ML20235E174

Certificate of Disposition of Matls:All Matls Procured &/Or Possessed by Licensee Transferred to Monsanto Research Corp on 780807

ML20235E174
Person / Time
Site:	07000310
Issue date:	11/10/1987
From:	Racster C SCHLUMBERGER TECHNOLOGY CORP. (SUBS. OF SCHLUMBERGER
To:
Shared Package
ML20235E160	List: ML20235E158 ML20235E174
References
420363, NUDOCS 8902210242
Download: ML20235E174 (1)

Text

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{l US NUCLEAR REGULATORY COMMIS$10N APPROUED pone 314 ;,

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CERTIFICATE OF DISPOSITION OF MATERIALS iO C R mmwoH.i..

q-l' (All items MUST be completed, plenne print) l uCthsti NAME AND ADoREss uCENst NUMeER

.}.j Schtwnberger Well Services, A Division of SNM-287 1

Schtwnberger Technology Corporation oc,N,,,,,,,,,,DN D,T, i{

P. O. Box 2175 l'31~88 Houston, Texas 77252-2175 THE LICENSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON BEHALF OF THE LICENSEE CERTIFIES THAT: (Check aruf/prcarripdede the j

sopropnore itemis) below.)

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}f A. MATERIALS DATA (Che;A one and campiere, as nsessusryl

] 1. NO MATERIALS HAVE EVER BEEN POSSESSED OR PROCURED BY THE LICENSEE UNDER THIS LICENSE.

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2. ALL MATERLALS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMBER CITED ABOVE HAVE BEEN TRANSFE

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DAff TD ManAnntn RoAonnes ennnanntinn on or before WHICH HA8 NRC uCENSE NUMBER 8-7-78 SNM-567 1

eer AND ALL MATERIALS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMBER CITED ABOVE HAVE BEEN TRANSFERRED

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DATE

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i on o>t before Nuctcar Sources & Services. 7nc.

WHICH HAS LICENSE NUMBER l1$80ED BY THE ST ATE 08 l

8-1811 Texas AN AGHliEMENT STATE PURSUANT TO SECTION 274 OF THE ATOMIC ENERGY ACT OF 1964, AS AMENDED, AND THE ENERGY REORGANIZATION ACT OF 1974.

OR MATE RIALS HAVE BEEN DISPOSED OF IN THE FOLLOWING MANNE R. (Describe mec/fic drapass/praerAires-if additions / pace is,nseded, use the reverse of

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thus form, or provkie ortschments)

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/ 1. OUR LICEhSE HAS NOT YET EXPIRED; PLEASE TERMINATE IT. '2. WAS A RADIATION SURVEY CONDUCTED TO CO

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_CpTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSE 7 (Check one)

V NO 8902210242 871215 YES. THE RESULTS (Chwk on,,

REG 4 LIC70

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2 ARE A1T ACHED. OR SNM-0287 PNV

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WERE FORWARDED TO NRC ON (Dere) 3.

THE PERSON TO BE CONTACTED REGARDING THE INFORMATION PROVIDED ON THIS FORM l TELEPHONE NUM8ER NAME C. E. Racster 713-928-4227 4-Hall ALL FUTURE CORRESPONDENCE REGARDING THIS LICENSE TO C. E. Racstch, Radiation Safcht Of ficer, Schtwnberacr Weit Services, y

P. O. Box 2175, Houston, Texas 77252-2175 CERTIFYING OFFICIAL RETURN TO j

SIGNATURE DATE DIRECTOR DIVISION OF FUEL CYCLE AND MATERIAL SAFETY

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OFFICE OF NUCLE AR MATE RIAL SAF ETY AND SAFEGUARDS f

U S. NUCLE AR REGULATORY COMMISSION PRINTQM AND UTLE

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WASHINGTON, DC 2D555 C/E. Racster, Radiation Safets{ Officer NRC Form 314 (11421 i

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