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| ML20149L044 | |
| Person / Time | |
|---|---|
| Issue date: | 02/15/1996 |
| From: | Hull J NRC OFFICE OF THE GENERAL COUNSEL (OGC) |
| To: | Bechhoefer C, Hooper F, Kelber C Atomic Safety and Licensing Board Panel |
| Shared Package | |
| ML20149L066 | List: |
| References | |
| CON-#196-17474 IA-95-055, IA-95-55, NUDOCS 9602230217 | |
| Download: ML20149L044 (850) | |
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USNRC "s*****/ February 15, 1996 % FEB 16 A9 :41 OFFICE OF THE GENERAL COUNSEL OFFICE OF SLCRETARY 00CKEliHG & SERVICE Charles Bechhoefer, Chairman Frank F. Hooper BRANCH Administrative Judge Administrative Judge Atomic Safety 26993 McLaughlin Boulevard and Licensing Board Bonita Springs, FL 33923 Mail Stop: T-3 F23 U.S. Nuclear Regulatory Commission Washington, D. C. 20555 Charles N. Kelber Administrative Judge Atomic Safety and Licensing Board Mail Stop: T-3 F23 U.S. Nuclear Regulatory Commission Washington, D. C. 20555 In the Matter of James L. Shelton (Order Prohibiting Involvement in , NRC-Licensed Activities (Effective Immediately)) I Docket No. IA 95-055
Dear Administrative Judges:
The Board's January 23, 1996 Order requests certain documents "to the extent they appear in the public docket of this proceeding." There is no such docket ; as yet, and most of the requested documents are not in the docket file ! available for inspection at NRC's Region II offices. However, the Staff is i forwarding copies to you of the following documents:
- 1. NRC Office of Investigations (01) report on Case No. 2-92-027R (0I Report), dated April 25, 1995, including report exhibit nos.
l-11, and 15-19. These exhibits include the North Carolina state license (now expired) and inspection reports requested by the
> Board's January 23, 1996 Order, at 2; 1
- 2. Testco's renewed state license, issued March 14, 1995;
- 3. Transcript of the predecisional enforcement conference held on July 27, 1995; and
- 4. The October 31, 1995 Notice of Violation and Proposed Imposition of Civil Penalty (EA 95-101) issued against Testco, Inc.
9602230217 960215 PDR STPRG ESGNC ) PDR a
O Multiple Addressees 4 The OI Report and 01 exhibits listed above are being provided in redacted form so as to include only publicly available information, and 01 exhibits 12-14 are being withheld. 311 10 CFR 2.790(a)(7). One copy of the above-listed documents is being forwarded to James Shelton. Sincerely,
/
/
ohn T. Hull Counsel for NRC Staff cc: James Shelton Remainder of Service List w/o encls
/
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l L l l-i i l [ 1. NRC Office of Investigations (OI) i report on Case No. 2-92-027R (OI l Report), dated April 25, 1995,
- including report exhibit nos.1-11, and l
15-19. These exhibits include the l North Carolina state license (now L expired) and inspection reports j requested by the Board's January 23, { 1996 Order, at 2; l i 1
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TESTCO, INC.: ALLEGED RADIOGRAPHY IN NON-AGREEMENT STATE WITHOUT NRC NOTIFICATION Licensee: Case No.: 2-92-027R Testco, Inc. Report Date: April 25, 1995 I-C Wendy Court Greensboro, North Carolina 27409 Control Office: 01:RII Docket No.: N/A Status: CLOSED Reported by: Reviewed by:
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-tfaig y Tatef Investigator Wil fiam J. cN 'tf, Dire tor Office of Investigations Office of In tigations Field Office, Region II Field Office, Region II Approved by:
/
Cdy 3 P. Caputo, Directbf Office of Investigations e WARNING p A f p The ' attached document / report has
; n/ N reviewed ot been ur uant ;o 10 CFR 5 2.790(a) exemptions nor has any exempt materi l be n deleted. Do not disseminate or discu!!s its contents o e NRC. ;
Treat as0FFICIAL USE ONLY."
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4
- r SYNOPSIS Following a preliminary evaluation, the U.S. Nuclear Regulatory Commission (NRC), Off'.ce of Investigations, Region II Field Office, on November 16, 1992, initiated a full scale investigation regarding an Agreement State licensee's allepd deliberate failure to notify the NRC of radiography performed in a non Agreement State.
The investigation, which included review of pertinent documents, substantiated , the allegation. Upon advice of retained counsel, the Agreement State : licensee s radiation safety officer (RS0) expressed the intent to exercise his Fifth Amendment privilege and declined to respond to questions regarding the allegation. Based on evidence collected, this investigation concludes that on numerous occasions between June 1990 and November 1994, Testco, Inc., while a North Carolina State radioactive material licensee, performed radiographic services in non Agreement States, or other areas of federal jurisdiction, for which the RSO deliberately withheld notification from-the NRC by his failure to file required NRC Forms 241, REPORT OF PROPOSED ACTIVITIES IN NON AGREEMENT STATES. 4 1 4 i s l I I i 1 , l i l Case No.-2 92 027R 1 i i
THIS PAGE LEFT BLANK INTENTIONALLY 1 i 1 l i l l l 1 Case No. 2 92 027R 2
~
ACCOUNTABILITY The following portions of this Report of Investigation (Case No. 2 92 027R) I will not be included in the material placed in the Public Document Room. These consist of pages 3 through 15. Y i 3 1 Case No. 2 92 027R 3 l
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1 l l l i 1 l Case No. 2 92 027g 4
1 I TABLE OF CONTENTS E122 SYNOPSIS ........................................... ................... I 1 e ACCOUNTABILITY ..............................'........................... 3 TABLE OF CONTENTS ....................................................., 5 , APPLICABLE REGULATIONS.................................................. 7 l 4 i DETAILS OF INVESTIGATION ............................................... 9 ;
)
Purpose of investigation ......................................... 9 1 Bac(ground ....................................................... 9 I Coordination with NRC Staff ...................................... 9 l Coordination with Assisting Radiation Specialist . . . . . . . . . . . . . . . . . 9 I Review of NRC Licensing Records ................................. 10 ; rdination with Regional Counsel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ! egation: eged Radiography in Non Agreement States - wi thout NRC Noti fi cation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Summary ................................................... 11 Receipt / Review of Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Attempted Interview of SHELTON ............................ 11 Coordination with DEHNR Staff ............................. 11 Inquiry at Military Reservations .......................... 12 Evidence.................................................. 12 Conclusion................................................ 13 ! LIST OF EXHIBITS ...................................................... 15 Case No. 2 92 027R 5
A THIS PAGE LEFT BLANK INTENTIONALLY e l j l Case No. 2 92 027R 6 i
, APPLICABLE REGULATIONS
, A11ecation: Radicaraohv in Non Aareement States without NRC Notification 10 CFR S 150.20: Recognition of Agreement State licenses (1992 Edition)
(b) ...any person engaging in activities in non Agreement States or in offshore waters under the general licenses provided in this section: (1) Except as specified in paragraph (c) of this section, shall, at least 3 days before engaging in each such activity, file 4 copies of Form 241 (revised), Report of Proposed Activities in Non Agreement States,' and 4 copies of its Agreement State specific license with the Regional Administrator of the U.S. Nuclear Regulatory Commission Regional Office listed in Appendix 0 of part 20 of this chapter for the Region in which the Agreement State that issued the license is located... 10 CFR S 30.10(a)(1): Deliberate misconduct (1992 Edition) (a) Any licensee or any employee of a licensee...may not: 1 (1) Engage in deliberate misconduct that cause or, but for detection, would have caused, a licensee to be in violation of any rule, regulation, or orders, or any term, condition, or limitation of any license, issued by the Commission. l l 4 4 i I l . i Case No. 2 92 027R 7
4 1
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I . l l DETAILS OF INVESTIGATION I Puroose of Investioation The U.S. Nuclear Regulatory Commission (NRC), Office of Investigations (OI) initiated this investigation to. determine if Testco, Inc. (TESTC0), a North Carolina State radioactive materials licensee, performed radiography in non Agreement States and deliberately withheld notification from the NRC. Backaround On July 9,1992, an NRC, Region II (RII). Allegation Review Panel informed OI that TESTCO ellegedly performed radiograpFy in Virginia (a non. Agreement State) without filing an NRC Form 241 REPORT OF ACTIVITIES IN'NON AGREEMENT STATES. allegation 01 initiated a full scale investigation (Exhibit 1). Coordination with NRC Staff 1 l l ENNIS prov1oea copies of TESTC0 baily Activity ReporYs' i (Exhibit 3) indicating TESTCO performed radiography at the Amoco Oil Company, l Yorktown, Virginia, during 1991 and 1992. ENNIS related the Daily Activity l I Reports were obtained during a site visit conducted in response to the allegation. ENNIS also provided: TESTCO's State of North Carolina, Department of Environment, Health, and Natural Resources (DEHNR). Division of Radiation Protection, radioactive materials license (Exhibit 4), a DEHNR Inspection Report Summary Sheet, dated August 29, 1991 (Exhibit 5), and a Tennessee Department of Conservation, Division of Radiological Hecith, Notice of Noncompliarice issued to TESTC0 (Exhibit 6). I During panel discussions on October 19, 1993, and December 7, 1993 RII Division of Radiation Safety & Safeguards (DRSS), and RII Enforcement & Investigation Coordination Staff (EICS) determined DRSS would inspect TESTC0 to quantify radiographic activities in non Agreement States. On September 12, 1994. DRSS advised 01 a limited inspection of TESTC0 records, conducted on August 31, 1994, revealed TESTCO performed radiography on military facilities in Agreement States. DRSS further advised the NRC inspection was circumscribed due to limited access to pertinent records. Exhibit 7 documents the results of the inspection. Coordination with Assistina Radiation Soecialist On September 28, 1994, Jeffrey A. MUMPER, RII Radiation Specialist, provided documentation received from TESTCO (Exhibit 8), following an August 31, 1994, NRC inspection. The documentation included applications for Department of the Army (DA) Radiation Authority: DA Authority for Possession and Use of Radioactive Materials: and correspondence with the DA, the Department of the Air Force, and the NRC pertaining to the performance of radiography. Case No. 2 92 027R 9 l l
._ __ _ .. ~ . . . _ _ - _ _
On November 30 1994. MUMPER provided a DEHNR. Division of Radiation Protection Ins >ection Report, dated July 15.1994 (Exhibit 9), documenting TESTCO's use of myproduct material in areas of NRC jurisdiction. Review of NRC Licensino Records David J. COLLINS. RII Radiation Specialist, advised that notification of radiography in non Agreement States by Agreement State licensees through the filing of NRC Form 241 (REPORT OF PROPOSED ACTIVITIES IN NON AGREEMENT STATES) has been a long standing requirement: however, the payment of fees was not attached to this requirement until August 1991. COLLINS advised that NRC licensing records contain an NRC Form 241, dated February 11. 1991, bearing the signature of J. L. SHELTON, TESTCO radiation safety officer (R50) for industrial radiography at the Waste Water Plant, Doswell. Virginia (Exhibit 10). COLLINS related TESTCO did not file an NRC Form 241 during 1992 or 1993, and that a check with the NRC finance section revealed NRC did not receive payment for reciprocity fees from TESTC0 during 1992. INVESTIGATOR'S NOTE: TESTCO's records reflect several NRC Form 241 filings (Exhibit 19) that are not documented by NRC records. COLLIN's cross check of NRC finance records supports RII licensing records indicating TESTCO did not file an NRC form 241 in 1992. COLLINS further advised that in 1994. TESTCO submitted an NRC Form 241 and reciprocity revision forms for radiography at Ft. Bragg. North Carolina: Norfolk, Virginia; and Belle West Virginia (Exhibit 11). Coredination with Reaional Counsel i 1 i Case No. 2 92 027R 10
5. i Receiot/ Review of Documents a Pursuant to an NRC administrative subpoena for testimony and records, served November 8. 1994 (Exhibit 15). SHELTON delivered records related to TESTCO's possession and use of radioactive materials.- subject to NRC regulation-(Exhibit 16). Perusal of the records, by reporting investigator and MUMPER. revealed that on numerous occasions between June 1990 and November 1994 TESTCO while a North Carolina State radioactive material licensee, performed radiographic services in non Agreement States. or other areas of federal jurisdiction, for which the RSO deliberately withheld notification from the NRC by his failure to file required NRC Forms 241, EPORT OF PROPOSED ACTIVITIES IN NON AGREEMENT STATES. A summary of t1e review findings is 1 . presented in Exhibit 17. Additionally, documents contained in Exhibit 16 identified SHELTON as president of TESTCO. Attemoted Interview of SHELTON l Pursuant to an NRC administrative subpoena. 01 attempted to interview SHELTON on December 12. 1994. Upon advice of retained counsel. SHELTON declined to . respond to questions regarding the allegation. SHELTON's counsel provided a ! letter (Exhibit 18) setting forth SHELTON's intent to exercise his Fifth l Amendment privilege, l INVESTIGATOR'S NOTE: Prior to issuance of the subpoena. SHELTON failed to honor two scheduled interview appointments. l Coordination with DEHNR Staff i On February 9.1995. Mark R. JANUS, former DEHNR Health Physici:;t, provided ! arrplifying information pertaining to the July 15.1?H. ~0EHNR inspection of TESTC0. JANUS recalled conducting the inspection. He related inspection report entries listing TESTCO's performance of radiography at Shaw, Macon. ft. Jackson, and Burksville (Exhibit 9) reflect information he obtained through review of TESTCO records. JANUS stated the DEHNR inspection file does not contain radiography records or other documentation supporting these entries. INVESTIGATOR'S NOTE: TESTCO records provided to the NRC pursuant to administrative subpoena do not document radiography at Shaw. Hacon. Ft. Jackson, or Burksv111e. On February 24. 1995, Grant MILLS. Inspector. DEHNR. advised that TESTCO's initial date of licensing of by. DEHNR was May 3.1991. Case No. 2 92 027R , 11
Inouiry at Military Reservations During February 1995, 01 initiated inquiries at Ft. Bragg, North Carolina, and Ft. Rucker, Alabama, to determine if TESTCO provided radiography services in areas of exclusive federal jurisdiction on t1e military reservations. These jurisdictional issues have not yet been determined. INVESTIGATOR'S NOTE: DRSS agreed to coordinate HRC jurisdictional issues with the NRC Regional Counsel and EICS. Evidence
- 1. TESTCO's DEHNR Radioactive Materials License pertains to NRC and Agreement State reciprocity procedures (Exhibit 4. supplementary sheet
- p. 2. sec. 12).
- 2. DEHNR Inspection Report Summary Sheet reflects TESTC0 made numerous state reciprocity filings in July 1991 (Exhibit 5).
- 3. Tennessee Notice of Noncompliance reflects TESTC0 performed radiography in Tennessee without notifying authorities (Exhibit 6). ,
- 4. NRC inspection report identified violation of 10 CFR 150.20 (Exhibit 7).
- 5. Application for DA Radiation Authorization or Permit reflects SHELTON's experience with industrial radiography since 1970 (Exhibit 8, p. 13).
- 6. Department of the Air Force correspondence regarding TESTCO's performance of radiography in West Virginia in 1992 (Exhibit 8).
- 7. AFR 161 16. states non Air Force organizations possessing Agreement State licenses must also submit an NRC Form 241 to NRC in compliance with 10 CFR S 150.20 (Exhibit 8, p. 33). ,
- 8. DEHNR inspection report details reciprocity notifications and TESTCO's work on military reservations and NRC states (Exhibit 9).
INVESTIGATOR'S NOTE: The DEHNR report reflects comments by SHELTON that work en military reservations was not under NRC jurisdiction.
- 9. NRC Form 241, dated February 11, 1991, signed by SHELTON, for radiography at Doswell, Virginia (Exhibit 10).
- 10. TESTCO Daily Activity Reports, dated December 5.1991: January 7, 1992:
and September 9.1992, indicate TESTCO performed radiography at the Amoco 011 Company in Yorktown, Virginia (Exhibit 3). INVESTIGATOR'S NOTE: The Daily Activity Report dated September 9. 1992, appears to be signed by SHELTON.
- 11. TESTCO radiography records (Exhibit 16) summarized in Exhibit 17, reflect radiography in areas of NRC jurisdiction.
Case No. 2 92 027R 12
1 l s. l 1 l Conclusion Based on evidence collected, this investigation concludes that on numerous ' occasions between June 1990 and November 1994. TESTCO. while a North Carolina State radioactive material licensee, performed radiographic services in
- non. Agreement States, or other areas of federal jurisdiction, for which the RSO deliberately withheld notification from the NRC by his failure to file
. required NRC Forms 241, REPORT OF PROPOSED ACTIVITIES IN NON AGREEMENT STATES.
4 4 4 4 4 l Case No. 2 92 027R 13
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e . 1 ].* . l LIST OF EXHIBITS i ! Exhibit j No. Descriotion l
- 1 Notification of Investigation, dated November 16, 1992. !
I i
- 2 Telephone Conversation Record, dated i
- I
- 3 TESTCO Daily Inspection Reports.
I ! 4 TESTCO Radioactive Mater.als License No. 041 0894 1.
- 5 DEHNR Inspection Report Summary Sheet, dated August 29, 1991.
6 Tennessee Notice of Noncom 11ance, dated June 28, 1991, j with cover letter, dated J ly 1,1991. 7 NRC Inspection Report No. 150 00032/94 01.
- 8 Documents received from TESTC0.
- 9 DEHNR Inspection Report, dated July 15, 1994, with cover letter, dated July 26, 1994.
i 10 NRC Form 241, signed by SHELTON, dated February 11, 1991. l 11 1994 Reciprocity filings by TESTC0. 14
- 15 NRC Administrative Subpoena, dated November 7, 1994, i issued to SHELTON.
16 Documents provided by SHELTON in response to NRC subpoena. l 17 NRC Summary of radiography performed and reported by TESTCO. i 18 Letter from Attorney R. JOHNSON, dated December 12, 1994, j written on behalf of SHELTON. 19 Three NRC Form 241s, signed by SHELTON. dated July 19, i 1990: August 23, 1991: and July 1, 1992: and associated ! documentation provided by TESTC0. 1 Case No. 2 92 027R 15 l
b November 16, 1992 MEMORANDUM FOR: Ben B. Hayes, Director Office of Investigations FROM:- James Y. Vorse, Director i Office of Investigations Field Office, RII , SUBJECT- NOTIFICATION OF INVESTIGATION (CASE NO. 2 - 027R)
'TESTCO. INC. RII-92-A-0129 Facility or Site Location Allegation No.
A. Title of Investication: TESTCO, INC., ALLEGED RADIOGRAPHY WITHOUT AN NRC LICENSE , l What is the matter being investigated? Alleged radiography in a non-agreement state by Testco, Inc. (TI), an agreement state licensee, without filing NRC Form 241. B. Pureose of Investication
- 1. What is the basis for belief that the violation of a ,
regulatory requirement is more likely to have been intentional or to have resulted from careless , disregard or reckless indifference than from error or oversight?
. . _ _ yreliminary~ inquiries revealed Yon-
_._de~structive testing records which indicate that TI performed radiography at the Amoco refinery in Yorktown, VA, during 1991 and 1992. NRC records indicate that TI has previously filed one NRC Form 241, ' for industrial radiography in Doswell, VA,.for the period February 13-14, 1991. Such actions indicate possible willful violation of NIC regulatory ' requirement (s).
- 2. What are the potential regulatory requirements that may have been violated? If no violation, what is the specific regulatory concern?
! 10.CFR 150.20: Recognition of agreement state l licenses. 1 a BHNr / _ asm. 2 - 9 2 - 0.2 7 R
i 1 Ben B. Hayes 2 November 16, 1992
- 3. What staff members were coordinated with to determine l these requirements or concerns?
Carolyn F. Evans, Regional Counsel, NRC, Region II. C. Technical Staff Priority
- 1. What is the priority of this investigation? I High
- 2. What is the initial estimated date of completion of this investigation, based upon facts and circumstances known today?
ECL: May 1993 3. What staff members were coordinated with to determine priority? Luis A. Reyes, Deputy Regional Administrator D. OI Case Investicator/Telechone No. ! Larry L. Robinson - (404) 331-6509 Distribution: s/f (2-92-027R) c/t CTTate: pat:11/16/92: disk - Tate: doc name - 027R.rgt MFR: A new ISR was completed and forwarded to HQ with this memo.
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'%DICACTIVE MATERIALS SECTICN Pago 1 of 3 Pag 30 IISICN CF RADIATICN PROTECTION ,
N.C. DEPARTMENT OF ENVIRONMENT, EEALi , AND NATURAL RESOURCES W ICACTIVE MATERIALS LICENSE
. Pursuant to North Carolina Regulations for Protection Against Radiation and in reliance on statseents and representations heretofore made by the licensee, a license is hereby issued authorizing the licenses to receive, acquire, own, possess, transfer and import radioactive astorials listed below; and use such radioactive material for the purpuse(s) and at the placo(s) designated below. This License is subject to all applicable rules and regulations
- of the North Carolina Department of Environment, Health, and Natural Rasources now or horsofter in effect and to any conditions specified below.
Licensee D ~
- 3. License No. 041-0894-1 j 1. Name Testco, Inc.
l l 4. Expiration Date January 31, 1995 . 2. Address 1-C Wendy Court Guilford Industrial Park j Greensboro, N.C. 27409 5. Amendment No. 2
- 6. Radioactive Material 7. Chemical and/or 8. Maximum Amount of Radioactivity (closent and mass no.) Physical Form and/or Quantity of Radia--+ive Material which Licensee may Possess at any one time.
- A. Iridium 192 ,
A. sealed sources A. 300 curies total. l (Spec Models G-1F l (3 sources each not to exceed or G-3F l 100 curies) l E. Iridium 192 l B. Sealed sources B. 200 curies total. d (SPEC Model G-23) l (2 sources each not to exceed 100 curies) C. Iridium 192 C. sealed sources C. 150 curies total. ! J (SPEC Model G-36) D. Iridium 192 D. sealed sources D. 200 curies total. ! l (SPEC Model T-5F) (2 sources each not to exceed l j 100 curies) 1 ! E. Iridium 192 E. sealed sources E. 200 curies total. 1 (Amersham Model (2 sources each not to exceed l l 899-12, 848) 100 curies) F. Iridium 192 F. sealed sources , F. 300 curies total. I (Amersham Model (3 sources each not to exceed j 899-11, 848) 100 curies) ' G. Iridium 192 o G. sealed source G. 220 curies total. j
! (Amersham Model (2 sources each not to exceed l A424-9) 110 curies) ! E. Cabalt 60 E. sealed source E. 30 curies total. 1 l (Amersham Model
, A-424-14)
- 9. Authorized Use l A. T3 be used in a SPEC 2-T or Gamma Century 5 exposure device for industrial radiography and a SPEC Model C-1 source exchanger.
l B. To be used in a SPEC Check I or Gamma Pipeline I (pipeline type exposure device) for > industrial radiography and must be returned to source supplier for source exchange. 3 C. T3 he used in a SPEC Check II (pipeline type exposure device) for industrial radiography cad must be returned to source supplier for source exchange. i i EXHET_'Y E E. 2 -9 2- 0 27R pAgg l OF M PAGE(S)
Pig 3 2 of 3 Pag 33 sADZe&cTIVE unemm 3ECTICII l D2 ' ION CF RADIATICII PROTECTION ( N.C. dPAREMENT CP ENVIRGIGIENT, IEALTa, AND NATURAL RESOURCES , s RADI0 ACTIVE unem. LICENSE Licensa Ms. 041-0894-1 , Supplementary Sheet i Anthorised Use (continued): 4 T3 he used in a Amersham Model 660-5 exposure device for industrial radiography and a SPEC j_ C-1 source exchanger. l . T3 be used in a SPEC 2T exposure device for industrial radiography and a Gamma l Irdustries C-10 source exchanger. l Ta he used in a Gamma century a exposure device for industrial radiography and an , Amersham Model U-110 or 500 su source exchanger. l
.Ta be used in an Amersham Model 660-B exposure device for industrial radiography and an !
4 . Amersham Model 650 source exchanger. i To be used in an Amer-Test Tech-Ops Model Ten-741 for industrial radiography and sust be i rcturned to the source supplier for source exchange. stditivas
- 0. Radioactive material may only be stored at 1-C Wendy Court, Guilford Industrial Park,
' Greensboro, N.C. 27409 and at temporary job sites in accordance with the North Carolina
< R:gulations and USDOT Regulations. Appropriate surveys, posting, security and shipping
- p:per shall be provided in accordance with the appropriate regulations.
' . . Tho licensee shall comply with provisions of 15A NCAC 11 .0400 (formerly 10 NCAC 3G .2500) i " Standards for Protection Against Radiation," 15A NCAC 11 .1000 (formerly 10 NCAC 3G
.2600) " Safety Requirements for Industrial Radiography Operations," and 15A NCAC 11 (formerly-10 NCAC JG 3100) " Notices, Instructions, Reports and Inspections." (The North ,
Carolina regulations for Protection Against Radiation are contained in 15A NCAC 11
- [fermerly 10 NCAC 3G)). j j 2. Radioactive material may also be used at temporary jobsitse of the licensee anywhere in N2rth Carolina. The North Carolina Department of Environment, Health, and Natural R2courens, Division of Radiation Protection, Radioactive Materials Section, P.O. Box 27687, Raleigh, North Carolina 27611-7687, shall be notified of the location (s) of such
= uso no later than three (3) days prior to the first day of use. This condition does , nst prohibit use in the United States where the United States Nuclear Regulatory j Commission maintains jurisdiction for regulating the use of radioactive material, nor in Agreement States under reciprocity procedures which may be established by the
- Nuclear Regulatory Commission or the respective Agreement States. If for a specific case the three-day period would impose an undue hardship on the licensee, he may upon application to the Agency obtain permission to proceed sooner.
- 3. In lieu of the control device requirements in 15A NCAC 11 .0411(c)(2) (formerly 10 NCAC 3G .2511(c)(2)), the entrance of the hign radiation area must be under etntinuous surveillance of a radiographer or radiographer's assistant and/or locked,
. co as to make the area inaccessible at all times when a radiation level exists there 1 in which could cause an individual to receive a dose in excess of 100 millirem in one i htur.
.4A. Tho individuals listed below are the only persons authorized by this license to act as rediographers and radiographers' assistants as defined in 15A NCAC 11 .0502 [formerly 10 NCAC 3G .2602): ; Radicarachers J&mes L. Shelton Leonard B. Sparks, Jr.
g Joe DLuon B. The Radiation Protection Officer for the activities authorized by this license is James L. Shelton. 7 .5. Pursuant to 15A NCAC 11 .0507 [formerly 10 NCAC 3G .2607), the licensee is authorized to 2 perform tests for leakage or contamination of the sealed sources authorized by this license in accordance with procedures contained in the Testco, Inc. Operating and Emergency Procedures Manual dated January 12, 1990, or tests may be performed by other persons specifically authorized by this Agency to perform such services.
1!OhCTITE NETre m 2 SECTION L .SION CF RADIATION FROTECTION (' F ge 3 Sf 3 P ge3 N.C. DEPaum'MT CF ENVIRONMENT, umar.Tu, AND MRTURAL RESOURCES RADICACTIVE MATERIAL LICENSE License No. 041-0894-1 IO
- supplementary sheet
.riditions (continued):
l' 16. Th2 licensee is authorized to receive, possess and use sealed sources of Iridium 192 or C:balt 60 where the radioactivity exceeds the maximum amount of radioactivity specified in Item 8 of this license provided: A. Such possession does not exceed the quantity per source specified in Item 8 by more than 20% for Iridium 192 or lot for cobalt 60; B. Records of the licensee show that no more tnan the maximum amount of radioactivity per source specified in Item 8 of the license was ordered from the supplier or transferor of the radioactive material; and C. The levels of radiation for radiographic exposure devices and storage containers do not exceed those specified in 15A NCAC 11 .0503 (formerly 10 NCAC 3G .2603).
- 17. Th2 licensee is authorized to possess, use and transfer up to 1000 pounds of Uranium cantained as shielding material in the radiography exposure devices authorized by this license.
i 18. 52aled sources of radioactive material shall not be combined for use in open air tschniques to produce a radiation level in excess of the level produced by the largest i single source authorized by this license for open air use.
- 19. Th2 licensee shall conduct a program for inspection and maintenance of radiography l
cxposure devices and storage containers to assure proper functioning of components important to safety. The inspection and maintenance program shall be conducted at
- intervals not to exceed three (3) months. Records of the results shall be maintained for inspection by the Agency.
.20. Th2 licensee shall not transfer possession and/or control of materials or products crntaining radioactive material as a contaminant except: A. By transfer of waste to an authorized recipient; B. By transfer to a specifically licensed recipient; or j C. As provided otherwise by specific condition of this license pursuant to the , requirements of 15A NCAC 11 .0416 [formerly 10 NCAC 3G .2516). j21. Tha licensee may transport licensed material or deliver licensed material to a carrier for transport, in accordance with the provisions of Section 71.5, Title 10, code of Fed 2ral Regulations, Part 71, " Packaging of Radioactive Material For Transport." l22. Exc:pt as specifically provided otherwise by this license, the licensee shall possess and uso radioactive material described in Items 6, 7 and 8 of this license in accordance with j etctements, representations and procedures contained inn i A. Application dated January 10, 1990 and signed by Luther D. Barrier, President, R.S.O. B. Testco, Inc. Operating and Emergency Procedures Manual dated January 12, 1990. l C. Letter with attachments dated April 6, 1990 and signed by L. D. Barrier. D. Letter with attachments dated August 7, 1990 and signed by L.D. Barrier, R.S.O. E. Letters dated September 18 & 26, 1990 and signed by James L. Shelton, President. F. Letter with attachments dated October 10, 1990 and signed by James L. Shelton, President. . G. Letters with attachments dated October 10 & 16, 1990 and signed by James L. Shelton, President. 1 H. Letter with attachments dated November 2, 1990 and signed by Jim Shelton, R.S.O. t I. Application with attachments dated March 11, 1991 and letter dated March 20, 1991, signed by J. L. Shelton, R.S.O. J. Letter with attachments dated September 6, 1991 and signed by J. L. Shelton, R.S.O. E. Letter dated February 24, 1992 and signed by Jim L. Shelt n, R.S.O. l ! )ats af Issuance Anril 15, 1992 For - n 4. rown Director, Division of Radiation Protection l' l 'ers No. DFS-5211 (Rev. 10/89)
INSPECTION REPORT
SUMMARY
SHEET LICENSEE: Testco, Inc. 1-C Wendy Court Guilford Industrial Park Greensboro, N.C. 27409 LICENSE NUMBER: 041-0894-1 INSPECTION BY Grant T. Mills DATE OF INSPECTION: August 29, 1991 REPORT REVIEWED BY: DATE: ~!~ COMMENTS: Mr. Shelton was interviewed on Testco's current practice of notifications of work, to both this agency and to the proper agency when working under reciprocity in other states. Proper records keeping measures appeared to be in place. Form DFS-5230 left with licensee. State Date of letter orantina recierocity GA July 1, 1991 K2 July 8, 1991 TN July 1, 1991 , SC July 16, 1991 s Fort Bragg (Army) notification filed. Form indicating Testco is on file with AL. EXHBIT< cmm 2-92-027R PAGE / OF / PAGE(8) i
I co.fs TENNESSEE DEPARTMENT OF CONSERVATION DIVISION OF RADIOLOGICAL HEALTH 150 Ninth Avenue North, TERRA BLDG DEPT. of ENVIRONMENT and CONSERVATION Nashville, Tenressee 37243-1532 July 1, 1991 CERTIFIED MAIL RETURN RECEIPT REQUESTED Testco, Inc. t IC Wendy Court . Guilford Industrial Park '%, Greenesboro, NC 27409 h hh Attention: J. L. Shelton, RSO bW@EMONUIN Ur rtigggggg Dear Mr. Shelton- l l This letter will serve as your notice that a show cause meeting will be held on Monday, August 5, 1991 at 10:00.a.m. ; CDT at the offices of the Division of Radiological Health, ; 6th Floor, TERRA Building, 150 9th Avenue North, Nashville, l Tennessee. This meeting is to be held to consider the matter ! discussed in the enclosed Notice of Non-Compliance dated June 28, 1991. Tennessee Code Annotated Section 68-23-101 et sec. authorizes the Commissioner or his designee, prior to any enforcement action, to request the pre.sence of an alleged violator to show cause why enforcement action should not be taken by the Department. Among the enforcement actions available to the Department is the assessment of a five thousand dollars { l ($5,000) per day civil penalty for each violation. '
- c. - 9 '2 - 0 2 7 F EXHBIT 6 -
anno. PAGE / OF Y PAGE(8) l 1
i / \ i 4 Testco, Inc. l July 1, 1991 PAGE 2 It is requested that you or your representative be present for this meeting which will be chaired by the Director of the Division of Radiological Health. Any representative you send must have authorization to participate on your behalf. meeting will result in Failure to participate in this continuing action on our part to bring your facility into compliance. Sincerely, Michael H. Mobley Director Division of Radiological Health JRS\06-28-2 cc: Dayne H. Brown, Director North Carolina Division of Radiation Protection O PAGE A OF_ V PAGE(S)
l , 1 TENNESSEE DEPARTMENT OF CONSERVATION DIVISION OF RADIOLOGICAL HEALTH 150 Ninth Avenue North, TERRA BLDG DEPT. of ENVIRONMENT and CONSERVATION , Nashville, Tennessee 37243-1532 ' NOTICE OF NONCOMPLIANCE June 28, 1991 CERTIFIED MAIL RETURN RECEIPT REQUESTED Testco, Inc. IC Wendy Court Guilford Industrial Park Greenesboro, NC 27409 , Attention: J. L. Shelton, RSO
Dear Mr. Shelton:
This letter refers to the performance of . industrial radiography using radioactive material (Ir-192) by employees of Testco, Inc on June 17, 1991 near Smyrna, Tennessee. This work was performed for Fisher Tank Co. at a construction site at the Nissan Manufacturing plant work site. Our investigation revealed the following item of noncompliance with the requirements of the Tennessee " State Regulations for Protection Against Radiation" (SRPAR). 4 SRPAR 1200-2-10 .02 requires in part that no person shall possess and use radioactive material unless i authorized in a license issued pursuant to this chapter. Contrary to the above, Testco, Inc. possessed and used I radioactive material wi.thout a Tennessee license or without notification for reciprocal recognition of its North Carolina license as per SRPAR 1200-2-10 .29(1)(b). J EXHBir 5 , j PAGE J OF M PAGE(S) l l
~ ~ '
/ / 1 1
g 1 l Testco, Inc. June'28, 1991-PAGE 2 i You are to respond in writing within 15 days of your receipt l I of this letter. Describe the actions that will be taken to ! bring your activities into full compliance and that will I avoid further noncompliance. Included with this notice is a fee invoice for calendar year } 1991. This fee must be remitted within 15 days of receipt.
, Sincerel 4
. R. ullivan Health Physicist .
, Division of Radiological Health ) l JRS\06-28-1 ' cc: Dayne H. Brown, Director - North Carolina Division of Radiation Protection ) ( i i 1 1 . l 1 h e EXHBIT Z U OF # PAGE PAGE(8) l 4 4 I i 1
)
i UNITED STATES
/ iM 84go,*
NUCLEAR REGULATORY COMMISSION REGloN il E o 101 MARIETTA STREET. N.W., SUITE 2000 5' 'j ATLANTA, GEORGIA 30323-0199 'T 4 < o . . . ,
\ ,,,,, /a November 3, 1994 .
>"7
- i,, s )
MEMORANDUM T0: William J. McNulty, Director Office of Investigations ield fice, egion II ) FROM: Bruno Uryc, Director Enforcement and Inve g ion Co qa = H a aff
SUBJECT:
RESULTS OF ASSIST TO INSPECTION (CASE NO. 2-92-027) The attachment is the result of an inspection conducted at Testco, Inc. by J. Mumper on August 31 and September 6,1994. ; This inspection was performed in response to your request as an assist to your l referenced investigation.
Attachment:
Ltr 10/27/94 D. Collins, DRSS, to B. (Iryc, EICS i cc w/att: C. Hosey, DRSS i
- 0. DeMiranda, EICS A. Ignatonis, EICS i
I 001181T 7 CRs. 2 9 2 ' 0' 2 7 E i
)
UNITED STATES
/panaoug% NUCLEAR REGULATORY COMMISSION 3 '~ 'S REGION 11 101 MARIETTA STREET. N.W., SUITE 2900
% :j ATLANTA, GEORGIA 33E23419e
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October 27, 1994 MEMORANDUM TO: Bruno Uryc, Director , Enforcement and Investigati ordination Staff i FROM: ouglas M. Collins, Chief 10 Al - Nuclear Materials Safety and Safeg ards Branch Division of Radiation Safety and Safeguards
SUBJECT:
ASSIST INSPECTION OF TESTCO, INC. (CASE NO. 2-92-027R/RII-92-A-0129) This refers to an inspection of Testco, Inc. performed by Jeffrey A. Mumper of . this office which included a site visit on August '31,1994, and a review of related records at the Region II office on September 6, 1994. This inspection was in response to Office of Investigation correspondence dated December 7, 1993 which held the investigation in abeyance pending NMIS inspection. The results of this assist inspection are documented in the enclosed Inspection Report. 1 If you have any questions regarding this assist inspection, contact Jeffrey A. l Mumper at 331-2675. i I
Attachment:
Inspection Report ; l l 1 e l l EXHIBIT _ 7 pgs: .7_ 0F_ PAGE(S) i
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UNITED STATES NUCLEAR REGULATORY COMMISslON [ n REGION 11 j 101 MARIETTA STREET.N.W.
- ATLANTA, GEORGI A 30323
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Report No. 150-00032/94-01 l Licensee: Testco, Inc. P. O. Box 18511 Greensboro, North Carolina 27419 Docket No. 150-00032 License No. NC 041-0894-1 Inspection Conducted: August 31 and September 6, 1994 Inspector: /M J. W. PiGmper, Rh4fation Specialist
'Id M/V Date Signed Nuclear Materia 16 Inspeption Section Approved by: W Q C'. M. Hoseyr-thief Nuclear Materials Inspec on ection Date Signed Nuclear Materials Safety an afeguards Branch Division of Radiation Safety and Safeguards
SUMMARY
Scope: This announced inspection of activities under NRC General License under 10 CFR
~
150.20 was conducted to determine whether the licensee had filed for reciprocity prior to conducting licensed activities within NRC jurisdiction. 4 Results: A significant weakness was identified concerning the failure of the licensee 4 to file for reciprocity prior to conducting radiographic activities in NRC - jurisdiction. Within the scope of the inspection, the following apparent violation was identified: Failure to obtain a specific NRC license under 10 CFR 30.3, or a general license under 10 CFR 150.20, prior to conducting radiographic activities within NRC jurisdiction (Section 3). EXHIBIT 7 PAGE J OF [ PAGE(S) Enclosure m___ m - _____._.___._____m_ . _ _ _ _ , _ _ _ _
l 4 l REPORT DETAILS i i 4 l 1. Persons Contacted i Licensee Employees. !
- James L.;Shelton, Radiation Safety Officer 4
*Present at Exit Interview
- 2. Program Scope and Licensee OEganization Testco Inc. is licensed by the State of North Carolina to possess 3
and use cobalt-60 and iridium-192. for industrial radiography. Testco possesses three radiographic exposure devices and employs l ; three radiographers/ assistant radiographers. The licensee I performed radiography at federal facilities and. possessed a- ). current Department of the Army Authority for possession and Use of Radioactive Materials. j 3. Licensed Material Program (87100) 1
\
i The requirements of " CFR 30.3 state that, except for persons exempt as )
- provided in this part and part 150 of this chapter, no person shall i manufacture, produce, transfer, receive, acquire, own, possess ~or use
- . byproduct material except as authorized in a specific or general license issued pursuant to the regulations in this chapter. The provisions of 10 CFR 150.20 grant, to any person holding a specific license from an
- j. Agreement State, a general license to conduct the same licensed activities in NRC jurisdiction provided that an NRC Form-241 is filed at least three days before engaging in each such activity.
l- A State of North Carolina inspection conducted on July 15, 1994 identified areas in which radiographic operations were conducted within
- NRC jurisdiction. These facilities were documented on a State of North 1
Carolina Inspection Report dated July 26, 1994 and included Fort
- Jackson, May 1994 and Fort Shaw, May and June 1994, in the State of a
South Carolina and Fort Rucker, September 1993 to January 1994, in the 7 , State of Alabama. l .An NRC inspector reviewed the records in the Region II office to determine when Testco, Inc. had last filed for reciprocity to perform
- licensed activities in NRC jurisdiction. NRC records indicated that Testco had last filed in February 1991.
On August 31,.1994, an NRC inspector visited Testco, Inc. to determine - 4 i when radiography had been performed within NRC jurisdiction and whether Testco had filed for reciprocity in accordance with the requirements of 10 CFR 150.20. During the conversation with the Radiation Safety Officer of Testco, the inspector noted that radiographic activities had i been performed on military facilities in Agreement States. The 4' inspector reviewed. utilization logs for Fort Rucker Alabama documenting the performance of. radiographic activities between Septe g g and 7 pans:_ p _OF T A M
i l c 2 l February 1994. When asked whether Testco nad filed for reciprocity to perform licensed activities in NRC jurisdiction, the Radiation Safety Officer was able to produce reciprocity notifications for work performed in Non-Agreement States in February and August, 1991. The Radiation Safety Officer provided records to document approval by the Department of the Army to conduct radiographic activities on military facilities. The Radiation Safety Officer stated that he had not been informed that he was also required to obtain NRC approval to work on these facilities. ) l When asked by the inspector to review additional utilization logs, the Radiation Safety Officer stated that the records were not in order and that he would search the records, retrieve the required information and send the information to the inspector at the Region II office. On September 6, 1994, the inspector reviewed the information forwarded to the Region II office by the Radiation Safety Officer. The records received showed that Testco had filed for reciprocity in July 1990 and j July 1992. The records also showed applications for Department of the , Army Permits to perform radiographic exposures on military facilities I between May 1990 and April 1992. No utilization logs were provided to the NRC inspector in the material sent to the Region II office by the Radiation Safety Officer. The package also contained payment of reciprocity fees for the current year.
- 4. Exit Interview On August 31, 1994 an exit interview was conducted with the person indicated in Paragraph 1. The inspector reviewed the program areas inspected and disettssed the inspection findings. The NRC's enforcement policy was reviewed with the licensee representative. The licensee was informed that, as an Agreement State licensee, Testco was required to file for reciprocity when conducting radiographic activities within federal jurisdiction or in Non-Agreement States. Licensee management provided dissenting comments relative to the apparent violation discussed in this report. Specifically, the Radiation Safety Officer i
felt that because they possessed a current Authorization Permit from the Department of the Army, they were authorized to conduct radiographic operations on Department of the Army facilities. Proprietary ; information is not contained in this report. ) men ? - l pans f __OF_ g PAGE(S) )
I TESTCO, INC. El NON DESTRUCTIVE TESTING PO Box 18511 Greensboro, NC 27419 (910) 993-2236 9006 US 421 Colfax, NC 27235 (800) 852-6588 FAX: (910) 993 8124
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c304 :o; nean 107 TAG Milli av @ou 04/02/92 14:44 , ( - QI i DEPARTMENT OF' THE AIR P'ORCE HEAOQU ARTER9 9 9 ? vw T AC7} CAL AIMUPT 08FOUP IN ACI EASTERN wist vim @'N'A REGIONAL Aimpomf-SMEPHERD FitLD Manf tN9tfu,iG. wts? VIRosM A 2540t4204
...... 2 Apr 92 ar= a - 167 TA3/SGPB
.u.m .. Radiographic Inspection of Jet Riel Storage Tanks
= TES7CO, I!C.
Non-Destructive Testing 1-C Wendy Court-Gullford Industrial Park Greensboro,!C. 27409 , 1. Reference your pnone calI concerning radiographic testing of our jet fuel
. Storage tanks Currently under Construction.
- 2. I contacted the W Department of Health and Human Services and spoke to Mr. Rodney Yovack with the Radiation Health Program. Please provide the following for him, with a copy to my office:
- a. Scheduled date of arrival in W
- b. Scheduled date of departure from W
- c. Radiation source being used
- d. Copy of IEC 1icense Information may be sent to following address:
W Dept. of Health & Human Services Radiation itealth Program 815 Quarrier St. Suite 418 Charleston, W. 25301 Attn: fir. Rod Kovack j
- 3. Request you have meeting with contractor, Base Civil Engineer, Base safety l Office, Fire Department and Bioenvironmental Engineering prior to connencement of any operations. I may be reached at (304) 267-5368, or from an on-base phone, Ext 368.
- 4. 'IES7CO will be responsible for any decontamination, cleanup, and notification that might occur, and will return area to its original state upon ccupletion.
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- DAVID M. ESHBAtKE,I, }tSG, WAtU cc: 167 CSS /DEP Base Radiation Protection Officer 167 CES/DEF 167 SE e l EXHIBIT T PAGE J OF M PAGE(S)
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. AEadiographic inscention of Jet Riel Storage Tanks
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.1-0 Mend */ Court.-Gc;1terd Incustrial Park
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i .Gr4er,3 Dor 0. D' 2740* J .1. As Der cur telephone conversation-this date. osmission is aranted !: 2 j
-'E.STrx, Itc. cf Greensecro, !c. to conduct radiocrachic tastinr er. Js: Fus, i storace Cerrisx iccated a this installat:en. Raciocraent: 9-'. testi :: !F I
4 sentc u e: :rn: 12.'O hcurs 3 Ja. 52 tr.rza.. 0103 hours 5 Jul T d
- 2. f.c ::1 cation nas oeen E2de to Base Security. Safe T. F;rs On;&ria .e .".
~ t:1vil 1.71caneerir.: and OcmTr.0 Section. Ocera:1ons are to bs Oc.ute:Ee W Int-T.ns carausters of MU Decarulent of Environ:ner.t . Health, r.d Ns*' irs . .*tescurce!. cita'1100. *.1W .Ater' E2 6 A.* CEnH ID . 041-894-1.
- 3. 2: tne r.eed arises after cc:V hours, vcu nav conta:: tr.e at is : 1 e5J. an6.
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04/02/s2 14:44 23o4 ::o; 3186 107 TAG MRB uv f/) UU; DEPARTMENT OF THE AIR FORCE HEADQU ARTERS I STTM T ACTICAL ArRUIPT OMOUR ia8 Act E ARTERN WEST VIRGINtA REGION AL AiRaoRf-SMEPHERO F1 ELD N ARTWWSSURG, RSST VIR@Nt A 354014304 l
".'E 167 TAG /SGPB 2 Apr 92 l
. - e. Radiographic Inspection of Jet Fuel Storage Tanks I
.. TESTCO, IIC.
Non-Destructive Testing 1-C Wendy Court-Gullford Industrial Park Greensboro,IR. 27409 l
- 1. Reference your pnone call concerning radiographic testing of our jet fuel
. storage tanks currently under construction.
- 2. I contacted the W Department of Health and Humail Services and spoke to Mr. Rodney Kovack with the Radiation Health Program. Please provide the following for him, with a copy to my office:
- a. Scheduled cate of arrival in W I
- b. Scheduled date of departure from W I
- c. Radiation source being used I
- d. Copy of NRC ]icense Information may be sent to following address:
W Dept. o.' taalth & Human Services l , Radiation Health Program 815 Quarrier St. Suite 418 Charleston, W. 25301 l Attn: Mr. Rod Kovack l
- 3. Request you have meeting with contractor, Base Civil Engineer, Base Safety Office, Fire Department and Bioenvironmental Engineering prior to connencement of any operations. I may be reached at (304) 267-5368, or from an on-base i phone, ext 368.
l
- 4. TESICO will be responsible for any decontamination, cleanup, and notification that might occur, and will return area to its original state upon ecupletion, u .Y
- DAVID M. ESHBALK7r{,I, MSG, WAN3 cc: 167 CES/DEP Base Radiation Protection Officer 167 CES/DEF 167 SE
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yyt g a o2 3.t r .i.4 p"'- DEPARTMENT OF THE AIR FORCE ME ADQQARTERS 8 6 7,es T ACToC AL A AUPT O40pP its Act f EASIfAN AEST VIA41,stA ALOIQNAL AsapO8st-DMt*Mf mO FIELo nAnvuessuna esst vino w.a as4oicao4 CISCPJ$ 9 ]UE INE
' ;,"," 300 Lockheed Drive Room 123 EWRA-Shepherd field
.w fartinspurg, W 25401-0204 Radiographic Inspection of Jet Fuel Storage Tanks 167 MSS /CCE./8Y-h'f'h AG/CC l'W 'IO {' f)
TESTCO,Inc. Non-Destruc tin Te s ting 1-C Wency Courr-Guilford Industrial Park Creensooro, DC 27409
,,,,,, IN TURN
- 1. IAW AFR 161-:6, " Control cf Radioactive Material," TESTCO, Inc., a civilian suo-centre: tor, has reques ted permissien througn this of fice, :c conduct radiograpr.:c tests cn the Jet fuel 5torage Cornplex under censtruction at this installation. Testiny procecuras are scheduled from 1600 hours, 17 July througia 2l00 inaurs, 19 July 92. Operations are to be cenducted within
, the parameters of North Carolina Department cf Environment, Heel:h and Natural I Resources Radioactive tiacerials License No. 041-694-1.
- 2. TESTCO, Inc. snall provide the Banc itadiation Protection Officer specific ir'ormation, as outlined in ATR 161-16, prior to their arrival on 17 July.
Cosy of requirements was provided te TESTCO on 8 Jul 02 under separate cover.
- 3. Recoreend approval, as requested.
i
- 4. Base fire Departnent. Security, bafety, Civil Engineering and Cer:cnand Section will be notified :f seneduled activities. ;f there are any chan pa, or if you need to contact me during non-duty nours, I may de reached at (301) 834-9386.
- dkJM.JM/.1 DAVID M. ESHBAUGH.I . MSG, WANG cc: A0 Base Radiction Protection Officer SE SPF 1 CES l CES/DEF l
r EXHIBIT / PAGE '7 0F +"/ PAGE(S) ( l l 1
JUL 16 '92 18::? j FACSIMILE TRANSMITTAL HEADER SHEET NAME TELEPHONE AUTHORIZED RELEASE l C OFFICE SYMBOL NUMBER SIGNATURE FROM: 1li) A(,[SGP6 SGPS rax et242-9isi j,g6/[.u%d' TO: . DATE TIME MONTH T6$TCO, } A C- A BC 'TU d 9 N- 047- oc/n lb Jut 1440 CLASSIFICATION NO. PGS. PRE DENCE REMARKS: i 1 - HEADER Um'd ' UNCLAS l - FAGES ' PRIORITY ND ME C kE SId d - SPACE BELOW FOR CDMMUNIC AtlONS CENTER USE ONLY _ (ws 2@ mf l DA FORM 3918 R l l l i t 1 4 a i EXHIBIT / IOF Mf PAGE(S) 9 PAGE l i
167 TAG NRB W @ 002 07/02/92 13:05 C304 267 8186 DEPARTMENT OF THE AIR FORCE 698 A000ARTERS l ef tw f ACficAL A#aL'PT OROUP fM ACI EASTERN teEST VIRGfN44 REG 80esAL Asmpomf.sMEPHERO P1 ELD M ARTIP4SSURG. WEST VIR$1PalA RSAQ1430A 7'7=S 167 AG/SGPB 2 Jul 92
- c. . , Radiographic Inspection of Jet Fuel Storage Tanks
.. 'IES'ICO, Ilc.
Non-Destructive Testing 1-C Wendy Court-Gullford Industrial Park . Greensboro, IC. 27409 4
- 1. As per our telephone conversation this date, permission is granted to 2 'IES'ICO, I!C. of Greensboro, IC. to conduct radiographic testing on Jet niel Storage Complex located at this installation. Radiographic testing is scheduled frca 1200 hours 3 Jul 92 through 2100 hours S Jul 92.
- 2. Notification has becen made to Base Security, Safety, Fire Department, civil Engineering and Ccanand Section. Operations are to be conducted within the parameters of IC Department of Environment, Health, and Natural Resources Radioactive Materials License No. 041-890-1.
- 3. If the need arises after duty hours, you may contact me at (301) 834-9386.
2-DAVID M. ESHBAUCH,I, MSG, WAIC cc: 167 CES Base Radiation Protectton Officer 167 CBS/DEF 167 SPF ' 167 SE 167 AD l l 1 l l l
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NOTICE OF INTENT TO PERFORM RADIOGRAPHY IN WEST VIRGICIA 1 ( (Subm! Thra Copi:s la Address Bein) I l The Commander Dele: July 14,1992 TO'. c/o MSGT. Eshbaugh, RSO 167 A6 MPBC, W.VA
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- 4. LIC ENSE NO. 3. R E St0 T R A T 90N NO.
NC041-894-01 lS $rg frmit:
- 4. N AME OF # 4RM Te n t r-n _ T ri r-
- 4. &GL DelSS OF FlRM tsN C LUDING IIP CODE )
1 c Wendy retire . croonehmen Mr - 97Ano
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S. ADDRE SSIE9 e OF JO B LOC 11 tONtS)
"' 167 A6 MBPC WV - Radiographic Inspection of Fuel Storace Tanks:
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- e. WORK SCHEDULE . 7. R ADI Afl0N SOURCE ($) e. Rf1PONSIsLE PER$0NNEL AT SITE S. T tM E 4. SOU RC E /M ACHIN E D.BTRENSTM/MW A. R 40tOGR APME R S. HELPER
.A.DATE 0)7/18/92 8:00 am Iridium 192 56 Curies J.L.Shelton/ T. Southern c)7/19/92 J.Dixon (3)
(d) (S) CERO r eRM s o. T eTLE
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Radiation Safety Officer FOR OFFICE U$E ONLY es. FIELO IN5PECTION l lT E e l lwO 's. IN COMPLI ANCE es.DATE 14. VIOLATIONS
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FYNIRIT [r-cosh.aso (s.es) /I 0F L/ ? PAGE(S) _ PAGE 1 m m uv nO... Rt.oR 0c.,.E c.,0 .O. . I l l I l
TESTCO, INC. E- NON DESTRUCTIVE TESTING 1 C Wendy Court Guilford industrial Park Greensboro, NC 27409 (919)547 0823 (800)852 6588 Fax: (919) 547-0956 i l FAX MESSAGE ATTN: eO p9(// f //14 AX NUMBER 88Y~E d@ 79/() [67 y FROM: 71,8bc he . RSO Q
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Ti!IS FAX TOTALS PAGES INCLUDING THIS COVER PAGE l DATE /k (([cI (/ / /
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SHOULD YOU llAVE ANY PROBLEM WITl! Ti!IS FAX MESSAGE, 4 PLEASE CALL US AT: (919) 547-0823 . l rgwkJ %g (As .fmforem>9 T'io^( , 'f sYto Zuc-NOTW. AfPf bA b ^' # NN Nl'lb
- paiia. gr p/are /nuido a.c asf4 #Mnon.
Mais4;m fiem, PLEASE ALSO COPY THE FOLLOWING THc= PERSON Amar (S) WITHsa TilIS Probd/f FAX: ef/)n}/W *Ydb .24.L A7y09c//5p ./6ppy p,9 J.3 37 Y /,4yz -/v yxec -r w)Af fovs 6-ru dof !M//f 22 afsaasfd3 ffA" l IIM Y Of/0/ hAo// v THANK you i
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APPLICATION FOR DEPARTMENT CF THE ARMY RADIATION O AuTNuizATi:N AUTHORIZATION OR PELMIT Por wee et thb foren, see AR 30611: the proponent egenev e DARCOM. O PERuit READ ATTACHED INETitVCTIONB CETOltt CObtPLETING Title FO:ht
- 1. NAME OP APPLICANT 2. ADDRESS tinedude Elf Codel 5-C WENDY COURT, GUILFORD INDUSTRIAL PARK TESTCO, INC. GREENSBORO, NC 27409 J. ARMY SNST ALL AT60N AND E M ACT LOC ATION(S) WHE RE R ADIO ACTIVE M AT E RI AL WILL DE STORED OH USE D
- 4. DEPARTMENT TO USE RADIOACTIVE M ATERI AL 6. DA AUTHORIZ ATION/ PERMIT NUMBERS. NRC AND/OR AGREEMENT STATE LICENSE j NUMBERS CURRENTLY HELD NORTil CAROLINA LICENSE NO. 041-0894-1 US DEPT. OF ARMY RADIATION PERMIT NO.32-01-01 S. IN De v60V A L USE 045) theme end Citie of dnetwedushe) *the avail u.e or asrecify supervase use 7. RADe A T TON PROT ECT BON OF F ICE R Iff rol theme of of 6pproduct meteriel G6ve Cretnant end esperiente en eneme iI and i2.8 person deeteneted en ItPU Cf other then individuel user.
Atteen reeume of treinent end espertenee se in nieme il and & 3.9 J .1.. SilELTON J.L.SHELTON, RSO S. PIADI ATION DE VICES tLiet erottore end emperose.I 9 CHE MICAL APdD/OR PHYSICAL F ORM AND M AXIMUM AMOUNT OF R ADIOACT8VE M ATE ni A L ILest them*cel endiar phsentel form and menemum emount ein mtInteurteel of each mdicottive meterial that von will poseene et any one time.l tif ereled sourettel, eieo stete name of manutfacturer, model number, number of sources, end mesemum artistity per sourse.I SEALED SOURCE DEVICE SPEC MODEL T-2 f4 AX . 100 CURIES IRIDIUM SPECIAL FORM LABEL III SOURCE MODEL G3F RADIOACTIVE MATERIAL-UN2972 SOURCE PRODUCTION EQUIPMENT CO.
- 90. ST AT E PURPOSE F OR WH4CH tl ADIOACT IV E M AT E RI AL OR SOVRCES WILL DE USE D tinesume the mene and moded number of the storese confeiner and/or destes 6e awhich the soureates will 6e stored and/or used.I RADIOGRAPHIC INSPECTION CAMERA: SPEC T-2 PACKAGE TYPE B STORAGE: N.R.C APPROVED CONTAINER USA 9056RQ
- 11. T R AINtNO innsneate trenn>g of eerk endwidual named in esem 6.1 tune euppermentet sheets sf neeeeeers.I WHEN ANO WHE RE T R AINED ON THE JOB 40tve nome of person or school prov6dsnt tremsng I TRA INO YE$ NO YE$ NO a 9,incio. end e,eci=.e .t PITTSBURGH TESTING LAB.
*** * *a pr a ' lea. GREENSBORO, NC 6 HRS X X *- * * * ' * " * " ' " * " " ' * " * " ' PITTSBURGH TESTING LAB U, ",*"nd n" * " m ' , ' , " * " , " , SEE
- CERTIFICATION ATTACHED 6 HRS X X a peinemome end amuisonne PITTSBURGH TESTING LAB.
C.*,',"e*"."*,"',,"*"" d SEE CERTIFICATION ATTACHED 4 HRS X X i c si.e.,=es en.ein .t ednii.n. PITTSBURGli TESTING LAB. SEE CERTIFICATION ATTACllED 6 HRS X X
- 12. E MPE RIE NCE WtTH R ADI ATION tinddeste eetual use of reddoinstopes or egueveJent esperience.)
ICOTOPE M ANIMUM AMOUNT WHEN AND WHERE EXPERIENCE WAS GAINED , TYPE OP USE IR192 100 C PITTSBURGH TESTING LAB. 1970-1975 INDUSTRIAL CO-60 90 C MAGNAFLUX CORP. 1977-1980 RADIOGRAPHY X-RAY 300 KV MAGNAFLUX CORP. IR192 200 C UNITED TESTING SERVICES IR192 100 C LAW ENGINEERING 1987-1989 IR192 100 TESTCO,INC. 1989-PRESENT m en en C. c wepm tw FORM E DITION OF t M AY 6815 OBSOLET E. gg{ f PAGE /3 OF 4/[ PAGE(S)
13' CADIAT8ON DSTECT8 N SNeenpreen.ex tUee TRUMENTS IFORif USE tel ehet*s i av.I SY CADIATIONf OT:CTION FK2SONNELS USE NUMSE;I RADIATION SE NSITIVIT Y WINDOW THeCIL - TYPE CF INSTKUMENTS I (Tendier.Smey Eeesurel AVAILA7LE DR */d CT E D Rt.NG E imethrJ NESS (ms/em f f (Mehe end model num6er e( secht 2 G 0.2MR/HR N/A MONITORING GE' SMITH GS 1000A G- IMR/HR SURVEYING GAMMA INDUSTRIES 1 250-B 2 G 1MR/HR MONITORING / NDS-MODEL 2000 SURVEYING I
- 14. MET HOD, F REQUENCY, AND ST ANDARDS USED IN CALtBRATING 6NST RUMENTS LISTE D ABOVE AS NEEDE OR EVERY THREE (3) MONTHS BY APPROVED OUTSIDE AGENCY.
DOSIMETER (ZEROED DAILY) CALIBRATED ANNUALLY. 16 F f LM S ADGES. DOSeMET E RS. AND 880 ASSAY PROCEDURES USED f f or (sJm 6edres. operity method of coldDrettna and Prot emp;6se r. $ FILM BADGES BY LANDAUER, GLENWOOD, ILLINOIS - MONTHLY DOSIMETERS-PERSONAL-CALIBRATED YEARLY. ns. DESCRIBE PROJE CT. E MPERIMENT ETC. flnclude major fordisf#es and equipenent de De seed./ l 1 l i l l
- 17. M ADI ATION PROT ECIlON PROGRAM (Appi,ee64e se see et the ensseddesseness named an faem JJ SEE ATTACHED OPERATING & EMERGENCY PROCEDURES .
.-. e. . .,.e . .. .. a ....> ,. , . .. W A.n , $ 0S A L N On . . c. n .e. , m., ,e ...,m..e ,, .-. ., . , A .,n .
SHIPPED TO SUPPLIER FOR DISPOSAL l
- 19. ST ATEME NT THE APPLICANT OR ANY OFFICIAL FILING THIS APPLICATION ON SEHALF OF THE APPLICANT NAMED IN ITEM 1 ST ATES THAT ALL INFORMATION CONT AINED HERE, AND GN ATT ACHED SUPPLEMENTS. IS CORRECT.
30s. DAT E N6. TYPED NAME AND Tif LE 30s. SIG N AT UR E J.L.SHELTON, RSO [ l EXHIBIT f i PAGE /I/ OF 4 / PAGE(S) I l
O AuTNsMi ATi:N i APPLICATION FOR DEPARTMENT CF THE ARMY RADIATION AUTHORIZATION CR PERMIT b PENIT For use .f thD t.rm, one A?! 38811:ihe re;;;nne e n:, M D AECOM. READ ATTA CHED INSTRUCTIONS CEFORE COMPLET!NO THIS FORM
- t. NAME OF APPLICANT 2. ADDRESS HneJude Kit Codes TESTCO,INC. 1-C WENDY COURT, GREENSBORO, NC 27409 A. ARMY GNST ALLATION AND EX ACT LOCATIONtSI WHE RE R ADIO ACTIVE M AT E RI AL WILL SE STORED OR USED REPLACE SURGE TANMS - DACA60 90-C0002
- 4. OEPARTMENT TO USE MADICACTtVE MATERI AL 6. D A AUTHORIZ ATION/ PERMIT NUMBERS. NRC AND/OR AGREEMENT ST ATE LICENSE NUMBERS CURRENTLY MELD US ARMY CORPS OF ENGINEERS NORTH CAROLINA LICENSE 4041-0542-1 US DEPT.0F ARMY RADIATION PERMIT #32-01-01 S. INDIVn DU AL USE R(S) theme end citie of indwadueiret who wsti use or dereetly supervee use 1. R AOG AitON PROTECT TON OF FICE R IMPO) (None of
.f 6ype.dmet snuserdel. Ofwe trusting and esportenee in iteme J J sad J2.) person alesignated en JtPO ff other then daddeidual meer.
Attach resume of tredning and espertenee en an sterns JJ
*ad 8 8-)
JOE L.DIXON - LICENSED AS ASSISTANCE RADIOGRAPHER (UNDER THE DIRECT SUPERVISION OF THE RADIOGRAPHER OR RSO) f S. R ADI ATION DE VICE S IList poissae end emperate./ 9. CHE MIC AL AND/OR PHYSICAL FORM AND M AN# MUM AMOUNT OF R ADIO ACTIVE M ATE RI AL IList themetal endier physitet form end mesimum amount (M millieurseep of each red ooetive meteriel thet you lutil poseene et any one inme.) til seeied nourretel, eleo state neer's of menufacturer, model number, num6er of sources. and mesunum eetivity per source.)
$ggygg gQyg([
SPEC HODEL 2-T MAX.100 CURIES IRIDIUM SPECIAL FORM LABEL III RADIOACTIVE MATERIAL UN2972 SOURCE PRODUCTION EQUIPMENT CO.
- 10. ST ATE PURPOSE FOR WHICH RADIOACTIVE M AT ERI AL OR SOURCES WILL SE USED timedade the meer and mosed num6er of the esormae e.ndeiner and/or dersee M which the courrete) will 6e escred and/or usest #
RADIOGRAPHIC INSPECTION CAMERA SPEC 2-T PACKAGE TYPE B STORAGE: N.R.C. APPROVED CONTAINER
- 11. TR AININO tlndseete trainint of enth Individual named in stem 6.1 (Use suppermental sheets if noteenery.D U N ON THE JOS WHEN AND WHE RE TR AINED (Odwa name of person or echool providang trenning J NO TRA N NO YES NO YES a Prensa.ies sad oratwee et LAW ENGINEERING / AMERSHAM 6 HRS X X radieu.a er.iesu.a.
4
" "*'*" 6 HRS X X e,'n.e,,'I"I.""*"',nT.n en, LAW ENGINEERING / AMERSHAM ionna wee end ineirumente.
a Meinemessee ead uNuteueno nesse e. ine ves end m.our.. LAW ENGINEERING / AMERSHAM 4 HRS X X meni .e eedi.eeuenv.
.L Si.ieeiene enau .t eedNu.a. LAW ENGINEERING / AMERSHAM 6 HRS X X ON JOB TRAINING TESTCO,INC. 40 HRS X X
- 12. EXPE RIE NCE WITH R ADI ATION tindecete setual use of radioisotopen or eendeelent espeHente.)
COTOPE M AMIMUM AMOUNT WHE N AND WHERE E XPERIENCE WAS G AINED TYPE OF USE IR192 100-C WEGS,INC 3-1/2 YRS INDUSTRIAL TESTCO,INC. 9 MOS. RADIOGRAPHY FORM i MAR SO EDITION OF 1 M AY 8818 OSSOLETE. NET 9 PAGE 4_OF #PAGE(S) < , 1
m _ _ RAllATI:N DETECTlON INSTRUMENTS IF@2 US: S Y CADIATIONP:OT:CTION PE 8ONN:U l (Use suppleme sol shee's if .seesssay.) l NUMSEt f.A30 ATl2 N SE NSITIVITY WINDOW TH8CX== USE l TYPE C7 INSTKUMENTS AV AILAO LE CETECTED RAN2E imr/hri NE S$ (mg/entIf .Nonifer a turway . Ceesure) (Mehe and model number e/ form 1 G.E. SMITH 2 G 0.2 MR/HR N/A MONITORING GS-100-A GAMMA' INDUSTRIES 1 G 1.R/IIR SURVEYING 250-B NDS - MODEL 2000 1 G 1R/HP MONITORING SURVEYING r
- 14. METHOD, F REQUENCY. AND ST ANDARDS USE D IN CALipMATING INST RUMENTS LISTE D ASOVE AS NEEDED OR EVERY THREE (3) MONTHS BY APPROVED OUTSIDE AGENCY DOSIMETER ZEROED DAILY / CALIBRATED ANNUALLY
- 15. F ILM O ADGES. DOSIMET E RS. AND SiO ASSAY PROCEDURES USE D (for (skm besses, specery method of esistratens and pr.resema, or name of euppiner.s FILM BADGES BY LANC AUE3., GLENWOOD,ILL::NOIS - MONT!.LY
- 88. DESCRIS E PROJECT. E XPE RIME NT. ET C. finedude maior (sediaisee and equipment to be eased.)
RADIOGRAPHIC EXAMINATION OF WO (2) 26.6 DIA.27.0 HIGH UMBRELLA ROOF WATER STORAGE TANKS - DACA 60-91 ~:-0002. INTERAGENCY AGREEMCNT DE AiO9855R14066 BETWEEN DEPT.0F ENERGY AND THE US ARMY CORPS OF ENGINEERS. l l
- 17. R AD4 ATiON PROT E CTION P ROG RAM iAppiase6de to see of $ne ansteidesaonfe# named in edem JJ SEE ATTACHED OPERATING & EMERGENCY PROCEDURES i iS. n AST E oiSrOS AL suOrs u. .seen meerreos me, me .u . esser s,.eed .t auri,,, ne. ease, sees,. ,,,,,.ded ,s,. 8.s s, Am Ju.4 s.s I SHIPPED TO SUPPLIER FOR DISPOSAL i l
19 ST ATE ME NT THE APPLICANT OR ANY OFFICIAL FILING THIS APPLICATION ON SEHALF OF THE APPLICANY NAMED IN ITEM 1 ST ATES THAT ALL INFORMATION CONTAINED HERE. AND IN ATTACHED SUPPLEMENTS. IS CORRECT, 20e D AT E 206. TYPED NAME AND TITLE 20s. SiON ATURE 01/15/91 J.L.SHELTON, RSO EXHlBIT 9 PAGE //. OF tl 1/PAGE(S)
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- rua
- a. .s t DBMRTMENT OF THE ARMY NEADeuAfWERS, LL8. ARblY tiMEIBEL 000stIAND asy SOM EltENNOWER MENUE, ALEXANtHWA, VA 22888 00M UV A 110010P
< NCSF-P 20 March 1992 a
4 ISORMOUM FOR Cwu=Ar, U.S. Arny Training and Doctrine Cemnani, AM: ATos, Fort M:nroe, VA 23651-5000
SUBJECT:
Department of the Anny Radiation Permit P32-01-01, Testco, Inc. ~
- 1. Enclosed is subject permit. r 1
- 2. Please forward copies to the Padiation Protection Officers of Fort Bragg
- and Fort Bennlag.
- 3. Your moperation in this matter is appreciated.
- 4. Point of contact is John Manfre, DSN 2B4-9340.
1 POR M CCtfMOER: nJtENL SE. .1 RMEIN 4-Enc 1 Chiet i Safety office CF Dir, USA!C FSA, AM: AMXOS-PE 4 4 i 4 4 ) EXHIBIT I PAGE /" OF MI PAGE(S)
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i . , , j - DEPMmEM 07 '1HE A15E 1 Atm CRITT470R ; i POSSESSICH i:.n m.- AfD..USB.0F.RADIOhC17'/5
., , .a n MATERIALS '
() 4
'8' hereby granted to receive, produos,1trenefer, This authority is etbject.tc conditions speel.fied below.
.. u.r,.: _
posse 3 designates ,in.2 tan 5.
! 3. Authorizaticm/; it te.
Activity Granted Authority - ::1.% y 1 P 32-01-01 (Testoo) des
- s
'Itetco, Inc. __
. 1. Nema l
l4. Empiration Dates n-
- 2. Address: 5-C Wendy Court Greend>oro,!C 27409 l l
31 January 1995. __ j .6' I 7. Quantity Limitation l6. F----4 cal *aVor l- '
$. *terial & Hass tharber P!weical rozm i
la. sealed source, Genua a. 100 curies, one source , s. 'Irridium 192 l Irdustries Hodel 9-16. ! l G-1, 0-2 ard 03r spec-4 / m oel 'o 2 i
- j. B. Autrorised uses 1
i
~
- a. 'to perfonn radioegraphic inopoetion, f
f W it!ans 9. Unless otherwise specliied, the authorized places of use are Fort., Bragg, 2cj ,, l Fort Bennings.GA. . s. l . l 10. DefloeVehall be used by, or under the direct supervielcn : <. - of Joe.Dionne Leo !
- @mrkeiJ 0r. Or,Jaees L. shelten. to use up to 1,0 l
c' desocibed in item 5a above is authori .. s
- 11. '#here .
, pounds iof Juranium .se . shi. eld. ing.e.nta. . . rial. .
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/.representa-f be.'posseseM(aMluoudrintaiocondence with 4he eta "
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UNITED STATES 8' - y , ,i NUCLEAR REGULATORY COMMISSION WASHINGTON D.C.35155
.g
.....- JUN )-: 199: J l
l SGTB:ERZ 71-6717, 71-9056 Testco, Inc. ; ATTH: Mr. J. L. Shelton, RSO l 1-C Wendy Court-Guilford Industrial Park Greensboro, NC 27409
Dear Mr. Shelton:
As requested in your letter dated May 29, 1991, we have registered you in accordance with the provisions of 49 CFR $173.471 as a user of Certificate ~ of Compliance Nos. 6717 and 9056. 4 l Sincerely, nY % tes Charles E. MacDonald, Chief Transportation Branch I Division of Safeguards i and Transportation, NMSS
-cc: Ms. Cathleen Roughan Amersham Corporation Mr. R. Dicharry Source Production and Equipment Co., Inc.
i l 1 l l
~
EXHIBIT
/6 PAGE M OF W PAGE(S) i -
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HDTICE OF litTENT TO PERFORM RADIOGR APHY IN WEST V1MGisun (Selenilt Tiwco Capi:s la Adde:ss Bel:w) (~ ~\ The Commander Date: July 21,1992 TO: c/o MSGT. Eshbaugh, RSO
.167 A6 MPBC, W.VA I J
- e. oscense wo. a na sisina t eow wo.
NC041-894-01 h3y Arf Permit:
- s. uaun oF"reau Tandrn.Tnr-
- e. aconses or reau eincLueens zip coes e 1-Cor WEndv 224 0 9 T %_o on E13(fie son 6cci Cour.t, ..Gr.ee.nsboro ,_J1C.
t eonise 8" 167 A6 MBPC WV - Radiographic Inspection of Fuel Storace Tanks (H .. In _ 9) (5)
- v. n ADI A110H 50VRCE(5) e. RE$P0f4518LE PER$0NNEL Af lif E
- e. WORK SCHEDULE
- c. etarees tsein v A. n aoscanapua n e,usteen a, cats o. t ous a. sounc r euacuius til 7 /24 /92 8:00 am Iridium 192 55 Curies J.L.Shelton/ T. Southern (H 7/25 /92 J.Dixon T.Galinski (M7/26/92 H) in g, So watUns or of Cano r eRu 10.10 T L s hM
/ _. __
Radiation Safety Officer F0ft OFFICE USE ONt.Y et. FIELD lHSPECTION l lvse l bo 's. IN COMPLf ANCf
**' ' .v a s no te. VIOLATIONS Locatsow muuman i
cosh.:ae t4.eei EXHIBIT f
. ~
PAGE Al OF NPAGE(S) rm m'=r:r= :c",'m'rus r,".= i.
l TESTCO, INC. , NON DESTRUCTIVE TESTIN3 I 1 C Wendy Court Guilford industrial Park Greensboro, NC 27409 (919)547-0823 (800)852-6588 Fax:(919) 547 0956 4 FAX MESSAGE ATTN: h n DC FAX NUMBER h h - ll l FROM: ruA w THIS FAX TOTALS 4._. PAGES INCLUDING THIS COVER PAGE DATE: \Al Ok k kk g~ ) 't SHOULD YOU HAVE ANY PROBLEM WITH THIS FAX MESSAGE, PLEASE CALL US AT: (919) 547-0823 S ECu\ .R /1C Cd $ NOTES: b MA w gwn an u 6 ap p w % .-l , A PLEASE ALSO COPY THE FOLLOWING PERSON (S) WITH THI" FAX: [
' \ )
1 %J THANK YOU i EXHIBIT PAGE 0F [PAGE(S)
L TESTCO, INC. l N2N DESTRUCTIVETESTIN2 l 1 C Wendy Court Gullford industrial Park Greensboro, NC 27409 (919) 547 0823 (800) 852 6588 Fax:(919) 547 0956 April 3,1992 Department of the Air Force Eastern W. Virginia Regional Airport ShepherdTField Martinburg, W.VA 25401-0204 4 Attn: MSG David t1 Eshbaugh Re: Contract No. DAHA46-91-C-00
Dear Sir,
Enclosed please find Operating and Emergency Manual, Tank Procedure, License, Army Permit, and Personnel Qualifications for radiographic work to be performed on the above mentioned contract. If you should need any additional information, please call us at your convenience. 1 a Best regards, < TESTCO, INC.
.O N V.}/ ~
l Traudl Shelton ) Vice President Encl. cc. Testco Job File l l l i EXHIBIT : PAGE__.2.3 _OF g _PAGE(S)
I APPLICATION FOR DEPARTMENT CF THE ARMY RADIATION AUTH%f2 Af t!N AUTHORIZATION OR PERMIT F.e use ett th2 6.rm, e.e An 30511: the ococenens .gency 6. DAnCOM. O rEnMtt ilEAI) ATTACIIFIIINSTftUCT10NS DEFURE COntfLETINC TillG F01t99 t, NAME OF APPLIC ANT E. ADDRESS finclude Efr Code) TESTCO, INC. 1-C WENDY COURT, GUILFORD INDUSTRIAL PARK GREENSBORO, NC 27409 J. ARMY INST ALLATION AND E M ACT LOCA flONIS) WHE nE nADIOACTIVE M AT E nl AL WILL BE STONED OR USE D Fabrication of Jet Fuel Storage Tanks / Contract #DAHA46-91-C-0002
- 4. DEPAnTMENT TO USE nADIDACTIVE M A f E nl AL 6. U A Auf tfunlF ATION/PEnMIT NUMBE nS, NRC AND/On AOREEMENT STATE LICENE W. Virginia Air National GuarY"""""'"*"
Martinsburg, W.WA S. INDIVIOU AL USE ntS) t/weme end citie o/ unimidueeses who wdJ# u.e ne directly supervue use L n ADI ATiON PHO T ECT SON OF FICE n tilf'Ol theme e e-f byproduct meteriel. Give trotning and espertence en steme iI and 22.6 perenn deeinnated en nrO et other then indtvedual ener. Atteek resume of Cresnent end esperiente en en teems iI and it.1 JOE L. DIXON J.L.SHELTON, RSO S. R ADI A T 40N DE VICE S tList ooltese end emper.se.) 9. Cilf MICAL AND/On PHYSICAL F OnM AND M ANIMUM AMOUNT OF nADIOACTIVE M AT F ni A L ti tot chemseet endier phreitel (nese end mestmum emount 16n militeurtsel of each molenneth'* meterint ihnt vms urint posaren et any one tsme.1 tif neeled soonetel, eleo etete nome os mennleeturer. needet number, nuneber af sources, and mesimum eettetty per touNo.l SEALED SOURCE DEVICE MAX.100 CURIES IRIDIUM 192 SPECIAL FORM LABEL I SPEC MODEL T-2 RADIOACTIVE MATERIAL-UN 2972 1 SOURCE MODEL G3F SOURCE PRODUCTION & EQUIPMENT CO. l
- 10. St AT E PUneO$E F OR WHICH ft ADIOACIIVE M AT E RI AL 091 SOURCE S WILL S E USE D IInedude the neehe end model number of the esproge centainer end/or dertee en wh6th Cine sourretel aulil be stored .nd/or enneni RADIOACTIVE INSPECTION CAMERA: SPEC T-2 PACKAGE TYPE B STORAGE: N.R.C APPROVED CONTAINER USA 9056RQ 1
ss. Tn AINeNO condneste trenns c or e ch endoenduet named en seem e I tt1er ouvenemeno o sheete it nertenary.> s '*8 DUM Af TON FOnMAL Wi4EN ANO WHE nE T nAINED ON THE JOB e Tv i' eE' Or TnAiNiNO OF COURSE ,
,,,,y_,,,,,g,,,%,,, ,
a reinciose..ndin=ce .t WESTINGHOUSE ENG&GEOTECHNTCAL r.dicoon e,.iwoon. SERVICES 6 X X
- a. R.di.= u ny enu.ur .ni men rdN.uon .nd m.nn., ins TESTCO, INC. 6 X X techneeve. and beettum.nts.
. M.h.meon.nd =ui.o.n.
*"'"d'"
"mene
e 'e".*d
. een.n v. "'"'*TESTCO, INC. 4 X X
- d. ei.e.,i.el .Nau .0 e.dien...
TESTCO, INC. 6 X X
- 12. E XPE RIE NCE WITil M AD8 ATION tindde.te octuel mee of redendeotapes or equaveient esperience.)
COTOPE M ANIMUM AMOUNT WHEN AND WHE RE E MPE RIENCE WAS OAINED p TYPE OF USE IR192 100 C WESTINGHOUSE ENG&GEOTECHNICAL 1988-1990 INDUSTRIAL CO-60 35 C WESTINGHOUSE RADIOGRAPHY X-RAY 200 C WESTINGHOUSE IR192 100 C TESTCO,INC. 1990-Pres i FO M EDITION OF 1 MAY SB gS OSSOLE T E. < PAGE_ Al/ OF #[PAGE(S)
APPL.lCATION FOR del'ARTWlENT GF THE ARMY RADIATION O AuTN:nirAfi:N l AUTHORIZATION OR PERMIT O PEr.uiT F., use et th6e toren, see An 30s.11: the rf,roo.none eveney 49 O AnCOM. l ltKA U A TTA CIIED INST'ItVCTION8 DEFORE COnttLETINO Till8 FORSI 1 NAME OF APPLICANT 2. ADORESS lin.Jude Elf Code) 5-C WENDY COURT, GUILFORD INDUSTRIAL PARK TESTCO, INC. GREENSBORO, NC 27409 J. ARM Y INST ALLATION AND E M ACT LOC A110NIS) WHE nE R ADID ACTIVE M AT E RI AL WILL SE ST ORED OR USE D Fabrication of Jet Fuel Sorage Tanks / Contract #DAHA46-91-C-0002
- 6. DA AU t taOn17ATION/PE nMIT NUMBERS, NRC ANO/On AGREEMENT ST ATE LICENSE
- 4. DEP AR TMENT TO USE nADID ACTIVE M A f F nl AL teUMBEnS CunnENTLY HELO W. Virginia Air National Guar NORTil CAROLINA LICENSE NO. 041-0894-1 Martinsburgm W.VA US DEPT. OF ARMY RADIATION PERMIT NO.32-01-01
- 6. 6NDIV60V AL USIRIS) thease e.sd taide et imikohesires evien N4dj Har ne direel87 eNPertsee hoe 7, R ADI A T aON P RO T E C T 4DN OF F ICE A eftf'Of f fus.ne o of byprennet eneteriel. G6ue treening end esPerne. ore en inense D I and i3.5 person desernated en Itto if other she=e endMdual user.
Atteek reneeme el treks 6ng end espereente en in iteme ii and i3.) J . L . SiiELTON , RSO J.1.. S!!ELTON S. RADI ATION DEVICE S tList woltsee end empreuse.) 9. CHE MIC AL AND/On PHYSIC AL F OnM AND M AXIMUM AMOUNT OF n ADIO ACTIVE M AT E ni A L t List themseet e.edler phrencel form and mssimum emount ein miliseurone) of eeth redsonelive meterint that ynen spill poneren et any one time.) lif eteJed courettel, eJoe state nome of neennetetturer, model number, number of courece, and mes tmum eettetty per sourte.l SEALCD SOURCE DEVICE SPEC MODEL T-2 MAX. 100 CURIES IRIDIUM SPECIAL FORM LABEL III SOURCE MODEL G3F RADIOACTIVE MATERIAL-UN2972 SOURCE PRODUCTION EQUIPMENT CO.
- 10. ST A1 E PunPOSE F OR WHICH H ADIOACT IV F M AT E nt AL On SOURCES WILL B E USE O timesude the neehe end moded num6er of the storese tentainer Gnd/or deeice en which the sourertel will be stored endler use.t.I l RADIOGRAPilIC INSPECTION CAMERA: SPEC T-2 PACitAGE TYPE B l STORAGE: N.R.C APPROVED CONTAINER USA 9056RO
,,. ,nA,~,~O ,,,,,t.e.,, t , n... , n, e.e ....t.e du.. ... .....t ..e n. . , , t ,ne s .,.,..e e .., ehre ,e 0, e c,s.. .,
WHEN AND WHE ME T R AINE D ON THE JOB OF COURSE TYPE OF YnAINING
- e. P, e.end ,,eenie.e.t PIMTWMil EMING MB.
eedien.n e.. ecoon. GREENSBORO, NC 6 HRS X X
- 6. ned eim f m.e eienderdieeo.n end mona.'..no PITTSDURGli TESTING LAB SEE CERTIFICATION ATTACl!ED 6 HRS X X techn6. es end enstrumen...
- e. Mein.menesendeeievino n. PITTSDURGH TESTING LAB. I
'*'"* '"""'"* 4 HRS X X e.,s.,t .t eed.Ci, ,, SEE CERTIFICATION ATTACHED
- d. si.e.eises ennie .t eed.co... PITTSilURGli TESTING LAD.
SEE CERTIFICATION ATTACl!ED 6 HRS X X
- 12. E MPE RIE NCE WITII n ADI AT TON (indfeste setusi esse of resteoesnfopes or e twenoient espereente.l ISOT OP E M A NIMUM AMOUNT WNEN AND WHE RE E MPE nlENCE WAS OAINED ,g TYPE OF USE IR192 100 C PITTSBURGil TESTING LAB. 1970-1975 INDUSTRIAL CO-60 90 C MAGNAFLUX CORP. 1977-1980 RADIOGRAPHY X-RAY 300 KV MAGNAFLUX CORP.
IR192 200 C UNITED TESTING SERVICES IR192 100 C LAW ENGINEERING 1987-1989 IR192 100 TESTCO,1NC. 1989-PRESENT m en en C,r >vve ren Tne 11A FORM JM i man so wwwl 1111 EDITION OF 1 M AY 68 t$ OBSOLETE. (A; j,W . _ [- PAGE 2IOF_ d PAGE(S)
1 APPLICATION FCR DEPARTMENT OF THE ARMY RADIATION AUTN:nizaTo:N AUTHORIZATION OR PERMIT Fee esse e f .ht esem. .es An 38511; et e propen.no op.ney to O AnCOM. PE nMf 7 REAU ATTACliFU INRTRUCTIONS KEFURE COnfrLETINC Tills FOlthf S. NAME 08 APPLICANT 2. ADDRESS fineaude Zir Codel TESTCO, INC. 1-C WENDY COURT, GUILFORD INDUSTRIAL PARK GREENSBORO, NC 27409 j J. ARMY ONST ALLAf TON AND EM ACT LOCAllONIS) We6E RE RADIO ACTIVE M AT EnlAL WILL SE ST ORED OR USE D i i Fabrication of Jet Fuel Storage Tanks / Contract #DAHA46-91-C-0002 , l TDEPARTME NT TO USE RADIOACTIVE M A t E nt AL tL DA Auf ttOnt2 ATION/PEnMIT NUMSE ns, NRC AND/On AOREEMENT STATE LICEN5 l
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West Virginia Air National NORTH CAROLINA LICENSE NO. 041-0894-1 1 Mr fisbur , vi. W A US DEPT.0F ARMY RADIATION PERMIT NO. 32-01-01 l U,,,,OlV4DV.
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- r. rul,t heme Atteek resume of trearning and esper6enece en in 6teme tI and i2.9 LEONARD B. SPARKS, JR. J.L.SHELTON, RSO
- 0. R ADI ATION DE VICES (Lief e'odiese end emperose i 9 Ctef MICAL AND/OM PHYSICAL FOnM AND M AMIMUM AMOUNT OF R ADID ACTIVE M ATE ni A L tl Jet thenencel end/or phyental form end mestmum emount fin militeurteel of each endsoneck.e neeervint that s nu evtli poenree et any one terne l lll efeird soureetel, eleo elete nome et manufacturer, model nuenber, number of sources. and menimum ectivity per source.)
SEALED SOURCE DEVICE MAX. 100 CURIES IRIDIUM SPECIAL FORM LABEL III SPEC MODEL T-2 RADIOACTIVE MATERIAL-UN2972 SOURCE MODEL G3F SOURCE PRODUCTION & EQUIPMENT CO.
- 10. S T AT E PunPOSE F On WHICH H AUiOACIIVF M AT E nt AL Of1 SUURCES WILL DE USEU (include the mehe and anodel number of she ederste centeiner end/or deuter kt nuhech the soursetel eutil be stored end/or used.)
RADIOACTIVE INSPECTION CAMERAi SPEC T-2 PACKAGE TYPE B STORAGE: N.R.C APPROVED CONTAINER USA 9056RQ
- 11. T n AtNtNO ttndecete tonenkus of each 6*edsvidual nemert 6n etem 6 I tune supplementel eheete if nerennery,)
FORMAL OU R ATlON I I T'YkOF TR AININDI . ' ., Or CWW (Glene name e/ person or echnol providmr framins J T R AINING VES NO YES NO a Prineini end meni=.. .e
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GEO CONSTRUCTION TESTING 6 X X
- 6. n.d ono.uY e -ni ei.ndeed...u.n .nd nn.,sa0 GEO CONSTRUCTION TESTING 6 X X i.enni.u .nd meu nie.
A M.in.n.. wa.nd =.ieu.a. w'* ** tha *** *ad a'*am- GEO CONSTRUCTION TESTING 4 X X en.ni .* e.di.een nv.
- c. so.ie8=.l enwn .t ds.o.n.
GEO CONSTRUCTION TESTING 6 X X II. E MPE RIE NCE WiieI M AD6ATION (fndicefe ardual neee of reddelantopes or reufunlent cepereenre.) ISOTOPE M AMIMUM AMOUNT WHEN AND WHERE E MPE RIE NCE WAS GAINED , TYPE OF USE IR192 100 C GEO CONSTRUCTION TESTING 1983-1985 INDUSTRIAL IR192 100 C EBASCO SERVICES, INC 1985-1987 RADIOGRAPHY IR192 100 C RESTINGl!OUSE ENG&GEOTECHNICAL I989-1991 CO-60 35 C RESTINGHOUSE X-RAY 200 C WESTINGHOUSE IR192 100 C TESTCO, INC. 1991-PRES. g iMARSo *Oa" 33U ' " ' " o' ' ~ ^ ' a o' $ o ' " < - EXHIBIT [ PAGE JL OF W PAGE(S)
'- m eum TESTCO, INC. . NON DESTRUCTIVE TESTING 1 C Wendy Court Guilford industrial Park Greensboro, NC 27409 (919)547 0823 (800)852 6588 Fax:(919) 547 0956 FAX MESSAGE ATTN: MSG David Eshbauch FAX NUMBER (3041 267-5111 FROM: Jim Shelton TIIIS FAX TOTALS 1 PAGES INCLUDING THIS COVER PAGE DATE: Julv 7.1992 SHOULD YOU llAVE ANY PROBLEM WITil THIS FAX MESSAGE, PLEASE CALL US AT: (919) 547-0823
Dear Sir,
NOTES: Could you please fax me a copy of USAF Regulation AFR 161,16 Par. 4-7 (2) and any other regulations that may apply to our radiographic operations. PLEASE ALSO COPY THE FOLLOWING PERSON (S) WITH TilIS FAX:
)
l i l l THANK YOU ( EXHIBIT PAGE 20 OF (PAGE(S) l
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- ~ Jt,s. he f ex pyty i
e ! 16 December 1988 ATR 161-16 activities and the Air Force disposal contractors mems.' to ensure mat satsty, consistant v.ith the mis. all matters relating to radiunctive waste disposal 17 sion requirements for the source of iomring radiatior 00-Il0N-.2). Maintain detailed records of radil a being used in a system is designed into sne .ystern ttve atwaste disposal activenes. ! the cathest possib!c sage of the system life cycle. (3) Maintam an inventory manseement syste l f7) lacorporate system stdety and radiation pro. whien provides strict accountabihty of designat i section requiremem in all contracts awarded for tr.e radicactive materials throughout their life cy: operanon, modtheation. and repen of systems con.fAFR 67-8L taining radion-nve materisis. (MIL-STD-482B;. (4) Develop policies and proceoutes for af-f 8) Maxe sure permit requaternents for sterr:s transporting radioactive materials. Comply w conntning ruficachte materials are comphed with, applicable policies and procedures in 49 CFR. j Ensure mat sne permits. as apphcable, are otitained g. The US Air Force Occupational and En l before awarding procurement contracu (AFA 67.&s. ronmental Health Laboratory (USAFOEHL): ! En<ure thst tren. tier of heensable material is only to (!) Provides MAJCOMs and esses radiosl surnonzed recipients holaing a valid permit or an cat laboratory support and health physicist consu! ' NRC or Agreement State License. services as attehned m AFR from Operaung 161-17. Location ," Similar seI I (9) Witti tne US Air Force Radioisotope Com. are available 96274.4-mmes. cetermire the degree and method et contro! US AFOEHL. APO San Francisco 1 and secountaointy br caen specibe ramonctive com. within PariGC Air Forces. ; moday before entenng tne comincday snto sne Air (21 Provides tre Air Feree RsJ : ace An i ment Team for responses to radioiogicai inen j Force mventorv Do not metode:e radioactr.e com. ano accidents accordmg to AFR 353-L modities rot spe:ilicahy exempted by trus regulauor. from the teamrement for a permit m:0 me Air Force
- h. US Air Forca Regional Medical Cri Wiesbacen SCB provides radicanal):kal ist-inventerv ontil tr>e Committee ceterminen the tory support and health physics consuhant r requ'remen's (cr USAF radioactive mater:al permns
- e. HQ Air Force S+ stems Command ( AFSC),in ices for US Air Forces in Europe. ,
adclition to d/ll through (6) and dW) above, must: L lastallation Commanders:
-(l) Make sure that tne personnes of his o t1) Provide HQ Air Force Logsstics Command v.+ command who receive.. possess, distribute.
t'AFLC) technical and safety data developed durmg (Q ResearcL Developreent. Testing, end Evaluanon (RDT&E) on items transitioninC to HO AFLC pro. transfer, or dispose of radioactive matenal. (a) Obtain permits under the provisto , this regulation. TO 00-110N-3, and AFR 16c J pram manageme* t responsioility in J timely fashionapplicable) and comp!y wHh the represenn to allow proper operauanal controls and directives to l made m the permit cppsation as well si the >; I be develooed for each item (2) Make sure program developers compiv witti # #'# *'8"*d W '^N"**'". and responsibilittes for the control of radio l permit requiremenn during RDT&E and retsy' aterials thesem permit appbcanons with cats:it. < requirements to HO AFLC before program manage. F fce organizational command t.nd manng ment responsibility trannfer (PMRT). This allows ""
- E*"U S *"* "'P"' I HQ AFLC sad usmg commands to ootain their per.
# I " P"""u '"
- 8" "* #'**f l i
mits in a timely manner. The permits, as appheable$ l
""8I **885 f 88MM th8 APP acant mes #
must be obtsined before awardog procurement con ' I i tracts (AFR 6ML Ensure that transfer of licensable mit comphance. material is only tu aufnonged recipients holdtn8 a valid permit or an NRC or Agreement State License. (b) Observe the applicable radiation !- tron standards in AFRs L HQ Air Force Logistics Comsmand (AFLC), CFR 20. 3 in addition to d(ll through (9) above. misst: (c) Comply with the apphenbie e,cci f1) Conduct a system safety program as notiDestion requirernents of this regulation explemed m AFR 127 8 to ensure inst safety, con. I 12M. and 10 CFR$ 19 and 20. sistent with the mazion requirements for any radi. (2) Ensure that non. Air Force o'pur.it
& I oacuve rnaterials source oting modified is fully contractors, DOD. and DOE prime contrace considered. Update technical oroers. haedbooks, and bring radioactive material onto Air Force 1 I other pubhcations to reflect any changes in opera. tions or who conduct eperations involvina e j nonal and mamtenance safety procecures- tiva material on Air Force matallations: ;
f2) Negotiate and maintain requirements type (a) Possess a valid NRC or Agreenw j contracts with ratonctive waste dispoaal contractors bcense rst; 1 and act as sne coordinating agency r . tween field ^ ""888' l
}
EXHET f PAGE Y OF 6 PAGE(S) i l l
i
, l ,_._ ..m. ce n om m AFR 161-16 16 December 1988 6
(e) ALARA program renews. # (b) Possess s valid US Or Force or US Navy (6) The recorder for the RSC, sends a copy of , Radioactne Material Permit or, ihe signed minutes of each meeting withm 45 calen. (c) Certify in writir:g to h a DOE or DOE dat days followmg the rnecting to HQ AFOM$r contractor' exempt from the requiremem for NRC SGPR, Breoks AFB TX 78235 5000. Aino sencs a ficensure or; copy to each RSC member for review ar.d comment. (d) Are approved as u>erf on a US Air force Additioruffy, RSCs must: Radioactive tvlaterial Ferma ne!d by the base or ta) Be familiar with all pertinent Air Force and f organization on tne bcse for whom the work will be l NRC regulations, the contents of the current perrmt, performed. and any arnendments and the suppurring applica-(3) Restrict direct contact with the NRC by mernoers of his or her commano to only that imnated hons, thereto. (b) geview and recommend approval or disap-by the NRC or provided for unoer 10 CFR 19 unies> prior approval is given by the Ex.ecutive Secretariat proval--on tne basis of safety and witn regard to inde viduals' training and expenenee-any indnidual who of the US Air Force Radioisotoo: Committee. (See is to be listed as an authorized user, the radcrion safety paragraph $N3)). (4) Establish ra:iation safety commmees wnen officer, or a 'etetherapy physicut berore submaring a required in accordance with j oct,.m. permit application or request for amendment or J. Radiation Safety Committee tHSC). Ensure
- renewal Unless specifically designated otherwne oy r
organizations applymFf or a meutem ese perm,t]lo permit conditions or as detailed in paragrupn3 CFR 35) or a type A broad uooe perrn:t i10 crR through ' b:fow, final approval authonty for the atmvc 33.ll(s)) establiin a radianon safety commmee, indisiduals rests witn the US Air Force Radionotere Commmee. Medcal RSCS rnay. basco uten ccnfirma. (1) Ensures mernectship of ".e RSC fc.r medicai UO" d d' N 8 k ICC8 U *EP'0
- permita consists of: 1.n authorned user of each type L Pnysicians who are cenified ,m nuclear of use specified in (ne permitt tne perrmt radiation medicine by the Arnerican Board of Nuclear Medi-safety officer (RSO), a representaine of the nursmg cine, diagnostle radiology t'y the American Board ul service; and a repre>cntative of the meascai facihty's Radiology; or diagnostic radiology or rediology h) execuuve management who is neimer an authonzed the American Osteopathi Doard of Radiohegy, as user nor the RSO. As necenary, the Comrmitee may authonzed users of radiopharmaceuticain for uptake.
designate other members (dentd >ervices, radiology, ddution and excretion studies. clitucal laboratory, etc.s. 1 Physicians who are cerafied in nucle.ir (2) Ensures membership of the RSC for nw medicine ey the Amencan Board of Sectear hiedo medical broad scope perm:ttees include: the ur:u cine; diagnosne radiology by the American Board of commander or r. cesignated representanve of the commander; the permit RSO, cca an authorized user Radiolos ty; or diagnostic radiology or radiology by tne Amertcan Ostecpatnic Board of Radiology as of each type of use specified in the permit. The authorizco users of rad:opharmaceutiemis for imaging Committee may designate addinonal mernbers. If the - prmit RSO and base RSO are different individum!s, and localization studies. ! consider the base RSO for membership on the RSC* 3. Physicians who are certified by the l (3) Appoints the inost senior (nernber, prefers' Arnerican Board of Nuclear Meacme; or the Ameri-bly a senior field grade officer, representing (ne can Board of Radiology in radiologv or therapeuwe commander as Chairperson. The RSO will not ch;ur radiology, as euthorized users of radiopharmaccun-this committee without the prior written approval of ** "'*E7' ! the US Air Force Radioisotope Commaree. 4. Physictans who are certified in radiol- l (4) Calls a quarterly meeting. To establish a "U OI therapeubc radio!ogy by the American Board quorum and to conduct busmess, one half or more of i Rad,oiogy; r radiation oncology by the American the RSC's membership must be present, including Osteopatnie Board of Radiology radioingy, wnh the RSO and commander's representaove. specialization in radiotherapy, an a 13ritish " Fellow (5) Keeps wntten mmutes et exh RSC rneering of the Faculty of Radiology." or " Fellow of the to includer Royal Colleg: of radiology; or tnerapeutic radiol-(a) The date of the tr;ecung: ogy by the Canadan Royal Ccllcge ut Phyucians (b) Members present and abscr.t. and Surgeons as authorized users of brachytherapy (c) Summary of deliberations and discussions suurces hated in 10 CFR 35.400. to include the numerical results ci all ballots. L Physicians or podiatrists who are cer-(d) Recommended acnons to include ider.ri. fication of the office of primary responsibility (OPR) tified in radiology, diagnostic radiology or therapeu g and status of tne acoon (open or closedi; and t:c radiology by the Arnericagpf Ruaiology; /
# PAGE(S)
PAGE - I LOF_ / l l I
. Jd. 06 '92 09 G p n
AFR 161-16 16 Decemt,cr 1988 10. maintain records of such actions. Gises MAJCOMs byproduct material provided iney are riot in any an annual updating of military medient physi:ists product or device designed for mgestion. ichalanon
. designated as qualified by the US Air force Radi- b). or application to a hurr.an being tattachment 2.
j oisotope Committee to perform annual consaitant schedules A knd BJ (2) items specifically excepico f ruin NRC ; visits in medical permittees. ' (4) Acts as the sir yle point contact betwern tne hcense requirements under 10 CFR 30.15.10 CFR Committee and the NRC or Agreement States. 30.19 and 30.20. tuttacament 4) i except as specified in hi3) above. (3) Unimponam quantities of sortee rnatenal as ' (5) Concuct> field visits accordinr to the prosi- cefined by 10 CFR 40.13-sub,iect to the reuricuons siens of the US Air Force Mauer Myerials Licen>e. given therein. (attachment 5) rend responds to incidents and 2::idents, as neceuary. (4) Small quantities of source matcoal ai.
- (6) Prepares an annunt summary of the Air defined oy 10 CFR 40.22-suo.iect to the restnchorn l
1 Force radiation urety program en tne use of radione- given therein. (attachment 6) This does not apply tu tive materials for Committee review, distribution activities er inualianon, heldmg a spe. j (7) implements recommer.dauons of the Com- cifi: permit for source material. mittee regarctng the use of raca.sc:ise materahls imd (5) Cenam specifically or generally bcensed item > the control of iomimg rndiauon na. cards and person. exempted by the Commmee 6nd spec lied in TO ON 1 nel exposure to ioniziny radianen aulutig irorn use llON-3. The exemptions specifi:d in TO 00- IIch3 cf radioinutopes' 40 not apply to distnouuon a;uvmes unce exempuuns , for end users are cased upon adeouste secountabihty , 6. Procuring Radioactive Materiale. No person or and user technical order guicance establisned by ucm organization may procure r;;dsoa:Ove m.arersas or managers at distribunon ntivibes. accept radioactive matenal imo int Air Force mven- (6) Nuclear weapons and certain radtuachve , tory without a permit, except as specifically components of weapons systems which have been provided for m paragraph io of this regulauca. Pro- designated as 91b material, curement schvities must tollow requirements el AFR (7) Reactor fuel elememt gno sources inherent 67-8 and tnis regulauon for accuinng comroodaie. to reactor operations, such av neutron uanup sources contaimng radioacove matenkl. Acceptance of rada. d:signated 2% 9)b mhteriah The approval for possch-onctive material imo the inventory treough reference gg gg j g g g gg ; 1 to the US Air Force Master Matenak License oy any This exemption does not appiv to ancillarv support person or organization etcer inan inc US Air Force s : trees. such as cabbration sources. etc.. that are ; Radioisotope Commutee or its executive secretary " i staff is specifically prohibned without the prior wnt-ten autnerixanon of the Commutet. Acceptance onto i J.ND** . c An NRC or Agreement State License tv reautred by su non Air Force orgamzaum who wish to brinu j l an Air Force installation or into the Air Force f radion:the matuials omo Air Force installutions or inventory, of radspactive materiais or corntnodshes condu:t operations involving radioactive meterials on obtained through local purcnase, lucal lendmg or Air Force installation.. Dep.wnem of Energy organi. leasing arrangements, and which are not centrally rations are excepted (See paragraph 8im(31). In addi-procured and stockliticJ requires a US Air force l'on organizations must get wntien approval fmm the , Radioactive Material Permit (or the material and the instauntion commander or hai or her designee unng the l written approval of born the named R50 on the per, 1 mit and the using organization commander. E cntens estabhshed in parmeraph.kn j SEE payg pq
- 8. Obtaining Permits, Amendments, and Other
- 7. Permitting Radioactive Matcrial-When Per, Authorizations for Radioisotope Use:
snits are Mandatory:
- n. Submit all applications for Permits (initi.il.
- a. Air Force organizations mus!;et permits for the renewals, and amendments) through the host base 4 receipt, possession, distribution. use, transfer, and bioenvironmemai engineer and RSO channels and disposal of byproduct. Source, SNM. naturally l
occurring radioactive matena!, and acce!erator pro. the ma,jor command bioenvironmental engineer to ' duced radiokctive materiti(including radioactive . the Executive Secretary, t;S Air For:e Radioiwtope material produced through activanon) unless spe ifi. Committee. HQ AFOMS/SGPR. Brooks AFB TX
, cally exempted by the US Air Force Radioisotope 78235 5000. Direct subminal of permit.; to the Radi-Committee. Permits are usuchy vahd for 3 years oisotope Commmev may be made wnen approved by
- b. A Permit is not rcuuired fer. the MAJCOM and provideo a copy of all corre.
(1)ltems comnining exemp: quantities or con. spondence is sent to the MAJCOM. Obtun NRC cemranons (Subject to the e. tempt quantity firmt) of uida forms regulatory guides, anc xs gc o.aj,,,15: ~_ 1 PAGE(S) PAGE 3.2 OF 4 ;
?UL 03 T O M J l ---
f AFR 161-16 16 December 1938 i
' id -
l
- m. Ensure non-Air Force organizations that bring tions. Medical appii:ations involving tt e adminisua. radicactive materials onto Air Fcrce installations cr tion to humans of r.on-food and Drug Administralien conduct operations involving radioabove materir.l on (FDA) approved radiopharmaceuticals, or FDA Air Force installations, ebrain the apprsal of the approved radiopnarmaceuticals for uniabeled purposes, instellation commander or his designee. To obuin also require approval by inc US Air Force Surgeon this approval, iney must forward an application to General's Clin' cal Invesugaticn Committee accordir.g the local installation (ossel RSO at least 30 caLnua to AFR 169-4. days Deiote the planned date for commencement at j (2) Source Material Applications. For requesu f activities on the installation. Contact ene case RSO involving the possession and processing (rnachimng. inrough the base Bioenvironmental Engineering grinding, etc.) of source material, use NRC Form Service (8E5). Non. Air Force organizations pm - ;
313 and NRC Repu! story Guide 10.4. Guide for the sessing Agreement State Licenses must also submit Preparation of Applications for Licenses to Process an NRC Forrn 241 to NRC in compliance with 10 1 Source Msterial. Censult the Exentisc Secretary for CFR 130.20. Organizations requiring more than 160 t additional regulatory guides appropriate (cr any pro- calendar days per calendar year of operanun on the posed usages of source materiai. Air Forec installatior, must possess an NRC heem*. j (3) Special Naclear Matenal Appheations. Suo- i Requests must include: mit requests ey letter and include the icilowing. f t) A descriptmn of tne prcposed methines on l f ai Name and address cf the app!icant. f NRC Form 241. Report of Proposed Activioes in (b)The achvoy for which the material will ce Non Agreerrent States. tihe 130 oay strminhon on used, the genersi pian (cr rnnducting the activity. the fo:Tn exs not apply to orgamrations huiding an and the location of the activity, (c) The nan e. amourt, anc specificanons , NRC heense).
! (2) The precedures estabhshed to ensure rude fehemical and pnysical form. nolopic conteno of tne f o!egical hesith and safety of Air Fc-ce persunnel und SNM: l (d) Names and technica! qualificanons, the pubhe while on Air Force installations en site and the nam: of the respons,bie contractor represena including training and experience, of the RSO and {
g ,, personnel who will use the SNM, fe) Radianon cetection equipment asailable g g pyg gg ggggggg, I to support proposed acuvntes; Agrectnent State beense. Expired bcenses are unac-(f) Persennel doumetry to be used and sup- ce table To be valid at the instalizinoin the license rnust eitner specifically state the inwallanon by name plier;
,(g) Description of the equipment and facil". on the license or state approval fur work at tempo-
'" "U'"
ties which will be used to protect neaith and rmni- *I N "" ""Y mire hazard to life or property. Desenpuons of *' " ^E " " S** * # N N M *enom . facilities should be supoorted t'y photographic cocu- ME er ME pnme contractors rnost provide; in heu
- meritation, when possiele; of a heense, wnuen cenificanon of the exempdon (h) Description of the radiation protection from NRC licensing requiremems and cite tne apph.
program indicating proposed procedures to protect cable exemption of 10 CFR,
- health and initurmze danger to ble or property, such M)The pen of the Air force contract desenbing
'I as, accountability, monitoring, lealc tesung, emen work to be done at the base and tne inclusive dates a gency procedures, etc.; and of such work.
(i) Description of accountability of security (5) An acknowledgment that (ne base RSO can l
' and safeguards wnen required by 10 CFR 70. make periodic checks to ensure the contractor is fol-()) Disposal and decommissioning plan, lowing applicable radiological health and safety (4) Combined Applications. Organizations practices which prevent unnecessary exposures to requesting combinations of byproduct, source, Air Force personnel and prevent potential con.
$NM, and NARM may consolidate requests into a timination of government property. The RSO must tingle application provided any special tequirements identify deficiencies to the contracting officer for k
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- related to the specific categories of materjal are corrective actions.
addressed. Use an NRC Ferm 313 and suppiernem n. Note that, if specifically allowed by a brosa as necessary, Consult the Executive Secretary for scope permit condition. radiation safety commmees prior approval before consolidation. may approve contractors wimout an NRC or Agree (5) Specific Permits of Broad Scope. Apply for ment State License as users on their broad scope per-specific yermits of broad scope using NRC Forrn ) mit. The radiation safety committee must evaluac 7~ '
- 313 and NRC Reguistory Guide 10.5, Application ine contractors ramanon safgggitapiteg and for Type A Licerma cf Broad Scepe.
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- l
TESTCO, INC. l r. o. so"xT$e'Y"SEe'eMe*o'nS.'r".S. 2nro (819) 27543e1 August 7,1990 Commander, XVill Airborne Corp Fort Bragg, NC Attn: AFZA-SLC , Fort Bragg, NC Attn: Mrs Harding Ref.:DACA 21-39 00086-Socom,Op. Complex,3rd SFG & 7th SFG & JFK Academic Facility. Fort Bragg, NC 28307
Dear Mrs. Harding,
Testco inc. is requesting a permit for use of Iridium 192 to perform Radiographic Testing at the above project on August 8,1990 through ; August 22,1990. We will use approximately 38 curies' of Iridium 192. 4 Our working hours will be 8:00 am until 6:00 pm each day. Testco inc. will notify your office upon arrival at the site and before work begins. Thank you for your prompt attention to this request. If you require ) l additional information, please contact us at 1-800-852-6588. Very truly yours, Testco inc. ,, [ Qf. kh*b T
'J.L.Snc! ton l
JLS/ts
. EXHlBIT__ # -
PAGEg 0F y7 PAGE(S) I l
TESTCO, INC. g NON-DESTRUCTIVE TESTING P.O. BOX 66362 GREENSBORO,NC 27406 (919)275 3361 Fax: (919)697-8731 September 6,1990 Commander,XVill Airborne Corps and Fort Bragg Attn: AFZA SLC Fort Bragg, NC Attn: Mrs Harding
Reference:
DACA-21-39-0-0086,Socom OPS Complex,3rd SFG & 7th SFG and JFK Academic Facility, Fort Bragg, NC
Dear Mrs. Harding,
Testco,inc. is requesting a permit for use of Iridium 192 to perform radiographic testing at the above project on September 8,1990 through September 22,1990. We will use appro .imx.ely 32 curie's ' of Iridium 192. Our working hours will be from 8:00 am to 6:00 pm each day. Testco,Inc will notify your office upon arrival at the site and before work begins. Thank you for your prompt attention to this request. If you require additional information, please contact us at your convenience. Very truly yours, l Testco,inc. l A,CW
^ N l
Traudl Shelton Vice President i I /6 l EXHIBIT PAGE M OF VI PAGE(S) a.m I I l 1
'l .
DEPARTMENT OF THE ARMY [ p~~\'\ HEADQUARTERS.XVill AIRBORNE CORPG AND FORT BRAGG FORT BRAGG, NORTH CAROUN A 28307 5000 g g i aEE or: 26 JUN 1990 AFZA-SLC (385) MEMORANDUM FOR TESTCO, Inc., Non-Destructive Testing, P. O. Box 21346, Greensboro, NC 27420
SUBJECT:
Request to Use Radioactive Sources, License No. 041-0542-1, on Fort Bragg, North Carolina
- 1. Reference your letter, 26 June 1990, subject as above.
~~
- 2. Approval is granted for TESTCO, Inc. to use Iridium 192 and Cobolt 60 on Fort Bragg for the period 2-16 July 1990, not to exceed 8 hours of one day. TESTCO, Inc. will be responsible for any decontamination and cleanup that might occurs and will return area to its original state upon completion.
- 3. Request that the Office of Safety and Loss Control be notified of the date, time and location equipment will be on Fort Bragg.
Point of contact is Edith Harding, Installation Radiation , Protection Officer, 396-6693/7010. FOR THE COMMANDER: 4 THEODORE J. DEXTER Director of Safety N EXHIBlT I ! PAGE vo 0F #PAGE(S)
TESTCO, INC.
- $ c. o. so"xsA"I"SSI'sT[se'oE.'".S. nino wm sinw I
July 17,1990 Commander,XVill Airborne Corps i .' and Fort Bragg Attention: AFZA-SLC Fort Bragg, NC 28307-5000 Attention: Mrs. Harding-
Reference:
DACA-21-39-0-0086, Socom OPS Complex,3rd SFG
&7th SFG and JFK Academic Facility, Fort Bragg, NC l
Dear Mrs. Harding,
- Testco inc. is requesting ' a permit for use of Iridium 192 to perform radiographic testing at the above project on 07/23/90 through 08/06/90.
We will use approximately 57 curie's of Iridium 192. Our working hours will be from 8:00am to 6:00pm each day. Testco inc. will notify your office upon arrival at the site and before business begins.
! Thank you for your prompt attention to this request. If you require ~
additional information, please contact us at your convenience. i Very truly yours, Testco inc.
- ' s Jim Shelton '
President JS/ts . 4 l l EXHIBIT [ l PAGE 4/ OF_ p # PAGE(S) I
TESTCO, INC. , NON-DESTRUCTIVE TESTING
' 8 P. O. 50x 21348
- OREENS50RO, N. C. 27420 4919) 27E3361 I
i June 26,1990 - Commander,XVIII Airborne Corps and. Fort Bragg Attention: AFZA-SLC Fort Bragg, NC 28307-5000 Attention: Mrs. Harding ,
Reference:
DACA-21-39-0-0086,Socom OPS Complex,3rd SFG & 7th SFG and JFK Academic Facility, Fort Bragg,NC f/
Dear Mrs. Harding:
Testco Inc. is requesting a permit for use of Iridium 192 to perform radiographic testing at the above project on July 2,1990 through July 16,1990. We will use approximately 70 curie's'of Iridium 192. Our working hours will be from 8 am to 6pm each day. Testco Inc. will notify your office upon arrival at the site and before work begins. Thank you for your prompt attention to this request. If you reqire additional information please contact us at your convenience. Very truly yours, Testco Inc. J.L.Shelton i EXHIBIT T
, PAGE '/ A 0F W PAGE(S)
JLS/ts I
)
i AFZA-SLC l Commander. XVIII le l'orne Corps and Fort Bragg, ATTN: AFZA-SLC, j Fort Bragg, NC 20707-5000 29.May 1990 FOR TESTCO. Inc.. flon-Destructive Testing, P. O. Box 21346, P. O. Box .1340. Greensboro, tJC 27420
SUBJECT:
Request to use Radioactive Sources, License No. 041-0542-1, on Fort Bragg, f! " + h a rol i na
- 1. Reference your latter, May 29, 1990, subject as above.
- 2. Approval is oranted for TESTCO, Inc. to use Iridium 192 and Cobolt 60 on Fort Bragg ler the period 10-25 June 1990, not to exceed 8 hours of one dav. T E S T O . inc. will be responsible for any decontamination and clean-up thal mioht occur; and will return area to its original state upon complel o ui .
- 3. Request that 'ho Office of Safety and Loss Control be notified of the date, time an'.I le'.ation equipment will be on Fort Bragg. Point of contact ic Edith liar <!ing, Installation Radiation Protection Officer, 396-6693/7010.
FOR THE COMMAf1DEP:
-f i THEODORE J. DE TER Director of Safety i .
EXHIBIT _ I., PAGEj MOF M f 1PAGE(S)
*P.
DEPARTMENT OF THE ARMY ItEADOUARTERS. XYtIJ Ata80RNE CORPS AND FORT BRAGG FORT BRAGG. NORTH CAROUNA 28307 5000 ['# mi l l I g g
's . I MPLV TO ATfENTION OP: \*** es *,/
A r .* - ? *. ~. C ;rnmande i l' *
" c ' p" an ! ~" - r. B r vj g . ATTil: AFZA-SLC.
ner t e. i.s . ' i- - 5 August 1990 m: T EC Tr. . i ' i- 4 t. P. c' . Box Oli40.
- n. .r, . ' .<, rgt.1 v e T e s t27420
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- r. .ni . eac t i /e %:urces. _icense flo.
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- 1. ;- . .. . < . , ;ccr y . .'23
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- c O r c. g '. ' . *1C unJ i-t 1 H.Fer. i . <- <i luguet 7. 190. subject as above.
- 2. A n o t <. 1- -
E 3'C': . in . t . uve : r i ci' um 19.: and n f c e b<.' 1 ? S .- .. 4,, . 'he :ee 've 0-2 Aucusi 1990. not to e.. t e nt ' ur - n T E 2 T c .' . -". will Le tesponsible for l any de.:p .nmsr - i s - uu . i ?' ' rii g h t. occui ; and will return a rea 5.t- t't - *
*3L- L'ul t ' < ot 'rs i a t i on .
' * ~ i e .)f Saf e t:. and Loss ' cn tr 01 be notified
- 3. Reuuuc t, t'na . ><
of the date, time and location equipment will be on Fort Bragg. Point of contact is Edith Harding, Installation Radiation Protection Officer, 396-6693/7010.
- l FOR THE COMMANDER: l hk THEODORE J. DEXTER ,
Director of Safety l l 1 I EXHIBIT _ I PAGE 4 V 0F V ( PAGE(S) l J
APPLICATION FOR DEPARTMENT CF THE ARMY RADIATION AUTH:MarATCN AUTHORIZATION OR PERMIT . Per use et thu form. see A2 30511:the presonens opense a t ArCOM. O PErMir R5.tD ATTACHED INSTRUCTIONS BEFORE COMPLETING THIS FORN
- 1. teAa#8 OF APPLICANT 2. ADDRESS (Jaedade EfP Codel FC Wendy Court,Guilford Industrial Park Testco Inc. Greensboro, NC 27409
& ARMY INSTALLATION AND EMACT LOCATIONIS) WHERE MADIDACTtVE MATERIAL WILL SE STORED OR USED Army Aviation Support Facility Expansion ; Contract No.DAHA38-88-C0123 4 DEPARTMENT TO USS RADIOACTIVE MATERI AL S. DA AUTHOM12 ATION/PE RMIT NUMBERS. NRC AND/OR AGREEMENT STATE LICENSE NUMBE R5 CURRENTLY HE LD US Army Corps of engineers North Carolina License No.041-0542-1 US Dept.of Army Radiation Permit No.32-01-01 S. INDIVIDUAL USE R(5)(Neme end illir of indweduelval who wild use er detectly superwase use 7. R ADI ATION PROT ECTION OP PICE R (RPOP tName of of kvPreemet naeterial 06ue trohmang and esserennee kn Geome iI and 13.1 .eereen designeend en 390 If other then indiwedenei aneer.
Atteek reeume of trohnent and espertenee en he stone ji and as.> J.L.Shelton J.L.b'nelton,RSO i S. R ADI ATION DEVICES (List medisse end emPerste.J S. CHEMICAL AND/OR PHYSICAL PORM AND M AXIMUM AMOUNT OF RADIOACTIVE M ATE RtAL ILint themeral end/er phreitet ferne end menemum emount the muiseurseep of eeen Sealed Source ' " ' * * ' " " * * " ' " ' " * * * '" " " * * * " * * * " " " ' " ' " * " ' " * ' " ' ' ' * * * * * " * * " " * ' monotes turer. model num'be"r."num'"6er of neuro'es, and mesimum eetteter per e'euree.) . Spec Model T-2 Max.100 curie's Iridium Special Form , Label III Radioactive Material-UN2972 i Source Production Equipment Co. i l
- 10. ST ATE PURPOSE FOR WHICH M AOIOACTIVE M ATE RI AL OR SOURCES WILL SE USE D tinclude the meee and medad numeer of 8Ae eserese condedner end/or deoene We tehden the seurve80) win 6e etered and/or eseed.)
Radiogr,aphic Inspection Camera: Spec T-2 Package Type B ,, Storage: N.R.C. approved container
.e ,
- 11. 1RAINtNO IIndieete treenkse of reth endeviduel named en item 6.1 tUse euPParmental ehrete if neeeenery.1 W"i 84 AND WHE RE T R AlteE D ON THE JOS
'vP oP =A" ~a c
,_ n.me . .re.n or .ehoe, ,,.eM .. h.h. . , , ,g,, ,,,, ,,, ,,, ,,, "a' ,,, ;
A P,ine .eeend ,,nuesto, Pittsburgh Testing Lab. eedwoon erei=cen. Greensboro, NC 6 Hrs X X
- i e Ma***"""* ' - -'
Pittsburgh Testing Lab. ! l "*"'"*"**$"',[",*"' e See certification attached 6 Hrs X X mmN to em one end nuseme. Pittsburgh Testing Lab
,,,e, et ,od.se,oeti,. See certification attached 4 Hrs X X 1
,, , , , , , , , , , , , , , , . Pittsburgh Testing Lab.
See certification attacged 6 Hrs X X t 2. E XPE rte NCE WITH MADI ATION UneNeete seemet use of reddedoodepee er egudselent esportense.) ISOTOPE hiAMtMUM AMOUNT WHEN AND WHERE EXPERIENCE WAS GAIN 10. . o
, TYPE OF USE IR192 100 C Pittsburgh Testing Lab. 1970-1975 Industrial CO-60 90 C Magnaflux Corp. 19.7,7-1980 Radiography X-Ray 300 KV , ' .Magnaflux Corp.
s IR192 200,C. . . United Testing Serv. .T IR192 '100'C. 'L'ak Engineering 1987-1989 IR19g CO 6 10g(C 6 ' Testco,Igc.
" 1989-Pres #
PORM 4
)A 1 MAR 80 8g8g8g]
wwwe EDIT 40N OP 1 MAY SS IS OSSOLETE. t.AMIDII ( PAGE 60F_99' PAGE(S) _p..
AN'LluAliUN Full Oc/AlllMENI UF 1HE ARMY flADIAllON LJ AUTN nl2ATl!N AUTHonlZATION On PERMIT Fee .ee et toisa teem, see Art 30610: ties reorsonene eponey as D AtlCOM. b PE AMtf GKA U A1TA CllRU SNSTitVC1*lON8 KYFUltR COnirLE1!Nt11'llis 70ft At
- 8. NAME t P APPLICANT 2. ADDnESS (Jaclyde EJP CMJ Testco, Inc. 1-C Wendy Court, Guilford Industrial Park
- s. AnMy INorAL:.AtsON ANo Ex4Cr LoCAlioNist wnE nE n AuiUActivE WA Greensboro tJ rEni C---AL2.74 Wilt0Pse sv0nEu on UsEo New fabrication of jet-fuel Tanks / Birmingham, Alabama
- 4. DEPAniMENT TO USE RADIOACTIVE MA F E nl AL 5. DA Auf flOnlFA flON/PEllMlf NUMBER 3 NnC AND/On AGREEMENT siTATE LICENS NUMBE RS CunnENT LY llELD Alabama Air National Guard 1 orth Carolina License No. 041-0894-1 US Dept.of Army Radiation Permit No.32-01-01
- 8. INDIVIDU AL U5E n(S) theme end tule niidd6.utuelsel eehn n fil use or directir supen..e* esse t n ADI Af 40N Pf10T ECTION OF FICE a titrol theme s Lt byproduet materini 06ee trekning end enver6ener en tienes iI and 82.I perenn destenetst en firU if other then endeelduel anser.
Attach resume of troheing and esper6enee .e in iteme il
*~ "#
Leonard B. Sparks, Jr. J.L.Shelton, RSO B. R ADI ATION DE VICES CLlet epite,* end empessee.) P. Clef MIC AL ANIJ/Utl PHYfitC AL FOnM AND M ANIMUM AMOllNT OF M ADID ACTIVE M A t F nth L tlist themical enator phveseel form and mesimum amount ten millieurteel of reth ond6nerthe neateriet tunt van svill ponerne et any one 86me.i flf ereled sourretal. else efete nome of manufacturer, moder number. renneher of sourten. and mes emum activity per eeurre.) Sealed Source Max.100 curies Iridium 192 Special Form SPEC Model T-2 Label III Radioactive Material-UN 2972 Source Production & Equipment C.o.
- 10. ST AT E PUflPOSE FOf1 WHICH M AUlOACT IVE MAT E nl AL Un SOURCES WILL DE USE D flenesude the mene end meded number of the adoroge sent.iner end/or deu6ee hs enheek the sourettel urtle be 0$oved and/or used i Radiographic Inspection Camera: SPEC T-2 Package Type B Storage: N.R.C. approved container ss. TnAsNeNO <teduete Iren.s,a ,,f enen unau oa so ,.emaa e, nr.,, e.1 etsee ouvesem.ntou eneete I( neernen.
dun ATION FORMAL Wi4EN AND WHEIIE T M AINF D ON THE JOB g etun .. et person er ecunniI,rnand.no freenone i
- c. reincipen .ad *'auca *'
e.di.oen .ino.a. GEO Construction 6 X X Testing ! e ,,,
',e",d,7",[ '"**,'"',*,,",*"' in,GEO ConstrucLion 6 X X l
l e=nna. .nd nian nu. Testing l 6 u.o we .nd umui.u.no e.e i, o,. .se .,,d ,, eu, GEO Construction 4 X X m.ni .t radi oen,. Testing 4 sies =.i set.eu .e ,.dwo.. GEO Construction 6 X X Testing
... E .,E R, E NC E ., ,,, n A , A , ,0N ,, .. eetue, ue. n, # e.u:. n,.es .r ... c , es,.e, e..,
sonorf uAx MUM AMOUNT ' wNEN ANo wNEnf ExrEn ENCE WAs OAeNEo ",",^bE
, ne wPE ,usE l IR192 100 C GEO Construction Testing 1983-1985 Industrial IR192 100 C Ebasco Services,Inc 1985-1987 Radiography l IR192 100 C Westinghouse Eng.&Geotechn 1989-1991 CO-60 35.C " " " " {
1990-1991 i X-Ray 200 C " " " 1989-1991 ' IR192 100 C Testco, Inc. 1991-Pres. PORM DA , MAR O. 333',I EDITION OT I MAY 68 tS OO50LETE. [ exsisir e PAGE W> OF 4'p' PAGE(S)
APPLICATION FOR DEPARTMENT OF YHE NAVYflADIATION AUTN 3 Riz ATION AUTHIRIZATION OR PERMIT Per enee e.t toile form, see AR 3081l! the pt.o.nent e,eney is D AMCOM. O PERMf7 ) IREAU ATTACllEU IN87 RUCTIONS DETUltE ContrLETING Tills FOnni S. NAME OF APPLICANT 2. ADDnESS (inelade Elf C del 5-C Wendy Court,Guilford Industrial Park Testco Inc. Greensboro, NC 27409 J. ARMY $NSTALLATION AND EX ACT LUCA TIONIS) WitERE RAulOACTIVP na a T E nlAL WILL SE ST OnEU OR USED New Fabrication of Diesel Fuel Tankage, Naval Supply Center
- 4. DEPARTMENT TO USE RADIOAcilVE MATEntAL fl. D A Au rHon17 A tlON/PE nMIT NUMB ens. Nnc AND/On AOnEEMENT STATE LICEN' NUMBERS CURnENTLY HELD Naval Supply Center / i North Carolina License No.041 Charleston, SC US Dept.uf Arany 11adiation Permit No.32-01-01
- 5. INDIVIDUAL V50US} dheme and idf E7linedicisivelaas u hn u dif mee or direcil574resen ese F. n Aul ATION P ROT E CTION OF FICE R (ftrOJ (Mene
.f bypredmet meterial Oeue Dr.ining and esproernre in 6teme ii and iR.I person deeinnated en RPO If other i;een indee6 duel .eer.
Atteth reeume of trenneng end esperience en kn teeme Ai and a 3.1 J.L.Shelton J.L.Shelton,RSO
~
- 9. R ADI ATION DE VOCES (Leet oodsner end e$spareer.; D. Celf MICAL Atdu/Un retyssCAl. FOnM AND M AxlMUM AMOUNT OF R ADIO ACTIVE M AT E nl AL flief thraefcal and/or phyeleef form end mesimum emount (6s milliemrie.) of each Sea 1ed Source """"*'"" ", '"'*'"**
'bar,"nuneber of eeurc'es."and mesimune ectietly"per e'eursg.)
manufacturer model nurn Spec Model T-2 Max.100 curie's Iridium Special Form Label III Hadioactive Material-UN2972 Source Production Equipment Co.
- 10. Et AT E PUflPOSE Fun WHIC61 f1 AUIU ACilVE M AT E nl AL On SOURCES WILL BE USE U finef ude she madre and model nuester of the eterage eenseiner di.e deefa e, wheen she oo. meres wue se es red e,,dior oud.)
Radiographic Inspection Camera: Spec T-2 Package Type B Storage N.R.C. approved container USA 9056RQ t
- 11. TR AINING (Inderate trennhas of reek individual named 6rs gerne 6.0 (tier supplementalsleette if neeeeeery.)
*+ DURATION FORMAL
. WHEN AND WHEME T nAINED COURSE OF tGlue nome of person or ethool proulduet treening i T n AlNING YES NO YES NL A P,inel,se. end erwiN u o, Pittsburgh Testing Lab.
4 e.een pe.iao.n. Greensboro, NC 6 lirs X X A **d'*""v - - - ' Pittsburgh Testing Lab.
,"',*',*,*'$"',[,*"'
, , , See certifieation attached 6 IIrs X X
- e. Me hemeun end eese. no m ei.iheves nd mese Pittsbur9h Testin9 Lab .
e o .e e ee. y. - See certification attached 4 lirs X X
- a. e o.iees.n. .e,. coo. Pittsburgh Testing Lab.
See certification attacged 6 lirs X X
- 12. E MPE nlENCE WIT H RADI ATION (ind6cefe eefuel pee of reddoisotopre or equessient emperience.)
I ISOTOPE A5AXIMUM AMOUNT WHEN AND WHERE EXPEnlENCE WAS O AINED TYPE OF USE IR192 100 C Pittsburgh Testing Lab. 1970-1975 Industrial CO-60 90 C Magnaflux Corp. 19.77-1980 Radiography X-Ray 300 KV Magnaflux Corp. - IR192 6.200 C' N. . United T,esting Serv.
- IR192 'ID0 Dl C. L'aV En'gineering 1907-1989 IR192 100 C Testco,Igc. 1909-Pres co nn nn c a FORM EDiflON OP f MAY 80 IS OSSOLETE. #
I)A iMARSo N U ' EXHlBIT % l
- PAGE 4/'7 0F_ PAGE(S)
' 3' ,' CAit ATeiN DETEC18:N SNSTRUMENTS (902 USE SY CADIATION P:07:CT10N !".:BONN:L)
LUse empoJesmeieel eheen et : ..I RA2 FAT 47N SE NSITIVITY WNeOW TNICK* USE TYPE CP INSTRUMENTS NUM2ER M ANGE imr/hr) NESSfees/ ens ) I (Iondier * $MrWey
- CaeWure/
(Mehe and asedel number of each) AV AIL AB LE DETE CTE D G.E. SMITH 2 G 0. 2 MR/H 1 N/A MONITORING GS-1000-A GAMMA INDUSTIRES 1 G 1.R/HR SURVEYING 250-B l NDS - MODEL 2000 1 G 1R/HR MONITORING SURVEYING
- 14. METHOO, P REQUENCY, AND ST ANDARDS USED IN CALISRATING 6NST RUMENTS LIETED ABOVE AS NEEDED OR EVERY T!!REE (3) months by approved outside agency.
J DOSIMETER ZEROED DAILY / CALIBRATED ANNUALLY. 4
- 16. FILM 8 ADOES DOSIME TE RS, AND 080 A$$AY PROCEDURES USED #For (adm badges speetty method of relstrating and preeeasung or nonee of supplart.I FILM BADGES BY LANDAUER, GLENWOOD, ILLINOIS - MONTHLY
- 16. DESCRISE PROJECT, E XPE RIME NT, E T C. (inedmee mejor feellataes and egadament to be assed.;
RADIOGRAPHIC EXAMINATION OF TWO (2) 26.6 DIA.27.0 HIGH UMBRELLA ROOF j WATER STORAGE TANKS - DACA 60-91-C-0002. INTERAGENCY AGREEMENT DE A10985SR14066 BETWEEN DEPT. OF ENERGY AND THE f US ARMY CORPS OF ENGINEERS. l
- 17. M ADI AT60N PROT ECTtON P MOO R AM (Appdace6&e to see et the instadiatoonfe# named be essen JJ SEE ATTACHED OPERATING & EMERGENCY PROCEDURES l t
- 15. WART E D15POSAL (h0TE: No podsometspo nesserse4 miey be missanesely daarened et et Army museedlesdene eseept se preended to pere d- A4. A A 386 J J.;
SHIPPED TO SUPPLIER FOR DISPOSAL 19- ST ATEME NT THE APPLICANT OR ANY OPPICIAL PlLING THIS APPLICATION ON SEHALP OF THE APPLICANT NAMED IN ITEM t ST ATES THAT ALL INFORMATION CONTAINED HERE AND IN ATTACHED SUPPLEMENTS. IS CORRECT. A 30sw D AT E 204. TYPED N AME AND TITLE 30s. 580N ATURE
-01/15/91 J.L.SHELTON,RSO /
l L. *i Q v - EXHIBIT _ 7 PAGEj7 0F d PAGE(S) , i
- -i.Il-TIN FPOTECTI3d rax:919-571-4143 Aug 20 '?4 14:23 P. 01 Department of Environment.
Health and Natural Resources I Division of Radiation Protection 1
-m -
James B. Hunt, Jr., Governor Jonathan 8. Howes, Secretary p Dayne H. Brown, Director July 26,1994 James Shelton, R.S.O. Testco, Inc. P O Box 18511 Greensboro, NC 27417
Dear Mr. Shelton:
On July 15. 1994 the above referenced facility was visited for the purpose ofinspecting ac:ivities authorized by Radioacuve Materials License No. 041-089431 I appreciate the cocnesy and cooperation I received while conducting this required inspection. The enclosed report list four items of noncompliance with the North Carolina Regulations for Protection Against Radiation which were observed dunng the visit and require your attention. The nature of these items represents a serious lack of oversight of the radiation safety program. Please notify this agency no later than Amgust 26,1994 of the corrective action taken to clear the noncompliance items. Actior. taken should include procedures to assure that subject items will not recur. A follow-up inspection by the Agency may be required to ensure that these items have been coiTected. 1 l If itete r.re questions concerning the inspec:fon findings, please feel free to contact me. ' Sincerely, _ yf dk h n '. # - Mark R. Janas, Heal Physicist - N g- g y , 33) ,.555Ij j Radioactive Materials Section - sjm nel sure pn, py4:s p, , A)c; S W P 1 Pkm. $V. TM-51-W'// CASENO. 2 - 9 2 - 0 2 71E P o. Box 27687,' Raleion. Norm Carolins 27611 7687 Telephone 91NE-4141 @x st W - Aa revas c...rw,, 4tr.,m.n. A...a sn,.v., sos, r..ve.vi i o* ..n m., m., i PAGE_ l OF I PAGE(8)
4 4
- ALIA~IO:FPOTECTION rp :919-571-4145 Aug 22 '94 14:29 P.02 s
, mantonc22VE MATEmm_a gEcTIoM DIYZEIGN OF RADIATION FROTECTION W. C. DEPARTMENT or ENVIRONMENT, EEALTE, AND NATURAL REaOURCES a
INSFECTION REPORT l j 1) LICENSER: 2) INSFECTING PEESOMEELs j Testco, Inc. Mark 11. Janas Jeffrsiy J. Buaron i
- 3) LZCENSE NUMBER 4) DATE(f:) or TNSFECTICE 041-0094-1 July 15, 1994 The following activities under your license (identified in Item No. 3 above)
, appear to be in noncompliance with North Carolina Regulations, as indicated.
*. ~,
- 1. Contrary to Ccndition No. 21 of Radicactive Materials License No. 041-0894-1, licensee has not maintained complete records in the following areas:
q 4 al survey meter calibrations i b) quarterly radiographer audits
- c) quarterly equipments maintenance
, d) leak testing of sealed sources 4 e) training of L. Benton j . f) quarterly inventory records 1 ~
- 2. Contrary to 15A NCAC 11 .1601(e), licensee has not fully implemented new "St,ndmeds for Protection Against Radiation".
- 3. Contrary to Condition No. 13A of Radioactive Materials License No. 041-
, 0394-1, persons not approved by the Agency have acted as radiographers or ! radiographers' assistants. I'
- 4. Contrary to Condition No. 105 of Radioactive Material 6 License No. 041-
- 0894 1, licensee has worked under NRC jurisdiction without following the l required rees.procity procedures.
i i NorEs Provistmas of 151 11.1002 (a) (4 ) and (f) (femmerly 10 NC&C 35 .3102(a)(4) and (f)) require any notice of violation involvisy ra diological working ! conditions, any order issued pursuant to 15A 11 .0100 (formerly 10 NC&C 30 ! .2200], and any respease from the licenses shall be posted within two (2) working days after receipt of the decoment from the Agency. The liseneme's er registrant's response, if any, shall be posted within two (2) workimy days after dispatch from the liseneee er registraat. such documents shall r===L=. tad
- for a minimes of five (5) working days, or until aced == serreettag the v ties J has boom completed, whichever is later.
i 6 I u . / i 90 CM7 C A r 4 5 7y nasaaettra Natarais =taa aepr. uuv. - gau i EXHEIT CI l PAGE _-
.2. op 7 PAGE(S) i l
. i i=
!l 1
u M E O: HOTECT!G4 W 919-571-4145 M J '94 14 G P.04 i ' program:(Hosp: Tech. qualif.alaservicesa no. of i misadministrations)
- Use Zacationst q North Caro 11aa Wese listed j
south careliams rt. Jackson 5/94 Shaw 5/94 & 6/94 Oeergia Maeos 5/94 (Army W.G. per J. shalton) Alahanas Pt. Ruckner 9/93 - 1/94 (almost daily) } marksville 3/94 NRC statest Franklin, Va. - Federal /Nilitary tank fara? Rillaville, Va. - Federal /Nilitary tank fara? J. sheltes says all above work is at military installations and not under i NRC er agreement state jurisdictions attached is license docussent from ] ailitas7 that Shelton says is good for all military facilities. (although only too use locations are listed); According to shalton, sensi military j i facilities issug docuneatation of approval, and some don'tt a3'provala from .' ) bases seat to contractor per L. Santon; shelten says sc only state game l ! into under reciprocity (SC Agency letter from 1991) l 1 sc, Alabama, and emergia motified of Testco's entries into their states via telepheme by N. James 7/26/94 R. Woodruff of MRC actified of Testco's entries into Va and onto military facilities; NRC aust grant. reciprocity f or work on military bases per l Woodruff; NRC reciprocity not reselved by Tasteo per J. Shelton - shelten did met notify NRC N/C meetion .1600 regulations not la place (no assual program review) N/C I l Radionuclides / Accelerators: (Nake, model, activity) . 1 l source Act.(C1) s/n Leak Test Receipt Disp. Cont. i ! Ir 192 104 jd746 4/94 NA NA Ir 192 108 jds6s = 8/93 NA NA l l Ir 192 34580 3/94 9/93 yes ! Ir 192 95 16e07
- 7/94 Ir 192 5/92 12/93 yen l 30j08
- 10/92 yen Ir 192 10/93 ;
18113
- 5/93 12/93 yees l *LT results not available N/C l
l i Jtecords: (Receipt, use, inventory, issuance, return etc) Quarterly maiasmaanoe of equipment 3/94 12/93 & 2 w/no dateis N/C i j Roosipt and return records appear complete for sources listed above. guarterly inspection of each radiographer: N/C i i L. Denton 12/93 3/94 (not filled out ecumpletely) .
.G.
Dison 9/93 12/93 g Shelton 9/93 (ca himself - eays he can't find anybody else to do it) Utilisation log includes SQL, daily inspections, daily surveys, doelmstry, 1eg sheets: appears complete 9/93 - present 1 [ i p ' lFritten Exwmanres: ( BOPS, Ramrg.Prood., Noly P1006., utumnmin s operating precedures = on hand P2Dod.,Jlad101ogist Approval, etc.) O
- . amorgeasy Preeedures - om hand .
D.O.T.: (Bhipping papers, markings, labels, containers, etc.) l 3111 of Ladiag appears sempletas D v-- - - -
1
]
.mLinTI0t4 H.0TECT:31 33x:919-5 1-41:3 Aug 20 *?4 14:29 P. 03 i
1-=--E510N REPORT StM'*mY swww? LICDfSEEs Tastco, Inc. P O Box 28511 Greensboro, NC 27417 , 9006 Us 421 Kernersville, NC 27284 [# LICENSE NUpft3R(E;a 042-0894-1 f p g [4] [d 1 INSPECTICII BYs Mark R. Janas Jeffrey J. Buaron ! DATE(s) 0F INSFECTIOlis July 15, 1994 . I ascons anvIrwan are }s naTz: J \ .~. - -~t l ,Q}: -- l 3 .
-8 ,
jc e . 7 a 4 24p : Exmeir 9 PAGE f' t 0F T PAGE(S)
- ALIATICN FFOTECTION % :919-571-4143 Na r '?4 14:30 P.05 Constancy: Date: By: Finding:
Linearity: Date: By: Finding: Accuracy: Date: By: Tinding: Telethernpy/ Accelerator: (tm. monitor, alarms a pt. done calcuiations, monthly spot checks, calibrations) NA 2rit Interviev vith: J. shelton Items of noncompliance:
~'
- 1. Contrary td condition No. 21 of RAML 041-894-1, licensee has not maintained complete records in the following areast a) survey meter calibrations b) quarterly radiographer audits c) quarterly equipments maintenance i d) leak testing of sealed sources j ep training of L. Benton i f) quarterly inventory records potes this item is indicative of the serious lack of overaight of the radiation safety program by the licensee. A follow-up inspection may be il required to ensure licensee has program in place to correct this item.
- 2. Contrary to 15A NCAC 11 .1601 (e), licensee has not fully implemented new " standards for Protection Against Radiation."
l 3. contrary to condition No. 13A of RAML 041-894-1, persone not approved i by the Agency have acted as radiographers or radiographers' assistants. l 4. Contrary to Condition No. 108 of RAML 041-894-1, licensee has worked i under NRC jurisdiction without followl.ng the required reciprocity procedures. I l Additional Information: i e i P EXH - T PAGE OF f PAGE(S)
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P, t!olb # - p'; TO: U.S. Nuclear Regulatory Commission Region 11 FAX: (404) 331-7437 ATTN: Nuclear Materials. Safety and Safeguards Branch 331-4449 3 101 Marietta Street N.W., Suite 2900 . Atlanta GA 30323-0199 Date: 4/24 /iY - .. 1 RECIPROCITY REVISION PAGE , l This revision report applies only to acdvities previously recognm! by NRC Region II. This may delyf change CLIl!NT, WORK LOCATION, DATES OF WORK, and PERSONS WORXtNo. File 3 days in advance! You s,i have insterials in NRC jurisdiction for 380 days in a calendar year including days of use and storage. 3 l Company Name TESTCO, Inc. License No. NC 041-894-01 Phone No. (910) 993-2236 Fax No. (910) 993-8124 g' Person Notifying NRC TC 6h A /b Signature &u-# A b _1/ OCI y 1 1994 k 4.@ WORK INFOIG1ATION SITE 1 Name of Client M I MWA- State- 9'iD - Work Location tre t Address jd bNih - - City MAA N- Contact 8b I2"Ob Site Phone ( ) Pax ( ) l'erson Working M b f VI / .-.- Dates: Start - [j Stop , g's Use I aty~~rgWORK S INFORMATION
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t i 0FRGAl. RECORD COPY SEP 0 Mgg4 l Tastco, Inc. ATTN: Mr. James L. Shelton President P.O.. Box 18511 Greensboro, North Carolina 27419 Gentlemen:
SUBJECT:
RECOGNITION OF RECIPROCITY This acknowledges receipt of your Report of Proposed Activities in Non-Agreement States (NRC Form 241) dated September 1, 1994, and receipt of your reciprocity recognition fee as required by 10 CFR 150.20(b) and 10 CFR 170.31 (Category 16 - Reciprocity). Your North Carolina License Number 041-894-01 is recognized as valid for use in Non-Agreement States for up to 180 days in 1994. You must notify us I concerning any revisions or additions to the activities (i.e., client, j location, dates), by letter, telephone, or facsimile containing the same ' information as reported in Sections 1-7 of NRC Form 241. You may use the i enclosed Reciprocity Revision Form. Your notification should be at least three days in advance of performing additional work. The certification provided in Section 8 of the initial calendar year submission NRC Form 241 will continue to apply to all the activities. There is no additional fee required beyond the first submittal of the calendar year. 1 1 You are subject to requirements in NRC jurisdiction which may not be requirements in your Agreement State. We are providing copies of 10 CFR Part , 19 (Notices, Instructions, and Reports to Workers: Inspection and Investigations), 10 CFR Part 20 (Standards for Protection Against Radiation), 10 CFR Part 30 (Rules of General Applicability to Domestic Licensing of Byproduct Material), 10 CFR Part 34 (Licenses for Radiography and Radiation l Safety Requirements for Radiographic Operations), and 10 CFR Part 71 ! (Packaging and Transportation of Radioactive Material) for your reference. We I also are enclosing Appendix C, 10 CFR Part 2 (General Statement of Policy and ! Procedure for NRC Enforcement Actions). Within 10 CFR Part 34, you should be especially aware that alarming ratemeters are required for radiographers and assistant radiographers, and that newly manufactured equipment (including sources) are subject to performance standards. 10 CFR Part 71 requires users of radiographic exposure devices be < registered as secondary users of certain radiographic devices which are also I regulated transport packages, and that licensees be holders of NRC-reviewed and approved Quality Assurance Programs for transportation of licensed materials. O EXHEIT_ ll PAGE t/ OF /o PAGE(S) i dy $ - m as
Testco, Inc. 2 SEP 061994 Tne Commission may, at its option, conduct an inspection of your activities in the field. If an inspection is performed, you will be billed. The fee charged ~will be the same as that charged a similar NRC licensee. We shall notify the appropriate state (s) concerning your activities. Your cooperation is appreciated. Should you have questions, please contact me at (404) 331-5624. Our fax numbers are (404) 331-7437/4449. Sincerely, ORK;iMAi. SIGNED BY i DEllD J. COI.LIMS. l David J. Collins i Health Physicist l Nuclear Materials Licensing Section Nuclear Materials Safety and ; Safeguards Branch j
Enclosures:
- 1. 10 CFR Part 2,-Appendix C 10 CFR Parts 19, 20, 30, 34, 71, 150, 170
-2.
- 3. . NRC Form 241 (Blank) '
'4. Reciprocity Revision Form
- 5. Reg. Guide 7.10 CC:
Radiation Protection Officer i Fort Bragg, NC , bec w/o enclosures NMSS Reading File i Docket File sfuo are niiions: .. nitionss n J' 70' WAME DJcollins JPPott P0nt DATE 09/06/94 ! f/[/#4 / /94 / /94 / /94 vos (w) coPyt vn M vn no ya no vn no vn gg nelCIAL RECORD COPY DOCUMENT NAME: G:\DRSS\EECIPR\TESTC094.LTR ;
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. SEP 0 61994 Commanding Officer, XVIII Airborne Corps Dirm ' orate of Safety A" oh -u '.A-SA-RP (Mr. Wilbert Evans)
P jiation Protection Officer Fort u...gg, NC 28307-5000 Gentlemen:
SUBJECT:
NOTIFICATION OF RECIPROCITY RECOGNITION The enclosures to this letter are a Report of Proposed Activities of Activities in Non-Agreement Sim es (NRC Form 241) and an Agreement State License. This notice is proviued to you as a courtesy. This office has granted recognition of an Agreement State license for activities to be performed at Foit Bragg. This recognition is authorized i, 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. The licensee has been notified that there n.ay 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. i Sincerely ) ORIGINAL SIGNED BY l DAVID J. COLLINS. David J. Collins Nuclear Materials Licensing Section Nuclear Materials Safety and
- Safeguards Branch
Enclosures:
- 1. Form 241 - TESTCO '
- 2. North Carolina State License bec w/o enclosures: I NMSS Reading File i Docket File
, SEND OFC Ril:DRSS Rll:DRSS i TO NAME DJCollins [td JPPotter i PDR? 09/06 /94 ! DATE / /94 / /94 / /94 / /94
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1994 Sequence 29 Licensee Name TESTCO, Inc. Contact Person James L. Shelton Title President Address 1 P.O. Box 18511 2 City, State, Zip Greensboro, North Carolina 27419 Days-to-date 31
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Phone No. A/C (910) 993-2236 Fax Number A/C (910)993-8124 ( Form 241 Date September 1,1994 Acknowledged Date September 6,1994 Agreement State North Carolina License Number 041 894 4 1 States for Work NC (Ft Bragg) AMENDED 241 ACKNOWLEDGEMENT AND TRANSMISSION Amend. Date Initia; 1 2 3 4 5 6 Use From 09/01/94 UseTo 10/01/94 State (s) NC Ft Brsgg Region (s) 2 Ack. Dats 09/06/94 Means Ackn hr DaysNow(YTD) 31 Copy this section and include numbers 8-14 1 1 l l EXHIBIT // l PAGE COF 17 PAGE(S) ,
E . I' f. TESTCO P. O. BOX 18511 PH. 993 2236 GREENSBORO, NC 27419 PAY E8381
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: U. S. Nuclear Regulatory Commission itegmn 11 FAX: (404)331 7437 ATTN: Nuclear Materials Safety and Safeguards Hranch 331-4449 101 Marietta Strecc N.W., Suite 2900 Atlanta GA 30323 0199 Date: 12/16/94.
RECIPROCITY RiiVISION PAGE This revidon repott applies only to activaies previondy exognaud by tMC Region !!. This may only change CL(ENT, WORK LOCATION, DATES OF WORK. and PERSONS WORKING for 3 days in advance! You niay have materints in NRC jurisdiction for 180 defs zu a cMender year imivdny dav> or ine and storage. CompanyName: TESTCO, Inc. Lietme No.: Nr 041894 01
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\p Phone No.: (910) 993-2236 Fa No- (910) 993 8124 Person Notifying NRC: J.LJheltori .__,. .. , . . . . . . .
Signature: .' , g. ..M/ /I . ., t._F# f(7 woaK ixpoRuarios sits x Name of Client- US Navy State: N.C Work Location Stieet AddieliiU5'WivT~stition TSErv Poin.LNC . . .. _. __ ..___,.,_... _._ l i City: Coatact. M.tskty , . . . . _ _ , . . . . _ l Site Phone- 919 466-9051_... . . , Fax:( ) Person working: 31 Shelton., Dates: Start 12/20/94 ,,_,__ __, Stop Same Day r Days Use l_. ._._, WORK INFORMATION SITE 2 Name of Client: _ _ _ _ _ , . . . . . , , . _ . . . . . . . ,, hte. . . . . . . . . _ . . . _ . , . . . Work Location Street Addtyss: City: __ , . . _ _ _ . , _ _ _ _ , _ . . , . . _ , Contact ... ..,... ._ Site Phone: ( ) , Fax: ( ) Person working: _ W _ _ _ _ _. . E O Dates: Start _ Stop _ ._ . Days i Se a: 0-y .s .$'. NR ' Region 11UseOnly SequenceNo. 29-1994 Toud Days *lhis Year: b kO gg Approved Denied (Reason and attenpts to riconede on back Date: n!/T 91 _ others nocined oi.s e. ...e .s,..n.
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Date Notice Received How (t elephone.-Letter- Fac A'IT: Dave Collins / Licensee :Testcolnc License No. and State PO Box 18511 Greensboro, North Carolina y Datos At Location 11/13c /94 NC 830410894-1 Model No. Radioactive Material Device & Source Curies ir 192 Spec 2-T & /# Personnel operating source (s) _ Joe Dixion I 74 r/ III8C " D M' L-Person notifying this office LH Sbelton [ <^ D Telephone number At Location Unknown. Other information Contact Percon f& James Or... Type of Job Door Sheet Of Tenk Location Occidental Chem. Cgp Qucont Dr. " ~ Belle.W.V.6
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l . l 0FFl0AL RKORD COPY TO: U.S. Nuclear Regulatory Commission Region II FAX: (404) 331-7437 j ATTN: Nuclear Materials Safety and Safeguards Branch 331-4449 l 101 Marietta Street N.W., Suite 2900 Atlanta GA 30323-0199 Date: 1 RECIPROCITY REVISION PAGE This revision report applies only to activities previously recogmzed by NRC Region II. This may only change CLIENT, WORK LOCATION, DATES OF WORK, and PERSONS WORKING. File 3 days in advance! You may have materials in NRC jurisdiction for 180 days in a calendar year including days of use and storage. Company Name TESTCO, Inc. License No. NC 041-894-01 Phone No. (910) 993-2236 Fax No. (910) 993 f/2 Person Notifying NRC # b- 6 d E Jo N Signature N Ch() ES W INFORMATION SITE 1 Name of Client '*/ "F3 C bN@ State iD M l Work Location Str Add ess ' b1er k Tifs # 4 BdBEA b City b " f 'I ' vv Cobet i Site Phone ( ) Fax ( ) Person Working Dates: Start b Stop /8 [N Days Use E WORK INFORMATION SITE 2 l 7ip Name of Client State Work location Street Address City Contact l Site Phone ( ) Fax ( ) Derson Working Dates: Start Stop Days Use NRC Region II Use Only Sequence No. 29-1994 Total Days This Year D te G
- e notified su 'M Licens Cont et N Person Acknowledging ~ / ~
w eir j ,y PAGE 13 0F 10 PAGE(S) 1 I
NEM.Fquimm TO: U. S. Nucicar Regulatory C ommission Region 11 t FAX: (404)331-7437 i ATrN: Nuclear Materials! Safety and Safeguards Branch 331-4449 101 Marietta Streep N.W;, Suite 2900 Atlanta GA 30323.0199 ,,-
.......-......,a... . . . . .
Date: 01/08/947 '
.RECIFROCITY REVISION PAGE This revision repott apphes only{to activitias pmiously recgiured hv 1:
RC Region 11. This may only change have matcdnisin NRC#risihticab 180 days in a cater. der CompanyName: TESTCO, Inc. Liceme No NC 041894 01 1 Phone No.: (910) 993-2236 j Fax Na: i (910) 993 8124 Person Notifying NRC:_ Louise Shelton (} Signature: M . _gd's.,.W%,,_
\
WORK INFORMATION
, S1TE I '
Name of Client A M.C , State:~VA. . _ , , , _ , , , , , , Work Location Street Addms: J 20 Ehintorth St._,,, , City:.M_asin.sviife
Contact:
JohnQ3nt . . , _ b yO '~ r13J Site Phone:( 703M32-0136
, Fax:( )
. __ Person working Joe Dixiop.
9 Dates: Start 01/09 _ Stop than 180 Days phisse sea us f3EC'TicenseDays the On poing jcb that willlast more Imformation and Application i i 1 1 WpRK IFFORMATION SITE 2 t Name of Client: i _, State: _ _ , , _ _ Work Location Sutet Addressi .. City: ._ Contaa - SitePhone:( )- Fax:( )- . . . . . , , Person worki.ag: ,__ b 6 N Dates: Start. __; Stop __ n.mthe E S o]
; 3.. . _ -
h w NRC egion11UseOnly S Approved vence No 49=49%. Total Dan 'nris Year.- O Desef (Reason and attempts to reconcile on back) E e
......,.....,c.,..c..,...., ......w.. rayw a o* a r.:g g DIVISZoM or KADIArIoti PitoTcCT!oN
\, .
- 9. DCPARTMENT Of ENV1FordilENT, LT!! ,
's
- AND NATURAL RESOURCES s
P.ADIOACTIVE MATERIALM LicF. HSE rur .t.n n t to North Carolina Pogu.'.ationn for Protection Againut Radiation and in reliance on statoscate and reproacutations hetetofore made by the licensee, a license is bereby is: sued authorizing the licentoo to roccive, acquire, own, pu u r.cs s , transfer and import radioactive matcrisis listed below; and us<> Such radioactive material fr.r the pJrpose(s) and at thu place (s) designated below. Thj.1 Licence is subject to mJL applicable rules and regulations of the North Carolina Dopartmont of Environment, Health, and Natural Resources now or horcafter in effect and to any conditions specified,b,ulew. , Liceusco
- 1. Names Testco, Inc. 3, 1,s.onne No.: 041-0094-1
_. ___=
- 2. Addressa P.O. Box 118 b11 Groentboro, Uc 2141'l 4. cr.piration Date: January 31, 1975
- 5. . . -Aiwndsmnt No. 3
- 6. Radioactive Hatcrial 7. chemical and/or H. Maximum Amount of Radioactivity (elemont and mass no.) Physical Form and/C'r Quantity of Radioactive Haterial which Licensee may Posse.ss at any one time.
A. Iridium-192 A. seated Sources A. 300 curies total (3 sources (SPEC Hodels C-Ir each not to exceed 100 curies). or C-3r) B. Iridium-192 B. Scaled Sourcon it. 200 curies total (2 sour:es (SPEC Hodel G-2J) each not to exceed 100 curies). C. Iridium-192 C. Scaled Sourcwo c. 150 curies total. (SPEC Model G .10) D. Iridium-192 D. Scaled sources D. 200 curies total (2 sources (SPEC Hodel T-5F) each not to excoed 100 curies). E. Iridium-192 E. Scaled sources E. (Amorcham Hodel 200 curies total (2 sources " 899-12, 848) each not to exccod 100 curies). F. Iridium-192 P. Gealed Sources P. (Amurcham Model 300 curies total (3 sources 899-11, 848) each not to exceed 100 curies). O. Iridium-192 C. Sealed Source (Amorcham Model G 220 curies total (2 cources not h424-9) to ex:eed 110 curies). H. Cobalt-60 H. Sealed Source n. 30 curies total. (Amersham Modul A-424-14)
- 9. Authorized Uno " '~
A. To bo used in a SPEC 2-T or Camma Century S WNputeuter deWice for induUtrial radiogEaphy and a SPEC Model C-1 aource exchanger.
- 5. To be used in a SPEC Check I or Gamma Pipelino I (s unaltne type exposure device) for industrial radiography and must be returned to soun , nopplier for source exchange'.
C. To be used in a SPEC Chock II (pipeline type expumaro ilevice) for industrial radiography cod must be returyod to cource supplier for source exchange. D. To EPEC be C-1 uccd in a 4'ersham source edchanger.Model 660-5 exposure device for industrial radiography and a
~ . . . . . - - - I!
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, DIVISION $P RADIATION PROTECTION i:
, N . DEPARTMENT CF. ENVIROWNENT, El TE,
, AND WATURAI. RESOURCES RADIOACTIVE NATE'RIAI, LICENSE I.icense No. 041-0894-1
#~'
supplementary sheet i Authorised Use (continued):
.c. To to used in e Aeersham Model 660-B exposura derace for industrial radiography and a SPEC C-1 source exchanger. , l
- 3. To be' used in a SPEC 2T expasure devico for industrial radiography and a Gamma l
{ Industries C-10 source exchanger. 4
- r. To be used in a Cnama Century 3 exposure device for industrial radiography and an Asersham Hadol U-110 or 500 SU source exchanger.
q. To be need in an Amoraham Hodel 660-8 exposure device for Andustrial radiography and an A.~.crsham Model 650 source exchanger. . tr . To to used in an Amer-Test Tech-Ops Model Ten-741 for Andustrial radiograp,hy and muJt be returued to ths source' supplier for source exchange. - 3g - Conditions: 12, radioactive material may only be stored at 1-C wenoy court, Guilford Industrial Park, Grounnbore, N.C. 27409 and at ten.porary job sites an 4ecordance with the North Carolina , 1 Regulations and USDOT Regulations. Appropriate surveys, posting, security and shipping paper shall be provided in accordance with the approprieto regulations, , l
'i. ;tt'licentce shall comply with provisions of 15A NCAc Jl .0400 : f ormerly 10 NCAC 3G .2500) !
"sttndards for Protection Against Radiation," ISA NcAC 1; .3000 (formerly 10 NCAC 3G l
.2600) "Scfety Requirements for Inductrial Radiograpny oporations," and ISA NCAC 11 (forearly 10 UCAC 3G .3100) " Notices, Instructions. Reports and Inspections." (Tho North Cat:line rugutations for prote;ction Against Radiatton are contained in 15A NCAC 11
- 'formerly 10 NCAC 3G)). 1
-ws _
Badioactive natorial may also be used at temporary Jobattes of the licences anywhere in 1 Forth Carolina. The North Carolina Departmcat of Environment, Mealth, and Natural Pesourcen, Division of Radiction Protection, Radioactivo Materials Section, P.O. Box ; 27(87, Raleigh, North Carolina 27611-7687, shall be notified of the location (s) of such ' use net no later than three (3) days prior to the firat driy of use. This condition does ; prohibit use in the United States where the United states Nuclear Regulatory Ccmmtonion reaintains jurisdiction for regulating the use of radioactive material, not '
- in Agreoment Staten under reciprocity procedures which may be established by the 8 Nuclear Regulatory Commission or the rcepcct1ve Agreement States. If for a specific case the three-day poriod 'would impose an unduo hardunip on the licensee, he may ugon application to the Agoney obtain permission to proceed sooner.
l
- 3.
11 lacu cf the control device requirements in ILA bcAc J1 .0411*c)(2) [formerly 10 j t N;AC 3G .2511(c)(2)), the. entrance of the high radAntion area must be under continueus surveillance of>a radiographer or radiocrapher's asetstant and/or locksc, t 2: c2 te make the ares insecessible at all times when a radiation level exists there in which could cauce an individuel to receive a doso so oxcess of 100 millirem in cna hour.
;4A. The individuals listed beicw are the only persons uut.ncr6 ed by this license to act as . ' radiographers and radiographers' assistants as definod in 15A NCAC 11 .0502 (formerly 10 NCAC 30 .2602): ,
l t Badienranhers , 1 James L. Shelton Loonard B. Sparka, Jr. Joe Dixon ,
- 3. 71.2 *adiation Protection Officer for the activittas authorir.ed ley this license is James L. '
Shelton, s 3 Pursuant to 15A NCAC 11 .0507 (formerly 10 NCAC Ju .JnD/1, the licensee is authorised to - I perform toets for leakage or contamin2 tion of the a.ealed sources authorized by this , licenne in accordance with procedures contained in the Testro, 2nc. Operating and ; Emergoney Procedures Manual dated January 12, 1990, or insts may be performed by other persons specifically authorised by this Agency to per:Mrm such services. fl _ l l PAGE lh OF_ /r7 PAGE@)
DIVJSAON oF RADIATION &T4cTECTION N . DEPARTMENT oF ENVIRQt! MENT, H r * *.TE , AND NATUnAL RCSOUMCES RADIOACTIVE MATERIAL LICENSE Licceso No. 041-0894-1 Supplementary Sheet
. aditions (continued):
- 16. The licensco is authorized to receive. pouncss and use r,ealed soureca of Iridium 192 or cobnit 60 where the radioactivity exccode the maximum amount of radioactivity specified in Item 8 of this licenso providod:
A. Such possosoion does not execed the quantity per pource specified in Item 8 by more then 20% for Iridium 192 er los for cobalt 60; B. Records of the licenace show that no n.oro than the reaximum amount of radioact;.vity por source specified in Itta 8 of the licor.se van ordered from the supplior or transfetor of the radioactivo material; and C. The lovels of radiation for radiographic exposure devices and storage containers do not excoed thooe specified in 15A NCAC 11 .0503 [formerly 10 NCAC 3G .260*>]. 17. Th3 licenace is authorized to poonees, use and tr+ister up to 1000 pounds of Uranium
' licence. as shielding materici in the radiography exposure devicca authorited by this contained 18.
Sesied courecs of radioactive material shall not 64 techniques to produce a radiation level in excess of t hecombined for use in open air single source authorized by this liconto for opon air use, level producod by the largest 19. Th3 licencee chall conduct a program for inepecttun and maintenance of radiography exposure importantdevices and storago containors to a0:ure proper functioning of componentis to cafety. intervals not to excecd three (3) montho.Tho inopoetion and maintenance pecgram shall be conducted an for inspection by the Agoney. Recorde of the results shall be maintained es The liccnoce shall not transfer pocccasion and/or containing radioactivo material ao a centaminant except:contrei of materials or productu A. By transfor of waste to an authorized recipient.; 8. By tranufer to a specifically licensed rocip2ent; or C. As provided otherwise by specific condttien of t.h i u licenco pursuant to the , requirements of 15A NCAC 11 .0416 [formorly 10 NCAc 3G .25.16}. '
'1. !
Tho licensee may transport licanood material or deliver licenced matorial to a carrier for transport, Todaral Regulations, Part 71,in accordance with the provisions of Section 71. 5, Title 10, code cf
" Packaging of Radioactive Materini For Transport."
2. . Except no epecifically provided otherwise by this liennoo, the licensee shall posecss and uos radioactive statements, material described reprecentations in Itemucontained and procedurco 6, 7 and in: 8 of this license in accordance with A. B. Application dated January 10, 1990 and signod by Luthor D. Barrier, President, R.S.C. C. D. Letter with attachmdats dated April 6,Tostco, Inc. Operating and 12, Emergoney 1990. Procod Letter with attachm4nts dated August 7, 1990 and signed by I.. D. Barrier. E. 1990 and eigned by L.D. Barrier, R.S.O. ! F. Letters dated September 18 & 26, 1990 and eigne$ by James 1. Shelton, President. l 1 Letter with attachments dated October 10, 1990 and signed by James L. Shelton, President. G. Letters with attachments dated October 10 & 16, president. H. 1990 and signed by James L. Shsiton,
- 1. Application with attachmonts dated MarchLetter with attachments ,dated R.S.O.November 2, I
. J.
signed by J. L. Shelton, R.S.O. 11, 1991 and letter dated March 20, 11'91, K. Letter dated FebruaryLetter with attachments. dated September 6, 199J,and signed by J. R.S.O. 24, 1992 and signed by Jim L. Shelt n, R.8.0. to Cf Issuance April 15. 1992 Fou Director, m wn as N3. CTE-5211 Division of Radiatgggggfftecti.on / / ' av. 10/89) PAGE 19 0F I'7 PAGE(8)
l
)
t EXHIBIT 12 THIS RECORD IS BEING MAINTAINED IN THE OFFICE OF INVESTIGATIONS , 1
'1 1
EXHIBIT 13 THIS RECORD IS BEING MAINTAINED IN THE OFFICE OF INVESTIGATIONS
i I K EXHIBIT 14 THIS RECORD IS BEING MAINTAINED IN THE OFFICE OF IINESTIGATIONS l l l 1
UNITED STATES OF AMERICA NUCLEAR REGULATORY COMMISSION OFFICE OF INVESTIGATIONS IN THE MATTER OF: TESTCO INC. CASE NO. 2-92-027 TO: James L. Shelton YOU ARE HEREBY COMMANDED, pursuant to Section 161 (c) of the Atomic Energy Act of 1954, as amended, to appear at the Travelodge Motel, 2112 W. Meadowview Road, Greensboro, North Carolina 27403, on the 23rd day of November,1994, at 9:00 a.m., to testify in the matter of potential violation of 10 CFR 150.20 by TESTCO Inc. YOU ARE FURTHER COMMANDED to provide the NRC all records in your custody, possession, or control relating to TESTCO Inc.'s possessing and using radioactive materials, subject to regulation by the NRC, in areas of exclusive Federal jurisdiction. These records should include but are not limited to: job records, utilization logs, radiographic films, quality assurance records, NRC Form 241's, work diaries, notes, billing and payment mcords, calendars, and correspondence. Areas of exclusive Federaljurisdiction include: non-Agreement states, U.S. military facilities, Veterans Administration hospitals, and other Federal facilities. The records shall be delivered to the Travelodge Motel, 2112 W. Meadowview Road, Givensboro, North l Carolina 27403, on the 22nd day of November,1994, at 11:00 a.m. BY ORDER OF THE DIRECTOR, I OFFICE OF INVESTIGATIONS By b ll l Wilham J. l\fcNulty, Field Office Director Office of Investigations, Region II Date Ik!7 jN Requested by: Office of Investigations U.S. Nuclear Regulatory Commission 101 Marietta Street, NW - Suite 2900 Atlanta, GA 30323 (404) 331-6502 On motion made proseptly, and in any event at or before the time specified in the subpoena for compliance by the perron to whom the subpoena is directed, and on notice to the party at whose laat= ace the subpoena was issued, the Commission may (1) quash or modify the subpoena if it is unreasonable or requires evidence not relevant to any matter in issue, or (2) condition denial of the motion on just and reasonable terms. Such motion should be daracted to the Secretary of the Commission, Washington, DC 20555. Failure to comply with the terms of this subpoena may result in the Commission's seeking judicial enforcennent of the subpoena pursuant to Section 233 of the Atomic Energy Act of 1954 as amended, j 42 U.S.C. 2281. g jy cAsmo. 2 - 9 2- 0 27R PAGE / OF_ A PAGE(S) --
RETURN 1 1 1 CERTIFICATE OF PERSONAL SERVICE: I certify that I delivered a copy of this subpoena in hand to: l 4 TAM [3 $NELioA/ ] i a on A/ovragrA E .19 *> 4 , at e ! Io o' clock A. M.,at e c o /o # w Y '/ 2 / , Cc C FA x , Ai r. 2723f I . i
- CERTIFICATE OF SERVICE BY MAIL
- )
i i I cenify that I caused a copy of this subpoena to be mailed by I mail, postage prepaid, to the address specified and with delivery restricted to the person named ; theiron on , 19 , Receipt No. . d 1 bw/ 4X fgnaturidf '
/An m 7~ 747c - mets nc.AT0X (Prmted Name and Title)
Office of Investigations U.S. Nuclear Regulatory Commission EXHET h PAGE 1. OF J PAGE(S)
'___U__
t l- RADIOGRAPHY PERFORNED BY TESTCO DATE JOB LOCATION CITY STATE SOURCE COP 91ENT I h 941115 Pizzagalli Ft. Bragg Shipping Papers NC Failed to report as 941114 Pizzagalli Ft. Bragg~ NC Shipping Papers Failed to report P 941113 Fisher Tank i' Belle WV Shipping Papers Reported 941110 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report M 941107 Pizzagalli Ft. Bragg NC- Shipping Papers Failed to report e 941104 U.S. Navy Laural Park NC Shipping Papers Failed to report CD 941103 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report to 941102 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941026 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report
- q. 941025 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report y 941024 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report q 941021 Fisher Tank Belle WV Shipping Papers Reported
, q 941019 U.S. Navy Norfolk VA Shipping Papers Failed to report 941018 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941017 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941012 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941007 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941006 Pizzagalli Ft. Bragg NC Shipping Papers Failed to report 941005 U.S. Navy Norfolk VA Shipping Papers Reported 940930 Pizzagalli Ft. Bragg NC Shipping Papers Reported 940928 Pizzagalli Ft. Bragg NC Shipping Papers - Reported 940928 NRC Notification Norfolk VA NRC Records 940926 NRC Notification Norfolk VA NRC Records 940921 Pizzagalli Ft. Bragg NC Shipping Papers Reported o 940920 Pizzagalli Ft. Bragg NC Shipping Papers Reported g 940916 Pizzagalli Ft. Bragg NC Shipping Papers Reported m 940915 Pizzagalli Ft. Bragg NC Shipping Papers Reported 940913 Bay Mechanical Ft. Bragg NC Shipping Papers Reported
% g 940908 Pizzagalli 940901 Bay Mechanical Ft. Bragg NC Shipping Papers Reported Ft. Bragg NC Shipping Papers Reported O
l 940901 Filed NRC Form 241 940831 NRC Inspection Ft. Bragg NC NRC Records b' N 940830 Bay Mechanical Ft. Bragg NC Shipping Papers Failed to report 9 940817 Bay Mechanical Ft. Bragg NC Shipping Papers Failed to report i 940715 NC State Inspection 4 _ _ _ + . - -- - .n - . - -_ ___ __ --.-
A i DATE JOB LOCATION CITY STATE SOURCE COP 9 TENT 940601 Shaw AFB Shaw AFB SC NC State Insp. Failed to report *
-940501 National Guard Macon GA NC State Insp. Failed to report
- 940501 U.S. Army Ft. Jackson SC NC State Insp. Failed to report
- 940501 Shaw AFB Shaw AFB SC NC State Insp. Failed to report
- 940301 Burksville Al NC State Insp. Failed to report * .'
940216 U.S. Army Ft. Rucker AL Shipping Papers Failed to report i 940215 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ! 940214 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ' 940213 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940212 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ' 940211 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 940210 U.S. Army Ft. Rucker AL Shipping Papers Failed to report i 940209 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ! 940208 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940207 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940206 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ! 940205 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 940204 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940203 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940202 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940201 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ; 940131 U.S. Army Ft. Rucker AL Shipping Papers Failed to report !
-940130 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940129 U.S. Army Ft. Rucker Al Shipping Papers Failed to report
, 940128 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940127 U.S. Army : Ft. Rucker AL Shipping Papers Failed to report i g 940126 U.S. Army Ft. Rucker Al Shipping Papers Failed to report g 940125 U.S. Army Ft. Rucker AL Shipping Papers Failed to report m 940124 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 940123 U.S. Army Ft. Rucker AL Shipping Papers Failed to report ; kh 940122 U.S. Army 940122 Phoenix Fabricators Ft. Rucker Hillsville Al VA Shipping Papers Shipping Papers Failed to report Failed to report
@ :5:q 940122 Phoenix Fabricators South Hill VA Invoice ***
940121 U.S. Army Ft. Rucker AL Shipping Papers Failed to report D 940120 U.S. Army
] Ft. Rucker AL Shipping Papers Failed to report 940119 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 940118 U.S. Army Ft. Rucker AL Shipping Papers Failed to report
_____.__._________.m______.__.___.__._m__.._ __._=________._________._m___ _ _______ _ _ ____._______________-______m _ _ y _. __ u-- . -______.1-._____ -
l DATE JOB LOCATION CITY STATE SOURCE- COPMENT 940117 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 940113 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 940112 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940111 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940110 U.S. Army Ft. Rucker Al Shipping Papers -Failed to report 940108 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940107 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940106 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940105 U.S. Army Ft. Rucker AL Shipping Papers railed to report 940104 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 940103 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931223 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931222 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 931221 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 931220 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931218 U.S. Army Ft. Rucker AL Shipping Papers Failed to report
~931217 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931216 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931215 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 931214 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931213 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 931209 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931208 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931207 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931206 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931205 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report g 931205 U.S. Army Ft. Rucker AL Shipping Papers Failed to report p 931204 U.S. Army Ft. Rucker AL Shipping Papers Failed to report m 931203 U.S. Army i Ft. Rucker Al Shipping Papers Failed to report 931202 U.S. Army Ft. Rucker Al Shipping Papers Failed to report bhg 931201 U.S. Army 931130 U.S. Army Ft. Rucker Ft. Rucker AL Al Shipping Papers Shipping Papers Failed to report Failed to report '
MA 931129 U.S. Army 931124 U.S. Army Ft. Rucker Ft. Rucker Al Shipping Papers Failed to report AL Shipping Papers Failed to report n } 931123 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931122 U.S. Army Ft. Rucker AL Shipping Papers Failed to report g 931121 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report cm si I
l l i DATE JOB LOCATION CITY STATE SOURCE COP 9 TENT l . l 931120 Navy Fuel Depot Craney Island VA Radiographic Report Failed to report 931120 U.S. Amy Ft. Rucker AL Shipping Papers- Failed to report t 931119 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report ! 931118 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931117 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report i 931116 U.S. Amy Ft. Rucker AI. Shipping Papers Failed to report 931115 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931111 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931110 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931109 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931108 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931106 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931105 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931104 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931103 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931102 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931101 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931031 Navy Fuel. Depot Craney Island VA Daily Insp. Report Failed to report 931028 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report Craney Island VA 931028 Navy Fuel Depot Daily Insp. Report Failed to report 931027 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report , 931026 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931025 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931023 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report 931022 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931021 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 3 931020 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report
@ 931019 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931018 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 4 (3 931014 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report T 931013 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report o
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931012 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report 931011 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report s 931010 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report h q 931009 U.S. Amy Ft. Rucker AL Shipping Papers. Failed to report 931008 U.S. Amy Ft. Rucker Al Shipping Papers Failed to report 931007 U.S. Amy Ft. Rucker AL Shipping Papers Failed to report _______._____m.. _ . _ _ _ _ _ _ _ _ _ _ __ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. , , - _w . ,
m . _ .- _ _ _ . _ . . _ _. ._ _ _ _ _ _ . ._ _ . _ _ __ . DATE JOB LOCATION CITY STATE SOURCE COP 9 TENT 931006 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 931005 U.S. Army Ft. Rucker Al Shipping Papers Failed.to report 931004 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930930 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930929 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930928 U.S. Amy Ft. Rucker AL Daily Insp. Report Failed to report 930928 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930927 U.S. Army Ft. Rucker AL Daily Insp. Report Failed to report 933927 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 930926 U.S. Army Ft. Rucker AL Shipping Papers Failed to report , 930925 U.S. Army Ft. Rucker AL Daily Insp. Report Failed to report 930925 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930924 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930924 U.S. Amy Ft. Rucker AL Daily Insp. Report Failed to report ! 930923 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930923 U.S. Army Ft. Rucker AL Daily Insp. Report Failed to report 930922 U.S. Army Ft. Rucker AL Daily Insp. Report Failed to report 930922 U.S. Army Ft. Rucker AL Shippir.g Papers Failed to report , 930921 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930920 U.S. Army Ft. Rucker Al Shipping Papers Failed to report 930919 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report 930916 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930915 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930914 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930913 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930912 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report > g 930912 U.S. Army Ft. Rucker AL Shipping Papers Failed to report o m 930911 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930910 U.S. Army Ft. Rucker AL Shipping Papers Failed to report 930827 Navy Fuel Depot Craney Island VA Daily Insp. Report Failed to report h 930827 Fisher 930813 Navy Fuel Depot Craney Island VA Craney Island VA Shipping Papers Failed to report Daily Insp. Report Failed to report o m 13 9 930412 Phoenix Fabricators Boydton VA Invoice *** 930204 Union Camp Corp. Franklin VA Invoice *** D-Q 921219 920911 Fisher Tank Yorktown Yorktown VA VA Diary Invoice *** Failed to report g 920909 Amoco Yorktown VA NRC Insp. & DIR Failed to report si
+
DATE JOB LOCATION CITY STATE SOURCE COP 9 TENT 920701 Filed NRC Form 241 Martinsburg WV TESTCO Records- No NRC. record 920324 Campbell Co. Lynchburg VA Daily Insp. Report Failed to report
, 920320 Phoenix Fabricators Goochland VA Invoice *** Failed to report 920221 U.S. Army Ft. Benning GA Diary Failed to report 920129 Yorktown VA Diary Failed to report 920128 Yorktown VA Diary Failed to report 920113 Amoco Yorktown VA Invoice ***
920107 Amoco Yorktown VA NRC Insp. & DIR Failed to report 911223 Amoco Yorktown VA Invoice *** 911219 Doswell, VA Doswell VA Diary 911219 Doswell Water Treatment Doswell VA Daily Insp. Report Failed to report 911218 Yorktown VA Diary Failed to report " 911205 Amoco Yorktown VA Daily Insp. Report Failed to report 911123 Ft. Chiswell Consnunity Wytheville VA Daily Insp. Report Failed to report 911120 Duke Power Clarksville VA Daily Insp. Report Failed to report 911114 Duke Power Clarksville VA Daily Insp. Report Failed to report 911024 Duke Power Clarksville VA Daily Insp. Report Failed to report 911007 Duke Power Clarksville VA Daily Insp. Report Failed to report 910912 Henry Co. Henry Co. VA Daily Insp. Report Failed to report 910830 Hipp Const. Co. Montvale VA Invoice *** Failed to report t 910823 Filed NRC Form 241 Narrows VA TESTCO Records No NRC record 910626 Transcontinental South Hill VA Daily Insp. Report Failed to report : ' 910619 Wood Fiber Ind. Danville VA Invoice *** . Failed to report ' 910213 Doswell Water Treatment Doswell VA _ Daily Insp. Report Reported : 910211 Filed NRC Form 241 Doswell VA NRC Records m 910102 Pittsylvania Co. Brosville VA Invoice *** Failed to report g 901113 City of Churchv111e 900719 Filed MRC Form 241 Churchville Ft. Bragg VA Radiographic Report Failed to Report NC TESTCO Records No NRC record 900621 U.S. ARMY SOCOM Ft. Bragg NC Daily Insp. Report Failed to Report ' bQ 900618 U.S. ARMY SOCOM 900615 U.S. ARMY SOCOM Ft. Bragg Ft. Bragg NC Daily Insp. Report Failed to Report Daily Insp. Report Failed to Report Qgq 900119 Pittsylvania Co. Brosville NC VA Daily Insp. Report ** N/A Tank Farm Hillsville VA NC State Insp.
- N NY Tank Farm Franklin VA NC State Insp. *
- Documents to support state inspection findings have not been located.
m
** NRC licensing does not maintain records prior to May 1990. !
*** Invoice date does not indicate date of work.
- . . . . - - - . . ~ ~ . . . . ..- .-. .~
i GORDON & JOHNSTON ATIORPtEY5 AT1AW ' MDEFENDENCE CEPffER. SUrII502 400 W. MARErr sTEEIT GREENshoho.NoRTHCAEo1MA 27401 t HAaRYG. GoRDoN* TELEPHONE S10) 27M910 acaERT LJotetsfoN Fnwn F ple? 27M797
<m samasse en seen met ame vtena December 12,1994 l Mr. Craig Tate Office ofinvestigations U.S. Nuclear Regulatory Commission 101 Marietta Street, Suite 2900 Atlanta, Georgia 30323 Re: James Shelton and Testco,Inc.
Dear Mr. Tate:
Confirming our telephone conversation of Friday, December 9,1994, please be advised that in light of the possible criminal charges that could be brought against Testco, Inc. or James Shelton as a result of the investigations of Testco, Inc.'s activities which your office has undertaken, I believe it would be unproductive for your office to attempt to interview Mr. Shelton on Tuesday, December 13,1994, as originally planned Ifsuch interview were to take place, due t to the possibility of criminal charges, I would have to advise my client, based on his Fifth [ Amendment privilege, not to answer many of the questions that I would anticipate you would be + asking. i Sincerely yours, GORDON & JOHNSTON { , Robert L. Johnston I RU/mmb _ ! EXHBK /II cern. 2 - 9 2. U 271! i.._..,
NRC ponu 241 roam Apenovio ev 5 l non steo cons ! se opm iso ameines toas.s ; U.s.Nucts Am meoutAfony couussosow REPORT OF PM,0,PO[ED ACTIVITIE8 IN NON. AGREEMENT STATES i (Menee esent 60 Metructione err the cover sheet before nz!::: .; MMorm) i.=Aus or Licewase tem.a e , wu e ., ! me w,a emiseseswe.s 3. Aponeis or t,Canse e seen,ae ann.m e.n, = . eremmai eaer essea. =ae - < t
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EXHIBIT I9
, PAGE I OF 7 PAGE(S)
I i N R C P Op:M241 roRu approved e v I 1841) 3150 0013 , 10 CFR 160 E XPlR E 8' 10 3183 O.$.NUCLF AR REGUL ATORY COMMISSION , REPORT OF PMDPO[ED ACTIVITIES IN NON. AGREEMENT STATES (Messe Feed the IrtstFuctions on the cover sheet before completity this form) 1, NAME OF LICENBEf folre en er f,rm propessar le consaver she 2. ADDRESS OF LICENSEE fA8edert edaress er erner fecersea **** usmein seunue woe rocer,see e.sv ee rasseor
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E TESTCO, INC. NON DESTRUCTIVE TESTING 1 C Wendy Court Guilford Industrial Park Greensboro, NC 27409 (919) 547-0823 (800)852 6588 Fax:(919) 547 0956 FAX MESSAGE ATTN ff // / FAX NUMBER [#[-J.I/- ##79
'f FROM: d d . 4 //Ji t_7a d , d d THIS FAX TOTALS d PAGES INCLUDING THIS COVER PAGE DATE: M-J3 - 9/
SHOULD YOU HAVE ANY PROBLEM WITH THIS FAX MESSAGE, PLEASE CALL US AT: (919) 547-0823 (Alf> $5 C.L8d h $0 M)0 0 NOTES: / 45 fod ,& (f)gjpg, g)
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I L D 1 LiU , 11 % . NON DEell1UCllVE TESilfiG 8 f.C Wendy Cour1 Gullford Indust #1;l P:rk Gratt Iboto, NC 21409 j (919) 641-0023 (000)052 6508 Fan 1919)5410950 SHIPPING PAPER FOR llAZARDOUS MATERIALS tror oround TranspostailunOrdy) (Sots kr*ntriu lh uts este eres nose' t khi) This is to certify llist the holehwiamed ennlosinin neo gnoinnly clawlieni. ilme:ntunl. pru kagod siiniked and labeled, and are in p#oper condition for transportalion according to the applicable regulatiets of the Depnelmont of Iranspottalion. , NATURE AND OUANTirY OF DANGEROUS GOODS , , Fropor ShippingName Activity $[o~ieN Yellowif Type A ' l and 8 ' ' l.U. nenJ or Transport > ' or 4' a nadionuclide Nutnber l'ne k nging Ceilificnluni Yellowlli inder Type B
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- s. WORK SCHEDULE .. RADI ATION 500RCE(5) s. RESPON5tsLE PERSONNEL AT SITE a.ca,s s. , su s A. sounc aiwacwins o. s,nswe w/n v A.mAosoemapHan s.w.opsm Jn 7//M& D so en .rnska
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l l WINDS 2R O MYATT i MECHANICAL CINTRACTCS, INC. 1,[773@ @77@MN$@77M1, ; 3706 E. Oak lotand Dewe *-. ) l I P.O. Ses 940
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LONG SEACH. NORTH CAROUNA 28465 **"5 /3 / 90 9001,9002,9005 (919)278-8004 ,,r... 1919) 497 0478 Jim Shelton, L. D. Barrier l 1 SOCOM - Csoup Operations Complex TD TESTCO SOCOM - Operations Complex P.O. Box 21346 Academic Facility
^ "*"""
Creensboro, N.C. 27420 WE ARE SENDING YOU O Attached O Under seperate c9ver via the followmg items: O Shop drawings O Prints O Plans O Samples O Specifscatens O Copy of letter O Change order G purchase Order comics oats no ossenarteon 2 5/3/90 Statement & Acknowledgement (Please fill our Part II and return two (2) copies). 2 5/3/90 Copies of Purchase Order (Please sign & return yellow copy). Examples of Insurance Certificate - Flease make sure that items 1 5/3/90 gg g _ _ f . g_g .g . v ..,.g.. .
...g 9 , example or they will be rejected and returned for corrections by the Corps.
1 5/3/90 Example of Certified Payroll and Sales & Use Tax Forms 5 5/3/90 Subcontract Pay Request Forms. THESE ARE TRANSMITTED as checked be6ow-3 For approve' O Approved as sutwnNted O Resubmit copees for approval O For your use O Approved as noted O Submit copes for distnbution
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O As requer.ted O Returned for correcteens O Retum corrected pnnts O For review and comment O O FOR 8tDS DUE 19 O PRINTS RETURNED AFTER LOAN TO US CEMARKS Please sign and return yellow copy of purchase order. Also, please follow specific guidelines when filling out Certificate of Insurance as it will be rejected and returned by the Corps. if not correct. Thank you! Please make note of the special requirements for Certificate of Insurance j on Purchase Order per attached. l
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o. COPY 10 File. Field. Corr, CC, FU / UAfin 5 E 9 2 ' 0 2 7 R. . e. . SicNED;.. c . (', EXHIBIT _ /6 ) pgg l OF 19i PAGE(S) l 1
TESTCO, INC. NON DESTRUCTIVE TESTWG 1 C Wendy Court Gullford industrial Park f l Greensboro, NC 27409 (919) 547 0823 (800) 852 8588 e Fax:(919) 547 0956 vsRus: u.i ao o.y. TO:
- Fisher Tank Company 2330 Two tiotch Roac Lexington, SC 25072-6996 Eh'A!".'A3*Nc? '"" -
- INVOICE NO. DATE OF INVO!CE oX"oiWo. coWR"Act"4o. oIEl'R 2o.
3C 46125 1-1005 91-11-10S !!ovoc.bor 21,ii'r1 vvessEnvicEI.acio;;c;, hic Inspect. ion cf 1:1gh Ccnc Roof Tucl Storage Tank coce. vion, T.uhc I>ower/rluer I.;cnici - Clcrksvillt., V;. TEcNNiciANsi; . 5 hcitor./J .Dixcr. NOUR5 E M PE N5 E S M ATE R I A L oATE REGULAR I OVE RTIME TRAVEL ST ANOBV MILE AGE I SUBSISTENCE FILM 4 $Upp(IES I' i
. l l
i i f TO1AL l l l l _ REGULAR HOURS e $ fMR .- $ _ rU yreCE.Ent {,gg,gg OVERTIME HOUR $ p 5 /HR - $ TRAVEL HOUR $ #$ /HR - $ STANDBY HOUR $ @$ /HR - $ 'ictL1 thig ir.VQ1ce LOO.0L MILES 9$ /M1 - $ PER TRIP CHANGE - $ SUBSISTANCE - 5 FILM
. \L Ob[
ew"N7" , FILM IP S /E A
- S dw" N 10" P s LM c' S /E A - 8 dw" M ! ?" FILM eS /E A - S 44" M !?" FILM eS /E A - S 70 mm FILM =t / -1 a 6 / 6
. LAW NUMSC R4 t MA &
TOTAL 8 ,g ,,[ A 8 easate Cnaves et les Per Montn (IS% Annuany) wue se Cnaroes On Unease esatance Af ter 30 Days PAGE 7- OF FRPAGE(S) i l
I TESTCO, INC. 140N DESTRUCTIVE TESTING 1.C Wendy Court Gullford industrial Park r*, Greensboro, NC 27409 (919) 547 0823 (800)852 6588 Fax:(919) 547 0956 Tamus: u.iao om TO*
- Fisact 'lan): Coc.pany
. 2330 Two Notch Roac Lexington, SC 29072-6996 gegg,5,gvonee No.
o%"oiS^N'5. edRIa"Ac'T "o. oaEI'n*2o. 'Nvo8ct a o- o^TE o' '"Yo'ct
, , , , . 4. 01 M i-1005 51-1~-10( ;,c V c.tc E.: 1,1b1 vver senvece, T.scic;; apt.ic intpe::icn of List. tmorella i:ccf L:cresc '.cni.
loc . Tion. .,u': . i owcr. T1ue: L:nic; - Cir. xsvilic. Vs. TECteNICIAN5: L . SJ .. g rl;; , , ,1C U LD Crf, e,ou R 5 i EzPEN5E5 { M ATE RI A L oATE R E G U LA si i ovs nTeME i TRAVEL ST ANo8V M ILE AGE ' SUBSIST ENC E FILV 1 SUPPLIES l I I I l i i i i I l MEGULAR HOURS @ $ /HR - $ ,, . OVERTIME HOURS @ $ /HR - 5 *.,
- TRAVEL HOURS 9$ /H R - $ j STANDBY HOURS 9$ /HR - $ 1CCL1 thi$ iLVOiOC 1, G(i C , ( L MILES 9$ /MI - 5 1 PER TRIP CHANGE - 5 SUB$fSTANCE - $ ;
l vnM Q \9iM ~ -
. . , - .,L... ,,A-,
die" M30" F ILM 68 /E A - 8 ew" w 37* F LM es /t A - t le* N !?" FILM t- 8 /E A - 6 1 70 m i FILM *S / *5
*6 / -S lab NUM8( A4 . /f A S 101AL 5 [,g e,[
A,....c......i,.M......A...........c.....o.,o,..........A.,.. , , o. . . PAGE 3 OF N PAGE(S) l l l
. TESTCO, INC.
NON DESTRUCTIVETESTING 1 C Wendy Court Gullford Industrial Park f l Greensboro, NC 27409 (919)547 0823 (800) 852 6588 Fax:(919) 547 0956 TERu$: em ao o.. TO:
- Fisher Tcnn Company 2330 Two f;otch Roat.
Lexineton, SC 29072-0996
. PLEASE SMOW INvotCE NO ON REMITT ANCE OIWR"00. INVOICE NO. DATE OF INVOICE DUl*iTO. edO*R"Ad7 00.
1(S; .; s' 1 ". L i h 7-1005 31-11-10E Foven tc.r 11,'! !r1 vveEsERvecE5 nroc Le16crr ' Certificction: a.0cc.T.ON, " c.:<. 1 caccr Ccrc.:p ny / C1::r.svi11c. , V1. T ECHNICI AN$ r [ , C U( 1 t Cn /1,. . hpCr h f HOUR $ E M PE NS E S , M AT E RI AL TRAVEL ST AND8v MILE AGE SUB5ISTENCE I FILM i SUPPLIES DATE REGULAR l OV E p f lME . i 11,*1/i1 '. . : /. . L 22C i* i
! I i
. ' ' . . .; UL:. Ci CL:.; '-G.! I: 0.. . ..: i: AC AI.i GLI.'. C'_ "_ i.2 : : 0? i;,.... ;
4 . *: . ::LL::. . . i l I TOTAL ;.L (.5 f l l'( l .' ' l
~
/HR - $
nEcVLAR HOUR $ 9 $ oVERTina5 HOURS 9 $ /HR - $ b** TRAVE L HC 11R$ 9$ I'
- b /HR - $ " *bb STANDBY HOL R$ 95 /HR - $
la ' MILE $ 95 ba4L/MI - $ lbbabd PER TRIP CHANGE - S rgggreg. (3) g , c ic g_,g g, ' ([;,g( j g, ,, , g ( SUS $tSTANCE - $ FILM ew"x7" , F4LM e S /LA - S ate"N 10" FILM er 5 /E A - S l . aw" W17" FILM er 5 /E A - S 3 4" x 3 7 FILM es 8 /E A - S 70 mm FILM . S Ieb. / +8 b . b L'
. c t.: 1 in '. E 1 DVc.ic t "...
LAi, NUMet Rs S er A S TOTAL 8 s ge en !!d - A ... .. < . .. . .,, ... M. . . i ls A,,. ...., .... .. c .. . O., U,,.... wa 4 oF NPAGE(S)
TESTCO, INC. NON DESTRUCTWE TESTING 1 C Wendy Court GullfOrd industrial Park f l GreensborO, NC 27409 (919)547 0823 (800)852 6588 Fax: (919) 547-0956 TERMS: w so 0.v. TO *
- Fisher Task Company
- 2330 Two Notch F.oad Ley.ington, SC 29072-6996
'c' " -
* ;k'n!.,*T"T%n" oRWR'Ro. GNVOICE NO, DATE OF INVOICE 4 oM"oE*S$. coefR"AcT "o.
342; 46149 7-10CL S1-10-100 OctcOcr 14,1951 Tvet stavecEi hacic7rapnic inspection c1 High Cone Root Storagc tank. Loc ^tioNi Clarnrville, VA TEcMwiciANS. B . S pcrht; MOURS E M PE NS E S l M ATE RI AL DATE R E G ULA R 6 OVE RTIME TRAVEL j STANDev MILE AG E SU BSIST ENC E l F ILM i SUPPLIES I f l l l' 8 ! t 1 1 I r TOTAL l REGULAR HOURS 9 $ /HR - $ pgg a g,gg gt::cn t *
,CDL.DU OVERTIME HOUR $ 9 $ /H R - $
TRAVE L HOUR $ @$ /HR - $ STANDBY HOUR $ 98 /H R - $ r,.gg g g ; g g g g {, g MILES 9$ /Mt - $ PER TRIP CHANGE - 5
$UBSISTANCE - S FILM
- f h
e w" M 7'* , FILM $$ /E A - S , , die" x 10" FILM ta & /E A
- 5 '
de" N 3 7" FILM .18 /E A - S 3 4" K 17" FILM ** S /E A - S 70 men FILM =$ / *$ e b / -S LAl, NUMSC 9% . 4A $
,o,AL & 7/...PyHE AF ... E .... .. . . M.... . , ,, A_...., .... .. E...... .. M..... ...... e E op 5 % PAGE(S)
TESTCO, INC. NON. DESTRUCTIVE TESTING 6 l 1 1 C Wendy Court Guilford industrial Park ' l -Greensboro, NC 27409 (919) 547-0823 (800)852 6588 TEnMS: = so o.v. l Fax:(919)547 0956 I TO:
- Fisher Tank Conpany
- 2330 'Iwo Noten Roaf.
Lexington, SC 2 fr 072- 05 96 PLE ASE SMOw tNVOICE NO. ON REMITT ANCE e INVOICE NO. DATE OF 6NVOICE O. O R O. CON R AC'T 51-10-LL Cetc:a:-; ~ ,131 ) (0155 ". - 10 01: : MM l Twe sERviCEi Pcr ic=rnpnic Incpcotion ci Ligt Cone L st. Etersec Ornk s.oCATION s (,19,; 7 ;, C V;,11 *, , ( 5 l I l i T E CHNICI ANS j ,' C;,1tCL/5, $;]C1tCL l EwPENsts ; M AT E Ri A L HOURS F 6 LM I $UPPLIE S MILE AGE S US51ST E NC E I l OVE RTtME l TRAVEL STANDev DATE REGULAR ,
~
l i l l I l i i
- f f TOTAL 1
REGULAR HOURS @ $ (HR-$ '
- OVERTIME HOURS @ $ /H R - $
- T R AVEL HOUR $ @$ /HR - $
- b bb*
ST ANDBY HOUR $ @$ /HR - S MILES @$ /Mt - $ PER TRIP CHANGE - $ ;CtCl t.7ii inVCics 1,1M ,L6 l
$UBSISTANCE - $ - FILM -
S
/E A - S e ve" N 7" ' FILM ek $
L)
\\ $ f ew" M 10" FILM *$ /E A
- 8 ave" M 3 7" FILM e$ /E A - 6 FILM * $ /C A - $
14"M 17"
-S 70 enm FILM =6
*b / -$
LAts NUMBL R4 t
/E A S CT/,,,,4@8L I- l 10, Au .
A . . . .. c m.... . i ..o. M o .., , i .s A.~.I..
. ... .. C ..... O Ue.... .. ..~. A.pJ _OFf + PAGE(S) l
TESTCO, INC. NON DESTRUCTIVE TESTING w 1 C Wendy Court . Guliford industrial Park . Greensboro, NC 27409 l
'(919) 547 0823 (800)852 8588 Fax:(919) 547 0956 TERuS: w so o.v.
TO*
- Fisher Tank Cocpany
. 2330 Two Notch Road Lexington, SC 29072-6996
. gEggvoiCE No.
- INVOSCE NO. DATE OF INvolCE onoi"O'o. CoR?a"AC'T Eo. onPE= 2o.
- b4 J 48069 7-995 91-05-70 Septcr.ber 13,1991 tveE sEnvlCE, radiograpnic inspection o' High Cone Rocf Water Stcract: '. a n r.
LOCATIONS j,g,=,q (ggg{y, yp T E CHNICI ANS r [,((g [ggg,'L.Lenton hours l E X PENSE S l M AT E RI AL DATE REGULAR OVE RTIME TRAVEL , STANDBY M ' L E AG E e EUBSISTENCE FILM ' SUPPLIES I I I i
?
I l i I l l. l l 1 : i I ! l ! l l TOTAL l ; l l REGULAR HOUR $ S S /HR - S , . OVERTIME HOUR $ @ $ /HR - $ TRAVEL HOUR $ 9$ /HR - $ = STAND 8Y HOUR $ $$ /HR - 8 u LEs e$ tui-$ Ictn2 tnac invcler. 1, !. 0 0. C 0 PER TRIP CHANGE - $
$US$i$TANCE - S
*-- F8(M = h d e" M 7" , F ILM y& /E A - S I
aw"x10" FILM e* $ /E A 6 dw
- N 3 7" F 8LM =8 /E A - S la"M37" FILM *8 /E A = $
70ene F ILM =$ / -S
*b / -S LAW NUMBC RS t ,T A S TO1AL a g es[
8 Q A 8.aaace cesseee of 3 % pet Montn 13 8% Annualty) weH Be Cnarten On unpaias asasance Aber
- 30. Days 7 m1.9 # a'PAGE(s)
1 TESTCO, INC. E NON DESTRUCtWE TESTING 1 C Wendy Court GuilfOrd industrial Park GreensborO, NC 27409 h (919) 547 0823 (800)852 6588 Fax:(919) 547 0956 TaRus: nei so o.v. liipp Construction Company
- PO Box 26864 Charlotte, NC 28221-6864
- gWig,5,y,7f,vo8ct ao-onoi'n*2o. INVolCE No. DATE OP GNVolCE onEiWE co2*a"AcT So.
T-999 91-06-73 August 30,1f91 Vcrnal/L.I.iu. Tverstavictmadiogrcphic Inspection of Pipelino LocATeoNr LOntVClE, VI. TECHNiciANsi J . Lnt ". con HOURS l E M PENS ES M AT E R, AL os.T E atoVLAn i ovtRT,ME TRAVEL i sTANosY I M,LEAGE i SU B1IST E NC E I F LM i SUPPLIE$ C/;!/!1 f C 1bi C per. 1 l t i f TOTAL i l 16i l C res. i l REGULAR HOURS S $ $bebOHR-$ 2bb.bb OVERTIME HOUR $ @ $ /HR -$ TRAVEL HOURS es 5 0. 0 0xR - s 250.00 STANDBY HOURS 95 /HR - S 9 uiLEs es 0.50ui-s 94.50 j 1 PER TRIP CHANGE - $ SUBSISTANCE - $
$ 3d Gl i
,,tM
..,LM .,
E.0C
,E A ,
{} 2 0 . C '.
, y . m, 4.- x so- riLu . . /E A . .
/E A - S Ons (1) be.16er's Cert. 7 5 . C. 0 aw" M 1 F" F.LM *> 5 I
34"ItI?" FILM >S /E A - S '
'I c t:1 :nst invcice 6 51. E t' 70 mm FILM 'a $ / -S
*6 / -S LAts NUMBE R$ % /t A 0
,o,AL . G,...t gger , j A . . .. c,,.... .. , ,, ,,, M..,,, ii ., A.,,, ..., .... . c ..... o., U ,.... ...... A.,nG E. 8 O F 7 N PAGE(S)
TESTCO, INC.
, NON DESTRUCTIVE TESTING r
1.C Wendy Court Gullford Industrial Park 4 l Greensboro, NC 27409 (919)547 0623 (800) 852 6588 Fax:(919) 547 0956 terms: m 30 o.y. TO *
- Fishcr Tank Cor.pany
. 2330 Two Notch Road Lexington, SC 29072-S99(
- Eh'#!!,iT" J.n* 'c'" -
oy"oiWc". INVOICE NO. DATE OF GNVOICE edAfa"Av So. oaol'n*2o. 3(,71 46675 'I-925 91-06-60 Junc ;*,,1911 TveE stavecti MCClographic Inspection cf Eigh Cene R=of Latcr iterc;.t ". :r.. . LocevioN. Loutn ::ill, VI. TEcNNiceANs, L. 5p ar!:c i J . Shcitor. Nouns Ex P'J NSEs l M ATE m e AL TRAVEL STANosv MILE AG E i SussisTENCE I F ILM l suppLiss DATE nEcutan I ovE aTIME l l l l l l l l i I TOTAL REGULAR HOURS 9 $ /HR - $ , ,, , OVERTIME HOURS 9 $ /HR - S TRAVEL HOURS 98 /H R - $ STANDBY HOURS 98 /HR - $ 3
~ * '
- MILES 9$ /MI - $
PER TRIP CHANGE - $
$UBSISTANCE - $ ~
F tLM 4W"M?" . FILM &4 /E A
- I aw"M 10" FILM >s /E A - 8 aw" M37" FILM .' s /E A - 5 34"M!?" FILM &$ /E A * $
70 .nen FILM =1 / *6
.* s / *S
. L At, NuMSE R4 % /E A $
,os < . J/,.../, @$T S A F o.~. c .... .. i., . M. . ,i ., Ao,. ... . .. co., o., u,, t....~.
Af.MfoAOF 4 9_4 PAGE(S)
TESTCO, INC. NON DESTRUCTIVE TESTING 1 C Wendy Court Gullford Industrial Park ' Greensboro, NC 27409 l (919) 547 0823 (800) 852 6588
., Fax:(919) 547 0956 TeRus: Nei 30 p.vi ; "U TO*
- Wood Tiber Industries
- PC Bcx 3327 Danville, VA 24543 EkfMLPTTJaT' '"" -
INVOICE NO. DATE OF INVotCE EnEiWM co2*a"AcT Oo. onWa*2o. E*5-157; ;-S79 S1-06-E2 June 15,1591 Tvre sc nvice' naciographic nspcetion of Cranc flooks
' C"" "'
L anv111c , V.'. TEcNunceANs. J.L.5aciton? 1!ce Olsen woVRs Expenses l M AT E m i AL DATE REGULAR OVE RTIME TRAVEL STAND 8Y MILE AGE I $UBSISTENCE FILM l $UppLIES I l I 1 1 ! 6
, I i.
I i TOTAL l f REGULAR HOUR $ e S bb.b'hR-$ E2C.00 l 1 ovsRTius HovRs e s 97.ELR-s S7.50 i TR Avr L Hours es /NR - s j STANDBY HOURS e$ /H R - S lAfr uitts es U . 3 Iws - s 4';.75 PER TRIP CH ANGE - S SUBSISTANCE - S FIL M \ /2 4%" x 7" , FILM SS /E A - 4 Cw" x 30" FILM *6 /E A - 4 8' ewa x37* r sLM *s I.('kA-s 97.Y. I' l',0.C' 34" x 37" PsLM as 12 . 0 ' /E A - s : 70 fnm FILM *5 / -S tocci invcice 520. E
*6 / -S LAh NUMSE R4 4 /E A S l Toint
- 7[ae
/f A.._.....,_.M._..,A_....,_.........U._.A...........
PAGE 10 OF MPAGE(S) l
TESTCO, INC. t NON DESTRUCTIVE TESTING I7 ll* , 1.C Wendy Court Gullford industrial Park Greensboro, NC 27409 (919)547 0823 (800)852-6588 Fax: (919) 547-0956 TERM $: Not 30 Deys To:
- risher Tank Ccepany
. 2330 Two hotch Road Lexington, NC 29072-9996 PLEASE SHOW INVOICE NO.
> ON REMITTANCE R NO. INVOtCE NO. OATE OF INVOICE O . CO FRAC'T O. OR 2211 t.7 / 2 9 'r- 9 51 91-05-12 FeDrunry 12,1 pea vy,EsERvice, i.cciograpitic Inspectio:: cf High 'I'reat.c(.1 ctc Storage Tanh i.OeAT ON, Lnncver Ccunty, VA T ECNNiCi ANs, C . * .t h:.lt'en/J .Dia:cn HOURS l E X PE N5 E S , M AT E RI AL ST AN DBY M LE AGE ' SUB5ISTENCE i FILM i SuppLLES DATE REGULAR OVE RTIME TRAVEL I I
I l l 1 l I l 1 ' i l, I
)
t i TOTAL f REGULAR HOUR $ 9 $ /HR - $ per agree , n , 2,000.C0 l OVERTIME HOURS * $ IH A - 8 TRAVEL HOURS 98 /HR -$ STANDBY HOUR $ 9$ .JHR - $ 'lC's11 T.n! E inVC?CL ; , Q C ; , C (, MILES 9$ /Mt - $ PER TRIP CHANGE - $ SUBSt$TANCE - $
- PetM e w" x 7" , FILM & 6 /E A - 6 e w" M IO*' FILM es 8 /E A - S ew" W37" FILM & $ /E A
- 8 l 1
34" N!?" FILM tu 6 /E A - S 7 0 m..n FILM =$ / -S j
*6 / -S LAW NUMSC R% 6 MA $
TOTAL $ [ges[ i A , ... C ,... .. . ., . M. . . . . s A ...... . , . .,, 8. C o..... O., U,,,,,. .. ,.... A .,.PAQE II OF (% PAGE(S)
1 i TESTCO, INC. i NON DESTRUCTIVE TESTING 7, l l 1.C Wendy Court Gullford industrial Park - I l Greensboro, NC 27409 I (919) 547 0823 (800)852 6588 Fax:(919) 547 0956 TERus: het so o.v. TO:
- Pisher Tank Company
. 2330 Two Notch Road Lexineton, SC 29072-8996
. PLE ASE SMOw lNVOICE No.
oN REMITTANCE ~
- o^TE o' 'avo'c5 on"oi"O'o. , co#fa"Act "o. oIElE'R2o. 'avoict "o-1 l
?i12 46469 5-932 01-01-09 Jcnuarv 21.19Ei i TvessEnvicEi R:.Lic;raphi: Inspecticn of Hign I;111pscicLL Roof 1.r. cr f:crLps i cr.;-
LocAvioN: erer viin., VA l vacwNic ANs, J .I.. Cnc f ron/J .Di$:cr l HOURS E M PENS ES l M AT E RI AL DATE REQULAR OVE RTIME l TRAVEL f 5TANO8V MILE AGE SU R515T E NC E i .lLM i SUPPLIES l l I g I s 1 l l 1 1 I I I I 1 1 TOTAL ! REGULAR HOUR $ 9 $ /HR - $ }Cr EC'!OCD6nO Dc:wccr 2 r I crc. i Ji: Ehciten fc: OVERTIME HOUR $ 9 8 /HR - $ SCf.it. lor.01 Orips: TRAvfLHouR$ 95 /HR - $ ,. STAND 8Y HOURS 98 /HR - $ el ( 055. C 192. 5 C. 135 milet t. v . .s E 4., . 2 5 MILES 9$ /Mt - $ PER TRIP CHANGE - S 01/10/E- 1.5 hourt tcve; O (55.00 192.50
$UBSISTANCE - S 7 hours ver . t $55.0C 3ES.00 10 pcs file e 5.00 50.00
___ ,, , 125 mllec 6 5 0.35 47. f e v. x7- , riLM es' /E A - s a v. x s o" FILM s /EA - S 7Cta.3 o. . . ., S 4.,.,.,C.,.. g,1
, s, . .,. (,
ow
- W 3 7" F LM .' $ /E A - 4 le"M37* FILM e* $ /E A = S ,
...- . , LM ., , i b, p 3 9 g
. LA.,NUM.e., .. a. .
,o,AL , m...t yn.mn y A . . ... < . .. . ._ . M._ ,,,, A_...., w . .. ... . o .. .. .. ... A.,ms... rz- or c w exas(s) l l
1 l
TESTCO, INC. NON DESTRUCTIVETESTING 1 C Wendy Court . Guilford industrial Park I l Greensboro, NC 27400 (919) 547 0623 (800) 852 6588 -
, Fax:(919)547 0956 TERMS: n. so o.v.
TO:
- Ticher Tcnk Company
., 2330 Two Notch Road.
29072-8996 Lexington, SC i
# )
i e ' PLE ASE SMOw INvotCE NO. i
, ON REM 4TT ANCE e NE . CON CT O. O R O. INVOICE NO. DATE OP ONVOICE
.I 2 1 *c 46469' T-932 91-01-01 January ~.,19P1 TveE stavice. P.cciographic Inspectio:: cf Eich L11ipsc ida; hoef i.c:cr M: cyc '.:::..
l tocaT'oa> hreevillc, % TE CHNICI AN$i j , L , ChC1gC f,f] , Di};C f. HOUR $ E X PE NS ES M AT E R I AL i DATE REQULAR OV E R TIME TRAVEL ST ANDBY MILE AGE l SU S$157 E NC E FILM i EUPPLIES I l' 4
~
TOTAL - 1 REGULAR HOUR $ 9 8 /HR - $ .
- .: ngrec:act.: 1,025.00 CVERTIME HOUR $ 9 $ /HR - $
TRAVEL HOURS 9$ /H R - $ STAND 8Y HOURS 95 /HR - $ . MILES 9$ /Ms - $ 700C4 ni: 10VCiCC .
.,n..w 0 . 0 b, PER TRIP CH?NGE - $
$US$1$TANCE - $
I - e,tu s x ta . rsLM e s ,
/E a - s j twea x soa FILM e s /E W I l { 6 6 l
- l eea x 3 7" FILM e S . /E A - S se x sta r e LM e. s e /E A - s - (
70 e. F 6LM
- l / '- S
-6 / -6 ab NUMSC R$ -% Ma S TOsau . CT/..., @ /4 A - .
.-...C . .3% ,.,M....,n.,A.. .. . S.Co.....O U. ........A.., so O...
PAGE I3 OF mu PAGE(S)
TESTCO, INC. NON DESTRUCTWE TESTING Ei TO:
- I 1 C Wendy Court Cullford Industrial Park Greensboro, NC 27409 (919) 547 0823 Fisher Tank Company 3131 West Front Street (800)852 8588 Fax:(919) 547 0956 Tsmus: nei ao o.v.
Chester, PA 19013-1899
. gE g s g vOiCENO!
- INVOICE NO. DATE OF 6NvotCE OR"DiWO. cOR*R"Ac7 00. OEi'R20.
4827 T-1110 92-09-111 Septeraber 11,1992 vy,E sE RvicEi Additional Radiographic Inspection on Tanks LOCAT80Ns YQghtOWn, yh . TECHNICI ANs: J.Shelton/T. Southern , MOURS EXPENSES M AT E RI AL DATE R E G U LA R l OVE RTIME TRAVEL STANOBY MILE AG E i SUBSISTENCE F.LM i $UPPLIES 9/09/92 5 330 0/10/92 6 5 (travel) 338 13 i TOTAL *E 5 5 660 13 l l l l- nEcutAn wouns e s 6 0. 0 0isa - s 480.00 ovEnTiuE Houns e s 6 7. 5 0/sn - s 337.50 TR AVEL HOURS es 4 5. 0 0/un - s 225.00 STANDBY HOURS e s /HR - s 660 uiLEs es 0.46ui-s
/
3 316.80 PER TRIP CHANGE - s sV8stsTANCE - s 1T 2."x7- ',nLM ,, 5/00 fE A _ . 65.00'
. 4W" x10" FILM &S /E A - S 4 W"ex 17" FILM &S /E A - 8 Total this 11rvoice tJ G 14" X 17" FILM 9$ /E A - S 4
. wpco LAB NUMBER $ *$ /E A -' S TOTAL S se es --
. .. ... c ,$. .. .. ... M._ ,, $, ._.,,,, .... .. c...$.. O
... ....... pme. O./ 'l or ? g4 PAGE(S)
TESTCO, INC. NON DESTRUCTIVE TESTING 1 C Wendy Court Gullford industrial Park fI l Greensboro, NC 27409 (919)547 0823 (800)852 6588 Fax:(919) 547 0956 TE RMS: Nel 30 Days TO: * - Fisher Tank Copppapy
, 2330 Two Notch Road :
Lexington, SC 29072-8996 !
- j
* ' V ' " " -
Eh's! lit"T%c"E oREiWE Cd2?Ricit so. olol'm*2o. INVOICE NO. DATE OF INVOICE 3600 40729 T-1047 92-04-046 April 23,1992 vveE stavlCE. Radiographic Inspection of High Ellipsoidal Roof Storny Tank toCAvioni Campbell County Utilities /Lynchburg, VA ) i i TECwmCiAuss J.Cixon/T. Southern wOUR$ l EXPENSE 5 f r ATE RI AL D AT E, REGULAR OV E RT IM E TRAVE.L { $TANDDY I MILEAGE ! SUBSISTENCE FILM l SUPPLIES i 1 1 1 f I i i. TOTAL l REGULAR HOURS 9 5 /HR - $ Per agreement (balance) 1,000.00 4 OVERTIME HOURS 9 $ /HR - $
$TANDBY HOU S $ $
Total thic invoice 1,000.00 MILES 9$ /MI - $ PER TRIP CHANGE - $ -
$U85tSTANCE - $ - FILM -
dve" x 7" , F I LM e4 /E A - $ 4W" X 30" FILM W8 /E A - 8 4W"X17" FILM 98 /E A - $ 34" X 17" FILM &6 /E A - S 70 mm FILM eS / -S
- v& / -S LAs NUMBE R$ +6 /E A - S TOTAL 6 og A Fenance Cnerte of tw% Per Monta (IS% Annualty) Will Be Chargeo On Unease Saisac 30 g
m i TESTCO, INC. l WN: DESTRUCTIVE TESTING 1 C Wendy Court . Guilford Industrial Park b l Greensboro, NC 27409 (919) 647 0823 (800) 852 6588 Fax:(919) 547 0956 TERMS: set so o.v.
. TO: * . Phoenix Fabricators & Erectors /Inc.
110 South Griswold Road Indianapolis, IN 46234 ,
* '#"" ~
- oY$!un'TTANU oYioENo. coNm"Acit No. omoEn Oo. fMVolCE No. O E OF Igf ICE (
1357 T-1055 92-04.-045 M ,19S2 TYPE SERVict Radiographic Inspection of Tank l LocrTioNi Goochlan6, VA l l l TEcNNici Ansi J.Dixon/T.Soutnern 1 HOURS E M PENS ES M AT E R I AL ! oATE mEcuta n ovEnveME TaavEL sTANoey MILE AoE i susSISTENCE FILM l SUPPLIE5 1 l l l l 6 , I I TOTAL REGULAR HOURS 9 $ /HR - $ per agreement With Eill Bacon: 675.00 OVERTIME HOURS 9 $ /HR - $ TRAVEL M3URS 9$ /HR - $
$TAND8Y HOURS 9$ /HR - $ Total thic. invoice 675.00 MILES 9$ /MI - 5 PER TRIP CHANGE - $
$U8SISTANCE - 8
=== FILM - p eve" X 7" , FILM 9 6 /E A - 8 l 4e" X 30" FILM e s /E A - 5 g eve" X17" FILM # $ /E A - 6 34" X 37" FILM eS /E A - 5 70 mm FILM ,3 / -S e' & / -S ,
~
LAS NUMBE RS 9& /E A *
- S TovAL . 7/..../ g /(, _
A , ,,,.m. c e. . . 3 .,, ,,, M... n . d .,,, .. . , .. . . c .,.. . o , U,, .... .. A .,,, o o... PAGE no 0F TNi PAGE(S)
, TESTCO, INC. NON DESTRUCTIVE TESTING ,, 1.C Wendy Court Guilford Industrial Park .' l ~ Greensboro, NC 27409 (919) 547 0823 (800)852 6588 Fax: (919) 547-0956 T Rug: n. so o.vi TO:
- Fisher Tank, Company 3131 W. Fourth Street Chester, PA 19013-1899
. gE;;($,g;qvoicE ao.
* 'avo'et ao- o^TE o' '"vo'et EXEiW5. coRIR"acT So. oiEIR Ro.
4C27-32-; S07-914 T-963 92-04-039 April 7,1952 TveE service, "cank Settlement tionitoring i.ocaTioN, Ameco 011 Company /Yorktown, VA TECHNICIANS: hours l E M PE NS E $ M AT E RI AL oATE REGULAR I OVE RTIME - TRAVEL ST AND8V I MILE AGE I SU B51ST E NC E FILM i EU. PLIES l l : TOTAL REGULAR HOURS 9 $ /HR-$ ReCjiGCCred EnQineer: OVERTIME HOUR $ 9 $ /HR - $ 3 hours 0 75.00 225.00 TRAVEL HOURS 9$ /HR - $ Stafi EngineCr
$TANDBY HOUR $ 98 /HR - $ 4 hour 5 0 50.00 200.00
_ _ uiLEs 9$ /wi - 8 Senior Technicianc: PER TRIP CHANGE - $ 27,25 hours /2 men Crew
$Ussi$TAucE - $ O 30.00 per man 1,635.00 460 miles 0 0.35 166.00 )
- e,Lu .
.w"x7" , FILM eS /E A - S
.=" x ,o" F LM
- S /ta-* Total this invoice 2,220.00
.w" X 17" FILM S S /E A - S
-3."x 17" FILM & & /E A - S V 70 mm FILM .S / -8 LAS NUMSE RS t. t /E A - $
TofAL 8 [aa es[a f[
.....c........M._,,8,._.l.,_.........U.................
PAGE l 7 OF_ffit.PAGE(S) j 1 I 1 I
TESTCO, INC. ' aON DESTRUCTIVE TESTING y,
- 1 C Wendy Court Gullford industrial Park l b l
Greensboro, NC 27409 (919) 547 0823 (800)852 8588 , 1 Fax:(919)547 0956 vanneS: w t so o.n TO:
- Fisher Tank Company
, 2330 Two Notch Road )
Lexington, SC 29072-899E gEg,sggvOiCE =0. OTOiWO.
- INVOICE NO. DATE OF INVOICE Cd2?R"ACf40 0%El'R 20.
3600 4072C T-1047 92-03-034 !!aren 25,1992 vvFE serv CE n:2diograpnic Inspection cf High Ellipsoidt.1 Ecci Storage Tank LOC ATIONi CampDG11 County Utilities /Lynchburg, VA
- TECwNiciANs. J.Cixon/C. Southern wCUR5 I E M PE NS E 5 M ATE R I AL l
DATE REGULAm l OVE RTIME TRAVEL i STANDBY MILEAGE FILV l $UppLIES
- i SUS $15TENCE l i
l l l l TOTAL I l i i HEGULAR HOURS @ S /HR - S I'cr agrecracnt (50's of tabk) 1,000.00 OVERT 4ME HOURS 9 $ /HR - S TRAVEL HOURS SS /HR - $ STANOBY HOURS O$ /HR - S CCt&1 this invoice 1,000.00 MILES eS /MI - S PER TRIP CHANGE - S SUBSISTANCE - S
- FM 4 W" X 7" ,F8LM @ S /E A - S n '
4%" X 30" FILM W& /E A - S I ow" X37" PILM eS /E A - S f
$ 4" X 3 7" FILM WS /E A - 4 70enm FILM m & / -S tr 8 / -S LAU NUMBERS el MA-S TOTAL $
sen A Finance Charge of Iw% per Monin (IS% Annweisy) will se Charges On unosse Balance Att s y s. g d4Qpg i
TESTCO, INC. NON DESTRUCTIVE TESTING El1 t"- 1 C Wendy Court . Gullford Industrial Park GreensborO, NC 27409 (919) 547 0823 (800)852 6588 1 Fax:(919) 547 0956 TERuS: se ao o.v. TO:
- richer tant Cerr. pani :
- 3131 West Fourtn Street !
Chestcr, PA 19013-1699 l
. RL,eEASE REMITT5 mow lNVOICE NO.
ANCE O EfoiWi co2*RAcf40. oIEl'R20. INVQlCE NO. DATE OF INVOICE G ;7, ;1-! Ecc bilow ';-SE2 L1-(1-C12 Scnu ry X ,*.L/.; vvFE cERvicE,i:cre nor. 1cc tint O f 'rar.n: Loct. Tion r.. ' f. O C s' CiinCry /lorhtOk'T. , VA TEcwNiciANs. :.,,
- 7. r; . 'r. . L e t tru r:
HOURS l E M PENS E S l M AT E RI AL DATE REGULAR l OVERTIME TRAVEL ! STANDBY I M I.E AG E I SUBSISTENC E FILM 6 $UPPLIES I
. l l
I I i l I 1
- l l t
! i l
f '
\
l l I TOTAL ! l f l
' *' ~ '
- REGULAR HOURS @ $ /HR - $ -. , r ,
OVERT 8ME HOURS @ $ /HR - $ II'
- I .'
TR AVEL HOUR $ S$ /HR - $ !8 w.I , '. a.. ' ', En
, , p, i' F 1 t, J & L' . L i
*r' 'r STAND 8YHOURS O$ /HR - S .' ,[*
*f*['
MILES 9$ /MI - $ PER TRIP CHANGE - S
~ * *
$UBSIST ANCE - $
, 4 .. . . r r. . . . . . a...
F t (.M . Sw" M 7" . FILM e6 /E A - S . , , . . w a .. ..,s.,
... $ [. %, ., , . , , . ,, .
. o . s. , a l, 4,e"N 10" F ILM >S /E A ' 6 Sw" W17" F ILM e6 /E A - 6 .
3 4" N 3 7" FILM *" 6 /E A - S 70 mm F ILM =5 / -& I
-s / -s LAts NUMBC R4 a /t A S TOTAL 4 se ssfs i
A , .~ .. c o.... ., 3, R., M.,,,, ,i .s A.,,,....., w.. B. c , ..... o., U
.. ... .. y o.,9 e OF T4 PAGE(S) .
TESTCO, INC. NON DESTRUCTIVETESTING h' 1.C Wendy Court . Guilford Industrial Park l Gr@@nsboro, NC 27409 (919)547 0623 (800) 852 6588 Fax:(919)547 0956 TERus: wetso o v. richer ".'er.'. CcxTany TO: 3131 West Rx:rth Street Chester, PA 19013-16 % i PLE Ast sHOW tNVOICE NO. e ON MEMITT ANCE INvotCE NO. DATE OF INVOICE f%M5^N"$. cOR?a"Av "O. OIEEa*RO.
$ 0.*-'/2; '. See I,c.lc.; 'i -E C '- 92-61-C03 Janer.r. 1 '. ,1I .: ~.
tvet samVecti s* ' 4' 0.".04.yaC ins
- c~tiCO Cf TOTC'.!
LocATeON: 1,:..~t .nirr.ri, 1crht%;1, F TecNNicsAns L.c =4 ". .Loutacri. l Ew PENSEs f M ATE Ri AL HOURS riLu supputs Oave arouLAn l Ovravius vaAvec sT ANonv i uiLEAct sussistsNet
' i i .
I f . I I I i I
. i i l
l-i ; l l 1 , i l I l , l TOTAL f. !
;EcutAR Hours' 9 s /HR - s L 4 * . *. '.r: L1; 5 '. r , 7 : f. . '. .'
/H R - S S A E *,,' '.E M. l E *
-- f.* ; IM , C'.
OVERTIME HOURS 9 $ . f.' ,J [. > -7 F . 7 {;(,, , C(, TRAVEL HOURS 95 /HR - 5 ST ANDBY HOURS S$ /HR - $ MILES 98 /MI - S , , , , , , , , , ,,
' ' " * ~ ~ ~ ~ ~~
PER TRIP CHANGE - 5 SUBSISTANCE - 5
- r et.u 6w" x 7" . FILM e 6 /E A - 5 F s'30320 l
twa x 10" FILM w$ /E A - S sw" ar :7- p tLu o s /E A - 8 j .a w 17
- Figu e= s /E A - 6
,0 .. , , Lu . , -s
.s i -s LAts NUMBC R4 1 /f A $
104AL . '~J/..,4@lT_/ 6 A , . .... c ,,.... .. i .m , .. . i i . u .. . .. , -i. .. c ..... c vo .. .. ..... ^PAGE O. . 2 0 0 F 4W PAGE(S)
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. ....*J,.....;
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. J. . . $
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+
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- 1 i
I EXHBF__/6 PAAF Z ~2-OF_ 7% PAGE(S) I
b WINDSOn a MYATT MECHANICAL CONTnACTORS. INC. FF06 E. OAK ISLAND DR. LONO BEACH. NC 38486 pg,73,-... . . , y.. ' llll
*" ~
F.O. BOX 940 j , enstafHeet / 91HrF4878 Dettbar 1, 1990 Tcatco, Inc. 1-C Wendy Court Guilford Industrial Park Crc nsboro, NC 27409 j R3: SOCOM - Operations Complex, Ft Bragg, NC Contract #DACA21-89-C-0097 D cr Sir Enclosed please find a North Carolina Sales & Use Tax form and cart 11icetion. All contractors and sub-contractors are required by the State of North Cerclina to submit a NC tax report for the fiscal year ending September 30. P10:se complete and return the enclosed form to our office no later than Octcber 15, 1990. Feilure to submit tax reports will result in witholding of payments. W2 cppreciate your cooperation and look forward to answering any questions I yzu may have. ; l Yours very truly, WINDSOR & MYATT MECHANICAL CONTRACTORS, INC. v S ndra Laughren S:cretary 1 I SL/jl cnclosure cct File. Field, Corr, CC, FU l
.... - /
EXHBIT_ /6 PAGE 2.3 OF I'l'1 PAGE(S) i
4 TESTCO, INC. i NON DESTRUCTWETESTING 10 Wendy Court Gullford Industrial Park $ f Greensboro, NC 27400 l (800)852 6588 (919)547 0823 Fr 19) 547 0056 y: R us: n so o.y. 1 TO:
- FISHER TANK CO.
2330 TWO NOTCH RD.
- LEXINGTON, SC 29072
- S'R!!iTA* iE )
- INVotCE NO. DATE oF INVOICE !
oYiM"O*5. coRTR"Act Ro. omWR 2o. 4132 50000 T-1214 93-06-082 6-15-93 ) I vvet sE RvicE' WELDER QUALIFICATION TEST (4) PLATES l Loctviou, US NAVAL FUEL STORAGE DEPOT CARNEY, ISLAND VA. T C "" ' C ' ^" J.L. SHELTON / K, SPARKS HOURS E N PENSES M AT E R 6 A L DATE REQULAR OVE RTiME TRAVEL STAND 8Y MILE AG E I SUS $1STENCE ,lLM l SUPPLIES i l l I TOTAL REGULAR HOUR $ $ $ /HR - $ OVERTauE HOUR $ p $
/HR - S RADIOGRAPHIC INSPECTION OF (4) WELDERS TEST
- TRAVEL HOURS 9& /HR - $ COUPONS PER U.S. NAVY REQUIREMENTS.
STANOBY HOUR $ 98 /HR - 8 uitts Os tus - s , PER TRIP CHANGE - 5
$US$1 STANCE - S TOTAL INVOICE
- ritu
.." x r- . n LM e n /r A - 6 $200.00 4W" x 10" FILM & S /EA - 8 ew"x17" FILM # 6 /E A - 4 I
1e" x 17" FILM e 6 /E A - 8 70 mm FILM es 8 / -6 e& / -S LAS NUMet RS *4 /E A - 8 m,.WMJ.,
,o?AL .
A ,.._. c . .. . . M.. . .. .. ._...., .... .. .. . .. .. .. ....., .%%, OF @ PAGE(S)
TESTCO, INC. . E' PO BOX 18511 , . GREENSBORO,NC 27417 TERMS: Not 30 Days TO: ' - FISHER TANK CO.
. 2330 TWO NOTCH RD.
LEXINGTON, SC 29072 ,
- Oh'n! 'lit"T%E' " -
INVOICE NO. DATE OP INVOICE OUaWE c00Ea"Ac'T O". OiWa*RO. 4132 50089 T-1214 93-08-081 8-15-93 TveE sEnvsCE: RADIOGRAPHIC INSPECTION OF TANK #3 150'0dia X 50.0' FUEL OIL STORAGE, CARNEY ISLAND VA. TECHNICIANS: J.L. SHELTON / D.L. CAREY/ K.A. SPARKS E M PE NSES MATE RI AL HOURS ST AND8V MILE AGE i SUB5t$TENCE FILM SUPPLIES DATE REGULAR OVE RTIME TRAVEL i TOTAL REGULAR HOURS 9 5 /HR - $ l OVERTIME HOURS 9 $ /HR - $ 50% OF TANK #3 TRAVEL Houns 95 /HR - $ PER AGREEMENT i STANDBY HOUR $ 9$ /HR - $ l MILES 9$ /M -s PER TRIP CHANGE - $ SUBSISTANCE - $ FILM 4w x t- riLu /E A - s TOTAL INVOICE i r Lu e s /E A - .
$2600.00 f awax30-4W" N17" FILM 86 /E A - 6 34"M37" FILM W $ /E A - 6 70 mm FILM * $ / <- 8 j eS / -S LAU NUMBERS e$ MA $
TOTAL $ [,, A 8' enance Cnarea of IWs par Month in og
.,) will 8m Cnamed on Unsa6e Balance PAGE 2 After 30 0'LOFf e.* PAGE(S) 1 I
TESTCO, INC. NON DESTRUCTIVE TESTING 1 C Wendy Court . Gullford industrial Park I~' Greensboro, NC 27409 (919) 547 0823 (800) 852 6588 Fax:(919) 547 0956 TERMS: m so D.y. TO:
- Pnoenix Fabricators & Erectors Inc.
, 110 S Griswold Rd-Indianapolis IN 46234
- Et'n5,va*Nav '** " -
SNVOICE NO. DATE OF INVOICE omoENo. coo mac'T No. O oEn 00. 93 DYb4 set- 199c z. s. m. u, d, coidn2M M g/19!ct Tvet sEnvicE' I:siographic Inspection of Tank LocAvioH' Phoenix rab/Poydton/VA T EC HNICI AN$i J Shc1 ton /J Dixion M AT E R I AL wouns i E M PENS ES TRAVEL ETANQBY MILE AGE I SUS $l$TENCE FILM 1 SUPPLIEE DATE REGULAR OV E R TIME I i : TOTAL f l i ~ , REGULAR HOURS 9 $ /HR - $ OVERTIME HOURS 9 $ /HR - $ TRAvfLHOuRS e5 /HR - $ Coopletion of Tank $800.00 ST ANOBY HOURS S$ /HR - $ MILES' 8$ /MI - 8 , f PER TRIP CHANGE - $ l sUBSISTANCE - 8 Total of Invoice 0:00.00
- FILM
*=. I aw" M 7" , FILM
- S /E A - S l','LM 2 A_~ l -
,4"x ,7" FILM en S ,, /E A - S 70 mm FILM m$ / -S e& / -S LAD NUMBE RS s5 /E A S
,w AL &
CT&B%.. aft.c.........M........._.,,,,.,,................... n.,OF M PAGE(S) l
.c c TESTCO, INC.
E TO:
- Tate fictalworks,Inc.
PO Box 171 Spartanburg, SC NON DESTRUCTIVE TESTING 1 C Wendy Court Gullford industrial Park Greensboro. NC 27409 (919) 547 0823 (800) 852 6588 Fax:(919) 547 0956 29304-0171 TERus: n.: so per. i { l l
- vo'c5 "o-ELEs!L,5?,M"E 7
- iNvoiCr No. cATe or invoice oMEi74o. l cdRfR"AcT So. oIPE'R 2o.
15115 92029E I-1152 52-02-010 Fenrucry 4,1952 l Tvasseavleti Paciographic Inspection of Tank t.ocavsoNi Unir'n Caep Corp /Pranklin, VI. ; 1 I TECHNICI AN$ s e3. Snciton / 7. S hc1 ton Hour $ E M PENSE $ M ATE RI AL l oATE REGULAR i OVE RTIME TRAVEL ST ANDBY MILEAGE ' SUB5t$TENCE FILM i 5'JPPLIE5 I l
, i Mi *, \
\'
N I l l / ! i ! i TOTAL l REGULAR HoVRs e 5 /HR - 5 Por agrecitenta ' 750.00 - OVERTIME HOUR $ @ $ /HR - 5 -' I TRAVEL HOURS 95 /HR . $ .i, l ETANDBY HOUR $ 9$ /HR - 5 Tott.1 thi& invoice 750.00 u LEs es tui - 8 .. PER TRIP CHANGE - $ ' SUBSISTANCf - 5 ,
- Pitu .
_,_ d W" M 7" , FILM S & /E AL& l 4%" X 10" FILM # 6 /E A - 5 ew" X 3 7" FILM 96 /E A = $ ' 3 4" M 37" FILM @8 /EF. - 8 e 70 mm 7 6LM e & / ~$ e' $ / -8 l 1.A9 NUMBE R$ e8 /E A - S l
,o?AL .
'~Jt,..g l {,
A._.............M._,,,,A_..,,..................A,,.. .. , PAGE z'T OF ,5+ PAGE(S)
TESTCO, INC. NON DESTRUCTIVE TESTING 1.C Wendy Court . Gullford industrial Park N, Greensboro, NC 27409 l (919) 547 0823 (800)852 6588 Fax:(919) 547 0956 TeRus: n. so om TO:~' Picner Teni: Co.pany
- 2121 t.cs t Iourtn Stract '
Cnester, PA 19013-1699 l I
- i l
e PLE ASE SHOW (NVOICE NO. i ON RCMITT ANCE j I NN . CO RAdT O. OR R O. GNVO4CE NO. DATE OF INVOICE s .,,;s
.s e t :.>c l o. ,. g . .
z - v o .: 2 1
..s s . .. a .A ct: .c: ,s.
vYet sERvieE. :r:.icprapt.ic Insocetien InL : L;netic I<crtici: 'ertir, :: "' c:, t . . I LOCATION. ; : :::c. I c.finc 3 , ic::::: :. , VI i l 1 TECHNICIAN $s , , ; p. 7;* f , ", , [. O O t h C r** HOURS E M PE NS E S M AT E RI AL DATE R E G ULA R OV E RT IME TRAVEL STANDBY MILE AGE I SUS $l$TENCE F 4 LM $UPPLIES a i TOTAL
'S-*., e ,.'. I- *. * . .i g-.,.. ....*
REGULAR HOURS 9 5 /HR - $ * . - . .. OVERTIME HOURS # $ /HR - s -/L** .
*'i'
, U ,e',
TRAVEL HOUR $ 98 /HR - $ .h".IOrtiC1f .2[.,C' STANDilY HOURS 9$ /HR - $ ' I .~ l U T. k I I ( l [ ' # .. I ! ' ( " ) miles es lui-s : -Lt" 20: .c( PER TRIP CH ANGE - $ . . E'T C Ei 012 I.'.'.'*. SUBSISTANCE - 8
- 4 4 3 '. ~ O T' ' I'Il iC?.1OrliO3* [ ; . (. [-
t .: . 3 ;. : iC" . . : t . P t.rtab 1c ; 0 i. . M
- r LM .
r 4: .' : r t. . . - KL :: .;::: - el : ;-i i, aus" M 7" . FILM 9 8 /EA - S der" N 10 FILM & 8 /E A S . . ~, . -- .1c.,...4 ..--.. ew" M37" FILM >S /E A - S
..-M,... F,LM . ,E A - .
p \' V ,. S ' 70 men F 6LM =n / -S h
*5 / -S w LAh MUMBE R% a6 /E A &
TO1AL 8 0.s Ar .~.C.. ..i.,, ,M. .,n.%A o .o.....C.. .O va ...~.A... 30 PAGE Es Bf m PAGE@) f
a ww a w w , se .w. NONCESTRUCTIVE TESTING p / I 6o t REENSDORD, N. C. 27420 [g7 n CFX j 6-NW/ N r so TO: Fisher Tank Company 2330 Two motch Bond
- Lazimoton, sc 2s072-89s6
~
. gg,sggvoicE No.
e
" INVOICE No. DATE OF INVOICE Eni"d'E. co# frac 7 So. o!EIIf2o.
8 4132 50089 T-1214 93-06-084 August 30.1993 vveE c2RvicE, Radiographic Inspection of Tank Location, Nova Group /Craney Island, VA TEcsuiciANs, J.Shelton/K. Sparks,D.Carey E X PILHS ES M ATE RI AL MOUms MILE AGE SU.515TENCE FILM SUPPLIES DATE REGULAR OVERTIME TRAVEL STANo.Y
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i TOTAL l REGULAR HOURS 9 5 /HR - $ Malance of Tank $3 2,650.00 OVERTIME HOURS 9 8 /HR - $ i TRAVEL HOURS 95 /HR - $ STAND 8Y HOURS 9$ /HR - 8 Total this invoice 2,650.00 ustEs 9s tut - s PER TRIP CHANGE - 8
- SUS $tSTANCE - 8 FILM
, 4.a x 7" FILM # $ /E A - 8
~~
4.= x 3 0a " FILM e s /EA - 8
..a x i,- F , LM . . /E A - .
f 34"x 17" FILM 9 6 /E A - 8 70 mm FILM 9 $ / ~S
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m.~UM.E., .. A-. 4 e st ose TOTAL A ,. co ., ~, M. . n.. A....... . .. .. c . o. U - .. .. A ., so smet / 6 ncE_J;j2 OFys'y3 AGE (S)
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4: 4 _ij Efiff-P!:lka-J 2 Dif r6PfiMrW y. _ Jgl[iMn' 1 1 h -11. -rCh ? ; T_ AJ "- 13!fMLffPTlTh 'Mr afi L 2,650.00 .00 2,650.00 Q 9308084 08/30/93 NOVA GROUP hu 9 O gOMI m a EL 2,W.M .M 2,W.M Ltdl.h FISitER T ANK COMPAt4Y
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TESTCO, INC. NON. DESTRUCTIVE TESTING 1.C Wendy Court . Gullford industrial Park [E Greensboro, NC 27409 l (800)852-6588 (919) 547 0823 TEnus: nei so pen Fax: (919) 547-0956 l TO Fisher 'Iank Cor. pan / ,
. 2330 Two Isoteli Ecac Lexington, EC 29070-295C I
PLEAsE swow aNvoict No. '
. ON REMITT ANCE
'"vo'cE No. oATE or invoice ouiWo.' coRfa"Act "o. o noE=*2o.
47529
.-1C1? ' 1-1" -1;6 !. c c e!..cc: ;L,1. 1 5 /. c 3 l J
Type sEnvicE I $.C;.0:;rephic ~ r:n.ctic . c1 L crag: '. r. :. tocAtioNi gen ngect t.i!.ct-r Lesutil, VI. l l T ECHNICt AN 5: . U .I
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EXPENSES u AT E n AL . Mouns l inavtL ST ANoev i utLEAct e tussisTENCE FILM i SUPPLIES DATE mEcutan ovEnviut i s ~ E, l i I 1 i TOTAL MEGULAR HOUR $ 9 5 /HR - $ . ' . [' "'**l
#L* l. - T c C r C. l * /
OVERTIME HOURS 9 $ /HR - $ TRAVEL HOUR $ 9$ /HR - $ STANDBY HOUR $ 9$ /HR - $ ,C*,,*..'. */ 7, d Dd
- Ti'*. C 1 ; , 7 [ (, , ((
uiLES 9$ /wi - $ PER TRIP CHANGE - $
$US$4ST ANCE - S FILM de" M 7" , FILM es /E A - 6 d e" M 10** FILM er 6 /E A " S aw" M37" FILM &S /E A - S j a" M 17 FILM es t /E A == S 70 mm F 6LM =6 / -5
=* 6 / *l LAas NuMBC R% % /E A S T01AL S a
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A F enance Lnerse of 3% per Month (38% Annually) Well Be Charaos on unpais 30 carsOF TV.S, PAGE(S) PA maiaate ai h'l# l
TESTCO, INC. Ej NON DESTRUCTWE TESTING r.. 1 C Wendy Court . Guilford industrial Park Greensboro, NC 27409 (919)547 0823 (800)852 6588 Fax:(919)547 0956 TsRus: wet so o.vi TO * ' fishe: Tank Co;: pen,'
. 2530 Two 1.otch Ecac Lexington, SC 25072-8956 PLE ASE $Now 4NVOICE NO.
. ON aEMITT ANCE olWa*2o. 'NvoicE ND- o^Tr or 'N vo'et E%"ol"^E co2fa"Acf"o.
400!,5 ;- 1 (,1 i. M 11 C 1.cyc.i . tics 2 5,1 H 1 3 4 ;. ; TvPE SEnvict .Leic r: pac ;nCpcetion ci 1:igt Ucerellt Ec:I lectcr Lterc'c . 0 I. + . Location. T er* 0:.lcs:c11 Cettwnity, Pytnevillo, VI. TEcNme ANs> ; . ! n:.; ten,0.!.ixct EMpKNsEs i uA7EniAu , Nouns l ' TRAVEL STAND 8Y ' MILE ACE I SUBSISTENCE l FILM E UPPLIE S oATt aEcuLan i ovsaTeut ! l l
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f TOTAL f f f REGULAR HOURS 9 5 /HR-s : t.;; e c: .E.n 1, Ol (, . C i OVERTIME HOURS 9 5 /HR - $ Cng (1) LL1dCr CCrtiIlCEtiCn [( . (p(
/HR - $ j TRAVEL HOUR $ @$
l STAND 8Y HOUR $ @$ /NR - $ , jetL; Enl: it,V .i cs 1, '.,; ;,, Lt . (' MILES @$ /Mi - 5 PER TRIP CHANGE - $ SUBSISTANCE - $ 1 FILM ave" x 7" , FILM de 6 /E A - 8 , ete" M 10" FILM .* $ /E A - 5 , \ te" M 3 7" FILM m8 /E A -- S 3a"w I?" F tLM e' s /E A - S 70 mm FILM =5 / '- 5 a 6 / -S , LAto NoMBE a% t /f a l TOTAL 4 f, g , /[ A....c,......,3.,,,,,M,,,ii.,A.,...........c.....o.,u,,.......A.., 3. o. ., PAGE_3 z. OF_ m PAGES) -
. . . TESTCO, INCs NON DESTRUCTIVE TESTING 1 C Wendy Court . Gullford Industrial Park ['
l Greensboro, NC 27409 S 19)547 0823 (800) 852 8588 , Fax:(919)547 0956 vsnus: n.: ao p.v. TO:
- Eisher Tank Company '
. 2330 Two Notch Roa5 Lexington,'SC 29072-8996
- i e gtgswggvolCE No.
* 'avo'er no. oAve or invoice oME*a*0M. , coifa"AT So. onEiE'a2o.
3113 46469 T-932 91-01-09 January 21,1991 i vypesenvice, Radiographic inspection of 111gh Ellipsoidal Roof hater Storage Tank t.oc Teous brocvilh , VA ; tecausciAus. J .L. 3 hcl' ton /J .Dixon l HouRg E M PE N5 E S M ATERI AL DATE REGULAR OV E RT tME TRAVEL STANDav MILE AG E I susstSTENCE FILM SUPPLIES l TOTAL nEGuLAR HOURS e s /wR - s PCr SgrCCocnt betWecn JiL Ward & Jim ShClton for oventius wouns e s ,
/Ha - s additional trips:
Tnavet wouns es run-s 3.5 hn mM 0 C' d .M 1M.M sTANosv Houns e s inn - s 01/1 W 1 1M MM t- 0.M 4 ", . H
,,,,,,co,g '"[_~,'01/19/91 3.5 hours tavel 0 855.00 192.50 sussisTAnet - :
7 hours work @ $55.00 365.00 10 pcc film 0 5.00 50.00 l 135 ciles s S 0.35 47.25 l
. ~ x r- . r,Lu o t' tE A - s j
.e x to- riLM . s /E A - s 914.5; Total this invoico ew" N 17" FILM #S /E A - S t le"M37" FILM to 8 /E A - S -l 70 mm F 6LM =S / ** 8
.. , -. &r LAs NUMet RS *t /E A S TOTAL 4 se se A Finance cheese of I% Per Montn il3% Annueity) well se Cnee,.o on unoa.e assiente After 30 oavs.
PAGE 33 _OF_TIg PAQ46) 1 l l l
3
- 73STCO ORDER NO; TESTCO, INC. oAre: / - / '7 "
r.. 1 C Wendy Court . Greensboro, NC 27409 REPORT No: N2 DAILY INSPECTION REPORT Genwee Rey E" X Ray 0 Code Specifceton it Dete MON CUENT 1/CT' 7/4Mf d DEFECT CODE ADDRESS ic8#6 774/6 M*7'c'L/ Mr/ "- as - am e co - Ges e no - nema. essa o - oi' ease ou - owens vas-eue ao - anuaw CONTRACTOR N ^ ' P> N'j yg c av - e va, a C - C== o.s n6 - agaL
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f f WORK TIME. HRS. ,,a,W[3. - gj.j/[. m u m is.,,,c... e,,-- / / ST AND8Y TIME, HRS. ,,g,s t e -'f f. TOTAL TIME, HRS. D ' AM_ _. . rustau w eielaruni-k/ -OF / paGF. 3'[_OFf4d PAGE(S)
l TESTCO, INC. NON-DESTRUCTIVE TESTING P.O. BOX 66362-GREENSBORO,NC 27406 (919h 547-0823
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( _ U :. O. DM h =% 914.50 .00 ! 914.50 q* B64 fis h. If) C D-i
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FISHER TANK COMPANY h '- 914.50' .00 ~
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a 4 L il I. TESTCO, INC. , NON DESTRUCTWE TESTWG 1.C Wendy Court Guilford industrial Park N-l Greensboro, NC 27400 (919)547 0823 (800) 852 6588 : j y Fax:(919) 547 0956 7:Reas: n.ino o. ,
' TO:
- Fisher Tank Courpany
, 2330 Two Notch Road Lexington, SC 29072-8996
.. @En%S",%#1vo'c'"
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< EX"oWO*.1 ccilRfn"4c7 So. onEl'a*20. INVOICE NQ. DATE OF INVOICE i
3113 46469 ' T-932 91-01-01 January 2,1991 I tyFe SEtyscc, Radiographic Inspection of High Ellipsoidal Roof Water Storage T6nk LocAT80N. Brosvil10, W
! TEcNNics ANS. J.L.Shciton/J.Dixon NOOAS EX PENSES M ATE RI AL DATE REGULAR OVE RT IM E TRAVEL ST ANDSV MILE AG E SUS $1STENCE F ILM SUPPLIES j
i I l l l TOTAL 4 CE:utAR HOURS e s /HR - s Per agreement 1,025.00 OVERTIME HOURS e S /HR - $ ! TR.* VEL HOURS e8 'fMR - 8
^",'*" ""' l*
, , #[ _ ,' Total this invoico 1,025.00 PER TRIP CHANGE - S ,
SUBSIST CE - 8
.<M sue" x 7"
. FILM e S
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Ste" N 10" FILM W S /E A
- I te" W 3 F" FOLM # $ /E A - S 3 4" gr 17" FILM seS /E A - S I
73 mm FILM u S / -S _j i eS / -$ LAS NUMOC R$ *S /E A I TOTAL S see c_ A F.nence cm.e,. os 3 % pe, Monin ties Annueny) win se enae,ea on unee.e assion gaho vs. QF 'Nk
I . TESTCO ORDER NO:___- TESTCO, INC. oArn: /-> - u 1.C Wendy Court GreensborO, NC 27409 neronT NO: [ DAILY INSPECTION REPORT Gemme Rey EI X Rey C Code Speechcenonle Date BUM t CLIEN f rIA/t ~b N (.O__ __ ___ DEFECT CODE o.o
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' *CUSTOhEER $leNATU8It PAGE_38 OF_7W WN 1
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1 - W TESTCO, INC. NON. DESTRUCTIVE TESTING 1.C Wendy Court Cullford Industrial Park Greensboro, NC 27409 f (919) 547 0823 (800) 852 6588 Fax:(919) 547 0956 November 7,1990 Fisher Tank Company Attn Fran From: Jim Shelton QUOTATION ON CONTRACT NO.46469 Pittsylvania County Brosville, VA Based on two (2) Trips, including Inspection $1,025.00 Respectfully submitted, im Shelton . 6 J j en.see s e i ' EXHER M i PAGE 38 0F f*4 PAGE(8)- 4
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EXHEIT l 1 PAGE 'lI OF 79f PAGE(6)
FI ?HER TANK C@MPANY 6 2330 TWO NOTCH C!A3
- LEXINGTON, SC 20072 0906
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b. ORDER NO.: 3113 DATE November 9,1990 CONTRACT NO.: 46469 CUSTOMER: Pittsylvania County, VA F 1 g I 1 Ts*. Testco inc. H 1-C Wendy Court I
- Greensboro, North Carolina 27409 P ATTN: Jim Shelton TD 3 g a
& Hip VIA F,0.m. TERMS DELIVERY REQUIRED WILL ADVISE Ouanuty DESCRIPTION PRICE AMOUNT Furnish labor and material to perform radiographic inspection of one (1) 38'0" Dia. x 82'0" High Ellipsoidal Roof Water Storage Tank to be located in Brosville, Virginia, in accord-ance with AWWA Standard Specifications.
TOTAL LUMP SUM PRICE (Two (2) trips) . . . . . . . . . . . . . . . . . . . . . . . ......... .$1,025.00 (including inspection) l l i SITE LOCATION: Pittsylvania County Service Authority 1 Brosville Water Storage Tank 1 Route 9616 f, U.S. Highway 58 Rrnsville, Pittsylvania County, Virginia FISHER'S FOREMAN: B. J. Coker l ly kh / # m M s sGM wk>m (% S,00 h. Lhh IMPoRTANT R r FISHER T CO. Y / ' ABoVE oRoER NUMBER MUST APPE AR oN ALL CORRESPONDENCE. INVolCES, PACKAGES ANo '
"# "O ##"'"8 ' '
ORIGINAL PURCHASE ORDER Franc A.Bgngg g
TESTCO, INC, ""
,,a.pj "Jcyc9 NON DESTRUCTIVE TESTING p g oe, ,
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.3600 487293.S,.- - T-1047 92-04-046 April 23,1992
- vvee SeRvicEi Radiographic ll7nspection of Righ Ellipsoidal Roof Storage tank 1 Location. Campbell C'ounty Utilities /Lynchburg, VA 4
!k.fdlienwicises. J.Dixon/T. Southern d HOURS EXPENSES MATE RI AL OVE RT8ME TRAVEL STANOSY MILEAGE SUS $1STENCE FILM SUPPLIES
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$TAND8Y HOURS S$ /HR - 8 3
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TESTCO, INC. ,,,TCOOo n a NON DESTRUCTIVETESTING j 10 Wendy Court Gullford industrirl Park " E Greensboro, NC 27409 REPORTNO: ' (919)547 0823 (800) 852 6588
} DAILY INSPECTION REPORT Fax:(919) 547 0956 Code specmcetion _ A4/W# f OEFECT CODE CLIENT FISHER TANK CO. as. an n op . ess pasham c . ouses ADDRESS 2130 TWO NOTCH ROAD LEXINGTON, SOUTH CAROLINA 20072 0996 ,$!w
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CON RACT O. O ER O. INVOICE NO. DATE OF GNVOICE O . 3600 48729.- - T-1047 92-03-034 March 25,1992 vveE sERvicEi Radiographic Inspection of High Ellipsoidal Roof Storage Tank a.0 CATION, Campbell County Utilities /Lynchburg,~VA i ... r2cNNiciANs, J.Dixon/T. Southern ., HOURS E M PEN 5 K$ M ATE RI AL DATE R EQuLA R OVERTIME TRAVEL ST AND8V MILEAGE SUS $1STENCE FILM EUPPLIES i i i i , i TOTAL REGULAR HOURS $ $ /HR - s Per agreement (50% of tabk) 1,000.00 l ! ovERTivE hours e s /HR - s i TR AVE L HOURS 98 /HR - 8 N ' STAND 8Y HOUR $ 98 /HR - $ Total W s W o M 1,000.00 1 uiLEs es lui - s PER TRIP CHANGE - 8 SUS $15TANCE - 8
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TESTCO, INC. ,,mO O .. ,,e NON DESTRUCTIVE TESTING gg,,7 I 1 C Wendy Court Guillord Industrial Park Greensboro, NC 27409 REPORT NO: 7
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,7 l (919) 547 0823 (800) 852 8588 Fax:(919) 547 0956 DAILY INSPECTION REPORT Code Specification Il4/
CUENT FISHER TANK CO. DEPECTCODE ADDRESS 2330 TWO NOTCH ROAD as.aseen op . es ponse o.oma.
"*, $**"*d LEXINGTON, SOUTH CAROUNA 29072 8096 $*w **""
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l (803) 31iG 9464 l FICHER TANK C@MPANY 2330 TWO NOTCH CIAD e I EXINGTON, SC 20072 8086 1 s ORDER NO.: 3600 48729 T d6Y March 16,1992 CONTRACT No.: DATE CUSTOMER: Campbell County Utilities Lynchburg, VA T:: Testco inc. Y 1-C Wendy Court P Greensboro, North Carolina 27409 J L J L Attention: Jim Shelton = a oveu.n==cm.s==== m o TERMS DELIVERY REQVIRED SHIP V6 A F.O.B. YllLL ADVISE l PRICE AMOUNT Ouentity DESCRIPTION Furnish labor and material to perform radiographic inspection of one (1) 31'0" ID x 87'1" High Ellipsoidal Roof Water Storage l 1 Tank to be located in Lynchburg, Virginia, in accordance J with AWWA Standard Specifications.
$2,000.00 TOT AL LUMP SUM PRICE (includes two (2) trips) . . . . . . . . . . . . . ..........
(including inspection) l l SITE LOCATION: Campbell County Utilities r, Service Authority . Lynchburg, Virginia l DIRECTION TO SITE: From Danville Highway #29 north to Lynchburg, Virginia - take #460 by-pass west - take first exit on right (route #678) and take a right - at intersection of Leesville Road take a left and go I
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about two (2) miles - take a left on BriarCliff' Circle and tank will be on the left.
/ _
- IMPoRTANT FISH R YANK CO.
ABoVE ORDER NUMBER MUST APPEAR oN ALL CORRESPONDENCE. INVolCES. PACKAGES AND
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SHIPPING PAPERS. M /Z ORIGINAL. PURCHASE ORDER p'*"'yAdh 2*d."*6F_ N4 PAGE(S)
i le i p') p L \ 0 1 s'e " c o ~ o'T>o ~ s: N PRODUCT STORED. MTER 88LS. . A CAPACITY; 500400 Ip'dA0 GALLONS N DIAMETER. Al'- O' HOGHT; B75 l' OPERATING S G. OF CONTENTS IO AT AMB P DESaGN S G lO AT AMB F' a DESIGN METAL TEMPERATURE 20 p A 8 CORR ALLOW.: SHELL NME BOTTOM ModC ROOF No4E STRUCTURAL Howe
.1 TYPE ROOF. ELU PErot DAL i DES 6GN PRESSURE ATMOSHERic l WIND LOAD: VELOCITY (MPH) LOO *i SEISMIC ZONE. I EARTHQUAKE DESIGN. Fl*ED % METHOD 1l 4 N INSULATION THICKNESS MONE SHELL CODE STAMP. AWWA D 800 NONG RODF- Mo4E p
1 FOUNDATION TYPE; Riur. WALL FRANGIBLE ROOF JOINT; YES NO / SNOW LOAD. 20 N 1
. l i MATERIAL:
l SHELL A% . BOTTOM A% i ROOF A% I STRUCTURALS A% NOZZELS PlPE A53 FLANGES AIOS . GASKETS : _tfEONME , BOLTS & NUTS _ AM HEAW HEX INSPECTION- 4 e WELD EXAMINATION. RADIOGRAPH- VES. PER CDDG ! LIQUID PENETRANT Nia I H YDROTEST. YES MTH D'S$4FECT'OM PNEUMATIC TEST- (PADS) M r VACUUM TEST; YES BOTTOM YES ROOF; YE5 OlL TEST; YES CORNER WELD NOTES: . [
- 1. WELDING TO MEET A*lWA . AWS REQUIREMENTS. j i
i 2 FITTINGS TO BE LOCATED BY CUSTOMER IN FIELD UNLESS OTHERWISE SHOWN
- a 3 PAINTING; SHOP MNE FIELD PER '9E'C.S UNDERSIDE BOTTOM PEm. SPECS '
i 4 CHORD BETWEEN VERTS 2t'- ti 7/a * (MEASURED ON AN OUTSIDE RADIUS) l 5 OUTSIDE RADIUS OF FIRST RING.Mfb* ' { s REFERENCE DRAWINGS: _ goryou L- 522c ROOF L * * FRAMING N/A i WELDING L4229 ORtE>4TATiot4 L* M i i .h p. CONT. NO.: q { 4872' TANK COMPANY Ya FISHER EQUF. NO.: J
$ z
> o 6 2330 TWD NOTCH ROAD
- LDONGTON, SC 29072 ,
E E TITLE: (1) 500,000 GAiinN WATER, STORAGE TANK ', y l y (OCATION: LYNCHBURG , VIRGINIA cusTOutR: P.O. NUM8ER:
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$ CAMPBELL COUNTY UTILITIES & SERVICE AUTHORITY __
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PAGE_6f Or_ b!f PAGE(S
i g, 88tM6 DESTRUCTIVE TESTING 1 C Wendy Court
- Cullford industrial Park l Greensboro, NC 27409 W19)547 0823 m 852 8688 f Fax: @t9) 547 W56 l l
October 17,1991 Fisher Tank Company Attn Brian Strange From: Jim Shelton 1 OUOTATION Water Storage Tank located in Lynchburg, VA 93'0" X 61'9" - 8 Rings - 10 Plates per Ring 2,336.16 ft. horizontal welds 640 ft. Vertical Welds Per AWWA Appx "C" g3,37;,93 V N$& WD l I Respectfully submitted,
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E TESTCO, INC. HON DESTRUCTIVE TESTING 1.C Wendy Court .CulHord industrial Park Greensboro, NC 27409 l (919)547 0823 (800) 852-8688 Fax:(919)547 0956 FAX MESSAGE ATTH: d& w D e e) STUM5 FAX NUMBER l8o3) 957. 3776 FROM: 7. A . .5 / A4 C 3 THIS FAX TOTALS b PAGES INCLUDING THIS COVER PAGE DATE: 3 / *a 719 "A SHOULD YOU HAVE ANY PROBLEM WITH THIS FAX MESSAGE, PLEASE CALL US AT: (919) 547-0823 NOTES: LL W O# C h 6tLL C o. u rs t.# r it $ Coave. 4 c_ r a Ll B 7 ~;L q PLEASE ALSO COPY THE FOLLOWING PERSON (S) WITH THIS FAX: THANK YOU , 9 i l EXHIBIT __/d
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l PAGE_ 5 8 OF T4'1 PAGE(S) ) i f . _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ ]
i i TESTCO, INC.
, ! I -- / ! 9006 US Highway 421. Comax. NC 27233 PO Box 18511. Greenetiore, NC 27417
/ , (919) 547 4 23 . (919)993 2236 . (800) 852 6588 64' i FAX:(919) 993 8124 """*;'"'"*"* To
- Fisher Tank Company ,
, 2330 Two Notch Road Lexington, EC 29072-9996 I .
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a"no O cS*vn'.'e,*."o em"o".'. I sevocaeso cars on anoca 4132 50069 T-1214 o3-10-096 r Octoot.r 11,1953 5
. Tvresosaca kadiographic Inspection of Pipina, Random Sncts + kecairt
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J.saciton/T.Shelton[4gEr Id vie c.nas eeouns EmptassE t i eenft% Daft MEOuL.Am I OVE RYlemE i YRAVE L i slaasDev i nst&Aos p;esistge#CE Fit W SUepugg i l 6 I TOTAL l I l l l rive (5) rencora snets per request of haval In:pector: )
*** " ***u"* ** "-8 50.00 t- 250.00 enava nouns es m. Lix (0) radiogra;,nc of pipe por 1.cyc 4 14cval Inspector.
svanoev eeums es n.e ( 50.00 300.00 amas es n a.s Light (6) repair radiograpns
,,,,,,,,, ,,, t 50.0C 60.00
,, Two (2) cets of .#eldcrs' coupons, set attacned reports ,
0100.00 200.00
- zum am a r ans e s .-e
....r me. ._, Total tnis invoice 1,150.00 y& A3
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TESTCO, INC. ,,,T O N,.z ,, x It0N-N M // /J / / #f' I 1 C Wendy Court . Gullford Industrial Park Greensboro, NC 27400 MATE: mapORT NO: II, #- (919)647 0823 (8001862 8688 Fax:(919)547 0056 DAILY INSPECTION REPORT coesspecmeanon NJ 4 f# DEPOCTCOEM cueNT P10NER TANN CO .. ,
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- TESTCO, INC.
9006 US M9hway 421
- Coitax, NC 27235 l PO Bos 19511. Greensboro, NC 27417 l
. (919) 647 0823
- 919)993 2236 * (900) 952 4608 FAX:(919)9034124 " " " ' ' *
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TO:' gngineering tectonics e ). C. Box 1 e tiinston Sc1.e:., t;C 27100 p- 09_072 .T.",.".".F' "
= ps% gg',=,,, -,oic. wu o. -oca y.., m m. . e,enn_r 5-1224 *EU 61< d / o -w v- '
twa ssmacs adiogrcphic Inspection of Pipin; F r ATCI T31. O/. / Cj,:p ma inston Saler, Journal
,ec.emowse J. C. Shelton , Creg Bowen
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i::STCO, INC, y 1 C Minn.dy O.urt.e GulH .c 7 ruf,in.du trial P.tk . Wit) N7.MB3 8014 W MAS Pam pts)M7.ce66 RADIOGRAPHIC REPOM
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,L / 1VM tu U f)"T 6 j k, A m .7 / m2I pau 4 t #7 j_y A pl . t / no A e - S' = 2-~ 4' 123 A '-A
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O _ _ _ _ . _ TESTCO, INC. ,,,T
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' 1.C Wendy Court Guittord industrial Park Greensboro, NC 2Z409 esponTsoo:
(800)862 0680 (919)547 0823 ' Fax:(919)647 0066 DAILY INSPECTION REPORT coan.=== = m e se DepgCTCCEM Cuestr PISHER TAseK Co as .a.ase ep. eu.aemme e.eme, m 3I00 TWO NOTCH ROAD e au LauseGT004, BOUTH CAROUNA 30F2M as] g g], men,eus CDermACTOR M U S b'" I L",*.".*.w l;_. l,*,Z % m mTlood t'W L 6* r d O C _ " ' A' "d f ' VM- m - *= = 8- *-7 - TApset peo. #
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TESTCO, INC. ,,,, o ~ . !
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1 C Wendy Court Guittord Industrial Park
#Y Greeneboro, NC 33400 mePORT B6Ch p 919)647 0823 4000)862 4648 .
i Fax: pts)647 0e66 w*,e. DAILY 188SPSCTION RifPORT ) I coenme.atnamen M.T 4 Sc
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OW'OCT0008 w 14AISR TANet 00- . . , , asommes anse two NotcN nono taowroN. swm camouMA none g;,,,, ,,,, ;;,",=,' a=' gl:,,,,,,, 1 c . cas u. - 00eftmAerren Af004 (,Aou pf2 " m LacAn0N A'4i8 G L- O Pr.o O . C a e A,,y 2g1. V43 . N .* e's,",*** $*"""""*"'""' 7.*""'""" tuen east e 2 /09 7.i *'"*'"" 3; , 3,* *,*,,T, cee s/r 7 ::-__ u --- ;, .g ,,,, O400 -masA
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i TESTCO, INC. lI l l 9006 US Hohway 421 + Comax,NC 27235 PO Best 18511
- Greensboro NC 27417 p 1 !
(019) 547-0823 * (019)903 2236 * (800) 852 4808 FAX:(919) 9034124 inassa: em se asy. 70
- PIzIACALI.I CO::rTUCTIO.N CC.
- F.C. ICK 715s. l TT. PRAG;,, G.C. 2EC7C
* - , I masas son enace no e cm munases
* ** '"wo*CE no **TE o' ***CE anos on"O ."o om"os'n E I
r> 10 E *, 1032? 'I-1310 94-0f 'C 8. C.,- t 4 i twe sence RADIOCf.APl!IC It:5PECTION CF 1:IGH.;TE!:P FIPr f socAvon CERTIFICATIO:' 0F((6) !!ELCET.'S TEET SPLCIME.1! F;. ETsACC, EC. A
"" U.L. SULLTON
.oune ! anos.sms innis%
cars mefn avsntws e vnavat ovaece, e amtsacs aussistse.cs pu avanas l i TOTAL l l l l 12_nsauun.euas es EE.0; n.s : 1105.CC oventne wou m os mm.s vnavst uouse es mm.s etmeevwouns ee mm.s 1 1! + is.ss es .L0.in.s 8 ??.LC l l esavn c anos.s euenstancs .s g DC.Lv (6) UL*;;T 'S CIETITICi..I;LS , .150.0; I;. .
..P pue s 44 -s
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easte pu e s 44-3 l w air spe s 44 -s m rue s o -s i es o -s l
-.pe - m ee sa -e yy EIIl0I.00 TOTAL I!:VOICr A Feures Omge et in Per 4Ap* fielb ammmert we se Crwoes On pese semes any 90 Deva l
i emenjc PAGE 6G OF W<4'PAGE(8) - l
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rasher 2334.4 sma, seeks.c. coTwo2s072 setek sets ad. ' l
- OfeffeEc7**'** "2 mars or 6avoic.
gg',cgo, in.oice no. I g.g l g,*go oct. 22,1993 i v.1214 hs.so.1e3 setes ==== , 4132 ==1 =1 ===
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.e n .gester, ~ ~carney . KaLand TL _
tocavian. ._ f wavenias vsee.eicinas. J.L ahaltan/ k m. Shelton ( smessesas sues svnnes nw I su.coias_
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1 CO I LU, ll N L. I NON-DESTRUCTIVE TESTING P.O. box 2134s e e REENS50R3, N. C. 27420 C19) 27M361 TERheS: Not 30 Deys b" To** martech
. 1200 mayes Industrial Drive marietta, GA 20062 g p g voicENO.
oni*nT5. cot *RTcT00. olEl'R 20. 'Nvo'cz No- oATE or 'Nvo'et 2536 T-1219 03-09-087 september 8,1993 vveE service' Inspectio of Fillet Welds on Fuel Oil Storage Tank #1735
-A,,- e , s, ,e TECHNICIANS: gggg ggggg HOURS E X PENSES M AT E RI AL l OATE R EG ULA R OVE RTIME TRAVEL STANOBY MILEAGE SUSSISTENCE FILM SUPPLIES lllYf3 TOTAL l
REGULAR HOURS 9 $ /HR - S 8 hours $45.00 360.00 OvERTiuE HOUR $ 9 $ /HR - $ 3 honra GT 067.50 202.50 TRAVE L HOUR $ 9$ /HR - S 497 miles 0 0.40 198.40 STAND 8Y HOURS 95 /HR - $ MILES 9$ /MI - S PER TRIP CHANGE - $
- SUBSISTAN CE - $
FILM 4W" X 7" FILM 9 8 .- /E A - 8
~
4W" X 3 0" F8LM 9 8 /EA - S 4W" X 17" FILM 9 8 /EA - 8
'14" X 17" FILM 9 $ /E A - S 70 mm FILM 9 8 / -S OS / -8 '
LAS NUMBE RS 98 /E A - S TOTAL 8 [sess ou A F. . co. . .1. , M... n.u... .o wil S. co. o. U S. .. A.., xEntlBIT /6 PAGEle6 OF T% PAGE(S)
.g ' =qsyliEsTdo,TNC. "
.96006 DEWmDCmfETESTW60
[ 1 C Wendy Court Gollford industrial Park l *' Greensboro, NC 27409 (919)$47 0823 (800)852 8588 6. Fax:(919)547 0066 r$Rus: neiao e
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TO: * ~ ~ Fisb r Tank C S ty 233t Two Notch Road
. . Lex 13gton,.3C.,29072-8996 i -
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- 1 co M UA 8 So. olol'R Ao. 'avoict No o*TE or 'avo'cE 3087 46319p T-919 90-11-05 November 13,1990 wee service, Radiographic Inspection of High Cone Roof Water Storage Tank Locs.vepN, Churchville, VA t -
v:c m iceANs. J.L.SheltonkJ.Dixon 4 HOURS EXPENSES l M ATE R I AL DATE REGULAR OVE RT 6ME TRAVEL STANo8V MILEAGE I SUB5ISTENCE FILM SUPPLIES 4 t i e TOTAL
^
l REGULAR HOUR $ 9 $ /HR - $ per agreement 1,075.00 1 OVERTIME HOURS 9 $ #/HR - $ TRAVEL HOUR $ 9$
/HR - $
seven (7} ge1gersgCertificates.950.00 350.00 - STAND 8YHOUR$ 9$ HR - 8 MILES 98 (Mi - $ PER TRIP CHANGE - $ #
- 1
$UBSJSTANCE - 8 f
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y n s (3 lt RO . 1 ow" X 7" FILM 9 4 /E A - 6 l' die" X 10" FILM #$ . /E A - S te" x37" F ELM #8 /E A - S 34* N 37" F 8 LM 98 /E A - 8 70 mm FILM eS / -S 1P & / -S l LAB NUMBE RS *l MA 8 TOTAL 6 sa as . A . ... c . .. . M. 1, . .._,,,, e....
.. ... . .. . .. .._. ,o, 4,p y M PAG E(S) i
(803) 3tiG-9454 PI: HER TANK COMPANY 2330 TWO NOTCH COAD o LEXINGTON,SC 200724006 f/[ ORDER NO.: 3087 DATE October 22, 1990 CONTR ACT NO.: 46319 CUSTOMER: Acorn Construction Company F 1 g I l
, Tc: Testco inc. H 1-C Wendy Court f i Greensboro, North Carolina 27409 l TO L ATTN: Jim Shelton j L J bitP V4A F.O.S. 1ERMS DELIVERY REQU4 RED i WILL ADVISE ouentity DESCRIPTION PRICE AMOUNT 1 Furnish labor and material to perform radiographic inspection of one (1) 50'0" Dia. x 36'6" High Cone Roof Potable Water Storage Tank to be located in Churchville, Virginia, in accordance with AWWA Specifications.
TOT A L LU M P S UM PR I C E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... $1,075.00 (including inspection) Job Site Map Attached i N ~ N In IMPoRTANT FISH ANK CO. - ABoVE ORDER NUMBER MUST APPEAR ON ALL CORRESPONDENCE. INVolCES. PACKAGES AND
)
sHi N PAPE Rs ORIGINAL PURCHASE ORDER NE Frances M. Balner - PAGE 76 OF $'L4 PAGE(S)
TESTCO, INC. 000N DESTRUCTWE TESTING 1 C Wendy Court Gulltord industrial Park I Greensboro, NC 27400 (919) 547 0823 (800)852-8688 Fax:(919) 547 0956 RADIOGRAPHIC REPORT ces N b!A* Y b O Do'o III \#l40 m' Yb 3IS Lo* * *0' W
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C.W 484 CUC"ESTED FORMAT FOR MANurMb o unu.
... ...WELDIN2 CPERATER QUALIFICATl5N (See GW.301. Section IX, ASME Soller rnd Pressure Vessel Codel TESTS l ,, Sissain No.
168-34-7074 Louie McElhenv
-Check No.-
WeiderName OU nov. Date ; usene w Ps NopF-UW ' new stove weider is apostined ter the seese no renen. nessed Aeness vessee omensmemen nesis. used in cuesuisensen variaMe SMAW __ Presses __ Manual Presses Type _None P1 seekins tmetel, a ld metel. flue. ***. low 402il P1 ,, A- 3 6_ to A-36 Meurnoi seat. IOW403)
""' .378 __
3/4" Growe I Flinet l Otometer I Groove Fillet CFA4 1R Filter Metal IOW404) cram _1R Spec. No. ""#AiA _F 1 4- b ris Pd Csess cA F.No. Deposited Weld Metal Thickness Flat,Horiz& Vertical i Groas -
- Fillet --
Vertical I Position tow 406) - Upward Wold Proerees6on Gas Type 10W408) i teekins Ges (OW4081 - Electrical Cherecter6stics (OW408) __ Current Reverse reser6ty Guided Send Test Results QW462.2(a), OW462.3(a), OW462.3(b) meoutt Type and Fig. No. , l Radiographic Test Results (QW 304 Si QW-305) i For ottemotive qualification of proove welds by radiography j I Mediographic Results-. Matinfactorv - Passed Fi#et Weld Test Results ISee QW462.4(e). QW482.4(bil i Fracture iest (Desenbe the location. nature and sire of any cract or teenng of the specimen) inches Length and Per Cent et Detects _ in. of Concavity in. Macro Test-Fusion - m. Convesity.
- in. X _-.
Appearance-Fillet Sire lleg) _ 3TA . Laboratory-Test No._ 7 0 7 4 _ Test Conducted by Tmeern.Tnc_ th the We certify that the statements in this record are correct and that the test welds were propered. welde requirements of Section ex of the ASME Code. F4uhar +mnk cnmnany Organiastion sy oei. November 13.1990 IDetail D) record of tests are illustrative only and may be modified to conform to the type end nu NOTE: Any essential veriebtes m addition to those above shall be recorded This form (E00006)mov be obtained from the Order Dept., ASME.345 E g N.Y.10017 II2M PAGE 72- OF$u PAGE(S) 4
^CW 484 SUGOESTED FORMAT FC3 MANUFACTURER'S RECED CF WELD 5H UH l WELDIN3 OPERATCR QUALIFICATl3N TESTS (WPO)
(See F.W 301. Section IX, ASME Soller and Pressure Vessel Codel Wolser pse,,ie John Searv Check No Sessey No. I O b~2 0 ~ I 4 4 I { ue6ng Wes No. UbF-UW UU Mov. Date the einswo ewelder is eselifeed for the feheuring ranges. Rosesd Asteet Veteos Wand in Oissiliasetion Oestifiesenen Rerups ' Verishie Presses __ EMAW Presses Type MAMUR1 Bask 6ng (motsi, wold meest, flue, etc. (OW4021) _None A-36 to A-36 P1 ,o P1 meestiss esse. towa03) Thiekases G,ee e .378 3/4" l Fillet I l Duomotor Greeve . Fillet Piller Metal (OW404) spec. pse. MFA5.18 SFA5.18 1 I
- Cless E701R N F1 thru F4 P.No, Deposiwe Weid potel nianess l Fisiet Groove __
t Vo rt 4 t-m 1 Flat.Hori2frVertical i J Pweien towags) fInwa rti f We6d Progreesion Nnnp Gas Type IOW4JB) Socking Gee f0W40SI Electrinel Cherectoristics (OW400) M Current Peter 6ey . Ee" area Guided Send Test Results OW 442.2(a), OW-462.3(e), OW 46L3(b) Type end Fig. No. Messit 4 4 d Radiographic Test Results (OW.304 Si OW 305) i For alternative quel 6fication of groove weeds by radiography Radiographic Resuus: Satisfactory - Passed Ruet Weld Test Resulte ISee OW.462.4(a), OW452.4(bH Fracture Test (Describe the locesson nature and sine of any crack or toering of the specimen) Length and Per Cent of Defects inches % Macro TesWusion in. x in Convesity in. or Concavity in. Appeerence-feiset sine (ieg) ' Testco,Inc. JLS taboreio,y-Test No. I44l
- _ Test Conducted by We certify that the statements in this record are correct and that the test weids were prepared welded and tested in accordance with the requirements of Section (X of the ASME Code Organiastion Fisher Tank Company Dete Novamher 13.1990 gy (Detail of record of teete are 6Hustrative only and may be modified to conform to the type and number of tests required by the Code.)
NOTE: Any essential variables in addition to those above shall be recorded. IEI This form (f 00008)mey tie obtained from the Oroer Deot., ASME. 345 E. 47 St New York. N.Y. t 0017 l EXHET /6 paQE ~73 OFfW PAGE(S)
f QW484 CU$CESTED FO MAT FOR MANUFACTUZE!iS CECCD CF WELDER OR l WELDIN3 OPERATCR QUALIFICAT12N TESTS (WPO) (See EW 301, Section IX, ASME Boiler rnd Pressure Vessel Code) J l nonsor No,ne W4114mm L nnnnn E N No seerras No. 180-36-8504 e j useng wPs No CSP-OW Bo Rev. Dew l' the ebeve aseteler is seselif ted for the tel6owing ranges. nessed Aetasel Vehsee ) Osefefenseson Renee Ver6sMe gg Qualif6ession Manual , None seek 6ae imesel. weld enetet. f tue, etc. sowa02)] P1 Meteriet spec. Iow403) A-36 to A-36 _P_1 8' )
"'""'" 3/4"
.378 orso.e FNeet )
Dien wr oreove F N6et FNier Metal IOW404) SFA5.18 SFA5.18 ] sesec. No. coess E7018 p.g, F4 F1 thru F4 Depovited Weld Metal Thickness Groove Fil6et Vertical Flat.Horiz& Vertical roeit on tow 40s: weld Proeresseon
-Upward l oss type towa0s) None secun. c.. iow .oei Electr6est Cherectoristics (OW409:
Current DC ; pu,y Reverae Guided Bend Test Results OW 462.2(a). OW-462.3(a), OW 462.3(b) Type end F 6g. No. Result l l Radiographic Test Results (OW 304 Si QW 305) For etternative qualification of groove welds by radiography 7.ediographic Results. Satisfactory - Passed Fillet Weld Test Resuhs lSee OW 462.4(a), OW 442.4(b)l Fracture Test (Describe the tocesion. nature end size of any crack or toering of the specimen) Length end Per Cent of Detects inches % Meero Test-Fusion Appearance-4ellet Sire lleg) en. X an. Conveesty in. or Concavity in Test Conducted by Testco,Inc. JLS Laboratory-Test No. 8504 we certify that the steiements 6n thes record ere correct and that the test weeds were prepared. weided and tested in accordence witn the roovirements of Section IX of the ASME Code. Organization Fisher Tank Company pote November 13,1990 , ey (Detail of record of tests are illustreteve only and may be modified to conform to the type end number of tests required by the Code ) NOTE: Any essential varieb6es in addition to those above shall be recorded it2M) yh,, so,m (E0000elmey be obtained f rom the oroer Dept., ASME. 345 E 47 St.. New York. N.Y.10017 NN [b PAGE ~7'l OFWPAGE(S)
CW.484 CU22ESTED FCRMAT FOR MANUFACTURER'S W CECbMD WELDIN3 CPERATCR QUALIFICATION TESTS (WPO) (See (LW 301. Section IX, ACME Soller cnd Pressura Vessel Code) weses, no,,,e W 41 14 m m L , anann . .ir check No. scene No. 2Il-64-I741 d' usine WPs No. CE P-OW RO Rev. Dete the above ese6 der is seselefied for the fe46ewens ranges. Reemed Aneuse veams. VariaMe used in Quattiaestion Qualefsosteen Renee Press. .SMAW. Presem Type Manuni Gook 6ng imetel, see6d motel, flus, etc. (OW402)) Nnne Mseertoi spec. IOW403) A-36 oA-36 P1 to P 1 Thieh ness o,osee .378 3/4" Fillet Desmeter Greew F466et F466er Meted LOW 404) Spec. No. EFA5.18 EPA 5.18 Cae. F"101 A FA F1 + b rti Fd F.No. Deoos6ted Weld Metet Thickness Groove Fitae Vertical Flat,Horiz& Vertical l Po i6on OW40s) Weid Pros,e son Uoward Gas Type 10W408) None Sockeng Gee IOW408) j Electr6cel Characterestics (OW400) ' Curren DE Reverap Peter 6ty Guided Bend Test Results OW462.2(a), OW462.3(e), OW462.3(b) Type end Fig. No. Result 1 i Rad 6ographic Test Results (OW.304 an OW.305) For, etternative spuolification of kroove welds by radiography radiographic Results: Satisfactory - Passed Fillet Weld Test Results (See OW462.4(e), OW442.4(bil Fracture Test (Describe the locetion, nature and size of any crack or toering of the specimen) Length and Per Cent of Defects anches ih, l l Macro Teet-Jusion Appearance-F 61st Size llegi in. X in. Conveesty en. or Concavity on. Test Conducted by Testco Inc. JLS todo,etory-Test No. 1741 We certify that the statements in this record are correct and that the test weids were propered. welded and tested en accordance with the rogueremente of Section IX of the ASME Code. Organisation Pfaher Tank Cnmnany os,e November 13,1990 e, (Detait of record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code.)
~On: Any -eenisei varia.6es n e .on to tho. o.ove sheii oe ,eco,ded (12/96) Thes form (E000081may be obteened from the Order Dept., ASME. 345 E.47 St.. New York, N.Y.10017 EXHIBIT I4 PAGE10F MyPAGE(S)
{ C.W 484 SUCCESTE3 FZRMAT FOR MANUFACTURERD MkCUMU Ur WELuan un WELDIN3 OPERAT!R CUALIFICATION TESTS (WPQ) (See [W 301. Section IX, ASME Soller r nd Pressure Vessel Codel weidermeme David BoBon cheen no s,e,,e, u. 2 21 -7 0-7 5 9 2 p, Using WPS No. UbP-UW If U Mov. Dow 1 the seawe weider is eseuf ted for the foliewing renen. ) nose.d ass es veeses l Vereense unsd en asessensteen ese84fassesa f w ee ! p,,,,,, SMAW Presses Tyse Manua1 Besking l metal, osold metel, Ns, etc. IOW402)) None - j us,,,tes asisc. IOW403, A-3 6 s. A-3 6 P1 s. P 1 l Thishnem I g,,,,, .378 3/4" l F#iet Diemewr Groove FNiet , FHier Metal (OW404) , g,,,,, %, SFA5.18 SFA5.18 1 ct,,, E7018 p.uo, F4 F1 thru F4 Depo 4 ed Weist Mete Thickness Vertical Flat,Horiz& Vertical Weld Progress 6on Upward Gee Type IOW408) None Becking Gee IOW408) Electrieel Cherectorisiscs (OW409) Current DC pg,g,,,,, Reverse Guided Bond Test Results OW462.2(e), OW462.3(a), OW462.3(b) Tvos and Fig. No. Result l Radiographic Test Results (OW.304 Si OW 305) For etternative qualification of groove welds by radiography i Radiographic Results: Satisfactory - Passed F6llet Weld Test Results ISee OW462.4(e) OW462.4(b)) Fracture Test (Describe the location, nature and site of any crack or seereng of the specimen) Length and Per Cent of Defects anches % l Macro Test--Fusion Appearance--Fennet Site (leg) en. X en. Convexity in. or Concavity 6n. ; Test Conducted by 'Ps= " r*n T rm _ 3TAeboretory-Test No. '7E97
~ We certify that the statements in this record are correct and that the test welds were prepared. welded and tested an accordance with the l
. requirements of Section IX of the ASME Code.
1 Orgemsetion Fisher Tank Company ' I oste November 13 d990 sy (Detail of record of tests are illu.ittstrve only and may be modified to conform to the type and number of tests required by the Codel NOTE: Any enential varieben in addnion to those above shall be recorded. II2E This form (E000081mey be obtained from the Order Dept., 6ASME. 345 E. 47 St., EXHIBIT PAGE_7G OF MPAGE(S)
CW.484 SUCCESTED FERMAT FOR MANUFACTURER'S EECORD CF WELDER OR WELDIN2 CPERATCR QUALIFICATION TESTS (WPQ) (see QWs301, Section IX, ASME Soiler cnd Pressure Vessel Code) weseername .1mek L . c;n.ch t Check No gas,,,,, no.16 8-3 6-4 4 7 5 . _Ue6ag wPS No- . CE P-OW H0 FWW. Dow I the shove eseleser is suellfied for the se46ewang reness. Aeoesef Aetesel Vehses Vertshes Used in One848sostian Qualefensesen Rage , p,,,,,, c: MAW Presses T m M*""*I seeking (metal, essed meset, taus, etc. IQw40211 N"* Motorist spec, (ow403) A 16 to A- 3 6 P1 ,o P 1 Thickness o,,,,,e .378 3/4" Fillet Desmoter Groove Fillei Fi66er idetoi 10W404) gpec, no, C;FA5.18 SFA5.18 C6ess E7018 p.g., Pd F1 thru F4 Depoelted Weld Metal Thickness Groove Fillet Vertical Flat,Horiz& Vertical Pee 6 tion LOW 406) weid eroeress6on Upward j Ges Type tow 4ce) None socking Gee IOW408) 1 Electr6 cal Cherecter6stics (OW40s) ! Current DC pag,,,y ReVer5e Guided Bond Test Results OW462.2(a), OW462.3(a), OW462.3(b) Type end Fis. No. Result l
~
Radiographic Test Results (QW.304 ai OW.305) For ehemat6ve qualification of groove weeds by radiography Modeograph.c Results: Satisfactory - Passed Fillet Weld Test Resuhs ISee OW.442.4(s). OW442.4(b)) Fracture Test (Describe the location nature and site of any crack or leereng of the specimen) Length and Per Cent of Defects enches % Macro Teel-Junion Appeorance-Fillet Site lleg) in. X en Convestty in. or Concavity in. I Test Conducted by Testco.InC. JLS Laborstory-Test No. 4475
~
We certify that t'he statements in this record are correct and that the test welds were prepared. welded and tested en accordance with the I reQueremente of Section IX of the ASME Code Organiastion Fisher Tank Company Dete Maummher 1 't _1 Q Q n gy I (Detail of record of teste are illustrative only and may be modified to conform to the type and number of tests required by the Code ) NOTE: Any essentist varieb6ee m eddition to those above shell be recorded. 4 U2M) This form (E000081 mey be obtained from the Order Dept., ASME.345 E. 47 St.. N York ,N.Y.100t7 onen 7c 1 PAGE D OF 970 PAGE(S) _ i
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~ ~ ~ ~
CW.484 SU2 ZESTED FORMAT FOR MANUFAcluw2rs o n (See QW.301. Section IX, ASME Boiler cad Pressure Vessel Code) e,,,,,, uo. 211-28-2355 I ew no. woede, we,ne_ Joseoh Klamas t5 0 - Rev. Dow Using WPS No,__ CSP-OW she above we6 der le emeltfied ter the testeorens ranges. Assesd AstuelVetuos Quellisenesen Renee used in Misseton Vernoble SMAW Presses __ Manual Presses Type
-.None P1 ,o _P 1 .,
Beck 6ag imeted, soo6d meget, flus, etc. GOW40211 A- 3 6_,o A-36_ answeist spec. (OW403i
~ .378 3/4" _ ' oroswo FN6et Diement Groove FNeet SPA 5.18 FNier Metsi (OW404) SFA5.18 Aoec. No, E7018 F1 thru F4 caoss F4 F.No.
Decosited Weld Metal Thickness Groove Fillet Verticai Pl at .Hnr4 7 & Vertical Position (OW405) finur a rd Wood Progrese6on Nrm o Gas Type (OW408) Beck 6ng Gas (OW4081 - Electr6ce! chorecter6stics (OW400) DC Current Reyerse Peterity Guided Bend Test Results OW462.2(a), OW462.3(a), OW462.3(b) Mosult Tyoe end Fig. No. l l
- l Radiographic Test Results (OW.304 as QW.305)
For etternative qualification of groove veelds by radiogtephy Radiographic Results: hei nf actory - Paased FINet Wold Test Results ISee OW462.4(a), QW462.4(b)) Fracture Test (Describe the location, nature end site of any crack or toering of the spec # men) inches Length and Per Cent of Defects l er or Concevity m. Macro Test-Fusion in. Convenity sn. X _ Appearance-Fillet Sire peg) _ JLS - Laboratory-. Test No-_ 2355 Testco,Inc. d th the
,,,, Test Conducted byWe certify that the statements in this record era correct and that the test weld roouirements of Section ex of the ASME Code.
Fisher tank Company Organization _ sy Dete November 1'4.1990 ed by the Code i (Detail of record of tests are 4ttustrative only and may be modified to conform to the type and number of test NOTE: Any essentist variebtes m oddition to those above shelf be recorded-This forrn (E00008)may be obtemed froen the Order Dept.. ASME,345 ewgh N.Y.10017 UNI l PAGE_ 7 8 OF fff_PAG
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E TESTCO, INC. NON DESTRUCTIVETESTIN3 p 8 1 C Wendy Court Gullford industrial Park ' Greensboro, NC 27409 (919)547 0823 (800) 852-6588
- Fax:(919)547 0956 October 17,1990 Fisher Tank Company Attn Fran From: Jim Shelton
- OUOTATION ON CONTRACT NO. 46319 Acorn Construction Co.
Churchville, VA Including Inspection S1,075.00 Respectfully submitted, l Ji Shelton 9 l l EXHIBff /[ -- l PAGE F L OF$4_PAGE(S) I l
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TESTCO, INC. NON DESTRUCTWE TESTING 1 C Wendy Court Gullford industrial Park I l l Greensboro, NC 27409 (919)547 0823 (800)852 6588 Fax:(919) 547 0956 vsRus; weim o.v. 70*
- Fisher Tank Company
. 2330 Two Notch Road Lexington, SC 29072-8996 oh'A!L'*TS"un" '** " -
oEi"M. coWR"Ac!TSo. oiEi'R Ro. 'avoicE no. oATE or invoice 3077 4667S T-925 91-06-60 June 27,1951 vvFE service, Raciographic Inspection of P.igh Cone Roof Water Storage Tank LocAviou, South Hill, VI: vEewuiceAus, L.5parr.c/J.Snelten wOURS E N PE NS ES M AT E RI AL DATE REQULAR oVE RTIME TRAVEL STAND 8Y MILE AG E I SUS 51$TENCE FILM l SUPPLIE5 l I TOTAL I REcuLAR HOURS # $ /HR - S Pcr LgrCC.%Cn 1,3Cb.00 ! OVERTIME HOURS 9 $ /HR - $ TRAVEL HOUR $ 9$ /HR - $ srAwoey wouRs e s /HR - S WILES es Total tniS invoice 1,300.00 l
/ui - s PER TRIP CHANGE - 8 i SUS $lSTANCE - 8 f I " F,LM - \) * (
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TESTCO, INC. m1CO OR,ER ,,. 7 u . 4(glqg NON DESTRUCTIVE TESTIN3 I 1 C Wendy Court Gullford industrial PCrk Greensboro, NC 27409 REPORT NO:_ ! fl' f (919)547 0823 (800)GS2 6588 Fax:(919)547 0956 DAILY INSPECTION REPORT Code Spe..fication A5 bN DEFECTCODE CUENT Fl6HER TANK CO. as. m e.n op . e.sp m o . o e. r ADDRESS 2330 TWO NOTCH ROAD $! ,% #*"* [ ] , '"' ,", Q" l LEXINGTON, SOUTH CAROLtNA 29072 9996 7*#AM5C. M Kl* W 4M h",%% l ," _""" T (~,$%=ses CONTRt.CTOR 4 o c ti LitLL.- UA- ct- cay 8P - g- g a JOB LOCATION p te - am.c., sa . s n , 8 l b la 7 9 er-sm n TANKNO.#
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(803) 359 9454 j l Pli lHER TANK C@MPANY / 6 2330 TWO NOTCH COAD e LEXIN; TON,SC 200724006 ORDER NO.: 3077 DATE October 17, 1990 CONTRACT NO.: 46679 CUSTOMER: TRANSCO r Testco, Inc. 1 g F 1 To: 1-C Wendy Court Y Greensboro North Carolina 27409 P ATTN: Jim Shelton TO L J L J SMer TO ASOVE UMLaEE OTHESHHRE NOTED MENE
&,46P V6A F.O.h. TERMb OELivERY REQUIRED WILL ADVISE Ouentety DESCRIPTaoN PRICE AMOUNT Furnish labor and material to perform radiographic inspection and liquid penetrate test of one (1) 18'0" Dia. x 24'0" High Cone Roof Fire Water Storage Tank to be located in South Hill, Virginia, in accordance with API-650 specifications.
TO T A L LU M P S U M PR I C E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ......... $1,300.00 (including inspection) SITE LOCATION: Transcontinental Gas Pipeline Corporation Highway 637 (one (1) mile north) South Hill Compressor Station South Hill, Virginia i s u"J g I y s - N r-- u-f7 5 O m I b IMPoRTANT FISH TAhlK CO. . W AtoVE ORDER NUMBER MUST APPEAR oN ALL CORRESPONDENCE. INVolCES, PACKAGES AND wintNo PAPE Rs. h ORIGINAL PURCHASE ORDER Frances M. Balner I k
1
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TESTCO, INC. m1C3 0.DE.NO r-ion NON. DESTRUCTIVE TESTING j g lq, 8 1-C Wendy Court Guill:rd industri:1 Park C Greensboro, NC 27409 REPORT NO: /04I (919) 547 0823 (800)852 6588 Fax:(919)547 0956 DAILY INSPECTION REPORT Code Specificatiori bM CUENT FISHER TANK CO- DEFECT CODE ADDRESS 2330 TWO NOTCH ROAD as.a s.n op.o p.m o.o.m.
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WSTCOl~lNC. - NON DESTRUCTIVETESTWIG 1 C Wendy Court Gullford Industrial Park [. l Greensboro, NC 27400 (919)547 0823 (800) 852-6588 Fax:(919) 547 0956 genus m % TO *
- Fishar Tank Company .
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- INVOICE NO. DATE OF INVOtCE oREEWo. coRfR"AcT "o. oREI'R Ao.
3489 47929 U-1017 91-12-124 December 20,1991 TvResERvicE> Radiographic Inspection of Storage Tank LOCATION: SouthWood Builders /DOSWG11, VA T cwNiciANs, L. Sparks /7. Southern HOURS E X PENS ES M ATE RI AL TRAVEL STANDBY MILEAQE SUB5isTENCE FILM $UPPLIES i DATE REGULAR OVERTIME 4 l TOTAL i i REcutAR Hours e s IHR-s Per agrcement 750.00 OVERTIME HOUR 5 9 8 /HR - I TRAVEL HOURS 98 /HR - $ STANDBY HOURS 98 /HR - s Total thiSdiDVoice 750.00 uites es /wi - : PER TRIP CHANGE - 8 g SUS $1 STANCE - $ i w CL,
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TESTCO, INC.
, '" Now pasTRUCTIVETESTING 1 C W9ndy Court Gullford industrial Park Gre9nsboro, NC 27400 f
l (919)547 0823 (800) 852 6588
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- Fisher Tank Company
. 2830 Two Notch Road Lexington, NC 29072-8996 4
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* ** $NVOICE NO. DATE oF INVOICE oTol*nTo. ecERact Eo. oRoE'R Ao.
3211 47429 T-951 91-02-13 February 13,1991 w,E unvicE. RadiograpbicInspectionofHighTreatedbatcrStorageTank s.ocareoN. Unnover C,ounty, VA vEcwNic.4Ns, J.L.Shc1tbn/J.Dixon HOUR $ E M PE NS E1 M AT E R I AL DATE R EQ ULA R OVE RTIME TRAVEL ST ANDBY MILE AG E SUS.157ENCE FILM l SUPPL.E5 o t TOTAL RaoutAR Hours 9 8 /HR - $ Per agreement 2,000.00 OVERTIME HOURS 9$ /HR - $ TRAVEL HOUR $ 9$ /HR - $
$TAND8Y HOURS 98 /HR - $ TotL1 thiE. invcict 2,000.00 MILES 9$ /Mi - 8 PER TRIP CHANGE - $ -
SUS $1 STANCE - $ o esLu
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// 1181HX3 W" &f!Mt**'M MMausadMQT'"fcip.isal 02-14 02/14/91 DNSLOW CONSTRUCTION 91-02-13 975.00 00 975.00 02/13/91 HANOVER COUNTY. VA 2,000.00 00 2,000.00 91-02-15 02/15/91 HENKEL CORPORATION .
91-02-15 02/15/91 HENKEL CORPORATION 425.00 . 00 425.00 91-02-15 02/15/91 HENKEL CORPORATION 425.00 . 00 425.00 91-02-15 02/15/91 HENKEL CORPORATION 375.00 . 00 375.00 300.00 . 00 300.00
' - ~ ~ ~ ' - '
FISHER TANK COMPANY M F (. 4,500.00 . 00 4,500.00 4 e 1
(803) 359-9454 FISHER TANK C@MPANY m 23301WO NOTCH ROAD e LEXINGTON, SC 20072 9996 k" i r ORDER NO.: 3211 February 6,1991 CONTRACT NO.: 47429 DATE CUSTOMER: Hanover County, VA F 1 g I 1 Testco inc. H To: I 1-C Wendy Court P Greensboro, North Carolina 27409 TO t Attention: Jim Shelton j L J peer to Amovs uwuuss smeasswuma seOTED MdB SMiP VI A F.0.8. TERMS DEL 6VERY REQUIRED WILL ADVISE Quentity DESCRIPTION PRICE AMOUNT Furnish labor and material to perform radiographic inspection of two (2) 54'0" 1D x 32'0" High Treated Waste Water Storage Tanks to be located in Hanover County, Virginia, in accord-ance with AWWA Standard Specifications. TOT A L LU M P S U M PR I C E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......... $2,000.00 (including inspection) ET Doswell Wastewater Plant 4 SITE LOCATION: - Hanover County, Virginia $ 0-(see directions to site attached) M FISHER'S FOREMAN: B. J. Coker yk I- - b LU EL.
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IMPoRTANT FISHE TANK CO. ABoVE ORDER NUMBER MUST APPE AR oN ALL CORRESPONDENCE,INVolCES, PACKAGES AND SHIPPING PAPE R$ PURh(ENT ORIGINAL PURCHASE ORDER Frances M. Bainer
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- neum oistnect Atenry M Sfaem ev.Jeg, st aven0AM DmtRfCf January 18, 1991 DIRECTIONS T_O Tile DOBWELL WASTEWATER P I, A FI T i ,
From Richmond take 1-95 to DOSWELL VIRGTtITA. Turn right or ennt on ROUTE 30 ' KINGS DOMIt1 Int! T:XTT). Go to first stop light, make a right hitrn and follow the f. ron t a g e rond back behind KINGS DOMINI 0tl for approximately 1 mile. AT that point it dead nnds. Take a left off the gravel road a sid f o i l.nw it hnnk Il miles to the DosWELL WASTEWATER Pr,ht:T. At any fork on the gravel rond, take the right hand fork. CONTACT PERSON: BOB WEISHER (004) 076-3565 4 i I hope this will be nf help. Audrey C. Long Purchasing Office EXHIBIT /d
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PAGE /0 4 OF PAGE(S)
- i. W- PMous RSHER TANK l
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TESTCO, INC. NON DESTRUCTIVETESTING g 1 C Wendy Court Gullford Industrial Park p Greensboro, NC 27400 l (919) 547 0823 (800) 852 6588 l Fax:(919)547 0956 January 23,1991 i
' Fisher Tank Company Attn Frag Fromt Jim Shelton OUOTATION ON CONTRACT #47429 .
Hanover County, VA } Including Inspection on two (2) tanks, based on one (1) trip (b I 2.000' S Wfh1Mr A This price includes overnight stay, to ensure early start. a Price for additional trip (if required) S1,500.00 I i Respectfully submitted, n ! YW
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i Jim Shelton ,. JS/ts i 1 89 l \ EXHlBIT_. /5
' ' 'PA'GE 'Io s OF , - PAGE(S)
01 '23'92 $0:$3 F19ER TAta: CorfVe# 001 003 359 94 9 e... 603-359 41L1 E I HER TANK COMPANY 2330 TWO NOTCH ROAD
- LEXINGTON, SOLITH CAROLINA 29072 8996 ,
FACSIMILE COVER Sil.EET DATE: January 23, 1991 TOTAL NUMDER OF PAGES: 2 (NOT INCLUDING Tills COVER SllEET) SF.NT TO: Jim COMPANY: Testco inc. .. . TELEFAX NUMBER: Memory #l FR0ll: Fran _ , , , , l COMMENTS: Re: 447429 - Hanover County, VA Two (2) TANKS l Please advise your price to furnish labor and material to perform radio-graphic inspection of the tanks described per attached. Base price on one (1) trip only with your separate cost should an additional trip be required. .. . . . . FISifER' TANK COMPANY FAX NO.: (803) 957-3376 IF YOLI DO NOT RECEIVE ALL PAGES, PLEASE CALL BACK AS SUON AS POSSIBLE
- AT Tile TELEPl!ONE NUMBER LISTED BELOW.
TELEP110NE NUMBER: (803) 359-4173 Original v111 or x wJ11 not be mailed. EXHIBIT /6
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K:r. Jd ~ TESTCO; INC. '
" NON.DESTRUCDVE TESDNG L.-
1 C Wendy Court Guliford Industrial Park r-l Greensboro, NC 27400 (919)547 0823 (800) 852 6588 Fax:(919)547 0956 isMass8 met so osvi
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3480 48059 T-1016 91-11-110 November 25,1991 . vvFeseRvice.Raciographic Inspection of High Umbrella Roof Water Storage Tank toc usoN. Fort Chiswell Community, Wytheville, VA TEcNNiciaNs. J.Shelton/J.Dixon NOURE E X PENS ES M AT E RI AL OVE R TIME TRAVEL STANOSY MILE AG E SUBSISTENCE FILM SUPPLIES . MTE REGULAR TOTAL KEGULAR HOURS 9 8 /HR-s Per agreement . 1,000.00 cvsRTaus Hours es /HR-s One (1) Welder Certification 50.00 TRAVEL HOURS S$ /HR - $
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MON DESTlWCTIVE TESTING g., 1.C Wendy Court . Gullford industrial Park Greensboro, NC 27400 (019)547 0823 (800)852 6688 Fax:(919) 547 0956 UDIOGRAPHIC REPORT w, G< MR TA ,vk rn oo,e 1 ( l 2 3 l:1I m. 480f9 toe. rte /6 wo MfB
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t.a v v *o., o v u u s. . . . . .... . . . - . WELDIN3 CPERATOR uuALIFICATION TESTS (WPO) (See CW.301, Section IX. ASME Doll:r end Preert:) Veseel Codel Stone No. 22 K n ? ~ $1 A n Weider seeme Secur nAMAD Cheek No. Udne Wrs No- Ogn cu ee Rev. _ osee 3n [ the ebeve welder is eeessified Ier d sesi.eine ren, . ASME & API 650 Ressed Asteel Weises Osellfleetion Reage Used in Ouellf tsatier. Valskie euau RM AInf _ p,,,,,, u a ut11T. _ M ANrrAT. Psesses Type NONE WTTH nu WTTHOUT seekins lautel.i sed avses, flue. etc. low 402il p1 ,o p1 Meiertes spee, low 403) A-36.so_ A 36 ) l Thieknes 1/4" PLATE O- 1/2" I oso Petet ' D6 neter I Groove 1 PHlet Pieter litetel LOW 404) CrA5 1R FFAS_1 sees. No. . __FE011 Clase _1 F1 Tunn p3 P.No. Depeelted Wold Metal Th;cknees FLAT,HORIZ& VERTICAL VERTICAL p., gawagg, FADFMAMn Weid Progression , Oes Type IOW445) _.MAMr tesking Gee 10W.ece) :* Electrieel Choresterlettee IOW409) Cwerent _T RTD AT r*MT Poierity . Guided Bend Test Hesults OW462.2(el, OW 462.3(e), OW 462.31bl Mesult T ype end F ig No. Red 6ographic Test Results (0W.304 Si 04 305) For etternative atualification of groove welde by radiography Radioseephic Reevite: cAPTCrAr"rigoy n3ggg9 l Fillet Weld Test Resulte ISee GW462.4te). OW442.4th)) Fracture Test IDescribe the location, netwee end eine of any creek or seereng of the specimen) l enches % Length and Per Cent of Detecto Macro Teet--Fuelon in.of Concevity in.
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requiremente of Session IX of the ASME Code. Orgemistoon FISHER TANK COMPANY
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1 M l Pg TANK C@MPANY 2330TWO NOTCH ROAD e LEXINGTON,SC 20lFF24006 \%%]~
\ -\ W i ORDER NO.: 3488 DATE November 18, 1991 CONTRACT NO.: 48059 CUSTOMER: Wythe County Board q
of Supervisors q 7 7 Te,* Testco inc. H 1-C Wendy Court l l Greensboro, North Carolina 27409 P Attention: Jim Shelton TO J L J L 1
-1.-_...__ peOTED DOSftE Ship V4A F.O.S. TERMS DEuvERY REQUIRED WILL ADVISE Quantsey DESCRIPTION PRICE AMOUNT Furnish labor and material to perform radiographic inspection i of one (1) 46'6" Dia. x 20'6" High Umbrella Roof Water Storage ,
Tank to be located in Wytheville, Virginia, in accordance with ; AWWA Standard Specifications. TOT A L LU M P SU M PR I C E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... $1,000.00 (including inspection) I i i 1 DIRECTIONS TO SITE: Route 52 at l Fort Chiswell Conimunity, Wytheville, Virginia v>
~
w FISHER'S FOREMAN: Robert Thomas @ O, S
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n ' 5~ ' IMPoRTANT FIS TANK COh ) ABoVE ORDER NUMBER MUST APPEAR oN ALL W CORRESPONDENCE,INVolCES. PACKAGES AND S i SHIPPING PAPERS. PURC N G$NT C ORIGINAL PURCHASE ORDER Frances M. Balner j
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PISHER TANK COMPANY ?330 TWO NOTCH ROAD e trXff4GT0f! SOUTH CAROLINA 29*,72 89ir5 1 4 1 i l FACSIMILE. C.OVP,H .SHFE'.l. . . DA: , f . > . : . . .' li, 199* J u a ni. NUtllEP OF PAGES: , (IMI J NG),l' DING THI F C0t'EF: S ff E T.T )
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IL-%Jl\#\/ 9 IIDs TESTCO ORDER ND: 'T T
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NON DESTRUCTIVE TESTIN2 1 C Wendy Court Gullf:rd industri 1 P;rk DATE: Y*#I*9# - Greensboro, NC 27409 CEPO~;T N3: I b.
' " (919)547 0823 (800) 852-6588 Fax:(919) 547 0956 DAILY INSPECTION REPORT Code Specification A WIA/D /3 la fl CUENT FISHER TANK CO.
DEFECTCODE ADDRESS 2330 TWO NOTCH ROAD as . a, s op . e s peam.m. LEXINGTON. SOUTH CAROLINA 29072 8996 ""' o. oJnie N* , g, ,[" CONTRACTOR 6J4, t rn J#c C - C'*** y- " $ "'*""" JOB LOCATlON &le e> c 1 Cow >ra g, g,,,, P,
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a- -s r ! 3f [ .f D h fl5HtR LANK REPRESENIAlivE A
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TESTCO, INC. NON DESTRUCTIVE TESTIN3 4 I 1 C Wendy Court . Guilford industrial Park ! Greensboro, NC 27409 1 (919)547 0823 (800)852 6588 j
; Fax:(919) 547 0956 )
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; October 16,1991 !
l Fisher Tank Company 3131 W. Front Street ! 3
- Chester, PA 19013-1899 )
Attn: Jim Ward Re: Job #48069 Henry County, VA i
Dear Jim,
Enclosed please find Daily Inspection Report and photographs for additional trip to above mentioned job site. l The painter let us use his lift and chair and you can see
- . Toe Dixon and myself working on it. 1 i Best regards, h
Jim Shelton JS/ts i
- Encl.
F b 1 i EXHIBIT b PAGE I ?-00F FF PAGE(?) h
.-.vv, . . i v. TE.TCO O.DE. NO; 5. Se e I NON DESTRUCTIVE TESTING 1 C Wendy Court Cullf:rd Industri:1 P;rk Creensbors, NC 27409 DATE: ~I- 'I
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I REPORT NO: p.
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Code Specification / 84/4/B A /> 0 CUENT FISHER TANK CO. DEFECT COOE ADDRESS 2330 TWO NOTCH ROAD AS . Ase ten OP - eme Paukee O = Ouses LEXINGTON. SOUTH CAROLINA 20072 8996
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3394 48069 T-995 91-09-79 September 13,1991 vvpassavice, Radiographic Inspection of High Cone Roof Water Storage Tank , t.ocAT80N' Henry County, VA vcewwiceAn$i J.Shel, ton /L.Benton l.
' E X PE NSES M AT E RI AL MOUR$
TRAVEL ST AND.V B A, LEASE SU.SISTENCE FILM SUPPLIES
' . ATE mEGULA R OV E RTIME
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1 TOTAt. . REGULAR HOURS 9 $ /HR - $ 1,500.00 Per agreement OVERTIME HOUR $ 9 $ /HR - $ TRAVEL HOURS 9$ /HR - $ [,",'#"""' ,'
#""_~' , Total this invoice 1,500.00 PER TRIP CHANGE - 8
$USSISTANCE - 8 g '
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- 1 44." N 7" . FILM # $ /E A - 8 FILM 9 8 /E A - 8 g
4te" X 10" ow" M 3 7" FILM @ $ /E A - 8 , 8 4" X 17" FILM & S /E A - $ 70 mm FILM =6 / == 8 b I
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(803) 359 9454/ PISHER TANK C@MPANY 2330 TWO NOTCH COAD e LEXINGTON, SC 200724996 t ) ORDER NO.: 3394 August 14, 1991 CONTRACT NO.: 48069 DATE CUSTOMER: Henry County 1 g I 1 i To: Testco inc. H 1-C Wendy Court i P Greensboro, North Carolina 27409 Attention: Jim Shelton T0 g J L J sz-_ __ _ mo == SMi# V4A F.O.E. TERM 6 DELIVERY REQUIRED WILL ADVISE DESCRIPTION PRICE AMOUNT ouentrey Furnish labor and material to perform radiographic inspection of one (1) 54'6" Dia. x 57'9" High Cone Roof Water Storage Tank to be located in Martinsville/Stanleytown, Virginia, in accordance with AWWA Standard Specifications. TOTAL LUMP SUM PRICE (two (2) trips) . . . . . . . . . . . . . . . . . . . . . . .......... $1,500.00 (including inspection) , l i 1 I . 1 SITE LOCATION: See attached map g III f n. M 0-N N 5O ea iMPORTANT m FISHER TMNK CO. ., r/ f r - dh -
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l ABoVE ORDER NUMBER MUST APPE AR oN ALL CORRESPONDENCE. INVolCES, PACKAGES ANo \ < O= SHIPPING PAPERS. PURCHASEAdENT ORIGINAL PURCHASE ORDER Frances M. Balner
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