ML22264A089

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Liberty Oilfield Services - Notification of Past Due General License Device Annual Registration
ML22264A089
Person / Time
Issue date: 09/02/2022
From: Rolland J
Office of Nuclear Material Safety and Safeguards
To: Tuomi M
Liberty Oilfield Services
References
GL-727112-27
Download: ML22264A089 (16)
v • d • e


Text

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555-0001 09/02/2022 LIBERTY OILFIELD SERVICES GL-727112-27 ATTN: MIKE TUOMI RSO CORPORATE COMPLIANCE 950 17TH STREET SUITE 2400 DENVER, CO 80202

SUBJECT:

PAST DUE GENERAL LICENSE DEVICE ANNUAL REGISTRATION

Dear MIKE:

This letter refers to the general license device annual registration packet sent to the above address on 04/29/2022 (copy enclosed). The U.S Nuclear Regulatory Commission (NRC) requires annual registration of certain devices that are possessed under the general license issued in Section 31.5 of Title 10 U.S. Code of Federal Regulations [10 CFR 31.5(c)(13)(1)]. NRC's general license database indicates that you are in possession of a general license for a device requiring annual registration.

Please complete and return the registration packet within 15 calendar days from the date of this letter.

If you do not respond, NRC may take additional action which may include inspection of your facility and possible enforcement action.

Information about the general license registration program is available on the internet at http://www.nrc.gov/materials/miau/miau-reg-initiatives/geri-license.html.Questions regarding your submittal or your responsibilities as a general licensee can be answered by contacting Joseph Rolland at (301) 415-4059 or email at Joseph.Rolland@nrc.gov.

Sincerely, Joseph D. Roi land,Digit~llysigned byJ_os~ph D. ~ol_Jand

/ -0ate. 2022.08.2910.21.50-0400 U.S. Nuclear Regulatory Commission Office of Nuclear Material Safety and Safeguards Division of Material Safety, State, Tribal and Rulemaking Programs Materials Safety Licensing and Tribal Liaison Branch

INSTRUCTIONS FOR COMPLETING NRC FORM 664 "GENERAL LICENSEE REGISTRATION" Review all six sections of this registration form. If any information is incorrect or missing, make corrections in the applicable boxes. If you have more devices than space provided in the form, copy the form before starting, as needed. Use black ink and print in CAPITAL LETTERS. Start information in the first box provided. If the information contains a number with a dash (-) or a decimal point(.), include the dash or decimal point as an individual character. Use the "0" character to represent the number O (zero).

Verify_ information about the devices by reviewing the label on the outside of the device. For safety reasons, DO NOT TRY TO TAKE APART any device to verify this information. If you are uncertain how to identify the device's label, contact-the device's manufacturer or an authorized service agent for this information. Also, contact the manufacturer for any ad.ditional information about NRC requirements. You may also review 10 CFR 31.5 and other applicable regulations on the NRC web site at http://www.nrc.gov/reading-rm/doc-collections/cfr/, or review specific information about the general licensee project at https://www.nrc.gov/

materi als/m iau/general-use/toolkit. htm I Note to specific licensees: If you believe the device(s) listed on the registration form are possessed under your specific license, then verify the device label does not state the device is subject to a general license. If the labels indicate the device is subject to a general license, then complete the registration form as instructed below. If not, complete the registration as instructed below, however, in Section 2, follow the instructions for "not in possession of device" and complete one Section 4 page per device transferred to your specific license.

Section 1 - General Licensee Information. Provide the requested information about you, the general licensee.

On Page 1, provide the street address/location where your device(s) are used. For portable devices, provide the storage location. P.O. Box addresses are not allowed.

Do not write in the box marked For NRC Use Only.

On PaQe 2, provide the name, business telephone number, busine"s_s- e.:rna11 _address*! and title of the individual responsible for your device(s), and a mailing address where correspondence about your device(s) can be sent.

The mailing address should be specific to the physical location where the devices are used and/or stored (P.O.

boxes may be used if this is the only available mailing address). The individual indicated in this section as responsible for your device(s) must also verify and sign the form in Section 5.

Section 2 - Devices Subject to Registration. This section lists each device subject to registration and in your possession, according to NRC records. Devices subject to registration include those containing at least one of the radionuclides listed in Table 1, with the activity indicated, at the time of manufacture.

Table 1. Criteria for Registration Radionuclide Activity greater than or equal to:

Strontium-90, Radium-226 3. 7 meqabecquerel (0.1 millicurie)

Cobalt-60, Curium-244, Americium-241, and Californium-252 37 megabecquerel (1 millicurie)

Cesium-137 370 megabecquerel (10 millicurie)

Use the codes from Table 2 when correcting isotope information for devices in this section. If you do not possess a device on this list, blacken the "not in possession of device" circle, and provide the relevant information in Section 4. Note that each device is assigned a unique six-digit number called the NRC Device Key.

Table 2. Isotope Codes for Sections 2 and 3 Radionuclide Code for form Radionuclide Code for form Americium-241 AM241 Curium-244 CM244 Californium-252 CF252 Strontium-90 SR90 Cesium-137 CS137 Radium-226 RA226 Cobalt-60 CO60 Section 3 - Additional Devices. If you have other generally licensed devices (not listed in Section 2) that meet the conditions for registration listed in Table 1, provide information about each additional device. Before starting, copy this section as needed for your additional devices. Also indicate how you acquired each device by blackening the proper circle.

When entering isotope and unit information for your device(s), use the codes listed in Table 2 of Section 2 for isotope information, and use the codes from Table 3 for unit information:

Table 3. Unit Codes for Section 3 Unit Code for form Unit Code for form picocurie PCI becquerel BQ nanocurie NCI kilobecquerel KBQ microcurie UCI megabecquerel MBQ millicurie MCI gigabecquerel GBQ curie Cl terabecquerel TBQ pound LB microQram UG millimam MG kilogram KG gram G Section 4 - Not in Possession of Device. Use this section to report any devices that are listed in Sections 2 or 6, but that you no longer possess. Before starting, copy this section as needed for additional devices that are not in your possession. Enter the NRC Device Key, as listed in Section 2 or 6. Blacken the circle (choose only one) that best describes the disposition of the device and complete the rest of the section as appropriate.

Section 5 - Certification and Signature. The responsible individual must certify, sign, and date Section 5.

Section 6 - Devices Not Subject to Registration. Jhis list contains information about devices that ~RC records indicate are in your possession, but are not subject to registration. If you no longer have one or more of the listed devices, you are required to make a transfer report to NRC in accordance with 10 CFR 31.5 (c)(8) or (9), as applicable. You may use Section 4 for this purpose. This section does not list any static eliminators containing polonium-21 O (Po-210), or luminous exit signs containing tritium (H-3). These devices are not subject to registration, and are not included in this section in an effort to reduce the length of this form.

RETURN THE COMPLETED FORM IN THE ENCLOSED ENVELOPE WITH PROPER POSTAGE.

11111111 IIIIII II llllll lllll lllll lllll lllll lllll llll 111111111111111 1111 I111111111111111111111 lll111111111111111 GL-727112-27 SECTION 1 04/21/2022 PAGE 1 of 2 NRC FORM 664 (11 - 2020) U.S. NUCLEAR REGULATORY COMMISSION 10CFR31.5 GENERAL LICENSEE REGISTRATION APPROVED BY 0MB: NO. 3150-0198 0MB EXPIRATION DATE: 09/30/2022 Estimated burden per response to comply with this mandatory collection request: 20 minutes. NRC will use this information to track general licensees and their devices to ensure a higher level of device accountability. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to lnfocollects.Resource@nrc.gov, and the 0MB reviewer at: 0MB Office of Information and Regulatory Affairs, (3150-0198), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid 0MB control number.

Complete all six sections of this registration form. If any of the preprinted information is incorrect, provide the changes in the applicable boxes. USE CAPITAL LETTERS.

General License SECTION 1 - GENERAL LICENSEE INFORMATION Registration Number GL-727112-27 Enter the company name and the street address for the physical location of use for your device(s). For portable devices, specify the primary storage location. Do not use P.O. Boxes.

Company Name: LIBERTY OILFIELD SERVICES I I I I I I I I I I I I I I I I I I I I I I Department: CORPORATE COMPLIANCE I I I I I I I I I I I I I I I I I I I I I I I Address Line 1: 1200 E. LINCOLN STREET I I I I I I j I I I. I I I I r Address Line 2:

III I I I I I I I I I I I I I I I I City: GILLETTE I I I I*I I I I I I *I I I I I I I I I I I I r State: WY IT] Zip Code: 82716 j I ,I J j J- J J J J I

11111111 1111111111111111111 IIIII IIIII IIIII IIIII IIII 111111111111111 1111 Illllllll llll lllll llll 111111111111111111 GL-727112-27 04/21/2022 SECTION 1 PAGE 2 of 2 SECTION 1 - GENERAL LICENSEE INFORMATION (Continued)

Enter the name, telephone number and title of the person who is the responsible individual for the device(s).

Last Name: TUOMI First Name: MIKE Middle Initial:

IA l L I ~J xJ T J. J J I .* J l .:I **. . I D Business Telephone Number: (720) 556-8745 Extension:

l3 la>l3JI sl \:1 5 ll'J.l<fl.~ 1~1 11

  • l ' I' I I Business E-mail Address: MICHAEL.TUOMl@LIBERTYFRAC.COM

Title:

RSO Enter the mailing address where correspondence regarding your device(s) should be sent.

Department: CORPORATE COMPLIANCE Address Line 1: 950 17TH STREET Address Line 2: SUITE 2400 I III I, . l l J I I J. l I. l l J J I. J l J I 1* J City: DENVER I IIl Il l I II Il l ll l I Il ll IIl State: co OJ Zip Code: 80202 r J I ' J I' l-:1 ' J I .1 J

1111111111111111 IIIIII IIIII IIIII IIIII lllll lllll llll 111111111111111 1111 Illllllll llll 11111111111111111 GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 1 of?

NRC Device Key 833910 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, LP I I J I I r , . ,. I ,. I I I I I. I ., I ., I r l l I Distributor License Number: L03524 I I I I I I. I I I Manufacturer name: THERMO MEASURETECH J J III I I I I I :I I l I I I I I I I I I I I I I I 1

  • I Device Model (Not Source Model): 5190 I I I I I I I I I I I . I I 1* I I I I I . I I 1- I I Device Serial Number: B8644 I I I I I I I I I I I I I I *1 I I I I I I I I.I Transfer Date: 12/15/2014

. Not in possession of device (Also OJITJI 1111 complete Section 4.)

MM DD yyyy Isotope (e.g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi I I I I I I I I I I I I I I I I I I I ~ I,~ ,I I

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1111111111111111 IIIIII IHll 1111111111 lllll lllll llll 111111111111111 1111 Illllllll llll 11111111111111111 GL-727112-27 04/21/2022 SECTION 2 - DEVICES.SUBJECT TO REGISTRATION . SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 2 of 7 NRC Device Key 1 833911 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, LP I.1**1 1

  • 1.*. - l 1* 11 r . 11 . . 1* . I. .J .. J*. 1.*.* 11 *. ** J**1*. l *.* I I Distributor License Number: L03524 I I I JI Manufacturer name:

l l :J I r r I :1

  • I THERMO MEASURETECH Device Model (Not Source Model): 5190 l -I I I I Device Serial Number:

l :1 .

B8645 f r I :J I I l I l I \i I I I rl l Transfer Date: 12/15/2014

- Not in possession of device (Also

CD OJI I l l I Q complete Section 4.)

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I 1 CS137 200 mCi

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11111111 IIIIII II llllll 111111111111111 lllll lllll llll 111111111111111 1111 IIIIIIIII IIII IIIII IIII IIII IIII GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 3 of?

NRC Device Key 833912 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, L.P I II I l J Distributor License Number:

r J I L03524 JJ I I I J J I. I I *J r I .I: I Manufacturer name: THERMO MEASURETECH Device Model (Not Source Model): 5192

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Device Serial Number: B8159 Transfer Date: 12/15/2014

[IJ[IJI I r* l I n Not in possession of device (Also L:,I. complete Section 4.)

MM DD YYYY Isotope (e.g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi 2

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I111111111111111 llllll 111111111111111 lllll lllll llll 111111111111111 1111 Illlllllllll 11111111111111111 GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 4 of 7 NRC Device Key 833913 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, LP r J I I .I l Distributor License Number:

rIJ I J L03524 1* I L J l l J l ,.I l, .l I J Manufacturer name: THERMO MEASURETECH Device Model (Not Source Model): 5192 l I :1 I I Device Serial Number:

I I B8160 J. I 1. I I .r 1* I I I l rl r l I( I Transfer Date: 12/15/2014

  • Not in possession of device (Also

. complete Section 4.)

MM DD YYYY Isotope (e,g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi 2

I I I I I I I I I I I I I I I I I .I I ,-----,-1I --.---,II 3

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I I I I I I I I I I I I I I I I I I I I I I I

11111111 IIIIII II llllll 111111111111111 lllll lllll llll 1111111111111111111 Illllllll llll 11111111111111111 GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 5 of 7 NRC Device Key 839512 (Internal Control Number)

Distributor/Distributed By: Thermo Proce_ss Instruments, L.P I II I I I I I I I I I I I Ill 1111111 Distributor License Number: L03524 I I I I I 1* l I I r I I I I Manufacturer name: THERMO MEASURETECH

  • 1 I l I I I I I I I I I I I I I I I I .I I I I I Device Model (Not Source Model): 5190 I I I I I Device Serial Number:

I I I I I B8439 I I I I I I I I I I I I l I I I I I I I I l I I I I I I I I I I I I I I I I Transfer Date: 03/21/2016 CDITJI I 1* I I Not in possession of device (Also complete Section 4.)

MM DD yyyy Isotope (e.g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi I I I I I I I. I I I I I I I I I I I I ,~,~,I 2

3 I I I I I I I I I I I I I I I I I I I I I I I

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1.-------,-1-,--1----.----I~,I I I I I I I I I I I I I I I I I I

IIIIIIII IIIIII II IIIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII 1111 IIIIIIIII IIII IIIII IIII IIII IIII GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 6 of?

NRC Device Key 839514 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, L.P I .I I " T I ' I 11 ' I.

Distributor License Number: L03524 JI I- I I l l 'J I rl I r *:r Manufacturer name: THERMO MEASURETECH Device Model (Not Source Model): 5190 I I I "I' .I l I Device Serial Number: B8440 l r I l r I I I. l I l .I I 11 r *1 Transfer Date: 03/21/2016 CIJ rn1 r r l

  • 1 . Not in possession of device (Also

. . complete Section 4.)

MM DD YYYY Isotope (e.g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi I I I I I I - I I I I I I I I I I I I II~ I - 1I 2

' 3 I I I I I I I I I I I I I I I I I I I I I I I

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  • I I I I

IIIIIIII IIIIII II llllll lllll lllll lllll lllll lllll llll 1111111111111111111 Illllllll llll 11111111111111111 GL-727112-27 04/21/2022 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2 Our records indicate that you have these devices. Please update the information as necessary. PAGE 7 of7 NRC Device Key 839516 (Internal Control Number)

Distributor/Distributed By: Thermo Process Instruments, LP r l .I I I l Distributor License Number:

r J - -t L03524 I 1 I I .- I .1 l I J J <r- J; *1,: I :I Manufacturer name: THERMO MEASURETECH Device Model (Not Source Model): 5192 I I r I: I I -I I I I r* ' I I l ll 1: I r r*l I I l Device Serial Number: B8058 Transfer Date: 03/21/2016 '

[I] ITJl*_-1-**r l -1 - Not in possession of device (Also

_ complete Section 4.)

MM DD yyyy Isotope (e.g. AM241) Activity (e.g. 1005) Unit (e.g. mCi) 1 CS137 200 mCi 2

I I I I I I I I _I I I I I I I I I I I .--------r--1 I --,----,II 3

I I I I I I I I I I I I I I I I I I I IIII r------T'1------,--1 "I --,---I-,-----,II 4

I I I I I I I I I I I I I I I I I -

.--------r-11-----.--1--,---I--,----.,II _

5 I I I I I I I I I I I I I I I I I 6

r------T'1------,--1 "I --,---I-,-----,1I I I I I I I I I I I . I I .I IIII I I I I I I I I I I I I I I I I I I I - I I I I

IIHIIII IIIIHI 1111111111111111 IIIII IIIII IIIII IIII 111111111111111 IIII GL-727112-27

. Illllllll llll 11111111111111111 04/21/2022 SECTION 3 SECTION 3 - ADDITIONAL DEVICES SUBJECT TO REGISTRATION PAGE 1 of 1 Provide information about other devices you have that are subject to registration. Do not report specifically licensed devices.

Manufacturer Name I I I I .I I I I I I I I I I I I I I I I I I I I I I I I Initial Transferor Name I I I I I I I I I I I I I I I I I I I I I I I I I I 1. I Initial Transferor License Number (if known)

I I I I I I I I I I I I I Device Model Number (Not Source Model)

I I I I I I I I I I I I I I I I I I I I I I I I I I I I Device Serial Number I I I I I I I I I I I I I I I I I I I I I I I *1 I I How acquired and date (e.g., 0 Manufacturer/Initial Transferor listed above , . , ... .. . . .. *.* . ..

from a_ distributor/manufacturer, other licensee, other source)? 0 Other General Licensee Date Transferred:  :[TI.

ITJ*

  • I I* .* --I I I*

O Other Sources MM DD YYYY Isotope (e.g. AM241) Activity (e g. 100) Unit (e.g. mCi) 1- I I

~~~ I I 2.

3.

4.

5.

6.

7.

I 8.

I i 9.

I 10.

I I

IGL-727112-27 111111111111111 llllll lllll lllll lllll lllll lllll llll 1111111111111111111 Illllllll llll 11111111111111111 04/21/2022 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 4 Provide information about devices listed in Section 2 or 6, but no longer in your possession. PAGE 1 of 1 Part1 Transfer Date:

MM DD YYYY Location of the Device:

0 Whereabouts Unknown (Complete Part 1 only) O Transferred to another general licensee (Complete Parts 2 and 3) 0 Never Possessed the Device (Complete Part 1 only) O Transferred to a Specific Licensee (Not the manufacturer) 0 Returned to Manufacturer (Complete Part 1 only) (Complete Part 2)

Part 2 License Number of Recipient (if transferred to a specific licensee):

I I'

  • l *1 I .r l I .'I
  • r*
  • t *1*_ *1. I Company Name:

I I I I I I l Department:

l I r I I :I I I >*1 I l r *:1 l Jl I I I JI Address Line 1:

Address Line 2:

I l I I I*I Cfy:

l .

I I I . I *1 I r* l r l l 'l r J f l J r l r I Part 3 Enter the name of the individual responsibe for this device:

Last name:

Title:

l I r I I I r l l l 'l I l r l 'I r l l l l *r l l I l J I

IIIIIIII IIIIII II llllll 111111111111111 lllll lllll llll 111111111111111 1111 Illllllll 111111111111111111111 GL-727112-27 SECTION 5 SECTION 5 - CERTIFICATION 04/21/2022 PAGE 1 of 1 I hereby certify that:

A. All information contained in this registration is true and complete to the best of my knowledge and belief.

B. A physical inventory of the devices subject to registration has been completed, and the device information on this form has been checked against the device labeling.

C. I am aware of the requirements of the general license, provided in 10 CFR 31.5.

(Copies of applicable regulations may be viewed at the NRG website at:

http://www.nrc.gov/reading-rm/doc-collections/cfr)

SIGNATURE - RESPONSIBLE INDIVIDUAL (Listed in Section 1) DATE WARNING: FALSE STATEMENTS MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRG REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRG BE COMPLETE AND ACCURATE IN ALL MATERIAL ASPECTS. 18 U.S.C SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY WRONG STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER IN ITS JURISDICTION.

IIIIIIII IIIIII II llllll 111111111111111 lllll lllll llll 111111111111111 1111 GL-727112-27 Illllllll llll 11111111111111111 0412 12022 SECTION 6 1 SECTION 6 - DEVICE NOT SUBJECT TO REGISTRATION PAGE 1 of 1 NRC Device Key: Manufacturer License No:

Manufacturer Name:

Model Number: Serial#: Transfer Date:

Isotope: Activity: Unit:

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