ML20211K869

Corrected Page to Registry of Radioactive Sealed Sources & Devices,Safety Evaluation of Device for Gun Sight Models Series 100-900 & Models RDI111,RBI010,SEC123,CGF003,CGR030, GKF001,GKR010 & SSF002.Certificate:NR-365-D-101-E

ML20211K869
Person / Time
Issue date:	02/20/1996
From:	NRC
To:
Shared Package
ML20211K859	List: ML20211K854 ML20211K869
References
SSD, NUDOCS 9710100059
Download: ML20211K869 (4)

Text

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,. - . - - _ . . . . - - . ~ . . - . - - .- . _ . . . . - . . .

. REGISTRY OF' RADIOACTIVE SEALEDL_ SOURCES-AND DEVICESJ SAFETY, EVALUATION OF DEVICE (CORRECTED-PAGE'- 8/22/97)

.4 NO.: NR-365-D-101-E DATE: February 20, 1996~ PAGE 1 OF 9-DEVICE TYPE:--Gun Sight--

MODELS: -Series-100-900, and Models: RDI111, RBIO10, SIC 123, CGF003, CGR030,-GKF001, GKR010,SSF002,.SSR020,-SWF004,-

SWR 040, CWR041' 4

-MANUFACTURER / DISTRIBUTOR: 21st Century-Technologies (Formerly Innovative Weaponry, Inc.):

2513 E Loop-820 N Fort Worth, TX 76118-6919 >

SEALED' SOURCE MODEL DESIGNATION: Lumitec Models CL/1, S/4, 85-and CL/0, 95/3,3 (See Description section)

SRB Technologies, Inc.

Model PRH-800/G/200 (See Description)

ISOTOPE: MAXIMUM ACTIVITYt Hydrogen-3 90 millicuries.-_(3.33 GBq) per weapon 130. millicuries (1.11- GBq) per source - -

LEAK < TEST FREbOENCL "'Not, Required PRINCIPAL'USEi .(W) Self-Lumiilous. Applications

' CUSTOM DEVICE: YES X NO 971010C059 970822 PDR RC

• SSD PDR a.

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!. PAGE1 NRC FORM 567 U. S. NUCLEAR REGULATORY COMMISSION REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION INSTRUCTiuNS: Send this request AND e copy of all retened letters /W % and drewtngs to: The Seeled Source Safety Section ATTN: CNef, CrWFN Mail Stop 6 H3. Change the License Track #g System milestone to 19 and seeign to reviewer code 14.

NOTE: Re8ain a copy of this request with the applicehon and background files.

/ 'J ) REGION / LOCATION:

Rt.auEspR (4,(k N/ ll R if O llt IV UV HQ

^-

FDCB _

rup4*aNE NuMuER yTE TYPE OF ACTION REQUESTED (Check as +,-o,,i'

'*d' '"< 8 *, SOURCE REVIEW AMENDMENT OF AmxAurp kb NAMEh u k y //f h, 7 REGISTRATION SHEET Mall CCHfROL NUMBER @)

U DEVICE REVIEW NWBER(S)

O 2 /J' 73 LErtrRiAPPUCATION DATE I 4 ICENSE NUMBER (S) CUSTOM REVIEW /JA-8d fO '#-6 cOMMLNT3

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Q D O A/

4 & Ns//P-6ffy

" " FOR SSSE Use um.:

y NUMeERS MJ /// NUMBER ASSIGNED REVIEWER ghfindM/ 4Lw /oo - 9%,q[i;tw gl.'h' ll V DATE RECEIVED 5/ty/97 L, ATE ASSIONED ,

9 L%l99 DATE TO FEES f/1//9y' '

}

TYPE OF ACTION (Indicate the numbeF of each type) l COMMERCIAL DISTRIBUTION (FORMAL) l USt BY A SINGLE APPLICANT (CUSTOM)

SOURCE (9C, DEVICE (9A) SOURCE (90) DEVICE (98)

NEW AMENDMENT

]p V AMENDMENT NEW AMENDMENT

] AMENDMENT NEW NO SAFETY EVALUATION REQUIRED j LICENSING ACTION REQUIRED IF KNOWN -

NO FEES REQUIRED NO j OTHER (Specity)

TOTAL NUMBER OF NOTES REVIEW HOURS NUMBER OF DEFICIENCY LETTERS NUMBER OF DEFICIENCY CALLS FOR BILLING PURf OSES ONLY NAME CHANGE ADDRESS CHANGE STRAM -

ADD TO BILLING J NWCT MO REMOVE FROM BILLING FOR FEE USE ONLY I TW'E OF FEE f FEE CATEGORY

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/ ]9A U 9B 9C U 90 AMOUNT RECEN D gb A j CHECK' N MATANN UPDATED p' f ,f _

AS REQUIRED l

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COMMENTS /

NRC FORM se7 (Ess) -

(*- -

N TO 8888 -

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NRC FOR11 C'1 U.S. NUCLEAR REGULATORY COMMISSION

, ,V

. REQUEST FOR TAXPAYER IDENTIFICATION NUMBER in accordance with the Debt Collection Improvement Act of 1996, you are required to provide your taxpayer identification number. This number may be used to make payments (refunds) or for purposes of collecting and reporting on any delinquent amounts arising out of your relationship with the Federal Govemment.

. Please complete the applicable blocks and fold the card so that this section is inside and the NRC address appears on the outside, Seallt with tape and retum it to the NRC. Thank you for your assistance and cooperation if you have any i questions, please contact us. Our telephone number is (301) 415-7347.

i Indicate the status of your business:

a y CORPORATION CITY / STATE GOVdRNMENT _

INDMDUAL i PARTNERSHIP OTHER (Specify)

FEDERAL GOVERNMENT i

TAXPAYER IDENTIFICATION NUMBER LICENSE NUMBER (S) j L-

% . I O 5 6 b N R h3 6 6 b l D f E l 2 D - 2 3 6 9 81 -

h2 1 E 1

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i SIGNATURE - TAXPAYER REPRESENTATIVE h b .

,: 1 4

1

, UNITED STATES FIRST CLASS Mall

, NUCLEAR REGULATORY COMintSSION POSTAGE AND FEES PAID WASHINGTON DC 20466 0001 USNRC PERMIT NO. G-67 OFFIC'AL BU5sNESS PENALTY FOR PRNATE UsE 8300 l

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[ ~ IE 337 EURANg"

• Nc.s ALBUQUERQUE, N 7

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WD jf -f g7ugygego A g ggga y 94 fST b T Y TECH LOdY=

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-CMD:

,'_ LFDCB REVIEW 970313 MAIL CONTROL NO: 021873 DOCKET NO: 03030266 LICENSE NO: 30-23697-01E NAME: 21ST CENTURY TECHNOLOGIES, INC. REGION: O PROG CODE: 0325I DECOM FIN ASSUR REQD  : N PENDING FEE CATEGORIES: STATUS: 4 FEE CATEGORIES: 3H ACTION TYPE:

REFUSAL TO PAY FEE: N COMMENTS: EXP ATE: 20010531 DATE RECEIVED: 961009 DATE ENTERED: 961015 LAST MILESTONE COMPLETED: 22 DATE: 961018 - - d.e1 -

MILESTONE MILESTONE DATE TICKLER DATE 03 961016 0 07 961016 0 000 000

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