ML20212E620

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Matls Licensing Package for Amend 24 to License 50-14102-01 for State of Alaska.Control:572512
ML20212E620
Person / Time
Site: 03007710
Issue date: 10/16/1997
From: Prange B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
References
50-14102-01, 50-14102-1, 572512, NUDOCS 9711040004
Download: ML20212E620 (34)
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See also: IR 05000141/2002001

Text

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$j specified in section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regul %m Nuclear Regulatory Commiulon now or hereafter in effect and to any conditions spc6fied below, f e I s vI

Licen ce $j in accordance with letter dated h [1 ' May 28, 1997 $ I State of Alaska L License Nmnber 50-14102-01 is amended in ?l ji Dept. of Transportation & Pubile fac. Its entirety to read as follows: { . k 2- E Headquarters Materials {{l 5800 E. Tudor Road

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July 31, 2001 % Anchorage, Alaska 99507-1225 3. poetet or $ ji Reference No. 030-07710 _[ $ 6. Ilyproduct, Source, and/or 7. Chemical and/or Physical 8. Masimum Amount that Lice..see !2 lg Special Nuclear Material Form May Possess at Any One Time li g Under This License g h A. Cesium-137 A. Scaled tources A. Not to exceed 10 gl s (Troxle" Dwg. A- millicuries per gl 4 102112) source 6) 5 1 B. Americium-241 B. Sealed r,autron B. Not to exceed 50 % Yi sources (Troxler mil 11 curies per )p I Dwg. A-102451), source l C. Americium-241 C. Sealed neutron C. Not to exceed 330 jl l sources (Troxler millicuries per (l lj Dwg. No. A-100337, source (I j j Revision B) { l D. Americium-241 D. Sealed sources D. Not to exceed 100 ?! ! (Troxler Dwg. millicuries per [ l No.A-100608) source g E. Cesium-137 E. Sealed sources E. Not to exceed 10 il ll i (Campbell Pacific millicuries per p

Nuclear Model CPN- source -( j 131) g i F. Americium-241 F. Sealed neutron F. Not to exceed 50 ?l I sources (Campbell millicuriespe[ ll ! Pacific Nuclear source p y ! Model CPN-131) [ t i G. Americium-241 G. Sealed neutron G. Not to exceed 0 (m l i sources (Campbell millicuries per g j Pacific Nuclear source pl j Model CPN-131), y i E! l $! .iA. $l \\ 9711040004 971016 i l a PDR ADCCK 03007710 I2

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l NRC FORM 374A U.S. NUCLEAR RE!ULAToRY Commission 0 PAGE OF PAMS "'**T514102-01 E . 4 MATERI ALS LICENSE weia gyrgygr i SUPPLEMENTARY SHEET g; Amendment No. 24 E E E 4 H. Cesium-137 H. Sealed sources H. hot to exceed 11 g Humboldt millicuries per g / Scientific, Inc. source g ( Dwg. No. 220064 g ! $ I. Americium-241 1. Sealed sources I. Not to exceed 44 E $ Humboldt millicuries per E' ' ( Scientific, Inc. source E . ' % Dwg. No 220067 E f E / J. Californium-252 J. Sealed neutron J. Not to exceed 66 g ( sources Troxler micro:.uries per y Dwg. No. 105560 source g K. Californium-252 K. Sealed neutron K. Not to exceed 100 E soucts Troxler microcuries per E Dwg. No. 105862 source g 9. Authorized use E $ A. Fnr use in Troxler Model 4545 or Model 4640 to aeasure properties of materials. E e E N A and B. For use in Troxler Model 3400 Series Moisture-Density gauges to measure E properties of construction materials. E E 4 C. For use in Troxler Model 2226 or 3241 gauges to measure asphalt content of E ( construction materials. E t E l D. For use in Troxler Model 3241 Series-gauges to measure asphalt content of E construction materials. E

E E. and F. For use in Campbell Pacific Nuclear Model MC Series gauges to measure E properties of construction materials. E E G. For use in Campbell Pacific Nuclear Model AC-2 gauges to measure properties of g construction materials. E E H. and I. For uso in humboldt Scientific, Inc. Model 5001 series gauges to measure y properties of construction materials. g E ' J. For use in Troxler Model'3400 series gauges to measure the properties of g; materials, ll g n! K. For use in Troxler Model 3242 asphalt content gauges to measure properties of gl E q l g construction materials, gl 4 El s k n hl n V n W XKWMUC#C4@ m m_m m m mM mi'@799MMY@7!O!Egirgcq@Xgrimcm m m m my

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% N 4 12. (Continued) 4 N N , N D. Sealed siurces need not be leak tested If: N N N N (1) they contain only hydrogon-3; or i M E ( (ii) they contain only a radioactive gas; or 0 W W ( (iii) the half-life of the isotope is 30 days or less; or N N N N (iv) they contain not more than 100 microcuries of beta and/or gauma u W emitting material or not more than 10 microcuries of alpha emitting n material; or y N W (v) they are not designed to emit al Aa particles, are in storage, and are g W not being used. However, when t1ey are removed from storage for use or a f transferred to another person, and have not been tested within the g g required leak test interval, they shall be tested before use or g W transfer. No sealed source or detec- 3r cell shall be stored for a y W period of more than 10 years without being tested for leakage and/or g g contamination. g . k E y E. The leak test shall be capable of detecting the presence of 0.005 microcurie y ( of radioactive material on the test sample. If the test reveals the g g presence of 0.005 microcurie or more of removable contamination, a report g y shall be filed with the U.S. Nuclear Regulatory Commission in accordance y g with 10 CFM 30.50(b)(2), and the source shall be removed immediately from y g service and decontaminated, repaired, or disposed of in accordance with y g Commission regulations. The report shall be filed within 5 days of the date y the leak test result is known with the U.S. Nuclear Regulatory Commission, y y Region IV, 611 Ryan Plaza Drive, Suite 400, Arlington, Texas 76011, ATTN: y y Director, Divnion of Nuclear Materials Safety. The report shall specify l the source involved, the test results, and corrective action taken, , y N E F. The licensee is authorized to collect leak test samples for analysis by E Troxler Electronics Laboratory or Microtec Services. Alternatively, tests N ll E for leakage and/or contamination may be performed by persons specifically j licensed by the Commission or an Agreement State to perform such services. l 4 13. Scaled sources or detector cells containing licensed material shall not be opened E l or sources removed from source holders by the licensee. N 14. The licenste shall conduct a physical inventor,y every 6 months to account for all El E sources and/or devices received and possessed under the license. % 1: n 1 , 3

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5 6 f ,N FORM 374A U.S. NUCLE AR REOuLAfoRY COMMis&loN PAGE y pet, !' """t?'14102-01 N , 4 4 1 MATERI ALS LICENSE tew ggy q > I SUPPLEMENTARY SHEET g I Amendment No. 24 8 j N _ i ( I 4 , ' ! N I I i 15. Each portable gauge shall have a lock or outer locked container designed to N ' prevent unauthorized or accidental removal of the sealed source from its shielded N

position. The gauge or its container must be locked when in transport, storage, N I or when not under the direct surveillance of an authorized user. N J l N 4 . l 16. Except for maintaining labeling as required by 10 CFR Part 20 or 71, the licensee N

l shall obtain authorization from NRC before making any changes in the sealed u l source, device, or source-device combination that would alter the description or u ! specifications as indicated in the respective Certificates of Registration issued I

either by the Commission persuant to 10 CTR 32.210 or by an Agreement State. I

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! 17. The licensee may remove the source rod from portable gauges for the purposes of a I cleaning, maintenanc9, or repair of the gauge (s) in accurdance with procedures a !

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18. The licensee is authorized to transport licensed material only in accordance with g i l the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive g

Material." g i ! N l 19. The licensee shall not use scaled sources or probes containing sealed sources at g j l depths exceeding 3 feet below the surface, g ' N ! l 20. In addition to the possession limits in Item 8, the licensee shall further g i j restrict the possession of licensed material to quantities below the minimum g , ' limit specified in 10 CFR 30.35(d) for establishing decommissioning financial y

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g SUPPLEMENTARY 3HEET g N Amendinent No. 24 l ~ 4 E i E t t 21. Except as specifically provided otherwise in this license, che licensee shall

, conduct its program in accordance with the statements, representations, and I ( procedures contained in the documents, including any enclosures, listed below, t N The Nuclear Regulatory Commission's regulationt shall govern unless the t statements, representations, and procedures in the licensee's application and I ' correspondence are more restrictive than the regulations. t I A. Letter dated February 15, 1991

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NRC FORM 577

U.S. NUCLEAR REOULATORY COMMISSION A ,* LICENSE FEE AND DEBT COLLECTION BRANCH x DIVISION OF ACCr - (TING A13 FINANCE ' 4- LICENSE FEE REQUIREMENTS OrFICE OF THE W ' ROLLER ' V U.S. NUCLEAR Rett sLATORY COMMISSION . WASHINGTON, DC 20666 4001 TYPE OF ACTION U NEW LICENSE RENEWAL OF LICENSE STATE OF ALASKA @ AMENDMENT TO LICENSE ._ ATTN: HOWARD JERUE RADIATION SAFETY OFFICER REQUESTED DATE g 5800 E. TUDOR ROAD 5-28-97 ANCHORAGE, AK 99507-1225 LICENSE NUMBER 50-14102-01 CONTROL NUMBER 572512 ATTN: RITA MESSIER, LFARB, T9E10 L APPLICATION FEE DUE II. FEE NOT REOUIRED Your request for a hcensing action is subject to the fee (s)in the category (ies) noted below in accordance with Secten 170 31 of the enclosed Federal Enclosed is Check No. which accompanied your Register notice. Payment of the fee la required prior to the issuanr3 of the request. The fee is not required because: license, renewal, or amendment. dbl APPLICATION l RENEWAL AMENDMENT We tsceived your Check No. in payment of ' 3P s 's s 300.00 the fee. S $ $ i 8 $ i The Licensing staff has informed us that your request is to be _ g g ~ considered as a continuaton of your request dated g S S S , Control No. 5 S 8 Your request was combined, prior to review, with your ~ ' ^ - 3 s g request, Control No. , S $ '~ l$ llL CHECK RETURNED FEE (s) DUE s 300.00 g

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PAYMENT RECEIVED 8 by the bank for: AMOUNT LSE s 300.00 INSUFFICIENT FUNDS ] Your request was received without the prescrtsd apphcaton fee. U ACCOUNT CLOSED _ OTHER I We received your Check No. In the amount of $ Payment of the additional fee noted above is required. MAIL THE RE'rLACEMENT CHECK TO THE ADDRESS LISTED AT THE ] Your request willincrease the scope of your license program. TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL Therefore, your request is subject to the application fee (s) noted above. NUMBER. Refer to Section 170.31 and Footnote 1(d)(2)' IV. LICENSE ISSUED WITHOUT THE REQUIRED FEE ] Your license exp4 red prior to the receipt of your application for renewal. License No. , Amendment No. , issued on Therefore, your request is subject to the application fee (s) noted above. Refer to Section 170.31 and Footnote 1(a). was issued without the required fee being , collected. The fee required is noted in Section i of this form. MAKE PAYMENT OF THE FEE (S) TO THE U.S. NUCLEAR ] The scope of your licensed program was increased. Therefore, your REGULATORY COMMISSION AND MAIL THE PAYMENT TO THE request is subject to the application fee (s) noted in Section 1 of this form. ADDRESS LISTED AT THE TOP OF THIS FORM. IF WE DO NOT Refer to Section 170.31 and Footnote 1(d)(2). RECEIVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM THE DATE LISTED BELOW, WE SHALL ASSUME THAT YOU DO NOT WISH TO PURSUE YOUR APPLICATION AND WILL VotD THIS ] Because of the urgency of your request, the license was issued without _ _ remittance of the prescribed fee noted in Section 1 of this form. ACTION. , f SIGNATURE - L*0ENSE FEE ANALYST LFDCB }glFDCB/ Distributio'n: W/UAF RF ATE REMessier / @W Pending Fee File OC/DAF/SF(LF 3.2)) RITA MESSIER 6/12/97 Y .. .LFA88 R/F (2) Region \\A/(,pg 6-12-97 NRC FORM Sr7 p 95) TNs 1,,rm was electronically produced by Ehte Feoeral Forms inc - _. --

i [% " UNITED STATES t NUCLEAR REIULATORY COMMISSION g- } REGION IV o e i ' %%,,,,,*/ Walnut Creek Field Office 1450 Maria Lane Walnut Creek. California 94596-5368 0CT 161997 State of Alaska Dept. of Transportation and Public Fac. ATTN: Howard J. Jerue Radiation Safety Officer Headquarters Materials 5800 E. Tudor Road Anchorage, Alaska 995071225 SUBJECT: LICENSE AMENDMENT Please find enclosed License No. 50 14102-01. You should review this license carefully and be wre that you understand all conditions. Please note that as part of this amendment, in'accordance with 10 CFR 30.36, effective February ~15,1996, the expiration date of your license has been extended by a period of five years. Your new enk stion date is stated in item 4 of the license, if you have any questions, you may twct the reviewer who signed your license at (510) 975-0250. La should note that License Condition 20. has been added to your license relative to the maximum amount of material you may possess under the license. This licensing action was necessary to preclude you from exceeding possession limits of materials requiring that decommissioning financial assurance be provided. Should you determine that you require possession of materialin excess of 10 CFR 30.35(d) amounts, please notify us regarding an amendment to your license. NRC expects licensees to conduct their programs with meticulous attention to detail and a high standcrd of compliance. Because of the serious consequences to employees and the public which can result from failure to comply with NRC requirements, you must conduct your program involving radioactive materials in accordance with the conditions of your NRC -license, representations made in your license application, and NRC regulations. In particular, note that you must: 1. Operate in accordance with NRC regulations 10 CFR Part 19, "Noticos, Instructions and Reports to Workers: Inspection and investigations," 10 CFR Part 20, " Standards for Protection Against Radiation," and other applicable regulations. 2. Possess radioactive material only in the quantity and form indicated in your license. 3. Use radioactive material ont) for the purpose (s) indicated in your license. 4. Notify NRC in writing of any change in mailing address (no fee required if the location of radioactive material remains the same). - - - _ _ _ - _ _ _ .

-_- _. __ -- . . l 6 . i State of Alaska -2- . 5. Request and obtain written NRC consent before transferring your license or any right thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of control of your license to any person or entity. A transfer of control of your license includes not only a total change of ownership, but also a change in the controlling interest in your company whether it is a corporatii,i, partnership, or other entity, in addition, appropticte license amendments n,,st be requested and obtained for any other planned changes in your facility or program that are contrary to your license or contrary to representations made in your license application, as well as supp'emental correspondence thereto, which are incorporated into your license, A license fee may be charged for the amendments if you are not in a fee- exempt category. 6. Maintain in a single document decommissioning records that have been certified for completeness and accuracy listing all the following items applicable to the license: Onsite areas designated or formerly designated as restricted areas as defined

in 10 CFR 20.3(a)(14) or 20.1003. Onsite areas, other than restricted areas, where radioactive materials in

quantities greater than amounts listed in Appendix C to 10 CFR 20.1001-20.2401 have been used, possessed, or stored. Onsite areas, other than restricted areas, where spills or other unusual

occurrences involving the spread of contamination in and around the f acility, equipment, or site have occurred that required reporting pursuant to 10 CFR 30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures have removed the contamination. Specific locations and radionuclide contents of previous and current burial

areas within the site, excluding radioactive material with half-lives of 10 days or less, depleted uranium used only for shielding or as penetrators in unused , munitions, or sealed sources authorized for use at temporary job sites. Location and description of all contaminated equipment involved in licensed

operations that is to remain onsite after license termination. 7. Submit a complete trewal application with proper fee, or termination request at least 30 days before the expiration date on your license. You will receive a reminder notice approximately 90 days before the expiration date. Possession of radioactive m-terial after your license expires is a violation of NRC regulations. 8. Request termination of your license if you plan to permanently discontinue activities involving radioactive material. ._ _ _ _ _ _ _ _ _

._ _ _ , . State of A!nka J- You will be periodically inspected by NRC. Failure to conduct your program in accordance with NRC regulations, licen;e condition.e, and representations made in your license application and s'spplementui correspondence with NRC will result in enforcement action against you. Th;s could include issuance of a noth'e of violat!on; imposition of a civil penalty; or an order suspending, modifying, or revoking your license as specified in the " General Statcment of Policy and Procedure for NRC Enforcement Actionc" (Enforcement Policy), 60 FR 34381, June 30,1995. Thank you for you cooperation. Sinerely, data. A T Beth A. Prange Sr. Health Physic!st (Licensing) Materials Branch Docket: 030-07710 License. 50-14102-01 Coir.rol: 572512 Enclosures: As stated i

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=l State of Alaska -4- bec: l LFARB, T 9, E 10 WCFO Inspection File , ' Docket File - State of AK (License Only) , . =. . _. O ' s DOCUMENT NAME: - G:\\beth\\S72512 - - To receive copy of document, tr.d6cate in box: "C" = Copy withou enclosures "C" = Copy with enclosures "N" = No copy lRIV:MB lN C:MB / l l l _ BPrange rMap FWenslaws d _ 9W /(,/97 - QBr /97 08/ /97 08/ =/97 08/ /97 . /c, OFFICIAL RECORD COPY l

b a* S[Ce it%j)R a c- 3 -m - 10N> kN(M1 i b b b b 'c?o . . o - S?sgp2 3 DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES 8'* 4g 5800 E. TUDOR ROAD A NCHOR AGE. AlA$k A 99507-1225 ENGINEERING & OPER ATIONS (FA t 2694231) (90?)2694 230 ' September 18,1997 RE: Docket No. 030-07710 License No. 50-14102-01 Control No. 571699 AdditionalInformation U.S. Nuclear Regulatory Commission Region IV 1450 Maria Lane Walnut Creek, CA 94596-5368 Attn.: Beth A. Prange . Dear Mrs. Prange: The additional information you requested on your fax dated August 12,1997 is as follows: 1. Maureen Lee and Russ Surian will not be teaching the Training Course for Portable Gauge Users. 2. Per 10 CFR 20.1101, the Alaska DOT will conduct an annual audit on our Radiation Protection Program. 3. Per 10 CFR 20.1301,10CFR 20.1302 the Alaska DOT will ensure that licensed gauges will be us 3, transported and stored so that the utblic will not receive more than 100 millirems in one year. Please contact me at (907) 269-6246 if you have any questions. Sincerely, ,. . Iloward J. Jerue Statewide Radiation Safety Officer 572512 , _ -__ n

, _ . . . . . _ _ _ _ _ _ . _ _ _ - - _ _ _ .._._ __.___ , e s' - U.S. NUCLEAR REGULAVORY COMMISSION DAYE NRC FORM 386 Vf/2/Q " TIME TELECOPIER TRANSMITTAL &} 5:Bopm l . WARNING: Most facsimile machines produce copies on thermal papef. -TITE image produced is highly unstable and will deteriorate significantly in a few years, Reproduce copies onto plain paper prior to filing as a record. TO

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THIS PAGE + b PAGES = 7 TOTAL OTHER ] ' (Specify) SPECIAL INSTRUCTIONS NeeeC4 y cespC% &nwd'; r% r +Q% 6 Hawan Lee i.)in:11 m doc & f frac rum qut%W"(su Meld

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9aa m w we e C % pY q 16 , & p QD,y Ql ($C & &5, yua w +Mt M +o a 4 puou wW no+ W too~rru/v }y za rsol no.rson . - g. p, i PROBLEMS ' DISPOSITION OF ORIGlf4AL If any problems occur or if you do not recerve all the pages, call: After telecopy has been sent, process the original as requested below. (11none are checked, the original will be disc =?t~') , RETURN TO SENDER CALL AND SENDER WILL PICK UP TELEPHONE DISCARD VERIFIED BY (INITIALS) PROCESSED BY (INITIALS) PRNTED CN RECYCL EQ PRER _ - . - . ..

__ , - _ _ _ __ . . . _ _ _ _ _ . _ _ . __ . _ _ _ _ _. _ ._ ' .. APPENDlx D Criteria for Acceptable Training Courses for Portable Gauge Users COURSE CONTENT 1.5 to 2 hours of radiation safety and regulatory requirements, emphasizing practical subjects

important to safe use of the gauge: radiation vs. contamination; intemal vs. e .temal exposure; ALARA concept; use of time, distance, and shielding to minimize exposure; control and surveillance of gauges; location of sealed source within the portable gauge; inventory; recordkeeping; incidents; licensing and inspection by regulatory agency; need for complete and accurate information; employee protection; deliberate misconduct 1.5 to 2 hours of practical explanation of portable gauge theory and operation; operating, . emergency, maintenance, and transportation procedures, and field training emphasizing _ radiation safety and including test runs of: setting up and making measurements with the gauge, controlling and maintaining surveillance over the portable gauge, performing routine cleaning and lubrication, packaging and transporting the gauge, storing the gauge, and following emergency procedures l COURSE EXAMINATION 25-50 question, c'osed book written test -- 70 percent grade e Emphasis on radiation safety of portable gauge storage, use, scaled source location, - maintenance, and transportation, rather than the theory and art of making portable gauge measurements Review of correct answers to missed questions with prospective gauge user immediately - following the scoring of the test COURSE INSTRUCTOR QUALIFICATIONS F _ Instructor should have either: , 4 Bachelor's degree in a physical or life science or engineering ! e Successful completion of a portable gauge user course

Successful completion of an 8 hour radiation safety course AND

8 hours hands-on experience with portable gauges e OR Successful completion of portable gauge user course e Successful completion of 40 hour radiation safety course; AND . 30 hours of hands-on experience with portable gauges. e Note: Licensees should maintain records of training. Page D-1 NUREG - 1556, Vol.1 4k

. , . . APPENDIX F NOTE: All areas indicated in audit notes may not be applicable to every license and may not l need to be addressed during each audit. Licensee's name: License No. Auditor: Date of Audit Telephone No. (Signature) 1. AUDIT HISTORY f a. Last audit of this location conducted on (date) I b. Were previous audits conducted yearly? /10 CFR 20.1101/ c. Were records of previous audits maintained? /10 CFR 20.2102/ ] d. Were any deficiencies identified during last two audits or two years, whichever is longer? e. Were corrective actions taken? (Look for repeated deficiencies).

2. ORGANIZATION AND SCOPE OF PROGRAM a. If the mailing address or places of use changed, was the license amended? b. If ownership changed or bankruptcy filed, was NRC prior consent obtained or was NRC notified? c. If the RSO was changed, was license amended? Does new RSO meet NRC training requirements? d. If the designated contact person for NRC changed, was NRC noufied? e. Does the license authorize all of the NRC-regulated radionuclides contained in gauges possessed? f. Are the gauges as described in the Scaled Source and Device (SSD) Registration Certificate or Sheet? Have copies of(or access to) SSD Certificates? Have manufacturers' manuals for operation and maintenance? [10 CFR 32.210f g. Are the actual uses of gauges consistent with the authorized uses listed on the license? h. Is RSO fulfilling his/her duties? 3. TRAINING AND INSTRUCTIONS TO WORKERS a. Were all workers who are likely to exc:ed 100 mrem /yr instructed per /10 CFR 19.12f? Refresher training provided, as needed /10 CFR 19.12/7 b. Did each gauge operator attend an approved course prior to using gauges? c. Are training records maintained for each gauge operator? d. Did interviews with operators reveal that they know the emergency procedures? e. Did this audit include observations af operators using the gauge in a field situation? f. Operating gauge? Performing routine cleaning and lubrication? Transporting gauge? Storing gauge? Page F-1 NUREG - 1556, Vol. I b . . _ _ _ _ _ _ _ _ _ _ _ .

v. ,

,. APPENDIX F i 1 g. Did the operator demonstrate safe handling and security during transportation, use and 8 storage? h. HAZMAT training provided as required? /49 CFR 172.700,49 CFR 172.701, CFR 172.702,49 CFR 172.703,49 CFR 172.704] 4. RADIATION SURVEY INSTRUMENTS a. If the licensee possesses its own survey meter, does it meet the NRC's criteria? b. If the licensee does not possess a survey meter, are specific plans made to have one available? c. Is the survey meter needed for non-routine maintenance calibrated as required /10 CFR 20.1501]? d. Are calibration records maintained /10 CFR 20.2103(a)/? 5. GAUGE INVENTORY a. Is a record kept showing the receipt of each gauge? /10 CFR 30.51(a)(1)/ b. Are all gauges received physically inventoried every six months? c. Are records ofinventory results with appropriate information maintained? 6. PERSONNEL RADIATION PROTECTION a. Are AL4RA considerations incorporated into the radiation protection program? 10 CFR 20.1101(b)] ' b. Is documentation kept showing that unmonitored users receive $10% oflimit? 10 CFR 20.1502(a)J c. Did unmonitored users' activities change during the year which could put them over 10% oflimit? d. If yes to c. above, was a new evaluation performed? e. Is external dosimetry required (user receiving >10% oflimit)? And is dosimetry provided tousers? 1) Is the dosimetry supplier NI'L4P approved? /10 CFR 20.1501(c)/ 2) Are the dosimeters exchanged monthly for film badges and at industry recommended frequency for TLDs? 3) Are dosimetry reports reviewed by the RSO when they are received? 4) Are the records NRC Forms or equivalent? /10 CFR 20.2104(d),10 CFR 20.2106(c)/ NRC-4 " Cumulative Occupational Exposure History" completed? . NRC-5 " Occupational Exposure Record for a Monitoring Period" completed?

NUREG - 1556, Vol.1 Page F 2

. ' ArPENDIX F 5) If a worker declared her pregnancy, did licensee comply with 10 CFR 20./2087 Were records kept of embryo / fetus dose per 10 CFR 20.2106(e)? . f. Are records of exposures, surveys, monitoring, and evaluations maintained [10 CFR 20.2102,10 CFR 20. 2103,10 CFR 20. 2106] 7. PUBLIC DOSE Are gauges stored in a manner to keep doses below 100 mrem in a year? a [10 CFR 20.1301(a)(1)] b. Has a survey or evaluation been performed per 10 CFR 20.1501(a)? Have there been any additions or changes to the storage, security, or use of surrounding areas that would necessitate a new survey or evaluation? c. Do unrestricted area radiation levels exceed 2 mrem in any one hour? 10 CFR 2u.1301(a)(2)] d. Are gauges being stored in a manner that would prevent unauthorized use or removal? [10 CFR 20.1801] Records maintained? [10 CFR 20.2103,10 CFR 20.2107] e. 8. OPERATING AND EMERGENCY PROCEDURES a. Have operating and emergency procedures been developed? b. Do they contain the required elements? c. Does each operator have a current copy (telephone numbers) of the operating and d. emergency procedures? e. Did any emergencies occur? If so, and were they handled properly by operator? Were appropriate corrective actions taken? 9. LEAK TESTS a. Was each sealed source leak tested every 6 months or at other prescribed intervals? b. Was the leak test performed as described in correspondence with NRC and according to the license? c. Are records of results retained with the appropriate information included? d. Were any sources found leaking and if yes, was NRC notified? 10. MAINTENANCE OF GAUGES a. Are manufacturer's procedures followed for routine cleaning and lubrication of gauge? b. Does the source or source rod remain attached to the gauge during cleaning? c. Is non-mutine maintenance performed where the source or source rod is detached from the gauge? If yes, was it performed according to license requirements (e.g., extent of Page F-3 NUREG - 1556, Vol.1 A

. -_. . __ . __ __ _ _ _ _ _ _ _ _ . , ,

,. APPENDIX F work, individuals performing the work, procedures, dosimetry, survey instrument, ' compliance with 10 CFR 20.1301 limits)? , 11. TRANSPORTATION ,j a. DOT-7A or other authorized packages used? /49 CFR 173.415,49 CFR 173.416(b)/ b. Package performance test records on file? > c. Special form sources documentation? /49 CFR 173.476(a)/ d. Package has 2 labels (ex. Yellow-II) with TI, Nuclide, Activity, and Harard Class? /49 CFR 172.403,49 CFR 173.441] c. Package properly marked? /49 CFR 172.301,49 CFR 172.304,49 CFR 172.310, . 49 CFR 172.324] ' . f, Package closed and sealed durir.g transport? /49 CFR 173.475(/)/ + , ' g. Shipping papers prepared and used? /49 CFR 172.200(a)/ h. Shipping papers contain proper entries? { Shipping name, Hazard Class, Identification ' Number (UN Number), Total Quantity, Package Type, Nuclide, RQ, Radioactive Material, Physical and Chemical Form, Activity, category oflabel, TI, Shipper's Name, Certification and Signature, Emergency Response Phone Number, Cargo Aircraft Only (if applicable)} /49 CFR 172.200,49 CFR 172.201,49 CFR 172.202,49 CFR 172.203, 49 CFR 172.204,49 CFR 172.604] i. Shipping papers within drivers reach and readily accessible during transport? /49 CFR 177. 817(e)] j. Secured against movement? /49 CFR 177. 834] k. Placarded on vehicle, if needed? /49 CFR 172.504] 1. Proper overpacks, if used? /49 CFR 173.25] m. Any incidents reported to DOT 1l49 CFR 171.15,16] 12. AUDITOR'S INDEPENDENT SURVEY MEASUREMENTS (IF MADE) a. Des: ribe the type, location, and results of measurements. Do any radiation level exceed regulatory limits? 13. NOTIFICATION AND REPORTS a. Was any radioactive material lost or stolen? Were reports made? /10 CFR 20.2201, 10 CFR 30.50] b. Did any reportable ine: dents occur? Were reports made? /10 CFR 20.2202, 10 CFR 30.50] c. Did any overexposures and high radiation levels occur? Reported? /10 CFR 20.2203, 10 CFR 30.50] d. If any events (as described in items a through c above) did occur, what was root cause? Were corrective actions appropriate? Is the licensee aware of telephone number for NRC Emergency Operations Center? e. [(301) 816-5100] NUREG - 1556, Vol.1 Page F-4

, _ _ _ _ ._ . _ __ ._ .__ _ . . _ _ _ ,

,. . , * APPENDIX F 14. POSTING AND LABELING < a. NRC-3 " Notice to Workers" posted? /10 CFR 19.11/ , j b. NRC regs., license documents posted or a notice posted? /10 CFR 19.11,10 CFR 21.6/ \\ c. Other posting and labeling? /10 CFR 20.1902,10 CFR 20.1904/ i 15. RECORD KEEPING FOR DECOMMISSIONING a. Records kept ofinformation important to decommissioning? /10 CFR 30.35(g)/ b. Records include all information outlined in /10 CFR 30.35(g)/? 16. BULLETINS AND INFORMATION NOTICES o. NRC Bulletins, NRC Information Notices, NMSS Newsletters, received? b. Appropriate training and action taken in response? 17.SPECIAL LICENSE CONDITIONS OR ISSUES a. Did auditor review special license conditions or other issues (e.g., non-routine maintenance)? 18. DEFICIENCIES IDENTIFIED IN AUDIT; CORRECTIVE ACTIONS a. Summarize problems / deficiencies identified during audit. b. If problems / deficiencies identified in this audit, describe corrective actions planned or taken. Are corrective actions planned or taken at ALL licensed locations (notjust location audited)? c. Provide any other recommendations for improvement. 19. EVALUATION OF OTHER FACTORS a. Senior licensee management is appropriately involved with the radiation protection program and/or Radiation Safety Officer (RSO) oversight? b. RSO has sufficient time to perform his/her radiation safety duties? c. Licensee has sufficient staff to support the radiation protection program? Page F 5 NUREG - 1556, Vol. I k

l " ,. . F 'tiisTwlicTliKa ~~t awLXf 61iV~c6xxis s 3 oN ~ ~ ~ ~ pats " RrCIoW tv -00f00f00 8//2/p TELEPHONE OR VERBAL CONVERSATION l TIME /0// F RECORD l 90t0@ pin [ ] INCOMING CALL d OUTGOING CALL [ ] VISIT ' PZ'R50!! CALLINGt OTTICE/ADDRES$1 P110NE EUMBER: TERSON CALLED: OTTICE/ ADDRESS TIl0NE NUMEERt he QGaue. %4fAK.,b.0,T- (907) a 69- 6 2 y'f ~ CONVERSATION ' ' " ~ S&nabj g S/2c/c17 SUMMARY - V r9 ry soneu- pnoo - n m" y . 3) tm& n g % H.mk %a; PA,Tx. DsnaM inw4napus-cu g wao /M + appwed prv Cy . f Tlv, have M(Res- 155G , ud. t , W % M vad h r~p69 Y$ VI UN. f. J W C4 fY$ 'p op Q p, wk m. wc4 Icod is ll1%pC T 1

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" , . . _ UTs7VDei.tWa-at6tV~c6xxisC stI '- . RECI6WTV 00/00/00 TELEPHONE OR VERBAL CONVERSATION l TIME i RECORD l 00:00 am/pm ( ) INCOMING CALL [ ] OUTGOING CALL [ ] VISIT FIRSON CALLING: OFFICE / ADDRESS: AIONENUMBER: PERSON CALLED: OFFICE / ADDRESS * FHONE NUMEER: . u CONVERSATION SUBJECT - SUMMARY - 7)ctuNf C M 30 35[d) li N b O m '2'//. - rs Pay 1 =--__ . .,- - - - -... - _ _ . _ . - _ _ . _ _ _ . . _ _ TAKER ACTICI REQUESTED: IIITIALS: DATE: " '*""' 30 ST(d) 1;rQ 4 G:- 252 gQ 73qp ^C'2 ""'"S 4 A m ._3 j l 3 /00C, Cs - 137 10 s M Cc , ciu: (/i2/97 { r.. M W - f s $ . N o Kl h . f H n h %- D .] - A . - .. _. _ _ ___ _ - -- -_. -.-- - - - l - .- - - .l

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UNITED STATES NUCLEAR REGULATORY COMMISSION g REGION IV g j l e = l %,,*..../ Walnut Creek Field Office 1450 Maria lane Walnut Creek, Cahfornia 94596-5368 JUL 0 71997 State of Alaska Department of Transportation and Public Facilities ATTN: Howard K. Jerue Radiation Safety Officer 5800 E. Tudor Road Anchorage, Alaska 99507 1225 SUBJECT: ACKNOWLEDGMENT OF REQUEST FOR LICENSING ACTION REFERENCE: Letter dated Niay 28,1997 We have completed the administrative review and initial processing of your amendment request. Please note that the technical review may identify additional omissions in the submitted information or technical issues that require adoitional information. Amendment actions are normally processed within 90 days, unless the technical review identifies: Major technical deficiencies

Policy issues that require input and coordination with other NRC Regional offices,

Agreement Stats offices, or NRC's Office of Nuclear Materials and Safeguards A copy of your correspondence has been forwarded to our License Fee and Accounts Receivable Branch, Office of the Controller, who will contact you separately if the appropriate license fee has not been submitted for your request, or for billing if your request is subject to full cost recovery. Any correspondence about this application should reference the Control number listed below. Sincerely, 0.ha Beth A. Prange Sr. Health Physicist (Licensing) Materials Branch Docket No. 030-07710 License No. 50 14102-01 Control No. 572512 i _ _ _ _ _ _ _ _ _ _ _ _ _ _ J

.,v l 4 State of Alaska -2- Anchorage, Alaska bec: Docket File , f 4 i , l i

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4 . i i . , G:\\572512.aki- To receive a copy of this document, indicate in the box "C" - Copy without attachment / enclosure "E" - Copy with attachment / enclosure "N" No Copy OFFICE RIV:WCFO:@ d/ J. Garcia /jk B, Prange $f3 NAME 9/ //97 h/ 7 r/ /97 ' DATE J

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, cm u a m - Q tom ANO yttfW4}IR%oR ., A A A A n wero 97JUN-6 AHff!le2 l _ _1 o _a DEPARTMENT OF TRANSPO!!TATION AND PUBLIC FACILITIES sacoE. Tuoan RoAo ANCHORAGE, AtA5KA 9950?1225 ENGINEERING & OPERATIONi (IA% 2694231) (907):694 230 hiay 28,1997 RE: Docket No.mn.n7710 License No. $0-14102-01 Control No.571699 Amendment Request U. S. Nuclear Regulatory Commission Region IV 1450 Maria Lane Walnut Creek, CA 94596-5368 Attn: Beth A. Frange Dear hirs. Prange: Please amend the Alaska Department of Transportation and Public Facilities (DOT /PF) license to indicate the following: Amend Item No. 4: Expiration date to July 31,2001. The DOT /PF received the one time five year extension on our license. Amend item No. 6,7 and 8 by adding the following: ,/ 6. By Product, source 7. Chemical and/or 8. Maximum amount that and/or special nuclear Physical form Licensee may possess at

material any one time under this license , / K. Californium 252 K. Sealed Neutron Sources K. Not to exceed 110 Troxler Dwg. No.105862 microcuries per source Change the total possession limits for sources identified in items A through J to: Cesium 137 = 500 Millicuries total Americium 241 = 5 Curies total Californium 252 = 3.18 Millicuries total D2672 ._ .

_ . _ - _ _ _ _ - _ - _ _ _ - . _ _ _ _ _ _ _ - - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ 4 .. t .; , . . . . ' . ..

, Add the following to item number 9: $ 9. Authorized use K. For use in Troxler Model 3242 gauges to measure asphalt content of construction- materials. ! 4 , Amend Item No.11:- Remove Ted C. Ilarwood, as the Radiation Safety Omcer and add . . Maureer Lee as the Northern Region Radiation Safety Omcer, lier resume is attached, i- Remove James E. Wright, as the Radiation Safety Omcer and add Russ Surian as the Central

Region Radiation Safety Officer. IIis resume is attached. Please contact me at (907) 269 6246 if you have any questions regarding this amendment. Sincerely.

Iloward J. Jerue . Statewide Radiation Safety Omcer 4 a I 2 I- . ! !. . A n ! % i ! , . . . . . ~ - ._-, , _ ,_ , - -- .- , - . - .

r .. .. . . 4 Maureen E. Lee, E.T. 306 Stater Drive. East Fairbanks, Alaska (907)431 2235 PROFESSIONAL EXPERIENCE State of Alaska Department of Transportation & Public Facilities Fairbanks, Alaska Fifteen years of experience in the following positions: Northern Region Materials Lab Supervisor. As the Regional Lab Supervisor, I am in responsible charge of six full time employees, and seasonal part time employees as needed. The lab provides the quality assurance testing for $80 million worth of FeJeral and State funded projec:s annually, The lab has received AASHTO accreditation in the testing areas of liquid asphalt, bituminous mixtures , bituminous mix designs, soil and aggregates, Portland Concrete Cement mix designs and testing. Northern Region Quality Assurance inspector.. Field testing and sampling of construction materials for several construction projects. Review documentation of materials incorporated into Highway, Buildings and Airport construction projects. Ensure materials testing requirements conform to project specifications, State and National testing standards. Review procedural and technical problems with field personnel., familiarize field technicians with test methods and specifications. Supervise and l'.:anage the Construction Materials Lab. The lab provided acceptance materials testing tbr $40 million of Federally funded construction projets. As the lab supervisor, it was n y responsibility to staff the lab with knowledgeable and cepable personnel. I also instructed the technicians, keeping them current in materials testing of soil, aggregates, Portland cement cencrete, asphalt concrete, and asphalt cements according to ASTM, AASHTO and Alaska test methods. Analyze and evaluate testing data, documentation and procedures and recommend corrective actions. Materials Lab Technician. Responsible for performing quality assurance tests on construction materials such as soil and aggregates, oil, asphalt and Portland cement concrete samples. Duties included collecting and calculating raw test data and preparing laboratory test reports. in the construction phase, I tested samples to insure conformance to project specifications. In the design phase, I worked with the regional geologists and designers to determine properties of existing materials in a part cular site. I assisted in creating and " debugging" a computer i program that calculates, reports, sorts, plots graphs and accounts for all tests performed in the Regional Laboratory. . .

- - .. - _ , . - . - . . . ._. .. '. . 4 . . . CERTIFICATIONS N.I.C.E.T. Construction Materials Testing SOILS , N.I.C.E.T. Constrtictk. Materials Testing . ASPilALT NAC.E.T. Co struction Materials Testing CONCRETE j (National Institute of Certified Engineering Technicians) EDUCATION < University 7 Alaska Fairbank<., Alaska 1979 198' 1985,1993 Engineering Science, Advanced Surveying. Computer Sciences Tanar s Valley Community College Fair'.mnks, Alaska 1980-1984,1987,1989 Civil & Architectural Drafting, We%e inshing University Bdlicr' am, Washington 1974 1978 Chemistry, Math, Biology, Geology, Speech, German, Humanities, Communicatisns ASSOCIATIONS Appointed member of the board of governors for N.I.C.E.T.,(National Institute for Certification of Engineering Technicians) representing the Northwestern Region of the United States. Active member in A.S.C.E.T. (The American Society of Certified Engineering Technicians) . &

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HAS SUCCESSFULLY COMPLETED Tile TROXLER ELECTRONIC LABORATORIES. INC. i . TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT. 3 r ! l

' SUBJEGS INCLUDED IN TlllS COURSE WERE AS FOLLOWS: / s 1 1 .: l"'a ))

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4 Radiological Safi tv w i 1. Principles an I practices of radiation 5. Radioactivity measurement standardi:ation i% . = 7 pnotectwn. and monitoring techniques and l Leak testing procedures. . instnunents. ,h

' ! ,' = 3. Afathematics and calculations basic to ' 6. Accident and incident procedures. '$f , T the use and measurement of 7. Proc.duresfor nuclear gauge stontge C' l ' '* radioactivity. and inmsportation. ' ~ l , .> , - Biological <:ffi cts of radiation. 8. General safety precautions. } '* 4. , _ Gauge Openaion ~ ~ g %,l , = L Instnament:thenny ' i

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. ' n' l hv'LW }SPRA6GftS 7 '?? ? , li G ,e5 M I u %~ d3 is e +djj \\ STEWART 1.' /13 /'3 5 WI1,1,1 AM F. TROX LER % ' s% f ' %qn, f;].g. s de + Q* F - .C Instn1Clor Date I'res. dent i. get. "M' i Ii @%y]su[:AM%RdENl1kW% K kni 7Atbn# _ - . - ,. - .. . , . .a9 .

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. .- . , < . Russell Surian, Roving Inspector 11/16/91 to Present: Roving Inspector for the Central Region DOT. Monitoring assigned projects to ensure adequate documentation for materials incorporated therein. Conducting Independent Assurance sampling and testing on assigned projects. On a statewide basis, calibrate, repair and perform leak testing on nuclear gauges. ' , 02/01/79 to 11/16/91: Lab Technician at Central Region Materials Laboratory. Performed all testing of Portland Cement on a statewide basis. Carried out acceptance testing of specialized materials for the State of Alaska Approved Products List. Performed routine testing of aggregates, soils, concrete and bituminous paving mixtures. 06/01/75 to 10/06/78: Highway Engineering Technician. Performed sampling and testing of 2 materiais incorporated into a number of construction projects. Inspected and monitored hot plant operations. Carried out quality control testing of crushed aggregate production. Certifications: 09/28/78 - Troxler Certifate for use of Nuclear Testing Equipment March 1989 - NICET Certified (level II) in Soils, Concrete & Asphalt , 02/27/97 - Troxler Radiation Safety Officer Course

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. y._ .. \\ l 'Tro;t er ' adiation Sa -ety 0 icer Course l{ge;W ff: i .y e w [na$k -[m ...$$h conducted by the training program of , ,.av g y ,. y&.8g .. a a x g([kh \\ 'Tro;t er ' Electronic Laboratories, Inc. l g[fI i D 4N ' %s ji y a'nJw i[~h.a[y g W

. i y -4,b ] a / , su f e]l.:- FRANK D.(/ JONES 2/27/97 WILLIAM F. TROXI.ER i 4 ,). < do"

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+ ' InSITUCIOT DatC PIC$ident ) Y :: % Q # 4 Z 4 N X W % n .A N E 4s* d^ $ X 4 @ ,7j p ., g y _ f kea wei e++mme.m w,. w.xswwwnswkg.ww,w.u.wnas~u.z. . ::=.=um.+wc~ men ,a.m.8-ens.m em.s.ne.i.as+. ._,.e E T4NK > y$f _ , " ~ e ~ ~p gy - _ m _.. e_f , g_ m . y- , ., ~ ,,m . . , ~ . _ r .

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_ _ . -. . . .- . . , , . h i 0 i N N i- > . t i 1 - a . - - 1 M* Osg gCnONIC LA3ORATOgs%

_ . ,\\ N? HEREBY CERTIFIES THAT h ->t,! g .

Russ Surian <0pm.t :r - - S Alaska Dept. ef Transportation [ - < .Ef? (Anchorage] 9 _ HAS SUCCESSFULLY COMPLETED TIIE TROXLER ELECTRONIC LABORATORIES, INC. h TRAINING COURSE FOR TIIE USE OF NUCLEAR TESTING EQUIPMENT. El ,, n L .Qj SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLOWS: j WI i Radiological Safety ? ., e A 1. Principles and practices of radiation S. Radioactivity measurement standardization L. _ ;. protection. and monttortng techntques and g Leak testing procedures. ins tricen ts. 9, ^p- l - o % 3. Flathematies and calculations basic to C. Accident and incident procedures. ?; {y.-Q the use and measurement of 7. Procedurcs for nuclear gauge storage ?] '%: radioactivity. and transportation. ? @~43 4. Biological effects of radiation. 8. General safety precautions. ? - 1 . ! . 9 Gauge Operatton j . 1 1. Instrinent theory 4. Field application % ^> Li 2 -) Operating procedures 5. Gauge calibration f) " .

'

?!ainter Jice E . , '/ ,f ,r 5 M' Sept. 26, 27 & 28, 1978 William T. Troxler ! ' '(

ihSTROCTOR ~ ,

DATE PRES; DENT $ - ' gC 0 6 . s % ,,. ~ . - , ,, .. , . .. .. - -.. ~ ..,~ ~ ~ ~ ,, ,., ; ' .. ~ . .,. . . , - ..,,,... ~ ~ -, . - ~ .. ~ . (b .r, - w ^< }}

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