ML23186A097: Difference between revisions

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{{#Wiki_filter:NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1a. CERTIFICATE NUMBER b. REVISION NUMBERc. DOCKET NUMBERd. PACKAGE IDENTIFICATION NUMBERPAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 1 OF 3
{{#Wiki_filter:U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1
: 2. PREAMBLE
: a. CERTIFICATE NUMBER
: b. REVISION NUMBER
: c. DOCKET NUMBER
: d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 1
OF 3
2.
PREAMBLE
: a. This certificate is issued to certify that the package (packaging and contents) described in Item 5 below meets the applicable safety standards set forth in Title 10, Code of Federal Regulations, Part 71, Packaging and Transportation of Radioactive Material.
: a. This certificate is issued to certify that the package (packaging and contents) described in Item 5 below meets the applicable safety standards set forth in Title 10, Code of Federal Regulations, Part 71, Packaging and Transportation of Radioactive Material.
: b. This certificate does not relieve the consignor from compliance with any requirement of the regulations of the U.S. Department of Transportation or other applicable regulatory agencies, including the government of any country through or into which the package will be transported.
b.
: 3. THIS CERTIFICATE IS ISSUED ON THE BASIS OF A SAFETY ANALYSIS REPORT OF THE PACKAGE DESIGN OR APPLICATION
This certificate does not relieve the consignor from compliance with any requirement of the regulations of the U.S. Department of Transportation or other applicable regulatory agencies, including the government of any country through or into which the package will be transported.
: a. ISSUED TO (Name and Address) b. TITLE AND IDENTIFICATION OF REPORT OR APPLICATION QSA Global, Inc. QSA Global, Inc. application dated April 10, 2023, as 40 North Avenue supplemented.
3.
Burlington, MA 01803
THIS CERTIFICATE IS ISSUED ON THE BASIS OF A SAFETY ANALYSIS REPORT OF THE PACKAGE DESIGN OR APPLICATION a.
ISSUED TO (Name and Address)
: b. TITLE AND IDENTIFICATION OF REPORT OR APPLICATION QSA Global, Inc.
40 North Avenue Burlington, MA 01803 QSA Global, Inc. application dated April 10, 2023, as supplemented.
: 4. CONDITIONS This certificate is conditional upon fulfilling the requirements of 10 CFR Part 71, as applicable, and the conditions specified below.
: 4. CONDITIONS This certificate is conditional upon fulfilling the requirements of 10 CFR Part 71, as applicable, and the conditions specified below.
5.
5.
 
(a)
(a) Packaging
Packaging (1)
 
Model No.: 865 (2)
(1) Model No.: 865
Description A steel encased, uranium shielded radiographic exposure device 5" OD x 12.25" long. The device is provided with a handle and two triangular shaped legs. Primary components consist of an outer steel shell, internal bracing, depleted uranium shield, and a source tube. The contents are securely positioned in the source tube by a source holder assembly and actuator and locking assembly. Tamper-indicating seals are provided on the packaging and a 0.12-inch thick steel outer cover is bolted over the source actuator and locking assembly for additional protection during transport. The maximum total weight of the package is 60 pounds.
 
(3)
(2) Description
Drawings The packaging is constructed in accordance with QSA Global Drawing No. R86590, Sheets 1 through 7, Rev. M.
 
A steel encased, uranium shielded radiographic exposure device 5" OD x 12.25" long. The device is provided with a handle and two triangular shaped legs. Primary components consist of an outer steel shell, internal bracing, depleted uranium shield, and a source tube. The contents are securely positioned in the source tube by a source holder assembly and actuator and locking assembly. Tamper-indicating seals are provided on the packaging and a 0.12-inch thick steel outer cover is bolted over the source actuator and locking assembly for additional protection during transport. The maximum total weight of the package is 60 pounds.
 
(3) Drawings
 
The packaging is constructed in accordance with QSA Global Drawing No. R86590, Sheets 1 through 7, Rev. M.
 
The package user should reference QSA Global, Inc., Drawing No. R865-User, Revision B, sheets 1-2.
The package user should reference QSA Global, Inc., Drawing No. R865-User, Revision B, sheets 1-2.
NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1a. CERTIFICATE NUMBER b. REVISION NUMBERc. DOCKET NUMBERd. PACKAGE IDENTIFICATION NUMBERPAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 2 OF 3
5.(b) Contents
(1) Type and form of material:


U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1
: a. CERTIFICATE NUMBER
: b. REVISION NUMBER
: c. DOCKET NUMBER
: d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 2
OF 3
5.(b)
Contents (1)
Type and form of material:
Iridium-192 as sealed source must meet the requirements of special form radioactive material.
Iridium-192 as sealed source must meet the requirements of special form radioactive material.
 
(2)
(2) Maximum quantity of material per package:
Maximum quantity of material per package:
 
240 curies (8.9 TBq) (output)
240 curies (8.9 TBq) (output)
Output curies are determined by measuring the source output at 1 meter and expressing its activity in curies derived from the following: 0.48 R/(h-Ci) Iridium-192 at 1 meter, (Ref: American National Standard N432-1980, "Radiological Safety for the Design and Construction of Apparatus for Gamma Radiography).
Output curies are determined by measuring the source output at 1 meter and expressing its activity in curies derived from the following: 0.48 R/(h-Ci) Iridium-192 at 1 meter, (Ref: American National Standard N432-1980, "Radiological Safety for the Design and Construction of Apparatus for Gamma Radiography).
: 6. In addition to the requirements of Subpart G of 10 CFR Part 71:
6.
 
In addition to the requirements of Subpart G of 10 CFR Part 71:
(a) The package shall be prepared for shipment and operated in accordance with the Operating Procedures in Section 7 of the application, as supplemented.
(a)
The package shall be prepared for shipment and operated in accordance with the Operating Procedures in Section 7 of the application, as supplemented.
(b)
Each packaging shall be maintained in accordance with the Maintenance Program in Section 8 of the application, as supplemented.
7.
The packaging authorized by this certificate is hereby approved for use under the general license provision of 10 CFR 71.17.
8.
Revision No. 12 of this certificate may be used until March 31, 2024.
9.
Expiration date: March 31, 2029.


(b) Each packaging shall be maintained in accordance with the Maintenance Program in Section 8 of the application, as supplemented.
U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1
: 7. The packaging authorized by this certificate is hereby approved for use under the general license provision of 10 CFR 71.17.
: a. CERTIFICATE NUMBER
: 8. Revision No. 12 of this certificate may be used until March 31, 2024.
: b. REVISION NUMBER
: 9. Expiration date: March 31, 2029.
: c. DOCKET NUMBER
U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1
: d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 3
.a. CERTIFICATE NUMBER b. REVISION NUMBER c. DOCKET NUMBER d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 3 OF 3 REFERENCES QSA Global, Inc., application dated April 10, 2023.
OF 3
REFERENCES QSA Global, Inc., application dated April 10, 2023.
Supplement(s) dated:
Supplement(s) dated:
FOR THE U.S. NUCLEAR REGULATORY COMMISSION Yoira Diaz-Sanabria, Chief Storage and Transportation Licensing Branch Division of Spent Fuel Management Office of Nuclear Material Safety and Safeguards Date: August 15, 2023 Signed by Diaz-Sanabria, Yoira on 08/15/23}}
FOR THE U.S. NUCLEAR REGULATORY COMMISSION Yoira Diaz-Sanabria, Chief Storage and Transportation Licensing Branch Division of Spent Fuel Management Office of Nuclear Material Safety and Safeguards Date: August 15, 2023 Signed by Diaz-Sanabria, Yoira on 08/15/23}}

Latest revision as of 02:50, 27 November 2024

Certificate of Compliance No. 9187, Revision No. 13, for the Model No. 865 Package
ML23186A097
Person / Time
Site: 07109187
Issue date: 08/15/2023
From: Yoira Diaz-Sanabria
Storage and Transportation Licensing Branch
To:
QSA Global
Shared Package
ML23186A096 List:
References
EPID L-2022-RNW-0008
Download: ML23186A097 (3)


Text

U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1

a. CERTIFICATE NUMBER
b. REVISION NUMBER
c. DOCKET NUMBER
d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 1

OF 3

2.

PREAMBLE

a. This certificate is issued to certify that the package (packaging and contents) described in Item 5 below meets the applicable safety standards set forth in Title 10, Code of Federal Regulations, Part 71, Packaging and Transportation of Radioactive Material.

b.

This certificate does not relieve the consignor from compliance with any requirement of the regulations of the U.S. Department of Transportation or other applicable regulatory agencies, including the government of any country through or into which the package will be transported.

3.

THIS CERTIFICATE IS ISSUED ON THE BASIS OF A SAFETY ANALYSIS REPORT OF THE PACKAGE DESIGN OR APPLICATION a.

ISSUED TO (Name and Address)

b. TITLE AND IDENTIFICATION OF REPORT OR APPLICATION QSA Global, Inc.

40 North Avenue Burlington, MA 01803 QSA Global, Inc. application dated April 10, 2023, as supplemented.

4. CONDITIONS This certificate is conditional upon fulfilling the requirements of 10 CFR Part 71, as applicable, and the conditions specified below.

5.

(a)

Packaging (1)

Model No.: 865 (2)

Description A steel encased, uranium shielded radiographic exposure device 5" OD x 12.25" long. The device is provided with a handle and two triangular shaped legs. Primary components consist of an outer steel shell, internal bracing, depleted uranium shield, and a source tube. The contents are securely positioned in the source tube by a source holder assembly and actuator and locking assembly. Tamper-indicating seals are provided on the packaging and a 0.12-inch thick steel outer cover is bolted over the source actuator and locking assembly for additional protection during transport. The maximum total weight of the package is 60 pounds.

(3)

Drawings The packaging is constructed in accordance with QSA Global Drawing No. R86590, Sheets 1 through 7, Rev. M.

The package user should reference QSA Global, Inc., Drawing No. R865-User, Revision B, sheets 1-2.

U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1

a. CERTIFICATE NUMBER
b. REVISION NUMBER
c. DOCKET NUMBER
d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 2

OF 3

5.(b)

Contents (1)

Type and form of material:

Iridium-192 as sealed source must meet the requirements of special form radioactive material.

(2)

Maximum quantity of material per package:

240 curies (8.9 TBq) (output)

Output curies are determined by measuring the source output at 1 meter and expressing its activity in curies derived from the following: 0.48 R/(h-Ci) Iridium-192 at 1 meter, (Ref: American National Standard N432-1980, "Radiological Safety for the Design and Construction of Apparatus for Gamma Radiography).

6.

In addition to the requirements of Subpart G of 10 CFR Part 71:

(a)

The package shall be prepared for shipment and operated in accordance with the Operating Procedures in Section 7 of the application, as supplemented.

(b)

Each packaging shall be maintained in accordance with the Maintenance Program in Section 8 of the application, as supplemented.

7.

The packaging authorized by this certificate is hereby approved for use under the general license provision of 10 CFR 71.17.

8.

Revision No. 12 of this certificate may be used until March 31, 2024.

9.

Expiration date: March 31, 2029.

U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 618 (8-2000) 10 CFR 71 CERTIFICATE OF COMPLIANCE FOR RADIOACTIVE MATERIAL PACKAGES 1

a. CERTIFICATE NUMBER
b. REVISION NUMBER
c. DOCKET NUMBER
d. PACKAGE IDENTIFICATION NUMBER PAGE PAGES 9187 13 71-9187 USA/9187/B(U)-96 3

OF 3

REFERENCES QSA Global, Inc., application dated April 10, 2023.

Supplement(s) dated:

FOR THE U.S. NUCLEAR REGULATORY COMMISSION Yoira Diaz-Sanabria, Chief Storage and Transportation Licensing Branch Division of Spent Fuel Management Office of Nuclear Material Safety and Safeguards Date: August 15, 2023 Signed by Diaz-Sanabria, Yoira on 08/15/23