Name)
Dr. S. Fabic PROGR AM Of I ICL OR DIVISION BRANCl!
Reactor Safety Division Analysis Develonmant. nRn ROOM NLMHL R ROOM NUMBLR lHUliDING l EXT. ,
[UUILDING 1 A. TR AVEL DATA (To be completed by traveler) 2 DATF OF filRTH 3. PLACE OF BIRTH
- 1. TRAVELER'S NAME - LAST - FIRST - MIDDLE INITIAL MO. l DAY lYR. CITY l STATE lCONRY SHAY, WILLIAM M. JR. 1 13 36 Kansas City MO USA
- 4. IlOME ADDRESS 5. CITIZENSillP 6. PASSPORT NO.(if assilable) 464 Fontonett Ave. USA In Pronress CITY l STATE l ZIP CODE 7. Q CLEARANCE NUMBER lDATE '
Livermore CA 94550 CA-33852 2/27/68
- 9. CONTRACT NUMBER (If apphcable)
- 8. EMPLOYl'R A-0116 Lawrence Livermore National Laboratory
- 10. ORGANIZATIONAL UNIT IOR VISITS TO SOVirT-DLOCK COUNTRIES ONLY ME/ Engineering Sciences Division 11. NRC FORM 290 PURSUANT TO NRCM 2101 (pending lisuance) SUBMITTED
- 13. POSITION TITLE fin,lude proinsson) Y$ 0 Instrumentation Engineer / Mechanical Eng. 7 IF NOT, Wily? #
- 13. BUSINESS ADDRE5s P.O. Box 808, L-342 N/A CITY lSTATL l ZIP CODL Livermore CA 94550
- 14. PROPOSED ITENER ARY - If this information is CL AS$1FIED.be sure to CLAS$1FY THIS FORM appropriately.(Account for all time from
( beyinning through ending datn of trawl)
LOCATION INDIVIDUALS "X" one DATFS (Installation, city, wuntry) TOBE SUBlLCT OF DISCUS $10N CLASSI- UNCLAS CONTACTED riFD Sif FED 5/9-10/81 Travel from San Francisco, CA to Tokyo, Japan X 5/11-1$/81 J/. EPI Facility K. Namatame and Full Scale Mark II X Tokai-Mura, M. Shiba Containment Response Tests Japan 5/16/81 Travel from Tokya, Japan to San Franci sco, CA X
. i PageI j NRC FORM 44$ (6 m PREVIOUS EDITIONS OF THl$ FORM A OBSOLETE AND EXISTING STOCKS SHOULD BE DESTROYE D. ,
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F f 15. Pl'RPOSI Ol IRAVL L. lf this nformation is CLASSil~ LED.be sure to CLASSIFY Tills FORM appropriately.
(If more space is required,attacle on a separate shect)
( n ..dJiten. spc.if) nature and classification of information to be desdosed including titles of papers to be prewnted. nature of information to be obtuned at cash of the plaect to be sisited and conferences to be attended and its relation to traveler's work. (TRAVELERS are RLSPONSIBLE for OBT 4!NING CLL AR ANCLS for papers or speeches u hen necemr).)
Under sponsorship of the Japan Science and Technology Agency (STA), research staff of Reactor Safety Lab 1, Japan Atomic Energy Research Insitute (Tokai Establishment) are I conducting an extensive series of containment safety experiments at the full scale Mark II CRT facility. Under terms of the U.S./STA, Japan agreement, the Lawrence Livermore National Laboratory provides technical liaison to this program for the U.S.
NRC in the form of consultation with CRT staff for purposes of progress in advanced modeling and evaluated data needs of the NRC Mk II Containment long term program.
In particular this trip is required in order for Mr. Shay to provide immediate consultation and assistance regarding preparation and installation of 23 pressure transducers supplied on loan through this liaison by the U.S. NRC for use in the CRT facility tests of FY 81/82. ,
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ALL DISCUSSIONS WILL BE UNCLASSIFIED
- 16. LIST PE RSONS WITH % HO\l PURPOSE OF TRAVEL llAS BEEN COORDIN ATED (include intraoffice as well as other dnissons
( and offices) AND1110St TO BE I;Rif f ED OR RIC0lVE TRIP RLPORTS UPON RETURN.
Edward W. McCauley, Nuclear Test Engineering Division
- 17. LMPLOYr['S SIGN ATURE .
94gfa,4 q. lDATE 4 5l&
6' age 2 HC FOrW 445 (6 7M
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f H. f-Nimitst AfFNTS AND RI Com1FNI)\TIONS(To t.e wmt.ieted bv tuveler's procram oftwiA.)
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( INDORSI.MLN1 AND RLMARKS 'PfRVI[SORfGKl.
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- 19. CONTR ACT T\lPLOYI LS (To be completed by official responsible for supervising activitics'insolved in propowd toreign trasci or other official respuntib!c for approving foreign travel under the terms of the contract)
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FNDORSI MLhT AND RL5iARKS 3ICNATQil.
TITLE DATE:
- 20. Ill ADQUARTI.R'S PROGRAM OFilCl' OR DIVISIO. @
RECOMMLNDATION AND/OR REMARKS St MM
. E. BaSSett Approval granted. TiTLt Director Div. of Accident Evaluation ;
DATE: ggy , , l C. ESTIM ATED COST OF TR AVEL (To be completed b) NRC travel office represent.itive)
- 8308 }
- 21. COST TO NRC 22. COST 10 OTilLR SOURCE (To be com. SIGNATURL pleted if part of cost is to be or has been TIMNSPORTAT10N $ requested from source other than NRC.)
I'ERDIEM AN D SOURCE TITLL 5
\tlSCELL AN TOUS AMOUNT DATI TOTAL 5 g D. CONCURRE NCI S AND/OR REM ARKS (To be completed at NRC licadquarters) !
- 23. 001 ICE Ol' INTf RNATIONAL PROGRAMS {
CONCURRENCES AND/OR REMARKS J SIGNATURE !
TITLI.
DATE ,
- 24. DIVISION OF SECURITY (Soviet block countnes or classified meetinp) NOTE: Compliance with NRCM 2101 (pending issuance) j SIGNATURE J CONCURRENCES AND/OR REMARKS ,
TITLE i
DATE
- 25. OTHER CLEARANCE SIGNATURE i
TITLE If DATE L. IIN Al. ACTION-OFilCE OF TilF EXICUTIVE DIRECTOR FOR OPERATIONS f IORLIGN TR AVEl. AT NRC LXPLNSI. AS OUTLINI D IN PART A,IS: ("x" one) SIGNATURL O APPROVLD D APPROVf D.SUDJFCT TO REMARKS O plSAPPROVED g
- w. AND LIMITATIONS 7 l RLMARKS AND/OR llMITATIONS TITLE DATL ,
P88' 3 ll NRC FOHM 44516 7H
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l f REMARKS:
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i PRIVACY ACT STATEMENT Pursuant to 5 U.S C. 552 ate)(3), enacted into law by section 3 of the Privacy Act of 1974 (Public Law 93 5 79), the following statement is furnished to individuals who supply information to the Nuclear Regufatory Commission on NRC Form 445. This information is maintained in a system of records designated as NRC 20 and described at 40 Federal Register 45341 (October 1, 1975) 1, AUTHORITY 31 U S C. 21,22,24,49,54,66a, and 952,5 U.S C. 5701; Federat Travel Regulations; and Federal Property Management Regulations, Part 1017.
Inf ormation entived on this f oo m is used to secure the required NRC approval for of ficiat
- 2. PRINCIPAL PURPOSE (S) foscign trav l.e 3 ROUTINE USES Info mation on this f orm may be used f or tiansmittal to the State Department to secure passports.
The information may also h.* d4clowd to an appeopriate Ferkrat Sta e, or local agency in the nent the information indi.
cares a veolatino ni potential violation of law and in the coue se of an administrative or judicial proceeding. In addition, this enformation may br teansfeired to an answopriate Federal, State, and local agency to the extent relevant and necessary for an NRC decision or to an approsu sate Fedeiat agency to the entent relevant and necessaty for that agency's decision about you.
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- 4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVIDIN INFORMAflON Disclosure is volunta y. If the empn'sted inf ormation is not piovitted, however, approsai may be denied
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N 5 SYSTEM MANAGER (S) AND ADDRESS Cont r oll. i O'tice of th. Coiniollei U h thici..a. n.wilator s Comm wnn W.I .h n.ji r s s, D C 70rfa5 oroei.n, page 4 NFIC F OHM 445 IG 7H
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