ML20211B125
| ML20211B125 | |
| Person / Time | |
|---|---|
| Site: | 07000893 |
| Issue date: | 09/16/1997 |
| From: | Bowie R FLORIDA INSTITUTE OF TECHNOLOGY, MELBOURNE, FL |
| To: | |
| Shared Package | |
| ML20211B114 | List: |
| References | |
| NUDOCS 9709250068 | |
| Download: ML20211B125 (3) | |
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NRJ FORM 314 U.S. NUCLE.AR REGULATORY COMMISSION APPR Vto sv oms: ILo, 3160 co2s txPIRts; os/sotee is.$8) 10 Cfe 30,36(e1(l)(tv) isfiw1t0 Steele Pte littPenal it tes#tt wfu ims inasseatut wg,eMfile tettstitee
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INST 8tVCT60NS: ALL ITEMS MUST BE COMPLETtD - PRINT OR TYPg coesist en IPessen 400 4 Pressu e est emme to usroes 14. a tautnas y wometim um n aman i cumanutop ps tema ediNHL CEND THE c0MPLEftD C[pflPli.;ATI TO THE NRC OFFICE SPECIFit0 ON THE REVERSt 4th;.u haur Ana Apuu s,.
J.th u w ustn Florida Institute of Technology SNM-844 150 W. University Boulevard Melbourne. FL 32901-6988 Jtincrtirn m.uan J
September 30, 1997 j
A, MATERIALS DAT A ICheck one and complete *s huessary)
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l THE LICLNSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON SEHALF OF THE LICENSEE CERTIFIES THAT (Check and/or complete the oppropriate itemts) beksw.)
]1. NO MATERIALS HAVE EVER BEEN PROCURED OR POSSESSED BY THE LICENSEE UNDER THIS LICENSE.
]2. ALL ACTIVITIES AUTHORIZED BY THE LICENSE HAVE CEASED AND ALL MATERIAL $ PROCURED AND/OR PO LICENSE NUMBER CITED ABOVE HAVE BEEN DISPOSED OF IN THE FOLLOWi'JG MANNER (// additsons/ space is needed, use the reverse node of provode ettschments.1 Describe specific material trenefer actione end,if there were radioactive westes generated m terminetmg thse license, the d<spoest actsuno mcludery te.e disposition of low level radioactive weste, rened weste Oreeter ttion-Close C weste, end sealed sources, sf apphceblo.
For trenef ore, specify the dele of the trenefer, the name of the hcense recipient, and the recipient's NRC heense number or Agreement litato name and license number, l.
U235 was shipped to Lockheed Martin Energy Systems Y-12 Plant at Oak Ridge. TN on March 6, 1997, and received on March 10, 1997.
The RIS of the receiver is FZF.
If materiale were disposed of directly by the licensee rather then treneferred to another licensee, licensed disposal site or weste contractor, desenbe the specifsc disposal procedures e J., decayin storspel 2.
(from above)
The Pabe neutron source was shipped to Los Almos National Laboratory Los Almos. NM on September 18, 1995, and received on September 26. 1995.
The RIS of the receiver is AUA.
B. OTHER DAT A
]1. OUR LICENSE HAS NOT YET EXPlRED; PLEASE TERMINATE IT.
- 2. A RADIATION SURVEY WAS CONDUCTED BY THE LICENSEE TO CONFIRM THE ABSENCE OF LICENSED RADIOACTIVE MATERIALS AND TO DETERMINE WHETHER ANY CONTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSE. (ChecA onel
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THE PERSON TO BE CONTACTED
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REGARDINO THE INFORMATION Rong-Sheng Jin (407) 674-7247 PROVIDED ON hilS FORM g
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- 4. MAIL ALL f:UTURE CORRESPONDENCE REGARDING THIS LietNSE TO Dr. Rong-Sheng Jin, Department of Physics and Space Sciences
- ['s Florida institute of Technology, 150 W. University Boulevard Melbourne. FL 32901-6988
. sh.C CERTIFYING OFFICIAL Lh I CERTIFY UNDER PENALTY OF PERJURY THAT TH3 FOREGOING 15 TP'IE AND CORRECT
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[q 7 Financial Affairs WARNING: FALSL ST AILMENTS IN THIS CLRTIFICATL MAY BE SUBJECT TO
NRC REGULATIONS REQUlhE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS. 18 U.S.C.
SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF 1HE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTIONS.
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FIL4 CERTIFICATES AS FOLLOWS:
IF YOU ARE LOCATED iJr O YOU Amt A D18TRISUf on DF EXEMPT PRODUCTS, SEND TOI ILilN068, INDIANA. IOWA, MICHIQAN, MINNESOTA, MISSOURl, OH60, OR Wl8CONSIN, SEND APPLICATIONS To Ofvisl0N OF INOVSTRIAL ANO MEDICAL NUCLEAR SAFETY OPPICE o NVCLEAR MAftRIAL SAffTY AND SAFt0VARDS MATERIALS LtCENSING SECTiON U.S. NUCLE AR REQULATORY COMM18 SIC 1 U S NUCLEAR REGULATORY COMMISSCN. Rt010N til W ASHING TON, DC 20656 4001 201 WARRENVILLI MOAD LISLt. IL 00632-43b t c
ALL OTHERS,IF YOU ARE LOCATED IN:
ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, CONNECTICUT, DSLAWARE, DISTRICT OF COLUMSIA, M AINE*
HAWAll, lOAHO, KANSAS LOUISLANA, MONT ANA, NESRASKA, MARYLAND, MASSACHUSETTS, NEW HAMPSH6RE, NEW NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA.
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'J S NU LEAR REOULATORY COMMISSION, Rtol0N i U.S. NUCLEAR Ml0VLATORY COMMISSION, REGION IV 611 RYAN PLAZA DRIVE, SVITE 400 EING OF PRUSSIA, PA 19406 1416 ARLINGTON, TX 70011 8004 ALASAMA, FLORf3 A, GEORotA, KENTUCKY, MISSISSIPPl, NORTH CAROLIN.'.. PUERTO RICO, SOUTH CAROLINA.
TENNSSSEE, VIRotNIA, VIRGIN 18 LANDS, OR WEST VIRolNLA.
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Fhrida Det.1 ment of Phpics and Space Sciences Badiation Survey Report Date: Sept. 15,1997 Place: Room B 2, Crawford Science Bldg.
Time:10:4010:55 AM The radiation survey was performed with a portable survey meter PSM 700, EON Corporation.
Graphite moderator Empty dr m (Pu-Be Empty dr l
Plastic mock up (U) s%
Door Fig.1 Equpment layout in Room B 1, Crawford Science Bldg.
Readings were taken next to the walls of the old containers, graphic moderator, plastic mock up, and inside the containers (see Fig.1).The readings are negligible; most readings are less than 0.01 mR/hr. Occasionally, the readings may reach 0.03 mR/hr.
Florida Institute of'Ibchnology 150 ht Unnenity Doules ani, Meltuurne, fl. 329014#75 * (407) 768-8000, est. SW8
- Fat (407) 984-8461