ML20235G704

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Ack Receipt of 830312 Form NRC-241 Re Proposed Activities in State of Nm
ML20235G704
Person / Time
Issue date: 04/07/1983
From: Brown G
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
TESTING LABORATORIES, INC.
Shared Package
ML20235G682 List:
References
NUDOCS 8707140350
Download: ML20235G704 (25)
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Text

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4 UNITED STATES

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t NUCLEAR REGULATORY COMMISSION

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REGION IV k,

8 611 RYAN PLAZA DRIVE SUITE 1000 ARLINGTON, TEXAS 76011 APR 0 71983 Testing Laboratories, Inc.

P. O. Box 1144 504-24th Street, Suite "A" Alamorgordo, NM 88310 Gentlemen:

This will acknowledge receipt of Form NRC-241 dated March' 12, 1983, in which you reported proposed activities in New Mexico.

Your cooperation is appreciated.

Sincerely, Y

yG n Br n, Chief Technical Programs Branch

.8707140350 070701 REG 4 LIC30 PDR

FORM APPROVED BY OMB JRC rosu 241 2150 0013

$411,

EXPIRES: 10-31 83

!)Cf R 150 U.S. NUCLE AR REGUL ATORY COMMISSION REPORT OF PROPOSED ACTIVITIES IN NON AGREEMENT STATES (Please read the instructions on the cover sheet before completing this forrn)

N AME OF LtCEN$EE (Person or firm proposing to conduct the
2. ADORESS OF LtCENSEE (Mailing address or otherlocation esere activatoes descrobed belowl licensee may belocated)

P.O. Box 1144 TESTING LABORATORIES, INC.

504-24th Street, Suite "A" a ogod, M MM

), N AME OF PERSON AUTHOHl2ED BY LICENSEE TO PERFORM ACT IVIT Y Levi J. A. Abeyta 1 DESCRIPTION OF ACTIVITIES TO BE CONDUCTED IN NON. AGREEMENT STATES UNDER THE GENERAL LICENM GIVEN IN 10 CFR 16020 Determine Soil-Density & Moisture on: Construction Projects within the boundariesi of White Sands Missile Range and Holloman AFB; both located in New Mexico Federal Property.

5. LOCATIONS AT WHICH THESE ACTIVITIES WILL BE CONDUCTED AND DATES SCHEDULED.
  • OATE$ SCHEDULED N O.

$'t REET AND NUMBER OR OTHER I OCATION C*'YAND%TATC jQ (Gore as complete en address as possoblel ny w

Mar Site-HELSTF Test Cell #4 -WSMR, NM New Mexico March April 20th

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10th Vandal II Missile Test Fac. -WSMR', NM Otero County 1983 1985 Holloman AFB, NM-4 i

G. LIST SE ALED SOURCES,OR DEVICES CONTAINING SE ALED SOURCES, WHICH WILL BE POSSESSED. USED. INST ALLED. SERVICED DR TESTED IN NON. AGREEMENT STATE 5. (include descroptoon of type and eventory oi redoonctive erwterialconttonedin each oneled source Campbell Pacific Model BR Portaprobe & Model MC-1 & Model MC-2 or d;voet.)

Not to exceed 10 mil 11 curies Cesium 137 & 50 M1111 curies. Americ ium one source per device:

241 7 NUMBER OF SPECIFIC LICENSE AND NAME OF STATE ISSUING SUCH SPECIFIC LICENSE WHICH AUTHORJZES THE UNDE 10 CONDUCT ACTIVITIESWHtCH ARE THE SAME. EXCEPT FOR LOCATION OF USE, AS THOSE SPECIFIED IN ITEM 4 ABOVE.Irour.

g sopues of the spectfordocense must etcompany enorreportJ New Mexico EID Lic#NM-TES-DM-00 & Ad.endum DM-01 d

One licence:

CERTIFICATE DATE

8. I, THE UNDERSIGNED, HEREBY CERTIFY THAT-3 March 12, 1983
a. All entormation in this report ts true end complete.

LsCENSEE*5 NAME (TYPE Ott PRtNT)

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b. I have etad and understand the provisions of the general beense TESTING 1 LABORATORIES, INC.

,1 10 CFR 15020 reprinted on the cover sheet of this form set; and (

understind that I am recuired to Lomply with these provisions es to CERTIF YING OF FICI AL all liyproduct, source, or specist nuclear material which I possess and uss m non-Agreement States under the generet license for SIGNATUR~

f-which this teport is filed with tN; U.S. Nuclear Regulatory Com-

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c. I understand that activities, including storspe, conducted in non.

Agreements under peneral beense 10 CFR 150.20 are hmited to e Manager & R. S. O.

totst of 180 cays in any calender year, 18 U.S.C., Section 1001: Act et June 2!,,194B;62 Stat. 749;makes it e crimmal offense to rnake s willfully f alse statement or recre WARNING:

sentation to any depersment or apency of the United $tstes as to any mattsr within its jurisdiction.

FORM APPROVED BY OMB NRC rORu 241 3150 0013 (6 81)

EXPIRES: 10 31 83 10 CFR 150 U.S. NUCLE AR REGULATORY COMMISSf DN REPORT OF PROPOSED ACTIVITI'ES IN ON-AGREEMENT STATES PLEASE READ THE INFORMATION AND INSTRUCTIONS CONTAINED ON THIS COVER SH BEFORE COMPLETING THE ATTACHED FORM.

INSTRUCTIONS if the licensee, after filine this report, proposes to conduct actevities '

Submit this Form and the Agreement State es.eelfic license in in non. Agreement States nos socified in this report,an amended NRC 3 days. pr'2. to engaging in sech activity permitted under.Its General License established by Sec.150 70 of Form 241 should be filed witt, the Commission's inspection and quadruplicate et least r

to CFR 1502 Send to:

Enforcement Regional Off ace.

Director of the U$. Nuclear Regulatory Commission inspection and acvpwrvies, encLuoises e1romaat, comuuctuo eu now.aameausser Notes Enf orcement Regional Offee listed in Appendia D of Part 20 of this evavaa woman me ossesaa6 ucswes aos uustso to a torna. or chapter for the region in which the Agreement State that issued the see cave see aere cm6anoan vsaa.

specific license is located, Section 150.20 of 10 CFR 150 establishes a general license authorizing any person who holds a specific license frem an " Agreement State" (a State with isich the U.S. Nucleer Regulatory Commission has entered into an effective agreement under subsection 274b o

  • th's Atomac Energy Act of 1954) where the licensee maintains an office for directing the feceased actsvity and at which radiation safety records are normally maintained, to conduct the some activity in Non. Agreement States" if the specific license issued by the Agree.

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. ment btste does not hmit the authorised activity to spscifred installatonns or locationt

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515Ii.20 Recognition of,Agreetnent State licenses.

Agreement State that issued the specific ficer.se is located.The Derector (al Subject to the provisions of paragraph (b) of this section,any of the Nuclear Replatory Cdmmist. ion inspection and Enforcement

  • person who holds a specific license from en Agreement StsJe where the Regional Oflice may authorire such person to commence the acaivity licensee maintains en office for directing the licensed activity and at upon notifacetion by toisphone of intent to conduct the proposed which redsstion safety records are normally maintained, is hereby activity under the general iconse: Previded' hosneser, That four copies granted a general license to conduct the same activity in non. Agreement of NRC Form 241 Irevised) and four copies of the Agreement State St2tes: Provided. That the specife license does not limit the activity seense shan be filed within 3 days ofter the telephone retifecatior authorized by the license to specified installations or locations.

The Director of the Nucteer Regulatory Commission impaction e<

(b) Notwithstandmg at y provision to the contrary in any specific Enforcement Regional Of fice may waive the requirement for 8e d

lacuse issued by an Agreement State to a person who engages in activi-additional NRC Form 241 trevised) during 'the remamrter ties in a non Agreemrmt State under a general hcense prov6ded in this calendrer year foNoevmg the recespt of the initial NRC :

section, the general loconse proveded in this section is subject to the (revised) from a person engsemg en activities under the gen' provisions of 6 5 30.14(dl,30.34, 30 A1, and 30.51 to 30E3 inclus~ve provided in this section; of Part 30 of this chapter; 9 5 40A1,40.51,40.61 to 40E3 inclusive, (21 Shell not, in any non Agreement E:ste transfer or duoou

.f. i

.40.71,.and 40.81 of Part 40 of this chapter; and 5 5 70.32, 70A2, radsoect ve materialpossessed or used under the generallicense provmed i

70.51.to 70.56 inclusive, 70.81, 70.62, and 70.71 of Port 70 of this in this saction emcept by transfer to a person (il specifically Iscensed by chapter; and to the provisions of Parts 19,20,and 71 and Subpart B of the Commission to re:eeve such materiet.or (ii) exempt from the teguire-P:rt 34 of this chapter,in addition any person who engages in activities monts for a license for such materist under 5 30.14 of this chapter; in non Agreement States under a general license provided m this section; I3 I M **' P"' " '*d'***' ** ' 'i"I

'"9*9 i" 'h' scovses summW in paragraph (al d $ss secn'on 6' mm m'a (1) Sheit, at least 3 days prior to engaging in each such activity fib four copies of NRC Form 241 (revised), *Raport of Proposed days in any calendar yeen Activities in Non Agreement States," and four copies of his Agreement (4) Shah comply with all terms and conditsons of the specific liceme

" Stite specific license with the Director of the U.S. Nuclear Regulatory issued by an Agreement State escept such terms or conditions as are Commission inspection and Enforcement Regional Office lasted in Appendia D of Part 20 of this chapter for the region in r.hich the contrary to the requirements of thes sectaon.

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PRIVACY ACT 3TATEMENT Pursuant to 5 U.S.C. 552s(a)(3), enacted into law by section 3 of the Privacy Act of 1974 Wublic Law 93 079), the following state-ment is furmshed to individuals who supply information to the Nuclear Regulatory Commession on NRC Form 241. This information is mamtsir,ed in systems of records despnated as NRC 3 and described at 40 Federal Register 45334 (October 1,1975L 1, AUTH9RITY - Sections 81,161(b), and 274 of the Atomac Energy Act of 1954 as amended (42 U.S.C. 2111,22011bl,and 20211.

2. PHONCIPAL PORPOSEISI - The information on NRC Form 248 informs the Nuclear Hegulatory Commission of the generaf heen-see's interit to conduct activities in non-Agreement States pursuant (310 CF R 150.20 and the locations and scheduled dates for such activities. This information is used in the scheduling of compliance inspectioris where cieemed necessary.

I (a's to provide records to Stein health departments for their intormae on and use:

3. ROUTINE USES - The information may be used:

and (bl to provide information to Federal, State, and local health officiais, and other persons en the event of incedent or esposure, for purposes of their information, investigation, and protection of public health and safety. The information may also be disclosed to an appropriate Fed > rat, State, or local egency in the event the information indicates a violation or potenteal violation of law and in the course of an administrative or 4:licial proceeding. In addition, this information rnay be transferred to en appropriate Federal.

State, and local agency so the extent relevant and necessary for an NRC decision rsr to en appropriate Federal egency to the entent reievarvt and necessary for that agency's decision about you.

4. WHETHEtl DISCLCSURE 10 MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PR INFORM ATION - Disclosure of the requested information as voluntary. If the requested information is not furneshed. however, the individual is not aw thorized toconduct activities in non Agreement States pursuant to the general hcense m 10 CFR 150.20.

5, SY$ TEM MAN AGER(S) AND ADDRESS: Director, Division of Fuel Cycle and Material Safety Of fice of Nuclear Materent Safety and Safeguards U.S. Nuclear Regulatory Commission Washington, DC 20555

___-_______--___-_____y

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3C r OHM 241 3150 0013 EXPfRES: 10 31 53 G1)

> Cin ILO U.S. NUCLE AR REGULATORY COMMIS$10N REPORT OF PROPOSEO ACTIVITIES IN NON AGREEMENT STATES (Please read the instructions on the cover sheet before completing this form)

2. ADDRESS OF LICENSEE IMailms address or otherlocation wenere

. N AME OF LICENSEE iPerson or forraproposung to conduct the itenser may be located) actinties descrobed beloevi P.O. Box 1144 TESTING LABORATORIES, INC.

504-24th Street, Suite "A" ogo d, W MM

. N AME OF PERSON AUTHORIZED BY L8CENSEE TO PERFORM ACTIVIT Y Levi J. A. Abeyta i DESCRIPTION OF ACTIVlilES TO DE CONDUCTED IN NON-AGREEMENT STATES UNDE 10 CFR 150.20 Construction Projects within the boundarie.s Determine Soil-Density & Moisture on:

L' of White Sands Missile Range and Holloman MB; both located in New Mexico Federal Property.

5. LOCATIONS AT WHICH THE3E ACTIVITIES WILL BE CONDUCTED AND DATES SCHEDULE

' DATES SCHEDULED No.

ST5tEET AND NUMBER oR oTHER LocAT8oN clTYANoSTATL (Gore as compiete an address at possiblel i

New Mexico October.

October Mar Site-HELSTF Test Cell (14 -WSMR, EM 15th 15 th

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'Rhtscat Test Fac.-WSMR, NM,Hollman AFBs Otero County 1986 1982 NM-(Several Construction sites as required )

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O. LIST SE AL ED SOURCES.OR DEVICES CONTAt NING SE ALE D SOURCES,W Campbell Pacific Model BR Portaprobe & Model MC-1 & Model MC-2Not to er c'avots.)

one source per device:

GNED I

l 7. NUMBER OF SPECIFIC LICENSE AND N AME OF STATE (SSUING SUCH SPECIF i

I\\ soom of the sooctis toconse msost acconspony strarreport.) r DM-02',DM-03, DM-04 One licence: New Mexico.EID LichEM-TES-DM-00 & Addendum DM-Ole CERTIFICATE

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DATE B.1, THE UNDERSIGNED, HEREBY CERTIFY THAT:

Ctober,7,1986

a. All snlormation in this report is true and complete.

LICENSEE.*5 NAME (T YPE oR PftfNTI ta. I have read and understand the provisions of the general Icerts' TESTEG WORATOPRS e Im to CFR 150.20 reprinted on the gover sheet of this form set; and I understand that i am required to comply with these provisions as to.

CE RTIF YlNG OF FICI AL ensterist which I posses:

all t>yproduct, source, or specist nuclest en non Apreement States under the generst license for EsGNATUR and use am I6/Mh'

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wtuch this report is taled with the U.S. Nuclear Reputatory Com.

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setivities, includins etorspe. conducte[f en non.

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c. I understand that Apecements under penerst license 10 CFR 150.20 are Ismned to a Manager & R. S. O.

toist et 1110 osys in any calender year.

25,1648;E2 Stat.749;rnsbes et a crimmal off ense to rnske a wittfully f otse statement or repre 1B U.S.C. Section 1001: Act of June sentstenn to any depsetment or apency of the United States as to any rnsiter within sts jurisdiction.

WARNING:

Page 1 of. 1.

Pag:s NEW MEXICO ENVIRONMENTAL IMPROVEMENT AGENCY RADIOACTIVE MATERIALS LICENSE Pursuant to the New Mexico Radiation Protection Act of 1971, and the Radiation Protection Regulations Part 3, and in reliance on statements and representations heretofore made by the licensee designated below, a license is hereby issued authorizing suchlicensee to transfer, receive, possess and use the radioactive material (s) designated below; and to use such radioactive materials for the purposes (s) and at the place (s) designated below. This license is subject to all applicable rules, regulations, and orders now or hereafter in effect of the New Mexico Environmentalimprovement Agency and to any conditions specified below.

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Testing Laboratories,Ee " ",b s v 1.Name ation date g %

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504 - 24th Street Sili C

P.O. Box 1144 W'

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IM \\ September 30, 1981

3. Address Alamogordo, NM 883 0

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6. RadioacheNt$s

[7. Chenucal and/or physicai form k8. Maximums uantity licensee may '

(element and; nass number)

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possess at ny one time A. Cesium 137a[$1_"~,]-

WCombined Scaled Sources /.

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AmericiismI241' f]

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'milliEuil'~5"Cc"si~um 137 e

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and 50 mil 11 curies a a. _.t_ O

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9. Authorized use. (Unless otherwiscip'ecibed, the authorized place off use is the71cenecc.'s, address syated in Item 2 above.)

A. To be used in a b 11 Paci 1 eMR)iPortapr e

measure moisture and N ' gY density.

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Radioactive material may,*be, fused atWemporary.-30ksiteJB'of the licensee throughout y

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New Mexico.

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e The licensee shall comply withllPartE4 of the $ew Mexico Radiation Protection Regulations.

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12.

Radioactive materials shall bepused)by,or;under supervision of,Karl Soards or personnel designated in writing by Karl Soards.

Lwd 13.

Sealed sources containing radioactivejmaterials shall not be opened or removed from their respective source holders by the., licensee.

14.

A.

Each scaled source containing radioactive material, other than Hydrogen 3, with a half-life greater than thirty days and in any form other than gas shall be tested I

for leakage or contamination at intervals rot to exceed one year.

In the absence of a certificate from a transferor indicating that a test has been made within six months prior to the transfer, the sealed source shall not be put into use until tested.

B.

The test shall be capable of detecting the presence of 0.005 microcurie of

44 2

2 Page or p,ge, NEW MEXICO ENVIRONMENTAL IMPROVEMENT AGENCY RAD!OACTIVE MATERIALS LICENSE l

License Number W-TES-DM-00 r

radioactive material on the test hample.

The test sample shall be taken from the sealed so'.:rce or from the surfaces of the device in which the sealed source is permanently mounted or(stored on which>one'might expect contt.mination to accumulate.

Records of leak test [ result $ shall be kept in units of microcuries and maintained for inspection by the Agency. p g

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If the test reveals the presence off0.005 microcurie or more of removable contamination, the licens' e sha11 immediatelyhwi{tidraw the sealed source or foil b

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from use and shal1+tasse it"Eoibeldecontami5ated atidtrepaired or to be disposed of in accordancekNith AgEncyjhgulations.: JA rejiort'stiall be filed within 5 days of the test witt>'the, Radiation Protection /Section,' Environmental Improvement Agency, P.O. Bhx72348,iSanta FeyiNM 87503%de'acribin', tee equipment involved,

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TestsIfor leakage or contamination sha11 4e4 performed by, persons specifically l

authorized by the Agency,Nthe'U.SBNuclear Regulatory, Commission.or another y

Agreenienti Statel to perform suclijservices.

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.s usedl whenever.<the davice ik. container rof the type supplied with the" device stia11 A properly marked shippingt 15.

shipped:by commercial carrier.

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Except as gapecifically,proVided@therwiseCby the license, the licensed l shall possess and use radioactive materikis~describ'edfin Items 6, 7, and 8 of this license in accordanc51with^stateinents,MepresenEations; mand procedures doiitainsd"in application V

datedJuly22,197$signedby"1.svid.A.lAbeytTand-letter /datedAugust 17, 1976, signedbyKarlSoards)Pa.E.

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l FOR Ti!E NEW MEXICO ENVIRONMENTAL IMPROVEMENT AGENCY

_ [ f,I n m C / h Date September 1, 1976 gy Alplionso A. Topp, Jr.

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Environmental Scientist III RPS 17A issued 3/73

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ENVIRONMENTAL IMPROVEMENT DIVISION i

RADIOACTIVE MATERIAL LICENSE J

I c.oco HEALTH moENVIRONMENT wauer License Number NM-TES-DM-03 is amended to become License Number NM-TES-DM-04 Testing Laboratories, Inc.

504 24th Street, Suite A P. O. Box 1144 Alamogordo, New Mexico 88310 In accordance with letter dated August 29, 1986, signed by Levi Abeyta, General Manager, subject license expiration date is changed to September 30, 1991.

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For the New Mexico HED Environmental Improvement Division Date:

September 10, 1986 j

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7 ENVIRONMENTAL IMPROVEMENT DIVISION J

RADIOACTIVE MATERIAL LICENSE

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HEALTH. o ENVIRONMENT 1

License Ntmber Mi-TES-D,bO2 is amended to beccrre License Ntrrber MbTES-IM-03 Testing Laboratories Inc.

304 24th Street, Suite A P.O. Box 1144 AlaTogordo, New Mexico 88310 In accordance with letter dated September 5, 1984, signed by Levi Abeyta, General Manager, subject license is amended as follows:

To acid:

6.B. Cesitm 137.

7.B. Sealed source (Troxler 8.B. One source per Electronic Laboratories, device not to exceed Inc. Drawing NuTher eight millicuries.

A-102112).

7.C. Arericiun 241. 7.C. Scaled source (Troxler 8.C. One source per device Electronic Laboratories, not to exceed 40 Drawing Nurber millicuires.

A-102451).

9.B. and 9.C.

In Troxler Electronic Laboratories, Inc. Nbdel Ntriber 3411 B.

gauge to measure density and troisture.

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/ ")~' (hoy hW L9 September 14, 1984 sy 4

s Benito J. Garcia,4' Program Manager EtD 017A Reviseo 3/84

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""A STATE OF NEW MEXICO

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EqFONprENT ENVIRONMENTAL IMPROVEMENT Division RADIOACTIVE MATERIAL LICENSE License Number NM-TES-DM-01 is amended to become License Number NM-TES-DM-02 Testing Laboratories, Inc.

504 24th Street, Suite A P. O. Box 1144 Alamogordo, NM 88310 In accordance with letter dated June 26, 1981, signed by Levi J. A.

Abeyta, President and General Manager; subject license expiration date is extended to September 30, 1986.

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l For the New Mexico HED Environmental improvement Division h

July 24,1981 sy Date Benito J. Gadc'ia, Acting Program Manager Licensing and Registration Section EID 017A Revisec 6/80

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Page of Paec NEW MEXICO I:.NVIRONMEN'I Al, IkPROVEMENI UlVISION RADIOACTIVE MATERIAL LICENSE NM-TES-DM-01 License Number NM-TES-DM-00 is amended to become License Number Testing Laboratories, Inc.

504 24th Street, Suite "A" P. O. Box 1144 Alamogordo, NM 88310 In accordance with letters dated April 26, and May 3, 1978, s'igned by Karl Soards, P.E.; subject letter is amended as follows:

To change Sub-item 8.A. to read:

8. A. One source per device each source not to exceed 10 millicuries Cesiam 137 and 50 millicuries Americium 241.

To change Condition 9.A to read:

O. A. To be used in campbell Pacific Portaprobe Models B (R), MC 1 or MC 2 for measuring moisture and density.

l FOR Tile NF.W MEXICO ENVIRONMENTAL lMPROVEMI.NI' n.. u.

Hay 5, 1978 g3y A $honso A. Topp, Jr.

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Environmental Scientist III l

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DEPARYMENT OF THE AIR FORCE k.

HEADQUARTERS UNITED STATES AIR FORCE I.

BOLLING AFB DC 2o332-6188 A T T.d C

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.I MAS 70735 5000 Termination of USAF Radioactive Material Permit No. 30-30045-1AFP sta n c '

Testing Laboratories, Inc.

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504 24th Street, Suite "A" Alamogordo, New Mexico 88310 Attached is Amendment No. 1 to your USAF Radioactive Material Permit No.

30-30045-1AFP advlDing you that the permit has been terminated effective this date (Atch 1).

This action is being taken pursuant to revised procedures for approval of contractor use of radioactive material on Air Force installations given in HQ AFOMS/SGPR letter 22 Dec 1986, Local Approval for Contractor Use of Radioactive Material (Atch 2).

Your continued use of radioactive materials on Holloman AFB, New Mexico, is now under the authority of your Nuclear Regulatory Commission or Agreement State License and local approval by the host base commander or his designee (normally the base radiation protection officer).

Pleas 3_tqference all future correspondence concerning this action to Permit No.

30- 6045-1pFP and Docket No. 999-00017, We can be contacted at commercial ph n numb r (512) 536-3331/3332/3380 if you have questions on this action.

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Secretary, USAF adiolsotope Committee 1.

Amendment No. 1 to Permit Office of the Surgeon General No. 30-30045-1AFP 2.

HQ AFOMS/SGPR Ltr, 22 Dec 1986 cc: 833 Med Gp/SGPB Atch 1 only Holloman AFB, New Mexico 88330-5300 HQ TAC /SGPB Atch 1 only Langley AFB, Virginia 23665-5001 USNRC Region IV Arlington, Texas 76011

raos 1 Or 1 raocs RADIOACTIVE MATERI AL PERMIT

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~ 0045-l USAF RADIOISOTOPE COMMITTEE au,uougnr no SUPPLEMENTARY SHEET DOCMET NO, 999-00017 Testing Laboratorlos, Inc.

'504 24th Street, Suite "A" Aiamogordo, New Mex1co 88310 in accordance with HQ AFOMS/SGPR ALMAJCOM letter,-Local Approval for Contractor Use of-Radioactive Material, 22 Dec.1986, USAF Radioactive Material Permit No. 30-30045-1AFP is hareby terminated.

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f Date !7 % IN7 FOR T USAF RADIOISOTOPE C ITTEE

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bAWJ.' WOOi, Col, USAF, BSC Secretary, USAF Radioisotope Committee Office of the Surgeon General l

AF Form 1757, MAY 85

ja k DEPARTMENT OF THE AIR FORCE

'YMS HE ADQU ARTERS UNITED STATES AIR FORCE Q.yq BOLLING AFB DC 20332-6189 g

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m,,, g Local Approval for Contractor Use of Radioactive Material u,w ALMAJCOM/SG HQ AFISC/SG HQ AFMPC/SG HQ ARPC/SG HQ USAFA/SG

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This letter provides information on new procedures for control of' radioactive material brought to and used on Air Force bases by contractors or other non-Air Force organizations.

This guidance is effective immediately and will remain in effect until superseded by a change to AFR 161-16, Control of Radioactive Material.

2.

Currently, contractors must follow requirements specified in AFR 161-16, paragraph 7.c., and HQ AFOMS/SGPR policy letter, 6 Jan 86.

These requirements are now changed as discussed in paragraph 3.

3.

Contractors holding valid U.S. Nuclear Regulatory Conission or Acreement State licenses will no longer be required to submit the information required by AFR 151-16, paragraph 7.c., to the USAF Radioisotope Committee (RIC).

This information includes:

a.

Evidence of a valid Nuclear Regulatory Commission (NRC) or Agreement State Radioactive Material License.

b.

A copy of an NRC Form 241, or a similar docurent (such as a lecter),

listing the specific licensable items the centractor wishes to use cn the base (in the case of an Agreement State licensee, the original must be fcr, carded by the contractor to the appropriate NRC region).

c.

Proof of a valid Air Force contract.

Instead, this information is to be provided to the base radiation protection of ficer (RPO) for local review and approval of qualified users to work en Air Force installations.

Contractors holding Agreement State licenses, who operate on Air Force bases core than 180 days per year, ~ust obtain an NRC license.

Local procedJres should be established in a base regulati0n outlining internal coordination and approval authority.

4 Base RPGs will continue to be responsible for overseeing ccntractor activities on their installations and will caintain record dccrentation of local approvals for inspection by HQ AFISC/SG't, the NRC, cr the US AF RIC.

Existing USAF Radioactive Material Permits issued to affected contractors soley to authorize their operation on Air Fcrce bases under a valid NRC or state license will be terminated starting i Jan 57.

t g

5.

.a are working with our Army and. !;avy counterparts to obtain revisions of the Federal Acquisition Regulation (FAR) and D0D supplements to require contractors to notify local RPGs whenever they wish to bring radioactive materials onto bases.

Until the FAR has been changed to reflect that requirement, RPGs -should work with local procurement offices to develop procedures to ensure notification requirements are included in local contracts they award / issue.

f.

Questions about this change should be directed to Lt Col Wood at AUT0V0ft i

2'0-3331 or in writing to HQ AFOMS/SGPR, Brooks AFB TX 78235.

FOR THE CHIEF 0F STAFF lg cS - f14 &__ - l A

ERY.

D. l'. AUK, Colonel, US AF, MC cc:

AMD/CC Ceputy Director, Professional Affairs USEUCOM/SG and Quality A:surcnce ATTf?: P.3en Miller Office of the Surgecn General 2

l TESTING LABORATORIES, INC.

)

504 24TH STREET. 8UITE "A" P.O. BOX 1144 ALAMOGOR DO, N EW M EXICO 8 S alo MEMBER OF TESTING & INSPECTON

- AMERICAN PETROLEUM INSTITUTE OF CONSTRUCTION MATERIALS CMERICAN SOCIETY FOR TESTING MATERIALS CERTIFIEo IN FALLOUT l

oMERICAN CONCRETE INSTITUTE SHELTER ANALYSIS CMERICAN WELDING SOCIETY SOILS INVESTIGATIONS 9dGTONAL SOCIETY OF PROFESSIONAL ENGINEERS 1

l June 30, 1987-i l

Department of the Air Force USAF Hospital-Holloman (TAC)

Holloman AFB, NM.88330 ATTN:

SGPB(3303)-Radiological Protection Officer Dear Sir; As per instruction on Committee Approval dated October 25, 1983, we are herewith submitting the quarterly reports on the use of Densometers at Holloman AFB, NM.

These reports cover periods from Jan. 2 1987 to March 31, 1987, and April 1, 1987 to June 31, 1987.

1st & 2nd Quarters.

Respectfully, t

A Levi Abeyta, h

Radiation Safety Officer LA/yss 1

f' W

QUARTERLY REPORT Nuclear Cauge Record Keeping 1ATION:

Holloman AFB, New Mexico.

This report starts:

1 Apr 87 Period Ending:

30 Jun 87 Total days used at HAFB.

Date used.

By whom Project l

I 4/3/87 RP Wash Rock i

4/9/87 RP Wash Rack I

4/20/87 Ilp RPR Securitv Fonno 1

l 4/21/87 RP RPR Security Fence

.1 l

I Satellite Comm.

I 4/23/87 RP System Security I

4/30/87 RP RPR Pununy h er,,n l

5/1/87 RP l

i satellite Comm.

1 5/6/87 RP System Security 1

l 1

l 6/6/87 RP l

i l

l Yearly accum, total days used 35 Period: 1 Apr. thru 30 June 87, 2nd Quarter Levi J. A.

keyta 1mdiation Safety Of ficer TESTING LABORATORIES, INC.

e DEPARTMENT OF THE ARMY 3

HEADQUARTERS US ARMY MATERIEL DEVELOPMENT AND READINESS COMMAND 5001 ElSENHOWER AVENUE, ALEXANDRIA. VA. 22333 AMCSF-P 22 October 1984

SUBJECT:

Department of the Army Permit No. P30-TLI-1/84 Testing Laboratories, Inc.

504 24th St., Suite A P.O. Box 1144 Alamogordo, NM 88310 Attached is the Permit you requested to soil test construction sites on White Sands Missile Range.

^

1 Encl N

as Chief, Health Physics Safety Office CF:

CDP., TECOM ATTN: AMSTE-ST CDR, WSMR ATTN:

STEWS-ME-SE HQDA (DASG-PSP-E) WASH DC 20310 Dir, AMC Field Safety Activity ATTN:

AMX0S-ES m_-_-__

^'

QUARTERLY REPORT Nuclear Gauge Record Reeping

'ATION: Holloman AFB, New Mexico.

This report starts:

1/2/87 Period Ending:

3/31/87 Date used.

By whom Project Total days used at HAFB.

2/24 RP RPR Landscape Dorm 1

1 2/25 2/26 RPR Roads 1

l 1

3/3 Txwy 5 FIS 1

3/4 RPR Roads 1

3/6 Constr. Txwy S FIS 1

3/20 RPR Landscape Dorm 1

~

m l

~

Tornis This Ouarter Yearly accum, total days used 19 from page 1 plus 7 from page 2 = 26 Total days.

Period: 1/2/87 thru 3/31/87, 1st Quarter - Page 2 of 2 Levi J.A.

Jbeyta Radiation Saiety Officer TESTING LABORATORIES, INC.

n,-

. QUARTERLY REPORT Nuclear Gauge Record Keeping

'ATION:

Holloman AFB, New Mexico.

This report starts:

1-2-87 Period Ending:

3/31/87 Date used.

By whom Project Total' days used at HAFB.

1-2-87 Levi Aheyta

__RPR Roads / Parking-TT 1

1 87 Ramon Pino 1

Fort. Isol. Bldg. 1206 1

1 1-6-87 I

1-7-87 RPR Roads / Parking-TT 1

& Port. Isol. Bldg.1206 1-9-87 Fort. Isol. Bldg. 1206 1

1-12-87 1

& RPR Landscape Dorm 1-16-87 1

1-19-87 Wash Rack' 1

1-23-87 RPR Roads / Parking-TT 1

M-OS l.

1-28-87 i

(

1-29-87 Landscape Dorm -Mall 1

4 4-2-3-87 RPR Roads / Parking TT 1

i f

2-9-87 Constr. Apron 5F15" 1

l-2-11-87 Constr. Taxiway 5P15 1

l 2-12-87

& Dorm-Mal:

1 L

2-17-87' Constr. Taxiway &

1 l

uanoscape vorm-nau 1

2-18-67 RPR Landsc. Dorm-Mall 1

j j

~

2-19-87 1

x,--

1 2-20-87 19 Tots 1r. This Ouarter

~

Yearly accum. total days used 19 Period:

1/2/87 thru 3/31/87 page 1 of 2 Levi J.A.

heyta Radiation Safety Officer TESTING LABOI:ATORIES, INC.

9

_________._._______..___.__m.

DEPARTMENT OF THE ARMY AUTHORITY FOR POSSESSION AND USE OF RADIOACTIVE MATERIALS Page 1

of 1

In reliance on statement and representation made by the applicant authority is hereby granted to receive, produce, transfer, possess, use and store the material (s) designated in Item 5.

This authority is subject to conditions specified below.

Activity Granted Authority V3.

Authorization / Permit No.

V V

P30-TLI-2 /84 1.

Name:

Testing Laboratories, Inc V

V 2.

Address:

504 24th St., Suite A V

P. O. Box 1144 V

Alamogordo, NM 88310 V

V V4.

Expiration Date:

V V

30 November 1989 V

V 5.

Material & Mass Number 5

6.

Chemical and/or V

7.

Quantity Limitation V

Physical Form V

V V

a.

Cs-137 Y

a.

Scaled Source V

a.

10 mci b.

Am-241 Y

b.

Sealed Source V

b.

50 mci V

V V

V V

V V

V V

8.

Authorized Use: Soil Moisture Density Gage testing at various WSMR construction sites as authorized by White Sands Missile Range radiation protection officer.

Conditions 9.

Unless otherwise specified, the authorized place of use is the address stated in Item 2 above. Upon completion of project, premises will be restored to original condition for unrestricted use based on NRC criteria.

10.

Unless specifically stated otherwise by this Authorization, the materials described in items 5, 6, and 7 shall be possessed and used in accordance with statements, representations, and procedures contained in DA Form 3337, dtd 19 Jan 84

, signed by Mr. Karl Soards.

APPROVED l

DARW N N. TARAS

~

Ch

, He t Tiyp e s,

DATE:

22 Oc t 1984 S $ty i

/h2/&

/M AMC Form 2180-R, 1 Mar 85

/ Mull 10RIZ[d) SIGNAfURE

DEPARTMENT OF THE AIR FORCE k

HEADQUARTERS UNITED STATES AIR FORCE h;y DOL.UNG AFB DC 20332-6108 L

T L. % /a e SGPR 3 0 OCT 1986

.. a,o

,,,~ o,

...o.....,,..,., n.v.

USAF Radioactive Material Permit No. 30-30045-1AFP ava a "

Testing Laboratories, Inc.

,o 504 24th Street, Suite "A" Alamogordo, New Mexico 88310 Attached is new USAF Radioactive Material Permit No. 30-30045-1AFP granting permission for Testing Laboratories, Inc. to use radioactive material on Holloman AFB, New Mexico. Please reference all future correspondence concerning this action to Permit No. 30-30045-1AFP, Docket No. 999-00017, and Mail Control No. 86-00628.

W N

1 Atch LAWRENCE DONOVAN, Captain, USAF, BSC Permit No. 30-30045-1AFP USAF Radioisotope Committeo Office of the Surgeon General ec: USAF Hosp /SGPB Holloman AFB, New Mexico 88330-5300 HQ TAC /SGPB Langley AFB, Virginia 23665-5001 USNRC, Region IV Arlington, Texas 76011 i

l 1

.A DEPARTMENT OF THE AIR FORCE O

HEADQUARTERS UNITED STATES AIR FORCE BOLLING AFB DC 20332-6388 "ll,.' e'? llll.$.?..

,.n..

~

I Notification of. Incidents evenct All USAF Radioactive Material Permittees

,o 1.

The U.S. Nuclear Regulatory Commission (NRC) mcently became involved in an incident involving radioactive materials (RAM) on an Air Force installation. A primary criticism voiced by NRC repmsentatives was the timeliness of notification to the USAF Radioisotope Committee. To preclude criticism by the NRC and a possible notice of violation against the Air Force attributable to a failure to make a timely notification, you should review notification requirements in:

(a) Title 10, Code of Federal Regulations, Part 20.403 (10 CFR 20.403), entitled " Notification of Incidents" and 10 TR 20.405, entitled " Reports of Overexposure and Excessive Levels and Concentrations"; (b) AFR 161-16, " Control of Radioactive Material", Para 13, entitled " Notification of Incidents and Accidents"; and (c) AFR 127-4 " Investigating and Reporting U.S. Air Force Mishaps", Chap 10, entitled " Nuclear Accident, Incident, and Deficierry

( AID) Reporting".

2.

It is imperative that you contact us ( AUTOVON 24G-3331) immediately in the event a RAM incident occurs.

If there in any doubt about the need to report an incident, contact us to assist you in making a determination.

Never postpone contacting us whenever in doubt about an incident's deportability or the report content. Once notified, we will report to the NRC as appropriate in accordance with 10 CFR 20.403/5. It is also helpful

'if a detailed log of incident events and contacts is kept.

3.

A further " lesson learned" from this incident was that bases should not attenpt to open radioactive waste drums for inspection or repackaging if the contents and their condition are not positively known. Contact the USAF Occupational and Environmental Health Laboratory (CEHL) for guidance and assistance.

4.

you have any questions, please do not hesitate to contact me or a m er of my staff t AUT0 VON 240-3331.

I ol, USAFI BSC D6 G.

Sec mtaIy, USAF Radioisotope Committee Office of the Surgeon General

'^

' ^ *

  • RADIOACTIVE MATERIAL PERMIT l

3 USAF RADIOISOTOPE COMMITTEE Pursuant to the authority stated in Al R 161 16, Control of Radioactive Material, and in reliance on statements made by the applicant, permission is hereby Franted to receive, possess, and store radioactive materialslisted below, and to use this material for the purpose and at the placeslisted below.

1. OHG ANi2 ATION (Name and Address)
a. PE RMIT NO,
3. AM E NDM ENT NO.

Testing Laboratories, Inc.

30-30045-1AFP 504 24th Street, Suite "A"

  • = ^ "' a ^ T 'o " o ^' =

Alamogordo, New Mexico 88310 31 Oct 1989 S. DOC KET NO.

999-00017

("Ae le*nNYEas"Yu'mTe^s)

'{ NEE lr91$E5u'5^erY ""

' ' " " * ' " " " * " * " " " ^ " ' " " ' * "

A.

Cesium 137 A.

Sealed sources A.

Not to exceed Campbell Pacific 10 mil 11 curies per source; Model BR PoItaprobe 10 millicuries total B.

Americiun 241 B.

Sealed sources B.

Not to exceed Campbell Pacific 50 millicuries per source; Model BR Portaprobe 50 millicuries total 9.

Authorized use A. and B.

For use in Campbell Pacific Model MC-1 and MC-2 gauges for measurement of properties (moisture, density, etc.) of construction materials.

CONDIT10NS

10. The authority for this Permit is U.S. Nuclear Regulatory Commission (NRC) BIoad Scope License No. 42-23539-01AF issued to the USAF Radioisotope Committee and AFR 161-16.
11. The peImittee shall conply with the provisions of Title 10, Chapter 1, Code of Federal Regulations, Part 19, " Notices, Instructions and Reports to Workers; Inspections" and Part 20, " Standards for Protection Against Radiation".
12. The permitted material may be used at permittee's facility at Holloman AFB, New Mexico and at tenporary job sites of permittee anywhere in the United States and overseas where the Air Force maintains jurisdiction for regulating the use of the permitted material.
13. The peImittee will notify the installation Radiation PIutection Officers before arrival and work on installations and upon termination of use.
14. The peImitted material shall be used by, or under the supervision of, Karl Soards or individuals who have been trained as specified in application dated 17 Aug 1970 and 22 Jul 1976.

The permittee shall naintain records of individuals designated as users.

15. Lt Hewitt is designated Radiation Protection Officer (RPO).
16. A.

(1) Each sealed source acquired from another person and containing permitted material, other than Hydrogen 3, with a half-life greater than 30 days and in any form other than gas shall be tested for contamination and/or leakage before use. In the absence of a certificate from a transferor indicating that a test has been made within 6 months before the transfer, a sealed souIce received from another person shall not be put into use until tested.

(2) Notwithstanding the periodic leak test required by this condition, any peImitted sealed source is exempt from such leak tests when the souIce contains l

100 microcuries or less of beta and/or gamma emitting material or 10 microcuries or less of alpha emitting material.

AF Form 1756, MAY 85

rao 2 or 3 raoE.

RADIOACTIVE MATERI AL PERMIT 3

01 USAF RADIOISOTOPE COMMITTEE

, ~y SUPPLEMENTARY SHEET DOCMETNo.

999-00017 CONDITIONS 16, continued (3) Except for alpha sources, the periodic leak test required by this condition does not apply to sealed sources that are stored and not being used. The sources excepted from this test shall be tested for leakage prior to any use or transfer to another person unless they have been leak tested within 6 months before the date of use or transfer.

B.

Each sealed source containing peImitted material, other than HydIogen 3, with a half-life greater than 30 days and in any form other than gas shall be tested for leakage and/or contamination at intervals not to exceed 6 months except that each source designed for the purpose of emitting alpha particles shall be tested at intervals not to exceed 3 months.

C.

The test shall be capable of detecting the presence of 0.005 microcurie of radioactive material on the test sanple.

The test sarrple shall be taken from the sealed source or from the surfaces of the device in which the sealed souIre is permanently or semipermanently mounted or stored on which one might expect contamination to acctmulate. Records of leak test results shall be kept in units of micIncuries and maintained for inspection by the NRC, the USAF Radioisotope Committee, or the Medical Directorate of the Air Force Inspection and Safety Center

( AFISC), Norton AFB, California 92409-7001.

D.

Test sample (s) shall be collected by the permittee and forwarded to the Radioanalytical Services Branch of the USAF Occupational and Environmental Health l

Laboratory (USAF0EHL/RZA), Brooks AFB, Texas 78235-5501 for evaluation.

E.

If the test required by Subsection A, or B. of this condition reveals the preserce i

I of 0.005 microcurie or more of removable contamination, the permittee shall imrrediately withdraw the sealed source from use and shall decontaminate it and j

I either repair or dispose of it in accordance with NRC regulations and Air Force I

directives. A Ieport shall be filed within 5 days of the test with the USAF Radioisotope Committee (Address: HQ AFOMS/SGFR, Brooks AFB, Texas 78235-5000) describing the equipment involved, the test Iesults, and the corrective action taken.

17. Sealed souIces containing permitted material shall not be opened or removed from portable gauges by the permittee.
18. Maintenance or repair of portable devices involving removal of the sealed sources from the devices or removal or dismantling of shielding may be perf ormed by persons specifically authorized by the NRC, the USAF Radioisotope Committee, or an Agreement State to perform such services.

f

19. The permittee shall conduct a physical inventory every 6 months to account for all souIres and/ ir devices received and possessed under the permit.
20. The permittee may transport peImitted material in accordance with the provisions of 10 ER 71, "Fackaging of Radioactive Material for Transport" and 49 CFR, " Transportation".

AF Form 1757, MAY 85

l i

PASE 3 OF 3 PAGE3 RADIOACTIVE h1ATERI AL PERMIT g

3 USAF RADIOISOTOPE COMMITTCE SUPPLEMENTARY SHEET DOCMETMO.

999-00017 CONDITIONS

21. Except as specifically provided otherwise by this Permit, the possession and use of radioactive material described in Items 6, 7, and 8 of this Pemit shall be in accordance with statements, representations, and procedures contained in letter dated 16 Oct 1986. The Nuclear Regulatory Commission's mgulations and United States Air Force directives shall govern the oemittee's statements in applications or letters, unless the staterrents are more mstrictive than the mgulations and dimetives.

3 0 0CT 1986 FOR THE USAF RADIO 1SOTOPE COMMITTEE i

Date By mm h

LAWRENCE DONOVAN, Captain, USAF, BSC USAF Radioisotope Committee Office of the Surgeon General

- AF Form 1757, MAY 85

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