ML20237A541
| ML20237A541 | |
| Person / Time | |
|---|---|
| Site: | 07000622 |
| Issue date: | 07/31/1998 |
| From: | Fliszar R ARMY, DEPT. OF, ARMAMENT RESEARCH, DEVELOPMENT & |
| To: | |
| Shared Package | |
| ML20237A181 | List: |
| References | |
| NUDOCS 9808140165 | |
| Download: ML20237A541 (3) | |
Text
.,e APPn0vto si OMe. to aiwouas U.S. tiUCLEAR REGULATORY COMMJS&lON NRC FORM 314 (IPIs(f. 0W31M sou
!$TIMATED BliR0EN PER #13PONSE TO COMPLY WITH THl3 REFORMATION COLL I0 cF7.So 3eisil18wn SIOut$7; 30 HetVTIS. TIG8 MANDATORY SUSMr1TAL 15 U$(0 SV NRC A8 PART Of to cP3 do 42tsH1Havl THg SAsis 50s ITS DETERMe Afl0N TMAT THE fACll.ffY MAS STEN CLIARED Of to cra fo asisHiswl R A010ACTM MATERIAL SEFORi THE FACILITV 15 RELIASED FOR UNRESTRETt0 CERTIFICATE OF DISPOSITION OF MATERIALS
,0,WA,0 0MMcNT einuos,s su. din inmTi TO Tur w0nMATm AND RECOROS MANAGEMENT SRANCH IMN64 77141, U S. NUCLIAA 3!GULAT0av COMMilSR WASMhm, DC MM1. M0 M TMC PAPERWORE MUM INSTRUCTIONS: ALL ITEMS MUST BE COMPLETED PRINT OR TYPE MW
.N MM M
.WMH
,0C M SEND THE COMPLETED CERTIFICATE TO THE NRC OFFICE SPECIFIED ON THE REVERSE uGlkbl huMbLn urthsLt hAME AhD ADDREEE Department of the Army SNM-561 U.S. Army Armament Research, Development and ucem uPw,on om Engineering Center J nuary 31, 1999 Picatinny Arsenal,NJ 07805-5000 A. MATERIALS DATA (Check one end complete es necessary/
THE LICENSEE OR ANY INDIVIDUAL EXECUTING THIS CERTIFICATE ON BEHALF OF THE LICENSE (Check and/or corraplete the appropriate item (s)below.)
]1. NO MATERIALS HAVE EVER BEEN PROCURED OR POSSESSED BY THE LICENS All of the following materials OR.
. _ _ _ _. _...... ~.. _ _... - _......_.. _..__. _. _ _. POSSESSED BY THE
{ 2.* LICENSE NUMBER CITED ABOVE HAVE BEEN DISPOSED OF IN THE FOLLOWING MANNER. (t/ edditions/spece is needed (enriched U (rprovide errecrynent,.iltem 6.D.of NRC Form 374 to Lic.# SNM-561, d 522~
imise side o 4
93.27 wt % in the U-235 isotope)-sealed MTR type fuel elements).
Describe specific materief trenefer actione U. S.
niiched sources described above and designated as 92*A1, 92*A2, and 92*A3 were shipped to the Lockheed Martin Energy Systems, Inc. (Contractor for the U.S. Department rfnefore, specify the date of the trenefer, the name of the license recipient, and the recipient's NRC license number or Fo State name end license number.
Date of transfer: Prior to 30 Jun 98. Official recipient: Lockheed Martin Energy Systems' Inc., Y-12 Plant, P.O. Box 2009, Oak Ridge, Tennessee, 37831, ATTN: Bo Adelaine, Nuclear Materials Representative, (423) 574-2572 If materiale were disposed of directly by the licensee ratho'r then treneferred to another liconees, licensed disposal site or weste contractor, describe the specific disposal procedures (e.g., decayin sto/epe/
9808140165 980731 PDR ADOCK 07000622 C
PDR B. OTHER DATA
]1. OUR LICENSE HAS NOT YET EXPIRED; PLF.ASE Tf RMINATE IT.
- 2. A RADIATION SURVEY WAS CONDUCTED BY THE : eCENSEE TO CONFIRM THE AB AND TO DETERMINE WHETHER ANY CONTAMINATION REMAINS ON THE PREMISES C
-*"}NO Witrech erplanerion) B3030 still contains a self-shielded irradiator with a Cs-137 29-00097-06.
When transferred to another k (ES, THE RESULTS (CheEMMs9e under license #
building a close-outsurvey will be conducted of B3030.
ARE ATTACHED, or WERE FORWARDED TO NRC ON (Deret I
' U 2'."c""e*'"
"^"'
- 3. THE PERSON TO BE CONTACTED RICHARD W.
FLISZAR n
REGARDING THE INFORMATION ARDEC RP0 (973) 724-3126 PROVIDED ON THIS FORM
- 4. MA L AL FU R RR PONDENCE REGARDING THIS LICENSE TO U.S. Army Armament, Research, Development, and Engineering Center ATTN: AMSTA-AR-QAW-R, B320 (Rf CHARD W.
FLISZAR), Picatinny Arsenal, NJ 07806-5000 CERTIFY!hG OFFICIAL i CERTIFY UNDER'rcNALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT cart eachArung g
mhtto hAMt Aho tiTL CHARD FLISZAR, H.P. Manager
/
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g4 J/)c
/g 0
WARNING: FALSE ST ATEMENTS IN THIS CERTIFICATE MAY BE SUBJECT TO CivlL AN REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND A SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STA
( A C/
d DFPARTMENT OR AGFNCY OF THE UNITfD STATES AS TO ANY MATTER WITHIN ITS JURISDICTIONS
HEALTH PHYSICS SURVEY REPORT PrincpaikJscr:
Date:
2 3 3(m c if Organization: AMW -AbG A W -R surveyor (s):
Mos3 Bldg. #:
3030 Survey Meterts): Vtc_fm'er.,
Room #:
Model #(s):
~
Phone #:
Serial #(s):
ffb
~
Activity: bowed cf CFY P(Obo Calibration Due Dato:
11/rvs r A'
{
t ISOTOPE (S):
U2W CHECKLIST l
SMEAR ANALYSIS YES NO N/A NCN-CCNTROLLED AREAS
- 1. NRC Form #3 Posted?
- 2. Notice to Dnployees Posted?
/ All smears show removable contamination
- 3. SOPS /RWPs Posted?
of < 100 dpn/100 square centimeters.
SOP #/RWP #:
The following smears show removable contamination > 100 dpn/100 sq. cm.
- 4. Dnergency Numbers Posted?
1.
4.
- 5. CAUTION-RADIOACTIVE MATERIAL Posted at Entrance?
2.
5.
- 6. CAln.CN-RADIOACTIVE MATERIAL Posted at Storage Areas?
- 7. CAUTION-RADIOACTIVE MATERIAL 3.
6.
Posted at Work Areas?
- 8. CAUTION-RADIOACTIVE MATERIAL Cotenum AREAS Posted on Ccancdity or on Equignent?
All smears show removable contamination
- 9. CAUTION-RADIOACTIVE MATERIAL of < 1000 dpn/100 Square centimeters.
Posted on Rad Fume Hood?
__,10. Appropriate Personnel Ths following smears show removable Dosimetry?
contamination J.1000 dpn/100 sq.cm.
- 11. Survey Meters Calibrated?
'1 4.
2.
5.
3.
6.
l TYPE OF ANALYSIS TYPE OF HEALTH PHYSICS SURVEY l
Liquid Scintillation Rad Material Operation-t/ Alpha-BetaGasFlowProportional X-Ray operation GM Laboratory Counting System
[Inccming-Outgoing Shipnent Ganma Spectroscopy Incident Investigation Alpha Spectroscopy Environmental Survey Date of Analysis: 13 h n N Leak Test Analysis Done by: 84 %
Radiation Work Permit Survey
.5 w.r e mum W E F trTE (( me.k A
')oQ RNTT (CM/mf) 1L l
216 s=a-v r<emfL -
y l m.anju, 73 i
7M 2-I 75' Askil%i-are n/k '
g y
7T 2.
7 (.
n aren/h<
g a g u,,;/h<
77
- 3...
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1 l'
i UE JUN 23, 1998
- 0U' OUfG01'.'IPMENT 0 DEUMS 1 AND 3 SAM E f!M ALPHA ETA ALP"
, ETA C"A 7A TOD CL CK SN C0u (MIN.)
COUNTS COUNTS CPM CORKECTED COR
. :$EC l
TUE JUN 23,1998 CROUP A OUTGOING SHIPMENT OF CFX DRUMS 1, 2 AND 3 SAMPLE TIME ALPHA BETA ALPHA lLETA ALPHA LETA TOD CLOCK SN CODE (MIN.)
COUNTS COUNTS CPM
' CPR CORRECTED CORRECTED HR:MN:SEC 99 5.00 18 38 0
0 0
0 14:29:54 100 5.00 2692 5459 534.80 1964.20 1676.489 3578.2178 14:35:13 71 5.00 le 38
-1.60 0
-5.015674 0
14:40:33 i
W 5.00 3
34
-3.00 je.80
-9.4043887
-2.640264 14:45:53
'%, TY 5.00 5
35
-2.60 7 60
-B.1504702
-1.980198 14:51:13 0
75 5.00 12 23
-1.20 E3
-3.7617555
-9.9009901 14:56:33 1,.00 77 5.00 le 36
-1,60 0'
'.40
-5.015674
-1.320132 15:01:52 76 5.00 9
38
-1,80 0
-5.6426332 0
15:07:12 l
i i
l 1
+!
i
.i LLD 12 '1 dpn 4
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