ML20248G034
Jump to navigation
Jump to search
{{Adams | number = ML20248G034 | issue date = 05/26/1998 | title = Matls Licensing Package for Amend 11 to License 50-29015-01 for ASCG,Inc.Control:572625 | author name = Prange B | author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) | addressee name = | addressee affiliation = | docket = 03031760 | license number = 50-29015-01-A11, 50-29015-1-A11 | contact person = | document report number = 50-29015-01, 50-29015-1, 572625, NUDOCS 9806050070 | document type = DKT 30 MTL BYPRODUCT, LICENSE,MTL/BYPRODUCT & AMEND TO LICENSE (DKT 30), TEXT-LICENSE APPLICATIONS & PERMITS | page count = 500 }} See also: IR 05000290/2015001
Text
{{#Wiki_filter:u.s. NUCLEAR REGULATORY CoMMISstoN g
MATERIALS LICENSE
Pursu" a the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), an Title 10, Bod) adiral Regulations, Chapter 1. Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and Epr;sint:tions heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and }mnsf;r byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designitLd below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the
- pplicab'.3 Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954,
- s cmended, and is subject to a!' applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in
effect cnd to any conditions specified below.
Licensee in accordance with application dated
February 11,1998
C. ASCG Incorporated 3. License number 50-29015-01 is amended in
db3 ASCG Inspection, Inc. its entirety to read as follows:
8. 301 Arctic Slope Avenue, Suite 100 - 4. Expiration date March 31,2001
Anchorage, Alaska 99518-3035 5. Docket No. 030-31760
Reference No.
O. Byproduct, source, and/or special 7. Chemical and/or physical form 8. Maximum amount that licensee may
nucleIr material postass at any one time under this
license
A. S;s Condition 10 A. Sealed sources A. See Condition 10
,
'
B. C:sium-137 B. TO Model77302 B. Not to exceed 165
,
'
sealed sources. millicuries per source
C. Urtnium, Natural or -
'
. C. Shielding material ' C.~ 999 kilograms
'
D:pleted -
_
-
s
-
s
'
+
t. .,. s
9
9. Authorized use
A. For use in industrial radiography and replacement of sources.
B. For use in TO Model 773 instrument calibrator for calibration of licensee's survey instruments and
dosimetry equipment required by 10 CFR Part 34.
C. For use in shielding in radiography equipment.
3
\
I
t
a. .;0
til
J
9806050070 980526
8 ADOCK 03031760
I PM ,
-
- _ _ _ _ _ _ _ _ _ _ _ _ _ _
NRc FORM 3'f4A u.s. NUCLEAR REG'JLAToRY Commission PAGE 2 of 5 PAGEs
License Number
50-2L 315-01
Docket or Reference Number
MATERIALS LICENSE
SUPPLF.MENTARY SHEET
030-31760
Amendment No.11
CONDITIONS ,
1
10. Sealed sources, exposure devices, and source changers authorized for use are as follows:
1
Manufacturer & Maximum Manufacturer & Manufacturer &
Model No. of ,
Activity per . Model No. of Model No. of
Isotooe Source Assemblies ' - Source Exoosure Devices Source Chanaers
'
A. Ir-192 IN Model 32' 120 curies IN ModelIR-100 IN Model IR-50
B. Ir-192 AMSHM Model,87703 120 curies IN Model IR-100 IN Model IR-50
x'
C. Ir-192 IN Model 7 .
120 curies AMSHM Moiel 660B IN Medel IR-50
- N. >
1
D. Ir-192 AMSHM Model 86520 200 curies ' AMSHM Model 865 NONE
- 1
E. Co-60 AMSHM Model . t,- 70 millicuries AMSHM Model 660B NONE
'
A 424-19 , l. t
-
,
,, t TV .
-
]
ABBREVIATIONS USED IN LICENSE:- .
k, - ,
-
^
Amersham (AMSHM), Industrial Nuclear (IN).; lc_,_, - ;~ A ,- -
i
s 4, m ,
.
'
11. Radioactive material shall'be used on!'y at th'e,folloping: ,
I
s . .,
A. LOCATION OF USE: L$t 3A, Block 1 Subdivision, Dimond' Industrial Center,301 Arctic Slope
Avenue, Anchorage, Alaska. -
!
i
B. FIELD STATIONS: Lot 3A, Block 1 Subdivision, Dimond Industrial Center,301 Arctic Slope !
Avenue, Anchorage, Alaska;
4831 Old Seward Highway, S#e 107, Anchorage, Alaska; 1
i 611 East 30th Avenue, Fairbanks, Alaska;
43800 Kenai-Spur Highway, Kenni, Alaska;
i
Kuparek River Unit, Kuparek, Alaska; ;
BP Exploration, Prudhoe Be/, Alaska;
Valdez Marine Terminal, Valdez, Alaska;
ARCO EOA, Prudhoe Bay, Alaska
l
\
]
. 1
- i
- _ _
NRC FoR3 374A u.s. NUCLEAR REGULATORY Commission PAGE 3 of 5 PACES
Licensa Number
50-29015-01
oocket or Reference Number
MATERIALS LICENSE
SUPPLEMENTARY SHEET 030-31760
Amendment No.11
11. (Continued)
C. PERMANENT RADIOGRAPHIC INSTALLATIONS: NONE
l l D. TEMPORARY JOB SITES: Anywhere in the United States where the U.S. Nuclear Regulatory [
Commission maintains jurisdiction for regulating licensed material, including areas of exclusive
'
federaljurisdiction within Agreement States.'
;- ,
if the jurisdiction status of a federal facility within an Agreement State is unknown, the licensee should
contact the federal agency controlling the job site in question to determine whether the proposed job
site is an area of exclusive federal jurisdiction. Authorization for use of radioactive materials at job
sites !a Agreement States not under exclusive federal jurisdiction shall be obtained from the
appropriate state regulatory agency.
~
,-
% , ._. , , C
12. Licensed material shall be used by, or under the su'pervision end in the physical presence of, Jeff
l Arveson, Terry Stokan, Tom Liverance, Dan Smith; Larry Russell, Keenar1 Remele, or individuals who
have been designated in writing by the Radiation Safety Officer and have been trained: l
- - .
,5 1 ,
;
~ ~
( A. As specified in th'e' application dated March 11,1998 and in the letter dated April 22,1998
'
>
L .- ;, .x
.
;,
B. In accordance with the provisions of 10 CFR 34.43. m
~ -
- . . , %; ,.
'
*
q. ,
y _:;
\
<
~
,
p
! l
l
I
i
!
I
NRC FORM 374A u.s. NUCLEAR REGULATORY CoMMisstoN F' AGE 4 of 5 -PAGEs
Ucensa Numbir
50-29015-01
Docket or Reference Number
NIATERIALS LICENSE
SUPPLEMENTARY SHEET
030-31760
Amendment No.11
13. The Radiation Safety Officer for this license is Keenan E. Remele. 14. A. Notwithstanding the periodic leak test required by 10 CFR 34.27(c)(1) and (e), the requirement
does not apply to radiography sources that are stored and not being used. The sources
exempted from this test shall be tested for leakage before use or transfer to another person. No
sealed source shall be stored for a period o{ rnore than 10 years without being tested for leakage
and/or contamination. _4
_
%
B. Sealed sources authorized for a use other than radiography shall be tested as radiography
sources in accordance with Section 34.27 of 10 CFR Part 34.
15. The licensee is authorized to. receive, possess, and use sealed sources of iridiuni-192 or cobalt-60
where the radioactivity exceeds the maximum amount of radioactivity specified in this license provided:
, , 1 ._ ,
A. Such possession does not exceed the quantity per. source specified in item 8 by more than 20%
for iridium-192 or 10% for cobalt-60; ^
j
s.-
B. Records of the licensee show that n'o more tharithe maximum amount of radioactivity per source
~
specified in this license was ordered from the supplier or transferor of the byproduct material;
and . l: ;>r
,
, , '4; g 9M - . , 7,f y[r b
C. The levels of radiation for radiographic exposure devices and storage containers do not exceed
*
those specified in Section 34.21,10 CFR Part 34. *
v
9
16. The licensee is authorized to transport licensed material only in accordance with the provisions of 10
CFR Part 71, " Packaging and Transportation of Radioactive Material."
17. In addition to the possassion limits in item 8, the licensee shall further restrict the possession of
licensed material to quantities below the minimum limit specified in 10 CFR 30.35(d) for establishing
decommissioning financial assurance.
N
-- - - - - - )
.
N7,C FORM 374A u.S. NUCLEAR REGULATORY Commission PAGE 5 of 5 PAGEs
Licsnse Numb 2r
50-29015-01
Docket or Reference Number
MATERIALS LICENSE
SUPPLEMENTARY SHEET 030-31760
Amendment No.11
18. Except as specifically provided otherwise in this license, the licensee shall conduct its program in
accordance with the statements, representations, and procedures contained in the documents,
;rduding a.r,y enclosures, listed below. The Nuclear Regulatory Commission's regulations shall govern
unless the statements, representations, and procedures in the licensee's application and
correspondence are more restrictive than the regulations.
.-
A. Application dated March 11,1998:
B. Two letters dated March 27,1998
C. Letter dated April 17,1998
D. Letter dated April 22,-1998
E. Letter dated May.18,1998
.-
,
_
7
', -
.
'
-
, . .
,,
.
, ,
/ l
t ,e ' - , ,
,. -
7' ,1 .. ,
,
'
,
' -
.._ '
,s ; -
s s.;
~.. ,
- r
'
,
- l; '- l : -jj;. . A ~
r-
..
'
i ,
-
,. m
fl
*
s-
g3 ,.
,, ny y
i 1
.
-
l
FOR THE U.S. NUCLEAR REGULATORY
COMMISSION
!
Date By b. [Wz4v_
Materials Branch
Region IV, WCFO
Walnut Creek, California 94596
___
- - - - - ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
O
. , (ff) (O /
t
., , .
*
(FOR LFMS USE)
INFORMATION FROM LTS
BETWEEN:* ....................
License Fee Management Branch. ARM Program Code: 03320
and Status Code: 0
Regional Licensing Sections -
30 2B
.
Fee
Exp. Category:010331
Date: <0
Fee Comments:
Decom Fin Assur Kega: N
. . . . '.. .
7,
LICENSE FEE TRANSMITTAL d
A. REGIONhd,f'D
]
J 1. APPLICATION ATTACHED '"
'
Applicant / Licensee: ASCG INCORPORATED
Received Date: 980212 "_,,.
Docket No: 3031760 _;
Control No. 572625
License No. 50-29015-01 m --
Action Type: Amendment a
w
2. FEE ATTACHED 3
Amount: ; /m
Check No.. < r -7
'
3. COMMENTS /
.
Signed
/[ M
_ ,
Date e l /J _ cfc/
< <w 7o /
B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered /V /)
1. Fee Category and Amount: 3b
2. Correct Fee Pai Application may be processed for:
Amendment V
Renewal
License
3. OTHER
Signed gy
Date . ,L/ 2// - / * 16
Log M 4 W60
Remitte r _ _
C h e c k N o YgN. . . __ _ _ 1_ 4. "
O *4
Amount
Fee Category _ _kN _U____________h
Type of fee . _ _ _ _ _ _ _ _ _ ddh6. '
Date Cr k Rec'd.
..._ _ _ __
'
.
l *-
,
;
y
g/"% *. UNITED STATES
NUCLEAR REGULATORY COMMISSION -
g
*
je REGION IV
* f Walnut Creek Field Office
b ,,,,, j
+
1450 Maria Lane
Walnut Creek, California 94596-5368
,
2/M/13' ,
l
BETWEEN: Diane B. Dandois, Chief
License Fee and Accounts Receivable Branch
j Office of the Controller ~ l
Frank Wenslawski, Chief
Materials Branch, Region IV - Walnut Creek Field Office (WCFO)
LICENSEE FEE TRANSMITTAL
'
A. REGION IV-WCFO
l. APPLICATION AVTwHtD
Applicant / Licensee: A SC G, _Dic. , l
Application Dated: f//fTY
Control No.: 572/,.:25-
License No.: 60-290 /6-CI
2. FEE ATTACHED
Amount: $ 720.00
Check No: 4h2 N *
3. Comments
Signed: n Date 2d ~
(/
'
I
B. LICENSEE FEE AND DEBT COLLECTION BRANCH
1. Fee Category and Amount:
2. Correct Fee Paid. Application may be processed for:
Amendment
Renewal
License
Signed: Date
L--________________________________________ )
- -_ - _ _ _ _ _ - - _ _ - _ _ _ _ _ _ - - - _ _ _ _ _ _ - _ _ - - _ .-- _ - _
~
. \
*
l } NRC FORM $77 U.S. NUCLEAR REGULATORY COMM2SION
""3 _ LICENSC FEE AND DEST COLLECTION BRANCH
DIVISION OF ACCOUNTING AND FINANCE
LICENSE FEE REQUIREMENTS OFFICE OF THE CONTROLLER I
U.S. NUCLEAR REGULATORY COMMISSION l
WASHINGTON. DC 20$$$4001
4 t r t- en -r ,ey
TYPE OF ACTION
] NEW LICENSE l
l RENEWAL OF UCENSE
ASCG INCORPORATED AMENDMENT TO UCENSE ,
dba ASCG INSPECTION SERVICES
ATTN: MICHAEL J. CROY, RSO REQUESTED DATE '
l 301 ARCTIC SLOPE AVENUE, SUITE 100 2-11-98
ANCHORAGE, AK 99518-3035 UCENSE NUMBER
i
50-29015-01
l CONTROL NUMBER i l l 572625 ATTN: RITA UESSIER, LFARB, T910 l
L APPLICATION FEE DUE IL FEE NOT REQUlf N
Your request for a licensing action is subject to the foo(s) in the category (ies)
rioted below in accordance with Section 170.31 of N enclosed Federal ] Enclosed is Check No. which accompanied your
l
j
,
RegWier notce. Payment of the fee is required prior to the issuance of the request. The fee is not required because: l
license, renewal, or amendment.
l l eM b APPLICATION RENEWAL AMENDMENT We received your Check No. In payment of ; l 30 s s s th* f**- !
s s s 700.00
$ 5 s The Ucensing staff has informed us that your rec;uest is to be
g g g cons 6dered as a continuation of your sequest dated
8 8 5 , Control No.
_
5 8 s
Your request was combined, pr6or to review, with your
s s s request, Control No. .
s s S
llL CHECK RETURNED
FEE (s) DUE s 700.00
8
***""** "*
PAYMENT RECElVED
'"
AMOUNT DUE s 700.00
INSUFFICIENT FUNDS
Your request was received wtthout the prescribed application
fee. ACCOUNT CLOSED
We received your Check No. In the amount of
$ Payment of the additional fee noted l
above is mquimd.
MAIL THE REPLACEMENT CHECK TO THE ADDRESS USTED AT THE f
] Your request will increase the scope of your license program.
Therefore, your request is subject to the application fee (s) noted above.
TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL
NUMBER.
Refer to Section 170.31 and Footnote 1(d)(2). IV. UCENSE ISSUED WITHOUT THE REQUIRED FEE
Your Icense expired prior to the receipt of your application for renewal. Ucense No. , Amendment No. , issued on
i Therefore, your request is subject to the application fee (s) noted above. l Refer to Section 170.31 and Footnote 1(a). was issued without the required fee being l conected. The fee required is noted in Section i of this form. l
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 10 subject to the application fee (s) noted in Section 1 of this form.
ADDRESS USTED 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 LtSTED BELOW, WE SHALL ASSUME THAT YOU DO NOT
WISH TO PURSUE YOUR APPUCATION ANT! WILL VOID THIS ] Because of the urgency of your request, the license was issued wtthout
remittance of the prescribed fee noted in Section 1 of this form.
ACTION.
SIGNATURE - LICENSE FEE ANALYST LFDC) AFDCg/ [ ph OC/DAF RF DATE
(#
~~
REMessier Pending Fee File CC/DAF .2.7) ! 7
RITA MESSIER 2/18/98 /~ _.15Aan R * (2n Rh 2-18-98
mennsn oe) in. =,,. a c.ny , ., cm. r r.,m.. c
_ _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . ._
- _ _ _ _ _ _ - _ _ . _ _ _ _ _ - _ - _ - - - _ - - _ _ . _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ - - _ _
k
UNITED STATES /
%'%
g
e
[/ j
NUCLEAR REGULATORY COMMISSION
REGION IV v]j -
r
% ! Walnut Creek Field Office
b , , , , , +# 1450 Maria Lane, suite 3oo
Welnut Creek, California 94596-5368
May 26,1998
ASCG Incorporated
dba ASCG Inspection, Inc.
ATTN: John McClellan, P.E.
President
301 Arctic Slope Avenue-Suite 100
Anchorage, Alaska 99518-3035
SUBJECT: LICENSE AMENDMENT
Please find enclosed License No. 50-29015-01. You should review this license carefully and be
Eure that you understand all conditions. If you have any questions, you may contact the
reviewer who signed your license at (510) 975-0250.
It should be noted that, although your letter dated April 22,1998, requested authorization for
the use of an Amersham Model 87703 source in an Amersham Model 660B device and in an
Industrial Nuclear Model IR-50 source changer, we were unable to verify this as an acceptable
combination as indicated in the registry sheets. For this reason, this combination is not
approved on the license.
NRC expects licensees to conduct their programs with meticulous attention to detail and a high
standard of compliance. Because of the serious consequences to employees and the pubhc ;
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 I; cense application, and NRC regulations. In particular, note that
you must:
1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and
Reports to Workers: Inspection and Investigation," 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 only 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). i
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
' r.ludes not only a total change of ownership, but also a change in the controlling
interest in your company whether it is a corporation, partnership, or other entity. In
_ _____________ _ _____ ___________._______ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _
__________y
. _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ . _ _ - _ _ _ - _ _ _ _ - _
;
.
ASCG Incorporated -2-
addition, appropriate license amendments must 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 supplemental
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 facility,
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 radionuclides 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 renewal 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 material
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.
l
i
- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ . _J
. _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ - _ - - - _ _ _ - _ _ - _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _
t
*
f
ASCG Incorporated -3-
l You will be periodically inspected by NRC. Failure to conduct your program in accordance with l
NRC regulations, license conditions, and representations made in your license application and
supplemental correspondence with NRC will result in enforcement action against you. This
could include issuance of a notice of violation; imposition of a civil penalty; or an order
j_ suspending, modifying, or revoking your license as specified in the " General Statement of ~
Policy and Procedure for NRC Enforcement Actions"(Enforcement Policy), NUREG 1600.
Thank you for your cooperation.
Sincerely,
N k* QA
Beth A. Prange U
Sr. Health Physicist (Licensing)
. Materials Branch
Docket: 030-31760
License: 50-29015-01
Control: 572625
Enclosures: As stated
cc: State of AK (License Only)
,
_ _ _ _ - _ _ _ _ _ _ - _ _ _ _ _ _ _ __ .__ __ _ _ J
_ _ _ _ _ _ _ _ _ - .
.
i'
e
j. i i ASCG Incorporated -4
bec:
LFARB, T-9, E-10
WCFO Inspection File
Docket File
!
DOCUMENT NAME: G:\beth\572625
To receive copy of document. Indicate in box: "C" = Copy without enclosures "E" = Copy with enclosures "N" = No co y
RIV:MB M
BPrange M
I/llp/98
OFFICIAL RECORD COPY
.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - _ _ _ _ _ _ _ _ _ _ _ - _ - - _ - _ _ _ _
l'
A
"" "-
IIl=5CG
en A5c6 company
- . .
U.S.N.R.C. May 18,1998
Region IV / WCFO
1450 Maria Lene
Suite 300
Walnut Creek, CA.94596-53
Beth Prange
Dear Beth,
Attached are the corrections to the manual that you requested.
Please feel free to contact me if there is more that needs to be done.
Sincerely
1
.
N
eenan E. Remele
RSO / Training Coordinator j
l
l
l
l
l
l
l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
J
,
RADIATION SAFETY PROGRAM Sectios: 7.0
PARTU Page: 1of2 ]
1
A5CG RADIATION SURVEYS Revision:
II
1
ln5peCtion, Date:02/10/98
Inc.
an ASCG company
1.0 SURVEYS
Physical radiation surveys will be performed in the manner and at the time
specified below:
1.1 Removal from storage
1.1.1 The surface of the exposure device shall be survyed to insure the
maximum reading does not exceed 200 mR/hr.
1.1.2 Should the maximum reading exceed 200 mR/hr, the exposure
device shall be retumed to the storage container and the RSO l
contacted. i
1.2 Radiation Limits at Perimeter of Restricted Areas
1.2.1 Perform surveys as required under" Posting and Restricting of
Radiographic Areas" procedure. i
1.2.2 Record results on Daily Radiation Job Sheet with sketches and '
explanatory notes as required.
1.2.3 Record total exposure time (in minutes) on the same form.
I
1.3 Radiation Surveys After Completion of Individual Exposures, j
1.3.1 Retum source to the shielded position.
1.3.2 Susvey the exposure device surfaces to determine radiation levels.
These levels should correspond to previously measured levels at
the surfaces for the same source in the same exposure device. If
levels do not correspond to previously measured levels, the source
has not retumed oroperly to a safe position (in this case, see
Emergency Procedures).
1.3.3 After determining source is in safe position, the entire length of the
guide tube (s) shall be surveyed.
1.3.4 When the surveys are complete and the source is in the secure
position, lock the exposure device.
l 1.4 Radiation Surveys for Storage of Exposure Device after Last Exposure
1.4.1 Repeat all steps in 1.2 above.
1.4.2 Perform specific instructions for securing the exposure device.
Record the lock out survey after finishing the job.
1.4.3 Retum the exposure device to the storage vault (container) and
lock the vault.
301 Arctic Slope Ave.,5uite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
J
- . .
*A RADIATION SAFETY PROGRAM
-
RADIOACTIVE MATERIAL TRANSPORT
_
SURVEY RECORD (parts 34.21 & 71.47) l
Location: Job No.: Date: / / j
Survey Performed By: Title:
M nul.ctwer Empoewe Device O GaugeO sowce Type source source
ch.no.r O orumO som O Mod.C No. swW Acuvky
crate O case O storage O Numbw No.Cwles
Modes no swW Numbw
I
Amersham
-
Industrial Nuclear
ao
NOTE: surwy. n e be med. on .a cone. inn. nyp. s a ovwp.eks wh.n e.c.evine .no shippina .awces.
OVERPACK Exposure O Expsoure O Other l
Drum O Changer O Changer O
SURVEY Crate O Storage O Ctorage O l
Box 0
Case O
HIGHEST 1 METER SURFACE 1 METER
READING ON (39.375") CONTACT (39.375")*
OVERPACK ;
'
OR DEVICE
eu; : um .wwy oniy m any or in e nevic we shipp.a w receiv.a wah out an ovwp.ca.
OVERPACK INSPECTION: LabelingO Inner Dracing O Outer ConditionO
Check mark indicates satisfactory Bolt / Nut O Hinge / Ring O Screws O
If highest reading on any contakter is less than 60 mR/hr at the surface and does not exceed 1
mR/hr at meter (Transport Index), use Yellow Label 11. If the measurement exceeds 1 mR/hr or
50 mR/hr, use Yellow Label 111.
,
Do not transport or use exposure device with source if readings exceeds 200 mR/hr at it's
!
surface and/or 10 mR/hr at 1 meter. CONTACT THE OFFICE OF THE RSO IF EITHER OF THESE
READINGS EXCEED THE STATED LIMITS.
Survey Meter
Model: S/N Calibration Due Date: I /
CHECK ALL THAT APPLY: Source Received O Transferred O Disposed O
Survey on Receipt of Overpack O At:
Survey on Receipt of Exposure Device O Changer O At:
Survey of Expsoure DeviceO Changer O after transfer of source from ChangerO Exposure DeviceO
Survey of Expsoure DeviceO Changer O Prior to transportO To:
Survey of Overpack prior to transport O To:
l 7 &
_ .
.
.. . .
.. . . . .
.
.
o
*
l
ASCG
Inspection, fy _.
, II
an A5CG company
Inc. '
'
'p
:
April 22,1998
U.S.N.R.C.
i
Region IV / WCFO
l 1450 Maria Lane l Suite 300 ,
Walnut Creek, CA. 94596-53
'
Beth Prange
Dear Beth,
Please accept this response to the fax received April 6,1998. This letter and
enclosures supercedes all previous submitted documents.
I
Item #1
1. The Lixiscope, Model LS 82 Series, that was on License 50-19202-01 was
never received by CTI Alaska, Inc. This item will not be retained on License
50-29015-01
2. The following list of equipment will be retained on License 50-29015-01:
. Cesium-137 TO Model 77302 Not to exceed 165
Sealed sources millicuries per source
Authorized use:
For use in TO Model 773 instrument calibrator for calibration of
licensee's survey instruments and dosimetry equipment required by
10 CFR Part 34.
. Uranium, Natural Shielding Material 999 Kilograms
or depleted
Authorized use:
For use in shielding in radiography equipment.
. Exposure Device, Source Changer, Licensed Materila Listing
l
Manufacturer i
& Model No. Maximum Manufacturer Manufacturer
of Source Activity & Model No, & Model No.
lootope Assembhos Per Source EAmoure Devices Source Changers
IR-192 m Model 32 120 Cunes in ModelIR-100 in ModelIR-50
IR-192 in Model 7 120 Cunes Amahm Model 060 B in Model IR-50 ,
f(' 1R-192 Amehm Mod 87703 120 Curles Amahm Model 060 B in ModelIR-50 e ' //ri N S 84 d Y"4
IR-192 in ModelIR-100 in ModelIR-50
Amehm Mod 87703 120 Curies
[(.c%g;Q .
l 301 ArcticSlope Ave.,5uite100 Anchorage, AK 99518 phone (907) 267-6236 fax (907)267-6480 2 h L--------_---------_---_----- . - - - - d
_. _ _ __ _ _ _ _ _ . _ _ _ _ _ _ _ _ - - - _ _ _ - - - - _ - - - - - - - - - - - - -
-
e
e
ASCG
Inspection,
. IIInc.
an A5CG company
IR-192 Amehm Mod 86520 200 Cunes Amehm Model 866 None
C040 Amahm Mod 42419 70 Meicunes Amehm Model OSO B None
3. The Model 650L and SPEC Model C-1 source changers will not be
retained.
ITEM #2
ASCG Inspection, Inc. will assume full responsibility for meeting the
decommissioning requirements of 10 CFR 30.36 and 40.42 for all CTI
Alaska, Inc facilities. ASCG Inspection, Inc. will also confirm all records
concerning the safe and effective decommissioning of CTI Alaska, Inc.
facilities pursuant to 10 CFR 30.35 (g), 40.36 (f), 70.25 (g) and 72.30 (d);
public dose: and waste disposal by release to sewers, incinaation,
radioactive material spills, and onsite burials will be transferred to the new
licensee (ASCG Inspection, Inc.) and that licensed activities will continue at
the same locations mentioned in item #3 of the Application for Material
License.
ASCG Inspection, Inc. will perform the necessary wipedown of all permanent
and temporary job-site locations where licensed materials have been stored.
Results of the analysis will be forwarded to the NRC if and when
decommissioning of any or all sites becomes necessary. ASCG Inspection
Inc. will maintain decommissioning records required by 10 CFR 30.35 (g) ;
and implement decontamination activities and decommissioning of the site if
and when it becomes necessary.
ASCG Inspection, Inc. accepts full responsibility and liability for all sites
involved. Financial assurance for decommissioning is guaranteed through
the submittal of the Arctic Slope Regional Corporations 1996 Annual Report.
This report gives current retained earnings for end of year 1996 of
$141,308,000.00. Previous end of year 1995 of $127, 889,000.00. The end
of year 1997 is not out yet, but will not have changed a great deal from the
previous two years. This will cover any decommissioning costs incurred
should it become necessary to decommission the facilities.
In compliance with 10 CFR 20, Section 20.301, the disposal of all licensed
material will be by transfer to the original supplier, e.g.:
Amersham Corporation
40 North Avenue
Burlington, MA. 01803
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ . _
1
.
ASCG
Inspection,
IIinc.
I
an A5cG company
ITEM #4 l
A diagram of the facilities at 4831 Old Seward is attached.
With exception of location at 301 Arctic Slope Ave., all other locations are
determined to be field locations. Revised pages ars included to reflect this
l
change. '
i
The facility at British Petroleum Exploration - Endicott Island has been
downgraded to a call out location. The radiography crew is present on a two
and two rotatior' and when they are off, the exposure device is stored at the
ASCG Inspection, Inc. facilities at British Petroleum Exploration. Endicott
Island has no permanent storage vault.
1
ITEM #6 '
ASCG Inspection, Inc. will perform no underwater or lay barge radiography.
Attached you will find the procedure (Part 11, Section 18.0) pertaining to off-
shore platform radiography.
l
ITEM #6 4
There should have been a Work and Education History summary for Thomas
Liverance at the beginning of his documentation it states that Mr. Liverance
has acquired in excess 4,000 hours of experience in industrial gamma
Radiography. I have included a copy if this page was inadvertently left out of
the manual.
Attached is a signed copy of Larry Russell's certification card and a
statement of experience of gamma radiography.
ITEM #'t
The " Survey Meter Calibration / Service Record" and " Rate Alarm Calibration
and Service Recisrd" were revised to reflect changes in the new percentages
in accuracy. The distances were also revised to reflect the decay in the
source.
ITEM #8
Section 5.0, Part I " Transport and Storage Containers" was revised to insure
that current C of C's had been included. The Quarterly " Inspection & ,
Maintenance" checklist and the " Radioactive Material Transport Survey I
Record" were revised to include the changes. l
I
301 ArcticSlope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
J
e
e .
ASCG
Inspection,
- I~ I Inc.
an A5CG company
ITEM #9
Part 1 Section 7.0 " Training Program was revised to show a commitment of
"6 to 8 hours" of class room instruction.
ITEM #10
As you requested the terminology "..at the discretion of.." was deleted.
ITEM #11
A revised answer sheet for the " Appendix B, Exam 1" test is included
showing the correct answer for question #2.
ITEM #12
Section 7.0, Part il was revised to include additional surveys required.
ITEM #13
The changes you requested were made i.e. " deleting the reference to the
NRC" and adding the statement "..we will NOT..". Section 1.3.5 was
incorporated into 1.3.4.
1
ITEM #14 1
This is included in the opening paragraphs.
ITEM #15
The * Radiation History Request" has been modified to reflect the new RSO.
I have included one page that contained a spelling error and two new indexes. One
to reflect the change in Forms and one that includes Section 18.0
Please feel free to call me to discuss any changes.
Sincerely,
Keenan E. Remele
Radiation Safety Officer / Training Coordinator
l
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 267-6480
____ _________ _ ____ __ D
_ _ _ _ _ _ _ _ _ _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ _ _ _ - _ _ _ _ - -
1
RADIATION SAFETY PROGRAM Section: 1.0
, l
,
A ASCG
Inspection,
ADMINISTRATIVE PROCEDURES
PARTI Page:
Revision:
Date:
3 of 5
26
06/01/95
Inc. f
I an A5CG company , CTI Alaska,Inc.
4831 Old Seward Hwy., Suite 107
Anchorage, AK 99503-7450
a
i
,.,s. ii.,.,. I
!
.
l
...-. s n::t... .
j
s !!:n;;".:.
Il
.
x
h h] :
'--
p. E. In"
"-
.=
.e
:.t:. ...... t_
::: -
m
Otti.. Sn
p.., .. .....
$
5 nnnmj . . . ,
T,.s as .g R .
"""
.,si. 4,..
,,,
wti.. - ,,,,,
o
First Floor 7,200 sq. ft.
E. 50th Second Floor 3,926 sq. ft.
)
l
l
l
Ihta #'$
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
J
.
~
A A5CG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
ADMINISTRATIVE PROCEDURES
Sectio::
Page:
Revision:
Date:
1.0
lor 11
02/10/98
1
IaI
an A5CG company
Inc.
1.0 USE
1.1 All radiography performed under the license to ASCG Inspection , Inc. will l'
be performed at temporary job sites in Alaska and at remote job sites in
Agreement and Non-Agreement States under reciprocity of the Nuclear
Regulatory Commission (NRC).
2.0 STORAGE FACILITIES
!
2.1 Permanent storage of radiography material and devices will be housed I
and controlled at the following facility:
ASCG Inspection, Inc.
301 Arctic Slope Ave, Suite 100 '
l
Anchorage, AK 99518-3035
Telephone: (907) 267-6236 ;
FAX: (907) 267-6480 l
A storage vault has been constructed at the aforementioned facility )'
utilizing shielding to bring the radiation levels down to less than 2 mrem
per hour at the surface.
The facility that will be used to perform radiography utilizing byproduct
materials will be the fenced storage yard located at 301 Arctic Slope
Avenue - Anchorage, AK. 99518-3035. 1
2.2 Storage of radiography material and exposure devices will be housed and
controlled at the following field stations:
ASCG Inspection, Inc. ASCG Inspection, Inc.
Kuparuk River Unit Bristish Petroleum Exploration
Kuparuk, Alaska 99734 Prudhoe Bay, Alaska 99734
Telephone: (907) 659-7735 Telephone: (907) 659-4537
Fax: (907) 659-7346 Fax: (907) 659-4544
ASCG Inspection, Inc. ASCG Inspection, Inc.
Valdez Marine Terminal Arco Alaska, EOA
Valdez, Alaska 9968S Prudhoe Bay, Akaska 99734
l Telephone: (907) 835-6177 Telephone: (907) 659-8360
Fax: (907) 835-6179 Fax: (907) 659-8007
ASCG inspection, Inc. ASCG Inspection, Inc.
301 ArcticSlope Ave Suite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 2674480
L______________________________-_______ s
*
1 j 1
-
A A5CG
ln5pection,
RADIATION SAFETY PROGRAM
PARTI
ADMINISTRATIVE PROCEDURES
Sectio 2:
Page:
Revision:
Date:
1.0
2 of11
02/10/98
1
Inc.
'
an A5CG company
4831 Old Seward Suite #107 43800 Kenai Spur Highway
Anchorage, AK. 99503 Kenai, AK. 99611
Telephone: (907) 562-4527 Ext. #13 Telephone: (907) 283-9630
Fax: (907) 563-1846 Fax: (907) 283-9635
ASCG Inspection, Inc.
611 East 30*
Fairbanks, AK. 99706
Telephone: (907) 452-5032
Fax: (907) 452-1384
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year.
All radiation exposure devices will be locked and the storage facilities will
be kept locked. The storage facilities will be posted " Caution-Radioactive
Materials" at the entrance.
2.3 On remote job sites the exposure devises may be stored in the shipping
container of the transporting vehicles, or locked in a temporary storage J
area. Each vehicle will be equipped with a source / exposure device,
storage container with the required posting and a locking device.
Radiation levels on transport vehicles and temporary storage areas will
not exceed 2 mrem when used as a temporary storage for
source / exposure devices.
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year.
2.4 A shielded storage room has been constructed at the permanent storage
facilities. Inspection of the shielded rooms will be conducted by the
Radiation Safety Officer or Radiation Safety Supervisor and documented
on ASCG Inspection Inc.'s Radiation Survey of Storage Areas form.
2.5 The Radiation Safety Officer, Radiation Safety Supervisor or
Radiographer Supervisor will safeguard the keys for controlling access to
the permanent storage facilities.
2.6 ASCG Inspection, Inc.'s storage facilities floor plans are shown on the
following pages.
l
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
J
--
.
'
A A5CG
Inspect. ion,
Redirtl:n S5f;ty Program
Part ll
Off Shore Platform Radiography
section: 18.0
Page: 1 of 4
Revision: #0
Procedures Date: 4/15/98
an A5CG company
II Inc.
1.0 GENERAL
1.1 This procedure will cover the transportation, safe use and storage of
exposure devices when performing radiographic operations on offshore
Platforms.
1.2 Platform radiography requires additional paperwork and safety
considerations not encountered in normal field radiography.
Communication between Platform personnel and the Radiographer is an
essential factor in the performance of radiographic operations
2.0 TRANSPORTATION
2.1 The exposure device shall be surveyed upon removal from storage. The
surface of the exposure device shall not exceed a dose rate of 200 mR/Hr.
2.2 The exposure device and related equipment will have the daily inspections
performed prior to loading into the over-pack and transportation lockers.
2.3 The over-pack's outer surface will be monitored to insure that the dose
rate does not exceed 200 mR/Hr on contact of any surface or 10 mR/Hr at
a distance of one (1) meter.
NOTE
There will be _N_Q shipment of Type ill labeled over-packs to offshore
Platforms.
2.3.1 The over-pack shall have all DOT required labels attached and in I
good condition. Two Type 81 labels will be attached designating the
Transportation Index, type of radioactive material and curie strength
i
2.3.2 A radioactive material shipping document, Declaration for l'
Dangerous Goods and transportation paperwork will be completed
and carried by the Radiographer. The Declaration for Dangerous
Goods and transportation paperwork will be presented to the pilot y
of the aircraft / helicopter upon arrival.
i
l 2.4 .N_g personnel other than the pilot, copilot, radiographer and assistant (s) I
will be allowed on the aircraft / helicopter when transporting the exposure
device.
i
l dOA * 5
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - J
.
"
A
- ASCG
1nspection,
.
Radiatien S$f ty Progrcm
Part 11
Off Shore Platform Radiography
secti:n: 18.0
Page: 2 of 4
Revision: #0
Procedures Date: 4/15/98
_,_
inc.
an A$CG company
2.5 The over-pack / exposure device will be located as far from the passenger
compartment as practical and braced in position. The storage
compartment is considered an unrestricted area; thus, the radiation dose
rate must not exceed 2 mR/Hr levels.
2.6 The passenger and cockpit compartments will be surveyed to insure that
the radiation dose rate does not exceed imR/Hr levels.
2.7 The highest reading will be recorded on the Daily Radiation Job Sheet in
the " Transporting Vehicle Survey" area.
2.8 For the return trip from the Platform, steps 2.1 through 2.7 will be
performed. Ensure that extra-required paperwork is taken to the jobsite.
3.0 PLATFORM PROTOCOL
3.1 The equipment will be unloaded and moved to a secure area upon arrival.
The Radiographer must ensure that the exposure device and storage
containers are maintained locked (and if key locked, with the key removed
at all times) when not under the direct supervision of the radiographer or
radiographer assistant.
3.2 The personnel will report to the Platform Foreman for a safety and work
briefing.
3.3 The area where radiography is to be performed will be inspected for
access points and the establishment of the restricted area. Consideration
shall be given to upper and lower levels of the platform that may have to
be included in the restricted area.
3.4 in some cases additional personnel, other than the normal two-man crew,
may be required to assist in the surveillance of the restricted area.
Consideration should be given to this possibility prior to leaving for the job
site. The Platform Foreman is the best source of information for
determining the amount of personnel required.
3.5 All areas of access to the restricted area will be placarded with " Caution -
Restricted Area, Stay Out" signs. This is in addition to the
placarding / barricading the boundary of the restricted area and the
placarding of the High Radiation area.
i
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- - - _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - .
j
1
.
'
Rcdicti n Saf;ty Program section: 18.0
Part il Page: 3 of 4
* A5CG Off Shore Platform Radiography Revision: #0
lnspection,
l Procedures Date: 4/15/98 i i n c. l l an ASCG company i 3.6 Prior to the commencement of radiographic operations, the Platform loud '
speaker system should announce that radiographic operations will take
place and the location of the restricted areas.
l NOTE
The High Radiation area will not be surveyed during this survey.
3.7 A test " shot" should be taken and the boundaries of the restricted area
.
surveyed using a calibrated survey meter. If necessary, the boundary
l 3hnll be adjusted outward. Again, consideration shall be given to the
upper and lower decks of the Platform to ensure that they are not part of
the restricted area. If they are included, these areas will be
placarded / barricaded per paragraph 3.5. Additional personnel may be
required to maintain surveillance of the restricted area.
l 3.8 All normal radiographic procedures and surveys shall be adhered to
during radiographic operations onboard the Platform.
4.0 STORAGE OF EXPOSURE DEVICES
4.1 Should radiographic operations take longer than one shift, consideration
should be given to the safe storage of the exposure device. The 4
Radiographer must ensure that the exposure device and storage
containers are maintained locked (and if key locked, with the key removed
at all times) when not under the direct supervision of the radiographer or
rad!ographers assistant.
I
4.2 If the Platform has a secure lockable area, the exposure device shall be j
stored in an over-pack in the secured area, the area locked and the key
maintained by the Radiographer. The entrance to the secure area shall
! be placarded with a " Caution - Radioactive Materials" sign.
4.3 If there is no lockable secure area available, the exposure device shall be
stored in the over-pack. The over-pack shall be placed in an area not
! normally used by Platform personnel and secured to prevent unauthorized
removal of the exposure device. The area will be placarded / barricaded
with " Caution - Radioactive Materials" signs.
l
4.3.1 A survey with a calibrated survey meter shall be performed to
ensure that the placards / barricades are placed at a distance from
exposure device /overpack that the dose rate is less than 2mR/Hr.
1
301 Arctic Slope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
w-- ]
- - _ _ - _ _ _ - _ _ _ _ _ _ _ _ . - _ _ _ _ _ _ _ _ _ _ .
.
'
A ASCG
Inspect.ion,
Radiatien Safety Progrcm
Part 11
Off Shore Platform Radiography
s:cti n:18.0
Page: 4 of 4
Revision: #0
Procedures Date: 4/15/98
II
an ASCG company
I n c.
4.3.2 The Platform Foreman shall inform all Platform personnel of the
location of the exposure device and caution them to stay out of the
area.
4.4 For prolonged radiographic operations, a source storage box shall be
transported to the Platform for storage of the exposure device.
4.5 All surveys required under normal radiographic storage procedures shall
be adhered to.
4.6 The Radiographer will maintain all required paperwork for exposure device l
storage. The paperwork will be filed upon returning to the main office.
4.6.1 If the radiographic operations are over a long period of time, the l
paper work will be forwarded to the main office on a weekly basis.
1
1
301 Arctic Slope Ave, Suite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
. _ _ _ _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - _ - _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ - _ _ - _ - _ _ _ _ _ _ _ _ - _ _
.
J
-
Thomes Liverance
i
Work History
July,1994 - February,1998
l CTI Alaska, Inc. l SNTC-1 A Certified Radiographer Level 11
4,089 Hours
Education History
l , 40 Hours Radiation Safety
40 Hours Radiographer Level I
40 Hours Radiographer Level 11
8 Hours Radiation Safety - CTI Alaska, Inc.
l- Annual Refresher Courses (-
Itsn * (c
i
(- ;
-
... .
.
'#R4.
.
*
>
in' 6 '.
= 2-
i
y ' t.g,o i. .-
; i *fe.' ,.4 4.-
1
1
'WAW
.
-
!-
'!
l
!
Aretic Slope Consultinu Group ( A 1.1.)
l IO I Old SCWatd IlighW;tt . .. . . - e n. . . . . ,, . . .,
'i;. !c 18'87
L
Anebarage. AK 99i02
i
l
~
Altn' Keenan Reincie
Radiation Rafety OMeer
i
Dear Keen:tti.
In icspanse to your ccque.ti for a statement of experience. I have workeri in ractiography
since 1960. I started as a level I with Weldex Corp. in 1.os Angeles, Ca and attendal a 10
l hour 2ndiation sal'ety course given by Dr. Lochard in L.A.. I have attended another 40
hour course conducted by the Budd Company in 1961. I have worked as a level 11
siidiographer since 1961 with various NDT finns as noted in my resume Duiing the thirty
ciyht years I have worked in this field, there have been short time spans that I was not
actm:lly perfbiming radiography but' was either a Radiation Safety Ollicer oi :
supervisoi. I have petronned the limctions of RSO for numerous comiumy :md hm he!d
A!!C ,1.uuisiana, Texas A NRC licenses since 1964. I hope this will be someieni
infbnnation for vw ac@
. .. . . . . e n. . . . . . . . . . . . .
- ebineerelv -
.
.-
t
1.HWIt*DEt Riisuell
:.-
5
i
i
4
. .e. .. e n. s . e . , .. . . . .
,
.l' .e c, *. w .' c.; we . . 4..I 9'J e ti l *
'%de l'J8 6 /) RL' .*6* > /** a % .'
_- -- - --
.
-
A ASCG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
FORMS
Sectio::
Page:
Revision:
Date:
10.0
3 of13
02/10/98
1
""'*"
I' Inc.
RADIATION SAFETY PROGRAM
SURVEY METER CALIBRATION
AND SERVICE RECORD
Customer Meter Mfg.:
Model No.:
Serial No.:
Service
satteries Checked ,
Replaced __
inspect & clean circuit board Yes _.,_ No _,,_.
All mechanical fixtures in place with
Hardware, fasteners tightened Yes No
, ! Audible alarm functioning Yes ___,. No _
Meter mechanically zerood prior to
Calibraion Yes .,,,,,,_ No
Dosimeter charger operational Yes . , , , , No . , , , ,
f.1 ster face and container clean Yes ,. No , _ _
Desiccant packages installed Yes .,,, No _
& satisfactory for use Yes No
Calibration sticker affixed Yes No
Remarks:
Parts used:
CALIBRATION AND CERTIFICATION -The highest and lowest points checked on each scale are separated by the
least ftfty (50) % of the scale. If the instrument readings correspond to calculated values within a range of plus or
minus twenty (20) %, the instrument is considered calibrated.
l Instrument Distance Calibrator inetrument Meter l- Scale (cm) MR/HR Exposure Reading in MR/HR I
1 21.64 (8.52") 2
l l
1 21.64 8
10 21.64 20
10 21.64 80
100 21.64 200
100 21.64 800 _
This instrument has been repaired (if required) and calibrated using Technical Operations / Amersham Calibrator
Model 773 containing 156 millicuries (5/23/83) of Cesium 137, in accordance with the U.S. N. R. C. rules and
regulations.
Calibration Date: / / Calibration Due Date: / / ,
Calibrated By: Title: Datte Revised: 4/14/98 l
301 Arctic Slope Ave ,5uite 100 Anchorage AK 99518 phone (907) 267-6236 fax (907) 267-6480 Ud * * )
_ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _
'
A ASCG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
FORMS
Sectin:
Page:
Revision:
Date:
10.0
4 of13
1
05/10/98
.o nsc a ,n,.
II ,
Inc.
RATE ALARM CALIBRATION
AND SERVICE RECORD
Alarm Mfg.:
Model No.*
Serial No.:
Service items I
Batteries Checked _ Replaced _
inspect circuit board Yes _ No _
Clean circuit board Yes No _
All mechanical fixtures in place
And hardware tightened Yes _ No
Calibration Sticker affixed Yes _ , , , No _
l
Decible rate minimum of 75 db at 6" Yes _ No _ !
In a 400 to 600 mR field l
Audio Densitometer I
Make: Model No.: Calibration Due Date: / /
Remarks:
i
CALIBRATION AND CERTIFICATION DATA
The Amersham Calibrator Model 773 with 156 millicuries of Cesium 137 (5/23/83) shall be used as
the source of ionizing radiation at three different dose rates and the response 'at each dose rate
will be recorded.
Dose Rate Distance Response
mR/HR (cm) (in)
1. 450 mR/HR 28.85 11.36" intermittent Chirping Yes No
l l 2. 550 mR/HR 24.44 10.27" Constant Chirping Yes No 1
3. 1100 mR/HR 18.44 7.26" Loud steady tone Yes _ No_
l This instrument has been calibrated and serviced in accordance with ASCG inspection, Inc.
Radiation Safety Procedures for survey, dosimeter and rate alarm calibration.
l
Calibration Date: / / Calibration Due Date: I /_.,,,,
Calibrated By: Tdle:
All rate alarms are set to give an alarm signal at a preset rate of 5 mSv/hr (500 mrem /Hr) with an
accuracy of plus or m*.'us Twenty (20) % of the true radiation dose pursuant to USNRC, Title 10
CFR, Part 34, para. 34.47 (g)(2). All calibration unable to be performed / ASCG inspection,Inc.
i
will be retumed to the manufacturer for adjustment as necessary.
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
j
__ _ _ _ _ . _ - _ _ _ _ - _ - _ _ - - _ _ _ _ - _ _ - -
*
. .
.
E CERTIFK:ATION OF
NONDESTRUCTWETESTING
. .
-
NAME: Lawrence Russell
E wmt surNAND YNORM NONDE
THE Vut AM11 s50,
saa. ANs sat.1 sas.4. sat.a. Awsyt. g
hanasseuco.W,op @ - a m . men 47
-
3g ,
QQ3; M ErrelowneID. 6nsp.Na 003415A
VisualCmedan Raoured Yes
UPON TERamMA
FRsT. ,-
Method (s) Lavel- Limitation (As Noted) Date Expires
CMIinsp Lawl!! 21-JukOO
Crone insp. Laelil 21 JuM10
,
*
CWI 014kw-99 "
.Magnetc Partde Lewiil 06#prOO
Mech. insp. Lawf Il DJun-00
NACE il Comang inspector 25kJan41
Penstnant Leaf X 07 # 00
%.4.i Laniu 2fkJunCO
RaceMng inspector 07 4 -00
Printed March 31,1998
.
_ _ _ _ _ _
.
"
A .. ASCG
Inspection,
RADIATION SAFETY PROGRAM
PAI.T I
FORMS
Sectio 2:
Pcge:
Revision:
Date:
10.0
5er13
1
02/10/98
,_
I n c.
an A5CG company
DOSIMETER CALIBRATION RECORD
l
This is to eortify that the pooket dosimeters listed below have been elaibrated in mooordance
with the dosimeter manufacturer's roommended practice.
The dosimeters were salibrated using a Victoreen Dosimeter Calibrator Number 541-205, Serial
Number 391 and a NRC licensed and traceable source of Cesium 137.
l Aeooptable dosimeters shall road within plus or minus twenty (20) pereent of the true radiation l exposure pursuant to U. 8. N. R. C.. Title 10 CFR, Part 34, Paragrsph 34.47 (a) (b) (o) (d) and 1
34.83. mR mR mR
Manufacturer Serial No. Standard Results Leakage
;
1
Next calibration due: Signature
l
e % et denimater enuet be shoeked twenty sour (34) hours ener resuets of eventration end morded
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
! I
.
*
A A5CG
ln5pection,
RADIATION SAFETY PROGRAM
PERIODIC
PARTI
Date:
INSPECTION AND MAINTAINANCE Revision: 1
Sectio 2: 5.0
Page: 10 of10
02/10/98
II
An A$c6 (Ompany
Inc.
5.0 TRANSPORT AND STORAGE CONTAINERS j
5.1 All Transport and Storage Containers will be inspected every three )
months. This inspection will include overall general condition, legibilty and '
placement of appropriate labeling, required for continued safe use. ;
5.2 All Transport and Storage Containers will be inspected for compliance with !
current Certificates of Compliance from their manufacturer. !
5.2.1 The Exposure Devices and Storage Containers will be inspected
using the Radiation Safety Program " Inspection & Maintenance
Checklist" as a guideline.
5.2.2 Transpiration Over-Packs will be inspected using the Radiation ,
Safety Program " Radioactive Material Transport Survey Record" as I
a guideline. !
5.3 Any Transport or Storage Container found to be out of compliance shall be
removed from service untii the noncompliance is corrected. .
!'
6.0 NEW EXPOSURE DEVICE / SOURCE COMBINATION
I
6.1 Before using s new sealed source / device combination, ASCG Inspection,
Inc. will have written inspection and maintenance procedures that address '
.
the use of new equipment as a Type B transport package. In addition,
ASCG Inspection, Inc. will provide training to radiographic personnel prior
to using a new sealed source / device combination.
REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
I 1 l l I I6 2 g
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
.
.
I A ONM
.
ASCG
- Inspection, INSPECTION & MAINTENANCE Page of
I n c. Of Exposure DevlCes, Source Changers
-
and Storage Containers
'""""'""'
(Required every 90 days or Prior to Use Thoreafter) ,
!
LOCATION: DATE: / /
PERFORMEDBV:
Exposure Devin Source Shipping Outer Screws ,
Manufacturer Model S/N S/N Plugs Locks Labels * Body & Rings '
..
l
l
* INC IR-100's muet have antl4amper labels over lock set screws.
Crank Assy. & Guide Tubes Crank Drive Guide
Manufacturer S/N Body Bearings Gear Cable Conduits Tubes Threads
Storage Containers Outer Latches & Attaching
Location 8/N Labels Body Shielding Hinges Bolts Bracing
Rowmen 80 4/15/96
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ - _ _ - _ _ _ _ _ _ _ _ _
'
O.
:- RADIATION SAFETY PROGRAM
-
RADIOACTIVE MATERIAL TRANSPORT
,,g g SURVEY RECORD (parts 34.21 & 71.47)
Location: Job No.: Date: ./ /
Survey Performed By: Title: _
l l
En-Device O seuseO
'
Manufactwer seuro. Type source sowce
changer O DrumO Boa O Model No. swiel Activty
crate O case O stwee. O Number No. Cwies
Modes and swiel Number
Amersham
l
Industrial Nuclear
m
NOTE: swvere mun be med on as containwe gype a s o wpects when receiving and shipping sowces.
OVERPACK Exposure O Expsoure O Other
Drum O Changer O Changer a
SURVEY Crate O Storage O Storage a
Box 0
Case O
HIGHEST 1 METER SURFACE 1 METER
READING ON (39.375") CONTACT (39.375")*
OVERPACK
OR DEVICE
* Complete this survey ony if any of these dev6ces are shipped or rece6ved with out an overpack.
OVERPACK INSPECTION: LabelingO inner Bracing O Outer conditionO
Check mark indicates satisfactory Bolt / Nut O Hinge / Ring O Screws O
N highest reading on any container is less than 200 mR/hr at the surface and does not exceed 1
mR/hr at meter (Transport index), use Yellow Label 11. If the measurement exceeds 1 mR/hr use
f
Yellow Label lit. I
g gf4
Do not transport or use exposure device with source if readings exceeds 200 mR/hr at it's
surface and/or 10 mR/hr at 1 meter. CONTACT THE OFFICE OF THE RSO IF EITHER OF THESE
READINGS EXCEED THE STATED LIMITS.
Survey Meter l
Model: S/N Calibration Due Date: / /
CHECK ALL THAT APPLY: Source Received O Transferred O Disposed O
Survey on Rece!pt of Overpack O At:
Survey on Receipt of Exposure Device O ChangerO At:
Survey of Expsoure DeviceO Changer O efter transfer of source from ChangerO Exposure DeviceO
Survey of Expsouris DeviceO ChangirO Prior to transportO To:
Survey of Overpack prior to transport O To:
a_ .n ew
,
,
'
A A5CG
RADIATION SAFETY PROGRAM
PARTI
TRAINING PROGRAM
Sectio 2:
Page:
Revision:
Date:
7.0
1of10
1
02/10/98 l
II' lIn5pection,
n c.
an A5CG company
l
The training program for qualifying radiographer and assistant radiographer is the
' l responsibility of the Radiation Safety Officer.
RADIATION SAFETY OFFICER - Keenan Remele
TRAINING OFFICER - Keenan Remele
TRAINING INSTRUCTORS - Keenan Remele, Jeff Arveson, Radiation Safety
Supervisors and/or Consultants whose resume (s) will be submitted to NRC for !
approval prior to training. Keenan Remele will provide assistance in the initial
orientation to trainees.
1.0 RADIOGRAPHER. ASSISTANT AND TRAINEES
A new employee coming to work for this company will be designated a trainee
until they have completed the following:
1.1 They will be provided a copy of:
a) Fundamentals of Radiation
b) Company's radioactive Material License
c) Opperating and Emergancy Procedures
d) Code of Federal Regulations
e) Operating procedures for all exposure devices in Company
inventory
1.2 After six to eight hours of instructions on these procedures, the idividual
will be given demonstrations and orally quizzed on:
a) Use of exposure devices and sources of radiation
b) Related handling tools
c) Radiation survey meters
d) Film Badge, Dosimeter and Rate Alarms
e) Daily inspection requirements for equipment !
f) Survey of equipment and boundaries
1.3 All newly hired radiographic personnel, regardless of prior radiographic
experience, will be orally instructed in the requirements of the Radiation
Safety Manual, CFft Parts 20 and 34 and the practical operation of
various exposure devices listed on ASCG Inspection, Inc.'s NRC
byproduct material license. They will be orally quizzed to determine that
l each individual has a thorough understanding of these requirements. The l operation of exposure devices and associated equipment will then be
demonstrated to each individual by the Training Instructor or the RSO. ,
I
l
14 m # ]
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 267-6480
. _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _
.
, RADIATION SAFETY PROGRAM Sectio 2: 7.0
*
PARTI Page: 2cf10
A5CG TRAINING PROGRAM Revision: 1
eCtion, Date: 02/10/98
an A5CG company.
Each individual must then demonstrate their competence in the use of
radiographic and survey instruments in a proficient and safe manner. I
(Examinatir ' No.1 Appendix A will be used as guides for all practical oral
instruction E .d quizzes.)
1.4 Each individual will be given a written Examination (Examination No.1
Appendix B) which they must successfully pass with a grade of 70% or i
better. l
1.4.1 Personnel making 70% or better will be reinstructed on the areas
they had difficulties with. A formal session will be held with the
individuals to go over questions missed. Personnel making less i
than 70% will have to repeat the course and take another '
examination.
1
1.4.2 After completion of items 1.1,1.2, and 1.3 above, they will be
designated a Radiographer or Radiographer's Assistant. Assistant
Radiographer will work under the direct supervision of a
Radiographer for a minimum period of three months and have
attented a formal 40 Hour training course in Radiaiion Safety before
becoming eligible to qualify as a Radiographer.
2.0 RADIOGRAPHER
2.1 Before being qualified as a Radiographer the individual must-
!
2.1.1 Complete a formal 40-hour Radiation Safety Course given by the
Training Instructor or a similar 40-hour course from a training i
program recognized by the regulatory agency. (see Appendix A,
Training Course). >
2.1.2 Complete the Radiographer's Assistant Training and pass
Examination No.1 ( see Appendix B, Section 8.0)
2.1.3 Successfully pass Examination No.1 with a grade of 70% of better.
l 2.1.4 Successfully pass Examination No.3 with a passing grade of 70% i or better and demonstrate by performance test, competence in the !
use of the radiation exposure cameras, sealed sources, related
handling tools, survey meters, personnel monitoring equipment, film
badge and dosimeters, and all other safety equipment that the
company uses.
i
301 Arctic Slope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 N
j
.
' *
A ASCG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
EXAMINATIONS
Sectio::
Page:
Revision:
Date:
8.0
15 of 16
02/10/98
1
II
an ASCG company
l n C.
KEY TO ASSISTANT RADIOGRAPHER EXAMINATION #1, APPENDIX B
1. Time, Distance Shielding
2. C
3. 2 Mr
4. 200
5. C
6. A
7. C
8. C
9. C
10. B
11. C
12. B
13. C
14. D
!
15. C
16. T
17. T
,
18. F
! 19. F
20. T
21. F
l 22. 6 l 23. B l 24. A
25. Daily
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 li/m ## f l
L-_- - - - - - - - - - - - - - - -
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
.
*
A A5CG
Inspection,
RADIATION SAFETY PROGRAM
PART II
RADIATION SURVEYS
Sectioz;
Page:
Revision:
7.0
1of2
Date:02/10/9s
1
II
an ASCG company
I n C.
1.0 SURVEYS
Physical radiation surveys will be performed in the manner and at the time
specified below-
1.1 Removal from storage
1.1.1 Tne surface of the exposure device shall be survyed to insure the
maximum reading does not exceed 200 mR/hr.
1.1.2 Should the maximum reading exceed 200 mR/hr, the exposure
device shall be retumed to the storage container and the RSO
contacted.
1.2 Radiation Limits at Perimeter of Restricted Areas
1.2.1 Perform surveys as required under " Posting and Restricting of
Radiographic Areas" procedure.
l 1.2.2 Record results on Daily Radiation Job Sheet with sketches and
explanatory notes as required.
1.2.3 Record total exposure time (in minutes) on the stime form.
1.3 Radiation Surveys After Completion of Individual Exposures.
1.3.1 Retum source to the shielded position.
1.3.2 Survey the exposure device surfaces to determine radiation levels.
These levels should correspond to previously measured levels at
the surfaces for the same source in the same exposure device. If
levels do not correspond to previously measured levels, the source
! has not retumed properly to a safe position (in this case, see
Emergency Procedures).
1.3.3 After determining source is in safe position, the entire length of the
7 quide tube (s) shall be surveyed to insure _that there_is no residual
. contamination.
1.3.4 When the surveys are complete and the source is in the secure
position, lock the exposure device.
1.4 Radiation Surveys for Storage of Exposure Device after Last Exposure
1.4.1 Repeat all steps in 1.2 above.
1.4.2 Perform specific instructions for securing the exposure device.
Record the lock out suivey after finishing the job. i
1.4.3 Return the exposure device to the storage vault (container) and
lock the vault.
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phons (907) 267-6236 fax (907) 267-6480 lb M l1
*
:
*
A ASCG
RADIATION SAFETY PROGRAM
PARTII
RADIATION SURVEYS
Sectios:
Page:
Revision:
7.0
2 of 2
Date:02/10/98
1
l nInspection,
II
an ASCG rompany
C.
1.5 Radiation Survey of Permanent Storage Area ;
1.5.1 With all available exposure devices containing sources placed in i
the storage vault, survey and record the radiation levels at the I
surfaces of the storage area, and the outer surfaces of the building
housing the storage vault.
1.5.2 Repeat the above survey (and record) whenever the total number
of curies available is increased. Such increases may be due to i
sources of higher activity purchased or storage of additional )
exposure devices.
1.6 Radiation Survey for Receipt / Shipping of Exposure Device ;
1.6.1 The surface of the Exposure Device / Container shall not exceed 200 !
mR/hr.
i
1.6.2 The container shall not exceed 1 mR/hr at one (1) meter for a Type
l
ll label. If the reading exceeds 1 mR/hr a Type 111 label shall be
ussd.
1.6.3 The container shall not exceed ten (10) mR/hr at one (1) meter. If
the reading exceeds this limit QQ NOT ship the container. Contact
the RSO immediately.
I
REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
l l l l l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
w__________________
*
l
!
A ASCG
Inspection,
RADIATION SAFETY PROGRAM
PART H
EMERGENCY PROCEDURES
Sectios: 13.0
Page:
Revision:
2 of 3
Date:02/10/98
1
;
II
an ASCG company
I n c.
'
1.0 EMERGENCY PROCEDURES
1.1 With the best of safety precautions, accidents are a! ways possible and for
this reason it is necessary to establish procedures to be followed in case
of an emergency. It is the responsibility of each Radiographer and l
Radiographer's Assistant to be thoroughly familiar with these procedures
and to follow them explicitly when emergency situations arise.
1.2 If there is any question as to whether a given situation constitutes an
emergency, emergency procedures En_qtt be followed.
1.3 In the event of an emergency arising from malfunction of an exposure
device (including source disconnect), damage to a source or exposure l
device or vehicle accident, the area should immediately be surveyed with l
an operable radiation survey meter and the area (s) of danger secured. l
Warning flares, signs and (if possible) personnel barriers should be !
erected to prevent individuals from entering the danger area (s). i
i
1.3.1 The warning signs and barricades around the danger area (s) l
'
will be placed at such a distance that unauthorized
personnel will receive no more than 2 mrem /hr.
1.3.2 Immt,diately contact the Radiation Safety Officer if an
emergency arises. In the event he is not available, contact
the Radiation Safety Supervisor or the appropriate NRC or ;
State authorities. i
1.3.3 Under N_Q circumstances should a danger area be left
unattended by the Radiographer in charge. DO NOT PANIC
if assistance is not immediately available. Remember that no
harm will be done to persons maintaining a safe distance i
from a radiation source. Do not leave untrained or !
inexperienced persons to watch the danger area (s) while I
help is summoned. Send another person with written
instructions to make calls. Contact State police if vehicle
accident occurs.
1.3.4 After securing the danger area (s) and requesting help,
maintain surveillance over the area (s) and wait until
4
assistance arrives. Normally it is not expected that the
radiographer or his assistant will retrieve or recover
disconnected sources.
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 yg *f l 3
J
_ _ _ _ _ _ _ - _ _ _ _ - _ _
-
.
RADIATION SAFETY PROGRAM Secti::n: 13.0
i
*
A' .. ASCG
ln5peCtion,
PART II
EMERGENCY PROCEDURES
Page:
Revision:
3 of 3
Date:02/10/98
1
l
I.4
an ASCG company
Inc.
NOTE
ASCG Inspection, Inc. will not perform source retrievals and will use the
services of a person specifically licensed by the NRC or an Agreement
State to perform the retrievals of our sources.
1.4 in the event that a source is lost or stolen, immediately notify the Radiation
Safety Officer or the Radiation Safety Supervisor. If not available, notify
the Nuclear Regulatory Commission or the State of Alaska, Department of
Health.
1.5 in the event of a fire, the radiographic exposure device in use is to be
returned to a safe cond; tion, locked and removed from the fire hazard
area. If a radiation source cannot be retumed to a safe condition and
removed from the area, notify the Fire Department personnel when they
arrive at the site. Also notify the Radiation Safety Officer, Radiation Safety
Supervisor, the Nuclear Regulatory Commission or the State of Alaska,
Department of Health.
NOTE
in the event of any other form of accident involving radioactive material or
radiation producing devices, take applicable safety measures and notify
the Radiation Safety Officer or the Radiation Safety Supervisor. If the
event cannot be resolved, immediately notify the Nuclear Regulatory
Commission or the State of Alaska, Department of Health.
1.6 The radiographic crew must initiate a written " Radiography incident And
Equipment Failure Report" form (see Part II, Section 14.0 of the Radiation
Safety Program) within 8 hours after an incident or equipment failure
occurs.
NOTE
It shall be the responsibility of the supervisor (or lead radiographer where
no supervisor is assigned) to see that the Radiation Safety Officer's office
receives the completed report, a copy or a facsimile within the 8 hour
period.
1.7 ASCG Inspection, Inc.'s 24 hour emergency telephone number is (907)
267-6236.
301 Arctic Slope Ave.,5ui+e 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
. - _
.
-
, RADIATION SAFETY PROGRAM S:ctisn: 13.0
PARTII Page: 4 of 3
ASCG EMERGENCY PROCEDURES Revision: 1
, inspection, Date:02/10/98
l n C.
An A5cG company
PERSONNEL TO BE NOTIFIED IN CASE OF AN EMERGENCY
Jim Kingrea (907)267-6251 Office esidence
Jeff Arveson (907)267 6278 Office esidence
Tom Liverance (907) 659-7735 Office esidence
Terry Stokan (907) 659-4537 Office Residence
Dan Smith (907) 659-8360 Office -
-pResidence -
Keenan E. Reme!e (907) 267-6367 Office
(Temporary) (907) 562-4527 Ext. #13)
Mesidence
Larry Russell (907) 452-5032 Office Mesidence
NRC - Field Office. Walnut Creek, CA (800) 882-4672 (Effective Until(10/98)
Kenneth E. Perkins (510)975-0200
NRC - Reaion IV: Texas (800)952-9677
Ross Scarano, Director (800) 860-8106
Jack Whitten (817)860-8197
Gene Bates (817) 860-8233
NRC Emeraency Headquarters. (301) 816-5100
(301) 951-0550 (Backup)
(301) 415-0550 (Backup)
(301) 816-5151 (Fax)
NRC Safety Hotline
,
(800) 695-7403
Office of Inspector General (800)233-3497
i
State of Alaska
Kate Coleman (907) 465-3256 Business
Radiological Health Program
Department of Health & Social Services
Juneau, Alaska 99811-0613
!
!
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907)267-6480
l
j
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . ,
A ASCG
spection,
RADIATION SAFETY PROGRAM
PARTI
FORMS
Sectio :
Page:
Revision:
Date:
10.0
2 of13
02/10/98
I
an A5CG company
ASCG Inspection, Inc.
Radiation Safety Program
Radiation History Request
Date: / /
TO:
I
!
Attention: Radiation Safety Officer I
in accordance with USNRC Title 10, Code of federal Regulations, Part 19, Subpart
19.13, I am requesting a record of the radiation exposure history that I received
while in the employ of your company.
Name:
First Middle initial Last
Social Security No: I /
Please forward the records to:
ASCG Inspection Inc.
Attn: Keenan E. Remele, Radiation Safety Officer
301 Arctic Slope Ave. Suite #100
Anchorage, AK. 99518-3035
Signature of Emplyse requesting records
l
1
l
l
301 Arctic Slope Ave, Suite 100 Anchorage, AK 99518 phone (907) 267-6235 fax (907) 267-6480 g yj g
. 3
P
RADIATION SAFETY PROGRAM Sectio : 9.0
*
A. A5CG
PART II
GENERAL REMOTE JOB SITE
PROCEEDURES FOR OPERATION
Page; 6 of16
Revision: 1
Date:02/10/98
Inspection,
OF RADIOGRAPIIIC DEVICES
1 l
II
an A5CG company
l n c.
2.3.2.3.3 Engage the male and female portions of the
swivel connector by depressing the spring-loaded
locking pin toward the projector with the thumbnail.
Release the locking pin and test that the connection
has been properly made.
2.3.2.3.4 Close the jaws of the control cable i
connector over the swivel-type connector. I
i
2.3.2.3.5 Slide the control cable collar over the l
connectorjaws. Hold the control cable collar flush
against the projector connector and rotate the selector
ring from the CONNECT position to the LOCK
position. Keep the projector in the LOCK position !
until actual operation is ready to start. !
2.3.2.3.6 Connect the source guide tube to the
projector at this stage.
l
,
2.3.3 Operation
l '
2.3.3.1 Thoroughly check all cable connodions and bend radii and
the position of the snout of the master guide tube. (This represents
the radiographic focal point of the source.) To operate the system,
perform the following:
2.3.3.1.1 Unlock the projector connector and rotate the
selector ring to the OPERATE position. Push the slide bar
from left to right until the red marking fully appears or you .
'
feel or hear the sleeve snap into the slide. The source is
now free to move.
l
NOTE
- if cranking becomes difficult at any time during the next step,
reverse the direction of the cranking to retum the source to the
stored position in the projector. First monitor the area with a survey
meter to insure that the source is properly stored.
l 2.3.3.1.2 At the control unit (in a shielded area), rapidly
rotate the hand crank in the EXPOSE (counterclockwise)
direction to move the source out of the projector and into the
guide tubes toward the radiographic focal point. Both the
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 267-6480
U_-______-_-________-_. _ _ _ -
P
RADIATION SAFETY PROGRAM Secti:n: Ferwcrd
'
*
PART II Page: iii ofiii
ASCG Revision: 1
,
Inspection, Date: 02/10/98
!
I n c.
.nasco comp.ny
'
SECTION TITLE PAGE
14.0 FORMS AND EXHIBIT 1
15.0 LICENSE 1
16.0 U.S.N.R.C. RULES AND REGULATIONS 1
l
17.0 CASE HISTORIES OF RADIOGRAPHY EVENTS 1
'
l
18.0 OFF SHORE PLATFORM RADIOGRAPHY PROCEDURE 1
l l
l
l
l '
l
i
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
l
e
A ASCG
l eCtion,
RADIATION SAFETY PROGRAM
PART I
FORMS
Section:
Page:
Revision:
Date:
10.0
1of13
1
02/10/98
an A5CG company j
Radiation History Request 2
Survey Meter Calibration / Service Record 3
Rate Alarm Calibration Record 4
Certification of Dosimeter Calibration 5
Dosimeter Calibration Record 6
i
Lifetime Occupational Exposure History (Form 4) 7
Occupational Exposure Record (Form 5) 8
Radioactive Source Utilization Log 9
Radiation Safety Program Review 10
!
QA Annual Audit 11 l
,
Gj $
.__
. _ _ _ _ - _ _ _ _ _ _ _ - _ _ _ - _ _ _ - - _ - _
-------
*
.
:
4
*
F, f, {
'
%
$ d,Jw s
ad(GkF40AiEG ,,
,
-
ENGINEERS * ARCHITECTS * SURVEYORS * INSPECTION SERVICES "; s
'.
-
_ ..
s.:
April 17,1998
Beth Prange
U.S.N.R.C.
Region IV / WCFO
1450 Maria Lane, Ste. 300
Walnut Creek, CA 94596-5368
Re: ASCG INCORPORATED
Dear Ms. Prange:
I would like to summarize our post-acquisition inspection company status, but first
would like to compliment you and your local NRC organization for ensuring that our
acquisition ofCTI Alaska, Inc., was able to occur without delay. Your understanding
and cooperation in this matter was vital to the success of the acquisition.
As you are aware, we have gone through several company names and this can be
confusing to those not involved in the process. Arctic Slope Inspection, Inc. (ASIS)
has been closed and the company has been dissolved. ASCG Inspection Services, a
division of ASCG INCORPORATED which did inspection work concurrently with ASIS,
was combined with CTI Alaska, Inc., to create our sole inspection entity, ASCG
Inspection, Inc. (AII), which is a wholly-owned subsidiary of ASCG INCORPORATION
Enclosed are current organization charts for ASCG INCORPORATED and All. Please
note that as President of ASCG INCORPORATED I am in charge of several subsidiary
corporations, thus Jim Kingrea, as Senior Vice President / General Manager of AII
is in charge of the day-to-day operations of AII. Therefore, the Radiation Safety
Officer's reponing line is to both Jim Kingrea and to me. Jim Kingrea has signature
authority for routine NRC matters, but I am responsible and will be involved in all
non-routine events.
l
301 ARCTIC SLOPE AVENUE, SUITE 100 *
ANCHORAGE. ALASKA 99518 3035 __
(907)349 5148 *
FAX (907) 349 4213
-
_ _ _ _ _ _ _ - - _ _ _ _ - - - _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ _ _ _ - _ - - _ - _ _ _ _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ - _ _ - _ - - _ _ _ _ _ _ - _ _ _
,
..
-
l*,. !
'
Ms. Beth Prange
April 17,1998
Page 2
l i !
We are dedicating our new organization to safe, responsible operation and look
l forward to a good working relationship with the NRC. l
'
!
Please feel free to contact me should you have any questions.
Sincerely,
'
I 1._ '
.
qq
John D. McClellan, P.E.
President /CEO
ASCG Inspection, Inc.
JDM:llp
Enclosures: ASCG INCORPORATED Organization Chart
ASCG Inspection, Inc., Organization Chart
. cc: Jim Kingrea, General Manager, ASCG Inspection, Inc.
Kennan Remele, RSO, ASCG Inspection, Inc.
1 l
!
!
!
ASCG _
i
.
-
t r
J
( ~
Uce =
jd
-
-
_
f !
R
K r e
oa
_ PL
_
4
t
a s
S S
,- ' i - S
A eerw
s
3 rJ R
o o C
A J
(
- - t
Ea o r
- T in EWd e
- -
3'
&d r ooa
CrPLe
.
-
.
Moo #A
R
L
r Cv f
f
s t
S
a
i' 8 '
a w
- t eer
t
1 j- s C
3 -
t r
-
ce
-
r m J _
I' X ed
Pj o a -
-
e g ! ;i l I " B r e
PL
-
f'_
i
C da /n F t v
Q e Oi n ;e
.
_ s
- / L Si !' - ' it
j u
Ra r
tl
_ b
l
-
Am T
lf'_ l
,
.J _
_
F
Qa e
! ! , 'l
, !
' agde _
T
r L , r
.
- e or ae ,f
,
e _-
_
- PL
_
_ z
c
.
r _
"d
a
e
-
-
-
r L 3 ) %)dl la
e
_
# L
I
n l_
_
_
m
a
-
-
-
S
S
R
@(V
_ ' ' "! l ,l ; , i'
_. -
e -
-
g (
, T
- r -
-
n _
33V \4d
-
-
o8
'i 8
t_
- i
h D
E
AW3 - }j
d
)
t 9 OT ~
l
a 3
le
F h c
c9 E AR r 3
d e
*
.f
-
p aT
-
;1, C O ^ en re e
.
/ P Ee g f( [(
L
g( (
-
p8 t
nOR #Ga / n
n 3
8
J
-
r e C a !1 ' Mdae
sil
nA
p d N
is
eG
I
" VMP
r.
M N
O L
! l
I
rC " S h r L
-
P S .W
- G ( A
k ( \ J
C
i
r
-
to
a
_
])
S _
_
tmt
oi
r
s
n n
A te ,,
_ .
it
ve
_
_ ed l-
mSs
oA d
A A
_
_
st
s c ,y J
_ ea g-
_
i r
rt , t 3y ;
sn g lo- t
_
_
uo
sC lo oc
-
o
_
, h
n <-
y w
n
ce '--
_
_
_
_
_ h _
_
c* rT c L
e*
_ _
_
_
j
_
, rJ T
-
_
_
e
c
/ *
m -
-
,r
e )
e **
i
_ f
_ f t
s m >-
-
-
_
_
t
c O
ae FS
y
t
m<
a '-
_
_ r r
t c g^
_
nn ' ; o<
_
oa i
r
3 - s
.
e ) Cl p rP (
in e l
b m
r
e
c d
m usley a
r o e
a
,
.
d
ot b al g C e t
amd e - -
Ay sn aPlo
t
e eeu v r
mteL
o m
- _. -
a a Roisy
f t
t
r
o
p aAeu
c et a
S nc cn P A
uS a
T
e
l' /
' "" nah
"
,
c 1n}
t
o
i
c
int
n
e
Ro T ef a
eC
r
o
m
u
H A
c
c
(
r ( *' #tanc
"
ee
nT
i
U
A
pf
s a
ins
T
t
-
Mt
pr
ob
h a
' Sf
M R -
(" ( A
_
A
h )
# -(
-
-
-
-
s
e -
c -
gr -
_ nu
io -
-
Ot nse -
_ AuR ' j
Cco n
ca
Amu H
H L
t
_ r
a f (
(
- h #
dC
-
t
e n [*
. '
es,jL
-
-
_
3lan ' j j
ao
r i
o
J.
f
ld
t eO
- T )
t o
-
o a 8 ign
eo dr s
aE
r
oC
e
gsn
g
pz
r
9
9 Ri ta ao r
pig
r
a gir
r ne
oie d
i 1 hl i in
ot
o na
1
t
- - on y er
po Bc e c e
cug
nBn
.
ca
ng
r
a
u
lopr
So Gi r i n d a.
i_
A E
CD
.
s ( (
-
I
r b
r
e icC S Ge
Cr .
G OF A
t
c
r S Pw ~
rA ( I q #A q .
-
Cl a )l)
Sn y
e
Ao i
v
u
r
g S
e
-
R ) j ( (
t
r s m
e s e ' j
g em
anp
nio
a s
t
l
s
ue e
M Bve w
h
D t
r
o
N
q
F
- _ _
7 ,
it
n
o
c
j
_
.
.
.
e
p
s**
I
n
G
C
S
rA
- --.
u -3 ggggg nt conn 1ssics
.-
p-- - -
99pjn gjggg
'/O: FS@Pm )
TELEPHONE OR VERBAL CONVERSATION
RECORD ll TIME 00+00
* $ N INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
'
PGSON CALLING: OITICE/ ADDRESS: PHOKE WUMEER:
kcc>w Ra s ASCG cBrutxJL , c%s.
PERSON CALLED: OTTICE/ ADDRESS: FBONE NUMEER:
COINERSATION
SUBJ ECT -
L.Alta a%7;) W22/98
SUMMARY -
l} ky was an f (q egcGK~ 6. ~ AkiR n foss' TEs:
2 $sik Sac 7. 0, pag 27, p. , , ,, 3,3 g * k j, ,,,y y g
4 iw rw &caf( & & g n
, y, et- sec. sandt46 4 gjietg
3) Cn~ tif.cznercf igsi<es ie;Ulx dA4 wk B/aa Spahy
W m I v r e n -10 dk&~g&. ,19 au oaA~d, &
aardment can he issic). w(,agi,ogccptss w Q
g , $$!lY Of KG!!VAf S > % %
')' GH Sc* an. m w edw s aa
'
.
Q goy
b G"uf twaynt s~g <w/,at. pnr sin +i,g,p
50~Arat u .
-
sn
--
--
. . . . . - - - - _ _ _. - _- - - . - _
Y d *'CJ L -. ~
,
TAK11
ACTICI RIQUEST;D IIITIALS:
DATE:
ACTICI TAIZII: IIITIALS:
DATI:
- - _ -
13C F0$M 218 EEV.D t/0) [ rp / t d c. y ly ) . _ - . - . .- a
a _.. _ - _ _ . _ _ . .- - .. -
l b
_ ._ 7
-
ww-
--- -
g T. &cGXic %
fucoxx1sstou 0,99j9g gjgjpg
TELEPHONE tR VERBAL COINERSATION TIME W 30
RECORD 04' 00 @PE
_
[ ] INCOMING CALL [><L OUTGOING CALL [ ] VISIT l
'
PGSON CALLING: OTTICE/ADDESS : PSOE WlDGER:
PGSON CALIID: OTTICE/ ADDRESS: TBOE WEER:
NC(l% /}-SCC,, Pr& (907.) 399 - 5~/'/8
~
COINERSATION
I Qirru%&%# lOzgwat /0 hicc% hfse-g ..
SUMMARY -
V ()
/ 3,m , M is N ' '
M
"
wIh. rf h> tre /iM ky& .
& hcCIA staEJ %t /p. K:p is a
83 a nn -s, a ry9 p n
; swLe. /fr. 1< C/A 1s Pr & ( Mm
y i A 4 4. ir M 3A% p p & aun+
; y .- s deA /. He un d & 6 W I M
,
Q f[by Mr. Ki y ) , k d' ffte -
4<y m aMan m?y
.
en Mr~ M~ 9_wf'hy-
in &^
Q 4<. ItcC/A s n&W t % f-%r & RSO s4 A "/"#
ls W.
k /ft; K ; a cy t c a
-
-
l _ _ _ _
. . _ _ _ _ _ _ _ _ _ _ _ _ _ _
TAIll
IIITIALS:
ACTICI KIQUESTED:
DATI:
IIITIALS:
ACTION TAIIII:
DATI:
_._.m
,13C FDEM 218 EEV-D 3/93 (LT / L d C -E 1V )
,.
_ .
_ _ _ _ . _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ . . . _ _ _ _ _
- -
, _ _
TIME I
TELEPHONE OR VERBAL ColNERSATION 00:00 am/pm
RECORD )
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
' PERSON CALLING: OTTICE/ ADDRESS: PHOE NUMBG:
OTTICE/ADDTI:XS: TROE NUMEER:
PERSON CALLED:
COINERSATION
SUBJ ECT -
SUMMARY -
SCmL fM W"
}, ,
- -
,,-
cuy .
.
" l
- -
___-
_ _ _ . - . _ _ _ _ _ _ _ . _
TAKII
IIITIALS:
ACTIOT RIQUESTED:
DATI:
.
IIITIALS:
ACTICI TAIZEY:
DATE:
tsc rosM 218 EZv-0 8/03 [ET / t d c
< . .... _ .._ -._-EIV). - . . . _ _ . . - - - - .
- - - - - - . - - -
-
_
_
, U.6. EUCLEAR ATCEY C0KNI8s20W
p.TE Oo/co/ coa *
'
L.Ouv
TELEPHONE OR VERBAL ColNERSATION TIME /03 /D
RECORD 00 00~ h P3
f>4 INCOMING CALL [ ] OUTGOING CALL [ ] VISIT l
PERSON CALLING: OTTICE/ ADDRESS: PSOE NUMBER:
1 % Rerrtele- hsCG k 4baAMG L Q ('70r)57G,2'/527x/3 l
PERSON CALLED: OTPICE/ ADDRESS: PBOE NUMEER: j
,
e
COINERSATION
l Sm ECT - 3 j,, jc,g,
SUMMARY -
} g fjf
r sm h % 4 & % I,'ce.ne ; g. &,
'
cu de. crne, 'on* O & U % 0)*P cE* l S f 2 l/ 9 8' y
b he owFM.
a) a M is & 4% f % Uxo'scupe & w m x %
CTr licm Was m /&. Q2ce stead a s+M %f p
& HW W h fM ~*S h $he } ,'m ,
b) 4 5 that +k (oSOL M w SPEC (-/ udM sist-la.
cm n m I, cm.
hTu fettF1 5% f 2/11/q&' & la bz. ( & Q
caubnaAP . UA paMw<fah nua % c-M in L .p.
ky% fyrM ~sm
9; S cu_4ud b bD M h / e -
bb bMM
was supp2dd & +x W 3/27/98, w & pvhu.'cCa- a
Co w Y
REFERRED TO: I ] ADVISE KI 03 ACTIO3
TAK11
ACTICI KIQUISTED: IIITIALS:
DATE:
ACTICI TAIZEI IIITIALS:
DATI:
.
tRC rosM 218 Ezv-0 t/93 [rT/Lde-R2V)
~ _ _ _ _ _ _ _ . _
" ~~~ ~~
00/00/00
'
l L.WWV
TELEPHONE OR VERBAL CONVERSATION TIME i
RECORD
00:00 am/pm j
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER:
PERSON CALLED: OTTICE/ ADDRESS: TBONE NUMEER:
CONVERSATION
. SUBJ ECT -
SUMMARY -
) Diy x needcd 4 -Pad 5%Uo # 4SGG EnM M
a p 185I Old seaa I+; . h e. %& s tauf het
BP wed- Og Ow ;s cul6J SP Explory+icq g-& 8 ,
&, tk BPh% Post S;t's 'os a (eff cu)V 104. # he >,o
& siv y r w kt.
'
O C l a cto 6 M'
, sg <Q, % ake, p<00;de spead psm -Gn
-ghofg pf N b b"b
,
b '/h [ k
ou eera.
'
+Exper:en ce-
QT % yo sr. crr e ' -
. ha 8aa +4
cmu Uvee -
4,,
-
s% p, a m
-,
.
, [a vy Racell - ho'i~ $ .U ( & A M 'Cjbg
_._---
is _c* c l e-- .
[ ] ADvis! KZ 01 AcT1on
_._
REFERRED TO: TAKI1
ACTIOT EIQUISTID: IIITIALS:
DATI:
ACTICI TAII21: IIITIALS:
DATE:
. _ _ _ . _ _ - - -
_ _ _ . -
_ _ _ _ _ _ . _ _ .
. .e . _ . __ _ _
! v- y - ._.
~
TIME
TELEPHONE OR VERBAL CONVERSATION 00:00 am/pa
RECORD
l [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
PERSON CALLINGI OTTICE/ ADDRESS: PB0E NIMBER:
OTTICE/ ADDRESS: FBOE NUMLER:
FIRSON CALLED:
ColNERSATION
sus 0EcT -
) SUMMARY -
Wf adLe%.
, y) $ ,i? nxwang.f-
'
tW, &&odst cC49 not+%f @ l+;+ in % laa revw
cu a m h 2, y , A m<fR v i ~ r M it.
lhQ d% Trg a O by C v' ).
ecoma sun m. a ,m u a pam1%
@ Cf C's & ' nee *# ' W hoh % , & , gr-
y 9 - 29 f Aht Reco, /OCPR 3%31, a4 g , $, ,
g RoJah. sg Prop,
9) Nw V6 - p.1,sa,~7,o , (Lt I , T Peop
G cod is need tNF C,-8' hrs. ycle, MC
wl4 b. peor.det e w W. M d i'* W,
I 4. 1 ,
Sa<~7, . 2 , Pa r r ,
*
')T
to
9 g r% soadTbL4. &p/d, if p ds4.
.
REFERRED TO: [ ] ADVISE KE ON ACTIOR
TAKIl
IIITIALS:
ACTIOT RIQUESTED:
DATE:
.
IIITIALS:
ACT101 TAIIBI
LATE:
. . _ _ . _ . . . _ . _ _ _ _ . . . _
.. _ _ . __ _ _ _ _ _ _ _ .
v- y - --
,
TM
. TELEPHONE tR VERBAL C0lNERSATION 00:00 am/pm
RECORD
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT l
' FERSON CALLING: OTTICE/ADDRES$t PSOE NUMBER:
OFFICE / ADDRESS: FSOE NUMEER:
PERSON CALLED:
_. _ .
COINERSATION
SUBJ ECT -
SUMMARY -
IQ hy Q& 2 , Opp. B., &c~ l - rev:ca.
%. %c.7.0, Pa+3c( j,2, Q
1.2} fmec&wuao Fn M M16 3 .sge, ,
. sq ap lad .g osvy p
y v1.v CO. w na p+
.
%sf h{f)e -n
o S un o S e v * c'
due>M.
% Q .bwe&> wr w
UMREG to tl 4%t aff r
.
l%Aun
6
QQ U
Cf4A I e9 ,
P A - % 13,Pa z, & i.s.ai,i.gg
IE) E
. Q dc5 rp +o MRC c sm <m
0&& sin # "v4 " u & ' f' pp
smr%,gy
W DRC n
wyd % M {* I; M
'
S
cm. ' >
*
S r
% , Q Pte f
< Usti tut RE u?cPo wta? o g La. o p y wnzij s p , So, g y _ p _. ~
-
.. _ _ _ _ _ _ _ ___ _ _
-
,--
TAKZ3
IIITIALS:
ACTIOT AZQUESTED:
DATE:
.
ACTICI 7 AIZEY: IIITIALS:
DATE:
_ _ . _ -
15: rosx 218 Ezv.0 t/03 [rr/ Loc.Elv)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
,
~. . , - -
,
TIME
TELEPHONE tR VERBAL CONVERSATION 00:00 am/pm
RECORD
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
' PZ"RSON CALLING OTTICE/ ADDRESS: PSOE hlMBER:
OTTICE/ ADDRESS: FROE NUMEER:
PERSON CALLED:
CONVERSATION
l i SUBJ ECT -
SUMMARY -
3 3-yr-a- w y ^/uRen 4
5 .~g 39./ o@ -00.
l
& sua %t n a,@ dan '/"/9e, th" /* y'B47hr,
a w in g saanu m f :n rz y m 6 % raA'
a( f
sagndRe) W ham W .
g y 't R& 5g 1%p - Raakta,~ Ms
g
"
lo c p w eso.
1
- 78./ k e
G
-
--
_ - _ _
. , - _ _ . _ _ _ _ _ _ _ _ _ _ .
TAKE1
IIITIALS:
ACTIOT AIQUESTED:
DATE:
.
m 4 ,- . Mo+icco 76- 5~3, IIITIALS:
ACTICI TAIIBI: %>,# h ev
97- 35,97-C ,97 - 87
nooln ; am ik. +v; c+~ Bh 497-o2 upvin;i hW cq c's (4%
c'n;9/g'j9g
geas ,91S*2.115% 9le7 ~ ~~ -
.-
,.
.
tse rosx 22: xxv-o */93 ter/ QEiR)
. . . . _ _ . _ . _ . _ _ . . . - _.
- --- - - - - - - - - - - - - -
_ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ - - _ - - - _ _ _ _ _ _ . . _ _ _ - - . - _ _ _ _ _ - _ _ - _ _ _ _ _
.
ASCG
II' Inspection, c,
vs!.
, , , , ,
g ,,
an A5CG company
March 27,1998
U.S.N.R.C.
Region IV / WCFO
1450 Maria Lane
Suite 300
i
Walnut Creek, CA. 94596-53
Beth Prange
Dear Beth,
Enclosed please find the following items:
. ASCG Inspection, Inc. Radiation Safety Program
. Letter of Appointment to RSO
. Letter of Training, Experience and Commitment
. Amended front page of NRC License
Sincerely,
Keenan E. Remele
Radiation Safety Officer / Training Coordinator
i
.
301 Arctic Slope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
$2
~~ ~~ ~ "
nEC1bu it 00jCOf CD 9//7,/'7g {
TELEPHONE OR VERBAL CONVERSATION TIME M 9'O
RECORD G W am @
M INCOMING CALL [ ] OUTGOING CALL [ ] VISIT l
' PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMEIR:
h % Cry As cc, (907) 552- v5.27 .x:z3 1
PERSON CALLED: OTFICE/ ADDRESS: FROXE NUMEER!
l COINERSATION '
SUBJ ECT -
'
Liama snua%d
SUMMARY -
hr. Crny
c s brW thd'%
"1**A " '
cw&nu*ed.
h r /fc h Q b "f d '"# % j-
g,. 9 ,o; g nc f h e f7w R S 0 L ,e4 he a th+
.
n ute vo n Sic 722- _
f(,(rp { V1 Y lW
h$ h &'t b""" ,as N M *
l
~ lha
ACIIU'
'
REFERRED TO: I I Ayy3 8 U3
IIITIALS:
ACTIOT RIQUISTID:
DATI:
ACTION TAIIII: IIIIIALS
CATE:
,l ~_.. _
'
_ _. - - . . - . - - - - . .
- - - - - - ---
e
..
*
NRC FORM 313 U. S. NUCLEAR REGULATORY COMMISSION APPROYEO BY OMS. NO. 315Mt20
(10-94) ExPINES 6 3046
10 W 30. 32. 33 ESTIMATED SU5 DEN PER K.ESPON;E TO COMPLY Wf7H TkS
34 35. 34,30 and 40 INFORMATION COLLECTION REQUEST eHOURS SUBMfffAL OF TkE
APPUCATION IS NECESSARY TO DETERMtv5 THAT THE APPUCANT LS
QUAUFIED AND THAT ADEQUATE PROCEDURES EXIST TO PROTECT
THE PUBUC HEALTH AND SAFETY. FORWARD COMMENTS
APPLICATION FOR MATERIAL LICENSE REGAROiNG BuROEN ESTruATE TO THE INFORMATION ANO RECCRCS
MANAGEMENT BRANCH (T4 F33). L,.S. NUCLEAR REGULATCRY
COMMISSION. WASHINGTON. OC N rm1 AND TO THE
PAPERWORK REOUCTION PROJECT (31500120L OFFICE OF
MANAGEMENT ANO BUOGET WASHINGTON OC 205C3
INSTRUCTIONS: SEE THE APPROPRIATE UCENSE APPUCATION GUlCE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPUCATICN.
SEND TWO COPIES OF THE ENTIRE COMPLETED APPUCATION TO THE NRC CFFICE SPECIFIED BELOW.
APPUCATION FOR DISTRIBUTION OF E.XEMPT PRODUCTS FILE APPUCATIONS WITH: IF YOU ARE LOCATED IN:
OlVISION OF INDUS* RIAL AND MEDICAL NUCLE.AR SAFETY ILUNOl3. INDIANA. IOWA. MICHIGAN MINNESOTA, MtSSOURI. OMIO. OR WISCONSIN.
OFFICE OF NUCLEAR MATERIALS SAFETY AND SAFEGUAROS SENO APPUCATIONS TO:
U S. NUCLEAR REGULATORY COMMISSION
WASHINGTON. OC 20$55<0001 MATERIALS UCENSING SECT!ON
ALL OTHER PERSONS FILE APPUCATIONS AS FOLLOWS:
801 WARRENVILLE RO.
17 YOU ARE LOCATED IN: USLE.!L 605324351
CONNECTICUT. OELAWARE. OlSTRICT OF COLUMelA. MA:NE. MARYLAND, ALASKA. ARIZONA. ARKANSAS. CAUFORNIA. COLORADO HAWall. IDANO. KANSAS.
MASSACHUSETTS. NEW t.AMPSHIRE. NEW JfRSEY. NEW YORK. PENNSYLVANIA, LOUISLANA. MONTANA. NE9RASKA. NEVADA. NEW MEXICO. NCRTH DAKOTA.
RHODE ISLANO. OR YERMONT SENO APPUCATIONS TO: OKLAHOMA OREGON PACIPlc TRUST TERRITORIES. SOUTM OAKOTA, TEXAS. UTAH.
*
UCENSING ASS!STANT SEC*.ON
NUCLEAR MATERIALS SAFETY BRANCH NUCLEAR MATERIAL 5 UCENSING SECTION
U.S. NUCLEAR REGULATORY COMMISSION. REGION i U.S NUCLEAR REGULATORY COMMtSSION. REGION IV
475 ALLENOALE ROAO $11 RYAN PL.A2.A ORIVE. SUITE 400
KING OF PRUSSIA. PA 19405-1415 ARUNGTON, TX 78011 4064
ALABAMA. FLORIDA. GEORQiA. KENTUCKY, MIS $1SSIPPt. NORTH CAROUNA. PUERTO
RICO. SOUTH CAROUNA. TENNESSEE, VIRGINIA. V)RGiN ISLANOS. OR WEST VIRQlNIA.
SENO APPUCATIONS TO.
NUCLEAR MATERIALS UCENSING SEC*lON
U.S. NUCLEAR REGULATORY COMMISSION, REGION O
101 MARIETTA STREET. NW. SulTE 2900
ATLANTA. GA 30323 0199
PERSCNS LOCATED IN AGREEMENT STATES SENO APPUCATIONS TO THE W.S. NUCLEAR REGULATORY COMMIS$10N ONLY IF THEY WISH TO POSSESS AND USE UCENSEO
MATERIAL IN STATES SUBJECT TO U.S. NUCLEAR REQULATORY COMMIS$3ON JURISDICTIONS.
1 THIS IS AN APPUCATION FOR (Checa soprosnese nom / 2. NAME AND MAlUNG ADORESS OF APPUCANT (Jacruce La cones
[ A. NEW UCENSE
gB. AMENOMENT TO UCENSE NUMBER 50 7QM L P'
ASCG INCORPORATED dba ASCG Inspection, Inc
301 Arctic Slope Avenue - Suite #100
_
C. RENEWAL OF UCENSE NUMBER Anchorage Alaska 99518-3035
3 ADORESS(ES1 WHERE UCENSEO MATERIAL Wlu, BE USEO ( ) POSSESSEO 4 NAME OF PERSON m BE pm ABOp5
For use in tee
301 Arctic Slope Ave.. Anchorage, Ak. State of Alt...ca TeEu" E. Rennele, RSO
4831 Old Seward Highway, Anchorage, Ak. and anywhere in g g g3-fgg, gf
611 30th. Ave., Fairbanks, Ak. The United State 5
TELEPHONE NUMBER /3
43800 Kenai Spur Highway, Kenai, Ak. under the rules and (907) 562-4527 Ext.,W
SUBulT ITEMS 5 THROUGH 11 ON 8-1/2 X 11* PAPER. THE TfPE AND SCCPE OF INFbNik MbVih III 3C IN THE UCENSE APPUCATION GutOE.
5. RAQsOACT1VE MATERaA4
E Element one gnans nummer. e. cnemmas anator paysmai form; and s. mansmum amount e PURPOSEiS) FOR WHICH UCENSEO MATERIAL WILL BE USEO.
wasm was be possesses at any one eme
T. INOMOUAUS) RESPONSIBLE FOR RAOIATION SAFETY PROGRAM AND THEIR
8. TRAINING FOR INOMOUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
TRAINING EXPERIENCF.
9. ?ACluTIES AND EOulPMENT. 10. RAOIATION SAFETY PROGRAM.
e 11 uCENSEE FEES (See 10 CFR 1M ene Sec,on 1M.31)
l 11. r/ASTE MANAGEMENT. IAMOUNT l FEE CATEGORY lENCLOSEO t
13. CERTIFICATION (Must be compaNes Dy oppscano THE APPUCANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THis APPUCATION ARE BINDING
UPON 1hE AF.PUCANT
THE APPUCANT AND ANY OFFICIAL EXECUT!NG THl3 CERTIFICATION ON BEHALF OFTHE APPUCANT. NAMEO IN ITEM 2. CERTIFY THAT THIS APPUCATION IS PREPAREO IN
CONFORMffY WITH TfTLE 10. CODE OF FEDERAL REGULATIONS. PARTS 30. 32. 33. 34,35, 36. 39 ANO 40, AND THAT AU. INFORMATION CONTAINEO HERE!N IS TRUE AND
l CORRECTTO THE BEST OF %EIR KNOWL.EOGE AND BEUEF. l WARNING 18 U S C. SEC* TON 1001 ACT OFJUNE 2$.1946 62 STAT. 740 MAKES fr A CRIMINAL OFFENSETO MAKE A WILLFULLY F ALSE STATEMENT Cil REPRESENTATION TO
ANY DEPARTMENT OR AGENCY OF THE UNrTED STATES AS TO APN MATTER WffHlN ITS JURISOIC"10N.
NimSUfn%'7e"r'E'o' ewe-President ,
k""* * _ ] [ [g g
FOR NRC US6 ONLY V
TYPE OF FEE FEE LOQ FEE CATEGORY AMOUNT RECENED CHECK NUMSER COMMENTS
$
APPROVEDBY DATE
I
'
NRC FORM 313 (10 646 PRINTEO ON RECYCLED P APER
57% 25
_
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ - _ _ - - _ _ - - - - _ - - - - - - - - - - - - '
' ' ' " '
e
.
ASCG
spection,
an ASCG company
March 27,1998
U.S.N.R.C.
Region IV / WCFO
1450 Maria Lane
Suite 300
Walnut Creek, CA. 94596-53
Beth Prange
Dear Beth,
This letter is to document the following:
.
The letter of appointment of the RSO to ASCG Inspection, Inc.
.
The training and experience of the appointed RSO for ASCG
Inspection, Inc.
.
Commitment from the RSO
Trainina Summary
Graduated May 1983 from a two year degree program at the University of
Alaska, Anchorage with a A.A.S. in Welding Technology.
.
X-Ray and Radioisotope Radiography
Transcript and Diploma attached
From September 1983 to 1998 attended mandatory company initial and annual
refresher radiation safety courses. The classes were presented by:
.
Quad City Testing, Davenport 10. (1983)
.
Ultra Technology, Prudhoe Bay, AK (1983-1988)
.
CTI, Inc., Anchorage, AK./ Martinez, CA. (1988-1992)
.
CTI Alaska, Inc. Anchorage, AK. (1992-1998)
Work Experience
Hardy and Associates - Anchorage, AK. May 1983-September 1983
Radiographer's Assistant- Performed gamma radiography for Corrosion Group,
ARCO Alaska, EOA
Quad City Testing - Davenport 10. September 1983-May 1984
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
.__ __-_ -_-_-- ------- - - - -
e
e
9
A5CG
Inspection,
II
an A5CG company
Inc.
l Radiographer - Performed gamma radiography, film development and i
interpretation for Corrosion Group, ARCO Alaska, EOA
Ultra Technology, Inc. - Prudhoe Bay, AK.
Radiographer's Assistant (5/84-984)-Performed gamma radiography, film
development and interpretation for Corrosion Group, ARCO Alaska, EOA
Radiographer (9/84-7/88) - Performed gamma radiography, film development
and interpretation for Corrosion Group, ARCO Alaska, EOA
Deputy to Senior Radiographer (9/85-7/88)
See attached documentation
CTI, Inc. - Anchorage, AK./ Martinez, CA.
Radiographer (8/88-9/92) - Performed gamma radiography at various locations
in Alaska and Californic
CTI Alaska,Inc. - Anchorage, AK
Radiographer (12/92-2/98) - Performed gamma radiography at various locations
in Alaska
Radiation Safety Administrative Assistant (2/96-2/98)- Duties included but not
limited to:
.
Perform radiation safety field inspections and audits on Radiographer
and Assistants
*
Familiarization of duties of RSO for recording and reporting
requirements to the NRC
.
Check all radiation safety records, forms, reports and surveys for
completeness
.
Expedite and file all radiation safety records, forms reports and
surveys in a rapid retrieval filing system
.
Establish and maintain a matrix / database on all records, reports and
surveys
e
Notification of forthcoming due dates on surveys and reports to all
applicable Radiation Safety Personnel and Radiographer
e
Maintain film badge file and transmit / collect film badges on a monthly
schedule
.
Perform shipping and receiving of isotopes and maintenance of
records
.
Conduct initial 8 hour Radiation Safety Training
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907)2674480
.
.
_ _ - _
.
.
ASCG
Inspection,
II
an A5cG company
Inc.
. Conduct Radiation Safety meetings
. Reported to RSO any incidents, hazardous conditions or audit
deficiencies
.
Assisted Quality Control Manager in certification of Radiographer and
Radiographer's Assistants
Trainino Commitment
The above stated training and experience will satisfy the requirements of 10
CFR 34.42(a)(1) and 10 CFR 34.42(a)(2). The requirements of 10 CFR
34.42(a) (3), Formal training in the establishment and maintenance of a radia.' ion
protection program, shall be satisfied as soon as a suitable vendor can be
located and prior to May,1999.
,
if you shou J have any questions I may be contacted at (907) 562-45e7, Ext.
#13 or my i .ome at 6 I may be faxed at (907) 563-1846.
Sincerely,
Keenan E. Remele
Radiation Safety Officer / Training Coordinator
Enclosures: Letter of RSO Appointment
l
Supporting Documents
CC: James Kingrea
Jeff Arveson
RSO File
,
l
301 Arctic Slope Ave,,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
L__________________________ _ _ _ - _ - - - -
.
.
-
- _ ASCG
Inspection,
,
,, Inc. '
en A5CG company
March 9,1998
To File
.
This letter is to document the appointment of Keenan E. Remele to the
position of Radiation Safety Officer for ASCG Inspection, Inc. Mr. Remele
will be responsible for the radiation safety program and has the independent
authority to stop operations that he considers unsafe. Mr. Remele has the
full commitment from ASCG's management to fulfill all of his duties and
responsibilities as an RSO to ensure radioactive materials are used in a safe
manner.
$
fames Kingrea /
Senior Vice-President
ASCG Inspection, Inc.
!
301 ArcticSlope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
.
.
-
ULTRA TECHNOLOGY INCORPORATED
I
I
l
. September 3, 1985 i
Mr. Keenan Remele,
Pouch # 340122 l
Prudhoe Bay, Alaska !
99734 i
Dear Mr. Remele
.
I am herewith confirming your appointment as Deputy to the Senior !
Radiographer for the Companies Prudhoe Bay radiography operations. You will be l
custodian of all radioactive materials held by the company at this site and 1
assume full control of and responsibility for the following at such times the l
Senior Radiographer is absent on Rest & Recreaction leave. l
a) Receiving new, high activity by-product material and returning
low activity material to the supplier.
b) Carrying out the surveys and reporting procedures required in
Section I of the manual. I
c) Maintaining the daily records of dosimeter readings, source j
utilization reports, daily equipment inspection reports etc. as i
required by various paragraphs in this manual. !
i
d) Ensuring that only calibrated survey instruments and dosimeters
are used on the job site.
l
e) Ensuring that the radiation levels at the surface of vehicles
carrying or used for storage of by-product materials do not
exceed the limits specified in this manual. j
f) Assuming control of instituting corrective action on behalf of
the Radiation Safety Officer in emergency situations.
l
'
g) On behalf of the Radiation Safety Officer, ensure all other I
Company employees comply with the procedures described in this -
manual.
Yours very truly,
'
3% 1 lbh-m
Donald S. Heiken
Radiation Safety Officer
l
REVIStoN PAGE l
'
Attach-H naninTinN saccTY Mak'I' At R AD!OOP A"'" 1 8
, I
. . - . - . . . * . . . . - I
,
_ _ _ _ _ - _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - _ _ _ _ - _ _ _ _ _ _ _ _
- ! !l ll\l1,ll ll,
.
o r
_
WWW. WWW u nR
WLWW. .. .~ . WWW u u e
,r
gg .
8 2 n
e.e
s_ .
EEEEn.. . . l_7 EEE ' :'E E E . EEEQ s
s
s H
LL L A::~DDD..N- d.,,LLL'.
- . . "
s s
*pa.:m . y( LLLL.,1a a..: #
s.-
.
.
h a
m E
vt.-.
e
.,.%
r.
. .
.
DDDD. DDD
.
N.11ix ..-
DDD U. . a J. o
L _
M 'Q% _. 22ic %X ' 2 2h:ii1AeU5C.3."NL.#@$ '4221".,rm.W3.EMlhv i.c.s.%4 gA0",S0wy,. s_
.
n m .
.
.
ii1 7; w
e /. . w.g . a . ., . -
. = . .. ... . ...i .g
e. %4 A-
,
. 2
044S%.4
4 ,
527.i h # f'77dt1
.
42i:
S.
'
. .
.
i
n e.
_ _ e. .
.$~ -[*y#' 9 G21i. L .: . . 4.% 'e 7T I S
u
I C T..) t*,? l'D P G" t /W- [.
* #
. .J44.. . ,J ~ %3,4 O t3 .-
. , .
_ s.
.
W U Wgf, #. .
.
. _
_ _ a
.
t. 6 '$ . * '
L CD /k - e
_. au .. T kT . . PUN.EELE,e.C&yTDCNOEtCC{AHA#.pC%EHA t
CC '
s jU .
N
uU LIS
WBc,9.C7.*w6IEC,
.
_ .n _ _. s. R R LNTL *l U r HR uUISSYD .MR DE sM i*a AG n _ _
.e
a
AUA HR LERD i HR.REH ..UR J LW U Z ATR A
_ _
._. u,a. NNN .UR IRAI. A,LE12U R " QUuRGyCE S.~ N CIH
LE HDE "L ai .? SNEE N.
_ _
+._ p.
-
.
SDS I LE ^~
A N
*
cIEC "A ytCHC E A..
k.
AN G. ALQTG -
.
.g
E.FEF .
e
_ _ .
.
.ERE LEM*NASN- Ni . TT OaA MANJTST .
TT. U
I A n T T~. GDD T,.UAHOS, .
.
3
TT"HNIX~ . AN[T4C CI
_ _ _
~.e ..RCR
.
.
I '4 PL. I GFL -I, H I I, . M JO F:
I I*
-
_ -
HN o>*g_, OR
_ _
c*# ). R.
.
]- V- V -
GRAA'A D
,
V;'"%~E O CS1 W
*d- A DN T P 9e,w Y8TT:p egg E A
E b..
_ s
, E. y TN E9*1 "M W'WRAt H R fEi.E V da.
E. Q'Ei o .-* 'Q *
.
LS- m1
.
.
d'JFAafe?9.v,PaGPA.
_ 4
t
[. e
,% .%a. .RDR M/
.
EPR.
i
w
..s#o,js4 .CAC
%
,A EUE * LEEE8..' DI
.
7.6 .
w.
%L(JCs Eltcf*"gsrJ'LD
_
~
. .
.
__ 3 )- DAD u. M,I ",i L S S C 2 g e}~7I C 4
W Li9Wb4 DE*e). . Ik .
N .
_ _ .
.ITI
a
4 ' C{ . k'iCIE f.Cm ,
..#.4s.44 #4 .=T* E T 4 1';$ AR UTTT. n. 3Ra' 4IAN A P .RJG21 I LA e I L.RTRTg
.2 2W , A'u p y.Oge3.WOED .
9H R I I S * .2.7
.
8HGL_RF HG EHDs- R I.,
.
y.
t
. V.O S Y C G N R f O,O G H T N [,- L. M;4 2. H
.
_ _
.
RGUNOPu.w OOS
" El s
A O 00S,HCTL*Og~2LH9DUS? C,
_
,
.H.a - *
TW/ ~ 'i EET: t ; IL4 j .
S S, M Ss- 21 E. )N' NDR
-
" "S 1 ~T *P ,u 4CE O.P L.eT1*I 9INC
GIIA11ETEGYv#g M. S WN
- I
_
. ,I * . *. .
_ _ .. 9' O A 4
P F I A.7*L . ; 9 H . -E.E V, *H%,h
* G.
L'
.
4
E'TAT
8*H L S
.
J' GG NN H~3NIIt'.O
.JGTE'
R
Di , ,
_
s8F S e. ~L*I. .A:e2H sRED
$ '
. R*
i 1"*7I. *g'rA 4 2 H E b , ,aY.OOSL,Ih*'#0
. l
_ . i I E * E. . ,50 O' R u
.-. a * R iw TC
L.0 O S t. l ,f, a
.
wN0Y Ns - Q
-
_ _
.:TI h' C_Q . j ')S *u TM,t 4 + #'j* . qAO0,$ *'%.
.
4 * . 'E C E% , _. -
. *EA DL Sn : E.
.u* %
.-
. ?
D a
.
s Js{
*
.
. i a
gb... - Ac N.
. **
. ,
4e>s~22HJ.
"
OU A .*{
FD v?gdy6.p{p.hgf%M21Q%N yw;mj4 u OE 6sgQ;.*pNdVf
H .f
CO *.
-
.
.,
*
3-
.
1 .tT
, .
S 4 .
* C
l% ?41.5:*O1- a"
NI
.
# ;* O _
N 42HhM QE - L H, _
19 H R..f.Y 2OHJ LO0 stb 3g..~1i0g
.-
y
S V E ;N . . .R 'R
'WNLdf
'
"D . R
.
E .. O . * L - O
E
eCRO.. .wI 89 a
i
.'0OSAAAN.y ^,
,
R -
m,. %;O S C., A# A*e.,L.y%yM'"g*s.JTW,A.LGl.y l'
9 O S B. A BvOp*". < * *j.
-
4
vU SI T. lW O G. EM*~.
,
'
T
.
. l
U,.v 6* O A.
RT.R.
EY E. g A7. l320w
i. .
w
sa12G . f
' 'Cv9n a*~7Suq. . c
44G
i
* ' y G. -
e1%2
.
.
gb"Y.%[G. f
I
- * . -
.D T tP 0 0TP OLj ^I 0 6.PT4g ** T.4.dy 4. ,4 { "" f f fL . .
? E. .
h ,.. 4w=f 0 8 Pt0 0 O.
.- * . .
" AAU.P'R Q . .1 . T4 ..a, . i*
.
C
L.>O 4O 4.*Es.O 3 "tMg 'y~Di. _L O , 6b
s
1 t 4 s.O 0 S .WO 3M 00p ~ O 1M-
PNIRg a /. -
0 O B. i * .r
L. 5 wf L
%~
.
ES ~ O o O~r O 2
H.
R. CE- 0 5: L.l . Q *- O O.O n '
.
-
3 - ,
c
P
I
R Dg
0 '. m. 53Y aFh4
s
*
*a- 4 - 3'M
4
t
w 0 C ** Q.p.AM*0Oe.* '
i.Y,- f.0OGwg '?.
4.C%J,4.Q0 *
$O' p [.O de# M O tN ;g
j P i i u
1,. Lu. H
s
-
.
%.%' ~. &"[Gdr 1m
,
**
f
. ,1 .
=m '"' T D, e.w43 p%&PL.m N
- - .
- .a231Cw.l .
a
1 ' ~
.35Pi '
',- O 0 P11
*
d -
-
d,
8
_ -
O
. p g. "Ic
f4
e
m- .a '41 P . . .
~
_ ,
.
'
.'~ ru 8 -n
- a61
e
O ;
(**
.
G 0 A 2 e M HO0A222-
t 1
.
R,
;re
,
g O
; A ~
d.4g L. 6 Q967b/
'hM.Q3 ]p*(. d,
T
y<
-
m ,e dd{t J 2 /. h,An .O s ,d g. .
4Ag%. 2 a.O0o * r.3 Q O'S
^
. d$
. .%*.. . .**ps'
..
.m
-
o..O. ;O O~ * - L:
*% ay*1_9,,)d/U. bg% Q{f q J,O. JC+
&= d4- O
- - -
- . L * . ' ,Q } aJsj. . ** lh y, -
. -
'3- O .
mds. i C
.
,. .? A .. ,. 8 f k . a* p
. . s e .
-
'n%a /, *,~M* 'I- .w ."y ;4 t w6
'
,fP L- ., t. , *d*".tDWA.- $_pQ4l[."4,
*.
3
[
{b$Qe,,Lv w O . tc
.j
.
4 ,%4 H
d~ ,; y
L,
,
. 8s .
. - . 4
g4 * >*- * p. . ,,,, *] ..: GLSi y E
e* h* ,, df. $i w.4gw M. MA* '"%,.#c*,),fyEES
_ . ,3 - _
-
. " . * wy.
*
*y $WWWEi A H1 -
G
<1.
3 ,+ e. h. N.*
E. ". N " &H N . . f, g EIC EEE;
%. 3 s ~" E
.*&'ds$.,,KNIRRDO.4r%@d_4R.EEENA]M?W
,a 1
m' w'"'dI(nag.f'.a'A, LLG
.
:
e i =g
.
..
"~.' "a,A"s. N
'
r]-
'
.'I" .1.e u ,.
. *
igp ,C1Tn&'d.tg J42212 l MWLLLL-DDDi,f
21i
a
m 3 %.gc sw
Jg - [~ " W' # ..n6.8 .a* . ,. . ^/ u I
a } **
.u*A
ae.""U
*
,8' s
e ~ .%q
f*
* .
*"[* ' i . M'W"
.p G
e+ . .-W%,s
..
.u, -Aw$ . "w f hq luy_9
t'
e
w&d..
..
*OTEiT.
*N GAv'..DDDtw4
E - b "9 6217212 .
., #k"6352 7 dJ *
m ;O
ug
o
t
g **
L.L c -
.
.E'W *$'
-.
.
.
. FCO A; $1
PGITa XWF- ,
E HrCC F5p g =,a CC %RRLU- EN ' NE ;J.SIMW, ."+
e ,
.m "eR p.s*
'" ~ :. e
.
1.p .,M*e 8 .
a. EL-
m.
. *
. .
'. E "" W*' r! vg*;. *tw,.+4'M.*rm.+%.
.
* h .
*'D~.+ *m
".
. ' ***$
.
"NP%i*= 'p.
* +ROA
7 -} R N.3 MaQ "UU . ONTC
a*UtN
J
O Ei d(q
**'JQ b }L'*"J
,
. s
'
. %T' ADELP. JHR4 BERH~ H R %' A D f
U *.**u
e<g'e'"' * L' . *
E9%w*** *"a SEDOfN LRON~ d, tE
f U R NYI.K-
g
.u'~*.s'm*nd.
* -
* a2 + d$*dmu. .nu
I a J
*G LE EADI NC ,g
ORAYh MUR%f AN+t2 tUC AN 4G'ORm
"
r a.,u ' c"" .e L @n%" D=a*% sn'* e4*
.,c[*e **$&pSG! C E l..E ?. T T e L ;. CA d'TTM
i
# .1
iNss
MEMMg@';4
< *
*
" ,1Ww.t.-
*'o *Jv.~$"@7.'de~Jy'"o.a
n.
e.w* eu
a
. -
) N.; ,. '
.a*."5 T LaIEG$ I N T b* yJ. gR P E .-
** ,iy' iA[ ww"%*2.'ETf E S CBwL."E
.
a. ' .
..* as*. e ,'n.
"/ W a..^. M
n,
i :
*dJew %P ';?'w*m."2.'$"+w.w
' ; f.
,w j
*
4 U , V
3:w..O'w#."y.,. r
" $
', 7. "*' r...~ GIW*htOI i N O R'14^VMARD.D O ; i *- -
*. '.n'.pN'*"a. u.' &*d. ' *.g.dI w.* av f f."W* a. u.cm*.m.=*
,
t '
Mm.sQ aM..pM$**m .*vWs.k
' ,
tDNE9? 6e
.
wf 4
.
~-
a. a, **;. - 7 . .
S:P TO3' 8.YM"UMIC eA.9dw k *g .LM'y
'
' * * C 3* . ' i ? ; s
=*$ D Q1f"Iai4*Ta E;
."* . a " fs OE r0" A
d m.* u . *$
;
- . ; 4, 8 h
.. *
= f, IS n 2 * -
@*'6wu= B "^ O#'t.p*4q. ",W N .F E T
.* J- .
'
? !s e.
T3R?"J1 ASSN 74KM
. ,
.
,' , a . fA T
- ss,*w $ u l. " "$:T CO I 3 auU 1 I+U tE 3h6'I'a
' .
eam ' 'M
5
.
P"" , % . p,
.
. ' *wwMMi, ,. ... MMC'a wwgO".
w.
'~ * l
l P N
4 i'R v#Ce4 dP%.j : R T S N A ' S p y+ Wi t y
wl# *,4 " AwE9 w<u J"Ss,t'OM~"CT M
*
t
6 4 '
FMGI.
d Ei f
WR"Q08O G L **
+ee ~4W w4
,
~ '
et0 3 n
n ,N,# *, '4.m.'-
' +"/. M ia.
am..O .**b"w.
-
.a.u
fU i l,4nv.$% w.* L
wSICAN*f T P RIiy 7GPcj;,C.7g[u' y g
a' @d.-
.O$2H t1ES*f y;py,"yY
S
$. 3w A A7
~ f
l f e.e %* 1
s
A4 N 87A. ?
EC.'O S * ;' A E e,
.e
'. 4m"a4w **f." wD1T 32M n;;lC. ACI
*
. e='s.b..' w** r n *'mwhu%'au'*f%"u*. @ e .h t@f. *** cs~a
i 4
a .
,
.
f' it
aiE;V;a G ;
, ' !i .RR= g g i g4
,.u a. u* .a
-
,. %. l.* .
u t. .
""r,.
'* ,,
EEe 4 1
l
al
.
r
.
s.. . * <
,
c**ppPWn a .u*
M. w;% RE
%EHTEW G 9T- 0 0AS A +;,
4
s
' '
s.*4.- .,iun '.. sr "'*"NM!'n.2.,'W,u.2*%"#w.swa
u_u us T R. kn-
2s Cwg;*M %T. ?gG4N*hgC, ,.M 5
~ .
u II
= .* Ms a. ai i
n-
+ MI%.na.$/.*#. c ***d,*Lw.,.a.h. W***wy.c*d
*
l, 9 1
,. . e** ..e 8", w C S 0 f'
, -
. c- .
o * :. YM w.7f'
,
."
.=
7" fCHUM
i t' i
f
!
- 9 E
'M*MRIP51 D gj'wg. OM
'
.+ . t 4m
.
g g, 0T.
*
jT.m;f ,u,a "' ? 'Ma. ; M . m o.
E E efN,* f 74HP*Mi'N0 U >.!
. L*4" * n.* ,.ow*u""Of
f
e a 5
.r ;,&e o
,
,,.w^
' . " , . . ^ *..4,. .
. .
.
a. ,* ' ,
;
l
#
* CI
i'
% . *" C N .r f . *'a=&l .61 Oq
-
.
w. "e ;. R
, %'~ ** s.
.
"" E
.e
s. u"wj,'W*r
w ,.
2 ' u ,.
eW;iT~u.*6 c.
"
a-
.
, ' ' *'
' .
f #s r O'03A"JhW.eZ32H,*@,t.D',
f R *i
BDCiZqOSAD
*
* 8A.
4
-
l
.
0.-
t
* .
u"0
,
l\OCi . .
.
-
O "u, 1 . ,,r
.= w ~,.
*
ca
a. x.
-
c"
d.* " u. a
e
,
*
.- **M*2
s
0 u.*i
.Y 4.
2*!7-Qy J *' 4Q/.%,L*ga Ug
U
N
,, 7 0C
6 i. .
*^w*aAt.'am.MW"ta=M4'*u,,Nm'*D
*
,d ' Nn;
,.!" "4
F
FM . 2'7m.. ^' 4 , Ms%c . .s. 5 ;;
' !
* t :lDR E } '2
74D l
1 M
w.JO**wm
. -
.I
Ir a.
. i.. ,
f'S**,, M. *m.+
e.
.u4aa
a
a . 7.'
s.
'
Y den.t03Ma*;fM.^TmM*%: pi-
fs4
w h' 2 4 ,'J"lU.
A' d y,**W. 0 Pwgf p,"T 4yy a f,' f,rTg[q
d.
-
f7'e+.
a g
< C u <. I~ r ,
. . ,
y *h"Mdng
-
3/
Q,O 0 S. .,-[.. r
r
I
e.. .* M2.=wM ;e *,c k_ . * 0OS .- a
'
'
A9
f -
. . .' T 4 3.A.8 1 OO <
.
j DeRt J*.- .a .,, O0O 334i,0
. .
-
_ '
~,"y;@ g
. t .. m. e. "%'w.
'
_
., a
.
" hf.'%9e.%. W.i3"x4M,;J.9 *3.p.%u~M. V.e $ M
a e *
l ' .
* *
e
- * y
f * Z w. , 13M-Q, p"'MG
_ ' : * . _
.- .% i
Jc' ^ . ,. s"* 4 . e ']"'
,
_ . '
.'-o. ".* W'*.?'?.2
* J....- a.b;s~. **W ee
.
_
* n
a*~ .
.
," #W~. 4. $ ._ . y* 3 3 G+g;j(.- %yL y.
(I' %m.
~
_ .-
' '
i2OGF ;
.. '
i
"
'u 1T ;53P1 i *
*
* c... W:T y97P1,.
.
.',: L
M ,;.
a * ' . a n m~ .s * eC;M#' .m' b@'*'v.* a. e *f. f. Wm__
n
~ w* ~=e. .."" '
,.~%
-
-
awD4 2 "t..4' ~ ..
,
~ g Jg sC?' n *' -
,
-
eI,
.
?
.
91A6924 i 0 3 A 6. Q. 2. .
.f
!,
%
-
(CCs CC(
!
: .
7. o
Fc u
.Ry%s
*
. .; ~ j'
. - -
:. [ b :. : 4" !
' , .
+.
*
. -
le
v . ! r. g. p. g!s.
_
*,
-
e'
- 5
!'
,c
- .
.' , ,.~
,a
~
'$f_ p$s. %$3;r;
-
.' *T ' :
: .
:#
[( $ g e, 5 -..
,- ." * -; . j
.' . .~.1
- {1,yli .y. f$lj$.'g,*..:9&w.[.f.
.
;.
:
l .': -
. .
-
.c. 7- 1 j .
:t. .
.
-
.'.. ~ l. - ..='
.
.~'- .-
. .
.-
-
. .
; - . *
. .* -T . *
..
3 !:. ;. .%F ' A
_
. - -
-
*
- =- ; '
.- , ;;: 7?Y, l (.-. :! C, * .
~~
~
. il: : I '
.-
w.
.-
.
.
-
.
e. .
=5
.
,...
;
..
.
.
. ' y
G .
"'%=.*
_
,.
_-
g _ p
o
G
m., _
.
. .<
- t
l
- gs e
> Ke
;
.
-
-
g
e
n
A
n
..-.
E
t
G s
_
d
.
i
. . .
.
,
e
u o
,. n l
,_
- -
.
a
f
f
l
n o
$,t
i
- .
i
l f
u
As
e i r
n
l
.
. , .
- C
i
s
i
i
t
t r iJ
e n g
a
,- tO
.
,
o
l a s
o
q
u d
i
e
-
.
a
.
r 7 ,
. g
l
e
l
l
c p, i e
r
e r r e
s
.
-
H .. ,e i i s
- a
..
t
s a c mi
G
- r t
jl
I
) t e e t
i p l
l e t n! i
m. ,.
s r e t
#"
t t i
.
.-
.
ll
i
i i
r
i
u
l
g
l
b o
i
n f
l
i
e
b
a
t
t }
s n
!
a ec
r
y
t
o a
.n e
m
i f
.. Y. c
g EA g e
e
n e e r [ b
e g
o n
_ p
oe
t ,
l s c e .
c n
m
y
.a b a i
np
l
e
hc o i
n
u
t
a u o
g l
o i
o
b l
o c
i
f f o
e n f
_
l
r
n
.
- f
o g
g h
l
t r o
..
.
Au b
g g
u
s
,t
l
i
a
t
i
$c
i
e
e
l
e
e
b
ug
p e
o
f
t
I
A
l g
i
t
.
-
- p nos n n f
u a
t
s G
l
f
.
..
p
.
.
e i
l
l
-
,
,.
1
9
m
e
n
i
t a
a l
.
.
.~ . 8 t _
. .
. 3 l _
. o
f e .
.
.
..
p
r
g
.~
.
.- .
e
s
c
e _.
.
r
i
. b
e
. b
$)l
.
<
.
.
;
.
_
t
. ;. : -
il r, . i .? _
-
. ; .
?: } ,1,
.! - .
*
.,
.
'
l i UNIVERSITY OF ALASKA ANCHORAGE
'
*
< 6* COLLEGE OF CAREER AND VOCATIONAL EDUCATION
3211 Providence Dnve
Anchorace Alaska 99508
Welding Technology Department
l
.
l June 23, 1992
Sandy Watson
CTI, Inc.
4831 Old Seward Highway Suite 107
Anchorage, AK 99503
This is to verify that Gary W. Nourse attended the University of
Alaska Anchorage, Fall 1980, successfully completing the course
WELD 263, X-Ray and Radioisotope Radiography. This course
consisted of a total of 100 hours of lecture / laboratory
instruction with 40 hours of it dedicated to radiation safety.
/
.-
Donald L. Spahr, rofessor
. Department Chairman
Welding Technology
A DIVISION OF THE UNIVERSITY OF ALASKA STATEWlDE SYSTEM OF HIGHER EDUCATION j
_ - - _ _ - - _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - - _ - - - - . - _ . . . - - - ---. - - - _ - - - - . - - - _ - - - - - - ------------------u
~ ~ ~ ~ ~ ~
nR tbu V W
69/00l00-3/6f98' {
TELEPHONE tR VERBAL CONVERSATION TIME n .2 o
l RECORD MO am@ 1
[ ] INCOMING CALL pd OUTGOING CALL [ ] VISIT l
' PERSON CALLING: OTTICE/ ADDRESS: PHOE NUMED: )
l
PERSON CALLED: OFFICE / ADDRESS: FBOE NUMEER:
CTT afao%,Inc. ['f07) 562 -yW2
h( OR
CONVERSATION
SUBJ ECT -
Liw ssu
SUMMARY -
& &y / Cu-
ide cla c m a d %
ASC6
f%f aM r
we-u cmq
conclu1 2 4 t7te LT~rHw ww
' '
&. Nwur n < tf ry y
HR (J'o y . Os sauf n d Ae waro m g'
%r a<a wao re-pa%% v4x ss s%2b~.
01 sak' hef & M A & Smele we e s w
uitt PV. Cro g b w W itsca// % & 6 en
+& pep . Once fru. A SCG Hm i o &i he
A "
Crr licm ca.~ k f& H cae lae ( w
-
h<. ,i &
at- w. g ,) g 2-yyv2 n 4 ' &~7 )fLT - G M-
- -- ..,e_____ _ _ _ _ _ _ _ _ _ _ _ _ - 8. &w -
_ _ .
TAKIl
ACT101 RIQUISTED: IIITIALS:
DATI:
ACTICI TAKIBI IIITIALS:
DATX:
tsc rosM 21B Ezv.0 t/03 [rr/tdc.R1y) -
:
- - - - - - - - - - - - _ _ _ . _ _ _ _ _ _ _ _ _ _ _
, - -
- - - - - - - yy y my -- 49,99799 _3/3,7g
{ TELEPHONE OR VERBAL COINERSATION TIME BSYD
RECORD 00:00 ain@
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT 1
'
PERSON CALLING: OTTICE/ ADDRESS: PBOE NUMEER:
{
l
l
PERSON CALLED: OTTICE/ ADDRESS: FBOE NUMEER:
'
h chad Croh NSCG (907)SM - Y527 x23
COINERSATION
8 * '"' -
, RSO pos;h. A %d c%%
SUMMARY - V ~
li,' chat / C/b g "y W M -fTit RSO 'i7t C ( /5 w
p u m -*V m m:
,
*S O *
l l 1
.w--m <nes
.
qm wm
a (psf + A DO Y &
.AIp35I")**f
$1<, K;q , f112. Sr. Li. P 0W +%it & IS 1516 h
% r SL6
f ,Jhc. I<'c m , % :d vEd A n pt SD A
rijst0g I;ne* en -11t e ovc
Asst p 111< RSo % f% ASCG
at&irPrcaidbt, y n /1c(/ 6 ,
w. c< q - y < se 16 R wfe> tk c4 ,
REFERRED TO: [ ] AnvISE KE 03 ACTION
TAKE1
ACTICI REQUESTED: IIITIALS:
DATE:
ACTIOI TAIEEI IIITIALS:
DATE:
~
tTC TOTM fif Ezv 0 ~/63 W Oc-RIV)
. . . . _ _ _ _ - . . _ _ . - - - -_ _ . . - - - _ = - . - - - - - - - - - - - - - - - - '
l t____ __
.
. _ _ _ _ _
___-_________ - _
_
.- __
,
'
. ~~ T~iiiicaXir
u & W6ns coxusfiiou ,R "
asW6W v 00/00/00
TELEPHONE OR VERBAL COlNERSATION TIME ' I
RECORD 00:00 am/pm i
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT ,
' PERSON CALLING: OTTICE/ ADDRESS: PHOE NUMEER:
i
' PERSON CALLED: OTTICE/ ADDRESS: FBOE TJUMEER
COlWERSATION
SUBJECT -
SUMMARY -
f.ag &, % McCl4 had & k H; chant (r 1%f %
wa,ag the V
+ Rso du% ornd%ied becauae. % %d?
N & IURoH$Y W& Q filt R.S Q IO ..
M&*' ,=w w ca% && n mW , prvisir
o
az na c~. ,,
,
p&as s dna% / is est ;n ud p ,
n
7h, .
&qhdriD Q h 4 2/25 qg, j go y y a,,
ruet.
-73. W}
REFERRED TO: [ ] ADVISE KI 03 ACTION
~
TAKZ1
ACTICI KIQUISTED: IIITIALS:
DATE:
AC710I TAKIII: IIITIALS:
EATE:
-
.".. _ _ _ $$_ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ . .. _ .. _
-
_ _ . . _ . _
- - _ - - - -
- - - -- - m ieu y w - colooloo 2/.25/9g\
TELEPHONE OR VERBAL COINERSATION TIME :00 l
'
RECORD -0[m: 00am/@
[ ] INCOMING CALL bet OUTGOING CALL [ ] VISIT l
' PERSON CALLING: OTTICE/ ADDRESS: PHOE NUMBER:
1
PERSON CALLED: OTTICE/ ADDRESS: PHOE NUMEER:
IV cha d C r q hSC6 (to7)257-S Sig
COINERSATION
* ~
(M No. 5~7 2(o2 S - M&
SUMMARY -
tjy
mu,t julade
V
' *
'
f
i <
W
,
ps, 31 'l 3 lb)lS). See
See . 7.0, p. i, Pw r g
manat.
-a4
7
--
--. _ __ .n.---_- - . - - - - -- -
-
T AltEl
ACTIOT REQUESTED: IIITIALS:
DATE:
ACTION TAKEEI: IIITIALS:
DATE:
.
tRC rosk 218 Ezv.0 t/03 [rr/tdc.11v)
. . . . _ _ _ _ _ . - - - _ . - - - - --_. .. -- - - - . . - ~
~~~~ ~~~~
kW I6W V W 00/00/00 2/pS/pg {
TELEPHONE OR VERBAL CONVERSATION TIME /#,,30 i
RECORD #d M /Pm {
[ ] INCOMING CALL ><j OUTGOING CALL [ ] VISIT i
' PERSON CALLING: OTTICE/ ADDRESS PHONE NUMBER:
I
, PERSON CALLED: OTTICE/ ADDRESS: FHONE NUMEER:
11;cAad Croy ASCG rnco<p,ata (907)a67-63l9 ___
! CONVERSATION
S U BJ ECT -
SUMMARY -
W f67d 2/n/98- & i% nofa./.
'
1) yg m auwakem 8%Sk nod? Am2s ida&Ala the mauas,
W not trid ;n tu M & % W c&GJ 2/ti/77
f.a'M % N.
2) (Mphe M f.,Ar (a4 Gd- /53 /d Fa ) shack / La G
a Achwa VA Pk pr o w'c6 sucA a cO. y 6
see. 2, p. a , Pa&T & 3% 27Ce).
* H l[ ic)q
k be ' " */' M M % p , tu s m a
adfad fm % 1'*' &
9 a m u rcy
,, 9 sp o.e m s a<a a:s ss 81.w a p s g
g) m p uaag 4m M M % incM
sm a au <>paa? CM ch% p<neda-o m
FERREDIOi- [ ] ADVISE KI 05 ACTION
TAKEI
ACTICI REQUESTED: IIITIALS:
DATE:
ACTICI TAKEBI: IIITIALS:
DATE:
~
1U35N ' fii hie 0 B'761 [ ET / b d c- 7.iE)
- _ - - _ - - _ - - - - - - - - - _ - - - - - - -
_ - _ _ _ _ - -
g ,--
00/00/00 {
TELEPHONE OR VERBAL CONVERSATION TIME i
RECORD 00:00 am/pm (
1
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT l
' FERSON CALLIN3: OTTICE/ ADDRESS: PBOE NUMBER: l
l
I
PERSON CALLED: OTTICE/ADDRE';S : FRONE NUMEER: l
CONVERSATION
SUBJ ECT -
SUMMARY -
y4 A/p MReG h mamuf.
6) p n ,e s c u o d o m e p b & h t c & e a :
. samy g& dwr&, p av. 206)
s y y & M ; m gaareha a w e
R9 s qw-n ~ r-2r yvuwa ~ m /,22 sec.7.s, p r.it
q ma.
obrcuA + chay c nm _ gaa,
7) add " RQ* % sh # ##*
las 99 f W O f
%) adA dcbecua q i<> hat r s h 4 do w tu ,, 4
ru 6. su. 34. 9%We) ., p,9-Yo qukREG , a
% . 2, p. i, par 7 g mewal.
-- ..-e---...------_._.___-_ _ _ . - - .- - - . -
TAKEI
l l ACTION REQUESTED: IIITIALS:
DATE:
ACTICI TAIEBI: IIITIALS:
EATE:
IRC 70*M 218 Ezy O t/03 [rT/Lde.ylv)
2 .~
_ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _
--
-~~'~ gereg y w '- 00/00/00 {
TELEPHONE OR VERBAL CONVERSATION TIME l
RECORD 00:00 am/pm {
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT I
' PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER:
l
PERSON CALLED: OTTICE/ ADDRESS: FBONE NUMEER
COINERSATION
SUBJ ECT -
SUMMARY -
()f Fo, .57tuce rM - add a? sta4 ment "s ,<tJ/ # L. &
sma. c.z%es a~ttswurDRC aaa ik m6 p p
., li Q A snet fo
qste FM f nm S m.
_gyggtvuees,
s't.956)Ozd M W W (*.) N &
w .15, Pacr , & l 35~
p,.y ; - Cl1 l'!he+c*A b l '
3'/, /3 (*)
rdth fN- 70 %.
Ih 3 + % f 1hc g2/!r/qg,truy4 2/t 7/98,' &
m y e& shem4f pradde a cup p a*d fAat
p r @ s u l m d T 4 f d o' c a n a c C W W S u tt' M r a d ?.
us: su mgg w , sae 3'/. MG) a~f 3't. Il (j ) .
-2 %
REFERRED TO: [ ] ADVISE KI OllCT103
T AltEl
ACTIOT REQUESTED: gg fj-
IIITIALS: gg
W448e/ C W . DATE:
2/25/98
ACTIOI TAKIII: 131TIALS:
DATE:
_
-- *
. _ _ . . _ . . - . . _ . _ _ _ _ . . _ _ _ _ . _ _
tse rosx 22 szy.o e/c) ter/ tac.msv) _
_ ____ ____
_ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ - _ - __
-
\
i
RADIOGRAPHY LICENSE APPLICATION CHECKLIST
(Using Draft NUREG-1556, Vol. 2 dated 8/97)
g Licensee / Applicant: A SCG Incorporated dW ASCG ' Inspection , zuc.
License Number: 3 g,;p 4., g
Docket Number: %m A s CG &specuan swev,'ces
,ontrol Number:
Date of Application:
Application Signed [] Yes [] No
REGULATORY PERFORMANCE:
[] Review of last three inspections reveals no major regulatory considerations.
1
DATE INSPECTOR VIOLATIONS
E
E
E
[] Major violations / repeat violations:
[] Reviewer and inspector concerns:
1. LICENSE ACTION TYPE:
() NEW () RENEWAL () AMENDMENT
2. NAME AND MAILING ADDRESS:
Name:
Mailing Address:
:
i
!
l
r
l
l
- - _ _ _ - _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
*
.
Radiography Checklist -2-
(Draft NUREG-1556, Vol. 2)
3. PLACE (S) OF USE AND STORAGE: See M,/0/[c) Q 3Y.//[j)
() Permanent Radiographic Installation Address:
-
ggg & N k ""A s
Field Station Address:, g4e wi#
f () , j ,f s,'+e r
4a4 place % : B P w u t- 0 % a ua, BP Sw(d4tr 04,
() Temporary Job Sites ARCO Ead-o
BPy M;ln. Pow s,+< , thu.U HA n
42
, A RCo egg '
4. INDIVIDUAL TO CONTACT CONCERNING THE APPLICATION: '.M
Name: Hlched] (vby - $s f loc & f hene. & ,
- Telephone No.:
'
g IocaW .
%&I
5. MATERIAL TO BE POSSESSED:
Radioisotope Manufacturer Manufacturer Manufacturer Scaled Associated All Devices,
& Model Nos. & Model Nos. & Model Nos. Sources, Equipment Sealed
(Sealed (Exposure (Source Devices, & Compatible Sources, &
sources) devices) changers) Source / Devic Yes (Y) No (N) Associated
e Equipment
Combination Meet 10 CFR
Approved by 34.20
NRC or Requirements
Agreement Yes (Y) No (N)
State
I
i
i
I
l
OR
t l
$ sQ fhat tu aercuh*m 865 %ovdd he r& n
\ ik lim. , l !
.
I
c. .
. .
_ _
__,
.
f ,
Radiography Checklist -3-
l (Draft NUREG-1556, Vol. 2) !
RADIOISOTOPE MANUFACTURER / QUANTITY PERMANENT TEMPORARY
MODEL NO. SITE JOB SITES
Yes No Yes No
Iridium 192 Sealed sources contained Not to exceed maximum [] [] [] []
in source assembles and activity per source as
registered either with NRC specified in Sealed
under 10 CFR 32.210 or Source and Device
wit. si Agreement State Registration Sheet
and used in a to CFR
34 20 compatible
radiography device or
source changer
Cobatt40 Sealed sources contained Not to exceed maximum [] [] [] []
in source assembhes and activity per source as
registered either with NRO specMed in Sealed
under 10 CFR 32.210 or Source and Device
with an Agreement State Registration Sheet
and used in a 10 CFR !
34.20 compatible i
radiograph / devce or I
source changer
Depleted Uranium (DU) Shielding. Collimators Total Number of Kilograms requested- KG
Cesium-137 Sealed sources registered Not to exceed rnaximum [] [] [] []
either with NRC under 10 activity per source as
CFR 32.210 or with an specited in Lealed
Agreement State Source and Device
Registration Sheet
item Title and Criteria Yes Description
No. Attached
5. RADIOACTIVE MATERIAL-FINANCIAL ASSURANCE AND
RECORD KEEPING FOR DECOMMISSIONING
e Pursuant to 10 CFR 30.35(g), we shall maintain drawings and gj
recorda important to decommissioning and to transf6r these records
to a new licensee before licensed activities are transferred, or to
assign the records to the appropriate NRC regional office before the
license is terminated.
OR
e if financial assurance is required, submit evidence. []
I . 1 ! Radiography Checklist -4-
(Draft NUREG-1556, Vol. 2)
1
Item Title and Criteria Yes Description
No. Attached
6. PURPOSE (S) FOR WHICH LICENSED MATERIAL WILL BE
USED
e Equipment will only be used for industrial radiography, gj
OR ,
1
e Specify the purposes for which the sources and device (s) will be []
used other than those included in the manufacturer's
recommendations, as specified on the SSD Registration Certificate.
AND
e We plan to perform:
8
-t h es 7 M "
k - underwater radiography
- lay-barges radiography
- off-shore platform radiography
g
fW'k p h
A Nee ordt0h
l
:
I
I
I
l
,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
'
.
Radiography Checklist -5-
(Draft NUREG-1556, Vol. 2)
Item Title and Criteria Yes Description j
No. Attached
7. INDIVIDUAL (S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM
AND THEIR TRAINING EXPERIENCE - RADIATION SAFETY OFFICER
(RSO)
e The name of the proposed RSO and other individuals who will be []
responsible for the radiation protection program.
Name:
AND l
y e Demonstrate that the RSO has sufficient independence and direct Il
communication with responsible management officials by providing a
copy of an organization chart by position, demonstrating day-to-day
oversight of the radiation safety activities.(fg @ /,*g hs /04, [(gg
* The specific training and experience of the RSO and other []
responsible individuals. Include the specific dates of certification i
f and/or trainina in radiation safety. (g g,4 qspM Ing(N 'A =4)
* Documentation to show that the RSO has a minimum of 2.000 hours [] l
4 of hands-on experience as a cualified radioaTapher in inchietrial I
M jadioarachic operations.
l
e Formal trainina in the entahlishment and maintenance of a radiation [] i
frotection program. g , hm f7s4, @ jagt okrfst. pg ,4 g
H.V2M(O og 48,/ffb ae 3 4. y2 cs) j,
o Attemative information demonstrating that the proposed RSO is Il
qualified by training and experience.
. Formal tra;ning in the establishment and maintenance of a radiation Il
protection program.
N h fM h EM DM l
!
Nh ( $ . l
l (= ti ' 44*e) i , l
'
h l l ! ,
*
.
Radiography Checklist -6-
(Draft NUREG-1556, Vol. 2)
ltem Title and Criteria Yes Description
No. Attached
l ' 8. TRAINING FOR RADIOGRAPHER AND
RADIOGRAPHER'S ASSISTANTS
e Submit an outline of the training to be given to prospective
radiographer's assistants. Submit your procedures for experienced
j radiographer who have worked for another licensee.
* Provide a copy of a typical examination and the correct answers to [j
the examination questions. Indicate the passing grade.
e Prior to June 27,1999, you may affirm that all individuals acting as [j
radiographer will be certified in radiation safety in lieu of providing a
description of your training and examination program in the topics
l
listed in 10 CFR 34.43(g). (All other training program descriptions
must still be submitted.)
* Specify the qualifications of your instructors in radiation safety
l principles and describe their experience with radiography. If training
[j
will be conducted by someone outside the applicant's organization,
identify the course by title and provide the name and address of the
company providing the training.
l
e Describe the field (practical) examination that will be given to
prospective radiographer and radiographer's assistants. [j
e Describe the annual refresher training program, including topics to
be covered and how the training will be conducted. [j
$ e Submit your procedures for verifying and documenting the
certification status of radiographer and for verifying that their [j
,
certification remains valid.
1 I
$ Gee. y O '2 * 6 '5, W
l =2 Y 1
eyl4.%C9(&
sg 3 andmuk
Sec.7.0, ip.MI, ILt % T1% f m<%.
'
1
i
l L_________________- _ _ _ _ _ _ _ _ - _
_ - .- __ _ _ -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _
l Radiography Checklist -7- l (Draft NUREG-1556, Vol. 2)
Item Title and Criteria Yes Description
No. Attached
9. FACILITIES AND EQUIPMENT 1
PERMANENT RADIOGRAPHY INSTALLATIONS
l
i
Provide the following information for each permanent radiography
installation:
)
e An annotated sketch or drawing of the facility and its surroundings.
e
[}
The scale to which the sketch or drawing is made. [] l
e The type, thickness and density of shielding materiais on all sides, [] I
I
including the floor and the roof.
e The locations of entrance ways and other points of access to the []
facility.
* A description of the areas adjacent to the facility and the distance to ()
these areas. Include information on areas adjacent to, above, and
below the facility.
e A description of the generallocation of each proposed permanent []
facility listed in item 3 (e.g., located in an industrial park, an office
complex, etc.) and its current use.
* If a proposed permanent facility is a private residence, provide []
diagrams of the facility that include the building, the proposed j
restricted area (s), and adjacent areas, including above and below '
the restricted areas, j
e Restricted areas do not include residential quarters.
e
[] l
Explain how radiation levels in unrestricted areas will be maintained [] I
at less than 1 mSv (100 millirem) per year.
* A description of the visible-audible signal system or entrance control []
system and its locations.
e The results of radiation-level calculations or actual radiation []
measurements adjacent to, above, and below the facility.
Provide the following information to obtain approval for a variance if
construction requirements preclude shielding the roof to meet the
requirement not to exceed 0.02 mSv (2 mrem) in any one hour;
e Means of access to the roof. []
* Procedures for ensuring that no individual is on the roof or could gain []
cecess to the roof during radiography.
* A commitment that the roof will be posted with " Caution (or Danger) []
Radiation Area" signs.
. Steps taken to minimize radiation on the roof. []
e Limitations (if neede.) on positioning of sources or type (isotope) []
and amount of radioactive material that may be used in the
installation to ensu,e that areas adjacent to, above, and below the
installation will be unrestricted area during the performance of
radiography.
_ _ _ _ _ _ _ _ - _ _ _ - _
-
1
Radiography Checklist -8-
(Draft NUREG-1556, Vol. 2)
Item Title and Criteria Yes Description
No. Attached
9. FACILITIES AND EQUIPMENT-PERMANENT
RADIOGRAPHY INSTALLATIONS (CONT.)
Provide the following information to obtain approval for a variance if radiation
levels on the radiography installation roof exceed 1.0 mSv (100 :nrem) in
any one hour:
* A commitment that the roof will be posted with " Caution (or Danger) [j
High Radiation Area" signs.
* Evidenced of constant surveillance of the roof by closed-circuit TV. gj
e Fluctuation of the dose rate. gj
e A description of a control device that would automatically reduce the gj
radiation level to 1 mSv (100 mrem) in any one hour at 30 cm from
the radiation source if someone enters the roof.
* A description of a control device that activates a visible-audible [j
signal so that both an individual entering the roof and the
radiographer on duty are made aware of the entry.
9. FACILITIES AND EQUIPMENT l
l
FIELD STATIONS 34,/d/ b) i
l
Provide the following information for each field station- I
l
e Describe the storace location (s) at the address (es) listed in item 3 of [] )
the application and sgm,it a diagram showino where the radiography ~
I
camera will be stored a' the field stations.
g e indicate whether radioaranhv will be oerformed at the place of
business outside of a permanent facility as if the work was "in the
[] ,
l
fg -
10. RADIATION SAFETY PROGRAM
'
frevi !
We planconduct
to%lay-barge,
nohd. offshore platform, or underwater radiography, gj
p and have submitted procedures in the appropriate sections. _
;
'
10. RADIATION SAFETY PROGRAM - AUDIT PROGRAM
Need Not Be
The applicant is DQt required to, and should not, submit its audit program to Submitted With
the NRC for review during the licensing phase. Application
t
:
.
Radiography Checklist -9-
(Draft NUREG-1556, Vol. 2)
Item Title and Criteria Yes Description
No. Attached
10. RADIATION SAFETY PROGRAM -INSTRUMENTS .
g 5% MM - See (M. b . br~rn
We will possess and usendcalibrated a%survey
rWic/ 4t? iut
operable radiation meters.
g Q
Calibration will be performed by a NRC or Agreement State licensee C " I8 # * * W
specifically authorized to perform instrument calibration. II
0)c Ind/ca4/ reVIs/4
Calibration is to be performed in-house and the model procedures in Il WWff.
Appendix L will be followed.
Calibration is to be performed in-house and attemate procedures will be Il
followed.
Identify the qualifications of the individuals who will perform the calibrations, ll
_
10. RADIATION SAFETY PROGRAM - MATERIAL RECEIPT
AND ACCOUNTABILITY
Physical inventories will be conducted and documented at quarterly intervals [j
to account for all sealed sources containing byproduct material and devices
containing depleted uranium received and possessed under the license.
10. RADIATION SAFETY PROGRAM - LEAK TESTS l
-g h)et) Io htwe va wndutt- d yize byNRC oranM-/S3&peo & l
Leak tests will be performed by an organization author
Agreement State to provide leak testing services to other licensees; or by
using a leak test kit supplied by an organization licensed by NRC or an
Agreement State to provide leak test kits and/or services to other licensees
and according to the instructions provided in the leak test kit.
OR i
l
Leak testing will be done by the applicant. []
e The information in Appendix L supporting a request to perform leak []
testing and sample analysis is attached.
* We will follow the model procedures in Appendix L. []
* We will follow alternate procedures. []
l
l
I
_ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,
l
- - _ - _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
*
.
I i
Radiography Checklist -10-
l (Draft NUREG-1556, Vol. 2)
ltem Title and Criteria Yes Description .
No. Attached
10. RADIATION SAFETY PROGRAM - OCCUPATIONAL
l
DOSIMETRY
Film or TLD dosimetry, processed and evaluated by a NVLAP-accredited [j
processor and exchanged at the required frequency, will be wom by
radiography personnel.
The requirad personnel monitoring equipment, including 0 to 2 mSv (200 gj
mrem) dosimeters or electronic personal dosimeters, will be wom by
radNraphic personnel.
Alarming rate meters will be wom by all radiography personnel except those [j
at permanent radiography installations where other appropriate alarming or
wamin
l (&N Wh atPocketbe. gk'20Yo',
devices are in use.% NM * Set. 3 9, 0
l '
Q responsedosimeters and alarm rate meters will be checked for correct
at periods not to exceed 12 months.
[j
p e if adjustment is necessary, the devices will
manufacturer. - @m,*tM
retumed to the gj
e if adjustment is necessary, in-house procedures for adjustments are [j
,
described.
l
10. RADIATION SAFETY PROGRAM - PUBLIC DOSE
Need Not Be
The applicant is D21 required to, and should not, submit a response to the Submitted With
public dose section during the licensing phase. This matter will be inspected Application
during an inspection.
l 10. RADIATION SAFETY PROGRAM - QUARTERLY
MAINTENANCE p.8',21g NufEG
Submit the procedures to NRC for review a;M approval as Operating and gj
f Emergency Procedures and/or as Shipping Package Procedures as needed.
Before using a new sealed source / device combination, we will have written [j
f inspection and maintenance procedures that address the use of the new
equipment as a Type B transport package, in addition, we will provide
hd/* /d
training to radiographic personnel before using a new sealed source / device W)
combination.
l .
_ _ _ _ _ _ _ - - - - _ _ _ _ _ _ _ _
.
Radiography Checklist -11-
(Draft NUREG-1556, Vol. 2)
. '
Item Title and Criteria Yes Description
No. Attached
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - HANDLING AND USE OF
SEALED SOURCES AND RADIOGRAPHY EXPOSURE
DEVICES
Q use, i G S M iM(A A M h * g S W IS 428h~
Submit operating and emergency procedures which provide step-by-step
instructions for using each type of radiographic device, instructions for
6M ,
.
'
crank out devices should be separate from those for pipeliner devices. A/ll E
Submit operating and emergency procedures which provide instructions for /D Mf, ]
performing source exchanges.
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - METHODS AND
OCCASIONS FOR CONDUCTING RADIATION SURVEYS
tuar daz/w( T4 66 F. I
g Submit operating and emergency procedures which, where applicable, []
include each of the surveys included in Table 8.1
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - METHODS FOR
CONTROLLING ACCESS TO RADIOGRAPHIC AREAS
Submit the procedures to control access to radiographic operations and []
storage areas.
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - METHODS AND
OCCASIONS FOR LOCKING AND SECURING
RADIOGRAPHIC EXPOSURE DEVICES, STORAGE
CONTAINERS, AND SEALED SOURCES I
Submit operating and emergency procedures that include procedures for Il
locking and securing radiographic equipment.
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - PERSONNEL MONITORING .
'
AND THE USE OF PERSONNEL MONITORING
EQUIPMENT
[]
Submit operating procedures that include instructions for proper use of
personnel monitoring equipment.
_ -_-___ _ __
.
'
l !
Radiography Checklist -12-
'
(Draft NUREG-1556, Vol. 2)
l
Item Title and Criteria Yes Description
No. Attached
10. RADIATION SAFETY PROGRAM -OPERATING AND
EMERGENCY PROCEDURES - TRANSPORTING SEALED
SOURCES TO FIELD LOCATIONS, SECURING EXPOSURE
DEVICES AND STORAGE CONTAINERS IN VEHICLES,
POSTING VEHICLES, AND CONTROLLING SEALED
SOURCES DURING TRANSPORTATION/ p.F-37 Wb, O I MU#C0
f Submit operating and emergency procedures for transporting sealed Il
sources containing byproduct material, exposure devices, and source
exchangers. Qgg #RQ3 fe Q Q t (h% gg% fg%
' '
10. RADIATION SAFETY PROGRAM - OMERATING AND
'
EMERGENCY PROCEDURES - DAILY INSPECTION AND
MAINTENANCE OF RADIOGRAPHIC EQUIPMENT
Submit operating and emergency procedures for daily inspection and []
maintenance of radiographic equipment.
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - RATE METER ALARMS OR
OFF-SCALE DOSIMETER READINGS %YS(4)OO , p.2 A/O y 'WN
/ Submit operating and emergency procedures to addresde meter alar @ []
or off-scale dosimeters. Sac,";L,p,l ,J"b t'E. mW
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - PROCEDURE FOR
! DENT!FYING AND REPORTING DEFECTS AND NON-
COMPLIANCE AS REQUIRED BY 10 CFR PART 21
Submit operating and emergency procedures for notifying rnanagement of []
equipment malfunction or defect.
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - NOTIFICATION OF
PROPER PERSONS IN THE EVENT OF AN ACCIDENT j
l
Submit operating and emergency procedures that include appropriate [}
instructions for notifying the RSO and/or other personnel in the event of an i
emergency.
l
_ _ _ _ _ - _ - - - _ _ _ _ _ _ _ - _ - _ _ _ _ - _ _ - _ - _ _ _ . _ _ _ _ _ _ _ _
'
.
Radiography Checklist -13-
(Draft NUREG-1556, Vol. 2)
l l Item Title and Cr!teria Yes Description '
No. Attached
10. RADIATION SAFETY PROGRAM - OPERATING AND
EMERGENCY PROCEDURES - MINIMlZING EXPOSURE OF
PERSONS IN THE EVENT OF AN ACCIDENT -
EMERGENCY PROCEDURES
Submit operating and emergency procedures that include instructions for []
minimizing exposure of persons in the event of an accident.
10. RADIATION SAFETY PROGRAM - OPERATING AND
l EMERGENCY PROCEDURES - SOURCE RETRIEVAL
g 4 % )02) ,s 84./oi( * M
'
Y We wi!! Dg1 perform source retrievals and will use the services of a person gj
specifically licensed by the NRC or an Agreement State to perform the
retrievals of our sources.
Submit operating and emergency procedures that include instructions for [j
source retrieval procedures and specific training.
10. RADIATION SAFETY PROGRAM -OPERATING AND
EMERGENCY PPOCEDURES - MAINTENANCE OF ,
f ; 109d eh ll$1- mh + *"0N f f& #
Submit operating and emergency procedures which ensure proper []
maintenance of records.
10. WASTE MANAGEMENT - DISPOSAL OR TRANSFER OF .
RADIOGRAPHY SEALED SOURCES CONTAINING Need Not Be
BYPRODUCT MATERIAL OR DEVICES CONTAINING Submitted With
DEPLETED URANIUM Application
i
The applicant does Dgi need to provide a response to this item during the
licensing process. However, the applicant should establish and include ;
!
waste disposal procedures in its radiation safety program.
l l l l
___
- -
.. -
-
r l
Comarts oF AN AnUCAnoN *
Criteria: Perform radiation surveys during use, movement, and storage oflicensed material to
ensure its safe use and comply with regulatory requirements.
Discussion: In general, surveys need to be made whenever a source is manipulated or moved.
Surveys should be made with a radiation survey instrument calibrated in accordance with 10
CFR 34.25. The following table provides examples of surveys, made during radiographic and
associated operations, that should be included in the operating and emergency procedures.
Table 8.1, Surveys Required for Radiographic Operations
REQUIREMENT FREQUENCY TYPE OF RADIATION
SURVEY
slo CFR 20.1301(a)(2) ~
Durmg .the
~
fust. exposure for Boundary ofrestricted area at
each set up 6 radiographic h
~
' .temporaryjob site does not
-device . ,
exceed 0.02 mSr(2 mrem)in
'any one houri
10 CFR 20.1302(a)(1) At intervals not to *xceed 12 Unrestricted area in vicinity of
months permanent radiographic
installation or storage area does
not exceed 1 mSv(100 mrem)
per year
-10 CFR 20.1906 Each receipt ofpackage . External radiationlevels when a
~
packag'eis received 'and opened -
[[0 CFR 34.20(a) Each installation ofnew source
a. If source is less than 10 cm (4
in exposure device inches from surface ofdevice),
exposure rate does not exceed
.
0.5 mSv/hr(50 mrem /hr) at 15
cm(6 inches) from exterior
surface i
b. Ifsource is greater than 10 cm
(4 inches) from surface of
device, exposure rate does not
exceed 2 mSv/hr(200 mrem /hr)
on surface and 0.1 mSv/hr(10
mrem /hr)at 1 meter from any
exte ior surface '
10 CFR 34.211 Each installation ofnew source Exposure rate does not exceed 2
in exposure device.
,
mSr/hr(200 mrem /hr).on
surface and 0.1 mSr/hr(10
mrem /hr) at one meter for source-
changers and storage container
10 CFR 34.27(c)(1) At intervals not to exceed 6 Contamination level forleak
months
tests of sealed sources does not
exceed 185 Bq (0.005
microcuries)
Draft NUREG - 1556, Vol. 2 8 28
_ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - . - . - - .
_ _ _ _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ ___
e
CONTENTS oF AN APPLICA11oN
REQUIREMENT FREQUENCY TYPE OF RADIATION
SURVEY
10 CFR 34.27(e) Atintervals not to exceed 12 Contamination level forleak
months tests of S tube ofexposure--
device does not exceed 185 Bqf
(0.005 microcuries) '
f 10 CFR h34.49fb) After every radiographic Confirm source has retumed to a
#Mf d exposure shielded position /,1 2 *---* -
70 CFR 34.49(c)- After every source exchange or - Confmn source isin shielded #'# 7 C
exposure deviceis placed in - position - P # 2I -
storage
49 CFR 172.403 Every movement oflicensed Exposure rates meet labeling of
material on public roads package (i.e., Yellow II) and
determine Transportation Index
49 CFR 173.441 Every movement of a package. Exposure rates in and around
labeled YellowIII . vehicle do not exceed 0.002
mSv/hr(2 mrem /hr)in driver's
seat,2 mSv/hr(200 mrem /hr) on
surfac and 0.1 mSv/hr'(10L
mrem /hr)at 2 meters from
vehicle
Response from Applicant: Where applicable, the operating and emergency procedures must
include each of the surveys included in Table 8.1 above.
8.22 ITEM 10: RADIATION SAFETY PROGRAM - OPERATING AND EMERGENCY
PROCEDURES - METHODS FOR CONTROLLING ACCESS TO
RADIOGRAPHIC AREAS
Regulations: 10 CFR 20.1801,20.1802,20.1902(a),20.1902(b),34.33,34.41(a),34.S1. and
34.S3.
Criteria: Each licensee must control access to areas where licensed material is either used or
stored to prevent the unnecessary exposure of members of the public. This can be achieved
through the use ofposting, by locking devices and areas where licensed materials are stored, and
I
by maintaining constant control and continuous surveillance of areas where radiographic
i
operation 3 are conducted. Operating and emergency procedures should include steps for
radiographic personnel to ensure that access to licensed materials is controlled for the types of
operations that will be performed. ,
1
;
.
8-29 NUREG - 1556, Vol. 2
_ . .
_ _ _ _
-
*
.
APPENDLX G
.
l
REQUIREMENT -
TRAINING CRITERIA
34.43(a)(2) RADIOGRAPHER
;D. Completion of a Written
Until June 27,1999, individuals may complete a written
nminsion - examination suidinitted and approved by NRC.
REQUIREMENT
TRAINING CRITERIA
34.43(b) RADIOGRAPHER
: E. Must receive. Copies of; NRC Regulations;
andInstructionin:) e!l10 CFRPart 34 !
' . : 10 CFR 30.7,10 CF' R 30.9, and 10 CFR 30.10 .
(Classroom Training-: i
eJApplichble Parts of 10 CFR Parts 19'and 20 '
Approximately 8 hours in'
eG Applicable DOT Regulations'and 10 CFR Part 71I
Length):
The NRC License.< .
The Licensee's Operating & Emergency Procedures
F. Pass Written or Oral e 50 questions
Examination on e Passing Grade 80%
Licensee's Operating & '
Emergency Procedures
f G. Receive Equipment Traimng includes:
Training- * L: Exposure devices"
pg
Py'9,o .:EScaled sources
4
,- (Approximately hours -
e-- Associated equipment
S
p/5 in Length) e < : Survey meters :
7:: DailyinspectN SYMIbM;
G. Demonstrate Questions on topics determined by the licensee.
Understanding in Use of
Use the Six-Month Radiographer / Radiographer's
Equipment by Passing
Assistant Inspection Checklist as a potential source of
Practical Exam questions.
H. Annual Refresher Review the following:
Training . L Radiation Safety review t
*
Newprocedures or equipment ! .
* :Newregulations '
=
Observations and deficiencies during audits and
discussion of any significant incidents or accidents
involving radiography. -
. ' * Employee questions
I. Records
To be maintained in accordt.nce with 10 CFR 34.79.
Draft NUREG - 1556, Vol. 2 G-2
. }
,
APPENDIX G
l
1
REQUIREMENT TRAINING CRITERIA
34.43(c) ASSISTANT RADIOGRAPHER
A. Must receive Copies of NRC Regulations.
and Instructionin: *' 10 CFR Part 34 -
e : ' 10 CFR 30.7,10 CFR 30.9, and 10 CFR 30.10 :
(Classroom Training i e . ' Applicable Parts of__10 CFR Parts 19 and 20..
' Approximately 8 hours in e Applicable DOT Regulations and 10 CFR Part 71
- '
Length) The NRC License.
l The Licensee's Operating & Emergency Procedures -
B. Pass Written Exam e 25 - 50 questions
I
e Closed Book
* Passing Grade 80%
C. Receive Equipment - Training under the supervision of a qualified
TrainingJ radiographer thatincludes: i
e Exposure devices !
g (Approximately e Scaled sources.
in Length) e: Associated equipment' I
e Survev meters 7
~
< . -
Oailyinsp)ec 3Y.43[h)[31
D. Demonstrate 'n - 50 quesEns on topics determined by the licensee.
Understanding in Use of NRC suggests using the Semiannual Radiographer Audit
Equipment by Passing Checklist for a potential source of questions
Practical Exam
l . E. Annual Refresher Review the following:
.
Training . * Any Significant item identified in'the annual review
of the Radiation Safety Program
e Newprocedures or equipment
e .New regulations
. Observations and deSciencies during audits'and j ,
discussion of any significant incidentior accidents . !
involving radiography l
e Employee questions-- !
F. Records To be maintained in accordance with 10 CFR 34.79.
-
1
l
G-3 Draft NUREG - 1556, Vol. 2 l
k
~~~ ~~
a"1 175I6W V W ~ ~ ~ -00/00/00 2/ro/fg {
TELEPHONE tR VERBAL COINERSATION TIME !
RECORD Q 00:00am/@ )
[ ] INCOMING CALL bd- OUTGMALL [ ] VISIT
PERSON CALLING: OTTICE/ADDRESSt PBOKE NUMBER:
PERSON CALLED: OFFICE / ADDRESS: PHONE NUMEER:
Ascc, (907)267- & 317
'7h<dfue Cy
COINERSATION
S U BJ ECT -
Con +oe 00. sv2625
SUMMARY -
.
% wkt addi 66~O L. ch
, PIeaa subndt brbg y M tin fm k w anyq W.
, syu 64 tin + Bad s+a%s d4 he add <d h he h%.
t
S *
.gaea % a - % 'ay(9
th
*'f4
'"!
y au 6 sm g - sMe wd.
AM+ -
-
gia- ghadd haa a doGf in % %
,
"#
gga w./k.ea244 6 Y 5 N '
*
$N
*
:
& as a rW, H$ ak -/&' g fraln/ag. - ' ~ ~ ~ - ~
[ ] ADVISE KI or Action
TEEERRED TO: TAKE1
ACTICI REQUESTED: IIITIALS:
DATE:
ACTICI TAKEEY: IyITIALS:
DATE:
~ -
i E E ix fif~ Ezy.0 8/63--{i?f[L d e
a . _ _ _ __. .._. _ ___- R iY ). _ _ _ _ . _ _ . . _ . . _ _ _ _ _ _ _ . _
_ _ _ _ . _
-
_._..._
c" -~ ~ ~~~-
gW you y
W ~ ~ ~ 00/00/00
.
{
TELEPHONE CR VERBAL COINERSATION TIME
RECORD 00:00 am/pm f
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT l
PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMB G: (
,
FERSON CALLED: OTTICE/ ADDRESS: FBONE NUMEER:
1
ColNERSATION
SUBJ ECT -
SUMMARY -
o & 1heen 8 C ,
S
(@CCCb'LB Ed> V #'
h
* . . _
P [ M * f D # ' #
Cm%k
h PocM dos:% k shu gxcy, (M '
g ' %.9 7.is cwm % -t v x a. A
,v<edwgan ta. rt o 4- awe,3 * 1 26
-
% 6tu.m
19, p 59.7i.
make + mdd f Pfpesu'w M 4e
* add secH m +o in co r
pod [ f 39,5/(s), S g y
pkg wiU he Sly 4- mw1tasta) ja is ( g( a4 g,4
Ost W if '"'5% ()f cadwteo 0 pr m lo
h zw satues /&wicz ITy SfQ.cwb u .
e Rede 24 c3Y y g. c, h a q gm
ay. 5, em I .
,'1k 20.110I(O % kshmda & %fale N ;n
""*"*AV?'"I' % *
ciccda rev; ecaqf G)4 &aady
*
y& reviev. eh
- ~ ~ ~ ~ ~ ~
- ~~
YEf ERRED TO: [~~} ADVIsiMI 03 ACTI03
TAKE1 _
ACTICI REQUESTED: IllTIALS:
DATE:
ACTIOE TAIEEI: IIITIALS:
DATE:
-
t se r osx 218 szy.0 t/03 [sr/hde-Elv) _ _ _ _
.
_ _ _ _ _ _ . _ _ _ _ _ . . _ _ _ _ _ _ _ . . _ _ _ _ _ . . _ _ _ _ . _ . . _ . . . _ _ _ _. . _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ . _ _ _ _ _ . . .
" -
~~~ ~~~~
llT5IcW V * ~~~ 00/00/00 )
TELEPHONE tR VERBAL CONVERSATION TIME i
RECORD 00:00 am/pm l
___
_
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
' PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER:
PERSON CALLED: OFFICE / ADDRESS: FRONE NLEER:
CONVERSATION
SUBJ ECT -
_
SUMMARY -
a s;te , etc . Sn & pfpli is re-A-4.
PadE
, w. I i p. I , & I. 2 - R Q shaR be M +
.
9ee6fdA > a u) Su .J. o , Pac z ,
n+ *styn~ % W.
se fJed 4e Sy .
, p p n g % w no evm M abo M <'bs M .
-7S./b ~e
&
REFERRED TO: [ ] ADVISE M3 or ACTION
TAKE1
ACTION REQUESTED; IIITIALS:
DATE:
ACTIOI TAIEEN: IIITIALS:
CATE:
~
tTE r osx 2 if siE6 /63 [rr/tde-R 6) _
_
- _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
,- . _ _ _ _ _ - - - _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____ _ _
- . _ _ __
,
.s
[% S
UNITED STATES
NUCLEAR REGULATORY COMM!SSION
f
*e
)e REGION IV
.k*,,,..[ Walnut Creek Field Office
1450 Maria Lane. Suite 3o0
Walnut creek, Cal &ma 94596-5368
February 4,1998
John D. McClellan, P.E.
ASCG Inspection, Inc.
301 Arctic Slope Avenue, Suite 100
Anchorage, Alaska 99518-3035
SUBJECT: LETTER DATED JANUARY 28,108
Dear Mr. McClellan:
This is in reference to the letter dated January 28,1998, which was signed by you and
Mr. George Haugen of CTI Alaska, Inc. In that letter, you responded to questions posed in
l Information Notice 89-25, Revision 1, relative to a potential purchase of assets. As the I transaction would not involve a transfer of control of the CTI Alaska, Inc. license, the
Commission's written consent is not required.
However, several issues were noted as the details of the proposed transaction were reviewed:
1
1. ASCG Inspection, Inc. needs to describe its recent name-change. License 50-29015-01
is issued to ASCG Incorporated, dba ASCG Inspection Services. Explain why the
change is occurring ( or would occur), and answer any pertinent questions in Information
Notice 89-25, Rev.1 relative to this change.
.
2. ASCG Inspection, Inc. should make an unequivocal statement that they will assume
l responsibility for meeting the decommissioning requirements of 10 CFR 30.36 and
40.42 for all CTI facilities.
In an amendment request, ASCG Inspection, Inc. should describe any necessary-
J.~ license changes which result from the acquisition. In particular, the new organizational
chart and personnel duties and responsibilities should be described; the locations where
l all required records will be maintained should be specified; new equipment should be
listed; and all field stations and permanent radiographic installations should be identified.
! Also, for each address, specify whether temporary job site radiography may be
performed at that location.
Our records for CTI indicate that, in addition to the facilities mentioned in your letter, you
i may need to include the following areas: '
a. British Petroleum West Operating Area
b. British Petroleum Endicott Operations
c. ARCO East Operating Area
l d. ARCO Kuparek I e. BPX Milne Point Site '
f. Valdez Marine Terminal
, l l
.
1 '
,,
ASCG Inspection, Inc. -2- February 4,1998
in your reply, you should describe any licensed operations which may occur at these
facilities.
It should be noted that until ASCG Inspection, Inc. obtains a license amendment
'
incorporating the changes resulting from the proposed acquisition, the current license is
in force. The use of new equipment, facilities, or procedures cannot be authorized until
, the license amendment has been issued.
4. Since ASCG Inspection, Inc. will not be accepting responsibility for open enforcement
issues involving CTI, it should be noted that the CTI radiography license will probably
not be terminated until these issues are satisfactorily resolved.
We are anticipating receipt of a license amendment request from you and two license
termination requests from CTI If you have questions concerning these matters, contact
Beth Prange at (510) 975-0250.
Sincerely,
// -
Frank A. Wenslawski, Chief
,
Materials Branch
cc:
Mr. George Haugen '.
..
President
CTI Alaska,Inc.
'
4831 Old Seward Highway, Suite 107
, Anchorage, Alaska 99503-7450 , l
,
. _ _ _ ,
<
.
. .
RE{r:yra
m.n
( '
January 28,1998 9S F P - ; p g d D-
C
ALASKA
TI Beth Prange-
U.S. Nuclear Regulatory Commission
Dear Beth:
Thank you for your assistance in our recent telephone conversation
and for forwarding certain information to us.
NRC license No. 50-19202-01 & 50-19202-02 CTI Alaska, Inc. (CTI)
and ASCG Inspection, Inc. (ASCG) license No. 50-29015-01 have
reached an agreement for the sale of CTl's assets to ASCG. These
assets include all licensed materials and the contracts for which
these materials are utilized. The sale is scheduled to close effective
at the end of CTI's weekly payroll period on Sunday, February 15,
1998. Both parties desire the change in ownership and performance
of services to our clients to be " seamless" with no disruption.
CTI as a legal corporate entity will continue. However, it will no
longer be in the inspection business and wishes to terminate both its
licenses concurrent with closing of this transaction. ASCG wants to
assume ownership and responsibility for CTl's licensed materials
con g ,nc, (except gauge license material), physical facWities, and activities
Through Concurrent with closing of this transaction.
Inspection
Although there are expected to be some personnel redundancies in
the management structure of the two firms as they combine into one,
ni Ai.st.. in<. CTI personnel will, in general, be offered employment with ASCG
O y -d"" conditioned upon their meeting ASCG's hiring requirements and
Anchorage. AK 99503 their acceptance of ASCG's offer of employment. We do not
n o n-36: = anticipate having to hire new personnel after combining the two
" ' " * * "
staffs. Thus, the same employees should be operating the sources
in the same approved manner after the sale closes.
CTI's leased Anchorage facility will be taken over by ASCG at
closing, and we anticipate moving the CTI equipment to ASCG's
current facility at expiration of the CTI lease on 31 May,1998.
ASCG will acquire CTI's Fairbanks facility and continue operating it
as a ASCG facility. CTI's Kenai facility will be taken over by ASCG
u____-- -_. _ _ _ - - - - - - - - _ - - - _ - _ - - - - - - _ - _ - - - - - - - - _ _ _ - - - - - - - - - - - - . .
- - - - - - - - - - - - - - - - - - - _ _
_
____________-____-_ _ -__- _ -
'
*
.
,
P'
on a short-term lease; ASCG will determine between 15 February and 31
May what operations it will continue there.
CTI
sisu4 We very much appreciate your assistance in this matter. Attached is a
point-by-point response to the "INFORMATION NEEDED FOR CHANGE
OF OWNERSHIP APPLICATION" Please contact either of our RSO's or
the undersigned should you need additional information.
Sincerely,
CTl ALASKA, INC. ASCG Inspection, Inc.
g 'a L
George E. Haugen John D. McClellan, P.E.
President President and CEO
4
- _ _ _ _ _
'
~
..
Pursuant to IN 89-25, Rev.1, the following information is provided
concerning a change in control of all licensed materials currently
CTI
u s u. 4
possessed by Licensee CTI Alaska, Inc. (CTI) on license No. 50-19202-
01 and dispose of all radioactive materials on license No. 50-19202-02.
Concurrently, an addition to Licensee ASCG Inspection, Inc. (ASCG)
license No. 50-29015-01 to posses all radioactive materials on license
No. 50-19202-01.
1. The name of the organization taking ownership of all radioactive materials
controlled by license No. 5019202-01 is ASCG Inspection, Inc. license
No. 50-29015-01.
2. The licensee contact and telephone numbers to facilitate communications
are:
Jeff Arveson
George Haugen
CTI Alaska, Inc. (907) 562-4442
Mike Croy
John McClellan
ASCG Inspection, Inc. (907)267-6319
3. Mike Croy will have control over licensed activities for ASCG as the RSO.
Personnel authorized to use the transferred radioactive materials and
operate the transferred exposure devices stated in license No. 50-29015-
01 will meet the requirements for training and qualification as stated in 1
ASCG Inspection, Inc. Operating and Emergency manual Rev. 9. !
4. The transferor CTl as a legal corporate entity will continue. However it
will no longer be in the inspection business and will terminate both it's
licenses concurrent at the closing of this transaction.
5. ASCG will assume ownership and responsibility for the Radioactive
materials and exposure devices in the possession of CTI as covered in
license No. 50-19202-01 concurrent with the closing of this transaction.
ASCG will assume ownership and responsibility for CTI's physical
facilities, and activities concurrent with closing of this transaction.
6. Although there are expected to be some personnel redundancies in the
management structure of the two firms as they combine into one, CTl
personnel will, in general, be offered employment with ASCG conditioned
upon their meeting ASCG's hiring requirements and their acceptance of
ASCG's offer of employment. It is not anticipated having to hire new
personnel after combining the two staffs. ASCG plans to revise and adopt,
by NRC license amendment, CTI,s Operating and Emergency (O&E)
l l
.
. .
Ih ~
manual except for the sections specific to the operation of the item
covered on CTI's Portable gauge license. Thus, the same employees
CTI
4i m 4
should be operating the sources in the same approved manner after the
sale closes.
7. CTI's leased Anchorage facility will be taken over by ASCG at closing,
and we anticipate moving the CTI equipment to ASCG's current facility at
expiration of the CTI lease on 31 May,1998. ASCG will acquire CTI's
Fairbanks facility and continue operating it as a ASCG facility. CTI's
Kenai facility will be taken over by ASCG on a short-term lease; ASCG
will determine between 15 February and 31 May what operations it will
continue there.
8. ASCG's NRC license amendment will include specific use, permanent
storage facilities verses permanent radiographic installation, for the
Fairbanks, and Kenai facilities. Prior to submittal of ASCG's O&E manual,
revisions to the procedures for survey instrument calibration, rate meter
calibration and provisions for annual leak test for DU will be addressed as
well as adressing any other new requirements in 10 CFR Part 34.
9. The following records pertaining to the storage, handling or use of
radioactive materials will be transferred from CTI to ASCG concurrent with
the close of this transaction:
Leak test records covering the previous three (3) years for
any sources / camera combination associated with the
transaction.
Survey meter records covering the previous three (3) years
for any survey instrument associated with the transaction.
Dosimeter records covering the previous three (3) years for l
any dosimeters associated with the transaction.
Alarming Rate meter records covering the previous three (3)
years for any alarming rate meters associated with the ;
transaction. l
Quarterly source inventories and quarterly exposure device ;
maintenance records for the previous three (3) years.
l \
10. This is to confirm that all records concerning the safe and effective i
decommissioning of CTI, pursuant to 10 CFR 30.35(g),40.36(f),70.25(g)
and 72.30(d); public dose; and waste disposal by release to sewers,
incineration, radioactive material spills, and on-site burials will be
transferred to the new licensee ASCG, and that licensed activities will ;
- . '.
- + .
1
.
continue at the same locations as mentioned in item #3 of the Application
for Material License for ASCG.
CTI
u m 411. The status of CTI facilities is good. All storage vault areas are clean upon
l visual examination. The presence or absence of radioactive l contamination in excess of 0.005 microcuries (185 Bq) will be determined l by wipe test at each one of the permanent storage vaults at:
. 4831 Old Seward Highway, Suite 107, Anchorage, AK.
. 61130m Avenue, Fairbanks, AK.
. 43800 Kenai-Spur Highway, Kenai, AK
l Test results will be used as information only" concurrent with the closing L of this transaction. l
12. Any permanent and temporary job-site locations controlled by ASCG,
where licensed materials have been stored and the facility
l decommissioned, ASCG will perform all the necessary wipetests and I
forward the required analysis results to the NRC. ASCG will maintain
decommissioning records required by 10 CFR 30.35 (g); and implement,
l where required, decontamination activities and decommissioning of the
purchased CTl sites if and when it becomes necessary.
l
13. ASCG will accept full responsibility and liability for the sites named in item
11 above effective upon the close of this transition. Financial assurance
for the decommissioning is guaranteed through the submittal of the Arctic
- Slope Regional Corporations 1996 Annual Report. This report gives a
i current retained earnings for end of year 1996 of $141,308,000.
Previously, end of year 1995 totaled $127,889,000. End of year 1997 is
not complete as yet, but should not differ greatly from the previous 2
l
years. This should be sufficient for any decommission costs if incurred.
! '
14. ASCG does not accept any responsibility for any open inspection items
and/or any resulting enforcement actions pending with the NRC and CTI.
CTI takes full responsibility for any actions against license No. 50-19202-
01 and will finalize with the NRC any actions. i
15. ASCG is committed to abide by all the constraints, conditions,
requirements, representations, and commitments identified in it's NRC i
license and any amended requirements to safely use the radioactive l
materials and exposure devices associated with in the purchase of CTI's
inventory. ;
=
Note
Nothing in this application or any related materials is intended to modify
the respective rights and obligations of ASCG or CTI as set forth in the l
Parties Purchase Agreement dated January 16,1998. :
!
!
I
t O. 6 't
I'dv
t tt t ", A > C P. A T & G
i
ENGINEERS * ARCHITECTS + SURVEYORS + INSPECTION SERVICES
. - - - - ---.
RADIATION SAFETY
PROGRAM
CONTROLLED MANUAL NUMBERL_
LICENSE AMENDMENT NUMBER: 50-29015-01-Amendment # 11
REVISED ON DATE: 02/10/98
l lSSUED TO:
301 ARCTIC SLOPE AVENUE, SU:TE 100 + ANCHORAGE, ALASKA 99518 3035
(907) 349 5148 * FAX (007) 349-4213 7%g
_
I
1723
A5CG
g Inspection,
Inc.
en ASCG company
i
!
RADIATION SAFETY !
l
PROGRAM
i
l
!
O !
l
i
!
l
CONTROLLED MANUAL NUMBER-
LICENSE AMENDMENT NUMBER: 50-29015-01-Amendment # 11
REVISED ON DATE: 02/10/98
. ISSUED TO:
,
301 Arctic Slope Ave, Suite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 2674480
RADIATION SAFETY PROGRAM Section: Front Matter
PART I Page: i oflii
A5CG Revision: 1
ln5peCtion, Date: 02/10/98
an ASCG Company
.
PARTI
ADMINISTRATIVE PROCEDURES
i
O
1 IO ,
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907)26M480
- _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ . _ . - _ _ _ _ _ _ _ _ - _ _ _ _ _ -
i
A A5CG
spection,
RADIATION SAFETY PROGRAM
PART I
Secti:n:Fr:nt Metter
Page:
Revision:
Date:
ii oflii
02/10/98
I
{.
an A5CG company
3
SECTION TITLE PAGE !
1.0 ADMINISTRATIVE PROCEDURES 1
l
1.0 Use 1
2.0 Storage Facilities 1
3.0 Records 2
4.0 Facility Drawings 4-12
2.0 INSTRUMENTS, CALIBRATIONS, TESTING l
AND SOURCE EXCHANGE 1 ,
1.0 Radiation Detection Instruments '
1 l
2.0 Instrument Calibration Procedures 1 )
3.0 Personnel Monitoring 2
4.0 Leak Wipe Testing 2
5.0 Source Exchange and Disposal 2 l
3.0 COMPANY ORGANIZATION 1
1.0 Radiation Safety Officer 2
2.0 Radiation Safety / Supervisor 2 ;
C 3.0
4.0
Radiographer
Radiographer's Assistant
3
3
4
4.0 INTERNAL INSPECTION PROGRAM 1
1.0 Audit 1
2.0 Corrective Action 3 l
5.0 PERIODIC INSPECTION AND MAINTENANCE 1
1.0 Industrial Nuclear Model IR-100 1
2.0 Amersham " Gamma Ray projector" Model 6608 3
3.0 Amersham " Gamma Ray projector" Model 865 6 i
4.0 Amersham Model 773 Calibration Device 8
6.0 RECORDS 1
1.0 Utilization Log Record 1
2.0 Instrument Calibration 1
l 3.0 Leak Testing of Sources 2 l 4.0 Quarterly Inventory 2
5.0 3 Month inspection & Maintenance 2
6.0 Surveys 2
7.0 Personnel Monitoring 3
0
301 Arctic Slope Ave., Suite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-64d0
l L____________..
RADIATION SAFETY PROGRAM Sectit:n:Frcut Matter
.A A5CG
PART I Page:
Revision:
iii ofiii
I
g ection, Date: 02/10/98
an ASCG tempany
SECTION TITLE PAGE
7.0 TRAINING PROGRAM 1
1.0 Radiographer's Assistant & Trainees 1
2.0 Radiographer 2
3.0 Radiographer (Previously Trained) 3
4.0 Periodic Safety Training
(Annual Refresher Course) 4
Appendix A (Radiation Safety Training) 5
8.0 EXAMINATIONS 1
Appendix A Examination #1 Practical Training For
New Hires 2
Appendix B Examination #1 Exam - Assist. Radiographer
& Trainee 3
Appendix C Examination #2 Exam -
Radiographer 7
Appendix D Examination #3 Per#crmance 13
] Appendix E Examination #4 Annual
Refresher 14
Key to Assistant Radiographer Exam #1 15
Key to Radiographer Exam #2 16
9.0 RESUME 1
Keenan Remele 1
Jeff Arveson 2
Tom Liverance 3
Dan Smith 4
Terry Stokan 5
Larry Russell 6
10.0
FORMS 1
I
REV. REV. PART SECTION SECTION I DESCRIPTION SIGNATURE
NO. DATE NO. NO. PAGES OF CHANGE
1 2/10/98 1,ll All All Initial Release-
.
O
l l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
______________
RADIATION SAFETY PROGRAM Section: Front Matter
PART I Page: iv orlii
ASCG Revision: 1
inspection,
Q l n C.
Date: 02/10/98
an ASCG company
i
I
l
O O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
__ _ _ _ _ - _ _ _ _ - _ _ _ _ - _ -
A.
i _
A5CG
RADIATION SAFETY PROGRAM
PARTI
ADMINISTRATIVE PROCEDURES
Section:
Page:
Revision:
1.0
Iof12
1
,
ln5peCtion, Date: 02/10/98
Inc.
an A$CG company
1.0 USE
1.1 All radiography performed under the license to ASCG Inspection , Inc. will
be performed at temporary job sites in Alaska and at remote job sites in
Agreement and Non-Agreement States under reciprocity of the Nuclear
Regulatory Commission (NRC).
2.0 STORAGE FACILITIES
2.1 Permanent storage of radiography material and devices will be housed
and controlled at the following facilities:
ASCG Inspection, Inc. ASCG Inspection, Inc.
301 Arctic Slope Ave, Suite 100 61130th Avenue
Anchorage, AK 99518-3035 Fairbanks, AK 99706
Telephone: (907) 267-6236 Telephone (907) 452-5032
FAX: (907) 267-6480 FAX: (907) 452-1384
ASCG Inspection, Inc. ASCG Inspection, Inc.
$ 43800 Kenai-Spur Highway
Kenai, Alaska 99611
4831 Old Seward Hwy, Suite 107
Anchorage, AK 99503-7450
Telephone: (907) 283-9630 Telephone: (907) 562-4442
FAX: (907) 283-9635 FAX: (907) 562-5093
A storage vault has been constructed at the aforementioned facilities
utilizing shielding to bring the radiation levels down to less than 2 mrem
per hour at the surface.
The facility that will be used to perform radiography utilizing byproduct
materials will be the fenced storage yard located at 301 Arctic Slope
Avenue - Anchorage, AK. 99518-3035.
All other facilities will be used as storage facilities. All rules and
regulations pursuant to Part 34 regarding safety of the public, restricted
access, calculating boundaries; surveys of the premises will be followed.
2.2 Storage of radiography material an1 exposure devices will be housed and
controlled at the folloMog field stations:
ASCG Inspection, Inc.
g Kuparuk River Unit
ASCG Inspection, Inc.
Bristish Petroleum Exploration
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 lax (907) 267-6480
_ _-__
,A A5CG
RADIATION SAFETY PROGRAM
PART I
ADMINISTRATIVE PROCEDURES
Section:
Page:
Revision:
1.0
2 of 12
1
i ection, Date: 02/10/98
an A5c(a company
Kuparuk, Alaska 99734 Prudhoe Bay, Alaska 99734
Telephone: (907) 659-7735 Telephone: (907) 659-4537
Fax: (907) 659-7346 Fax: (907) 659-4544
ASCG Inspection, Inc. ASCG Inspection, Inc.
Valdez Marine Terminal Arco Alaska, EOA
Valdez, Alaska 99686 Prudhoe Bay, Akaska 99734
Telephone: (907) 835-6177 Telephone: (907) 659-8360
Fax: (90T) 835-6179 Fax: (907) 659-8007
ASCG Inspection, Inc.
British Petroleum Exploration - Endicott Island
Prudhoe Bay, Alaska 99734
Telephone: (907) 659-6557
Fax: (907) 659-6512
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year.
O ^ii redietioa exposore devices lii de iocked ead the storece reciiities wi'i
be kept locked. The storage facilities will be posted " Caution-Radioactive
Materials" at the entrance.
2.3 On remote job sites the exposure devises may be stored in the shipping
container of the transporting vehicles, or locked in a temporary storage
area. Each vehicle will be equipped with a source / exposure device,
storage container with the required posting and a locking device.
Radiation levels on transport vehicles and temporary storage areas will
not exceed 2 mrem when used as a temporary storage for
source / exposure devices.
The total effective dose equivalent to individual members of the public will
not exceed 0.1 rem in a year.
2.4 A shielded storage room has been constructed at the permanent storage
l facilities. Inspection of the shielded rooms will be conducted by the
Radiation Safety Officer or Radiation Safety Supervisor and documented
on ASCG Inspection Inc.'s Radiation Survey of Storage Areas form.
2.5 The Radiation Safety Officer, Radiation Safety Supervisor or
Radiographer Supervisor will safeguard the keys for controlling access to
O ine nerm eaeat toreoe reciiities.
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
[_____________________.--__---------
RADIATION SAFETY PROGRAM Section: 1.0
PART I Page: 3 of 12 l
A5CG ADMINISTRATIVE PROCEDURES Revision: 1
ln5peCtion, Date: 02/10/98
an Af.CG company
2.6 ASCG Inspection, Inc.'s storage fac!iities floor plans are shown on the
following pages.
3.0 RECORDS
3.1 All records required under the NRC regulations for review and inspect lon
will be kept in the office of the Radiation Safety Officer at 301 Arctic Slope,
Avenue, Suite 100, Anchorage, Alaska 99518-3035.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
O
l l
,
O
1 \
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- - - - - - - - - - - - - - - - - - - - - - _ . _ _ _ _ _ _ - . _ _ _ _ _ _ _ _ _ - - - - - - _ _ _ _ _ _ _ _ _ - . J
RADIATION SAFETY PROGRAM Secti:n: 1.0 !
PARTI Page: 4 of12 {
ASCG ADMINISTRATIVE PROCEDURES Revision: 1
'
..
Inspection, Date: 02/10/98
Inc. j
an A5(G company
ASCG Inspection, Inc.
301 Arctic Slope Avenue Suite 100
Anchorage, AK 99518-3035
fen
DakRoom film Intepetaton Oild Asa
Offd
UtilityCbset
3x3 Lead Lined
T StorageVaut
Q ^
(N (\ (N ;
facilty b a 12' by 0 ATCO trailer sunounded bra 10 h~gh steellen measuring W by150.
Trailer b mnteed at the wst end of the yad, la fan the fen .
l
l
l
, O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
L_______.____.______.____._ _ _ _ _ . _ _
e
i
gA A5CG
RADIATION SAFETY PROGRAM
PART I
ADMINISTRATIVE PROCEDURES
Secti:n:
Page:
Revision:
1.0
9 of 12
1
Inspection, Date: 02/10/98
an A5CG company
ASCG Inspection, Inc. l
British Petroleum Exploration i
Prudhoe Bay, Alaska 99734
Dive Wayand Partiing tot
1
+
Esposure Device " ,
Storage Ares J l
l ^_ ^
b over Head [bor
Room Overhaul Crew Area
Rest l
Room Open Area Sbrage Ama
Enlamed l
i
O offee . . . - .-i ."i-- ,'.r' !
Storage Vault
1
Q{{'g Storage au semier wadis se covved with
ummhme famnon top of sud wilad ifT
plynood.
The mitis construeed af *(C med pise ed
Oh .
5
lined with itT ofled.
ASCG hipection, he. Esposure Device Storage Ares
l
Bitish Petroleum Weitem 0persiing Ares
Fhadhoe (by, Alssks
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ - _ _
RADIATION SAFETY PROGRAM Section: 1.0
PART I Page: 5 of 12
A5CG ADMINISTRATIVE PROCEDURES Revision: 1
Inspection, Date: 02/10/98
an A5CG company
l '
ASCG Inspection, Inc.
4831 Old Seward Highway, Suite #107
Anchorage, AK 99503
so k
jd . 'l,p}
O
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _
RADIATION SAFETY PROGRAM Section: 1.0
PART I Page: 6 of12
ASCG ADMINISTRATIVE PROCEDURES Revision: 1
Inspection, Date: 02/10/98
an ASCG company
, ASCG Inspection, Inc.
611 East 30th
Fairbanks, AK 99706
CT I ALASKA. Inc.
811 SOTH AVE.
FAIRBANKS, AK.
Feneed in Storage Area '
7S X 15CF
n
O Le&b M E888
acow
cet
L** d sweeaa
k u
'
n
"
8t*ch
cmcr
c*mr 3 gyn, a
7 s- acew
a %
E "'
^ svemear
I
Storage Coupon ___
B uikfing Storage .,
SCF X 22' Es% _ "oca"s%
s
_
WDh4
HDC k h 5%
cumpreo noce cumprso ocen
n
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
. _ _ _ _ .
'
RADIATION SAFETY PROGRAM Section: 1.0
PARTI Page: 7 of 12
. .
A5CG ADMINISTRATIVE PROCEDURES Revision: 1
Inspection, Date: 02/10/98
___L i n c.
an A5CG company
ASCG Inspection, Inc.
43800 Kenai Spur highway
Kenai, AK 9999611
-,
OVERNEAD DDCa DVE R*dE AD DDDR
,,, ...Dysma wej =**
CLEAmt,EE ARE A SCWIILS 0WRAGE
5 m
: . W' q
,! 0,
.
j
naaans a s=*
""L""%
an *
'
a
gi,
k
-
$5 1
y . , . . . . . . , . .
n ( ., . . .. . .., x
C
l
......
OE'OI OSPICE g y,gg
l
.0 0
i l l l l lO l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
RADIATION SAFETY PROGRAM Section: 1.0
PART I Page: 8 of 12
A5CG ADMINISTRATIVE PROCEDURES Revision: 1
lnspeCtion, Date: 02/10/98
an A5b company
, ASCG Inspection, Inc.
Kupurk River Unit
Kuparuk, Alaska 99734
l
Crew Locker Crew
Room Room
Parking Lot - A A A
Hallway 13 more offices in this hall.
V V V
Source Flow
Storage keg Meas.
Room Room
Storage
IS' I Room
ASCG Inspection,Inc. Exposure Device Storage Area
Kuparuk West Camp- D Wing- North End
Kuparuk River Unit
Kuparuk, Alaska
O
301 Arctic Slope Ave Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
___
RADIATION SAFETY PROGRAM Secti:n: 1.0
PART I Page: 10 of12
A5CG ADMINISTRATIVE PROCEDURES Revision: 1
l eCtion, Date: 02/10/98
an ASCG tempany
ASCG Inspection, Inc.
Valdez Marine Terminal l
Valdez, Alaska 99686 '
3"
46" - p - 82"
Stair Way to U
P ..
l'"
l Second Floor N Admin Super. Storage vault is a 30" x 16" x 12" steel
Office Office tool box with a steellock box inside lined
with 1" oflead.
_ A A A
\ Hallway 13 more offices in this hall.
V V'V
- O
!
Break
Room
Copy Room
Parking Lot ,
1
ASCG Inspection,Inc. Exposure Device Storage Area
Projects Building #1 West End
Valdez Marine Terminal
Valdez, Alaska l
l0
301 Arctic Slope Ave., Suite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
l
r
A
l
RADIATION SAFETY PROGRAM Section: 1.0 l
PARTI Page: 11 of 12 i
A5CG ADMINISTRATIVE PROCEDURES Revision: I
!n5peCtion, Date: 02/10/98 l
an ASCG E 0mpany
ASCG Inspection, Inc. l
ARCO Alaska, EOA
Prudhoe Bay, Alaska 99734 l
l l l l ,
A A
1
Film The building is a 12' by so' metal trailer
Storage set on blocks.
gea The vaut is a locking box with concrete
Storage Vault ( , 3 andleadpourederoundit.
O
I
I
l0 l
l
l
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
RADIATION SAFETY PROGRAM Section: 1.0
PART I Page: 12 of 12
ASCG ADMINISTRATIVE PROCEDURES Revision: 1
Inspection, Date: 02/10/98
an A5CG company
ASCG Inspection, Inc.
British Petroleum Exploration - Endicott Island ;
l
Prudhoe Bay, Alaska 99734
!
gnf
-
({
O
,
0{LY h\' i
y Ih '
i se l !
.
l
,
O l
l
l
!
)
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
-. .. _ _ _ _ _ _ _ _ _ _ _ _ _ _
i
A ASCG
lnspection,
RADIATION SAFETY PROGRAM
PART I
INSTRUMENTS, CALIBRATIONS
TESTING & SOURCE EXCIIANGE
Secti:n:
Par,e:
Revision:
Date:02/10/98
2.0
2 of 2
1
an ASCG company
1.0 RADIATION DETECTION INSTRUMENTS
1.1 Only approved survey instruments will be utilized in the operations under
this license. These types of instruments utilize GM detectors and can
measure dose rates from 0-1000 mR/ hour. All surveys required by the
Company operating and emergency procedures will be performed utilizing
these types of instruments.
2.0 INSTRUMENT CALIBRATION PROCEDURES
2.1 Survey meters will be calibrated semi-annually and also following any
meter repairs. The following firms can provide calibration and repair
services (if not serviced by ASCG Inspection, Inc.):
l l a) Industrial Nuclear Company d) ASCG Inspection, Inc. l
14320 Wicks Boulevard 4831 Old Seward Hwy., #107
San Leandro, CA 94577 Anchorage, AK 99503-7450
b) Amersham Corporation e) NDS Products.
O 6134 Hollyfield Drive 111 Anderson
Baton Rouge, LO 70809 Pasadena,TX 77506
c) Victoreen Nuclear Associates f) G.E. Smith & Associates
10101 Woodland Avenue Pasadena,TX
4
2.2 Rate Alarms - Calibrated Annually and following any repairs. (500 mR/hr
Setting)
- Dosimeter Corporation
! - NDS Products l - Amersham l 2.3 Calibration of survey instruments, dosimeters and rate alarms shall only l
be carried out by radiation safety personnel who have been trained to
perform such calibrations using the Amersham model 773 calibrator or the
Victoreen model 541-205 dosimeter calibrator or the manufacturer.
ASCG Inspection, Inc. shall retain documentation of instrument
calibrations denoting the procedural elements in the calibration.
O
301 Arctic Slope Ave.,5uite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ - _ _ _ _ _ _ _ - - _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ ____
P
A A5CG
ln5peCtion,
RADIATION SAFETY PROGRAM
PART I
INSTRUMENTS, CALIBRATIONS
TESTING & SOURCE EXCIIANGE
Section:
Page:
Revision:
2.0
2 of 2
Date:02/10/98
1
V' inc.
. _. <
>
an AMG company
Each calibrated instrument shall be affixed with a sticker to its surface
showing the instrument's serial number, date calibrated, the expiration or
due date and the person performing the calibration.
3.0 PERSONNEL MONITORING
3.1 Film Badge - Radiation Detection Company (monthly intervals)
Pocket Dosimeters -(0-200 mR/ hour) - Calibrated Annually
- Victoreen - Bendix
- Landsverk - Admiral
- Dosimeter Corporation - G.E. Smith
- Stephens - NDS Products
Dosimeter Charger -(in each darkroom vehicle and storage facility) l
- Victoreen - G. E. Smith l
- Industrial Nuclear - NDS Products
- Dosimeter Corporation -Amersham
O 4.0 LE^x<wieE TESTING
4.1 Amersham Corporation, Industrial Nuclear Company or Radiation
Consultants will provide leak test analysis services. The Radiation Safety
Officer or supervisory personnel utilizing the kit supplied will perform the j
leak test wipes by the vendor.
yI4 h .p u
4.2 Training and detailed leak test procedures are included in the Operating IE c
and Emergency Procedures. These leak tests will be performed at g#p.f *
intervals not to exceed six months or before using if stored for periods
longer than six months. Records will be kept.
5.0 SOURCE EXCHANGE AND DISPOSAL
5.1 Source exchange may be performed by the licensed byproduct distributor
or the Radiation Safety Officer. Training and procedures are provided to
permit a radiographer to perform an exchange if the need arises for them
to do so.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (90/) 267-6480
- _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _
RADIATION SAFETY PROGRAM Section: 3.0
PARTI Page: I of 3
. ASCG COMPANY ORGANIZATION Revision: 1
lnspeCtion, Date:02/10/98
an A5CG company
COMPANY ORGANIZATION
Senior Vice President James Kingrea
QA/QC Team Leader / Level lli Jeff Arveson
Radiation Safety Officer / Training Instructor Keenan Remele
Radiation Safety Supervisors Tom Liverance, Dan Smith, Terry
Stokan, Larry Russell
THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK.
O O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 . _______
<
RADIATION SAFETY PROGRAM Secti:n: 3.0
PART I Page: 2 of 3
A5CG COMPANY ORGANIZATION Revision: 1
,
In5peCtion, Date:02/10/98
an ASCG company
1.0 RADIATION SAFETY OFFICER
1.1 The Radiation Safety Officer is responsible for all operations involving the
use of radiation producing equipment. He is responsible for the
supervision of all Radiographer and other personnel in matters pertaining
to radiation safety records. It will be the responsibility of the Radiation l
Safety Officer or his designee to conduct quarterly radiation safety l
meetings which will be attended by all employees padicipating in
radiographic operations and to conduct announced and unannounced
l
audits at radiography sites. The field inspections will be per'ormed at 1
intervals not to exceed six months.
1.2 It is the responsibility of the Radiation Safety Officer to assume the
direction of the overall radiation program; monitoring Federal Regulations.
The authority to issue new requirements or changes in the present
procedures is vested in the Radiation Safety Officer and the appropriate
agencies involved.
2.0 RADIATION SAFETY SUPERVISOR / RADIOGRAPHY SUPERVISOR
O 2.1 It will be the function of the Radiation Safety Supervisor / Radiography
Supervisor to assist the Radiation Safety Officer in the performance of his
duties. The general duties of the Radiation Safety Supervisor include the
following:
l
2.1.1) Be come familiar with 10 CFR, Parts 19, 20, 30, 34, 71, and l
ASCG Inspection, Inc. Radiation Safety Program. l
2.12) Read and become familiar with duties of Radiation Safety
Officer for recording and reporting requirements to the NRC.
2.1.3) Perform radiation safety field inspections and audits on i
Radiographer.
2.1.4) Check all radiation safety records, forms, reports and
surveys for completeness and signature and forward to the
Radiation Safety Officer.
2.1.5) Establish a matrix for due dates on all records, reports and
I surveys. !
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
,
RADIATION SAFETY PROGRAM S:cti:n: 3.0
A. . . . ASCG
PARTI
COMPANY ORGANIZATION
Page:
Revision:
3 of 3
1
Inspection, Date:02/10/98
. .
. .
I n c.
an A5CG company
2.1.6) Notify all applicable Radiation Safety Personnel and ,
Radiographer of forthcoming due dates for surveys and reports. l
2.1.7) Obtain, transmit, and collect survey instruments, film l
badges, dosimeters, rate alarms and other items out of calibration
and deliver to Radiation Safety Officer.
2.1.8) Conduct radiation safety meetings.
2.1.9) Conduct radiation training courses.
2.1.10) Report to Radiation Safety Officer any incidents, hazardous
conditions or radiographic field inspections.
3.0 RADIOGRAPHER - to be hired and trained under broad training program.
3.1 A Radiographer is an employee who performs radiography and personally l
supervises radiographic operations. He is directly responsible for any
'
radiation producing devices assigned to him. He is also responsible for
O compliance with the rules and regulations of this firm and the regulatory
agencies ( Federal and State) relating to their use.
4.0 RADIOGRAPHER'S ASSISTANT
4.1 A Radiographer's Assistant is an employee who will be permitted to
perform radiographic operations under the direct supervision of a
radiographer. Such operations will include the use of sealed sources, x-
ray machines, and radiation safety equipment.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
i
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
-
'i
a
.
-
-
5 _
p- *
13s$ MA
h e
_
-
O 5 ]Js
_ mwd [ -
e
-
-
S
V dw
Uf
e
-
f
S Ra
l
-
-
ieer -
z
t
J ~' ' l .
KS FC
'.
n
s
e
c
l
b
e _
4~ ~
~ (( . _
u sleya ,e
im r ~
g
-
- ,
-
-
-
d
"
~
- -
Ayotsnb aPl
t
al
o @b )'
g
g o -
-
ef eeu
Roisy v r
~
~ " S t
a w -
-
t
S gg
r a
r Snc cnP
c et a ~
S
A gN'" y
-
o -i R g -
p aAeu Ro
r
o
- o p -
r
o
m
u
c
c
t
a ~ ot r
Eceed
( -
.
-
r
C H A
w
Mn i
se
r ~
~ ojoa - -
-
nd ~
Cr e
Hdo )
.
oa R PL
~
r Tj
-
ie
-
FA
)f
f
}/ }j ) _
s s _
o t
a L S d we
ta
dw Uf f s
S
L
-
,
_ r C r
i'
'
i',s'
S le, r g
lee P ta w
e _
3 > _
. em
pa ~
t r
R F C
D
N Fe C r MS F C r
~
r
.
-
Oe - Pj
ce
X eda ( ( _
~
e
d _ 7l !r T ',' ;'- Bme PL
_ -
- -
g
Ca f n - r g Dj }j
-
Qe _
. Oi n ps s
L
-
/
Am
.
i
a A_liellill
-
le',8,,
j
_
S u
d
iF
b ldw
ee
i r
_
__
Qa T
r
- at
k c e
r _
_ F
[(
Fc _
e
T r t
yl
_
i,l'll l
sed
ejoa
lyr e
_
(( -
-
A PL
_
}v / }/s -
. -
pez _
r _
dw
c -
r e -
-
l,ll
Sd
da
l
lee
F' C
r
_
_
I
n -
-
-
-
-
-
-
-
S
S
R
iV
f( _
-
-
-
-
-
, - -
n sjY
-
.
.
-
-
s
_
-
o89
J - _
t
-
e t 1 - c
., g _
d n -
o i
j _
Ot e
-
e lll,l!-
n PN
C9 d P
E ar r. eA n
1
Co p _
i
s
r
. n
a
r
ph c d
s o
p
udg"
li w
-
e lem
s0e / r
o
P
e
_
C
' T Fe r
C o
G
r
G " o,
p1h t
n n iw
c el
c
l
s r <
sc iA t
eI cd _ ~
r ea
V
,' ll'
r d j
o =.
-
I
naM i
sG
e
rC
, .
i
r
o _
_
F
P
rl
' t
s
-
-
P S n _ c
- _
_
-
A e e -
s e
G
-
S j
o - _
( k P
r -
-
-
C /r
tno
et a
mt
-
-
S
r
ps -
our n
-
A
l
.
ei -
vm it
mss -
ed I
DA d
-
st
sc A A ys -
- ea gr
mtr
suo n # y
ge r oo
l t
-
-
sc lod ,:
ona c -
r
noe a _
ht
c n
r
-
_ h L
_
_ eo
TC
c g
'
_
em
T a
l.
S
r f e S
e mT r j R
c e . e
i
, , v } )h (
f
f t
n
t
se mtsy Gc
c O
t
-
t a yD ml Ce
a ec
r
ct
en S 1
a
r
an S T- ~'
t ' ju
o gA Ai ~
nn
oa i
r
Pc c
o
_. ' s o/
r
( (H
Cl p P g ~
A _ r
e
-
m [ d ~
) o esd a
C t
am e -
C
r
- -
-
t
mteL
osym
-
- _
A
usae p e /
t
n n
r t
iu c
qso
t
T n c e tio
-
ah ef a
E
ir
iv nc T
U
pf a Mac
r e e ee A
st
prs
t p tnt ins ob
nu i
h a
M
*'S M
a T
R Sf ,
,
( ( (
_ .____ ________
_ _ _ _ _ _ _ - _ - - _ - .. - - - - -
'
RADIATION SAFETY PROGRAM Section: 4.0
PART I Page: 1 of 4
A5CG INTERNAL INSPECTION PROGRAM Revision: 1
/7 .
Inspection, Date: 02/10/98
In c.
an A5CG company
1.0 AUDIT
1.1 Objective
The audit system shall provide a continuing surveillance to insure
compliance with federal, state and company radiation safety regulations,
and timely information to management regarding the effectiveness of
ASCG Inspection, Inc. activities which affect radiation safety.
1.2 Procedure
The Radiation Safety Officer (RSO) is responsible for planning,
scheduling, conducting and follow-up of radiation safety audits. The
categories of audits to be performed are system, facilities, equipment and
personnel.
1.2.1 System audits are performed to determine adequacy of the
O radiation safety system.
1.2.1.1 Audit check sheets shall be used to assure
consistent evaluation of all areas of radiation safety.
Specific check sheets on the operating and emergency
procedures will verify compliance.
1.2.1.2 Each project shall be audited at least annually for
compliance with the radiation safety system.
1.2.2 Facilities and equipment audits are designed to reduce
radiation safety incidents resulting from equipment failures.
1.2.2.1 On-site audits of facilities and equipment shall be
performed on check sheets for compliance to maintenance
and calibrat!on procedures.
1.2.2.2 Audits will be performed on documentation for
maintenance and calibration records in the RSO office and in
the field.
1.2.3 Personnel audits will assure consistent training and that only
O qveiified empiovees are nerformino redietion eree teske.
301 Arctic Slope Ave,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ .
l
A A5CG
ln5pection,
RADIATION SAFETY PROGRAM
PARTI
INTERNAL INSPECTION PROGRAM
Secti:n:
Page:
Revision:
Date: 02/10/98
2 of 4
4.0
I l
an ASCG company
1.2.3.1 Audits of personnel will use check sheets to verify
compliance with applicable regulations, company operating
and emergency procedures, training and qualification ,
procedures. !
1.2.3.2 Field personnel will be checked to insure that work l
being performed is within limits of their qualifications.
l
1.2.3.3 Audits will be performed on personnel radiation
l
safety records for assurance that documents are available '
and complete.
]
1.2.3.4 Field inspections of Radiographer and Assistant
Radiographer will be performed at least every 6 months.
1.2.4 Audits will be planned and scheduled by the RSO.
'
1.2.4.1 Audit planning delineates procedures, forms end
,
) check lists to be used and identifies specific areas of
emphasis.
1.2.4.2 A schedule of audits shall be maintained by the
RSO. This schedule shall show status of audits, planned, in
process, or complete.
1.2.5 Audits will be performed by the RSO or the Radiation Safety
Supervisor.
1.2.5.1 Audits will be made on-the-job and insofar as
possible will be unannounced.
1.2.6 All audits will be documented with reports filed in the RSO
l office.
1.2.7 Deficiencies found by audit will be resolved by the RSO and
the QA/QC Team Leader and appropriate corrective action taken.
i , 301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 l 1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
RADIATION SAFETY PROGRAM Secti:n: 4.0
PARTI Page: 3 of 4
.. ASCG INTERNAL INSPECTION PROGRAM Revision: 1
Inspection, Date: 02/10/98
.-~.,
2.0 CORRECTIVE ACTION
2.1 Objective
To assure positive action is taken to prevent re-occurrence of incidents,
hazardous conditions and audit deficiencies. To provide a system of
determining causes of adverse conditions and verifying the effectiveness
of actions.
1
2.2 Procedure )
l l Corrective action shall be applied: I a) to radiation incidents
b) to radiation hazardous conditions ,
4
c) to audit deficiencies as necessary, in the judgment of the
Radiation Safety Officer (RSO). !
2.2.1 All radiation incidents will be documented, analyzed as to cause
and appropriate corrective action assigned.
O 2.2.1.1 All corrective action to incidents shall be in writing and l
issued by the RSO. ,
l
2.2.1.2 Follow-up to assure compliance shall be documented to
'
i
provide feedback and prevent reoccurrence. l
l
l 2.2.2 All radiation hazardous conditions will be reported to the RSO for '
review and assignment of formal corrective action.
1
2.2.3 All audit deficiencies shall be reviewed and where significant,
formal corrective action shall be executed at the discretion of the
RSO.
l 2.2.4 The RSO shall assure that adequate corrective action is '
accomplished to eliminate the causes of discrepancies and to
prevent the re-occurrence of identical or similar discrepancies.
2.2.5 The RSO shall maintain a log of all formal corrective actions with
current status of follow-up and/or audit.
:
2.2.6 The RSO shall schedule appropriate re-audits to determine
O errectivemess or corrective mees"res.
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
l
RADIATION SAFETY PROGRAM Secti:n: 4.0
PART I Page: 4 of 4
ASCG INTERNAL INSPECTION PROGRAM Revision: 1
.[ Inspection, Date: 02/10/98
,,
Inc.
an A$CG company
2.2.7 Formal corrective action distribution shallinclude the Radiation
Safety Supervisor, Senior Vice President, QA/QC Team Leader
Level ll1, Project Operations Team Leader and Project Manager of
ASCG Inspection, Inc.
2.2.8 Noncompliance with the RSO corrective action directions shall be
resolved with the QA/QC Team Leader Level lil and/or the Senior '
Vice President of ASCG Inspection, Inc.
I
REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
i
O
1
l l
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
E _____ __ - - - - - - _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ . . _ _ - -
~ 1. RADIATION SAFETY PROGRAM
..
.
Secti:n: 5.0
PART I Page: 1 of 10
A5CG PERIODIC Date: 02/10/98
Inspection, INSPECTION AND MAINTAINANCE Revision: I
an A5CG company
1.0 INDUSTRIAL NUCLEAR MODEL IR-100
1.1 General
It is imperative that all components be kept clean. No amount of dirt can
be regarded as negligible. When the deviice must be operated in adirty
enviorment, particular care must be exercised to avoid dirt from entering
the control or guide tubes. Dirt-clogged cables, tubes and connectors
impede drive cable movement and cause excessive wear. Such
impedance can result in a hazardous loss of Source control.
1.2 Control Cable
inspect Control Cable regularly for signs of damage. Avoid twisting or
bending excessively. Recoil Control Cable carefully for storage. Avoid all
contact with dirty surfaces - do not drag Cable around. Install Control
Cable Cap when not in use.
1.3 Source Tube
O Inspect source tube regularly for signs of damage. Avoid twisting or
bending excessively. Recoil source tube carefully for storage. Avoid all
contact with dirty surfaces - do not drcg tube around. Replace plastic
caps on source tube section connectors when not in use.
2.0 Cleaning and Lubrication
2.1 Drive Cable and Crank Assembly
The frequency of cleaning and lubrication depends on the amount and
type of use. These procedures should be performed whenever the
cranking of the control unit becomes difficult.
2.1.1 Crank Drive Cable into a clean container of solvent and agitate for
a few minutes. Inspect cable for wear and kinks. Thoroughly drain
and dry.
2.1.2 Disassemble Crank Assembly and clean with solvent. Inspect for
bearing wear, housing wear, rust and damaged gear teeth.
7 2.1.3 Lightly coat drive gear with grease and reassemble unit.
(.
)
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _
l
/~T
.
A A5CG
Inspection,
RADIATION SAFETY PROGRAM
PART I
PERIODIC
INSPECTION AND MAINTAINANCE
Secti:n: 5.0
Page: 2 of 10
Date: 02/10/98
Revision: 1
V Inc.
an ASCG company
2.2 Lock Assembly
NOTE
Disassembly of the locking mechanism is restricted to trained personnel !
only. l
2.2.1) Cleaning may be accomplished by a flushing action. Solvent may
be poured or sprayed around the indicator and will flow through the
mechanism and bottom drain.
I
2.2.2) Lubrication may be accomplished in the same manner as cleaning.
A few drops of light oil should be adequate. l
l
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
!
O
I
l
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 ,
-___-_ _ _ _ _ _ _ _ _ _ _ _ _ _
A ASCG
RADIATION SAFETY PROGRAM
PART I
PERIODIC
Secti:n: 5.0
Page: 3 of 10
Date: 02/10/98
/~N
U I'I
an ASCG company
ln5peCtion,
Inc.
INSPECTION AND MAINTAINANCE Revision: 1
2.0 AMERSHAM " GAMMA RAY PROJECTOR" MODEL 660B
2.1 General
*
it is imperative that all device components be kept clean. No amount of
dirt can be considered negligible. When the device must be operated in a
dirty environment, particular care must be exercised to avoid dirt from
entering the control or guide tubes. Dirt-clogged cables, tubes, and
connectors impede the drive cable movement and could cause jamming.
2.2 Control Cable
2.2.1 Inspect the control cable regularly for signs of damage. Avoid
twisting or bending the cable excessively. Recoil the control cable
carefully for storage. Never drag the cable on the floor or ground.
Use the protective cover (over the connector) when the control
cable is not in use.
2.3 Guide Tubes
b" '2.3.1 Inspect the guide tubes regularly for signs of damage. Avoid
twisting or bending the tubes excessively. Recoil the guide tubes
carefully for storage. Never drag the tubes on the floor or ground.
Replace the protective plastic caps on the guide tubes connectors
when not in use.
2.4 Cleaning and Lubrication
The frequency of cleaning and lubrication depends on the amount and
type of use. These procedures should be performed whenever the
cranking of the control unit becomes difficult. Perform the following:
2.4.1 Disconnect the control cable from the projector. l
i
1
i
2.4.2 Turn the hand crank in the EXPOSE (counterclockwise) direction
until the cable disengages from the drive gear. This becomes
!
apparent because further turning of the hand crank will have no
i
effect on the control cable. i
2.4.3 Pull the cable free from the control cable housing. Coil the cable (a
radius of not less than four inches) and place the cable in a
h, container of degreasing solvent. Do not use water-based cleaning
[
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
w_______________________________ __
- ___ ______-_-__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A A5CG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
PERIODIC
INSPECTION AND MAINTAINANCE
Secti:n: 5.0
Page: 4 of10
Date: 02/10/98
Revision: 1
:
l
(U'N lnC.
an ASCG company
agents. Allow the cable to soak as long as is necessary to remove
all accumulated foreig. ' matter.
l
2.4.3 Remove the control cable from the control unit by loosening the
two fittings. (Before removing the fittings, label them to facilitate
reassembly).
2.4.4 Pour degreasing solvent into the control cable tubing to clean. I
Continue to flush the tubing until the solvent leaving the hose is free
from impurities.
1
2.4.5 Use compressed dry clean air (do not exceed fifteen pounds) to ;
thoroughly dry both the housing and cable. Any remaining solvent
could cause permanent damage. l
NOTE
Since the drive cable and control tubing has been thoroughly cleaned,
care must be exercised to avoid any dust or dirt contamination during the
, remainder of this procedure.
2.4.6 Lightly grease the drive cable with MIL-G-23827A type grease.
Other greases may form tars or corrosive compounds when
exposed to radiation.
2.4.7 Carefully feed the cable into the tubing from the cable end that
attaches to the projector.
2.4.8 When the cable reaches the control unit fitting, guide the cable into
the hand crank housing. Slowly turn the hand crank in the
RETRACT (clockwise) direction until the cable engages the crank
gear.
2.4.9 Reconnect the two fittings that connect the control cable to the
control unit.
2.4.10 Turn the hand crank in the RETRACT direction until the cable is
compictely contained in the housing. If the odometer reading is not
000 at this time, refer to the odometer adjustment procedure given
in this section,
l
301 Arctic Slope Ave., Suite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480 _____ _________________ . _ _ _ _
.
RADIATION SAFETY PROGRAM Secti:n: 5.0
PART I Page: 5 of to
l . _ A5CG PERIODIC Date: 02/10/98
{. Inspection,
!
INSPECTION AND MAINTAINANCE Revision: 1
l n C.
__ _
i
an A5CG company
2.5 Cleaning of the Guide Tubes
l l l 2.5.1 To clean the guide tubes, flush them thoroughly with a cleaning
solvent. Dry thoroughly with clean, dry compressed air. Replace
the plastic protective dust caps when storing the tubes.
2.6 Odometer Adjustment
l l 2.6.1) The odometer in both the 664 and 693 control units has a knob
adjustment control. If the hand crank is in its full RETRACT
) position, the odometer should indicate 000. if not, slowly adjust the l control to obtain a 000 reading. l THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK 1 lO l i l l
l
I
i
l
l
l
O l
#
l
I
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
RADIATION SAFETY PROGRAM Secti:n: 5.0
PARTI Page: 6 of 10
ASCG PERIODIC Date: 02/10/98
A Inspection, INSPECTION AND MAINTAINANCE Revision: 1
V Inc.
an ASCG company
3.0 AMERSHAM " GAMMA RAY PROJECTOR" MODEL 865
3.1 General
3.1.1 Inspection and maintenance of the Model 865 exposure device and
Model 86550 control unit must be performed at intervals not to
exceed three months. Unless the RSO, Radiation Safety
Supervisor, or a designated Radiographer has attended a training
class for maintenance on the Model 865 projector, THERE WILL
NOT BE ANY MAINTENANCE PERFORMED BY ASCG
INSPECTION Inc. PERSONNELI THE EXPOSURE DEVICE
MANUFACTURER WILL PERFORM ALL MAINTENANCE.
3.1.2 To properly service the Model 865 exposure device and control
unit, the following tools and equipment are required: ,
a) Master Key (A66001-11)
b) Cleaning Solvent (Chlorothene)
c) Vibratite
O e)
e)
eistoa 'imit Tooi (^T8es-7)
Socket wrench set with sockets: 1/2 inch,10 mm
f) Source holdown cap (AT865-8)
g) Replacement O Rings and Seals
h) Lock Seal Removal Tool (AT865-9)
l} 1/32 Diameter stainless steel safety wire
j) Grease MIL-G-23827 A
3.2 Control Unit
3.2.1 Inspect the entire length of each control hose to assure that each
section is free from cuts and damage.
3.2.2 Inspect the end fittings to assure that they are tightly connected.
Check the threads on the fittings for damage.
3.2.3 With the control switch in the OFF position, close off the expose
hose. Pressurize the control to approximately 30 psig. Observe
that the pressure gauge functions properly. Turn the control switch
' to the EXPOSE position. Observe that the indicated pressure
reduces by approximately 4 psi. Open the expose hose. Assure
that air flows through the exposing hose and the pressure returns to
O etm oseneric.
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 257-6236 fax (907) 267-6480
. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ - _ _ _-____
--
.
A ASCG
spection,
RADIATION SAFETY PROGRAM
PART I
PERIODIC
INSPECTION AND MAINTAINANCE
Section: 5.0
Page: 7 of10
Date: 02/10/98
Revision: I
an A5cG company
3.2.4 With the control switch in the OFF position, close off the retract
hose. Pressurize the control to approximately 30 psig. Turn the
control switch to the RETRACT position. Observe that the
indicated pressure reduces by approximately 4 psi. Open the
retract hose. Assure that air flows through the retracting hose and
the pressure retums to atmospheric.
3.3 Exposure Device
3.3.1 Check the operation of the survey meter and check to assure that
the source is properly stored by measuring the radiation intensity at
the surface of the exposure device and at one meter from the
surface. The radiation level should not exceed 200 mR/hr at the
surface nor 10 mR/hr at one meter from the surface.
3.3.2 Inspect the exposure device for any signs of damage or excessive
wear. Check to assure that there are no loose fasteners or broken
safety wire. Assure that the exposure device is properly labeled.
O NOTE
The manufacturer recommends that maintenance of the actuator
assembly not be performed at quarterly intervals but performed
during normal source replacement intervals at the manufacturer's
facility. This recommendation is hereby accepted by ASCG
Inspection, Inc..
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
O
301 ArcticSlope Ave.,5uite100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
- - _ _ .
RADIATION SAFETY PROGRAM Secti::n: 5.0
PARTI Page: 8 of 10
ASCG PERIODIC Date: 02/10/98
{ ection, INSPECTION AND MAINTAINANCE Revision: I
an A5CG company
4.0 AMERSHAM MODEL 773 CALIBRATION DEVICE
4.1 Technical Data
a) Size: 5 in (12.7 cm) wide, 5 in (12.7 cm) deep, 8.5 in
(21.6 cm) high
b) Weight: (with attenuators) 52 lbs. (24 kg)
c) Source: Model 77302, Cesium 137,165 millicuries
d) Transport Status: DOT Specification 7A Type A Package
e) Shielding Material: Lead Approx. 29 lbs (13 kg)
4.2 Receiving
l 4.2.1) Survey the device for excessive radiation levels. The device should l have radiation levels less than 200 mR/hr at the surface and less I
than 10 mR/hr at one meter from the surface. Inspect the device
for shipping damage and insure that the device is locked.
l 4.3 Leak Testing
O
'
4.3.1 The Amersham Model 773 Meter Calibration Kit contains a Cesium
137 source which must be leak tested at intervals not to exceed six
l months. This may be accomplished using the Amersham KOWIPE l Model or other manufacturer's leak test kits. 1 I
4.3.1.1 Place the Model 773 calibrator in a restricted area.
4.3.1.2 Remove the lock and rotate the handle from the top
of the source rod. Remove the shipping cover.
, 4.3.1.3 Moisten the leak test swab with solution. Blot off the l excess.
4.3.1.4 Wipe around the top of the source rod.
I
4.3.1.5 Standing away from the beam port, raise the source i
, '
rod to the open position and wipe the exposed source rod I
thoroughly.
4.3.1.6 Place the leak test swab in the plastic envelope.
O I
301 ArcticSlope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
(
-
A
. _ - A5CG
RADIATION SAFETY PROGRAM
PART I
PERIODIC
'"""''"^*""^'"'^'"^"
Secti:n: 5.0
Page: 9 of 10
Date: 02/10/98
O _..__. _ ,
'"' P * c t ' "-
I n C.
"""'
an A5CG company
4.31.7 Set the survey meter on its most censitive range and
placa the meter in a low background area. Move the swab,
in its plastic envelope, to the meter, not the meter to the
swat .
4.3.1.8 If the meter indication is less than 0.2 mR/hr above
background, place.the plastic envelope with the swab into
the mailing box and mail. (Be sure to fill out and return the
identification sheet).
4.3.1.9 If the swab should show more than 0.2 mR/hr DO
NOT MAIL. Contact the Radiation Safety Officer for specific
instructions.
THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK
O
l
i
I i l l
O
{ \
301 Arctic Slope Ave.,5uite 100 Anchorage. AK 99518 phone (907) 267-6236 fax (907) 267-6480
RADIATION SAFETY PROGRAM Secti2n: 5.0
PARTI Page: 10 of
ASCG 10
/ Inspection, PERIODIC Date: 02/10/98
l n C. INSPECTION AND MAINTAINANCE Revision: I
'
.n asco comp.or
gd 4 b
5.0 TRANSPORT AND STORAGE CONTAINERS 66 I
f o(( k'W# - Vypic~4
5.1 GENERAL g,l,r ol' # .,, pnV
All Transport and Storage Containers will be inspected every three
months. This inspection will include overall general condition, legibilty and
placement of appropriate labeling, required for continued safe use.
6.0 NEW EXPOSURE DEVICE / SOURCE COMBINATION
6.1 Before using a new sealed source / device combination, ASCG Inspection,
Inc. will have written inspection and maintainance procedures that address
the use of new equipment as a Type B transport package. In addition,
ASCG Inspection, Inc. will provide training to radiographic personnel prior
to using a new sealed source / device combination.
REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
O
l
O
I
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 !
J
RADIATION SAFETY PROGRAM Secti:n: 6.0
PARTI Page: 1 of 3
ASCG RECORDS Date: 02/10/98
p Revision: 1
V II' Inspection, inc.
an A5CG company
All records for the operations under this license will be maintained by the
Radiation Safety Officer, except those which are the responsibility of the
Raciiographer and Radiographer's Assistant. Records will be retained for three
years.
1.0 Utilization Log Record
1.1 Utilization Log Sheets are filled out by the radiographer to indicate the
make and serial number of the exposure device, date and time (in and
out), location for use and radiographer's initials as exposure device is
removed from storage facility.
1.2 Master Log Records list exposure device, manufacturer, model number 1
and serial number. A perpetual inventory is maintained indicating each
new source installed in exposure device, date, source serial number,
isotope, initial strength, leak test dates and source disposal. Each receipt
record will be dated and initiated by the person receiving it.
1.3 When radiography is performed, the Radiographer and Assistant
O aeeiooren ner wiii comniete deiiv reeietioniob eneeteireeietion sefety
reports containing the following information: l
1.3.1 Exposure device, make, model and serial number.
1.3.2 Job site location.
1.3.3 Source serial number and current activity.
1.3.4 Survey meter (s) serial number and date last calibrated. i
1.3.5 Film badge number. Rate Meter serial number. Dosimeter start
and end of day readings. '
1.3.6 Sketch of set-up area showing boundaries and approximate
distances.
)
1.4 Daily radiation job sheet records will be turned in daily to the Radiation ]
Safety Supervisor or Radiography Supervisor who will forward them I
weekly to the Radiation Safety Officer.
2.0 Instrument Calibration
2.1 Instrument calibration certificates will be maintained by the Radiation !
Safety Officer.
l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A A5CG
RADIATION SAFETY PROGRAM
RECORDS
PARTI
Date:
Secti:n: 6.0
Page: 2 of 3
02/10/98
U II O
an A5CG company
Inspection,
l n c.
Revision: 1
2.2 Calibration due dates are noted on the labels placed on each instrument
by the Company person performing the calibration or by the calibration
service vendor.
3.0 Leak Testing
3.1 Records of the initial and subsequent leak tests for each source and
exposure device containing Depleted Uranium (DU) are maintained by the
Radiation Safety Officer. All DU shielded devices will be tested at
intervals not to exceed 12 months. Tests shall be assayed by a person
authorized by the commission or an Agreement State. Any contamination
and the device will be removed from service. Records will be kept for three
years. All results will be stated in bequerels (microcuries).
3.2 Leak test certificates and dates for sources are listed in the source record
file.
!
4.0 Quarterly Inventory
O 4.1 Each quarter the following information will be recorded for each exposure
l
i
device and source in the Sealed Source Quarterly Inventory.
a) Exposure device, make, model and serial number.
b) Isotope, activity and serial number of source.
c) Location of the exposure device.
d) Date of inventory.
e) Signature of individual performing inventory.
5.0 Inspection and Maintenance
5.1 Every 3 months, all the exposure devices and reisted equipment in use
will be inspected and records made for this inspection by the Radiation
Safety Officer, Radiation Safety Supervisor, or Radiography Supervisor.
6.0 Surveys
6.1 Radiation levels at work sites during radiography at the perimeter will be
recorded on the daily radiation job sheet. These will be turned in daily to
the Radiation Safety Supervisor or Radiography Supervisor who will
forward them weekly to the Radiation Safety Officer.
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ - _ _ - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ .
_
j
A ASCG
spection,
RADIATION SAFETY PROGRAM
RECORDS
PART I
Date:
Section: 6.0
Page: 3 of 3
02/10/98
Revision: I
an ASCG company
7.0 Personnel Monitoring
7.1 Dosimeters - Daily dosimeter readings will be recorded on daily radiation
job sheets each day that radiography is performed. Total accumulated
mRs' for the day as well as the actual starting and ending dosimeter
readings will be recorded.
7.2 Film badge reports, dosimeter reports, occupational histories and current
radiation exposures will be maintained by the Radiation Safety Officer for
all personnel working with Radiation.
THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK
O
O
301 Arctic 5! ope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 207-6480
_ _ _ _ . _
RADIATION SAFETY PRO 3 RAM Secti:n: 7.0
PARTI Page: 1of10
,
A5CG TRAINING PROGRAM Revision: 1
ln5peCtion, {
Date: 02/10/98
an A5CG company
The training program for qualifying radiographer and assistant radiographer is the
responsibility of the Radiation Safety Officer.
RADIATION SAFETY OFFICER - Keenan Remele
TRAINING OFFICER - Keenan Remele
l TRAINING INSTRUCTORS - Keenan Remele, Jeff Arveson, Radiation Safety
Supervisors and/or Consultants whose resume (s) will be submitted to NRC for
approval prior to training. Keenan Remele will provide assistance in the initial ,
orientation to trainees. i
1.0 RADIOGRAPHER. ASSISTANT AND TRAINEES I
A new employee coming to work for this company will be designated a trainee
until they have completed the following: ,
1.1 They will be provided a copy of:
a) Fundemantals of Radiation
O e)
c)
comFenv e reeioective ueteriei 'icense
Opperating and Emergancy Procedures
d) Code of Federal Regulations
e) Operating procedures for all exposure devices in Company
inventory
1.2 After instructions on these procedures, the idividual will be given g',,
g, jog demonstrations and orally quizzed on:
a) Use of exposure devices and sources of radiation //J.(g,
r *gr.t* Related handling tools
N jqg
b)
,
co
y je,gv'
b ,g M *'
d
c) Radiation survey meters
l I
g i,jy d)
e)
Film Badge, Dosimeter and Rate Alarms
Daily inspection requirements for equipment
f) Survey of equipment and boundaries
1.3 All newly hired radiographic personnel, regardless of prior radiographic
experience, will be orally instructed in the requirements of the Radiation
Safety Manual, CFR Parts 20 and 34 and the practical operation of
various exposure devices listed on ASCG Inspection, Inc.'s NRC
byproduct material license. They will be orally quizzed to determine that
each individual has a thorough understanding of these requirements. The
operation of exposure devices and associated equipment will then be
O demonstrated to each individual by the Training instructor or the RSO.
301 Arctic Slope Ave, Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
N_____________-_---__
!
)
RADIATION SAFETY PROGRAM Secti:n: 7.0
A._.ASCG .
Inspection,
PART I
TRAINING PROGRAM
Page:
Revision:
Date:
2 of10
02/10/98
1
;
_ . . _
Inc.
an ASCG company
Each individual must then demonstrate their competence in the use of
radiographic and survey instruments in a proficient and safe manner.
(Examination No.1 Appendix A will be used as guides for all practical oral
instruction and quizzes.)
1.4 Each individual will be given a written Examination (Examination No.1
Appendix B) which they must successfully pass with a grade of 70% or
better.
1.4.1 Personnel making 70% or better will be reinstructed on the areas
they had difficulties with. A formal session will be held with the
f
individuals to go over que's tions missed. Personnel making less
$ than 70%;ej the discreation of the~ RSOYn~dTsaliiTe~ade
have to repeat the co~urse ~and take~another eRamihiition.
1.4.2 After completion of items 1.1,1.2, and 1.3 above, they will be
designated a Radiographer or Radiographer's Assistant. Assistant
Radiographer will work under the direct supervision of a
Radiographer for a minimum period of three months and have
O etteated e rormei 4o "ovr ireiaias covree ia seeietioa seretveerore
becoming eligible to qualify as a Radiographer.
2.0 RADIOGRAPHER
l
2.1 Before being qualified as a Radiographer the individual must: l
2.1.1 Complete a formal 40-hour Radiation Safety Course given by the
Training instructor or a similar 40-hour course from a training
program recognized by the regulatory agency. (see Appendix A,
Training Course).
2.1.2 Complete the Radiographer's Assistant Training and pass
'
Examination No.1 ( see Appendix B, Section 8.0)
2.1.3 Successfully pass Examination No.1 with a grade of 70% of better.
2.1.4 Successfully pass Examination No.3 with a passing grade of 70%
l or better and demonstrate by performance test, competence in the i
use of the radiation exposure cameras, sealed sources, related
handling tools, survey meters, personnel monitoring equipment, film
badge and dosimeters, and all other safety equipment that the
Q company uses.
301 ArcticSlope Ave.,5uite100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ - _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
'
RADIATION SAFETY PROGRAM Secti:n: 7.0
PART I Page: 3 of 10 1
__ -
-
A5CG TRAINING PROGRAM Revision: I j
(S In5peCtion, Date: 02/10/98 j
V Inc.
__
an ASCG company
2.1.5 Demonstrate to the Radiation Safety Officer that he/she can safely
remove, survey, operate the equipment, perform an exposure, and
return it to the storage vault.
2.1.6 Successfully pass Examination No. 2, Appendix C with a grade of
70% or better.
1
3.0 RADIOGRAPHER (PREVIOUSLY TRAINED) )
3.1 Personnel with previous training and experience as a radiographer will
have the training, qualifications and experience verified by their previous
employer. He/she must satisfy the requirements of paragraph 2.0 of this
section.
3.1.1 They will be issued the following material to study:
a) Company's Radioactive Material License
b) Company's radiation safety manual, Part 2 '
O c)
d)
4o CFa 19,20 and 34; 49 CFa 171 et ai.
Working Safely in Gamma Radiography
3.1.2 Personnel with previous training and experience as a radiographer
shall be instructed to study the following subjects found in the '
aforementioned material provided:
a) The safe handling and use of the sources of radiation
employed by the license
b) Use of the radiation survey meters and methods and
occasions for conducting surveys
c) Methods for controlling access to radiographic areas
d) Methods and occasions for locating and securing
sources of radiation
e) Personnel monitoring and use of personnel
monitoring equipment (film badges, rate alarms and
dosimeters)
f) Transportation to field locations, including packing
and posting of vehicles and control of sources
g) Minimizing exposure of persons in the event of an
accident
h) Procedure for notifying proper persons in the event of
an accident
O i) aecore keegina
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- ___-__ - __-_________
RADIATION SAFETY PROGRAM Secti:n: 7.0
PARTI Page: 4 of 10
A5CG TRAINING PROGRAM Revision: 1
V II
(N
an ASCG company
Inspection,
Inc.
Date: 02/10/98
3.1.3 Each individual will be given a written examination (Exam No. 2)
and must pass with a score of 70% or better.
3.1.4 Each individual must demonstrate by performance, competence in
the use of the company's exposure devices, sources of radiation,
related handling device, personnel dosimetry and other safety
.
equipment used by this company.
3.1.5 A demonstration should consist of the performance of a
radiographic exposure starting with the camera in storage and
ending with the camera being returned to storage. (Section 8.0,
Appendix D, Examination No. 3)
4.0 PERIODIC SAFETY TRAINING (ANNUAL REFRESHER COURSE)
4.1 These taining courses will be held at intervals not to exceed twelve I
months. The Radiation Safety Officer, Radiation Safety Supervisor or
Radiography Supervisor will conduct them. Records of the refresher
O course (Exeminetion No. 4) wiii be meee e part of tne redietion fiies.
4.2 The periodic training course will cover topics that are in our training
program and other areas that may arise as a problem with the
radiographer. Items such as:
a) Fundamentals of Radiation
b) NRC Code of Federal Regulations
c) Operating Procedures
d) Emergency Procedures
e) Calculation and Posting of Areas
f) The Safe Handling and Use of Sources
g) Transporting /3 hipping of Sources
h) Problems Encountered on the Job
Preinstruction on questions missed on any exams will be performed at
these sessions also.
4.3 Documentation and verification status of radiographer will be
accomplished by a QCC database. At the beginning of each month,
reports will be generated that lists radiographer whose re-certification is
] j#*
j,y
'
,e
3
coming due within the next sixty days. These reports will be forwarded to /
h, all Radiography Supervisors for distribution to the radiographer. j
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ - _ _ _ _ _ - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
.________ ___ ______ ____ __ __--_-_ _ _ _ _ _ _
A A5CG
lnSpeCtion,
RADIATION SAFETY PROGRAM
PART I
TRAINING PROGRAM
Secti:n:
Page:
Revision:
Date:
7.0
5 of10
02/10/98
1
p II V
1nc.
an A5CG company
APPENDIX A
RADIATION SAFETY TRAINING
COURSE FOR INDUSTRIAL RADIOGRAPHY PERSONNEL
INSTRUCTOR: Keenan E. Remele and/or Consultants, whose resume (s) may be
submitted to NRC for approval prior to training.
TRAINING TEST: Working Safely in Gamma Radiography
NRC Case Histories of Radiography Events
(in part or whole) The Company License, Operating and
Emergency Procedures
Manufacturers Operation and Maintenance Procedures
Safe Handling of Radioisotopes in Industrial Radiography 1
CFR - Title 10 - Part 19,20 and 34
CFR - Title 49 - Part 171 et al.
Video Tapes - Radiation Safety Training Series
O COURSE OUToiNE:
Part 1: Radiation, Its Origin, Measurement, Effect and the
Control of Dose:
1. Introduction to Radiation 1.5 Hours
l
A. Discovery of Radiation i
B. Structure of Matter
C. Origin and Types of Radiation
'
ll. Characteristics of Radiation, lonization and Industrial
Sources 2.0 Hours
lil. Units of Radiation Measurement and Radiation Dose
2.0 Hours
A. Units of Measurement
B. Theory of Allowable Dose - ALARA Philosophy
C. Essentials of Personnel Monitoring
D. Exposure Limits
IV. Hazards of Radiation and Biological Effects
""
O ^. "etvrei secxorovas seeietioa
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
'
l
(N
A ASCG
lnSpection,
RADIATION SAFETY PROGRAM
PART I
TRAINING PROGRAM
Secti:n:
Page:
Revision:
Date:
7.0
6 of 10
02/10/98
1
\
I. I
an A5CG company
Inc.
B. The Difference Between Radiation and
Contamination
C. Organ Radiosensitivity
D. Radiation Damage-Repair Concept
E. Radiation Exposure
1. Somatic Effect
2. Genetic Effect
V. Methods of Controlling Radiation Dose 2.5 Hours
A. Time
B. Distance
C. Shielding
Part 2: Radiation Detection, The Survey instruments, Monitoring
Devices and Survey Procedures
1. Radiation Measurement 1.5 Hours l
O ^.
B.
Dose
Dose Rate ;
l
II. Personnel Monitoring Devices 1.5 Hours l
A. Film Badges
B. Thermoluminescent Dosimeters (TLD's)
C. Pocket Dosimeters
1. Reading / Charging Requirements
2. Recording of Daily Readings
3. "Offscale" Dosimeter - Action Required
4. Calibration
D. Audible Alarms
E. Records
i
Ill Radiation Survey Instruments 2.0 Hours
!
A. Types j
1. Advantages !
2. Disadvantages !
O B. Functional Characteristics
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
.
l
RADIATION SAFETY PROGRAM Sectirn: 7.0
PARTI Page: 7 of10
ASCG TRAINING PROGRAM Revision: 1
- O_.- -
Inspection, Date: 02/10/98
lG 1
_ . . - .
Inc.
an A5CG company
C. Operation
D. Calibration
IV. Field Radiography 3.0 Hours
1
A. Surveying and Establishing Radiation Areas ,
B. Posting, Control and Surveillance of Radiation i
Areas
'
C. Survey Records !
V. Permanent Radiographic installations 2.0 Hours
i A. Surveying and Posting
B. Safety Interlocks and Security ;
! C. Area Monitors I
D. Emergency Shutoff (Panic Buttons)
E. Survey Records
Part 3: Radiation Machines and Exposure Devices
O The Operation, Maintenance, Storage, Shipment and
Transportation
I. Radiation Machines (X-Ray Generators)1.5 Hours
A. Types
B. Labeling
C. Radiation Limits
D. Daily inspection and Maintenance
E. Operation
F. Methods of Limiting Personnel Exposure
G. Radiation Survey and Survey Records
H. Transportation and Shipment
1. Storage and Security
J. Emergency Procedures
l
11. Sealed Sources 2.5 Hours
A. Types
O 8. ^ctivetioa
!
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6235 fax (907) 267-6480
1
RADIATION SAFETY PROGRAM Section: 7.0
PART I Page: 8 of 10
ASCG TRAINING PROGRAM Revision: 1 .
In5peCtion, Date: 02/10/98
an A5CG company
C. Activity
D. Encapsulation
Ill. Radiographic Exposure Devices 3.0 Hours
A. Types l
B. Labeling )
C. Radiation Limits ;
D. DLily Inspection and Maintenance l
'
E. Operation
F. Methods of Limiting Personnel Exposure
G. Radiation Survey and Survey Records
H. Storage and Security
I. Emergency Procedures
J. Radioactive Sealed Source Leak Test
IV. Transportation of Sealed Sources in Exposure
Devices 1.5 Hours
O 4.
B.
Storeoe end Security
Radiation Limits and Surveys
C. Posting of Transport Vehicle
D. Emergency Procedures
V. Source Changers / Storage and Transport Containers
1.5 Hours ;
i
A. Types
B. Inspection and Maintenance
C. Radiation Limits and Labeling
D. Operation
E. Radiation Survey and Survey Records
F. Shipping and Receiving
l
l
'
O
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
L__-__-_______-__-___--_____ _ _ _ _ _ _ _
RADIATION SAFETY PROGRAM Secti::n: 7.0
PARTI Page: 9 of 10
, ASCG TRAINING PROGRAM Revision: 1
O -
In5peCtion, Date: 02/10/98
O I n c.
an A5CG company
Part 4: Radiation Protection
The Regulations, Standards and Case Histories of
Radiography Accidents
1. Regulations and Standards 1.0 Hours
A. Overview and Purpose
B. Nuclear Regulatory Commission
l C. Agreement and Non-Agreement States l
D. Title 10 Code of Federal Regulations (CFR)
E. 10 CFR Part 19 - notices, Instructions, Report
to Workers
i ll. 10 CFR Part 20 - Standards for Protection Against
Radiation 3.0 Hours
A. General Provisions
B. Permissible Doses, Levels and Concentrations
O C.
D.
ere ce tio n erv eroce d vre.-
Waste Disposal
E. Records, Reports, Notification
F. Exceptions and Additional Requirements
G. Enforcement
lil. 10 CFR Part 34 - Licenses for Radiography and
Radiation Safety Requirements for Radiographic
Operations
4.0 Hours
A. Specific Licensing Requirements
B. Radiation Safety Requirements
1. Equipment Control
2. Personal Radiation Safety
Requirements for Radiographer
3. Precautionary Procedures in
Radiographic Operations
, 4. Exemptions '
O
301 ArcticSlope Ave.,5uite100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ - _ _ _ - - - _ - _ _ _ _ - _ _ _ _ _
RADIATION SAFETY PROGRAM Section: 7.0
PART I Page: 10 of 10
- A5CG TRAINING PROGRAM Revision: I
g In5peCtion,
Inc.
Date: 02/10/98
an ASCG company
IV. Agreement States - Reciprocity Application and
Notice 1.0 Hours
A. Specific Licensing Requirements
B. Radiation Safety Requirements
1. Equipment Control
2. Personal Radiation Safety
Requirements for Radiographer and
Radiographer' Assistants
3. Precautionary Procedures in
Radiographic Operations
V. Case Histories of Radiography Accidents - Part A
0.5 Hours
A. Reenactment of incidents
B. Incident Prevention Discussion
VI. Case Histories of Radiography Accidents - Part B
h 0.5 Hours
A. Reenactment of incidents
B. Incident Prevention Discussion
TOTAL 40.0 Hours
REMAINDER OF THIS PAGE IS LEFT BLANK INTENTIONALLY
l
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
. . . .
RADIATION SAFETY PROGRAM Sectian: 8.0
PART I Page: 1of16
A5CG EXAMINATIONS Revision: 1
-
I eCtion, Date: 02/10/98
an ASCG company
EXAMINATION NUMBER 1 -
Initial Training For Trainee,
(Appendix A) Radiographer and Radiographer
i
EXAMINATION NUMBER 1 -
Written test for Assistant !
(Appendix B) Radiographer and Trainees '
EXAMINATION NUMBER 2 -
Written test for Radiographer
(Appendix C)
EXAMINATION NUMBER 3 -
Performance test checklist for
(Appendix D) Radiographer i
!
EXAMINATION NUMBER 4 -
Annual Refresher Course
(Appendix E)
Key to Assistant Radiographer -
Appendix B
Examination Number 1
Key to Radiographer Examination -
Appendix C
O Number 2
,
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ _ _ ._
RADIATION SAFETY PROGRAM Secti:In: 8.0 l
PARTI Page: 2 of 16
l
I
A5CG EXAMINATIONS Revision: 1 1
Inspection, Date: 02/10/98
an ASCG company
!
RADIATION 8AFETY PROGRAM
PRACTICAL TRAINING FOR NEW HIRES
(Initial 8 hour training)
APPDIDIX A
EXAMINATION NO.1
TRAINEE
(Print) First Middle Initial Last
This is to verify that the above named person has received
l
instructions in the operating and Emergency Procedures and
- Regulations for Radiation Safety as specified below and has
l proved his/her understanding thereof by means of a written test
(APPENDIX B, C, and/or D) . Furthermore he/she has demonstrated
his/her competence by physical demonstration and by oral exam to
use, under the personal supervision of a Radiographer or the
instructor, the sources of radiation, related handling tools and
radiation survey instruments. This course is required for all new
hires, including newly hired radiographer and assistant
radiographer and for all initial radiation safety training.
i 0 The safe handling, retrieval and use of the sources of l radiation utilised by the licensee (Including examples
of dummy camera and source pigtails for the trainee).
O Use of radiation survey meters and methods and occasions
for conducting surveys (Cold weather effects on meters).
l 0 Methods for controlling access to radiographic areas.
O Methods and occasions for locking and securing sources
I and cameras, including how to carry camera (Do not pull
or lift camera by source tube or crank cables).
O Personnel monitoring and use of Film Badges, Dosimeters
and Rate Alarms (Including where to wear same).
0 Transporting sources in the field, packaging, posting of
vehicles and security and control of sources.
O Minimising exposure of persons in the event of an accident l
0 Procedure for notifying proper persons in the event of an
accident or incident with sealed sources.
l
0 Completion of daily radiation records. l
l l
SIGNATURE OF TRAIMJE DATE
(New Rire Radiographer, Assistant Radiographer or Train ees)
/_/
SIGNATURE OF INSTRUCTOR DATE _ / _ / _
O' sIGMATURE oF Rao DATE _ / _ / _
s = Satisfactory U = Unsatisfactory RADSAF17 8/95
l
181 Asie518pAsselee Aasewenwm Wewmanen wsna m l
!
:1
RADIATION SAFETY PROGRAM Secti:n: 8.0
PARTI Page: 3 of16 I
A5CG EXAMINATIONS Revision: 1
I
' -
Inspection, Date: 02/10/98
lnc.
~
.
an ASCG company
,._
l
AS!!!! ANT C:,0! C IC 3
RA !A !C?: S Ar :.. _ AF?CDIZ ! IIA!'. ft
macaLamaaro. WPLHa cr om uva opw =.:sg: :ca
Date ' ' l
Can= a:s name Las:. Fus: Ml) l
Cane:2:e 5:gna:ure
l
Exammer. Levei & Tiue !
i
' l
'
00 ren Answeft _ (T0:21_) Times ., . Raw S::re sg i
j
Raw 5:=re Times Gives Wergniec Gra:e of
1. *he basi: pris:iples for pr:ta=ti=n fr== icni:ing radisti:: l
are: , and
1
i
2. All Assistant Radiographer knust have:
a. 40 hours of Radiation Safety training l
b. I year of experience using radioisotopes
c. 4 to 8 hours ofinitial safety tranung with radioactive isotopes '
d. All of the above
3. What is the =r/hr readi g th:t distinguishes berveen a
restr:.:ted and a sc=-restri= tad area 7 tr/hr.
I
4. A dosimeter as used for per=cnal =ccit=ri=g in industrial
radiography wart sh=uld have a :==ge fr=m :ere to =r.
5. In the pr= cess of =nti:q :2di==r:phs, you disc =ver your
desi= star has been disc arged off scala you are tot
a.. Assume you will receive tetsi allowahle 14-4 t fcr that
211= badge paracd.
b. 2==ediately cal =ulate e= cunt of arposure by use of
Inverse scuare I.aw.
c. send in 111= badge !c: i= mediate processing and reading.
6. Sh=uld you lose ycur 111= badge, you are to:
Natify your supervisor or Radiation safet7 Officer,
I '
E. so
you can ne issued ancther 211= hadge.
b. Be more alert !c: health c: icers that they don't cat =t
you without one.
c. De='t let anyone know you have lost your film badge, so
7. When should a survey "-~~ent be used?
a. The: u==erts : at=ut radiation levels.
b. When in deust an=ut sour =e bel =q in the shielded positi==.
c. Dur :q any radiation activity or sour e =anipulataan.
*
Page 1 of 4
s
..)
301 ArcticSlope Ave 5uite100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ . - _ _ . _ _ _ _
RADIATION SAFETY PROGRAM Secti:n: 8.0
PARTI Page: 4 of16
- ASCG EXAMINATIONS Revision: 1 l
l ection, Date: 02/10/98
an ASCG company
1
1
s. one making a radiograph shall put up a- rope barrier and
display " Caution Radiation Area" signs at what nr/hr level?
a. 5 mr/hr
b. 100 nr/hr
c. 2 mr/hr
9. Radiographer making a radiograph, with radiation areas well
,
posted, happen to see an unauthorized person entering into
the radiation area, he should?
a. Eclier at the man so he vill see the radiographer on duty.
b. Give hin a 1seture on Radiation Safety, so he will know
c.
he is in a radiation area and not stay too long.
Attract the man's attention, that he is entering into a
radiation area, and should not enter. If the person
should fail to head warnings, return source to its
shielded position (or shut off x-ray machinal until area
is cleared of unauthorized personnel.
10. In the event you , as a radiographer, should have a
disconnect while making and exposure, and are not able to
return the source to the shielded position, you are to:
a. Notify Superintendent of Construction or Fabricating
company and stop the operation.
b. Recnecx your radiation level boundaries to make sure no
one could receive and exposure in excess of 2 ar/hr,
post guards to prevent anyone from entering radiation
area, call your Supervisor and Radiation officer.
c. Rope off a large area, notify everyone around that you
have a disconnect, and put source back into exposure
device.
11. In case of a vehicle accident carrying radioactive isotopes
you should:
a. call the insurance company stating damage done, then
call your company so they can get another vehicle
underway.
b. Set out flags and flares as soon as possible to prevent
hazards from once=ing vehicles. Get out of the area of
the accident so you will not receive and over exposure
and call 'four Radiation Officer.
c. Check survey meter to see if operable, try to establish
location and condition of radioactive material. If in
hazardous condition reps off as large area as possible,
send for police and send for or inform your Radiation
Saf ety officer of accident and the procedures taken.
Page 2 of 4
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480 _ _ _ _ _ _ _ _ - _ - - - _ _ _ _ - _ _ _ _ _ _ _
RADIATION SAFETY PROGRAM Secti:n: 8.0
PART I Page: 5 of16
ASCG EXAMINATIONS , Revision: 1
/N ln5peCtion, Date: 02/10/98
VIIInc. an A5CG company
12. Radiographer are required to =aintain certain safety
reccrds suct as:
a. Fii: badges, desi=eter readings and cecupational
exposure h ster 7 1
b. Dos:=eter readings, area survey reports, utilization
rec =rd of sour =e eteck is and out, and source storage
surveys.
c. Fil: badge, desi=eter reading, delivery fil: tickets,
and quarterly source inventery.
12. The unit of personnel exposure is:
a. The Roentgen
b. The carie
c. The Re=
14. overexposure te x-rsys or gn==a rays =ay cause da= age to
hu=an:
[
\ a. Biced ti= sue
b. Sk:n
c. Internal organs
d. All the above
15. What is considered to be a fatal done if applied to the whcie
bocy in a s:=gle exposure?
a. 25.00 =illircentgens or =cre
b. 125 to 150 reentgens i
c. 450 to 600 Re:S l
16. When usinc x-rsy machines, the same safet7 requirements as
neeced for radioac ve isoccpes are to be used.
True Falso
17. I-ray mactises are set radiation productive except when
energ :ed:
T: ae False
18. Coversi=q agencies for radiation centrol 'are only concer:ed
arcut overexposure te personnel frc= by product material:
Trae False
19. When your desi=eter goes off scale, you just recharge it and
go bacx te werx:
T:ae False
Page 3 of 4
.
,f
I l l
301 Arctic Slope Ave.,5uite 100 Anchorage AK 99518 phone (907) 267-6236 fax (907) 267-6480 _ - _ _ _ _ - _ - _ _ _ _ _ _ . _ _ _ _ _
i 1 ,
;
A
_ _ A5CG
ln5pection,
RADIATION SAFETY PROGRAM
PART I
EXAMINATIONS
Section:
Page:
Revision:
Date: 02/10/98
8.0
6 of 16
1
'
. . . . .
Inc.
an ASCG tompany
.
I I
20.
The
taxes" forhalf thelife" of a radioactive
radiation source is the time it
intensity (curies)
be reduced to one half of its previous intensity. of the source to
True False
21.
Radiation may be detected by man's five sensest
True False
22.
Survey
interval.
meters have to be calibrated at a nonth l
23.
The yearly allowed occupational exposure is:
a. 200 Rem
b. 5 Rea
c. 15 Ram
24.
The Inverse Square Law means that if you move a source twice
as far away as before, the intensity las
a. One-fourth as great
b. One half as great
c. Four times as great
25. A dosimeter shall be charged
hairline nears the high and of :ne scaAs. or whenever the
.
;
Page 4 of 4
1
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907)267-6480
_ - - - _ _ _ - - - _ . . _ - _ - - _
:
A RADIATION SAFETY PROGRAM Secti:n: 8.0
-
i
PARTI Page: 7 of16 l
ASCG EXAMINATIONS Revision: 1
O
D II
an A5CG cornpany
Inspection,
Inc.
Date: 02/10/98
-
,
1
i --
s a a - --- - e ;. r---' AF T'DT! C. UJ? 17 RADIOC" M IR CI. !C ICOI
i
n a :n u*u.a inem rwe.wa cr tuu trvn onse ::t:s::=
l
'
Ca:e _ /.__' '
Can:::a:e Name . List. First un
Oan:::a:e 5;; a::.:re i
I
1
Examine * ' evei & Tdie
.
!
C:rre:: Arswers ., (Tc:a1_) Times . Raw S::re % I
Raw 5:: e Times Gives Weign:ea Grace of
_
QTr:TIOns : 12 - 0 EC:I TEI "T Ir Tar sTATry.rn; :s Tntr, )
c:2 :.: TEr ..TnnoCGEr :r ar sT:T-:T :s rx:.":n 4
1. T F The strength of a radioactive source is naasured in !'
curies?
2. T F The radistien rycbs1 consists of a three-bladed sy bel
of nagents on a yellow bacxground.
3. T F Radistion is da= aging to living tissue. j
4. T F Part 20 of ther Ocde of Federal Regulations Title 10-
gnergy, cover: inf = =ats on aDout Standards for l
Pr:tection against radianten. 1
5. T T The late effect: fr=n radiation are nausea, veniting 1
and disrrtea. J
6. T F A *:.3 , the==1uminescent desi=etry, can repisce both
a 211= badge and poexet dest =eter.
7. T T The sa=e saf ety requiranents are needed vben using x-
ray nactines as vnen using radioactive sealed scur:es.
8. T F Radioactivity is the. spent 3neous disintegration of
us=tsble nuclei with the resulting esission of suelear
radiat:=n.
,, ; T The half-life of a given radioisotope is always the
l sa=e. l l ;c, ; F Our:ng a worhing shif t, you drop your desineter and it I breaxs, you cent: sue to verX until the shif t is over
over and get a new one the next day.
11. T T Rez ricted area say include sleeping quarters as long
as the person is not in tte area nore than a hour: in
any 24 sour per:od.
Page 1 of 6
L
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
..
__ _ _ - _ _ _ _ _ _ _ _ _ .
,
1
!
(~'
A
' A5CG
Inspect i on,
RADIATION SAFETY PROGRAM
PART I
EXAMINATIONS
Secti:n:
Page:
Revision:
Date:
8.0
8 of16
1
02/10/98
. ..
In c.
en AscG company
12.
T T Children are more radiosensitive than adults because
radiation
activity anddanace
inverselyis related
relatedtotntheir repr:due:1ve
differantatton.
their degree of
12. T F Radiation may be detected by man's five senses.
QUESTICNS 14 THROUGH 25 - FII.I. IN THE MIESING WORDS
14. The three best means for reducing radiation exposure are
,
and __ . l
15. The three basic building biccts of the atom are
, ud
,
16.
The yearly occupational dose for an individual is REM
per year.
.
-
f 17. ar/hr
A restricted
readingand non-restricted
at the boundary. area is defined bI a '
d
18. The preferred devices for measuring radiation exposures to I
Radiographer is the and .
19. The
exposure to sne is the best method to measure radiation
ranzographer in the field so he may know unat
type of exposurets) he is receaving dur ng the day.
20. A "g GR RADIATION AREA" is defined bY - Er/hr reading.
21.
ar/hr is the maxi =um allowable surface reading of a
container that has a radioactive yellow II label?
22. The transport index for a type B shipping container that has
a surface reading of 85 mr/hr and a maximum readin5 of 4
mr/hr at a distance of 1 meter is ,
22. I.e ak testing of radioactive sealed sourecs are required at a
_ month interval.
24. Su: tey meters have to be calibrated at a _ month interral.
25. A shcrt term exposure to the human body sould be that amount
of radiation received in dtys or less.
Page 2 of 6
(
,
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
O
A -.
ASCG
Inspection,
RADIATION SAFETY PROGRAM
PARTI
EXAMINATIONS
Secti:n:
Page:
Revision:
Date:
8.0
9 of 16
02/10/98
1
,
Inc. .
an ASCG company
QUESTIONS 26 THK0t*0H 40 - CIRC.E THE '.E n ER IN TRONT OF THE
.
CORRECT ANSJER
26. In industrial radiography worX, the dos :eter used fer
percenal =esiteras; should have a range frc= :ere to:
a. 1,000 =r
b. loc =r
c. 2cc =r
27. While worxing in the field you suddenly find that ycu have
lost your film badge, you are to:
,
a. Centinue to worx and get.a new badge in the =crning. 1
b. wat=n out fer the Radiation control Inspecters.
c. Notify ycur Radiation Saf ety Of ficer and step worX until
you have received a new badge.
28. while working in the field your desi=eter
is off sesie, your re:pensihyou .litydiscover
is to: that
a. Rectarge ycur desi=eter and centinue to verX.
b. Calculate the a= cunt of exposure you have received and
centinue to worr..
c. Step vorx, notif*j your Radiation Saf ety Officer and have
your badge sent an for t==ediate processing and reading.
29. The unit of personal exposure is ths
a. RAD
b. Roentgen
c. Re= l
d. REE
30. Dose =ay be defined as:
1. Rate of chrcnic exposure
b. Intensity of a radiation field
c. The rate at whict energy is absorted in catter !
d. The a= cunt of energy atscrued in a quantity of water
31. A pc=xet dos =eter shculd be recuarged at what interval?
a. when it is off sesle
b. Daily
c. Weex1y
d. when :: reaches ic: =r per day
Page 3 of 6
l , ! l l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
RADIATION SAFETY PROGRAM Secti:n: 8.0
PART I Page: 10 of 16
. , . . A5CG EXAMINATIONS Revision: 1
ln5peCtion, .Jate:,,,,,g}Q O/98
x -
. .. .
I n c.
an A5cG torrpany
32. The thichness of any material necessary to reduce the
intensity of any I or Gamma Ray to one-hall of the original
strength is called the:
a. Beam reducer
b. Half-life
c. Half value :.ayer
d. Quarter Mode
33. The Inverse Square Law means that if you increase the
distance of an exposed source to twice the original distance,
the intensity will be
a. One-courth as great
b. Tutes as great
c. Half as great
d. Four ti=es as great
34. Scaled Radioactive sources must be leak tested every six
months. The removable contammation must be less tlun:
a. .005 curies
b. .005 millicuries
c. .005 microcuries
d. None of the above
35. For the general public, the recc=nended radiation prctection
guides are lower than those uno are occupationally exposed to
radiation
radiations
because of which of the following effects of
a. Sc=atic
b. carcinogenic
c. Genetic
d. Lifa span shortening
3s. Surray meters used by radiographer should be able to read at
which range of intensities?
a. 0 - 200 ar/hr
b. 2 - loco ar/hr
c. 2 - 100 ar/hr
d. o - 100 mr/hr
37. The "CAUT CN RACIATION AREA" signs are displayed or posted at
vnat nr/hr level.
a. 10c nr/hr
b. 2 nr/hr
c. 50 nr/hr
l
Page 4 of 6 ;
l
O l
j
1 -
!
.i...
,
I
i
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax '907) 267-6480 i
i
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ - - _
A ASCG
RADIATION SAFETY PROGRAM
PARTI
EXAMINATIONS
Sectiin:
Page:
Revision:
8.0
11 of 16
1
p. II
,
n5peCtiOn, Date: 02/10/98 I
V lInc.
an A5CG company
I
.
I
i
l
.
1
38. The Public Health Ser. ices basic philosophy in assessing the
health aspects of radiation exposures can be best expressed
by which of the following statenent27
a. To reduce all radiation exposures,
b. Any unnecessa:f exposure to radiation should be avoided.
c. Since man has lived with it for years and there has been
no visible ef*ects, any in=rease would be of no value.
39. When you are verking in the field as a radiographer and upcn
ersnxing your source back into the camers after the exposure
is *inished, you see that your survey neter is showing an i
'
ahner=sily high reading, you assune:
a. Your survey meter is not worXing I
b. That your scurce has not returned to the shielded l
position and you should post the area and follow the
prececures in the operat ng =anual
c. ' Disc =nnect the source tube and find out where the source
is locsted
l
40. In esse of an emergency, such as an autcmobile wreck, and the
ver. cle is esrrfing radioactive =aterials, your responsibility
/)
( would be:
a. Report to the insurance ccupany and call your ce=pany to
ec=e picx you up
b. Cheex your survey meter and try to find out the Icestion
and cendition of the radioactive matertal. If a hazardous
cendition exists, rope off as large an area as possible,
and send for the police. Send someone for your Radiation
Safety officer and notify hin of the procedures you have
followed
c. Get so= cone to watch the wrect while you go for help
QUrtT::NS 41 THRCUGH 50 - PERTCR.. THE INDICATED CPERATIONS
41. Describe the steps you would take if your source been=e
discenne= red in the *ield.
42. What are the records that you as a radiographer are required
to = axe daily?
Page 5 of 6
l l l l A
U
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ - _ _ _
RADIATION SAFETY PROGRAM Sectirn: 8.0
PARTI Page: 12 of 16
i ASCG EXAMINATIONS Revision: 1
O ln5peCtion, Date: 02/10/98
i Q Inc. I .
an ASCG company
l
43. In setting up an area for perfor=ing industrial radiography,
i draw a small diagram and show the infor=ation that is needed
on your Daily Job Sheet.
l
44. You have a 100 curie Iridium 192 source unshielded. What
would be che dose rate at 50 feet?
[ 45. Radiography is to be performed with an 80 curie, Iridiu= 192
'
source utili:ing a 2 inch steel shield. At what distance sust
the 2 mr/hr barrier be posted?
46. Using a 20 curie ccbalt 60 source with an exposure time of la
minutes / hour, at wriat distance must the 2 mr/hr barrier be
posted?
47. You get a dose rate of 500 mr/hr at 2 feet grom a source.
What is the dose rate at 20 feet from the source?
!
48. The half life of Iridium 1'92 is approximately 74 days.
Considering a 104 curie source, what is its value in eur es
after 2 half lives (a.)? After 3 half lives (b.)?
l s
l
i
a. b.
j
49. Till in the gollowing values:
R/hr/ Curie at 1 foot for Iridiu= 192
R/hr/ Curie at.1 foot for Ccbslt 60
50. What is the maxi =um reading a(cr/hr) allowable at the
boundar/ of the "noped off Aren if you have 10 minutes of
exposure during any one hour?
Page 6 of 6
301 Arctic Slope Ave Suite 100 Anchorage, AK 99513 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ - _ ______ __- _
O
A- - ASCG
' Ins pection,
RADIATION SAFETY PROGRAM
PARTI
EXAMINATIONS
Secti:n:
Page:
Revision:
Date:
8.0
13 of 16
02/10/98
1
O lnc.
an AscG company
RACIATION SAFETT PRornAM
l
RADICT.AFEIR PERFORMANCE TEST
(Hust have 7 eted 1 40 hour
Radiation Safety Course)
. I AFPZ2iCIX D .
EIAMIITATICH NO. 3 {
RAcIOGRAPazR
(first Macdle Initial Last;
SIG2 ATURE OF RACIOGRAFEER
This perf or=ance test shouac consist of one or =cre actual
film exposures or simulated exposures perfer:ed by the individual
being tested without the assistance of any other radiographer.
This test is required for all new hire radiograpsers as well as
newly qualified radiograpners.
O Removal of exposure device from stcrage vault / container
I a. Signing out the expcsure device on the utilization icg '
b. Surveying the expcsure device (Camers)
c. Perf or=ing a daily inspection of the Camera and accessories
o saf sty equipment utilization
a. Survey meter (Two survey meters required in cold weather;
b. Film hadge (Preperly located on radiographer)
'
O c. Pocket desi=ecer & rate alar = (Charced and calibrated)
d. Barrier tape and preper radiation signs
V O Surveys
a. Surveying camera to insure source is in sate positien,
naking sure survey meter is calibrated, working preperly
and reading radiarien ,
b. Survey of the peri:ecer of the restricted area i
c. Survey of camera and source tube after each expcsure j
d. Survey of =amera befcre rern: ing ca=sra to stcrage i
s. Survey of stcrage facility ,
,
'
O Calculation of restricted area and posting of barriers
and warning signs (Including high radiation signs)
0 Use of available shialding and collisater
0 Camera locked after each exposure and before moving (Does
radiographer carry camera and accessories properly)
0 Source retrieval precedure perfez=ed preparly (Including !
use of retrieval tecls and pigtail identificatica)
O securisq crant out asse=bly, source tube and replacing
dust covers and safety plugs
0 Sterage vault /centainer secured and locked after surveying
and returning camara *a stcrage
o Cc=pletion of reecrds
a. Utilization Leg / Daily Radiation .Tob Sheet
*
DATZ ~/ ~/ ~
'Raciation Satecy orficar or
Designated Representative
8= Satisfactory U= Unsatisfactory RADSAT1B 8/95
l 301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
I
l
j RADIATION SAFETY PROGRAM Secti:n: 8.0 [ PARTI Page: 14 of 16
A5CG EXAMINATIONS Revision: 1
ln eCtion, Date: 02/10/98
an A5CG company
RADIATION SAFETY FROGRAM
ANNUAL REFRESHER COURSE
(Four Hours of Instruction For Radiographer,
Assistant Radiographer and Trainee)
EXAMINATION NO. 4
APPENDIX E
RADIOGRAl" .a
(First Micdle Initial Last)
ASSISTANT RADIOGRAPHER
(First Middle initial Last)
OTHER TRAINEE i
(First Middle Initial Last) l
4
This is to record the pel-iodic training that the above named
individual has received in instructions on the Operating and
l
E=ergency Procedures and Regulations for Radiation Safety as
specified in the training elements below. He/she has shown their
knowledge and understanding thereof, by means of discussion and
oral examination, and possesses the ability to comply with
licensing requirements. This training should be a minimum of
O. three (3) hourstraining
This refresher classroom and oneevery
is required (1) hour of field instruction.
12 months or less for I
all personnel who are trained to work in radiation areas
regardles: or how often they have worked in radiation areas in
the past 12 months.
O Radiation saf ety training series 19A, B, C, D, and E.
(series E requires reading section 9 of " WORKING SAFELY
IN GAMMA RADIATION")
0 The safe handling, retrieval and use of the sources of
radiation utilizad by the licem.as (Including examples
of dur.my source pigtails for the trainee).
0 Use of radiation survey meters and methods and occasions
for conducting murveys (Cold weather effects on meterr).
O Methods for controlling access to radiographic areas.
O Msthods and occasions for locking and securing sources
and exposure devices, including how to handle and carry
the devices (Do not pull / lift by source tube or cables).
O Personnel monitoring and use of Film Badges, posimeters
and Rate Alarms (Including how and where to wear same), j
0 Transporting sources in the field, packaging, shipping,
poeting of vehicles and security and control of sources.
O Minimizing esposure to parasas in the event of accidents
0 Procedure for notifying proper persons in the event of an
accident or incident with sealed sources.
O completion of daily radiation records.
SIGNATURE OF TRAINEE DATE / /-
(Radiographer, Assistant or other trainee)
SIGNATURE OF INSTRUCTOR DATE _ / _ / _
SIGNATURE OF RSO DATE_/_/_
8 - Satisfactory U = Unsatisfactory rAdSsF17 9/95
i
l
l
'
3M ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
N___- -_ ___
RADIATION SAFETY PROGRAM Secti:n: 8.0
PARTI Page: 15 of16 )
. - -. 7 ASCG EXAMINATIONS Revision: 1
Inspection,
'
t .
Date: 02/10/98
-
... .
.
-
- Inc.
an ASCG company
KIT TO A55:5TA';T R.C:002APEEF. O*A.MI iATIO!? :!1, APPE ! DIX 3
1. Time, distance and shielding
2. 3: C w 3y, y3
3. 2 =r
4. 200
5. c
6. a
7. c
,
8. c ,
l
l
9. e l
i
10. b l
1
l
11. c l
12. b
13. c
14. d
15. c
16. T
17. I
18. F
19. F
20. I
-
21. F
22. 6
23. b
24. a
25 Daily
O
301 Arctic Slope Ave, Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
--- _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _
f
A ASCG
l eCtion,
RADIATION SAFETY PROGRAM
PART I
EXAMINATIONS
Secti:n;
Page:
Revision:
Date:
8.0
16 of 16
02/10/98
1
l
i
-
an ARG company
i
Ka' TO RADICGFJJdEH E7dMINAIION #2, APPENDIX C
1. True 26. C
2. True 27. C
3. True 28. C
4. True 29. B l
5. False 30. B
6. False 31. B
7. True 32. C
8. True 33. A
9. True 34. C
10. False 35. C
11.. Falue 36. 'B
12. True 37. B
13. False 38. B
14. Time, Distance, 39. B
Shielding 40. B
15. Neutron, proton, 41, 1. With a survey meter, post your
electron area at the 2r:r level.
2. Send someone to notify the RSO
16. Five
17. Two 42. 1. Utilization log
2. Daily Radiation Job Sheet / Report
18. Dosimeter, film ban.ge 3. Dosimeter records
19. Dosimeter 43. Student opinion / sketch
20. 100 44. 236 mrem /hr
21. 50 45. 121 feet
22. 4 46. 154.9 feet
23. 6 47. 5 mrem /hr .
24. 6 48. a. 26, b. 13 ,
4 days 5.9, 14.5
Q 25. 49.
50. 12
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _
RADIATIGN SAFETY PROGRAM Section: 9.0
PART I -
Page: 1of6
A5CG RESUMES Revision: 1
ln eCtion, Date: 02/10/98
an A5CG company
KEENAN E. REMELE - RADIATION SAFETY OFFICER
O
l l
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
______ - _ _ - _ _ _ _ _ _ _ - _ .
- - _ _ _ _ _ _ _ - _ _ - _ _ .__ __
.
)
W--
Keenan E. Remele
Work Experience
December 1992 - Present
CTI Alaska,Inc.
4831 Old Seward
Anchorage, Alaska
December 1992 through February 1996 was Lead Technician for Phillips
Petroleum Co. Corrosion inspection Contract. Performed Ultrasonic,
Magnetic Particle, Dye Penetrant Visual testing in the Kanal LNG Plant and
Tyonek Platform. Position included doing layout of piping systems in
i Autosketch, database corr.Aling of all data from inspections, maintaining
all piping and vessel filet.
l
-
February 1996 transferred to Anchorage office to assume duties of Safety
l and Training Managerand Radiation Administrative Assistant. Position
included, but not limited to, new hire OSHA training, Eight Hour Radiation
Safety Training, maintenance of all training and certification files, file
management of all Radiation related paperwork, calibrations, document '
control.
July 1988 - September 1992 .
CT1, Inc.
Martinez, Califomia
Lead Technician for the Automated Ultrasonic Testing program.
Perforrred Ultrasonic, fagnetic Flux Exclusion, Magnetic Particle Dye
Penetrant and Visual inspections on pressure vessels, p! ping, and above
ground storage tanks throughout the United States and Alaska.
August 1983 -July 1988
Ultra Technology Inc.
Prudhoe Bay, Alaska
Senior Radiographic Technician and Assistant Manger. Duties included
film development, interpretation and filir?g. Managed all Radiographic
.,
__ _____
_ _ . _ _
___ . -
A crews for the ARCO Corrosion Group. Was Lead Forman for Extemal (/ Corrosion investigation program managing approximately 160 personnel.
e
1978 -1983
Various employment opportunities ,
1973 -1978
United States Air Force
Was given an Honorable Discharge as a E-3 Jet Engine Mechanic.
Education
A.A.S Welding Technology - 1983
Anchorage Community College
A.A.S. Liberal Arts - 1973
Community College of the Finger Lakes
High School Diploma -1970
Clifton Fine Central School
Professional Certifications
API 663 - Above Ground Storage Tank inspector
#1661
4
a
0
-- - -
Keenan E. Remele
Work Historv/ Qualifications
September,1983 - July,1988 4
Ultra Technology, Inc. I
SNTC-1 A Certified Radiographer Level 11
July,1988 - September,1992
CTI. Inc.
SNTC-1 A Certified Radiographer Level 11
December,1992-February,1998
CTI Alaska,Inc.
SNTC-1 A Certified Radiographer Level ll
.-
March,1998 -
ASCG Inspection, Inc.
l SNTC-1A Certified Radiographer Level ll l February,1996 - October,1998
CTI Alaska,Inc.
Raditaion Safety Administrative Assistant to Mr. Sandy Watson, RSO -
'
October.1998 - February,1998
CTI Alaska,Inc.
- O
i
a d't'o#s <tv^d-i"'tr*'v ^ it"itoara "^rv o".aso
! February,1996 - February,1998 ' ,
CTl Alaska, Inc.
l Authorized to teach Eight Hour Radiation Safety to new hires. I l March,1998 - l ASCG Inspection, Inc.
Authorized to teach Eight Hour Radiation Safety to new hires.
Education Historv
,
August,1983
A.A.S. - Welding Technology
100 Hour Course in X-Ray and Radioisotopes - 40 Hours Radiation Safety
July,1988
Eight Hour Radiation Safety
CTI, Inc.
, Annual Refresher Courses
December,1992 !
Eight Hour Radiation Safety l
O CTl Alaska, Inc.
N - Annual Refresher Courses
;
p ,
., .g* g*e UNIVERSITY
e,- - * , , , - c rm e e _ g 3 y ,,- r c a, e
'
me/REHELE/kEENAN*E M Nw i
pW
stuothuwek - ,.
_ . . ;M h,h W--
, /we y p 4y pwxeg;,4 n .t ye
-
-9 dfg ?@Q g(5 fQgM M ECQ%y a @ p
.
n ..
% k, ur%g ,- . ... ... $ .M L. , 6 d r- .....
,
( . b.pJf.pj7
7,P; EARNED d ( HOURS"INLCUDE'
p 6 ?y, M M ACADEMIC"{RECORDfY.'.h.M
PRIOR UAVWORK.,',M G Q, Q .h
WW %
.
a.
k, ww %e,,.
__. __-
m;b
I ,BECUNDARY3dtNdotIsl %wed M [j %MM M M@
q+q% U Qed)
#
*
mn Q p] nsiNE14 Ad * YORK %
wa%d r ermN P4 ti
*4ne %l}i * T.'.'.LS Wp (';W
"
y g?9 h *$.'{,Fre:QD.'- h.4--.L_Q21990 lF L'.t.M [ig,$.@ #$7
*
,
N ' AVE A495fA"DOf. TECH * EXPERIENCED TEGIN W a* D w @Id'~D
*"A
HR9 MGkT
9% Y E**' ??UJ4T"TUZm*S" WEIT bdCURRENT'(QI 4io ADV"
7Z.LMWAHRS NONDESTRUCTIVE
hMM0143.'& . {dEHRB{p@
% /RGh[tg E "% .CUNULATIVE(; t!, d 60 O$f 9910? ,#3;O M12'.
%m med f h.im.7 m q mh.v,,,J.=.m g
rw- .w w . W.~...M HEN,D
.gym pw n,.), OlgACADEljIC[RECQRD)g
t.s -si fgw %, ..Yg+eeM--e,;. 92y
m e ., <
+ wu s **# &wus %, [ g
..
+ ie .t .W Mit b We Ltm# 8 )%Eg
7%e
.c
~4,6on.. g 88,I" % # y q " M%4b ,'.9 p. h.b
f O r 'r'*^/ k .bh Y.EdI,4aA
g & e'y [w ,5+ww e
m g %.a ~. et
4 t: w
t. m w .st y
ymm} eW=.. .ww w
.QuQe4.m..m ing ,.a
en
4.* nh .n.,;y nn
e?
awww w.w. e,,qs
ka d...pg # .e"s 8.b d a 'if d d..:s$
M. _ I4 J.
y
re
or% w... w .a p wiceg#y m .~..# n. ,,,a . w
a . . 'n ye% . WW " %
. 4 t u d. A .*
.
A &2 ., 4;4*n p~ % gag.jwgg. 74
2 %,. F% $m .gnqo v t.nw-em yy. 4vtg m gym
t; . ' .
t s'.a
mu
ha#, C ta.gs.,' .p
wy uns 2 - em
. d" gg xm.;d..
Q s
,
#
.,9 w, L yt byme a d.;,.yn r.pg. ,tr,. y u,,, *
%3
.
.
.g. ye w .A,f, e,4' (m$ d. .t,k49 9 r maw,, % w
t %,
noy
g
w ..,,m e7 c wg5 . n. y[a
m hmew yw @, J swuw:
,
..n
w ) m, m,~.9 y..m-... m
wm.amen,m..dwm u
a.w -. ..tp ..n. ..v. .d:w~p. m... -- , J.a .,e ....., w ;:. I
pn%,p 4p. Se r t. A p.a.m.. ,,
.
e ry .. g. .
w pr w Qpe,i.. .. . Ws a 3gge,sma. M, g ymasse %* ~ esame . ,%m we
.
e.o
, k n.
..y
,a,, y 4wne v
h h m .w.w.+
'ef * 4 V .
#a4Y k O .
gs pt1f .e.w ,s$rd* ' jgg 4.e w wfm'4,-M,*I)m ev {'+g^v{m;
e. p,y. Am
a% a q9
.
.t w
< ,. + s: y <e@sq
we
w wp4.g e
e %,. ,%. tq- -w F.1 m.,eaeL.**%, r a,m
4. e: w 3 .. . .e*w m w a n af tt p s.
,
, m a 8.
n.**
s eem em y. p~ - umt y ro w ww i
p .....g .,e.**- t.; 4, + m ~y;,w a b . w@=[gj%' g g
u.o ..v.eega y ye a *f
,
.Q", e1"? dLa@ d? g esaC.a #tv$ag M 5, p# ,M,e a M4A
% n 4f.. ,g f*i ,, ,, cg%y $ag g m;W M .m n g:
..
3,, .
% 5EL g;f % %a -stm.o Q ,.n,,fsf .- L,,Q)*- f
W ' A .iAv& %mpirR.
r e % n~
w s
%w a.;ki_N..%gq 4 w
me>"*9~,N .w av ie ,9
s
& w wd
g me m np m' bsm.
. .
+,
(,v e peem m py n s
,
euW*k.w w + p:aepH
(> e.ns
" w s3 W,4 m)0 p.-. wp
1- .
e, mam 3 Cg- me . n.#et -h wy rQ f ".[p W& . w t- *-
5 *i
Wah. %.ki.e m d_ a% $tbk ,.',W;p p gm mar
.
o , m um ans&p?*gnktr .%y ew ;%y; / nju r ;k "y& y)y%w'* ,p ne6g
"%f(m
, n .a.*m,. s.)t rk a wn. . ..v.m
c ". p % p ,,,:p,n%,wuw,1g m.aa*m. g. ar p . a .nw, w.3 p.eemm nv m 9n
$n,.om.agr+e mmm.
.
s sy vw
wty
M w rnc? e e&>spws r was C' .a.w
< > : .>t u. w &so
w ,t m o %a y Q ~v .we , wm e, m.,
>
,m > a - t.v.# ,, w een a d,, . e&- ,,ygtwo. .%we . m.x
y
s.m w
'? Lp'%dy,)pF*tddy ) f %fp&n>~
t .
-t m
fp,bR U9f.p,;.Y % #
G@.] y$+ ,
.s- . . . o at so j p +g g e
-
.
, ,C. e_wde e , -g, Q ysAAa*, dQA WF @
_
Q, w. gw., g.4% R %Fw%w
w #
4, A_ c #..
.4 x e -4 % 9 % d*1 w# erh .p (./. c: . p.
* tr
yF e s
a
e..
a -s %.yr i. J P~
m te f.
*
'
gs i
, ,, *e f* a[ .'1 ,.a %;] ,m,,afuf. f.yfram,t*y;$4g Q W. k& y** %M,u,eni km j.0 %$
,,
- . . .
y
a%,%nmm n- u~Jenrrm. .w
..
#. F.#a
-
W W . .yWg h %, ss 1,b.,.cy E,
y
Mill
.. _g ga.. Riti.fR
.
y .
. % h:,*teF"%.m
4.
85
xrv,yas
* m;e,rynewnprW Wassyg < w,, o 1 e -n*
, *g m %g
n n.;, y s enra ,e e r n w&.e 4 3 ,,_ .
,. ,
.
5 w p r.dw <.a 3.
1m
ws M enn nG D SMv L WT Rcw n
hf3i ~ . ), p#*m e~+4ip .a*EP
G
- * " ;; f THIS OFFICIAUUNIVERS!TY TR
""%. 1
r]P - .4g . -r * PRWTED.ON e < SEC.URED P -
. . .. w e o. . . < _ < 3, , yyy
;Qbector of Studen.lfycordpfm.. ; ,
'
, y ; J.g y e-*y { '( g y
-,
,A , U,niversity of Alaska Anchorage'" ' "
-
,m ,
4
o ma ,,, M i: _
a ,, Anchorage. Alaska 99508-4670
.
.f o .m ..n a u 7^. , , y "' + ,, , -
OUAlt1'
CREDef
"4 ' OUAUTY '
~ * ' COURSE
~
M.MBER r- a' GRADE
+3 : r" w ,yg u ,, POINI?
-
,
+ r , l", .4~ COURS. E TITLE HOURS
w r i,PO. tt. sis i w. I M4,,, . - - . y6 a i %, . . . . . .
- %
..
3 ,.
i .
5
ie .~na f.97Y
.
ft 1 - . a .a ,. u.. .u r.ns . e em .r e .-,.or ago .. g ., , ... ,, , . . e,m .e.a.e v nr n .s.,n.a e.nt i so..
.
. . .. ..
v .(y.
..i ,ts e s .. : orsenr.r r i,i .,
E at . rare - . *@do.uem b .me9 n*b.*.1 a se w.t*vhfe ***vA*< e s aetoc*'eraar. a&rm? .m. s x#,s. . +v..""h .w s .
.
f ersta ou .ma*. ,S s W wu p T VU M*\%t A9thc.sauc .w r es ost+ne.as.r.*
n-
4 .w b' 1,
s.n
en h.N
fM
c. f'ela# ew6,es 6 '. .f'v. 45 4 t G. At.a tm:.m'es
f sif* ',*h y
si.aws.r.E
e,mve mass e t ; n a,.cs ~ n' . sis e4 . . met re n*4ev
p a ne.w%.Lifeves.riry *.;, as i ana s.4husua o ', -y. .
us&a v a " t . . 8 .
t .v
3.er a -
;
t.gec.y. p n,..): y 4 , ..p,, .,mij.agi g t ,w,. n% t w e e cnnnae w . e.sa.veren e .e ni.p 4, ,...,..,. si e
e menye.. . . wee . t.yu *. . ,n . ,r e s n.
)
.
g,,_- g Wm- w sw n.f % - ris. ++ %toi a ) <>r taeett>r%ctt1Hai a ... . e ,..c t
sa
'/t v *8' ##N '. *e*f*! '*"f ' f'8 t' i u.t * ir'W.u's"#t of.8 i , '<t +^.gb ur
: .'
A ar'C
a(
.
s- id w *P J = */ *r '%.tM *% 9 aA4ra"v'r s . '.r 4
-
4aq.* .=
to. m. w ' +y,w - ' hw/r6Liv F- es p ' ;( a.,4,att 4 gi.ac n g.,g , ,, e png? Y
M ,g gg y q,,5gsth,.
x. A * - iT . * t 40 aty w r uf '"8M .24 v U 4149
ias e .curv rr 8**.'
7. x ' s a wp p t < + e *I 'r# e u
i 4 grymdr *wsw.r tn.
a*W
As +
Uf ( ig
wei.enw #, #.p.t
v .+a
s.1 a hf.r.r
.,sca *-aa .
f e
s.a.+ is s
sear,ef
enavr .rpsm r.*:t. -
e n *.fr ar * .a'
qet Qq s/,...*TQ o.. '
/
y , a*t all'w 4' .t te u M'm< *verwa'rsv e'*
e u A ** 7. avegr.tw y pa
4
I- 9
. ., J',34E.,. n,no aus v .U*yyr -a.er .'d. ..*.As ar.w$*a 4. : par.t.'.s
rO
-[. +./.t p% .,t 5,,l e.9 i V nur , n
JMt4tt y
'4 s, . .***.?,u*.'.*.W.
.,r tve5 %If%5" me, / LP.99,4.aMi - . me .en ;rv* s C. .N. a,N,u,r, a,..9.M.a
0 ,P,f* .. * .a.r',* ..
w.m,.cr,#, , eA +** d *,u tua ery % a~ :ssN"""'^^"""'
M A '%s'ec >rarna g erw nmit se a. t..m. < s, ere. w u.u .sv.,w
* % * . % t,t - ,h en * t*
M * . i -
***"'**'"^"'*^**'"*'"'""d'"
A*.c *>wime . ore ,p t.9 7 f ie .u.t.f.* a dru.NPet.o . .w se e
" WIN '-- i @9.
* *..T.- , 6".M mc'O<[: .'.
7p h1. yr {"*Q* ,O.2 Q #, A ' .Iu.r'.
ma .1 r3./M'H;
-
,4.m m
* t"t us en* ft G9 AL A%a s400e gne: . wrave r.t q r.y M a ,
g, *
n su M .p* iem .tg tW s e 8(+ '8r rtrN.
Hopana fL a t itERUf
u"rvf
vt e4.s'e f **
e a.F at
t
af'U
at.se.P * a ANr ,
9 0.%A , , , .>
aen..ed.imut
.
4r n a aser..ep. s 4
av.c1;;at,. . uteva r , t v t F /a as na anese.3ri get ..sm;no. ,.i,.a.s.g e njtgyg pgegy+. 'r:.. sf e pt At a.,ce a , m. .ro.r em
pr wrvatanasc gaW wvoi;',ar
4 a a C%.. gi .M. a t 'yM*# . # U Ant -
nm, A s,ak a-v M.icr',1sifu tv. r at
.aaai n === <e . - :
4' . 0 0 0 *, %y te . a num>ru ~n nur er as w a.ni ~n e n: e: s:-
+
*tnew e m* y f.'* = s
- 9e P4 [ #.M's v*%~*A., a a 4 kW**a.se .m.*si,in . x v ~ *m. uwr.sm.+r,=r=ai at .n.e..n.ur n a... a.'.
e
<re . cwt
nt e
aee,' u. *a.c,r. ..oa - =.<s.* v. r4 ne,rves.t.e,t
.
.* e a,se ce n st e.p'
84.000 gs.Fn ,, .;n.p<o a:n.x a,u,i a.t n.oa
or te
-
,#i
ir..is,e. ... ve.wr ur u atasu a.r.4.u.:.t
an Jnac.r
ai a
mr1. w;. we.m.v.t v o Atas
. , .....a..e .mr e .ser*.s*
u te". . ~
mg, sa . .
T ,,
9,
syAq , .. 3a6e -
iq. N m & pn 54155.*ve *:
a
untt,8atab aa.
n'aca* mar.1w%f f. *p#rinar,.c
cv er *e
orrvp *fy ver s.ti.sma a*;*s i4.t uenve .edts
i is.
a .s . M **v a * 's.. *.e==r,e .univtnern (w gi. pena ac
e ut a.. .:
#*rJ, p-/;:gscN.s. . -ry.l.t ~~""A,s.d*"' O Pr**.'< 'I * tmt.'aerV f F ti e nt a eas( ngant. . e-f # /tr,9'.t t **rutests
.;*r st s t e s. * A s w a;nsa str' &vm ert s t.s oe n s a sw. ses.r .senoems
e.t aw
tre at
s * *a* 'A'* * M. Ifa
re
'- t t'5r s. . * *
: .t -se.'n.nvrtv . a
..A
'sn %.! f'f **. ~v.u.6..) , p) pf,o%" w.(>
1,, - +
. cr E.w.o.a ,un* Pat .,:n c,r aimr ,w. a:ar irm. 4 Ouim :f v er au e.e."?
-
me r f,ra: b r nnacJance. w v 3 ru.
i rmos t. = a , . i .r . <<<: r u s ' * at aA * .* =.t v .
f, -gf. ,P 3 a yn 2--- 73 4 sb ets * kr a e.*ae:cpe ne.e .os a memes
or.s ir
t vr t e no n-c smu" v~r as. u .s . aw m aer .nm,,t v e .. . .t
wr~ h,,- t"%. ;* *6 A...c q; 7 e#'.'. p atu *w "L.r+ :, w, e
~
n" '%rtwti er ws alu.s o arke.op u e rv.or -a s<ue e.inewt.r**1 2 v.
s e,
m h rvr. r a suri ens. tact oer.~n.eww .a a- u c or.al as..u s puentjes .ua. utavr ew *.s e veor.at.
s
~
:wJ .
. sa..n -
y a g gTg [f r. ;. .a '4 47'* T"$
..
- / g *.. 1 8 p e: = aF ~h*.g.g
Ja
., %e k
v Aa cv nacr .er. m
VioM" q + h.n ' F t r e.. air s f i twesisi-r .m n nver
e
a~....vr * * < tsens,"#.su s
or si n
a aen,.or=". ,* 's . $e
,,, <~e.
.!(rf, Jg , h.
, * w.,A 'M i % . u :.s% ..M,(- A@j
r t .,., mqtfit vt * * ana n"a".ume pia .vw.em .if . ist:sc m".g. re v rir .a a(.t.# avemat e . ws v.c
aa mainon
*wsnserrtFap
u.na.s nervr e
6 ..* +~ 9,, : sw ..
. t ws - .
e g,ds s& iassa
net,wJr:p** * n. p.aaser.r s .tt.ia*ce t
,,. ud r. 4
t,s s
g %
w%A (A "4
+* %
%
, 3 it n am;%,g,g g% p pn ys,.4i,.t ,ui,n, , r.ua nais.nce'
:"ar.t :9 4s.9 .'tme t er t h a % e s sor .:*.
. .oasvr n . .'m wa.-
m je (,p vt %re,* e%,g n. S. feg I .
'%
tennanr.saravLre..ts er r.a
, , , ,
w m s t ' ,n e .sr
t & 14 & s'n* s' .'
Fa
{ ) *"4*W.a b, g 4@t
H .4 st
v 'W 9 4*t 4 aref) iqs 9W tMovf.ft ten n
{ asQ 'Uv"m'"rt ASF*es A: * >.ta ; aesetwS?v 3a'.# .m t avre" sa. .t. .easav vi < r ?.l asaa museet
* *
h 8.**yM p's j p r ue .aw.M a or av*
7"*gss
<
e . . gi
s. A '* Q g
-t- f: q -+.. O. #, f*W. O' 4
. nM W et*wra
e
+ i *-arv or n m a wuwnr4
~' ae nwa
it . nrm,s.a .ntrw '.ivv or ac m . a+"m: .w. e..
* r e i ..!
v. . *w .
2
4. , a i]t S .ymytt.t err er atacar t .~
n .< .s.t t
/,3.%,Q,3.A e **i".
g;< r.
a
W.v ~Gj 3 4X;.hg sh. .%.
*
4r -- . 9'.M -
c. k .h % v % ir*a a**cto.Mc* + .a.'r"ers t * cr atna m aim? 2ei
A
;nact
rv r r at.ac.m
a- =a"e ut m
n arn... inar.r .at e a a w s.unac.twn.awm ur augs.a .uem.u t ue.sveaw n.4
r I
*at.*'
i asa s a"..r . - .te.We8.w.t v ut at.aaa Aecm
s .Da*Q,(.'s,,t. i 4 b:@. 'y, * 64*
k N'T*, y ;p,'J,M 4
0^
pM, /F 8 8 *' * * 8 ?
t.a'r s"t 'a v an mt.s s.t..'"na %nv'o't
;s) . n traa.itt C "r.*'8'e
u t'a"e.* **"o. 'a i4' C" *t 4 M 4 a*:'"ea*'<M AC " 4##Vt '.
d.E*g*r
;
'..M. . W hf p pf WL, .* f (
,
<" c , #s e a av te.d * 8"pyf ***rw w u e .. s A*.t n.rf +nimmt,tt fit v tw at a,r a,..av
"
v * e
f. .
,a-
a a .ur N .ma.i "n . *
{
#4
./ h N cm C"L]W r .4v (w
-
i,q :' . >>t*rP.a m.4. at n t W:.w + rMe*S iv tu er .*: o te a r *> .t.c. r e c 6 n eles:V U M.aee
4 ner
i e e6s.x
ns .. . e s .. t
g *,,,4'7;pg 44.} A, Y d.% . .. e
, ."., . j i v m'mv a',r m u ra c. * ..m .FMi . trs T..?+ i. .set.rs .<mto
. . s r . ; i er ae *ei
e tlas.# .m .mev's-of a..acerm.ina.nse.n
.ncn v tsf as f** W mn.es '
. f' pJi ' +F.W 4 .m JB f
n " /*"r . - vas= s .c< - r n n w~ - *..
h st * % a y ., 7w" !j' .e<; .t*f W%?wwn': - v s.t w -
<k +, . Avpy o r'w v,p..W,. ,x* N-. " ( ... t tn'ei .% Ma 4 Wer* "w*
r.,, ' - .
-
.. 1 s
* .
1:1e 5 av. . ., a . a c..
. . ,. . < ..ers.us.r.. . a. n..,.e. n i . rt .ort v ter
u anns.. at.a r .u .. . a . 4 re.,- - 4
%.m+y w m. ty~e W.,M w :..u . .n s o ru. ...e<.u. .u + s s-
.'*13 y ,, F
,
A , 3*4,--
g*+'L, 8
2.. ner . snu. o wew..'.ar : .tras . , ye , <
r. ,...,.u ut ..vr .i...;au.wna.,e. w u
.it v,er
..
a a.; . J .I 1....M * T A '..,. O
N (:.. -s
4
y
r p 9 -
p4
.
b *%g / F'.df4u es. .'.'/...s. t r.,ha 2
g p A,s 4,g t er. stenr
wes
.on e ..w,,, .r u e .t s.s..u.ny..ac,;
. i a .%,
.m as es e a .e .$ ti. 4 o,*i,r no,;t,vr.'rt t. or at w.* .' *. e w ..,. .
. &
u .i.ag' *. *a.,s..ta .. . .
r ,
s .e s
s* d,',w i *g t r- nec ' k" 3,,m* ne,t' *v o, .4 8.=# .at- .** e va . nn.
' * .co .*2-,L e e a ,t.ei. .. una .,+ . :e . . ,s'v
t g %p "" ****'* ,p' p r*#.A( . % .r -. ;n : a ,. _ .,.'- .a .
-
.
.
-
:
; * * **#'
2 % * .A 8 _hrWr;*e
I
Y*-
I %. P I #,. 4 v* U d " "t' ' ' ' " * * " ' . ' - *'
W w : , .".,v '.r<,"a.a *..*oe"w'T a
..y *..'m"
m . ci
i
im"..a.t,-*
o
*i t 'r r.ir .s e**
7 #-
e's s w a' #'8'rm'aw
v
a a
i mar.r . o * ** v * ..s at a*,s a A tr'
"e*s '*"u'*as8'n"9"n't"et'"t4 's ...'S' *
s
a.us / i '. ; r m' r' '~'""' *
"
Nz
3 ""* *
%,. - p p ,e u ** ~ **
"a *
,
W w *'e'n",.u * r"..' .,'n' ',",t . ".
%g,.
.. M'a ,' tt&.,
- h rA~g% % y;ng/, ,, .* . ~.
, , .j ., .m ~ * *
"o,.a. .".s'.v o., c..<,,.a"
. ". tie". v.."..'
.". "r.'a ..<.
n".....
i
r
.
,u.M~. 4*ut' #:#m +,p . o. .u . . .".m.aa- ..".,w.".,,,
. -
.~ -..ut . <,vra an u a
n =m et mm - meu1 <.r
a , c.,f *w %. , 4 m. , .w wrw *ef lP.
" -
1
+5 .
.y -
'
W * P'sd * u,w a .aa *4Cg ae rJte .uiv.se'T.44s * s u m,a vecer.a.o
". # M9 e =o n J,ws
str
.. p sea s mit f**ff P 4 T V i.. St a el a p
' ."i.'i .uivtf"ept e t. F o A.fJ
-
c f
e.
.. ..-.i=aua.. .r . n .r e.,. < e ., ,, a . . ,*.n mai . .r,.ve nu v ~ < -, u e .i.
ty .p - . yp 9 , ., .c
<-yw n...c. ... ,(.m "' af t .'qvsie:a4,e .. . :*ha:
.
x.* .<*m ,-
._
*
.u.. .r wr . * n , P i ar .c.s ..i
+c" u .e 4 4 o 1. 4 4.tr'#
.
? * - ^. 3 ....ac.eu. . . , vt w e.: u.e.i
sc r tAar.t . .c.a seu.a o e m *: 4.3 ..A., t . ..t .-
L r . *ay
f . t..
t< c 4r v #,*
J O '.- U# .b A a M .( %i :'" .f/
.u n 4.7. ear or .o v.re,wataw o waat wn t arai
r.2ac.a * ,., - .m w" . % R c s ny4 -or s-'n er
u..re m
3 p3 1.: m ..a ve ss.a... .w.. r af -
n m.-
.. ~ is .
1 3. o v wec f.. ."* 1. %.r
-3
". . r <-
-
e ai m a ant e -
<.o g a .4w 4ev
sg, F. s .ci.m mwe .r-vi
:. 9 f a .mr..M.a F.. ov # = ,d Pt' vFir la ,J g.". .. ne r.9tiv nc%a .a Hf
.if m atia rmnr -L -bNt.r. ,#e. # 4.III ',
..: & ..r s ,., Ap.*e,2 ,.ne .,d 'r?
4
.e,.- ' ' . ' u - %,e C *' H* . .w
s, e. %,,.n. .. . m . yv; .r n a
y
a .em - ~w .u w o. r.ua. v -.e-<,s. s. e.~, *.
..m ".s..e m.
.
<s.. # .,,rwn;c.cr am s a
u u .rr %ae,,
~
-
.
. u . ...cr. ..mm.m v r .,i.n.ma.
n w .n , n a n m. .v v. . ., a
<
, < w
., un e .a am .w.n..m..: .n . m
.
Ov. w.u-
c,~.yv~ =; , . .w. .c w.wa 1 q , ,n u.f.u - a mu r tee. u.c. w ~e war.e.t.n.sa strV
.
_, . ,. .
- er- w o r- .,.a, 4.m.*** .m -erv ". ,r,m ~w e ,* >* "- i.-.
9 . a,, y4 ye +
.
.m.* u. 'tvo. 8. 4 8 a *
w.-u.. . . ..
.8'"' .... o :
".n
"*N m
8 8."*8,.1.. ' * 8 * * M " '
m - a f-h. T.i eer - . IM C ~ b'*h."* u'. <
t y.. ,e .A * '. y.w,M k. - o se. q%4 gwo~A'& mr: s s .* * ..nr
4
. 59x ,,an: 1e
J e .* . .x nAvvm . e s,
~t a 'n .,,xm4o w a su, 'v. v. -r4 * o.vm "e .,,,,
e
p %* t p n.4 (er . J.'; . .t H,
, a, 95.>., . .,.*
g
s .T v . #.
f
a.u r a VF.M.
< c. m 1
. - , , e,P r .. . ~; L . , , ..... . ...
w 4 ~ ,: o
,
t wy U :.R, + ". .r . . . %. . + , n e n e. a .u.c
.
. . ... .r a, ..,. .s.s..i.a. .r . .+n.:o..e .. e . . v~
*
'* ' s a .. pq
rc p ww <. ms .user
yfw w wa.& s' w ~"' ..?..***- , e- 't
" *
e'f ' p
^ cW ~ KEENAN E : REMELE - 7.[. ,'r..; fl.. u J.' 4 . 'r', n<. 1 A E. . .
?. r' - 9 2. ,i .
.
.
CRIPT 3 .,. b u. , r - m . - , . .
,
- . :. <-
.a.,.e.t,,,n ,. ;.~. ,o. -e..n...,_ . -w J t. e.c,u. . . .
.n.
.
..
O7 .
c
AL
.
s ..., -r.,s- .
. . . . . -. . - . . e a . u .i. ~. . . .... .
4 i
OF
R.s e .< , -
-
, ,, ..
.. .
* :r ,. . -
. 6,
Fr1D M
.
.
F ,o . . __
- --- .- __ _ ._ _ A. 8_a _ l u. _T _
.,~.,m , - n .. gr n y n.,.x y n p 3 ye ,
use REHELE,PKENNANrE'n p su. aW
. stuoEEt eduusk
E,[w
*
wifAi
b p 3>"ANCHORAG h UR 6/
_
, s
v."w%t p Q ud9 fy
' " g' $COURSE
~#
.
t. L, *-* NUMBE9[Q" '.%I
. y*j , 3'D y,4,;OURSE
;
Np
a% uj t. yTifLE% g?**am.}'
$.nM4h+e Q
j
f kmV
8g g#
GRADE'
O $F
, . , , ;,.., _ . - - . . ~
,. ::=--
'
5', it.o.. b) 4:s .d her Ien _f ) 555 uwb
~ l;d$ Q{/ N, [( [*!a'f,,iACADEMICfRECORDIQ {fQ a M
r um "***= n tibaDEGREES AWARDEDs . . -- . , . , _,
.La. * s e,: - M%W
__ .
"
"**
% pep g *"%"ASSOCI ATE T OlF APPLIEDISCIENCE"[[d1dAU
q .,w Q,pe.r,6 %JANCHORAGE5COHHUNITV* COLLEGE M
= .r p d
F M CUHyCP6Y.T 299
;=
'r.d 38.W *' P*bd I*"f
'
I}># y~7.D.
4 e 5 ww da w5.%.a un,i%Aw% tcu bn a UHAJOR .
aa
.. y. c , 5 WELDIN
/WWNE IM*T[efCUH0tiArzvEAq[0k DM.
.E,%4UM.198OJALL &a) OA.*i4 M d. '70' M% (noio"
[- W'
. .".', CO'kl 4.+
WELD 3.ii GAS fWELDINGigCUTTINGL'.dj%#g%
., _ . . 9
g 4 ,WELDi'i'2 GHIELDED HETAL 7 ARC
.
w ~
kn
.
'
11%WELDii4 WELD HIGHsBTRENGTH!BTEEL(p
fy , ert ~~Q F "leheg g % % n. ~
AGHRS ###O
- bg % . 3haCURRENT
- . =
h. AHRB#i2.Or-bEHRSi2f0. f.iL0 t)4
4
"* , p% G -w+h g CUMULATIVE . < 12LQf ~ 16 0 si2.Og;*E
6.%s ?k a as ?'*N d g,% *$?*,4$ - .. .----- h*$ Y . . %*"Y
r-19si's SPRING
**"
g yp, ^ I
,
'
'* WELDi'614CAS W
HETAL ARC *WELDINGJ)$ Ml**h %j,'
. % ,p e 4 B
>
,j; _WELDi?2 . BASI
PHYSICS FpRENELDINGQ Q tg C B;..fp
(%pg-WELDi,74,,Q E Q). WELDING %*k ~JKLD y,
...., d~,+2 we h..w(
w ME aQHR8
,,
T,1 G 7,j G b A H R
~. 12 '10 * 12.'O' . i2s.o' D3
S h E H R
% Q S I
.
fQ h & hy p.<wCURRENT*'b,' M CUMUtlATIVE '2470 28.'"O7r24 kO "S **
N
'
as~ ws,w : a kU5h~e p am.gll"W , 190LsEA l8+
n i,$
%)ig*t%'
13* W f. .<ff %.ag {
Arwr R N
'
" " - ;i WECD1571 TECHNICAL"BLUEPgNTSw# 5 A"NB (s , ,.
,
'4
M ;? {4"g W E L D 2 8 2 I C O D E S / M P
W kWELD2SSAINTROsTO1 WELDING:tHETALL w at'.B N .a{.
'
h HA'Y S I C A L T E S T S'
"
*
AHRS) .*EHRSj {GHRSgG
yd T.4 CORRENT:.;7 0
,
I b t j Q75 f M 2 PII )II*']"Tle.0, S$6.go
'y G . W 5, n.wh,6d CUMU,LAT.I,VE
wnu9
n
km p?!,e. *a%
n. A
y,,**r***
3200m
m
p
MS
e ,
io)
0
A
s5.,93,0,,}#2
32l1 :. s.a
".y(4,
11
WJ
.m ,,eW, mjg.%,m', .m , _ . , f ---19BESPRING p. .J . . . m .9
3, h p5 g3 ~ *4
,
-
y,
p f j,b .,AWELDiO14WELDINGnINSPECTIONM
W E L D 2 6 11r u L T R A G O N I O **T E S T;I N G M M*e $.it bA'h.4,JE tV %':
~%
!'
LM.d WELD WELD289a 262)GENER#.LgNONDESTRUCTJVE
WECDING-METALCURGY,g T**bh T
4
h.sQ..kCba
Ad yF
, .3 ,; M f"t,.%f
k . Q Mg.% Mit"g *C, " RAHRS,f""EHRS{/QHR8 60
?",
QbfWla
% ",,7"L"f"*** (% CURRENT?
#"*****
0 ",, I4R ,$1%O 3
% fJ.CUMULAgIVE
- ..
r m,n w
..
w h(*4 1- 8"" - - - - ~ ~ , .---~~ -
sf TRANSFER # CREDIT # $PPLIED.3 TOY 19'92,W
.,
' d,.d + % y%aE h*p ~cAdo UNDERGRADUATE %290"J"'% hc4 *** W
'
* *d
,;f ybc f'ifTRANSFER
5 CREDIT" TOTAL 4'*!%:.nh'!ff
-
x s ,, . - -m- -
,
- yEY
c. w,fa - sa aw ,m
4,wp eu*n4. #
LJ w% v , == Mq
%,,Q,, (.n -m , , , , y .,,,,,
< ~ *.<. 9 . im,.p g wg I.4 e' 4m 4* *** RAISED SEAL: NOT;RE
- u. s e E li5 e gd~'# e* ma hpJ,
.
9
*
I 4 IHl8. OFFICIAL * UNIVERSITY T
' % ; T,.y;* - .
:
44 N
.
.
*
,
%J.,. /'s PRINTEDu c ,. ON . SECURED
.u. ,-
r.sa . . t * *4 %.,< g o .A .AA .#, 9F,G#i
====%. Director of Student Records . M - Jy
* **r'u-.d e k S hi'^; alfS"
. ', )
'C. u<< m-zr[g]>4J.UiVOTSity of Alaska ArichoragP~
J ?
. . , .CoHm MITY3COLLEGEp.*,;;
s gt. r yA m, w .mpo,a w-
wt n ,
< ,
+
Anchorage,' Alaska 99508-4670
*
ooGi d ~ ' caron A ou.e
muns , p [ gems ($ +; py g g,$NM
anwg
caioi@ y{M,[J A 9Q c;oif3c h gl g Houns .g POINi$
% 3 jg# g .
-
,,
.
. -. . . ~ . . .. . . . . ..
~ . . . w. us cr o m mn.r. , n. a r n v .. . . .
.
. - - , , . . ~
ma w .. a v w . Q- ,a a. w e i, M..a . n.xmt .
,,.ft U il m %W f g. F VPM+h.. y*:6* * J. .g>%1 #r18t? e t --s rm fv e+ * * *#' - %. n.a4.g.
8*
ma, . m W v.vy e
<,
r..s vu,w
e . .g au. g,
rv m,w r..t 5. m .m..
q gy , - ;.3 .. o r . .,gg ygromas.
e
,W g gg . ,'y r3O .. ' .a,.e .a. . F,,
u
. z l'y ,l,g-g,
F' eg
'
Pw
JLgag
.m @_g..- d, b. , < C.O.,MM,.'CO..LuorgO.m,,T.H'E.r L... A.. .K. Mu ES u..m , e ,. . 15.. 0. 6.C.. ..Rn~uw. +M a,t, :... . m..i. . , m n .
f4-p % F . y"'af.:..I.N,G_E,,R.
.
m . . , . . a
- - - .
.w s..we n c.c .4a ,.a ..x u. . . %" , e <a a n u m . c. . e .
g p' ? " i.9 0 2! E~ At:C",W ' :', . ".' M*;4:.7,'; %'.U- l =. ;-
jibd19834i u,gng,,rg.: W ,** %
1 & W , p. J
WELD 162.? FLUX 4 CORED t WELDINGL,e,% ',C'MJ ?../i B '/y,fh4.O, PJ12.O
; :f b =WELDi?5 m WELDING'e PROCESSES'.'?"P 'r " ' B " *u4 . O t " '
d fp WELD 263 .X-RAY !& . RADIGIGOTOPES RAN' ' ".W'A i6.O OW4.O' d '$2.0
'
24iuda% ww %
/ 7 7 W.
M h.Wb *7*7*.;M f CURRENT .,!@*.'d!,t12 ".O.T,'A12 ; O R12. 0 #40". 0 : .3 ' 333 '
2.f
., , , ~ ..
~
" {#57]d*' p~"fl)'CUMULAT7VE;l'd 53'; A'R724 02 53 4'l17
3 l
& eO+U!E3
.
%t i L %
, , ,
. , .
.
.".
.O"O.O ' % ""h'*"***'
# 6- 9 '"1'9"83"'t r
G' O' R' "ILS
- -
N' ' REPORT
r- um'
G "o"ra ."wm -a or"n'e'o'
-i'*~'"
- - - - -'~ - M * * w ' ' " ' "'~ n * * w' * = c
2. Vg*g..bO
-
il~QJ # geM"n"
A
ENGli2
L%',sfd" t m.*4 523 ,-
TECHNIC 0 -WRITINCWMCM'N3.'O 4/.J'61
4(OM,,716 . O b,g WELD 121 $ 1N TRODUCTION L".TO h PIPE '. WEC. UMTB !d',.#'J4 .*3O. 091, Zi 2 '. O
" ,7'. L9 . 0
4.O .OQ16TObi k.m16.Oi fg WELD 262 GENERA O - 12 ; NONDESTRUCTIVE TEC ,T;G7".J,i rm.
awA s B2"%'5.4.OW. a .i,16.0
-py a
* 7nWEL.:g
s a .N..'H.
we mAHRB
-.
AT...EP. m I ALS.. EHRS,.!, WJ'.'"'
TO s 1 GP A W. fa .ced.d: L.D.297APRb..B. LEM.*eCO"TU14.' OC.' limo UIP43 .' O JM 071,4 w O H R S ae O P T S .. m G P A <-
.
A a -a'.
aOEM7000dE,9 U.1k .a b CURI%ENTMf.UC.7.'i'4 *
;a Jo 4.oooy m s" .g. 1- @*x,pp e.MULA ,gcu. eu n.. T. I.V...Et.M.r67;O'?/.
sv
u
v~ u.ra ..m ..m n. . .. .. um. m.
e......m.- 6. ;oW67To .waa M2,2n,.u.,o '.3.2,99:
m. . . uanem : '. s n w. v -
. -
**'.at ar. m_.'e% W s.y q e~ W . m v u a w.r n w .. "'.'e H n , , - - . -
. aga% -e~ 19sst' BUM m' *,".c ".u^. ,', n* m.r * o,'e.r
-
@. . 0..3 .,,..
5 1 &. 4
hm0 *ABSOCIATEtOF*g? APPL e .
.IED 8 CIEN. C E . . M..ER
-
o - , .%.a . u.. e n u n.t ~s .o.m + o.,n r.arr o u.nm ..- 4 . . . . . ..w m
nc y , ,-
% ,
v
4 ~
,aw .un. wr.r.u..w rw n i au cuncun.am, man,u ivo ..in w
.
d.O g,. 12~O*4. . , WELDING * TE HNO1 OGU,. v.r. .. .
*
i
& O y H 12 @yDEGRE(CONFERREDMUGUST* 13 l.T1983 '",W.'/,C, ,'?.O.f 37#,"Z f i ,,$'#d#'. '
TO N.CPA ,J t. G DEGREE:'JREQUIREMENTO COMPLETEDW,ORf;UD'f:4 s
~"O. 3. 0 0 0 ~ - D d.Q*g ';%; h -p,*% -+ f
,DASBOCIATE OF APPLIED OCIENCE**TE'O'S
" - un w "r- -
. ..
' ""
b. . M t **
O ee .; (? e%n , fw.ME.N. ua w D sOFlAC. ~ w n.~AD*E.a~ ICf 'me RECO -
A.~ . a bh.
y.4- 3 .' 5 0 0
p Ln f y.d,k. c.~ w un- pW L,~ e, 4 'n+-@+.m ..**m m.n.n.
w '
w .%*-.w.h
.
w .. n"uo"..'.,*...,".m+ .n
..
-
* ...
.
v,,.,..cmre, .nn..u. . .
..
umn ,.>. a w,,,,..n. u,
-
- .
o . .e ..,a- _ ,;
n
*0 . m2 f 4"..O -k # 8 P " D. U lm'/ t u/I3 y
t
"w'4
.,.w
-
* ". ". ,"., yu""...'. ' 'w^ * e+".,'v".'n^,1 "_*,'*t..'."..',
r . m ,
J- ..,. .
2;OW e OT.,ubg .I L# , cw** e= .r,. ,'.e' u."o."s 2..m.+i " . . . . , . . .. u,... i
",rw e..n..o . a,, . . . . .
.-
,,
e
4.O n rp.e12. O h,, LW(. . b%o N 3sp **'8~ *5'r,w%* .-. ,, .uw .xy,.muv
v.wn
w n wma.
*w oa . . . o . ,wr .. .e.. v m i a.., . os.c. ~" ,
,...
s
< -4 . e .= .
,
<
r
.r..m , r..- e. o
. .. .r . s,rn., a,r .& u.,.. .o
,
. . m. . .
T B o4 f. G P A g , Q.b . v~Wp .. +n m< , ~ 1 .. e . e s e. .e.r - % nam .m . o,n. < n t n, o..v.n. . co.u. u .. .o m <.v..w. r.uo e uww
..a.n
.
... eun ....% .. -
.~ O.*r3.%O *m. y e4 g a q mr . . u a. o.w 4. . W .
.O 3 s439 *='k.3#p - Wy ,4
eW
w,r. n,,d*w s. w.',,' .",wn,
N ~u.'"^
..~..~ ,. n,. re.r u... M
. .u..,m
* " * **, A
r .c,a'm* ' *.
, .
On'
,. m..% lm$.~w.a *c
~
- 4 y m e,m ..: , , , , ,
,,
,w
;..a m w , c o... a. e.v . ,...u,,..,.m,,r m c, y ,.,n
t
.,.s.a
e v,,
.
W Qgg- l . -
u. ,.,,,.. . g .n. .,. o. n,m,, 4.
.
m.. ;,. .u. . o .1.n,,.n,,.u,u,,
.
.
- .. . w m - #..
r w. . y.u,. m.e,mgv._.,,g.w.c..n..n
a.
, w,.,gy.,n g .
. .. n..
..
w w.. en y , , , ,- . ,
,~.,g .
4 e
,,,m,y
.<..a . ..w, . rn. sr *
, 7,
ivr . . m. r w .. +.t" w ... . . .
,
2 . 0 +.,4a B, nam a, n,vg,, mdvu.n.
o,s,.n
.o r , u
ca ,a.v.m
n..s ,c u.a .
.O4,. Opu., w.%,u w%. .e..no.
c.t. u u a .w n.
.e. m .
3 .4.Ouyia a
p s y o.nn .m mu m.a.o
. ,r. . u, n.. n... ..n <4. u.v.
c . a.a.>.a , . .-
w,
'.o
.
a
,
~ ** * % ** * w
*
0,10 bmm.r O~* O<9 > wr "w, t k. x w m" *t . w' e r. "n 'ce > u". ". a.u ."- * *r.'r.c..m .w w s.u su a e ou nn. use a. r .. < m .
n ~ 4. sw .wn .
-d
n
1y rum"a umuu w.w.e'.* ~w w ww w a mu..uww~m*.m. s . .e .s. . nww. a..n.n am .amo.wn ~*.~~'r.n*~
. ero
n. s
n
.wr,o..m.nr
+. n
LT..O8O..nv.]um
.a.r, vC P A 3 e
v
#.8..es
u.p.n%rv2 Oma'aunat .c
nbm . m mwnu.o
www e., e ~n arma . u.e. mewar:a.r
u wo r u...nm.n.a.r
r..m~
un v
.eu 3m.w<ue.en
,.a m / ,.r 4; o w er..
-
...
.m ~ n , o s .w .n..
o .
'..
w~3 .il ir %. c p /m* Ie..ww .n u m. w m.o.a.um. v....urwo w<w -r .s n .;. ave v >. v
.'.O. C.3. .366T. o F.4
.,
W **W * * **""W ~**"'"'" "' ' 'c o' *w.*,,'"su m ' -
".io.m.'."".'"
' i*.. emm* #ba nn
.
-
. 4.c
-
et s" ^
g ,9 ~ jut -v. 5m. .
p. ew*
e
m vo
s anr su ,~a"na"a
.w.wwmmc
s
en. w ,m:,*s.."c'.nwe.e.
w-rer mven n ~ ., s.n..vw
..uw4a w.cm.vm.+ + -"v.n.wree.o.m nr.-
a. s .
w .~ s .
w. m ..m.m mu.,e semm m
,
A.J qw
- t. m
w . F. %.~,.n.ti. % .o rm m . < * ~ -
m . 2r.-
w . ..
- r -
ALL.,g. Qm.qm y6 "" %q ap.m./ .g c
-
e
d1310% W y
5*O a' ,..~mo..* : .n
Aa
..
W17 * W C',.
a "v w'""n" # ^w -w "o
-
n "s '. s.'."e":tre-
,.',,
6-
O O -
. . .
3
.
' " ' -
-
s w' ' . .' -
"
:""-~ p
w m . . , s.... .. u . ., .m ,~.v ,
.
. .
u n.~41, ~tre ym..~...,m,...~.w,....... n
;. a.:.n n..n,.*.e .tvy.. .wa ,a ~, s.. .y<.. .... ... ~. .. .
. ~. .. m....
e
--
w w , .. .a v .m .~ms rm n. .wn a ::r n .
-
m. .. ev .s e n v-.s .
-
y
uIRED..wue . e, *s mKENNAR CxREMELrE n $ . ppg .mma a w imm N Wse A..
..=..
4
v
*
t pq. -.
m, _..
wp -. W
.1, v. . . a. . . o a.
1. two
... - .
u .n.u
, c a . .e %n.n ic u w . .. . . . . . , ,
<- :
c
/9.,e~..m
,
ANSCRIPT .,,,.a.g .d. y-,4
-
%w.0 -- ..
..-,t.m- . y , . . . ~ .u,.O .u
., e .
m ,% on m..--.m. u. e . a.4+# <% ,. ~u . 4 q t n y. n ~,
APER,.a
.,a . u> -., m. u
%.
,
~~o,
+ cn >i n .e u r wuuw. c:n . . . . w.m. #
i
. ~e s. . .. m
, , . . . . ,..
s.. . ., .o e . .~
.
e.'( r. N
s-
, gg a' { [. A e' N.. .,
$ . '
. ~ ., .
. m - P m.? PA+ ' ( .J
-
-
.
- .
.$; " , - %,,,,,8 .- - ,, _ _.
by md ,
-
,
RADIATION SAFETY PROGRAM Section: 9.0
A,ASCG PARTI
RESUMES
Page:
Revision:
2 of 6
. . . . 1 l
,,
-
Inspection, Date: 02/10/98
!
_ _ _ _
Inc.
( an A5CG company 1
JEFF ARVESON, QA/QC TEAM LEADER / LEVEL 111
l ! l l l
i
i l
'
l ! l
O
l l
O
l
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
,
!
I
Tuesday, October 28,1997
- U.S.N.R.C.
Region IV / WCFO
1450 Maria Lane
Suite 300
Walnut Creek, CA 94596-5368
Beth Prange j
l
'
Dear Beth,
Pursuant to our telephone conversation of this moming conceming the death of
CTI Alaska, Inc's., RSO, Sandy N. Watson, this letter is to document the
following: ,
,
. The letter to file of the appointment of the RSO for CTI Alaska, Inc. l
. The training and experience of the appointud RSO for CTI Alaska, Inc. 1
. Commitment from the appointed RSO.
l
Trainino Summary i
Graduated April 1982 from a 2 year, Nondestructive Testing program at
O
~
Hutchinson Area Vocational Technical Institute, Hutchinson Minnesota, now
Ridgewater Collage. Subjects covered pertinent to industrial radiography
included:
e introduction tc Radiography Theory
. Introduction to Radiography Lab. ]
. Basic Radiography Theory )
e Basic Radiography Lab. !
. Advanced Radiography Theory i
'
e Advanced Radiography Lab
* Isotope Radiography Theory
e isotope Radiography Lab. !
Transcript and diploma attached.
From 1982 to 1996 attended numerous mandato,) specific company initial and l
,
annual refresher radiation safety courses. The courses were presented by:
. Florida Power and Light, Turkey Point Nuclear Power Plant (1982)
. Twin Ports Testing, Bismark, ND (1982 - 1983) l
. NES, Conam inspection, Houston, TX 77074 (1983 - 1986)
. Braun Engineering Testing, Minneapolis, MN (1986 - 1989)
] e Magnaflux Quality Services, Roseville, MN (1989)
l
_____ ____ __ -_ ____ _
= EG&G of Florida, . Kennedy Space Center, FL (1989 - 1996)
* CTl Alaska,Inc. Anchorage, AK(1996)
,
ExDerience Summary
l Twin Ports Testing - Bismarck, North Dakota - 1982 to 1983. I Employed as Level ll Radiographer (Certification Attached). Duties included field
radiography with Gamma Century model 200-S & 200-SA Iridium'" exposure
equipment and 250kV Xmas x-ray equipment. Duties also included source
receiving, shipping, gamma-ray and x-ray equipment maintenance.
NEC, Conam Inspection Division - Williston ND and Roseville, MN - 1983 to
1986. Level 11 and Company Level lli Radiographer j
l Initially employed as a working Branch Manager for a small Conam testing i i laboratory in Williston ND (Certification Attached). Performing field radiography
with Automation Industries model 520 Iridium'" exposure equipment. Duties also
included Regional Radiation Safety Officer with responsibility for personnel
radiation monitoring, radiation safety training, radiation safety audits, source
retrieval, source receiving and shipping.
After sale of Williston facility, relocated to Conam Roseville, MN facility as
Laboratury Supervisor / Regional Radiation Safety Officer. Performing field and
laboratenf radiography with Iridium'", Cobalt" gamma ray equipment, 90 kV,
150 kV,225 kV, and 275 kV x-ray systems. Also responsible for the certification
of inspection personnel, radiation safety issues, source receiving and shipping,
O and radiation safety refresher training. 2646 documented hours of performing
radiography and 300 documented hours relating to radiation safety (Attached).
'
Braun Engineering Testing, Minneapolis, MN - 1986 to 1989.
Employed as NDE Level lli (Certification Attached), Laboratory Supervisor,
l Assistant Radiation Safety Officer.
Performed field radiography with Iridium'" gamma ray equipment and 225 kV x-
ray equipment. Responsible for radiation safety refresher training, source
retrieval, personnel radiation monitoring, radiation safety audits, source
shipping and re ,eiving.1870 documented hours of performing radiography and
520 documented hours relating to radiation safety (Attached).
Magnatiux Quality Service - Roseville, MN - 4189 to 8189.
Employed as NDE Level ill Radiographer { Certification Attached).
Performed field radiography with Iridium' , Cobalt" gamma ray equipment and
laboratory radiography with 275 kV x-ray equipment.
DNV Industrial Services, Inc. - Houston, TX 8189 to 12/89.
Sub-contracted to United Space Booster inc (USBI). Kennedy Space Center, FL.
Level lli radiographer (Certification Attached). Responsibilities included review
of radiographs and development of USBI's Radiation Safety Manual for submittal
.
to Florida State Health Department.
i
1
!
'
.-.
_ _ _-_ _____ - _____ _ - - --
EG&G of Florida - Kennedy Space Center, FL 1989 to 1996. Employed as NDE
O Level lli (Certification Attached), NDE Engineer. Responsibilities included
l assisting with design and activation of High Energy (11 MEV linear accelerator)
Radiographic Facility. Design of x-ray exposure rooms, radiation safety audits,
and project surveys to asses radiation safety needs.
CTI Alaska, Inc. - Anchorage, AK 1996 to present Quality Control Manager,
NDE Level 111 (Certification Attached). Responsible for Certification of all NDE
personnel and assisting in performing radiation safety audits.
Trainino Commitment
The above stated training and experience will satisfy the requirements of 10
CFR 34.42(a)(1) & 10 CFR 34.42(a) (2). The requirements of 10 CFR 34.42(a)
(3), Formal training in the establishment and maintenance of a radiation
protection program, shall be satisfied as soon as a suitable vendor can be
located and prior to May 28,1999.
If you should have any other questions or concems I may be contacted through
the CTl Alaska, Inc. receptionist at (907) 562-4442, through the direct line at
(907) 562-4527 ext. 24 to my office or my residence at (907) 348-0810. We are
maintaining the same RSO pager number for myself of (907) 268-9538. I may
O a'so ba 'axad at (So7) Se2-5093.
sincerely,
a
efft eson
Radia ' n Safety Officer
Encl: Letter of RSO Appointment
Supporting documents
CC: G.E.Haugen
RSO file
O
1 Monday, October 27,1997
1
)
To File,
The following memorandum is in response to a telephone conversation between
Jeff Arveson, Quality Control Manager, CTI Alaska, Inc. and Lawrence Yandell,
Region 4 Duty Officer, Nuclear Regulatory Commission (NRC).
U.S. Nuclear Regulatory Commission, Materials License holder CTI Alaska, Inc.,
George Haugen, License Number 50-192-01, Docket or Reference Number 030-
17129. Due to the death of our Radiation Safety Officer, Sandy N. Watson, CTI
Alaska, Inc. appoints Jeffrey J. Arveson to the position of Radiation Safety
Officer. Mr. Arveson will be responsible for the radiation safety program and has
the independent authority to stop operations that he considers unsafe. Mr.
Arveson has a full commitment from CTI's management to fulfill all of his duties
O ad resaoasib"itie == =a aso to a="r <=dioactiv
safe manner.
teria'= r used ia -
- UN%
George'fiaugen ' [
Owner / President CTI Alaska, Inc.
l
1
O i
!
+
. - _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
*** ' N es, * * Wiene.
_
y
*
f.
t
*-
. . . . _ .
_,
de
'G.T
,'
.
'W
.*
-*
. .
'.... < g 7
1- = a
* o ?. "
'
t *
1
'
? -
N r ~'
F \k h * R I
a 5 8 o E.
. -[ = o. ; y
b. b Q. ) 1%
o. 0- .
.
[ y a s.
s'
o
'
- -
WY
..
a
*
a - - -
co D- X
I.
, E
o
a
* O " X
4
M--
- ., 8 .
r
' JW- -
. - . 2
- 5- o
n eE a
a- e
= a
o
u
m +M
V ~~ C E.
t
- # aI =. m 8 ar g E. q : .
c
-
y a e -
.R f h ' *q's * t, ~$
'
8&5 Q
.
{ Y ~
/ "' -
, *%k
'
*.J y;$. > X e- m i g ; c > *
4!$
F# y e o,, o *
.
g- f Q GJ
'
..i ; B ,
e ^ -
" %w;?p 'ns r 8, 2, o a * y 6 Ui E
N
+ N
o 6". o [sE &$. E ~ '
-
i.
s
am.. .
E
.
$
n I
o 8-o AM
L.J aws . : j% ,
s
l'c
!!
,,
!s . ~.
>
%* .
TrJN[' . o 5 E' o. O . , ,
"
tg;;-5 d-N # \- * *
R
a
5
a
[
2
N
c. > g- c. %g*
?; ni t . :-
smv. .,
.
.
\ == p % .
u. ,, . . n - ,
p
l y
1 e
8
s-
*
.st ;,;.?_~c c :-
p
.
gs
t .
a.
o
'
L LnI o
g ,
. .
;g;
.g.l C' - ,
,o =
-
- - . -
x.2 5
g
[ '1
g
_
m
=
o.
y $. ..1.,r.c
'- n s= . =
';" ' L f ,,
- ' 3e _5.3 3;
.. .
.
W
f&
- _ . . . . _ _ , . . _
,.,.. . . . .
- .
,
s 'T .. = p g' I 3 =-
A
* ~ -
:: = = ; ;i.a .: . g ; - :y g ; g g g j
.
~
.- . . . =.=. . . M.
T e
n
a
d ns h cn n
t a
n n%
b
e.
s
G N n
o.
t D
I e
r e
r e & c
e
s
R A t
V p
A s
h
s H e m. A
:
d
d
I
p a . r
T li
pi bi e
I
E
c
a A
t
s
wMPE s
s
e
b b
S )
i
e
li
i
t
.
_ A
y r
A R v
N F e
s
D E
x O o
n
c
e R .
H g x X x x x x xX x X l
l
e M J
O n
t A e
f
N N f
e
O -
S
a C y
r
R t
i
s
E
S f
R .J
_ a
c
t
E
_ ,: o
y
r P
i
O
'
p
m R H
T
_
.
rN u
ovede e t
c
h
ms
e
i
n
n sC
t
oe-
,i
;
.
- - - . - EEg Mr
S S P
!
- ~ l l lg
- p p
e e
r
o
iy"
n
n
ci c _ g
*
I
g
a al
l
i
i
ti
:
: m
r
a
5n
m o 3ga. >dn: t
i
e ei : 5
s s : 3e
5
- N 0
o
n
TD D TD D d
e
my
i a y
a my
i a a
y s
es s es s t
s s r
. T
A P
o *Tb
A P
o A u
c
,
a
r s
e
s
s a s
r e
s T t
dn
y
i
bl dn si
b
T i
e
y t l
e E v
e
N
-
T
S S
D e
s
C eJ
pu eJ
pu A t
O o 5 t
. yl oo 2
4
tyl N i
n
3 C g
-
M 31 3 1
0
0 E
M
E D D R
N 1 5 eOc oo 5 eO c E
T 7 c. t
. 6 c. t
.
C 4o
C
S 3
1
1 3
1
1
O - mD
1p
R 5 a
MJ MJ
D 8
-
Re
e
t
aa aa 2e
d
.
1 5
9
r .n
. o1 6
0
.r .n .
.
31 3 1
1
1 D
4e g
r
J J 1 eD
uA
np uA
np 5ea t
r r -
- 0 1 ei l
1 5 ei l
8Re
1 3 9 .
2e'c
1 3 1
0 0 d.
.
.
,
- si
ud ug
di q at
l
r d
a e
v
858533334 741 41 3
898900004648459
24
04
1 5 3o H
ay ind s a igo e
l
59 0u r
l
I C e o r l s
n ruPti r e c ni a E
s n cp x
p e Psh a BBBBBBBBBWWeTI InnI n TIehn I
e .tnter ra. m aaaa aaa a l
n TI hnMTI n C
s s s u e el c r r r
y
r r e rt a es r
t t t
c siii s s si siiiie t t t O C
s l
t
i
o
ati . .
ncl . . p ccccccccp iindddr ddhdd oo o ooo o oyr nt o id M 0
:
UURRLLMMri n n ingg u uc uy cu cu c . duf n u P
_ _ . _ _ _ _
n. t
. .e . .
.
e
r l
t
r r dd
tl aaqqii a a t .
ati ti . ict c
u ag
c c Ci ct T
E
4
P
S l ooti o. E
t
_ aal iu uQg
. . .
ss o oiddneet nnIe.L
. t
aV
N nnooi . i ouut oE T
i
_ _ . .
. . . . .
. . . T oogg r r ppt
nn
t bsiMnnn.
u a .
.
nri r r nN E
N
- . . . .
iiaa iir t
ah ooo.
t t t t
o.
.
nit C
-
. . . .
. . . . . .
.
T
- c cpp enneccp PPr
.
l e UUE. d. t
oR.
g coI
u E C
Y
sshhe e e
.
S
a. Pl
.
. . . . .
C aa Rmt l
tl t
or u h
t
omenD
.
. . LTyy t
r r r r
t t e a r r d. d. L
.
- ahL Taat
bea h nncii t a. ti . al cis aay
t
s
.
.
Ei. c.
I
S
. . . o. et ooc. do. e. oNT
.sccnnu.
1 T
-
obe t t l
ee dg r
- -
.
.
. . .
. . . .
. . .
. .
A .
y
r
. .
. o
r
y ah
LT
LTa cl .n . d
. . .
.
iir
r . .
y a .
p . ads.
Ps
. s .
e nI
d
I
N
G
- . . . . . . . . . be h . sse h. i . e
obe
. go.
-
LTtn Cy s
r.y
.
-
. . . . . . . o .
- - . . . . . . .
.
. y r
.
. .
.
. ah u . . t
r
- L. r L. r
a. u
- - -
. . . .
. . .
.
.
.
. .
. .
. . . . . .
. . .
. .
beo a. r
e
a p.
.
. c
t
- - - -
. . . . . . . . . . . . . . . . . y
r .b.. t
n .b . y
h.
. . e
.
i
v
- - - - - - EjE FM - - - -
8 A A A 8 8
0D o0 0 0 R$ 88 8 8 88 8 8 8 8 8
000 0000 0 000 8 8 8 8 8
00000 88 88 ou
n
cu
- - - -
gj8 00 00 ou
- - -
uM
r%
^ -
.
- - -
1 3 1 3 1
- -
66909 Sgg
- 3 3
9898 999 9 988 8999 9 99 99
F A
o c
- 00 "$C 7 9 39 405 3078 8055 3 73 05 n - - -
99 9 99
cm
o
65 4 1 0 "l2 ua
.r
,
'
.
-
-
,
f
21 5 2524 21 1 . 1 1 423 1 21 . 41 3 CW
R
EA
5 5
.
5 DR
_
I T
T E
S R
VELMUR
i
s di q a l
a
L
e
1
4 1 0 4 04 8 4 1 3
1
u
ay d ug
t
a di
r v
550 8088 450 2274 6 2 43 836 H
i
s o
a 9544 0 000 000w s
l C dn e og
i
r ll
l
s
n u r ePtini c a E .
n P cp
p er
e
c n
e
t a .s y h
x
a
m
Fi
r sI sI A'AAAA AAA ddh
o tod dddd ddd AAPMM AAAWCMPC
r r . s t v v v v v v v v v vy e e t v ddc r o a hO C
t
i
o.
.t ati.
nc.
. s
p
t
A
o o
pp n a aaa a
nnccn cn cn cn cn
a aa a as c
n nihal an ansu i
v o t
ie d ny M O
a o c c tig n.s aesgsi
l
.
.n .
. t
.e .
. .
e d
l
e ec e c c
e ce cang
l
cP M
. r RR ee e e ee e l
e e E P
. . . . .
S .
a a d d d dd ddd d d Mci r dd csSm.T pe e E
. . . . . .
N d U UE dELL a a E E T
Mih suiVVm
.
. . . . .
. . . T .
.
oi d
gg d
ia R R
o a t
l l
t
d d
dii qq
MMet
a a
lp
si ci nt
N
C
E
N
r r oi di r r .
. u u usi . f
a ay
C C ddiig n g n al u e t c
. .
y
-
I
. . . . .
.
o s s l
.
ci &. E C
. a ag g e e r a i alasio.. .
Y
. . .
. . . . .
. .
T
C
. p p r r
a
o
n n o
u uPP
t
ticigy up s n
l n l
l ati I
n. S
L
yh yp
. ha c
l
in .n .. od. N
. . .
- . p i c r rre ene n
c
ir
P P. gr ec ps p . .
s n u .
I
S
. . .
LT h y h y s s e n e e a. ,s s . . TD T
e e . .
. . . . 1
.
a h L Tt t r nt t a r y
c.
t
. . . . A . r r t . t
.
&a.
r
i 1
I
N
. . . . . . b. eoa L T
h a h L
e a hn t tn c Taa t i
ic. . oi c ti
n tio. . l
1
G
.
.
. . .
. . .
. .
y
r
. b e .b o b e el e.
l
.
.
. . o
n n. . .
. P
r R.
. . . . . .
. . o . yr
oLT T. . .
. . . . . .
. . . . r
y .. . .
r a h L . . L T. . co el a.
. . .
.
.
. . .
. . .
. y
.b e a e
o bo.r
h. .. .. ah.e . .. e
di.t .
. . .
. . .
. . . . .
r bo . u o
. . . . . . . y . y . . . .
r
y . . r n.
e s .
88 8 8 88 EEj f M
8
000000 2$ 0
8 8 8 8
000 0
8 8 8
0 00
8 8 8
000
8 8 8 88
0 0 000 8 8 8 8 8 8 0w
n
y3g 0 00 0 00 Cu
ou
' .
wM
3 3 1 9 3 3 .P .y
043050 $9g _
8
w -
3
2003 03
3 3 3 3
5yy 8 98999
49431 89998999999999 7423834051 3046 9 8
F A
o
nt
c
31111
7 8 c u
899988 cA
e@y .
M
0 2 U6 0 0
.P n
1
wh .
-
n 0000 0
.
h. AOS0(EoM
.
e
.e C(
.m
- Snp -Cl
.
N e emiE
e. TiiE Sc( c
el vtipum
h
t a
e
'
,iA Ne l
a Nezi cee u
t t
t
e . oi Ddvi) .s r . nTAD.
a
l
N )e . .
- s Cp T. . R4
. op
m - * .,
C niS. .
eH
0e< . al
l
e
f cy . .
s ~e e
r a
-
.e . . t
w 1
e tie. . e
,e .
\
. s%
n o
c
e n ss.
stm..d
. .
.
( ( ( . . t e
.
EEE. .
oq
l l l
. e
c e e.
cc . .
.
. .
. . t t t . .
i i i
v v v
Ne
eee.
)) ) . .
.
D
T
*
.
g y
.-.
.
88 8 8 8
.
00000
.
. . ..
e 1
e
0
,. 0
e ~
s p
.
w 4 , ,e m me
e
a
*
-
*
-
"
*
"
"
*
*
*
*
'
'
* *
*
"
"
.
-
MES
m
a
n
i
i
n
e
r
a
t
e
i
s
s
u
e
_$ h
d
M
M. p
A c
a a nd
l n
a a T
M
h
42 r
i
s
s
i
l
c
si
f k e c
M
l
in
c
e
r
ie
nt
,
a oti t
h wf i
on
1 i
M # 9
8
o e ei
s
. g
d
l
s
if
c
a @e
u
t t
2 e
Dn
l
m e i
a r'
e
E a
t
u
- c
c,
VSSSSSo
i NNNNN t
h
e g
o
o T
Mw sTTTTTu
u-
aTTTTT
- - - -
h
e h a J
n
i
z
e W
M =c
r
e
/
7 lC -CC
nAAAAAr
- - C
I 1 1 11 1
- -C s
s
t
a
n i
s
s
n
E
F
F
s
t
h m I
N
M
c e
.s
'
dc
a es E
q
i S1P
M ,,a.
p
s, ,,,,
eEDMUR a r
ds
s f
u
R
Y u
a e u3O
p0
R
lr e1
l
a la u T
i
cdy J
r ll f
S ,.
tdeg
iy nri
td
q
ey .
i
c
a iN
oo S
B ,,
,
A :
o
nCetsgPe a o c
recnay
unior
r
u c
i o
e n
A
R
U
t
i
o
n
W rrTt
,I iE
.l
M a,,
i
p dp E s
S u
.
p
r
o
v
d
enaa
rt
ierPchm
ip
y
y
be
l
t
e
S
O
N
o
f: e d
i3T
sri
S
M
M ,,
e,,, B
y
s.
e
d ltnr
d
&
L
-
tt - -
i
cLL
eeev
e
t
h
i
s
c
o
-
t
h
r
d
d
i
cdN
o
nt,G
sS
ir
a
eI
p uo
r
eM
h i
M ,,.,,
,
T 4 ' Sell vv
tve
rev eea
l l
og
r
i
c StC
.t
h ,.
Wd 0l/
N
I
ul e
c lLI I s a h
t
i e
a
8
8
.
v o d
.,
M
tI eI I 0
uI I v n u
P fi a c
h O
r
a
I e
l
a n t
l
i
o
h i
o
R l
a
h
t
g/
I
T h ,n
e e
- I
S
h
h
T
f
o x
l pe
e
n
M
' l
E o r
,'/ wi e
S
M T
l
.
in
n
g ec
M H
,G
*
$
M I
N '
'
,
$ .C _
b .
-
'
,
>
-
3 ' '1
D 6D
1 1l l I l
/
D
//
82
UPM RM E
Qk hml o o c
t
t oA
*
l
I
n
2
2
/
8
5
A
T
E E
Y
E
22
/
8
3
F
R
O
M E
X
TTT TT
H
O
D
eph a a P
&~,be i i n E E
bl et s d c X
A
R III 1L
1 E
st o c .c
I
E I II
V
~
t hi rh
t o E
X
A
M
I
89
//
N
C
I II 1E
b.
L
oic s aer Prd OMA
N 82 E .
f oa s I
T 35- oT
cl 1 N I
/T fh
_ - mei9cn n 8ec
t
r ED NO 8O i
222
///
9
/ $.
&y cmdet
r o B S Cs D
kio t f
4Eruw
de ,v Y
5
o 444
///
2
5 A
- $
nir
f nc 888 /E
T =
-
o a i ae 666 8 -
M TC mrt 5 -
wt a ti t
i
i
9 h D wo Pi
C
E
e oio9t
no in
l
R
- h D na rf R T _
gd in nCe A m oi .R .R .R .
I
F -
T
P cc I -
e ss oNC E
ea J J
.J
J C
D
a
t
bl
9
.
" t u
rp
up Na 0Pn
f
S To
oI
rn
t
sp
s
dt
ui
ro
.
SSS
l
.
l l
.
S
l
A
T
I
O
N
,
el C
a ae
i
T- 0m Tc
e en aaa
c cc
a S
E
,c nd T3 E
X 9a
cE
R
d b C- D
et kkk kX
I
l i
v
A
M
si
t o
9l
- s
A T C
m cy 1
i I
in Co LeW
I
F O
om.
r
r e
A s
i
o
n
N
E
D g
n
-
N
Tc
Po
M/WR G9E I
C N
A A
e B C
cto
t
Y
Bs
-
ieA
svN
miY
R O
o M
P
0p
0l
1i
&s
- m
e
UMMUMJ
/-
_ -
'
d/O
hg
~
~
T
I
N I
M
N
L l
l
al
rl 0w %,\ O F S
C i u ,k ,e 0i g 6s P P
O
M
t
c
h
t
c
h NM
2t
. h MM,g_8a i
c
E
R E
M
t f i DN t S C
N
T
S
i
e
n
s
o
h
e OT
N I
l 89 9 9M
d n S
C
r
e
o
31
.
5 3e
. t NO
H
i .A O
H
u 65 38h
o
E N
L
s>
Q
i
.V O
d
h L r
T e 89 7 9S E
U
X
S m 5 0 50p
A k. ,
-
.
c I t
e e M A
o
w n L
h .
e 89c /.
- ~ o d
t
s
S
C
I
F _
-
o E
D O
I
l
U
9
8
1
00
1
9P R C _
_
8r A
.
E
C 00 a S
A IT _
TI .c
O
'
L I
l O
N 9
i
t t
u
A
LL
ee 8
6 .2
9
01
9 C
O N
c c N vv 8 M
h h D ee 9 3 7 .P
f i T ll 2
L
i n R
e s b A I I
HTN
o C
I
l N I I
d n TA I
R
S.G.
, , I N RR N
O G A
M M N O ,T ,T
N N i
l UUN M
1 8
G
H ,T ,T D T
E
9 / E
S MMME
7
0 O
F T ,T T ,
T
P
PP H
- U
4 D
-
1 A B TT O
9 / T L
I
, D
S J
7 8 E ,C E & R e
2 2
A T E f
H C f
2 L D S
I
G E
E V u R
y N A p H T A
N e
E IF r
r G C S
T
I
C v
s TH E r A e
. D vE L T s
A i V I
O o
C N s EL n
e .N D o A N
/
n N r T R
e .D D
T E
S
r A T
a .T T I
)
N R
I
l E C
C D T
o SU
I
u O
N .- '
r JB S
)
-
s EC
_
-
-
-
e T
-- - - _
.
J \
._ __ _ _ _ _ _ _ _ _ . - . ..
--
CONAM INSPECTION
1925 Cakerest Avenue. Suite 11
Rosewlle Mennesota$5113
(612) 636-5040
May 9, 1986
Employee Jeff Arveson
Dates of Employment - 8/83 - 5/86 ,
NDT Experience While Employed At Conam Inspection
METHOD HOURS
Magnetic Particle 441
Penetrant 441
Radiography 2646
Ultrasonics 662
Helium Leak 220
Radiation Safety Officer 300
W
N.'er. Jaroch
General Manager
>
-& -- _ :-- _
_ /
__ _ -- -- - ------ --- --- -
I
Be it known that
O
Jeff J. Arveson t
I
has fulfilled th. requirements established by thle Corporation in the field of
Nondestructive Examination
in the deolplines and levels of proficiency spoolfled in the endorsements affixed hereto
Radiography Ultrasonics Magnetic Particle
Invel III Level II Level III
_
_ _.
Liquid Penetrant
Iavel III
L
: M ll K
O .,gf,_.ee,_,d_,._ \ ] wN nbl ~
,a Is'm L
_
s
7 s.__
l
l
I
April 12, 1989
Employee: Jeff Arveson
Dates of Employment: 06/86 to 04/89
l
1
NDT Experience While Employed at Braun Engineering Testing, Inc.
Method Hours
Magnetic Particle 640
Liquid Penetrant 640 !
Radiography 1,870
Ultrasonics 480
Radiation Safety 520
l
O
\
\ 7
duM
Marvin C. I)enne
NDT Dept. Manager
O
<
: R/IUH'
QUALIFICATION AND CERTIFICATION RECORD
FORM 33.90 C M1!rSTD-410
l Employee's Name: Jeffrey J. Arveson 5837 MQS Facility: Minneapolis (07)
.
CERT. EX AMIN A'nON RESULTS QUAIJFICATION CERTIFICATION
M ETHOD LEVEL DATE GEN. SPEC. PRAT. SCORE APPROVED BY APPROVED BY EXP!RES
MT IIT 5/15/89 85 75 98 87 9M0/- '
W ~/4/4 2' ~
5/15/92
RT III l 5/18/89 74 80 98 85 d 3. / 4;. M g _ jfy ggt v 5/17/92
UT III 5/18/89 85 85 97 90 $34; glr Q L /u Ns5/18/92
Limitation or Product Qualification
EDUCATION EXPERIENCE HOURS
LAST SCHOOL ATTENDED-GRADE COMPLETED RT UT MT FT EC
Litchfield High School 12
5036 2112 2117
VISION EXAMINATf0N
l
CORRECTED OR NEAR VISION COLOR VISION
UNCORRECTED LEFT EYE RIGHT EYE PASSED FAILED EXAMINER DATE
Uncorrected J-1 J-1 X M. K. Rosin, M.D. 3/31/89
NDETRADUNG
SCHOOL SUBJECT HOURS DATE REMARKS
Hutchinson NDT 2172 4/15/82 MT: 160 RT: 240 UT: 240 1
!
!
.
I
EXPERIENCE
COMPANY fROM/TO TYPE OF INSPECTION
Braun Engineering 06/86 - 04/89 MT: 1008 UT: 815 RT: 2390
Conam Inspection 08/83 - 05/86 MT: 809 UT: 997 RT: 2646
Twin Ports Testing 04/82 - 08/83 MT: 300 UT: 300
.
-
j R
TI I I I L
F I
I I E
I
I I V
C I I I
A E
T
I
L
O ( H1 6
.
N
S 3 1 1 3 T H
J
e nO2
aU0
sS 3
:
5 0 0 5 RO O f P
0 0 0 N F U f mTOA
0 + + + G. R e o
o ,N M A
+ S r oT
SEA
y X O
7 7 7 A .W
S
7
E H A 7 s
Y Y Y X O O r 7 u
.
Y U v 0 l
r r r r P F R e
8i
4 E
s s s s .R S s s
e
o e
C aC
E ve
ar - n
R it
l i
0 3 3 3 C
T af
I
FI bci l 0
A
0 0 E
C -
l a
eti S
U A
A
U
RD
E T AT
A o o C U G
f I
P F
IT r (n 8 8 G 8 I E
O a )s 9 9 8 9 E
N ui 9 D
ds
S I
S ti i
a n
,
I
G S C
N U na 1 C C G S
A E dcc 0 e e e R S
T D 0 r r r A G N
U B
mo r t t t DB EN :
C
R Y
ad
nia
0 i i i E A
S E U
,E :
.
K
t n
ac
f
i
e
f
i
e
f
i I
CA
R R
.
ie
n 0 e W R
ew
di
. d d d
.T
U E
V
a ah
t 3
V V V N
t : : :
T
n DoD
. .
-
1 -a a a G
S Nc 0 R N
-
c Vu 0 A
S
A
S
A
S A
D M SP D
y Hem .
N N N E E E
-
c
o on
ut
0
:
: : :
:
ET HIC
sD C OI F C
C WDC
t
oN 0 C E
f e e e T l
o .n V- .
2 r r r .
R
r TO t t t E T
eA
x i
:
.
D I
R
-
a P. 9 f f f G U F
. ,s 1 i i i R P C I
_ 7
c c C
o ,9 c A S R A
T
L.
f
f
i 0 a a a D P A
E E C
A
T
ce. W" r
ti
t <
t <
CT
IO
N I
/
/eK
i
n e t
I
F
I
C O
/ y
t
t
e
n
0 J J J
WIC A
L
E
N
.w s 5 H H H T. U V
E
P
r
- - -
L
1 1 1
a :
c
T
L L .
- t
c
i
9 4 4 4 S C e
T .
7 7 7
I
T
e 8 C O c
L
o" %
O
R M h
E
:
f
ER -
D 2
U N 2 Y
T V 3 2 2
r
I 1 9 9 9 R s
n A A A A E
S d U U U D C
u u U
p s G G G G U E
e
t
r
9 9 9 9 E R
i
a 2 2 2 2 T
.
r l
v S
i e
s vi K K K
o c K . . . EL
r e .
YAT
-
- s V V V E E
-
-
V
-
'
-
D
I
n a a a a ES
-
A c n n n n XT
A
.
T
S C
E
: u S S S S E :M
p c c c c R
3 p y y y y T
0 or o o o o
I
F 3
A ti c c c c IE
0
N_/,, U
G
8
g
n
d
D
B
A
U
G
-
_h
.}T, 9 o
c
u
Y
9
8
_ _
m m
e
_
w n
t
_
s
_
_
e ar
_
_ c
a e
_
_
_
_
_
'
-- - - - - - - - - - - - - - - -
, .m i
'
'
.
0 EGaG FLORIDA ;
$%
Interopce Correspondence
date: December 19,1995 C210-95/96-012
to: File
from: Michael E. McDaniel, EGG-C210/BOC-321 MM
subject: NDE LEVELIII APPOINTMENT
In accordance with the requirements of ASNT-SNT-TC-1A, MIL-STD-410, and BOC-6440016,
Mr. JeffJ. Arveson is appointed to act in the capacity of an NDE Level M Engineer, Examiner,
I and Instructor in the following NDE Disciplines:
'
. Magnetic Particle (Expires 3/97)
. Liquid Penetrant (Expires 3/97)
. Radiography (Expires 3/97)
. Ultrasonics (Expires 3/97)
. LeakTesting(Expires 3/00)
. Visual (Expires 3/00)
Mr. Arveson has successfully passed either the EG&G or National ASNT Method Certification
O Examinati n f r NDE LevelIII, has successfully passed the EG&G Level III Specific examination
(Leak Testing and Visual) and has demonstrated proficiency in fulfilling the requirements
established by BOC-6440016 for the Practical examination in the above methods.
As the Manager of Nondestructive Evaluation for EG&G Florida, I hereby certify this
appointment.
MEM:tt
G
U
KSC FORM 2868 (REV.5/89)(c/G 2/91)
i
_ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
l l
b
To whom it may concem:
Q /
, .
'r
(pi -
Subject- Certification Statement
. l
.. Jeffrey J. Arvoson
, !
A ,.: A .f_,. .
2 .s '.
Authority: SNT-TC-1A,1992 Edition, Recommended Practice;
CTI Alaska, Inc.'s CTI-QC-1, * Procedure for Qualification and
I
Certification of Nondestructive Testing Personnel."
l
.
Mr. Jeffrey J. Arveson is hereby appointed NDT Level ill Examiner for CTI. i
Alaska, Inc. His appointment as Level 111 extends'to the Radiographic Testing )
method, Magnetic, Particle Test method, Ultrasonic Testing method, Uquid l
Penetrant Testing method, Leak Testing method, and Visual Testing method. '
i
Mr. Arveson is qualified for this position by reason of training, testing,
experience and education.
Mr. Arveson is certified by ASNT in the aforementioned methods. His
Certificate number is JM-1147 which expires March 2002.
.
- Respectfully yours, l
CTI Alaska,Inc.
Gmfidence
$"p',"j,,,,
i
G'eorge Haugen i
President
.
(*I t %M. tsu .
41014 Hd memord ll e
% ster 1861
%fh heorages W '8HI
fel:'us7.42 444;
Igg: 9587 42.48Fil
! ! l l
O .
,
O h* ah
h' O.
O <
A
I
.
-
-
h i
[ a
s
Pm
r
e
m
s]
i
d
e I e
t A
n n l
d
t
-
r
A
- t
i
l
i
e
r m
I"
b
-
3 C e
.
.
Sd
N
e e e
i
a
c
/
9
u
ti
f
s
=
=
N
o
t
o
f
r
i
o
i
e 7 c
r
t -
a =
c n r c
Rte a d e a
i '
s
TM
s
"A . e
" DN
c
a
Io
.
s e
t
e
l " O.G
ne a s
t
n
a u
t
"
a
RJ
S
i
*
t
h
-
, "AM a c
cn
e ,
P - t l
o
-
3I I1 i
p
.
e.
p
e
r
r
o
-
-
/Y1
0
2
4
7
f
a
a
c
v
e
T Xih s
l
i
e c
i
e
Dd d e
- e
t
y . r C
.
u h s
o
! i
d l s
c a t a t
f '
t'
n
1
!i .
~. . r i
A - .t m n By
S C d
N
T
a
,
_ 3
/
C
e
r
ti
f
_ 3Mr
/Ai
9Gi c
e
t
f
h
.
.
.
a
n
-
g
M
Tp u e
i f
~. _ 9
7La
i
c
. 7Na
c
a
e e b t o
On
t
d
l
a
_
"EtAe "EteT e
h
A PM
r
s
o
t
h
Ls l
i
k r
Nh Te
n _ KN
" T. o - "IN C o. S
N
n
n o n
o
t
o
f
E
_
_
"E
" SJ .-
"
*PAJ
"RM
T
I
e
n
e
l
T
r
d
s
a
ee i
d
o
wo
c
i
a
l -
_ 3NI
" I TM
- -
.
_ 3I 1
/ C1
T -
!
I
I
I
i
n
i
a
n
s
s
vA S n n
/Gl
eN T
f
w - 0 4
=
0L4 b= g p t
i
t
h 2 7 2E7 a e h d *
o
u
t
_
.
.
_ _-
- -
h n/
d
C
c
i l R
a
t
e
t
h
..
;
h e f
i
Iq e s
Y
a r
e
r
w
-
'
f
u
t
if
e t
a C C d r
.
,
i
s _ 3 Vr e
3 e
ri
m
e
i
c
a i Iu
mMu
. i
e / I ti 9
t
N t
n r
d
_ 9 Sf i
. 7
f
i
U
i
o Ie
.- h/
c
se 7 ! a t
c Pa T n t
c
f "Et
l
a _ At e m C i
l
" Le ..N .
. N N e
t o e e t
_ h
n i
" E.
To "To o m E v
_
_ %"I M . _ Y_'E
" S
TJ
N -
._
. "R
"A NJ y
* TM
.
-
d
.
a
8
m
i
t
t
e
e
n
d
o
t
s
f
o
k e
T
3 r
-
G1 1 - r
~
_ 3 _ /
0
1
1 b' s
/ 4 2 4 e
l e C e
0 7 7 a
m e
2 .
m _
_
_
_ e r
t s
' n i
f t
i i
t i i
o c
. t ,
-'
-) C Ci a n
.
.
3
/ i
9
at
f
i
eD
r
t
i
f
i ?
t
i
o g
7 Ic c n
-
I a i
Lt aI
"Te
t
a
O
'
e l
_
. RN N s
. " S.Ao u7 ' ,
"O
,
_
- " NJ
m
b .U W
y .(M.' m
.
e
.
.
'
*
I
C -I
M r i
_
-
l <
.-
3
/ 4 .[.
j
-
.
.= -
-
0
2
-
7 '
& {f;Wg.,
}t
: .
le 1. Arveson
CERTIFICATIONS:
ASNT Nationally Certified LevelIU in RT, MT, PT, VT, LT and UT.
Certification #]M-1147.
AWSFCWI, certification #89060651.
COMPUTER SKIU S:
Computer Literate with DOS Base and Windows Base Intus 123, Quattro Pro, Exx1,
Autosketch, Microsop Word, Wordstar, Wordperfect, Harvard Graphics, Timeline and
dBase with some Basic programming skills.
EDUCATION:
TedenicalInstitute ofHutatinson. August,1980 to April,1982. Graduatedfrom a two-
year Nondestructive Testing program with a Degree in Metals Testing Tedinology.
PROFESSIONAL EXPERIENCE:
CTI Alaska, Inc. March 16,1.096 to Present. Quality Control Manager / Corporate Izvel
Ill / RSO. Responsiblefor NRC radiation safety requirements of175+ Radiographer
and 40+ exposure devias and portable gauges. Responsible for annpany wide quality
Q proxdure cornplianx to mdes and client specipcations used. Assure all systems,
proxsses and personnel pufw ni to an acxptable degree of customer satisfaction. Identsfy
required personnel technical training and proxss improvernents. Certification j
administratorfor all disciplines ofinspectors.
EG&G Florida. November,1989 to Mardt 16,1996. Senior NDE Engineer /LevelIH.
Provide nondestructive testing and engineering support to EG&G customers at Kennedy 1
Spax Center that includes :
* NDE Engineering support to Pressure Vessel groupfor re-xrtipcation ofin-scroix
systems and to verify the vendors quality requirements during procurernent and
snanufacture ofnew pressure vessels per ASME code design requirements.
* NDE Engineering support to Pressure Piping Systems group for design and
inspection requirements ofnew piping systems and modipcations to existing systems
per ASMF/ANSIxde requirements.
* NDE Engineering support to amtracted welding facilities for welding proxdure l
!
qualipcation and welder artipcation per AWS and ASME code requirements.
* Propcient with Computed Pornography and Real-time Microfocus x-ray systerns as
engineering tools.
Also provide training and technical support to Izvel il Tedinicians in:
Radiographic Testing that includes low energy, gamma ray and linear accelerator ,
souras ofradiation.
( Ultrasonic Testing that includes longitudinal and shear wave contact examinations.
l
._
l.
RESUME:Jef) hey Arneson
'
Page 2 of2
Magnetic Particle Testing Hut includa ut, dry, visiNe andpuoresant with yokes, -
coils and prods inpeld and laboratory applications.
Liquid Penetrant Testing usat includes visiNe andpuorescent inpeld and laboratory
applications.
Visual Testing that includes bore-scope,pher-scope and prism-scope remote visual
examinations and visual wid examinationfor conformana to drawings widing
symbols and appliceNe codes.
Helium Mass Spectrometer Testing usat include vacuum and pressure examinations
DNV Industrial Servias. Subcontracted to USBI Kennedy Spaa Center. August,1989
to November,1989. NDE Enggineer/Isvel DL Developed proaduresfor the
in-servia examination of the Shuttle Solid Rocket Booster components. ResponsiNefor
compliana to procedures during internal, NASA, and Air Fora audits.
Magnallux Ouality Servias. May,1989 to August,1989. NDE Level HIand QNQC
coordinator. Pcfw;ad auditsfor cornpliana to specipcations and Quality
Assurana plan. Responsiblefor QuahycatiorsXertipcation of Technicians.
Braun engineering and Testing. May,1986 to May,1989. Laboratory supervisor,
NDE LevelIH RT, UT, MT, PT. Duties included coordinatorfor technicians and
O assistants, prepared tedsniques and proaduresfor examination ofcastings and
widments. Also refw,ad vendor surveillant's for compliana to code and quality
plans.
Conam inspection Roseville. Deamber,1984 to May,1986. Laboratory supervisor,
NDE LevelIU RT, UT, MT, PT and Regional Radiation Safety Officer. artsped
ledsnicians and assistants in all methods. Provide training where needed. Prepared i
i
requestfor quotations and approved techniques and proceduresfor all test metho&.
Conam inspection Williston. August,1983 to Deamber,1984. Branch Manager and
Regional Radiation Safety Officerfor testing laboratory. Providing testing servias
(RT, UT, MT, PT)for petroleum industries and expanded to powr plant operations. 1
TMn Ports Testing. April,1982 to August,1983. LevelH technician performing RT,
UT, MT, PT on turNnes, boilers, and related piping alds. Also prepared reports,
documented test results, and prepared requestfor quotations. l
The Virginia Corporation and Reinhart and Associates. Emp oyed part time as an
NDT Technician performing inspections in nuclear power plants and paper mills
usuite attending the Technical Institute ofHutdsinson.
O xereRenceSueoNneaueSr.
.
..i_
RADIATION SAFETY PROGRAM Sectian: 9.0
PART I Page: 3 of 6
A5CG RESUMES Revision: 1
. I ection, Date: 02/10/98
an ASCG company
TOM LIVERANCE, RADIATION SAFETY SUPERVISOR
O
l
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ - ______ _ . _ __ _ _ _ _ _ - _ _ _ _ _ _ _ _ . - _. ._
_ _ _ _ - _ ______-_______ ______-___
1
Thomas Liverance
(} Work History
1
July,1994 - February,1998
CTI Alaska, Inc.
SNTC-1 A Certified Radiographer Level ll
4,089 Hours
Education Historv !
40 Hours Radiation Safety
40 Hours Radiographer Level I
40 Hours Radiographer Level 11
8 Hours Radiation Safety - CTI Alaska, Inc. l
Annual Refresher Courses
-
,
i
1
'
0
O
l 1
'\ .. . ,' -
. '.l '
'. , -
;
y
.
%
4 k
.
.p
h ni.
- -
.m
'
-
. .
%. . .-
-
ts
4ni m. .
#r r
o
.
.
;g
3
1a 4
u
t
c
u .w
.- 9 r r .
%a%u. ..
..
.
m
u
,
n
o g it
e
c
9
1
'I
t
s
n
I
t
s
n .r
.
g
,
c a e nn emo 2
l
9,wA..
:
.. u s i f r '
ih
t i
e .
s .,. r l
p b .
cs . g r
u
C a o
d
n mt
pi a
r
d e e j
t
c
t
m
e -
-
-
.
w
y
c
#pn..m e d b p .
c a l
a ce y me n us y e [A
l .
. t
a c S d
.g
n n r r me t .
eA...m
.
ht n o da o of e
E .
n a a i
t
a n
t
c mh t
f
l e
a g
.
v
tsa u . T r y r a f
o c o f
a
fo na .
e o
'
c e tf or
f e u s
S y ri o .
~
v
t
. i
d a
i
t s
r r n a ot h
p
t
E a o d s a c
9.%. . of%;,, e . .
.
r
e edr ys huNi o Ti
i s cn
C L
t
eoA .
] . ht i
b S d n :y f V
a
'
y
.h-
s u e o h b o .
0
A y
.
r& k
'
e t
-'
o a d q y 4 i
'
'
d P s
\ .
e er nc r 8 7 e r a
.
9aA.. . t t t n 8 t 2 d
.
a s m l
e e e oi f
9 1 a iv r eA
, el
* .
c
i
o h a raf
s n i
i
s
o ph c
mt i
f
n e
d ; i
e P
r
pC o
.
.
w
h od o o n A d
'yna. ...m.
t . ih .
f
t
r
i
T T c e r
yi
n p a
a d
i
t
n
i
l
t
u C
1
-
R
a
ht
d
e
g
n
in L
S
. ot
f y
es
i
.
.
..
w
e mso T-
i
l t
e ia
f,,a..Ce
l t d gr
f
u n i
t
a a a T l
p T
r
l ee g
al v .
s
s
a r x N m nl i
.
e mt sn e d o
s u S oon .
' a w.. .
c
c s o
u a
n
a
e
t
c o
.
C DCU .
.
w
p
'
.
s h mf u d N
.
3
de o n
%w%. .
.
0 .
2 s o 5
.
a c . 9 .
h :
y 9
3
4nw.
sn
u .. d
t
a
e cd
.
H
w
a
s:
.
=
Wew..
..
A
id In a r
r
v
o ,
w
e
k'.
a .
l~
A .
.. K P k
aS
7 e
, .
g4
S g sd0 g .
SuwA.. .. - L
A i
n al 1 a
l O
eo
r .w
tsau.. oLA ia
n A
T T8 un c:m
r I 3 i
1 t h .
pw
-. {
.
-
.. C4 S gA .
.
' 9w%... .
-
. ~
.
.
-
5 .z- 6;- ;
f, .
.. . . -, ' . * , .
* * '
.
_ -) p nn,.6 .ckmsigkg4g%. EMW e,1: '
.
, 6
i > .. t :
._ ;-<g
3 [p ~' e ,' hk
. i s :. l- j.
~
fs
N ,
esn pe
.
g4
.
[gkF ,
"
J .exr
g ;;
r (f j - a@n5,kMviAe .$3 , QM .d,
( ' 3
~% 1
,
j %.*-0
wP,bW/[*
.
(
s i- i
k .r5,[t
.
.o
._ u% xfa. .
3
..fQ . 0yfgg@Ae$.[$
i i
C kg
k
.NgOynpQ% :
.
U -
--
'
e4 leln illlhRi
-
m
_e
reCr
?;ls!n
m
~
- eti - -
,.
mfi c
i+a
- rte
m
i
- r N n
_e
m r
o e e
_e . e
- -
rH
mi t
bng
yg n
t
i
c
o m
- -
'
p P
e1 s t t
i
i
a
-
r7 6 a h o
e n
Hm
- t
i
e7 s
p/ fro
a
Ea
0 c ef
r1 c
e95 t
o o h <
r r ma
r
I
n
R
y
c min
e
v
1' L
r
r
r
w
i A ong
pmda s k La
Iu
r
r
t
n
e D l i c
t u n T
h
E ,.
r b s
s I
O
et
i n e
o c n i
s
r
r
J
a
n
e
e t
n h G
n
o s ss
of a
s C
e Ras
r u e ofu l r
r a h e r R f Sy
l
f
t
i
u
r
r
y
r
er o
ef A
P
aNc
n
T- o S c
a
O a
2 t
t
ex Tm L t
e
r
r
,2
1
f
o h
a s
i H
Y
aCp
m1 e
-
l i
s A
Pm-
e
c
9
9
5
fiS
x i
e g
n ,A ed
i
a
t
La aw C
r
r
c
o
dn a
t
u
L
E
V
ona
t
i
n d4
a
0
i
ve d
e
r Im
Fu
r
r
e E
L
od
n e h ra
d I , s
r c
mo t
o
C ,.,
r
rA
rSS~
. h
a
s I
t
ho u
e n s r
n
c , ,
s r t e ,
rNt e e
r
T
p- ua ud
btc
rLe
rv en.
re
h je
e
c da t
p oi
I-
X-
t
o or n
l
i
rli
rl M . 'c,. ffai l C,
rMS
r
c
ic
e o . ,
rMenn
r8
- nu
yc sr
,
g5 0 e- ,e
-
t
- g
-
-
-
a -
-
'n-
-
-
' dka , 4 "g ,
kpl
$ l *8ll'g -
o- -.
-
-
,
i
,
;
), /}I ) x'/ i ( )\
~
T
1 3 '.
m{t lClE; lellliie;@ e!g
eC
rre m
mti m
efi c r
ra
rte i
s
r
e
n
-
m a
-
rN e re
- - -
r.o e
t c n
rH i
o
-
r6
rP
r1
bng
yg
s t
n i
t
i
s
-
x 7 ahe o
n
Hmt
- t -
p- 76 i
s
-
r/ 0
e1
fro
a
c ef
i
c
r95 t
o o h
r yr ma Em-
r
r
i
n
R c min
e
v
1' L
rr A o ng T Lm
r
w
i
t
n D pmda su wT
Im
t
r
r b s
e
s I
O
e
t oc
l i c
i n e mh i
s E
- r
r J
a
n
e
e t
n he G
os
n
of
ss a
s C
e Rw a
r u f
ofu l r
r a h re R Sy
l
f
t
i
n
r
r
y
r
e
r o
ef A aNc
n
T- o S i
c
Paa
m
2 t
o hti
P e Tm La t
p
r
,2
1
f
a s H
Y
xCp
a
m1 e
- l
e
i
s A
x-
e
r
9
9
5
f
iS
x
egi L a
n ,A ed
i
t
t
La
i w
a
Cm
I e,
dn a ian a
g
r t
E
V
o
nd4 v
e
r
d
i- u
r E 0
r
e
d F u.
c
rr
e
h
a
L
od
ne h
t
ho u
mo a
n
t
o Im
rA s
I
e n s r ,C m.
rSS
rNt s r t e c u
e
-
rrLT hpe~ ua ud
btc
i- ev e
- je
e da t I m,
rel
rim
n c
t p oi
o r n
X4
el .
l
fofa i l
Cm
sMS c
i c .
Men
-
e
n o u .
5
n yc sr n
0 e ,e e
.
- o
-
-
-
N8 $N $kl&gl[}f
-
il4L!9lq.
o
.o
.
O' ._ -
-
- '
_
-
(
(
!T (/ ) ~ ( )[ \( , '/N/ )\/ )
~
)
_ _ _ _
-
-
.
..
-
4
.
. -
'1homas Liverance
in recognition of having successfully completed a 40 hour educational
course, meeting the Recommendations of SNT-TC-1A, and demc istrated
proficiency by satisfactory completion of an examination
'
on the subject of
RADIOGRAPHY LEVEL 11
In witness thereof these Signatures have
been hereto affixed
May 28,1995
Vice Preside
George V. Cr
e^ \
InstructoF
George V. Crowe . AsNT LEVEL 111 JM-1126 Certipcate No. HAP 2033
H E L L I E F1
f z e c .~ ~ , c .s < z , .s , ~ , x e . ce~emz,~e I
.
i
'
, i : '
< i ;;I i; . .
,
- s , ,
!
l
l
'1homas Liverance ,
!
!
in recognition of having successfidly completed a 40 hour
\
educational course, meeting the Recommendations of SNT-TC-1A,
and demonstrated proficiency by satisfactory completion of an
examination on the subject of
i
FILM INTERPRETATION ,
in witness thereof these Signatures have
been hereto affixed
August 12, 1995
,' , ,-
/ ,. !
N
'
&
Vice President
George V. Crowe
\ .
y es -- on
-
Instructor
Richard Harrison - Khi 1485
Certifcate No. HAP 2156
H E L L I E F1 !
/ zecmx,c.m z n .m , x e . cexe m ,~e I
)
. _ _ _ _ _ _ _ - _
.
THOMAS H.LIVERANCE
*
EMPLOYMENT CTI AlaskaInc., Pmdhoe Bay, AK
HISTORY Non Destructive Testing (NDT) Technician, (June'94 - Present)
Currently operating an automated ultrasonic inspection system used
primarily for tank and vesselinspection. Acquired a variety of
experience in manual and automated radiographic inspection techniques.
UNITED STATES NAVY, USS George Phillip (FFG-12)
Main Propulsion Officer, (May'92 - March'93)
Supervised 25 technicians in operation and maintenance of two 25,000
horsepower manne gas tmbine engines, main reduction gears, shafting
and associated support equipment. Responsible for storage, onload and
testing of over 200 thousand gallons of manne and aviation fuels.
Electrical OfDeer, (April'91 - March'93)
Directed 20 technicians responsible for four 1000 kw diesel generators,
all intemal communications equipment, and ship's electrical distribution
system. Managed Engineering Depamnent Trainir.g Program and
conducted shipwide electrical safety training.
1st Lieutenant / Deck OfDeer, (December'89 -April'91)
Supervised 30 personnel of varied skilllevels in operating ship's
helicopter deck, maintaining small boats, directing all heavy riggmg
operations and extemal preservation of ship.
SPECIAU7Fn Ocean Corporation, Houston,TX
TRAINING Certified Commercial Diver
Non-Destmetive Testing (UT, MT, Fr Level II)
CTI Alaska Inc., Anchorage, AK
40 Hour Radiation Safety
Non-destructive Testing (RT, MFE and LT II)
Radiographic FilmInterpretation.
Advanced Ultrasonic Shearwave Inspection
SupervisorTraining Seminar
United States Navy
Marine Gas Turbine Engineering School
Gas Free Engineering School (Confined Space Ectry/ Hot Work)
Respiratory Protection Program Managers Course 4
Shipboard and Aviation Firefighting
Advanced Aviation Firefighting Team Tminer -
EDUCATION B.A. Physics,1989, University of Nonh Carolina, Chapel Hill, NC
,
Scholarship, Naval Reserve Officer Training Corps
- - - - _ _ _ _ _ _
- _ _ _ _ . . _ _ _ _ _ _ _ _
.
.. . . .
RADIATION SAFETY PROGRAM Section: 9.0
PARTI Page: 4 of 6
ASCG RESUMES Revision: 1
ln5peCtion, Date: 02/10/98
an ASCG company
DAN SMITH, RADIATION SAFETY SUPERVISOR
1
4
O
l
,
;
I
l
l
O
301 Arctic Slope Ave, Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
Dan Smith
O Work History
April,1992 - February,1998
CTI Alaska, Inc.
SNTC-1 A Certified Radiographer Level ll
70 months
Education History
40 Hours Radiation Safety
'40 Hours Radiographer LevelI
40 Hours Radiographer Level ll
8 Hours Radiation Safety - CTI Alaska, Inc.
Annual Refresher Courses
O
- -
. O
_ _ _ _ _ . _ _ _ . __ _ _ _ _ _ _ _ _ _ _ _
'
, ..
!
!
l
1
m j
Q :
:
I
J
CTI CERTIFICATION OF CTI
Alaska NONDESTRUCTIVE TESTING Alaska
.
NAME: Daniel P. Smith !
THIS IS TO CERTIFY THE ABOVE NAMED PERSON HAS BEEN EXAMINED IN
ACCORDANCE WITH SNT.TC 1 A AND IS QUALFIED TO PERFORM NONDE-
STRUCTIVE EXAMNATION WITHIN THE METHOO(S)INDIC SE
SLOE TO THE REQUIREMENTS OF ASME SE VW. API 11 AND 650, 1
i
053. ANSI B31.3. B314, B318. AWS 01.1. *
/.s
Nondeelructive Esammer g,@ Qt - j H lli JM1147
/ \T l
i
I
'
DOB: 5/3/67 Emolovee fD. Mnsp. No. 332
Visual Correction Reauired: No
THE FOLLOWING CERTIFICATION (S) ARE VOID 3 YEARS AFTER DATE INDICATED
OR UPON TERMINAT10N OF CURRENT EMPLOYMENT. WHCHEVER OCCURS
FIRST,
Method (s) Level . Limitation (As Noted) Date Empires
Penetrant Leveill- Solvent / Remove Color 29-Aug-99 j
Radiography Level 11 - No FHm interpretation 15-JarM)1
-
Ultrasonic Leveli 16-Apr-98
i
l
-
,
!
Printed January 18,1998
i
!
l
O_
.
L _ _ _ _ . . _ _ _ .
CTI Al ska,Inc. J
CERTIFICATION STATEMENT
(SNT-TC-1 A 1992)
p Name: Daniel P. Smith Method / Level: Radiography Level II - No
Film Interpretation
() {[{
atA,ka ID: M nsp.No.332 Original Certification Date: 1121/95
Last Expiration Date:
*
111 6198
Decertification Date: 111 6198
Recettification By Examination: N/A Decertification Expiration Date: 111512001
Formal Education Summary
Formal education attained and claimed for quali6 cation:
Education Location Date
Graduate, Beaverton High School Beaverton, Ml Jun/85
Technical Trainina Summary
Documentation exists which verifies that the above individual meets or exceeds the qualification
requirements, in accordance with the written practice of this company, CTI-QC-1.
Course Comoanv/ Location Date Hours
Radiation Safety CTI Alaska,inclAnchorage, AK 12-Jun-92 40
RT1 Heller / Anchorage, AK 22-Jan-95 40
RT-Il R.Wappel/Wasilla, AK 20-Aug-94 40
Film Interpretation Hellier/ Anchorage, AK 12-Aug-95 40
Total 160
Work Exoerience Summary
The following is a summary of the qualifying work ex'perience in the discipline indicated above as
d claimed by the above individual:
Emolover Position From Io Months
CTl Alaska, Inc. RT-l Nov/92 Jan/95 26
CTl Alaska, Inc. Trainee Apr/92 Nov/92 7
Total 33
'
Examination Result (70% Per Exam and 80% Overall Average to Pass)
Exam Tvoe Date Questions Correct Score
Specific 16-Jan-98 20 19 95.0 %
Practical 09-Jul-93 100 96 96.0 %
General 09-Jul-93 40 36 90.0 %
Average 93.7 %
Eve Exam Record
Last Test Date Corrected Exoiration
20-Apr-97 No 20-Apr-98
CERTIFICATION:
Based on the above summary of qualifications and examinatbn results, I certify that the above named
incividual meets the minimum requirements for this method, in accordance with:
CTI Alaska, Inc. CTI-QC-1 l
l
0 e ..n. ' $ '
l d J6ffery 3.i A rveson JM1147 Level 111 Examiner I Dato
i
Note: This certificate is void 3 years after date(s) indcated or upon terminate of current employment, whichever occurs first.
Certificate examinatms are on file at CT! Alaska,Inc.,4831 Old Seward Highway, Suite 107, Anchorage, AK 99503-7450. Copies of 1
these examinations may be viewed by CTl Alaska, Inc. cients upon wntten request.
!
_
_
_
_
,' , _
_
~ _
_
_
.
,! _
I
3 ) ;
,
, _
1 .t /' _
.
_
,- z ; _
.
n wI - '
p'e _
o
- _
;e
ga.#
.
k
wrq@
i
; , ? r .i '
.
_
n)( j
)h @bpd -
.
4"
h,N 4 h d h d $. _
_
hga.
_
g:
.
.
- n %. t _
'
.
_
. i
A .
. '
wM '8 ' .
_
_
sa
wM 7
^'
.
hm e wE. d.
_
Bz. n w ._
.[!
_
g%-n %.
.
dnn t
O
r
o
t
c m M
!
g
nU
C
I
u u2
r
,
e
t
S
n
t
s
n M M
2 m n c I
m ,
&um u o g t i
-
mg#m.w%
l : 2
u ina c f
s i 9
a t
m i
c h
r le n rp t o
p a i
9
1 t
a e
_
_
hc r d c
',4 e W*
sa agn u n mt r d eej
C a ol ~
d b e
n
,
s
M
a ce ycm6a n u
1
mpR .
,
,
b n
l
s u
b
1
dmi ,y
t
ht
a h
t
n an or or
o me t
J
n >g.
g-
a i
i
t d tc f nh ' e t
wR M N
mc
fi .,
a n a f 6
%7 r f' :f fo '
y u tte fs d cE o .a
m
h
m. T i
f
f
i
t
r
S d a
E d sa
i ht h
t
i. n
li
i
#
S d
y
a dMM "*
aN M"
'
'
,
P .e
)
e t
: t g
- o C h
t,
i e $ h'$i
r
u t S 'd e i
.o
n h
2
t
y
b rh :c
g*B yf
f\
Jw:
): t
e t
o l
e
d q y
t
e er 'c
e y k'8
[ *8
f9i
,
.i
t
a
1 de ap
d S =w g%
g _
4: a
i
p eh ec;i ;f1
i ,
, v t ,
c s n l
i t
s
i or L a
. n
a
n1
a
,.
mw f
i
mt nNb $
d e -.P t
.
c en pn ad 'i X
o 'd i 6h t [ l 'a
mWg
e'
'
i s a .
ht gl u
dl
actr i
i
h D n uC
l
,
R
u
de
'n i
n oo
as
nn c _
br T yi .
a de i i t i
cM
._
u n a an a 'os T-
_
l
t
r ,
e a
r DC
e l
t
T , p
l
T
f
4
hr
nC f i
s a r tx
s
ei n s
c
c s n n
e de N
t
S > ', C
m
o
mgsWh.
P
a o a c o
.
' .
3
mf du N m M*
0
nn u
bnc,
.s h
s
a
de o n o
c
'
y
w
5
9
9 Nfg '
B H a
h
wSn.
:
t k -
4 : a d s
: d
r
a
a h.
mr': e w
l
A
,mE['~'
d
i e
m ;; v S
c M
I o . 7 e -
b =: 7 P nl 1 ag
r cd0 a
dm -.
g .
1
.
i
gI O
n
nI 3 i c
,1
eo c
th a fe
r :
g*h f.
w
-
-
iT8
a un i i
'
_
_
e #*
_
. e r C4 SA .
_
c T W ~
_
_
M e. .
_
w
,
DO
&
y
w= ;
dyj 3 4@1gj:i
--
25 E .
f ) h.M: e,d
.
~
~
,c-
.
f
kG ;.
~
y f ;
[z
g,I.
,
.
, . _
3
- ,. o
- g9g ~ .
_
* %g E
4b(~' '
'
' J ,
E.
-
j-
1
w* - MF .
a [ 1'f , $
\
'
.
, ~
.
_
-
,
6
O~m!
i
@!ll alnl wl$w$ {&h $ $8
d
d i
1+ c
Ie -
-e
-
'
ia t
J -e
Y+ , r
e
- _U
d
a
s y
r
u c
o n
e
e5
n8 e
n
eM t
0 t
-
r
i_1
. ci
c SMe
7C1
a
-
l i
aff
n ro o :Mt or
l
i
JXJ
aI
i
t
o pt
ad
c eje
c n lef
e v eg
x u t b JhL p g
i
Y de au t
r s t
eTN
f s S S
Te
,
r n e
u oh I
s
a Am
Y- C o om
t
h
T
Y
Y I
-
d
t
h e n
0
d o
L
E e
r m
r
YF e
V u
i
dr 4d n t , r
ia n o E a e
aI a a ai t nd r
w a L g e 5 e
4C
a
14
a
s
d
eAi
t
e 1
, n
m Y
i xi
S f
s fa
9
9 r
e
A
, - 1
pCx a
i l
1-
H i
ht ot
,
O
I
7P
L, t
e
a
mT e
o T- n P
fe
2
2 m
Y,
i
f
c
cNa
yS
A o er
eh
y
r
a n
1-
i
t
r l
f R r
e u
n a
dfo
T aR
1
C
e
foi
s n G ht n e J
a
G
JE
a d
i
s s
e ni
coe
ci
s o
t O
I
sb
s
e
e
m
r
a 4I
7
T u
s ap
t
d m
l
D n
t
e
e
4L g n o
n e c
A i
w r
& R r
74L
-
i
v m y n e
a mr I t
3E h oo
fe c a
c t
5
9 e
1
0 r
e
oRf /
MaH n et
oh a s
i
s 3 t
7
7 r
- Ta i
t t
1 o
W
i
n gy P t
~a g nb
l
f c
i oi t H e
Y c e . r
L e o ec
- r e N
u M. m
-
M i
n t
e r
i
X a
c
r
3 i e
f
- 4 it
t
r
Y, e r
Y
I
?
: ! ;e lTh 9${e$ e$ ;
[ Ch '
-
-
O ,-
:
.
'
'
~
;' I !
\
i
. .,
'
- '
.
, .. . ,
.
,- -
.
l
.
s .'
.
._. ., :
:. -
. , ' ,
g
" .
~ . "
.
. .. h ;
m
. ,: "~ .
=
[ fp[-:5'^ :
: - . 5': e>
. h:x 2I.;
-
.
~ , .
.
.
e
&
e
s
'.
z' s s.
.
~ ,
-
- i. .
: ,
-
-
.
'
'
,
~
-s
a
' .
*.
-
'.-
t
n b '?.
.
__
*
-
e F
O
,
-
.
m
c
N
I N
_
'
*
.
,
uc E O s .
3 n t
b .
i
T
E I A
i
_ - .
l O C L I n
* .
c T P L _
p D
E
- M
O
C
E
V
E
L )
s
4
9
/ n
'
T Y
H
r
u
0
2 u
f N L P o /
o E U A
R
h 8 ~
- S
E 5 F
S
G
O
0
4 -
e R
P 5
2 S
E
I
D
A
R
(
C
,
t
a
c 3
1 C
i
U
S
~
f
i
R R
t
r
c D~
O
F _ *
.
@ _
.
~._
L .
A -
.
5_
I R ^
v
N -
H T
E C
HE
TT CME N
E
C
~
- . - . . . . .
.
I:ii!i!:'. \1- ', ' :
. ;- l ! ! ! ',
"
I
i i l l:l il ll \ii .l() i
I
!
'
Daniel P. Smitft
in recognition of having successfully completed a 40 hour ,
educational course, meeting the Recommendations of SNT-TC-1A,
and demonstrated proficiency by satisfactory completion of an
examination on the subject of
1 FILM INTERPRETATION
!-
In witness thereof these Signatures have '
been hereto affixed i
August 12,1995 '
). I
&
'
Vice President
Georges }' Crowe
L \c
Instructor
Richard Harrison - Khi 1485
Cernficate No. HAP 2146
H E L L I E F1
/ zmc.m,c.m 1 m ,x,xe s ce~ee<,,me
,
_ _ _ _ _ _ - _ - - _ - _ - _ - _ _ . _ - _ ._
.
.
Daniel Patrick Smith
M ;
Position Applied: CTI External Corrosion Spectatist
!
Experience: e
CTI, Alaska Inc.,
04R2 - Present. Indurtrial Endlorranher
Non-Destructive Examination of piping, tanks, vessels for corrosion and
mechanicalintegrity. Extensive work operating, inspecting, and analysis of RTR
nnd TRT. Responsible for compiling data, and generating reports for the client.
Knowledge and proficiency performing work to code standards (API 1104
ASME). Educated in and observe safety regulations and guidelines set by the
NRC and State of Alaska Department of Transportation.
U.S. ARMY, Fort Lee, Virginia - 109th QM BN
OS9] - 01R2, OprmrerR1nir %nniv Spreinlict
Receive and dispense bulk and packaged petroleum products; operated equipment
such as forklift, trucks, conveyors, and cranes in loading, unloading, moving, and
storing petroleum supplies; mark petroleum containers for proper identification;
-
preventive maintenance on petroleum stonge and handling equipment. Qualified
to safely operate and pump unit liquid dispensing, and truck mounting.
U.S. ARMY, Fort Richartison, Alaska - 4/11 FA BN HHS DS FA DN
09M7 - 07N1, OperatorRJnit Suopiv Spretalist
Operator of commercial through 5,000 gal. Petroleum tankera; military sedan
through 5-ton tractor trailers. Issued over 15,000 gallons of fuel during arctic
temperatures in 1991. Established a hasic load of petmieum products for the
entire battalion that received laudatory comments during major inspections.
Flawlessly managed petroleum product usage within the organization and
properly forecasted all Class III requirements on a consistent basis. Worked
extensively with environmentalist to ensure hazardous waste procedures and
materials were in accordance with all governing regulations. Worked in Garrison
as Unit Supply specialist: ordered, received, stored and issued supplies and
equipment for the entire organization.
C-Way Construction, Lansing, Michigan
07M6 - 11M6, %rer
Built sound barrier walls with Interstate roads and airport neighborhood Ibr noi.se
I abatement .
O
07/30/97 14:52 TX/RX NO.1369 P.003 g
- - - . . . . . . - - -
_ _ _ _ _ _ - _ - _
. . .
,
l
O s-~~
Romane Page2 !
!
,
Training /Educadon
Hellier Associates Pacific Inc., Ultrasonic levelI. 40 hours
Ultrasonic level II,40 hours
RadiographylevelI,40 hours i
Tilm Interpraation,40 hours
]
I
'
Ron WoppelCourse, Radiography levelII,40 hours
Dor; Spahr Course, Liquid Penetrant TestinglevelII
Military f h-J Commercial through five ton tractor trailer.
Military Training Hazardous Material Management Course,1991
Primary I.cadership Development Course,160 hours j
Petmleum Supply Specialist ,8 week course <
O- Petroleum Storage Pmeedures,3 Semester hours
Fire Safety 77 F10,2 Semester hours
Outdoor Skills Practicum,1 Semester hour i
Marksmanship,1 Semester hour i
Personal & Phy. Conditioning. 2 Sernester hours
Skills
Self motivated and organized resulting in highly pmductive. Ability to multitask and l
prioritize without supervision. Ability to work independently and in a group
) environments. Stmng interpersonal skills. Safety conscious resulting in an excellent ! I safety record. Computer literate with windows 95 programs (word 7.0 and excel), ,
automated computer systems, arul Corrosion Dbase reporting programs. I
1
i
l
I
O
07/30/97 14:52 TX/RX NO.1369 P.004
!
- _ ___. _ - . . - _ _ __ _ ____ _____ _
. . . .
,
-
.
DanielPatrick Smith
Referenees
C'n Personnel ARCO AK Inc. Personnel
I
George Haugen Bruce Servin
Mike Thorne Matt Collins
Buddy Van Dam Al Dalquist
Steve Webster HalKxushke
Geoge Foley i
!
Tony Buschard
3
TOTAL P.05
07/30/97 14:52 TX/RX NO.1369 P.005 g
- - _
RADIATION SAFETY PROGRAM Section: 90
Page' 5of6
gjggy,gg Revision: 1
EA5CG
an ASCG company
In5pection,
lnC.
TERRY STOKAN, RADIATION SAFETY SUPERVISOR
Date: 02/10/98
.
O
,
i
O I
301 Arctic Slope Ave.,5uite 100 Anchorage.AK 99518 phone (907) 267-6236 fax (907) 267-6480
-_
i
Terrance Stokan
. f} Work History
February,1981 - November,1990
Alaska Welding Center
SNTC-1 A Certified Radiographer Level ll !
108 months !
November,1990 - February,- 1998
CTI Alaska, Inc.
SNTC-1 A Certified Radiographer Level 11
96 months
Education History l
'
80 Hours Radiation Safety ;
40 Hours Radiographer Level 1- '
40 Hours Radiographer Level ll
8 Hours Radiation Safety - CTl Alaska, Inc.
Annual Refresher Courses
O
O
- - - - - - - - -- - -
_.
-
.
l l
...... ................ ..........
CTI CERTIFICATION OF CTI
Alaska NONDESTRUCTIVE TESTING Alaska
NAME: Terrance A. Stoken
THIS IS TO CER11FY THE ABOVE NAMED PERSON HAS BEEN EXAMINED IN
ACCORDANCE WrTH SNT.TC-1 A AND lE QUAUFIEDTO PERFORM NONDE.
STRUCTTVE EXAANNATION WITHIN THE METMXXS) INOCATED ON REVERSE
SIDE TO THE REQUIREMENTS OF ASME GECTION V AND VJI; API 1104 AND 050,
e53; ANSI B313, B31.4. B31.8. AWS D1.1.
Nondestructrue Exanunwg-g , g)MLevol m SB703
I
QQR; 6551 EmDiovee ID. 6 insp.No. 331
Visual CorTection Rsouired: No
THE FOLLOMNG CERTFCATION{S) ARE VOID 3 YEARS AFTER DATE INDCATED
OR UPON TERMINATON OF CURRENT EMPLOYMENT . WHICHEVER OCCURS
FIRST.
Method (s) Level. Limitation (As Note 3) Date Expires
Magnete Partcle Level 11 -Yoke / Dry Powder 25.Jun-99
Penetrant Level ll 1 N un-99
Radiography Level 11 30-May-98
Ultrasonc Level 11 26-Apr-98
Printed June 25,1996
__
i
%
CERTIFICATION STATEMENT
REF: SNT-TC-1A, December 1992 Edition
ANSI /ASNT CP-189-1991
O cTI'- '^
4. N me treaav A. srox^N
Social Security Number :p
i necter" :334
Hire Date : 2/22/92
2. Nondestructive Testing Method For Certification : RADIOGRAPHY i
Limited : No Alternative 1 : No
New Certification :
3. Level of Certification: 11 Decertification :X
4. Qualified To Perform Examinations in Accordance with :
SNT-TC-1A, CTI Alaska, Inc. Qualification and Certification Procedure, API 1104, ANSI B31.3, ANSI
B31.4, ASME Section V, ASME Section Vill and AWS D1.1, Latest additions, as applicable.
5. Education :1979 graduate of Anaconda High School.
l
6. Training : Radiography, Level 1, Hellier, January,1995,40 Hours Radiography, Level II, Hellier, May,1995, i
'
40 Hours Radiographic Film Interpretation, June,1987,16 Hours
7. Work Experience in NDT Method for Certification :
Radiography of welds in structural members, pipe, corrosion inspection of pipelines and storage !
vessels and piping systems. l
Total Years / Months Experience in Method For Certification : 12 Yrs.
8. Total Hours Training in Method For Certification: 96
Total Hours Training in Radiation Safety (if applicable): 40
Radiation Safety Examination on File: Yes Assistant : Radiographer : X
9. Examination Results: Examination % Score
General : 85.00 (70% or higher for each)
Specific : 100.00
Practical : 93.00
Average Score : 92.67 (80% or higher)
10. Satisfactory Completion of Visual Acuity Test :Yes Date: 9/28/94
11. Date of Original Certification: 3/4/86 Original Expires: 3/3/89
12. Date of Decertification: 5/30/95 Decertification Expires: 5/29/98
Decertification by Examination : Decertification without Examination : X i
1 l 13. Examination Administered By Sandy N. Watson SB703 5.u uj,/Cf' % Level lli Examiner
14. Certification Approved By Sandy N. Watson SB7034 A, n. LJ.xe~ Levei iii Examiner
/
p NOTE: This certification is void 3 years after date(s) indicated or upon termination of current employment,
V whichever occurs first. Certification examinations are on file at CTI Alaska, Inc., 4831 Old Seward
Highway, Suite 107, Anchorage, Alaska 99503-7450. Copies of these examinations may be viewed by j
'
CTI clients upon written request.
l
<
_.
'
'I) i i ! j ! 'i,
.
-
.I_~li T()
.
.j
.,
7eueue A SWea
In recognition ofhaving successfully completeda 40 hour
education course, anddemonstratedproficiency by
satisfactory completion ofan examination
on the subject of
RADIATION SAFETY
In witness thereof these Signatures have
been hereto affixed
January 11,1998
uw
GeneralManager
Richard Harrison
, WV
Instructor VV
Alex A. Bagany,111 Cernficate No. HAP 3666
H E L L I E FR
/ 1ecmx,c.m 1 m .s , x , x e . ce~ m 1, ~ e
y
ef.,_
l
.
b. .
-
4,my_ G
A i
l
a
n_
i
Gl a
l
l
jm
r
a s Asp e i
u a
.
g i
k
l
a a g
r s
n a s
.
j.
yfn 7_
%,i 3,m n
g
i
Hi
k
a
s
s
e
a
n
B
a
t
c h h
~(- H a
' - i
. sh
.
;
-
l
s.
y.
.
.
.
E
e
p
l
a gn
r
i
b
i e
l
i
h Hp
i i p
Aafc
s
t
o
T
e
(
C,
n r l
r
e
t
n G g r
i i
.
ef<h;. m _. i
e
t
t c i
l
1
e n e ay r G
e ~x n B Gn t
e
,
a_
.
g$_ y. -
pf.
l
.
-
m
t
t
e
r g
i
n
e
d
e
n
t
e
r
a
n,n
h o
s' { f.p
i
o G'
o
t
u
n
c
j
l
i
s
i
s
r
t
eD,,m
e
,
t
.
yq
. .
. i
E a
l
r on, e3.lt o i,
f-
. l
. }
c
w nkp. . i
s a c.h.h G
.
A
..
w gN,y - b t.
u. a e
a.s
i
;
2 c r
i
j l.f
; i
I
i a t,
.
t
Wg. h,, . jr G S
Sl c,
.
t l
m i
f .,
1
. l i f
o y
Mg"gm. .
!
n G a .o
l
u t
D e.
o
a
. t
r i
Aa s 3 _ 3=f .
- g
a Bs t Rs
a e
l
a
q
a k t
w4I,
l
;
ci.wm - i
h
gi
).
o f
e n o
i
W%N_ .u -, 4 ,, j
f
y
t
a
i
a f a t
e
, t
S n
l
,i '
c i
w;:~M__
.
.
.
c o
> <~Ig
t
t
l a n u t
v;a. aZ
.E e
i
t
e
l
r r b
"p_. ,
.
-- g
o b
a Bg
a
I
1
!v gh. _
4if' 11 r n f i
yed,3
bcF i 11 a c
e
e n
i
-
2
n y
t
i
V.9_.
-
t. t l
u a
j
EpA'7y- .
i
t n
e
-
l
h
td y -
}
l
w
+ yN. -
! .
hSb.
NeY'y.
l
m.
cm
,
rd?3Q
~
i 1
( l:h
fi
:
ufar
-
dr
' wN% ? m!mh_. f:h @*wi
i.
m n
i.-
5 m m. i.
f S a iA T + l'3 -Q RL_3Me
I
.
ve:.
s ' g' y y l ' A
. yN"w1y
i
E
yp. sh.&Tm;.An,.
e
.
4 W
j
i.
g,.w
t
(. -
a
li !
kGak
d .
.
i.
8
',
o g
r
-
e4
cC
re
eti
r
f
@ll?e?EE[yl:lZ;6ee! w
uci
rt
a
1
w:
- j e i
n
cN
-
m r
r.o
eH -
bng
e e
e
t
i o
c w
-
x 6
-
eP
yg n w
' i
r1 s t t
-
e7 7 ah e o
t
i
n w
Hw
i
- r 7 s
r/0
r1
fro
a
c ef
r95
r
t c
o o h
yr mav
Evc ir
Lw
I
n mi
u R c
onge n
-
e
r
w
i
t
n
A
D pmda su T'
e Laa
r
r T
Im
t
e
u s I
e
t oc
l i c
r h
i
s E
r
b s
e
e t
O i n e
os
n
ss e
e
r
J
a
n n he G ofd
of i
n C
e R w:
l u
a h er R f Sy
l
c r
t w
u y
r e o A aNc e f
i
i
o s 2
r
e
t
o
f
h
t P n T- o
e
xCpTm
c
a
t
e
Pwx
t
,2
H a - Ar
A.
i
r 1
f
a s Y m1 e
l i
s
iu r
e 9
9
5
fiS
x
e ig L
iAe
a
n, d
t
Sa
a
w Cm
Iw
dn a ona a
t
E i
r
u
t
u
r
V nd4
0
t
o d
e Fm
e E od d
Is
u h
L ne h
mo kt
g o
t
Cm
-
a t
ho u
n
I
uSNteS7 '
tA s e n s r ,
s r t e
T ua ud n.
uLe pa h
e:
btc
je
i
nel
g -
v n
iM.
l
.
ec
t
da t
p oi
o r n
fofa
Im
X
1
C w:1
l
.
-
/ i l
r
MS c
p
Me/- n-
it
e
n o u
. i
s
I
ng05e 8 n y sr
c
,e h
u m
r
g s
.. s
g a
.
.
:
gyag* .
l %9 {0 4 s $ $a el ak4 aim
-
-
.
-
o
,
' )
i !)
,
..
,
,
*
.
t
b .
'Terrence A. Stokan
'
in recognition of having successfully completed a 40 hour educational
course, meeting the Recomrnendations of SNT-TC-1A, and demonstrated
proficiency by satisfactory completion of an examination '
on the subject of
RADIOGRAPHY LEVEL ll
In witness thereof these Signatures have
been hereto affixed
May 28,1995
i
.
Vice Presideryt~
George V Cmw -
/
Instructor
George V Crone - ASNT LEVEL fil Jki-1126 Cernficate No. HAP 2025
H E L L I E F1
/ zece~,c.m z n .s , x , _ . ce~e m ,me
1
....--.x_ . .x - - -- -- - w
l
Terry Stokan
( Teicphone:
M
Date of birth: g
Education: Anaconda Sr.High School
i Anaconda, Montana
*
l Graduated 1979
Work History:
1992-Present CTI Alaska.Inc.
Supervisors: K. Sprague. E. Bishop C. Murray, R Watkins
*
Positions: Inspection Coordinator - 18 Months BPXA Corrosion Group
* Interact w!:h Team Leaders. Piart inspectors, CTI Supervisor & NDE Crews
* FilmlnterpretatiorVTrending
* UT Data taggingrTronding
-
e Layout & creason of NDE work packages
Corrosion Analysis Tracking System (CATS) BPXA Corrosion Group
e Developed training module for CATS Datasess
e Instructed CATS classes for approximately 20 users
Plant inspector Fill in - 8 Months BPXA Corrosion Group & Erdcott
. Planning and Execudon of Corrosion Surveys for Extemal & Internal Corrosion
*
. Corrosion FilminterpretationfTrending
* UT Data Loggingfirending
Project Supervisor Fillin - As needed BPXA Corroclon Group
g
(j)
\
*
.
.
DispaktiNDE Crews
PerformanceTracking
Radia$on Safety Aur11 ting
'
* Record Maire ,r.
Layout Tech - 3 Years BPXA Corrotton Group
= Smart Pig verification & Documentation
* Docurnentation of Inspecilon locahons
a Print Acquisition & Maintenance
* Creadon of NDE work packages as out!!ned by Plant inspectors
'
NDE Levellt - 6 Months BPXA Corrosion Group
* NDE of in servios pip'ng, vessels, and chokes
+ NDE of Colled Tubing wolos
* NDE of new construction code welding
1988 1992 Inspection Servk,es & Testing
Supervisors: Larry Russell, Chris Grass, Sam riaas
Positions: NDE Levoll!
* NDE of Tanks, Pipelines. Power Houses, Fietineries, & Structural welds to ASME, API, &
AWS Codes for SAPC, US Army, USAF, City Of Fairbanks, MAPCO
Supervisor on SAPC Construction Project
a Code F9m Interpre'.ation
. Dispatch NDE Crews .
* Record Maintenance
. Safety Training
Radiation Safety Supervisor on SAPC Construction Pitject
. Radiation Safety Auditing l
p' + Rad:ation Safety record enaltdenance !
( * Maintain compliance with Company Operating & Ernergency Manual & NRC
k
i
1
1
.
_
u n-i -.e.~,i.,i . , ~. 5 737T., , . . . , . ~ . - . . . . . . . 7." ~ ... .-- . . . -
* *
_
1997 1988 CTI C:lifornb
Poeltlons: Lsvolil
e Roel Time Radiography on la service pipin0 at SAPC & AFCO
= Level 11 Heal Time Truck Operator
(
1980 1987 Alaska Welding Centar
Supervisors: Sandy Watson, Larry Russell
Supervisor on NS Construction Project (Endicott)
* Code Filrn Interpretation
* Dispatch NDE Crews
e Record Maintenance
e Safety Training
NDElevolli
. NDE Ior Schio Constructed Co., Arco, Arco Kuperuk, USAF, & MAPCO
NDE LovelI
* Pipe Sonnner for AWC/CTI Joint Venture at Sohio & Arco
a RT & Manual Fitrn processing for Alyeska Pipeline Serwce Co., Sohlo Corros6on, & MAPCO
Mechanics Helper
* Vehicle Maintenanos & Building LAobile Darkrooms for various North Slope proieots
Expeditor <
* Pick up suppies for Mechanic & Welder testing
f
1
O i
I
I
,
k
I L_______________--_. __,
_ _ _ - .
__ .
A RADIATION SAFETY PROGRAM Section:
'
9.0
PART I Page: 60f6
ASCG RESUMES Revision: 1
A ln5peCtiOn, Date: 02/10/98
l l
lnC. !
l
en Asce company
{
LARRY RUSSELL, RADIATION SUPERVISOR
,
1
!
O
l
1
l
l
O
l
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 2674236 fax (907) 267-6480
J
.__ __ -_ - . _ _ _ _ _ _ - _ _ - - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ . _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ - _ _ _ _ _ _ _ _ _ - _ _ _ _
-
, \
.
O
I
)
l
l
. .. 1
l
CTI CERTIFICATION OF CTI
Alaska NONDESTRUCTIVE TESTING Alaska
1
NAME: Lawrence Russell
. . -
THIS IS TO CERTFY THE ABOVE NAMED PERSON HAS BEEN EXAMINED IN
ACCORDANCE WITH SNT TC 1 A AND IS QUALFIED 10 PERFORM NONDE-
BTRUCTIVE EXAMINATION WITHIN THE MEiHOO(S) INDICATED ON REVERSE
SIDE TO THE REQUIREMENTS OF ASME SECTION V AND VW; AP11104 AND 050,
*
063. ANSI B313. B314 B318. AWS D1.1. jd
6I '
t i
$ 'ii d [E fI
,
Nondestructive Examiner Level 111.2A1147
QQR; 11/11/39 ErnDiovee ID. 6Insp. No. 507A
0'v M
Visual Correcten Reaured. Yes-
THE FOLLOWING CERTIFICAD(S) ARE Vol0 3 YEARS AFTER DATE INDCATED
OR UPON TERMINATION OF CURRENT EMPLOYMENT. WHCHEVER OCCURS
FIRST
Method (s) LaVel . Limitation (Ao Noted) Date Empires
CMI trmp Levelil 21 Jul-00
f Crane insp.
CW1
Levelil 21-JuM)0
01-Nov-99
Magnete Particle Level 11 0644ey-00
Mech. Insp. Level 11 SJurM)0
Penetrant LevelII 07-Apr-00 ,
Radography Levelil 26-JurMX) l
ReceMng Inspector 07-Apr.00
;
Printed December 30,1997 ;
1
l
'
l
k- _ _ _ _ _ _ - _ _ _ - _ - _ - - _ _ _ _ _ _ _ _ _ __ .__ - _ __
-
1
...
Lawrenca -
sall r . - j
O
<
OBJECTIVE Professions posi: ion 1 here proven skills in teldin:;. lelain: l
incpection. and quality controi '.:111 be effectively empicyed.
SU} NARY -
State of Alaska Licensed Welder Qualifier 653. I
'
- Certified Welder. all processes.
- Skilled and experienced as a welder and welding quality
control official in all industrial areas.
, - Proven background as a trainer, qualifier, and supervisar in
welding fabrication, piping, and non-destructive testing.
- Technical experience and training in ultrasonics,
radiography, ma5netic particle examination and related areas.
- Strong background in business management and administration: '
estimating, bidding, planning and scheduling.
1
RELEVANT Quality Control
EKFERIENCE In-depth experience in inspection and testing including field ,
and lab radiography (Camma and X-ray) Ultrasonics (thickness l
and flaw detections), magnetic particle (wet or dry), liquid .
penetrant (visible & fluorescent), vacuum box, and visual. l
Proven skills in development of quality assurance / control !
hy/ manuals, operations procedures, and code interpretation. Types
of projects have included nuclear power plants, petrochemical
projects, and pipelines.
Industrial Welding
Extensive certification and field experience with virtually all .
welding procedures including exotic materials. l
l
l
Personnel Management ,
Experienced in hiring, training, and supervising up to 300
professional personnel in all areas of welding and related
quality control work including non-destructive testing.
Licensed to test, evaluate and qualify other welders.
Background includes effective instructional delivery in
classroom, laboratory, and field training environments.
Administration
Proven experience in the establishment and effective
administration of creative and flexible business including
financial management, personnel, training, field work, quality
control as well as inventory control and records management.
u>Y .
-
r-
Laurence ' . sell ( Pace 2
,
BUSINESS / Vice President. Inspection Services & Testing. Fairbanks.
() EMPLOYMENT Alaska: 1986-Present. Responsible for velder qualifiestion.
HISTORY treiding procecure development, and non-2estructive ano
destructive testing.
l General Manager. Alaska Zelaing '.anter. Fairbanks. Alaska:
1982-L986. Supervised all lab anc field projects including
non-destructive testing, inspections and reisted areas. -
Inspection Supervisor. Trowbridge Engineering. Prudhoe Bay.
Alaska: 1981 1982. Supervised 30 inspectors assigned to ARCO's
Prudhoe Bay operations.
Field Inspector, Alyeska Pipeline Service Company. Fairbanks.
Alaska: 1980-1981. Inspected new pipeline and pump station
construction, modifications, and calibrations. Monitored
corrosion coupons-Cosaco fittings as required by DOT and
applicable codes.
Manager of Technical Service, Alaska Welding Center, Fairbanks,
Alaska; 1979-1980.
Senior Inspector, Fluor Northwest, Inc. , and other Fluor
Ventures, Fairbanks, Alaska; 1976-1979.
PRIOR TO 1976: Worked as Construction Welding Engineer and in
related positions for Outside companies in California, Arizona,
and Illinois.
EDUCATION Undergraduate Studies: Valley Junior College, San Fernando,
California; UCLA; and Cerritos Junior College, Norwalk,
O
.
California. Studies included non-destructive testing, and ]
science, j
CONTINUING Successfully completed numerous professional development
EDUCATION courses, seminars and workshops in such areas as theory and
application of ultrasonics, casting and interpretation
radiography, magnetic particle examination, liquid penetrant
examination of castings, repair and calibration of pressure
relieving devices, inspection of mobile crane and construction !
rigging, and accoustic emission testing.
PROFESSIONAL American Society for Non-Destructive Examination
AFFILIATIONS American Welding Society; Certified Welding Inspector l
Member, QC-4 Committee
! American Society for Quality Control
American Society of Mechanical Engineers
National Association of Corrosion Engineers j
American Society of Testing Materials l
Commitee Member E-6 and E-36.
American Society of Safety Engineers
l
American Society of Metals
'
American National Standards Institute l
l
. a. _ .
PERSONAL Excellent health. Additional information and references
available on request.
-
l
.
_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ - _ _ _ _ _ _ . _ _ _ . _ _ _ _ . _
*
,
* i
#A P.O. Boa 60790
$1130th Ave., Fairbanks, Alaske 99706
Ph. (907) 462 6032 e Fes (907) 4621394
i
CTI Alaska,Inc.
4831 Old Seward Highway l
Suite 107
Anchorage, AK 99503
Attn: Mr. Jeff Averson
i
Dear Jeff,
l
This letter is to certify that Mr. Lawrence Russell SS# g has completed the
following classroom trauung : '
Radiography LevelI 40 hours +
Radiography LevelII 40 hours +
f \
Liquid Penetrant LevelI & II
Magnetic Particle LevelI & II
20 hours +
20 hours +
'
1
In addition to the classroom training , Mr. Russell has been performing all the above NDE
methods since 1960 and has served as both Level II & III for various firms as listed below:
Pittsburgh Testing Laboratories LevelIII 4
Alaska Welding Center LevelII & III
VECO Construction LevelIII
Consolidated X-Ray LevelII
Magnaflux Corporation LevelII
Lockheed Missile & Space LevelII
Inspection Services & Testing LevelII
CTI Alaska LevelIII
I hope this will suffice for certification verification , Please contact me if additional
information is needed. ~
*
Sincerely
eli
g/ Vice President
- ;
1 ,
l O l
March 25,1997
CTI Alaska,Inc
4831 Old Seward Highway
Suite 107 _
' Anchorage, AK 99503
. Attn: Mr. Sandy Watson RSO
' Dear Sandy,
In reference to the mandatory forty hour radiation safety training required by the NRC,
~ I attended this class in 1960 in Los Angeles, Ca. The class was instructed by Dr. Lochard
. who passed away many years ago and was sponsored by Weldex Corp. which also closed
-
s in 1966. I also attended another forty hour course conducted by The Budd Company in
..
1965. I do not have certificates for either course.
In order to satisfy your request for documentation, I am submitting copies of my NRC
license issued to Inspection Services which I obtained as Radiation Safety Officer.
I called Beth at NRC Region V and discussed this with her, she indicated that she saw no
problems with my credentials. I have also obtained Radioactive material license's and
served as RSO in the State of Texas for Allied Pipe Fabricator, Louisiana for Alaska
Welding Center plus serving as RSO for several other firms.
I hope this will satisfy CTI Alaska's requirements.
Please contact me if additional information is needed.
1
Sincerely /
/N
Lawrence Russell
I
:
,
O.
i
i
i
_ - _ - . - - _ - - _ - _ - _ - _ _ _ - _ . _ _ _ _ - - . . - _ _ _ _ - . . . _ _ _ . _ _ _ _ . .
. ___ _ _ _ _ - _ _ _ - _ _ _ _ _ _ .
t
,-
5
.- c j
l
$ %>
[3 ALASKA WELDING CENTER, INC. h, D i
'w_) P.O. Box 74598
Fairbanks, Alaska 99707
* ,. g
' ~ -
)
(907) 456-5962
Telex 090-36780
)
'
January 1, 1985 4
1
!
1
i
1
i
To Whom It May Concern: i
Subj ec t: Decertification Statement
l
Lawrence Russell l
Authority: SNT-TC-1A, 1980 Edition and
Alaska Welding Center, Inc. l
Procedure for Qualification and !
Certification of NDT Personnel
l
77 Mr. Laut ence Russell is hereby eppointed NDT Level III for Alaska Welding l
() Ce. iter, Inc. His appointment as NDT Level III extends to the Radiographic,
Magnetic Particle, Liquid Penetrant, Ultrasonic and Visual Inspection
Methods.
Mr. Russell is qualified for this position by reason of training, experi-
ence, and education.
Respectfully yours,
ALASKA WELDING CENTER, INC.
N"
&Sandy
& ~M. N. Watson
President
SNW/cp
O)
't
3021 Davis Road * Fairbanks, Alaska 99701
Nonde;3ructive Examination * MetallurgicalInvestigation * Welding inspection * Welder Testing * Welding Procedures
1
1
g ( Co '
ALASKA
I J une 16, 1993
l
l
TO WHOM IT MAY CONCERN: I
Subject: Certification Statement
Lawrence Russell ;
SSi M
Authority: SNT-TC-1A, 1988 Edition and
CTI Alaska, Inc. QC-001,
Procedure for Qualification and
Certification of NDT Personnel
O
Mr. Lawrence Russell is hereby appointed NDT Level III
for CTI Alaska, Inc. His appointment as NDT Level III '
Confidence
m ough extends to tlaa Radiographic Test Method, Ultrasonic
##"d*" Test Method, Magnetic Particle Test Method, Liquid
Penetrant Test Method, Electromagnetic Test Method, and
Visual Test Method. Mr. Russell is qualified for this
position by reason of training, experience and
education.
CTI. Inc.
E, f7" ' ' " ' Respectfully yours,
Anchorage AK 99503
Tel: 907 M24442 CTI Alaska, Inc. .
Fau 907-%2-$093
George E. Haugen
President
CC: QA File
S.N. Watson
-O
_ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _
.
..-
L2wrenca sall .
. . . . -
!( I .
h._-
OBJECTIVE Prcressional posi: ion there proven skills in .eldin:;. ;elcine
inspection. and qualicr control vill be effectireiv empicyed.
SUMMARY - State of Alaska Licensed Welder Qualifier 653.
- Certified Welder. all processes.
- Skilled and experienced as a welder and welding quality
control official in all industrial areas.
,
-
Proven background as a trainer, qualifier, and supervisor in
welding fabrication, piping, and non-destructive testing. ;
-
Technical experience and training in ultrasonics, l
radiography, magnetic particle examination and related areas. j
-
Strong background in business management and administration:
estimating, bidding, planning and scheduling.
I
RI'TIVANT Quality Control
EXPERIENCE In-depth experience in inspection and testing including field
and lab radiography (Gamma and X-ray), Ultrasonics (thickness
and flaw detections), magnetic particle (wet or dry), liquid .
penetrant (visible & fluorescent), vacuum box, and visual.
Proven skills in development of quality assurance / control
[ manuals, operations procedures, and code interpretation. Types
. ,,..( of projects have included nuclear power plants, petrochemical
-
projects, and pipelines.
Industrial Velding
Extensive certification and field experience with virtually all
welding procedures including exotic materials.
Personnel Management ,
Experienced in hiring, training, and supervising up to 300
professional personnel in all areas of welding and related
quality control work including'non-destructive testing.
Licensed to test, evaluate and qualify other welders.
Background includes effective instructional delivery in
classroom, laboratory, and field training environments.
'
Administration
Proven experience in the establishment and effective !
administration of creative and flexible business including
financial management, personnel, training, field work', quality l
control as well as inventory control and records management. l
N .
i
l
. . . . .
_ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ . . - _ - _ _ . _
_ . _ . . _ . . . . .. . . . . . . . - .____--_ _ _- - _ _.__--___ - - - _ _ _ _ .
-
~
(.
l Lawrence. . sell i page 2 l l
.
BUSINESS / Vice President. Inspection Services & Testing. Fairbanks.
l- EMPLOYMENT Alaska: 1986 Present. Responsible for velder qualification.
HISTORY uelding procecure development. and non-destructive ano
destructive testing.
General Manager. Alaska Welaing Lanter. Fairbanks. Alasha:
1932-1986. Sucerviseo all lab anc field projects including
non-destructive testing, inspections and related areas.
Inspection Supervisor. Trowbrid Se Engineering. Prudhoe Bay.
Alaska: 1981-1982. Supervised 30 inspectors assigned to ARCO's
Prudhoe Bay operations.
Field Inspector, Alyeska Pipeline Service Company, Fairbanks.
Alaska; 1980-1981. Inspected new pipeline and pump station
construction, modifications, and calibrations. Monitored
corrosion coupons-Cosaco fittings as required by DOT and
i applicable codes.
Manager of Technical Service, Alaska Welding Center, Fairbanks,
Alaska; 1979-1980.
Senior Inspector, Fluor Northwest, Inc., and other Fluor
Ventures, Fairbanks, Alaska; 1976-1979.
PRIDE TO 1976: Worked as Construction Welding Engineer and in
related positions for Outside companies in California, Arizona,
and Illinois.
EDUCATION Undergraduate Studies: Valley Junior College, San Fernando,
California; UCLA; and Cerritos Junior College. Norwalk,
California. Studies included non-destructive testing, and
!
.O' science.
CONTINUING Successfully completed numerous professional development
EDUCATION courses, seminars and workshops in such areas as theory and
application of ultrasonics, casting and interpretation
i radiography, magnetic particle examination, liquid penetrant
examination of castings, repair and calibration of pressure
relieving devices, inspection of mobile crane and construction
rigging, and accoustic emission testing.
PROFESSIONAL American Society for Non-Destructive Examination
AFFILIATIONS American Welding Society; Certified Welding Inspector
Member, QC-4 Committee
American Society for Quality Control
American Society of Mechanical Engineers l
! National Association of Corrosion Engineers
American Society of Testing Materials
Commitee Member E-6 and E-36.
American Society of Safety Engineers !
American Society of Metals -
l
American National Standards Institute
!
- !
t
FERSONAL Excellent health. Additional information and references
C) available on request.
. .i
. -
-em
I RADIATION SAFETY PROGRAM Section: 10.0
PART I Page: 1of13
A5CG FORMS Revision: I
g i ection, Date: 02/10/98
an A5CG company
. Lifetime Occupational Exposure History (Form 4) 2
/ Occupational Exposure Record (Form 5) 3 l
- Survey meter Calibration / Service Record 4
/ Certik,ation of Calibration / Dosimeter 5 ,
/ Dosimeter Calibration Record 6
s Rate Alarm Calibration Record 7
v Radioactive Source Utilization Log 8
i
e Radiation Safety Program Review 9 I
/ Radiation History Request 10
l
QA Annual Audit 11 1
0 ,'
l
I
l
301 ArcticSlope Ave Suite 100 Anchorage, AK 99518 phone (907)267-6236 fax (907) 267-6480
l
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
- _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ ._ . _ _ . - - _ _ _ _ .
gris JL JL _J L _J L _l L J L. :
: icii , ! E
! I g 2 ! 2 ! i ! 2 !
m
l "5*! E
-
l i I i i i i 5
!.!. 3 s.
:
.
3-vu . , , , , , : :
5O o ,
s,g.
= = s= g;,
. ;r g .
5
-
E
- .s .s .s
-
e t.
,
: .
. . . . . . . . . . . : ,
3
ag ,jj jj ;; j; ;; j; jj
m ,
l!
E 3 3 Elpgify ; ; ggg ggg ggg ggg ggg ggi l
n. Eg .5=- a w aw w : a:
. s.g !
r ;a ea w
r ;a :a
w
w
33 - r;I r,r r :a;r 0 r ;a wa
[g l~ER=
.. =
. 3
-
i 3 -3 -3 -i
==
=
**y 3 s E E E a E
aem -
g : : : : = =
l
'
ggi,3 . . : . : . : . : . : . : . l
le! !
i:efa
c
=
E
E
!
l * :*: s i
. I g. i =
E: E E s s s !-
.
gs[s5
[ma-I a
w
:
w
:
E
w
:
E
w w
s
w
. : : : :
6
.
i 5 5 5 i ! 5 '
s
o I
3
i
3
!
3
!
3
I
3
i l
> 3
z s z E z s z s z s z B
5
>
g c s- c ; c s- c s- a s- c
>- -
.
,
. .
.
.
-
.
.
. .
.
. .
.
. .
.
.
'
o O , !
a s -
i i
K @
-
d I
1 I t
e
3 W
!
4
E ! I E I
*
3
a s
g
s
e s. y s,
. a. s. e
6
i
O ' * * * * * *
g f
X
w
* A e
I I i i I I
4 1 1 1 1 1 i I
2 = g = g -
g g = g = g 5
,
O s s i s s s :
l
! i. , I
-
& s. k s I-
E s N s- C
-
s i ;
. . -
4 . . .- . . . .- .
. - . ~
-
.
,
~
,
,
a i
D !
O
O
O
w a ,
h i. s. E. E. s. s. E
.
h l
k : : : :
g
*
W
-
r
C
D. A i
#
\
o
ti lr l lt l k h I
!
.
", * r t r r s ;
*
y r
-
- g i i i
2 = n a e e e e : -
g 1 m o o j $ $ $ ; ;
:ss ! I. i i i ! I i I i i I i a
!
.__
k$3 . . E . E * E *
~
* 2
t L________.______________________.___-_. - - ->
3211!.i5 2i ps]ijs i g22 g g 1.i s i s,
- i;; $
-- ,
,5..6 =.g=,iss -- ,
y,.5!81 -gf -Sm
-
vi .-
;11 .-$2:[*l
.g
. *i
1 I 2 ,,
1: is
slit ? Ei3'l2!!
2
.
.
-l-
2~r ca.Ix; 2,
4 3 11, 1r -! -
: f u. j I * i [
-
t-
i
2.3"14:
. t :; 2 * .
oa g ]d'
a~g g
5j5
u ,. s. 4 2 .
= ,
5:
2,1. ! , ., gi
3 .f ] ", , . ~ s. 5
,e s.os.
s ,
. .
gI!rl $d *i?.!c[5k i:njj. us
j'li4'si
a
g ins
-
=
5!$])3 50a 35' .
i$ $.s; ! [*l $igli iiDs '
s'Ji !g. Bu} -;
!it iir >gs1J- !
-
3 iz s)at s
-
r i:21: h
j
l!
! 'g
iisij s j2f
lu' u { ;2 0m !7-_
H
t: .:* -
;i sii!;*
'
1
}. ;s ;r ti 'l si '-t; a g
:s it
l E3,l 3 ;; i s!!
1
"
!?5 Fi .t i i s [ *3I 8 *a .ie
s e
k.
*!-'25*.
i
1itf ,aisl'is $ ]!2 5I *: I~* * I * ' - E] 3 I I g' D!!!!
U
<
I I o' u: I I E 'I . i. s s i :s# i
i d
n
4 a-jsFiiy 3.j"'. : :: 1 ;il !! ?*;*2i 211! s.i: Igss.2 3:,4 - 2!= 8
78
E . 1. 'av!i : no3 g 3 4s2.l g. zu:
>
[
C2 t
3.a.aata gE d lg.D ..; TIE
_ E 22f,
*g ,*
*.li g5 955
,
g
l
-
s. !.! " 'I e j . .i2~!.o.! 2 sgg
e
:!]1.J:: r
.
0 :: s
o
sia'jI
s
ssii _!111l131
.. s -
j a } _l2ji"a g j
g [12528 ! !
s s ],r;;j !{g
1 i a;
tisl*iirl 5 1!!22
E
*!!I !l!1.1:]5 !: 2 -
1 I t ii s'
} u. .i t ! ~u3{ etgeersr .v a i ;Liti. s ,i r . ig'I:i ;
-
.o41 - : ,1 -
8
.. .
,.
-: =mv
:..zl
~ 1- 2 2 11. w i u 25ea:
hf.iq1
=
! i s .* ."~.5.!: t:.E5511 .22. .B.i..h.s..3l -l 2- m.l.e . oss
s. .: a a i . ,
ll gi: _> i :l 211 "
ist:2 sita
:i 8
i
=, .
1 * s
as :] _
s
3; !!!
1;I
l f "1i 3
!;!is
2
1 3 1 t
311 1
-
2E o se E * * i !i 1 -
.
J g
j i*t8y B I
3
Id ~
! l {l -i
t
}1 i :
] j* i l }1 I 1 , .
2
l3gam i J}si.SIf
si . **
!.
..
=
I
{N!
{
1
<
llIb4b
i.i
.
a =:
1
s
-
lh
, i p-
l,i t y
, !Ik
ic _ t '1s
a td8 ,
a
-
.
1.
i: -u-
;!sa s 11
t f
.3
-
-si
i
4
Jg Jr ; jr [y" lha]ij, i rl Pj -I
zs8 H[}! il
E
lg lij
.g
g { 1 g.
-
tif 4il
si l ;c
.
s. -g s- - i.i 1 la'i}' s
r,o _2* 8 :l
El g I li !j !!. I lI li II- a,33
.. -2
l.
! -
g
is all !ilI
'
-
l glEg :31'1.3 x,i
-l4 [ej i 31
1 .
s i
3 Zi 31 32 3 II In II- 211
! si c}s! 3
312211}.{.tetisi si
l gl to
g
gf E ii i i i i i e i i i i ::
a
<g 5]4 .ri t j 1
] I
2 -
s iti
- 311 i l 1 ,
"
}111: 4111
u.i=li.4:
-
1
i.t.'.s
pl I 1 .
lc)
98g
1
.
:.'.
.f
"gl_ij
..i
's j
2
8
R si
8I
ti}I!Pi:s ".Jii,
J,1.et.!!
gua-
gi J
i
1
:
:
5 3
-1 5i a
!
5 !: 212 '1J ,i2,m1s j
.
m
l If_ $)3stig
E .
~
3 J
*
.
; I
i
f d aE} -0*m !1!):1.12 :
} ' i l 1 i I
lE :. g 2 }i g l j {g ; E ]I I I
,sj '
!
i
l!(I l Il]I{!IlkHOkill
iii i
I
i"I i.is
!g I! [ I 5. b I!j'!!
j2 d i ligililii liii
h! l
! -i,j;gfpii
3 8j
. ,5
.s
4- E
,ll 85 C . { { l .c
j c 2 -
8 13
j 5 12
ij
*l
g
cI
*
2
u
E
8E-2 -l tsi
8 33* w=
E 13
:
**
E
*
"I
.i,
' {d, '
'
lih
'n' 1["15
1
a
12 as.jg185
.
usas I
"
,
gj gg g3 g ):{j'g[5,3;;E!g* ,; , g z ;; j , ;
-}-cE l l i.!.w w
i !.}.!.u.s5 butzoa E o E d o[w EjI =j l j wz 5 .j E igg .j !3JJ.g !3 } fl! Ilh'hl'
5 . Es..
- a n , a e d e e 2
_ . _
"4=C
""
8
0
6 cDE
= . f
t
F
D
-
8 H E
A amO
_
T R
" 'a iGt W4.
G
I R A
P
" 90
I
R
F B B E E
O S
T 5 F 8 N
I H
5 & 51 O 9 f
- s
e
" lis= =
f
e
d
a
R
. t8 8
Q
t 3
E
T
A
T
U
O
R
E
S
P
E
T
A 1
-
.
_
x " D =
, s
a
'
" C 53
a$ 00
MAW l
D ll
~
D -
-
s
e 0ast 9 2 5
.
6
.
F
.
8 8
E 1
'E oe P s C
' ' 1 I 1
2 :
G 3 6 "ARMnC0 O
c0 N
O.
.
A t 9
e ef "O a TC I
N
O
I
E
I
E BI
)
E El EI
R
E
s
E ".
P NDS 'F
mRO DGT
UI D D D D D o u
e . '
a E
E L W. M. E C E o
aTAL ERS00H DE T -
I
E E F
s 3 t T ( i
s E l E D A D D C( (
=
"
*' su"G
eR i U RO A L
A
.
R S
I
A M SI -
l P
eI
I 'M
e E
B WW.
t i M 9 O
C
I
T
I
H
1 e
r
-
a R t E E E S s
t
s " 5 A rG
A
F R E i t r
e
1 0 i .
e " E
L F 3 l
m t
e = C E8 e E t t
~.
r " I
I
Y i a
r
A
i HTe 0 r
E
Y C C
" s""a11I TOOTN
,l
0 s
n T
.
t 2
U E
I t
" Q 1
N .el H
Y M $ 9
"
E
R .AME D E T
14 l.l
d
e E S T
O R N
"
'
N*"1
0
1
t
7 0
0 Al
G
X
L
A
M
E
S
F
O
B
E
T
X
E
L
A
-
_
_
' t
E
""C1O a8
*88 58
0 f
E0 M
4 E
S l
O
D
S
N
L
O
E
X V
l
T
N
L
'#2 O
F
4
.
E H A u E
L T
.
L
W M O T
,
A N
SI E E
V E
N I
R
H T, T, E NN
E
L
A
-
O T
N N S A UI
I
E
B O E E O
L
A G E Q V
S L D
t
U
=
S M T T
A
L
A V R O E
U
N E
I
U Q
MI N
T V VI V S E -
M E E
E
L
N
E ut U I Q
E ES O
D E
=
P S A O Q T D S -
O Y N
L
C
C T E V A E E E E
S O E O -
C
I
U V E E F P V D
Y
R
D
I
l
t Q
l
u S S F
E
O
DE
X I
T N -
.
E O O O C S
O 3 8 D D D DY E A N TN
T
A
E E
E E L F GA -
S E W W T T L F R G EM - .
L
U
O S
O O O T T A E OR M
D _
I I
G D
L L M MIM L L O O
-
P L L A A X
-
E
R E E A A M MX T T C :
-
R E Y H H O OA O OA . =
R E D E S S C CM T T M 9
-
D
1
y ls A B :
-
E M
-, w L
C
R U
N
.
O
I
U C
N p
N
CD O
I
T
N
I
_
__
S..
U
EO
RI
A
C
I
E
K
A
_ _
R F
I
T
T
N _.
EE N
E
I .
RP -
.
O D
0
U G 2
.
1
S
_
OIN
lll
PR
XO E
M E
ET I N
A D
O
_
LN E
E
M
.
. _
AO
N
S
N
E
C
0
1
O M
_ _ C _
IL S
. E
TA
I 7 K
A
AR T
N
PO I
S
U F S
A
C l
L
C
C l
A
I 8
.
O T
IW
0
1
E _
L
_
O
E
O E
M S
N
. D E
E
T O O
-
\ S
R
I
R C
t
C
l
t
E
- I
F P U
, 0 . N
2 T G O
E -
E S N I R
T A R D U
M R
A
t
O A T
A
R t
T R
P E N
O I
N A
.
G
R M
F5F
C 2 A O O S
I
9 C M t
H
R 0 0
N61 1
. .
t 6 2
._
_
l lll1l i( i ll l E
_ _ _ _ _ .
NI!R'E*i !s3
22a
3118 jT!}}51 '3 EIj38jMI'
{ts S I . [ i 1. [ 8
gjiv1 mgsi'.*!s
Ilfi2 8138-Ilb 20*
2
i' E
s [- s. ,e s s.
iud
e-u
$lfS
J-
!"
8,
ig Ili3
*e-E s ,I g *. :.
5
*5 E EB!
h 5$"
n a ve
Saj 6 ,eyo ,J.E. enge
>
,g. g._s
w
lEi t a. z .- j
2.. .3
*
m. 1 z, s =Es , F
.
777.g;.:
La;iaa
*
"
5 =. -ch 2 . o s ,2 - 5
..
*
- l
W.
ois"2-;a geaoo ;I
g~=n
- si 5s,.
. -
E os,eg}
-
. z
a
s o z .8 a Us -gt8
e
e . E. "
' g l g { F .t= -
5
.-s
ig= st
a
je2!;.]I
3 2.* *
t
oc
><.e
g ! ]s- l 2 ,g =g w .
a ! r**vs =i s ssg =2 2 ? ~a -
d 1 ;: :. 2. .sE g :
*< 21 2 -e ,. ! ;f t : s; s _g i. g2, .
;Aml.222E-lj!-
-
agg,
e= 2l * ? * g w7. , ,gggg,*H,4
e g
-
a
*
5
i 2-
1
2,$n - a 8
.
:. 2
e , 4: a s :
imW22; s :.
e
1
E
; , . l= =e .E .l
g>l]1,2
2 " <!g.il,e.
ag .z
iagg-
.
r 5,
ae
W
a 3c- e *goI e;=2: .
s i o "s
2 yg oh d 25,silg
c
!eme;. aa 2 ;
-
E s;= :s
: oEs
ihis&o
< a52 :.: o}l o
S
::
.
2 . , g {.,=72 . soiw gtg
reiin o
d'k
a
4 =e st .s..k 2:
1 s 2.
f2!.1 52:m,38 :g
e
l isj.i- 2
=
*
f
5"
a ~4--li4:gz l : i m }- l *t e~
j ag 2e"3<!.gr: 3st *:5t:
2 * 5 2
g *g.
o s . -l =, 2 s a l t.-
e - ? P
-
Er.z8
A
$"51 gj10 =lci 2 7t-'
was =!s:i;B
r =[ 2
si!rs
2 .e 2
st.e s y s
!
.
o
Eg2
oe!ct il5
2125 EE"1"
gsjag
u y 1 .u : :l
i . 8
a 0
g. s 2 5 - Ic a m 1 as-251~2i: < t v i c.
a
2 2 9 == g= e la2 :- 29 2 21:8532 -
. g e - e , o o i ,. a tz 8s.
o~;2g*2.3
=
--,-i852 s
'
*E
$e.s.arx2B 23g! ,
*!c -s ]J E V 3
.
- r .e.-- 2
g !
"Ist.:
2 s
ai, i g. i
roa 1 .E.t g' a i E12, "WIl
sci.zl.
.s
,J.
i~lzpc.e"yj
=a IMi
[z .-
E52,: E!iE..#$g e =3E33EI!ik y25$2s422si ==vNi
3E5
c<t~c,
E
lo - 622z -
.
a
.
n
.
{1 E! 21 dj i i i ! E 3: : 3E: IIe
,2 5 28 5 1
*
,I I E
--- . * 2
,2 I. e- si. 6.w.s< 8 8 ,E t
;5E w-. -
o . -
i 2 ,. e
15 5 "2 =I 2 2 2 21 8 e n ! s}a *
l2
-
I 15 34
-
- -
s- .i=n e g-
i. s
1
: a so 2 ]
w a
w E*g
o
I
- g e S j :! !
=
c c l
- - :
.a2 ,
-
c 3s; set .
=c 23 3 <o -
j 'd d 2 =
1 1. {* - W
- . E
: .- a
jma } E!
1[sj;j
-
:1 s-
w
~3 2
!
j
I' 1 >*.
s g
k
I* *: :
T
8
*
5
l ": *lg- ;
j {s
a
! e
i
lv .E
oe
(
z al -3 j >, .
'1E '3 .s3 8- gs r
-
:
,i
E , ?E
lo
2
%g2ts-
i u ese
*
o EE
=2
jgg :3.
, 83 g - s.
i
s. . 4 )s
.
.* =.
2
E g jv-e-X.
* -
e i -l : S .- -
7 * *E : &. .- . -==*
E-
s. o. 2 s=]i, ] i g 12
"" .i** nE "1
!
i ! a Wi
z
w .[
8
X"I
*3
=
g
'2
4
g 1)
>
: ". : P 1 4g 3: s SE
. 3
4Se [E {'
.
=
8 l
2 Egis
14*;3u
-
E 8 8 'a goal - * . 4E 45 ' P'
~
5
e
5 * 5
5e
.I i.-
*
=g e
8
m
"2
=
'1
E
sg c1
e
g 3
-
To85.z"
aimga
e .
5 2. 4 -8 {- 2; 2W -
a& 1 i.
,
.. a
m . - = m -g 2 32;t2
z*E I: thI $ o i, l j 'a I }a l- .
i
j5 I I # 5
.
5 i S!if 8!
-
!!.i
,
;j . !;* !!; li.e !! !i $3 ${ ! Ialf !!
#ml
3 0- 3
g2r w E
*
s! l"
t at
E
R$t t a t. 38 3
ES I I E2 II
!i !!. El I
t
E'
32
li i ! i 2sii:
}e E-
i"I m' wE usIIIEE s!II2s2
e2 - w b s- w . E. w w wE ws I~
-
o z - w- w- w- w wE. .-ae
,o ,2sa. a.
-
s
-
.
9
-
sa s s .s s
- -- - . .e a
-
e
- -~~
6 a
(z)
gaa 12 gi: E : i - s; 2=2 .t=2 :-:=,
EE: li 31'1 i j 3
15
5
!!!f.5 51!" jI4!!
898
<oi
o o.
1 ='
,.
e
l ii *' 1-:
.]l.
. 1
8
I
2
]
g
.,El
e s z"i
-
. j .g ; i. s , i-e'fi l
-
c. 8 . j .i:*.el
i s! . ss . $1i rs
- ,
28
j
t
z s 2 3 : 2 ; w
2 i. 5 !, :
"
lki 3:2 *., ' I = 1 ja j i'l~'Iff BlEi
*
- !'.1 lisi! '
a 1
z i =g
j .
*
I a ji E8
3s9 :. o: : :o r f a ln ts: 1 i;:2=
15.23;!
3e sit *1
-
o 2 3.c 1
= gg- 5..a. : 3. t > .
-: 2. 3 . = 4 .....s- . s = ,i ol e z.:.1. =:
3 1l2
-
e .
5 a 24 5
.l.l2 . =23
.l.=; ,!
-
2F al 3 . g ,52se.2;j:~ .
15".5 :5
z 531 c2 . r. s
.ze=3
to 2 2 == -a
.
a s s .t. =. ... .e
-
.s:i : ,, 1J t es ,
- s e eg
.
s.
1 g.
s os o a
-
-
. ct,s ..-s= ..,i:.
s ,2 .-
stg .
rg ag1ets .1 as is g u s,s.3a
e
s. tre:2= 2 12s
-
-E o E. } g. 2= .=w !.v 3 4.us -R .cso-
. ,l
w JE 2- [B
- .
c z
a
.
xv
*dE egigs
o-. x=
* = * E* *e
'il I 's #
3 2 3*I 12 cG3E05Eo !l 2-l 2 "2
8 -
- 2 1
- -
il lij2=c2
E '* 4 j 2 e . , 2 * 4
ll*
s '.y 5 2 3
Es2 i cg ! " 2 "* 38 -
c2 o ow mte z -Eo,E
I. !! id ie 2c iji :1 E88o 25
*> .s : wa E.E3R w. umEu$ao a
c
ws c
w4 w w EUEIz.12113 --.s.5.o .
: >
E .c -n *
.
-. N
.
M
.
g. g.
. . . dD 5
C ~ W m
_ ___
l 1 ! , A5CG
ln5peCtion, RATE ALARM CALIBRATION
I n C.
and SERVICE RECORD
l
.a ucc. cmaar Alarm Mfg: AMERSHAM CORPORATION
Model: TANRA 500
Serial no.:
SERVICE ITEMS
1. Batteries Checked Replaced
2. Inspected circuit board Yes No
3. Cleaned circuit board Yes No
4. All mechanical fixtures in place
and hardware tightened. Yes No
5. Calibration sticker alTixed. Yes No
REMA.RKS:
CALIBRATION AND CERTIFICATION DATA
O
M/ The Amersham Calibrator Model 773 with 156 mci. of Cesium 137, dated 5/23/83
shall be used as the source ofionizing radiation at three difTerent dose rates and the
response at each dose rate will be recorded.
Dose Rate Distance
MR/hr. (cm.) (in.) Response
1. 450mR/hr. 29.8 11.72 Intermittent chirping Yes No
2. 550mR/hr. 26.9 10.60 Constant chirping Yes No
3. I100mR/hr 19.0 7.49 Loud steady tone Yes No
This instrument has been calibrated and serviced in accordance with ASCG Inspection l
Incorporated's Radiation Safety Procedures for survey meter, dosimeter and rate alarm
calibration.
Calibration Date: Calibration Due Date:
Calibrated By: Title:
All rate alarms are set to give an alarm signal at a preset dose rate of 5 mSv/hr
(500 mrem /hr) with an accuracy of plus or minus 20% of the true radiation dose pursuant
to USNRC, Title 10 CFR, Part 34, para. 34.47(g)(2). ,
'
n All calibration unable to be performed by ASCG Inspection Inc. will be returned to the l
,
V, manufacturer for adjustment as necessary. ;
l 1
i
l
301 Arctic Slope Ave Suite 100 Anchorage. AK 99518 phor.e (907) 267-6236 fax b dE % g g 3h AF
]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
)
('
A A5CG
Inspection
DOSIAIERR CALIBMON RECO2
641-205 DOSIMETER CALIBRATOR S/N 391
V
II
en ASCG rornpany
lnc.
" *" ""
Model Drift Time Time Time a
Check Date Date Interval % Initial Dose Computation % Calibrated
S/N OK Start Stop IIrs Exposure Rate Variation Yes/No
i
l
1
l
l
l
l
l
l
l
l
STANDARD * % INITIAL EXPOSURE RATE = Age in yrs Cz 137
DOSIMETER mR/IIr ** DOSE = Reading after time inten al.
Stephen Dosimeter 1.221 "* COMPUTATION = 1.221 mR/IIr X % ofINITIAL EXPOSURE
O" Model 8621.221 RATE X TIME INTERVAL
Model 541B 1.221 *"* % VARIATION = COMPUTATION- DOSE
Model 541R 1.221 COMPUTATION
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ _ _ _ _ _ _ . _ _ _ ._.
j
l ! l l ASCG
rm In5pection, RADIATION SAFETY PROGRAM
CERTIFICATE OF CALIBRATION
lnc* POCKET DOSIMETER
an A5CG cornpany
DATE2/23/98
RADSAF 19
This is to cenify that the pocket dosimeters listed below have been calibrated in
accordance with the dosimeter manufacturer's recommended practice.
The dosimeters were calibrated using a Victoreen Dosimeter Calibrator No. 541-205, Ser.
No. 391 and a NRC licensed and traceable source of Cesium 137.
Acceptable dosimeters shall read within plus or minus twenty (20) per cent of the true
radiation exposure pursuant to U.S.N.R.C., Title 10 CFR, Pan 34, para. 3457( c ).
Mr mr mr
Manufacture Serial No. Standard Results Leakage
O
V
!
_
;
l
l
-
__
:
NEXT CALIBRATION DIIE: SIGNATIIRE:
'
'***"8' 'd 'i"***' *" '* *'"'*d '"*"'r f "' (24) hours after results of
Cl,5 calibration and recorded.
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
- - _ _ - _ _ - _ _ _ _ - _ _ - _ _
______ _ - _ _ - _ _ .
l
i
!
ASCG
^ II
RADIATION SAFETY PROGRAM
i Inspect.ion' i
V RADIOACTIVITY SOURCE <
l n c.
UTILIZATION LOG
l
en ASCG company
Source Make:
Source Model No :
Source SM
Exposure Device Make:
j
Exposure Device Model:
Exposure Device SM
Date Received:
!
Date Discosed-
CHECK OUT* Radiographer or .I Location Utihzed CHECK IN*
Date Time RSO Designee Client, Job No. Date Time
O
* SOURCE CHECK OUT / CHECK IN IS FROM/TO ASCG'S PERMANENT STORAGE l
j NOTE: if source is changed in this exposure device, a new log must be initiated.
d' Page of
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
**
, untia.
MS Ans6eslope Avsk
**"'"
Ax 9eiwu ASCG INSPECTION,INC.
$$ RADIATION SAFETY PROGRAM
LICENSE NO. 50-29015-01. ..
RADIATION SAFETY PROGRAM REVIEW
10 CFR 20.1101 (c)
The below listed licensee radiation safety personnel and officers
Have reviewed ASCG Inspection, Inc.'s Radiation Safety Program for
Contents and implementation.
/ /
Signature and title Date
/ /
Signature and title Date
/ /
Signature and title Date
/ /
Signature and title Date
/ /
Signature and title Date
/ /
Signature and title Date
. .
REMARKS:
'
l
i
i l l
l
l
'
l t
3.m.
A ic $ lope Ava,
O rT nFJ""
ftas: Wi 2674480
ASCG Inspection Inc.
RADIATION SAFETY PROGRAM
RADIATION HISTORY REQUEST
DATE: / /
,
TO:
ATTENTION: Radiation Safety Officer
r3 In accordance with USNRC Title 10, Code of Federal Regulations, Part ~
19, Subpart 19.13, I am requesting a record of the radiation exposure
history that I received while in the employ of your company.:
Name:
First Middle Initial Last
Social Security Number: - -
. .
_
Please forward the records to: ,
ASCG Insp& tion Inc..- _
_
~p MG
~
AtfI: Mike Croy, Radiation Safety OMer, .,tf
7 #
/ 301 Arctic Slope Avenue, Suite 100
Anchorage, AK 99518-3035 ,- sc/ g c
s._ _ _ _
- 'N
Signature of Employee requesting records
O
.
l
RADIATION SAFETY PROGRAM
QUALITY ASSURANCE ANNUAL AUDIT
RADSAF31
10-24-91
1 SYSTEM, FACILITY, EQUIPMENT AND 10 CFR PART 71
FACILITY or PROJECT DATE / /
MANAGER or SUPERVISOR JOB NO.
1. RADIATION SAFETY PROGRAM / NRC LICENSE / FEDERAL CODES
A. Safety Program PARTI Yes No PARTII Yes No
B. Radiation Safety License Number (s) &
C. NRC License On Hand Amendment Numbers &
D. State of Alaska Registration On Hand Dated / /
E. Operating and Emergency (O & E) Procedures On Hand (II)
F. 10CFR19 Yes No N/A
G.10CFR20 Yes No N/A
H.10CFR34 Yes No N/A
I. Documents Available For Personnel To Review Yes No
2. RADIATION SAFETY MEETINGS HELD AT THIS LOCATION Yes No
A. How Often Are Meetings Held? Daily Weekly Monthly
B. Mandatory For All Personnel To Attend Meetings Yes No {
C. Records Of Topics and Attendance available Yes No
3. RULES AND REGULATIONS POSTED
A. NRC-3 Yes No
B. State of Alaska Yes No
C. Emergency Phone Numbers - RSO Yes No NRC Yes No
4. RADIATION AREAS ADEQUATELY CONTROLLED AND POSTED
A. Radiation Areas Signs Yes No N/A
' B. High Radiation Areas Signs Yes No N/A
C. Barricades / Ropes / Shielding Utilized Yes No N/A
D. Vehicle Source Storage Containers Yes No N/A
E. Interlocks Operable Yes No N/A
F. Signal or Warning Devices Operable Yes No N/A
G. Source Storage Areas Secured Yes No N/A
H. Radioactive Material Signs Utilized Yes No N/A
5. RADIATION SAFETY LOGS AND SURVEY RECORDS RECORDED PROPERLY TIMELY AND
MAINTAINED
A. Daily Radiation Job Sheet Yes No N/A
B. Decay Charts Yes No N/A
C. Film Badge Dosimetry Reports Yes No N/A
D. Radiographer & Asstist.FieldInspection Yes No N/A
, E. Quanerly Source inventory Yes No N/A
( F. Quanerly Inspection and Maintenance Yes No N/A ,
G. Leak (Wipe) Test Cenificates Yes No N/A
Page 1 of 3
_ _ _ _ - _ - _ _ - _ _ _
RADIATION SAFETY PROGRAM
QUALITY ASSURANCE ANNUAL AUDIT
O u. aadioactiveuaieriairransPer1Surver
I. Radioactive Material Shipping Document
ves
Yes
Ne
No
x/^
N/A
l J. Survey Meter Calibration Records Yes No N/A l K. Dosimeter Calibration Records Yes No N/A
L. Rate Alarm Calibrations Records Yes No N/A
M. Annual Refresher Course Yes No N/A
N. RAD. & ASST. RAD. Safety Examination Yes No N/A
O. Source Utilization Logs Yes No N/A
P. Occupational Radiation Exposure History Yes No N/A
Q. Annual Whole Body (NRC) Yes No N/A
R. Termination Reports-Individual /NRC/RSO Yes No N/A
S. UtilizationLogs Yes No N/A
T. Radiation Exposure / History Requests Yes No N/A
U. Radiation Safety Manual Control Yes No N/A
V. New Hire Checklist Yes No N/A
W. Certificate of Radiation Safety Training Yes No N/A
X. Annual Exposure Summary Yes No N/A
Y. Radiation Regulatory Guide 8.13 Yes No N/A
Z. Annual Safety Audit Yes _ No N/A
6. SURVEY / MONITORING / DOSIMETRY DEVICES CALIBRATED, OPERABLE AND
PROPERLY USED BY TRAINING PERSONNEL IN RADIATION AREAS
] A. Film Badges
B. Survey Meters
Yes
Yes
No
No
N/A
N/A
C. Pocket Dosimeters Yes No N/A --
D. Dosimeter Chargers Yes No N/A
E. Rate Alarms Yes No N/A
F. Legible Calibration Stickers Aflixed Yes No N/A
7. ARE RADIOGRAPHIC EXPOSURE DEVICES AND ACCESSORIES PROPERLY MAINTAINED
A. Quarterly Inspection Performed Yes No N/A
B. Equipment Condition Inspected Prior To Use Yes No N/A
C. Devices Labeled With Maintenance List Yes No N/A
D. Devices Labeled With Radiation Warning Yes No N/A
E. Devices Labeled With CTI Address / Phone Yes No N/A
F. Crank Assembly Operating Properly Yes No N/A
G. Surveys Made After Each Exposure Yes No N/A
II. Surveys Made at Check Out & at Check In Yes No N/A
I. Devices Stored' Areas Properly Posted Yes No N/A
J. Qualified Personnel Utilizing Devices Yes No N/A
8. TRANSPORT DOCUMENTS AND RECORDS PER 10 CFR, PART 71 PROPERLY EXECUTED,
MAINTAINED WITH SURVEY RECORDS (Ship / Receive) TO RSO
A. Survey Performed on Type 'B' Containers Yes No N/A
B. Survey Performed on Exposure Devices Yes No N/A
O
'
C. Shippers Declaration Dangerous Goods
D. Danger (Peligro) Labels AfYixed
Yes
Yes
No
No
N/A
N/A
E. Transport Index Label (Yellow II/III) Yes No N/A
Page 2 of 3
l
RADIATION SAFETY PROGRAM
QUALITY AS5bdANCE ANNUAL AUDIT
^
- F. Special form & Package Certificates Yes No N/A
G. Proper Address Label & Emergency Phone Yes No _ N/A
H. Surveys Performed On Receipt And On Shipping OfDevices And
Type "B" Packages Yes No N/A
9. RADIOGRAPHER AND ASSISTANT RADIOGRAPHER ARE INSPECTED IN THE PROPER
FIELD USE, HANDLING AND CONTROL OF RADIOACTIVE MATERIAL AND EQUPIMENT
EVERY NINETY(90) DAYS Yes No N/A
10. RADIOGRAPHER AND ASSISTANT RADIOGRAPHER ARE GIVEN ANNUAL
REFRESHER TRAINING COURSES Yes No N/A
11. RADIOGRAPHER AND ASSISTANT RADIOGRAPHER UNDERSTAND PROPER STEPS TO
BE TAKEN IN CASE OF AN EMERGENCY OR RADIATION INCIDENT
Yes No N/A
REMARKS
_
/ / Within the scope of this audit no violations were found {
/ / Areas of noncompliance fount in check list items (s) as follows:
1. 2. 3. 4. 5. 6. J
7. 8. 9. 10. 11.
Corrective Action Required
1
! I l Corrective action for areas of noncompliance issued on / / ; ! Date corrective action report due to RSO / / l l
Audit conducted by Date / /
Project Supervisor Date / /
PCopies to: Radiation Safety Officer // N/A = Not Applicable
'
D Radiation Safety Manager //
Project Supervisor //
I
Page 3 of 3
L__________________
l
A ASCG
RADIATION SAFETY PROGRAM
PART Il
Section: Forward
Page:
Revision:
i oflii
I
g in ection, Date: 02/10/98
an A5CG company
PART ll
OPERATING AND EMERGENCY PROCEDURES
O
\
>
!
l
1
l
!
O
301 Arctic Slope Ave., Suite M Anchorage, AK 99518 phone (907) 267-6235 fax (907) 267-6480
- - - _ _ - _ _ _ _ - - _ _ _ _ - _ _ _ _ _ _ _ _ .
i
I
'
RADIATION SAFETY PROGRAM Secti::n: Fcrwcrd
l l A- ASCG
PART II Page:
Revision:
ii oflii
1
l
'
i
p
'
Inspection, Date: 02/10/98
inc.
an ASCG company
l SECT!ON TITLE PAGE 1
1.0 GENERAL POLICY 1
2.0 PERSONNEL MONITORING 1
1.0 Pocket Dosimeters 1
l 2.0 Film Badges 1
3.0 Rate Alarms 2
3.0 SOURCE SECURITY 1
4.0 TRANSPORTATION OF RADIOACTIVE MATERIALS 1
1
5.0 POSTING & RESTRICTING RADIOGRAPHIC AREA 1
i
!
6.0 RADIATION SURVEY INSTRUMENTS 1 !
1.0 General Instructions 1
2.0 Procedure 1
7.0 RADIATION SURVEYS 1
1
8.0 DAILY EQUIPMENT INSPECTIONS 1
l 9.0 GENERAL REMOTE JOB SITE PROCEDURES FOR l OPERATION OF RADIOGRAPHIC DEVICES 1 l 1.0 Industrial Nuclear, Model IR-100 1
2.0 Amersham Model 660B 4
3.0 Amersham Model 773 Calibration Device 9 I
4.0 Amersham Model 865 13 1
10.0 SOURCE EXCHANGE 1
1.0 Source Exchange 1
2.0 Model 50 Source Changer 3 2
11.0 LEAK TEST C- 1 5 1
p O ' ,g (
12.0 RECORD KEEPING -
1 !
y ..
13.0 EMERGENCY PROCEDURES 1
, O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
RADIATION SAFETY PROGRAM Section: Forwerd
PART II Page: iii oflii
A5CG Revision: 1
l eCtion, Date: 02/10/98
en ASCG company
SECTION TITLE PAGE
14.0 FORMS AND EXHlBIT 1
15.0 LICENSE 1
l
16.0 U.S.N.R C. RULES AND REGULATIONS 1
l
17.0 CASE HISTORIES OF RADIOGRAPHY EVENTS 1
l I
O
'
;
i
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
I
RADIATION SAFETY PROGRAM Secti:n: 1.0
.A __ A5CG
PART II
GENERAL POLICY
Page:
Revision:
1of2
1
P ln5pectiOn, Date:02/10/98
...__ -
lnc.
__
an A5CG company
1.0 The procedures stated herein are designed to control the use of the radiation
, producing devices licensed by ASCG Inspection, Inc. in Anchorage, AK. i l ! 1.1 Direct responsibility for the overall radiation safety program in regards to
radiographic operations is assigned to Keenan E. Remele. He is
,
designated Radiation Safety Officer for all radiographic operations. Jeff '
Arveson is designated QA/QC Team Leader / Level 111. Terry Stokan, Tom
Liverance, Dan Smith, Larry Russell are designated Radiation Safety
Supervisors. '
1.2 Radiographer shall be trained and qualified in accordance with Section
7.0, Part I of the Company Safety Manual.
1.3 Qualified radiographer shall have the authority to use and supervise the
use of, while in constant surveillance of the jobsite, the sealed sources
authorized by the company license.
1.4 A copy of these instructions will be made available to each employee
O concerned witn ine nendiino or use or reeietion prodocinoe evices. Otner
company personnel, after training is comple'ed as required by the
company-training program, will be designated as assistant radiographer
and may operate the exposure equipment under the constant surveillance
of a qualified radiographer.
1.5 Each concerned employee will sign a statement as to the fact that he/she
has read and understands these instructions by means of an examination
prior to performing and working with radiation producing equipment.
1.6 Radiation Safety Regulations of the United States Nuclear Regulatory
Commission have been used as guides in the preparation of these
instructions. The objectives of these instructions presented here are to
protect the health of the general public and employees of the firm, and to
prevent disabling accidents. It is the responsibility of every concerned
employee to have a working knowledge of these instructions.
1.7 The Nuclear Regulatory Commission has the authority to modify, suspend,
or revoke any radioactive material license which they issue, or to take any
actions necessary to insure careful handling of radiation producing
equipment in their jurisdiction. These instructions must be followed
explicitly as set forth by Federal and State authorities. If any doubt exists
O concerning these instructions or the safety conditions in the performance
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
l
RADIATION SAFETY PROGRAM Section: 1.0
E-
GENE L LICY Revision: 1
BASCG
en ASCG company
Inspection,
InC.
Date:02/10/98
of radiographic operations, the Radiation Safety Officer shall be contacted
)
immediately.
1.8 Violations of the conditions and procedures set forth in these instructions,
by an employee, shall be just cause for punitive action.
THE REMAINDER I J THIS PAGE INTENTIONALLY LEFT BLANK
f
,
1
O
O
301 Arctic Slope Ave., Suite 100 Anchorage, AK 99518 phone (907) 26c6236 fax (907)267-6480
RADIATION SAFETY PROGRAM Secti::n: 2.0
PART II Page: 1of3
A5CG PERSONNEL MONITORING Revision: 1
l eCtion, Date:02/10/98
an ASCG company
1.0 POCKET DOSIMETERS
1.1 All radiography personnel shall wear a pocket dosimeter when performing
radiographic operations. These dosimeters shall have a range of 0-200
mR. Pocket dosimeters shall be calibrated annually. ;
1.2 All dosimeters are to be recharged daily - prior to commencement of
radiographic operations. Dosimeter readings shall be taken at frequent
intervals during the workday ard a total daily reading shall be recorded
after work is completed on the Daily Radiation Job Sheet.
1.3 The dosimeter shall be carried in a pocket on the body or in a leather
pouch with the film badge.
1.4 Care should be taken to ensure that the dosimeters are not dropped or
jarred, as they are delicate instruments and can easily be damaged. If a i
dosimeter is damaged, the Radiographic Supervisor shall be contacted l
immediately.
O 4.s if e dosimeter is noted to neve oone off sceie. ine foiiowino siens eneii be
taken: i
a) Stop work and return radiation exposure device to a safe condition.
b) Notify the Radiographic Supervisor and the Radiation Safety Officer
who will send in the film badge (s) for immediate processing. s
c) The effected personnel will not be issued a new film badge until the
RSO has been notified that there was not an over exposure. j
l
2.0 FILM BADGES
2.1 A film badge shall be assigned by name and number to each employee ;
performing radiographic operations. Under NO circumstances will an !
employee be permitted to use a film badge other than his own.
4
2.2 The Radiation Safety Officer will be responsible for the distribution of the
film badge and the procedures governing their use.
2.3 Film badges will be worn attached to the body or in a leather pouch with
the dosimeter during all operations, which involve possible exposure to !
radiation.
O
301 Arctic Slope Ave.,5uite 100 Anchorage, AK 99518 phone (907) 267-6236 fax (907) 267-6480
_ _ _ _ - _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - - . _ . _ _ _ _ - _ - _ _ ~
,-
/
A A5CG
ln5peCtion,
RADIATION SAFETY PROGRAM
PART II
PERSONNEL MONITORING
Secti:n:
Page:
Revision:
Date:02/10/98
2.0
2 of 3
1
1
l
l
l
an ASCG company
2.4 Film badges will be returned to the Radiation Safety Officer at the end of
the control period for the badge.
2.5 Care should be taken to prevent exposure of film badges to environmental
conditions which involves excessive heat or moisture as such exposure
will impair the ability of the badges to measure radiation dosage.
3.0 RATE ALARM
l
3.1 All radiography personnel shall wear an issued rate alarm when {
performing radiographic operations. The rate alarm is a safety device
designed to reduce overexposure to radiography personnel.
3.2 Rate alarms shall be attached to a belt or carried in a pocket on the body. l
3.3 There are headphones available when working in high noise areas.
3.4 Rate alarms shall be calibrated annually. Rate alarms shall activate at
}}