ML20135C679

Forwards Rept of Proposed Activities in non-Agreement States & Agreement State License.Nrc Granted Recognition of Agreement State License for Activities to Be Performed at Federal Installation Under 10CFR150.20

ML20135C679
Person / Time
Issue date:	02/24/1997
From:	Dan Collins NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:	AIR FORCE, DEPT. OF
Shared Package
ML20135C635	List: ML20135C632 ML20135C642 ML20135C679
References
NUDOCS 9703040212
Download: ML20135C679 (2)

Text

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February 24. 1997 i

Commander.

101st Airborne Division >

ATTN: AFZB-CML SSG Rhoades ,

Fort Campbell. Kentucky 42223-5000 i

SUBJECT:

NOTIFICATION OF RECIPROCITY RECOGNITION Gentlemen:

The enclosures to this letter are a Report of Proposed Activities in Non-Agreement States (NRC Form 241) and an Agreement State License. This notice -

is provided to you as a courtesy.  !

This office has granted recognition of an Agreement State license for activities to be performed at your federal installation. This recognition is '

authorized under Title 10. Code of Federal Regulations. Part 150. Section 20 (10 CFR 150.20). The license is valid for the activities and devices described and for the time frame requested. The license does not limit the licensee to a particular location.

t The licensee has been notified that there may be differences between the ,

Agreement State regulations and NRC regulations. The licensee has been '

informed that NRC regulations apply whenever activities are conducted within NRC jurisdiction areas.

Further notifications of activities by this licensee within your boundaries may be made. We shall notify you should this happen. Should you have any questions concerning this matter, please call me at (404) 331-5624. My fax numbers are (404) 331-7437/5559.

Sincerely.

/s/

David J. Collins. Health Physicist Materials Licensing / Inspection Branch 2 l

Division of Nuclear Materials Safety

Enclosures:

, 1. Form 241 - Rogers Grou). Inc.

j 2. State License - Kentuccy 201-412-51 l

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9703040212 970224 PDR STPRC ESGKY PDR

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NRC FORM 241 U. S. NUCL IM REaULATORY COMMISSION A N .S. 8YO N Es - d. - r M.M3co,,, - ~ -d- iM.~,HLE_6/mg LAP 6

! 10 CrR 150 sequest 16 mmutes Thes riotsfacation m *equered sc that NRC may beheduie enspection or the i,smt es to ensgre that they are conducted in accordance with regwiements for l REPORT OF PROPOSED ACTIVITIES a'-'- m-dea ****

a' ~ a".6"c io tne iM-a,.on ha* unnagement nd Reco,es -a a'*'v '-* ,"a"""e*v"333 B,a ch ri .

u 5 Naciear R,,uiaio.T IN NON AGREEMENT STATES '"""" * "" " *"-

(3160 0013). Othce of Management and Budget. Washington. DC NRC 20503"*"'*"***

may (Please read the mstructions on the cover sheet before completng this form) co"duc' D' 'P*"'*' *** * ***"

• not '*9u'*** to '** pond '*

• coH*c'*o" of t*'m*'*

4 unless il dispiavs a cunently wand OMB controi number =

1 NAMt OF L'CL N5LL r* * '<* emewaa 'o capac' "='** ***c"* **6 3. CONTROL fduMBER

2. TYPE OF REPORT  ;

(Leave Blank ~ Number to be '

, INST \AL assigned by NRC)

! Rogers Group. Inc. -

REVISON 4 ADDRE $5 OF Lir LNSt L iMed#ng eddress w other toter on where facensee may be Joeared) CLARIFICATION t .

P. O. Box 154 5 LICENSEE CONT ACT l Hopkinsville, KY 42241 Russell C. Mann ,

fp ikt L PMUNL NUMbf.R 7 f ACbiMk L lw'Vt4k I

(include Area Coder pocJutte Area Code) ,

(502) 886-3393 (502) 887-6703 [

8 ACTIVITIES TO BE CONDUCTED IN NON-AGREEMENT STATES UNDER THE GENERAL LICENSE GIVEN IN 10 CFR 150 20 WELL LOGGING LEAK TESTING AND/OR CAllBRATONS TELETHERAPY!IRRADIAT OR SERVICE OTHER tSpm:sfy) y PORTABLE GAUGES i

TRANSPORTATION QA PROGA AM APPROV AL NO & REV NO REG!STERED AS USE R OF PACKAGINGS (Cf RTIFICATES OF COMPLIANCE NOS )

I 9 CLIENT NAME ADDRESS CITYICOUNTY STA1E ZipCOOL 10 WORK LOCATION ADDRE$$ (Spect and Number a othev socate G,ve as comptere en address nr duectwa es poe s+e )

U. S. Army Corps Of Engineers

& Post Engineers Various Construction Sites On Ft. Campbell, KY Ft. Campbell KY 42223

1) CLILNI ILLLPHVNL NOVtskk 12 WORM LOCATION TECHNICIAN AUTHORIZED TO PERFORM WORK 13 WURN LOCAisON ILLLPHONE NUMink (Include Aree Code) Unclude Area Code)

(507) 798-7727 Corna Of Enoineers (502) 798-7222 14 DATES SCHEDULED "O 16 LOCATION REFERENCE NUMBER WORK DAYS i fROM 10 LEAVE E5 LANK FOR ftsflAL NRC FORM 241 Rt QUES 15 NUMBER TO BE ASSIGNED BY NRC i 3-1-97 12-31-97 180 g[

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pe%-w, I i

LIST ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUDE ALL INFORMATION CONTAINED IN ITEMS 9-16 ABOVE. l usl h ADeQAvi4vt MATLRA. WhaCN MLL bL PQ55L5dD aEU. LN51 ALLED btR viCLU OR TE5!LD #N NON AGhtiViNI bi AQ 5 pnclude Gescropim of type and Ipuentity or redsoectove mornoat seened sources or dences 80 be sosed) ^

Conium 117 b mC4? Amerieinm 241(44mC1i Amorie1um 241 < 100 mci! All Sealed.

16 AGhtL Mt NI bl All bPluf C Lit.LNbt WHCH AUMOHCL b IHL UNDLW5tbNLD 10 LONDOW AM@LS WHiGH Akt IML bAML. LACLPI FON LOCA tlON Of Ubb Ab l SPECIFIED IN ITEM 8 ABOVE (Four copies of the speedic lecense must accompany the mma! NRC $ orm 241 )

j LICENSE NUMBER STATE LXPiR Ah0N DATE TOT AL USAGE DAYS TO DATE 701-417-51 KFNTUCKY hnnarv 31. 1998

_ 19. CERTIFl CATION (MUST BE COMPLETED B Y APPLICANT) l 1. TH NDERSIGNED, HEREBY CERTIFY THAT-l a All mformation in this report is true and complete

, b i have read and understand the provision of the general hcense 10 CFR 150 20 repnnted on the cover sheet of this form set. and I understand that I am requned j

1. to comply with these provisions as to all byproduct, source, or special nuclear tviatenal wtuch I possess and use m non-Agreement States or utishore waters t

I under the general hanse los which this report is filed with the U S Nuclear Regulatory Commission c ( understand that activities, mcludmg storage, conducted an non.Agreemenis States under general heense 10 CFR 150 20 are hmded to a total of 180 days m calendar year.

l d I understand that I may be inspecied by NRC at the above lested work site locatsons and at the Licensee home office addsess for schwitses performed m non-Agreement States or offshore waters I am also aware that I will be responssble for any fees associated with such anspections e I understand that conduct of any activities not described above, mcludmg conduct of activities cn dates or locations different from those desenbed above or without NRC authonzatson, may subject me to enforcement action, includmg civil or enmmal penalties CE N fif VING Of f KlR - H50 of Management Hepresentarwe (Typochn#ec Name and 7traes SiGNATukt DAIt L% M/ ) 4 )

WARNING FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJECT TECIVIL AND/OR CRIMINAL PN4 ANES NRC REGULATONS REQUIR SUBM!SSONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS 18 U S C SECTON 1001 MAKES IT A CRIMINAL OFF MAKE A WILLFULLY FALSE STATEMENT OR REPRFSENTATON TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER j ITS JURISDiCTON

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NRCFORM241 (6-96)

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