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{{Adams
{{Adams
| number = ML18278A217
| number = ML20132C168
| issue date = 10/02/2018
| issue date = 06/28/1985
| title = Shannon & Wilson, Inc.; Amendment Request; License 50-23204-01; Docket 030-20360; Control 610125
| title = Insp Findings & Licensee Ack on 850619-20 of License 50-23204-01.Insp Findings:Physical Inventories of Sealed Sources Not Performed at Proper Intervals & Records Did Not Indicate Location of Sealed Sources or Date of Inventory
| author name = Presler W A
| author name = Skov D
| author affiliation = Shannon & Wilson, Inc
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
| addressee name = Hill C
| addressee name =  
| addressee affiliation = NRC/RGN-IV
| addressee affiliation =  
| docket = 03020360
| docket = 03020360
| license number = 50-23204-01
| license number =  
| contact person =  
| contact person =  
| case reference number = 610125
| document report number = NUDOCS 8507290652
| document type = E-Mail, License-Application for (Amend/Renewal/New) for DKT 30, 40, 70
| document type = DKT 30 MTL BYPRODUCT, SAFETY INSPECTION (FORMERLY INSPECTION FINDINGS &, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 5
| page count = 1
}}
}}


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=Text=
=Text=
{{#Wiki_filter:Hill, Carol From: Sent: To: Wendy Presler <WAP@shanwil.com>
{{#Wiki_filter:_- - - _ - - - - . _ _ - _ _ _ _ _- - _-___ - -_ - -
Tuesday, October 02, 2018 7:11 PM Hill, Carol Cc: Subject:
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===Attachments:===
I "RC Form 501        4 U.S. NUCLEAR REaULATORY COMMIS8 tan l (12C1)    -
Christopher Darrah; Steve Adamczak; Torres, RobertoJ [External_Sender]
10 CFR 2.201 SAFETY INSPECTION 1. LICENSE E      2. REGIONAL OFFICE F Shannon & Wilson, In U. S. Nuclear Regulatory Commission dba An: tic Alaska Testing Laboratories    Region V 2055 Hill Road      1450 Maria Lane, Suite 210 Pe 0.. Box 843      Walnut Creek, CA 94596 Fairbanks, Alaska 99707 3 90CKET NUMBER (S)   4. LICENSE NUMBER (S)   5. D ATE OF INSPECTION 030-20360    50-23204-01   , June 19-20e 1985 Licensee:
License No. 50-23204-01 nrc313_signed.pdf; Presler RSO Training.pdf Hello. Please be advised that our currently registered RSO is no longer employed by Shannon & Wilson, effective 10/1/201 We wish to change our RSO to: Wendy A. Presler, P.E. Education:
o Thiinspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear Regulatory Commissior/s (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of procedures tnd representative records, interviews, with personnel, and observations by the inspector. The findings as a result of this inspection are as follows:
M.S. Civil Engineering; B.S. Civil Engineering Current position:
] 1. Within the scope of this inspection, no violatiors were observe ] 2. The inspector also verified the steps you have taken to correct the violations identified during'the last inspection. We have no further questions on those actions at this tim ] 3. During this inspection certain of your activities,as checked below, were in violation of NRC requirement THIS IS A NOTICE OF VIOLATION which is required to be posted in accordance with 10 CFR 19.1 was not properly posted to indicate the presence ofa        .10 CFR 20.203(b), (c), (d), (e) or 34.4 B. Containers located in        were not properly labeled to indicate the presence of radioactive material.10 CFR 20 203(f)(1), or (f)(2). Phvtical inventariet      of sealed sources were not perforrrad at the proper frequencies.10 CFR      License Condition Number 1 In additio all physical inventory records did not indicate location of sealed sources nor date of D. Records of        $4Wettsem3frJy maintained 10 CFR      or License Condition Number E. Documents were not properly posted or otherwise made available.10 CFR 19.1 .
Senior Geotechnical Engineer RSO Training:
] F. Reports or notifications of        were not made in accordance with 10 CFR    or Licornse Condition Number X Ti.m maletura rinne 4ty nmenae, ameh cantain{nn 5n millieurfac nf smaricine 741_ anal 10 m1111 curies of ses cesium-137e were not properly secured to prevent unauthorized removal from the place of storage plalk-In freezer room #1). 10 R K ZU.ZU/(a) X gamlast engrene enntaininn $n m{ll_ {re_arip3 nf amarleitam 7dl_ mt{ 1ff millicurist of cesium-137e which are contained in the Troxler gauge, Serial tio. 9003, were not leak testea within tne previous six m65ths prior to use in 1983, 1984 and 1985, i.icense Og Condition 1 REG 5 LIC3  628 50-23204'01  PDR l hira?by state that within 30 day a the actions described by me to the inspector wm ow se.... .. es violations identified in the items checked abov This statement of corrective actions is made in accordance with the requirements of 10 CF R 2.201. No further response will be submitted unless required by
Appended I have operated nuclear moisture-density gauges and x-ray fluorescence analyzers since 2004. NRC Form 313 and documentation of RSO training are appended, for your records. Please let me know if additional information is needed to complete the requested change of RSO. Best regards, J'~NONlf\lVIL$0N,INC . . Wendy A. Presler, P.E. J Senior Geotechnical Engineer 2355 Hill Road Fairbanks, Alaska 99709 www.shannonwilson.com Phone: (907} 479-0600 Fax: (907} 479-5691 Direct: (907} 458-3126 E-mail: wa p@shanwil.com fmt:111 Excellenc Innovatio Service. Value. We Help Our Clients Achieve Their Goals. 1 PUBLIC !~ediate Release ),,J--fi onnar Release NON-PUBLIC a A.3 Sensitive-Security Related a A.7 Sensitive lntemal a Other: --;-----Rev I ewer: MJ J D )' r II t; --Date: , .> /J 5 NRC FORM 313 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY 0MB: NO. 3160-0120 EXPIRES: 06/30/2019 (10-2017)
;he N R M M]n '
10 CFR 30, 32, 33, 34, 35, 36, 37, 39, and 40 APPLICATION FOR MATERIALS LICENSE Estimated burden per response to comply with this mandatory collection request 4.3 hours. Submittal of the application Is necessary to detennine that the applicant is qualified and that adequate procedures exist to protect the public health and safety. Send comments regarding burden estimate to the lnfonnation Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission , Washington , DC 2055S-0001, or by &-mail to lnfocollects
SIGW ATU RI . 'L ICE MI.E'
.Resource@rvc.gov, and to the Desk Officer , Office of lnfonnation and Regulatory Affairs, NEOB-10202 , (3150-0120), Office of Management and Budge~ Washington, DC 20503. If a me an s used to i mpose an information collection does not display a cunenlly valid 0MB control numbe r , the NRC may not conduct or sponsor , and a person is not required to respond to , th e infonnation collection. INSTRUCTIONS:
    ,nkr 8DMTE Qvm w SIGNATURE - NRC 6NSPECTOR 4helsr I DATE
SEE THE CURRENT VOLUMES OF THE NUREG-1556 TECHNICAL REPORT SERIES ("CONSOLIDATED GUIDANCE ABOUT MATERIALS LICENSES")
      .
FOR DETAILED INSTRUCTIONS FOR COMPLETING THIS FORM: IUtP:/Jwww.m: c.o o v/re adin q-rmldo c-collectlo n s/nure g s/s ta ff/sr 1 5561. SEND lWO COPIES OF THE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW. APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH: IF YOU ARE LOCATED IN: MATERIALS SAFETY LICENSING BRANCH DIVISION OF MATERIAL SAFETY, STATE , TRIBAL AND RULEMAKING PROGRAMS OFFICE OF NUCLEAR MATERIALS SAFETY AND SAFEGUARDS ILUNOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS TO: U.S. NUCLEAR REGULATORY COMMISSION WASHINGTON, DC 20555-0001 ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS: IF YOU ARE LOCATED IN: MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION Ill 2443 WARRENVILLE ROAD, SUITE 210 LISLE, IL 60532-4352 IF YOU ARE LOCATED IN: ' ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETIS, NEW HAMPSHIRE, NEW JERS!:Y, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA, ALASKA, ARIZONA, ARKANSAS , CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING, SEND APPLICATIONS TO: LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGULATORY COMMISSION , REGION I 2100 RENAISSANCE BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 19406-2713 SEND APPLICATIONS TO: NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, T X 76011-4511 PERSONS L OCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL I N ST A TES S U BJECT TO U.S. NUCLEAR REGULATORY COMMISSION JURISDICTIONS. 1. THIS IS AN APPLICATION FOR (Check appropriate item) D A. NEW LICENSE 0 B. AMENDMENT TO LICENSE NUMBER 50-23204-01 D c. RENEWAL OF LICENSE NUMBER 3. ADDRESS V'vHERE LICENSED MATERIALS V\/1LL BE USED OR POSSESSED 2. NAME AND MAILING ADDRESS OF APPLICANT (In c lude zip code) Shannon & Wilson, Inc. 2355 Hill Road Fairbanks, Alaska 99709 4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION Wendy A. Presler 2355 Hill Road Fairbanks , Alaska 99709 BUSINESS TELEPHONE NUMBER 907-458-3126 I BUSINESS CELLULAR TELEPHONE NUMBER BUSINESS E-MAIL ADDRESS wap@shanwil.com SUBMIT ITEMS 5 THROUGH 11 ON 8-112 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE. 5. RADIOACTIVE MATERIAL 6. PURPOSE($)
FOR WHICH LICENSED MATERIAL WILL BE USED. a. Element and mass number, b. chemical and/or physical form; and c. maximum amount 7. INDIVIDUAL($)
RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND which will be possessed at any one t i me. EXPERIENC . TRAINING FOR I ND I VIDUALS WOR K ING I N OR FREQUENTING RESTR I CTED AREAS. 9. FAC I LI T IES AND EQUIPMENT. 10. RADIATION SAFETY PROGRAM. 11. WASTE MANAGEMENT. 12. LICENSE FEES (Fees required only for new applica ti ons , wilh few e x ceptions*)
FEE I (See 10 CFR 170 and Section 170.31) CATEGORY 'Amendments/Renewals that Increase the scope of 1he existing license to a new or higher fee category will require a fee. n/a I AMOUNT $1 ENCLOSED 0.00 PER THE DEBT COLLECTION IMPROVEMENT ACT OF 1996 (PUBLIC LAW 104-134), YOU ARE REQUIRED TO PROVIDE YOUR TAXPAYER IDENTIFICATION NUMBER. PROVIDE THIS INFORMATION BY COMPLETING NRC FORM 531: https*J/www nrc govlread!ng-nnldoc-coUectjons/formslnrc531 jnfo h1ml. 13. CERTIFICATION. (Must be completed by applicant)
THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLICATION ARE BINDING UPON THE APPLICAN THE APPLICANT AND ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT , NAMED IN ITEM 2 , CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY
\/,/ITH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34 , 35, 36, 37, 39, AND 40, AND THAT ALL INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND BELIEF. WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. * dli A Digitally si ___ ..., .... CERTIFY I NG OFFICER -TYPED/PR I NTED NAME AND TITLE S I GNA Z;~l * . ._, -1 Chnstophe Darrah Christopher Darrah, Vice President, Office Manager Date: 2018 10.02 14:53:4 1 I .I\P PR OVED B Y NRG FORM 313 (10-2017)
FOR NRC USIE OKL Y -0 8'00' I F E Ec;A'TE~RY I /MOU,N,RECEIV ED' Cf!ECK*NU MBER CO MMENTS DATE. 6 1 1 2 5
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REGION 1. APPLICATION ATIACHED Applicant/Licensee:
Shannon & Wilson, Inc. Received Date: 10/02/2018 Docket Number: 3020360 Mail Control Number: 610125 License Number: 50-23204-01 Action Type: Notifications 2.FEEATTAC 7 HED Amount: Check No.: . 3. COMMENTS Signed: Date: B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered / 1. Fee Category and Amount: ------------------
2. Correct Fee Paid. Application may be processed for: Amendment:
Renewal: License: Signed: Date:
}}
}}

Revision as of 19:02, 5 July 2020

Insp Findings & Licensee Ack on 850619-20 of License 50-23204-01.Insp Findings:Physical Inventories of Sealed Sources Not Performed at Proper Intervals & Records Did Not Indicate Location of Sealed Sources or Date of Inventory
ML20132C168
Person / Time
Site: 05000232, 03020360
Issue date: 06/28/1985
From: Skov D
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
References
NUDOCS 8507290652
Download: ML20132C168 (1)


Text

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I "RC Form 501 4 U.S. NUCLEAR REaULATORY COMMIS8 tan l (12C1) -

10 CFR 2.201 SAFETY INSPECTION 1. LICENSE E 2. REGIONAL OFFICE F Shannon & Wilson, In U. S. Nuclear Regulatory Commission dba An: tic Alaska Testing Laboratories Region V 2055 Hill Road 1450 Maria Lane, Suite 210 Pe 0.. Box 843 Walnut Creek, CA 94596 Fairbanks, Alaska 99707 3 90CKET NUMBER (S) 4. LICENSE NUMBER (S) 5. D ATE OF INSPECTION 030-20360 50-23204-01 , June 19-20e 1985 Licensee:

o Thiinspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear Regulatory Commissior/s (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of procedures tnd representative records, interviews, with personnel, and observations by the inspector. The findings as a result of this inspection are as follows:

] 1. Within the scope of this inspection, no violatiors were observe ] 2. The inspector also verified the steps you have taken to correct the violations identified during'the last inspection. We have no further questions on those actions at this tim ] 3. During this inspection certain of your activities,as checked below, were in violation of NRC requirement THIS IS A NOTICE OF VIOLATION which is required to be posted in accordance with 10 CFR 19.1 was not properly posted to indicate the presence ofa .10 CFR 20.203(b), (c), (d), (e) or 34.4 B. Containers located in were not properly labeled to indicate the presence of radioactive material.10 CFR 20 203(f)(1), or (f)(2). Phvtical inventariet of sealed sources were not perforrrad at the proper frequencies.10 CFR License Condition Number 1 In additio all physical inventory records did not indicate location of sealed sources nor date of D. Records of $4Wettsem3frJy maintained 10 CFR or License Condition Number E. Documents were not properly posted or otherwise made available.10 CFR 19.1 .

] F. Reports or notifications of were not made in accordance with 10 CFR or Licornse Condition Number X Ti.m maletura rinne 4ty nmenae, ameh cantain{nn 5n millieurfac nf smaricine 741_ anal 10 m1111 curies of ses cesium-137e were not properly secured to prevent unauthorized removal from the place of storage plalk-In freezer room #1). 10 R K ZU.ZU/(a) X gamlast engrene enntaininn $n m{ll_ {re_arip3 nf amarleitam 7dl_ mt{ 1ff millicurist of cesium-137e which are contained in the Troxler gauge, Serial tio. 9003, were not leak testea within tne previous six m65ths prior to use in 1983, 1984 and 1985, i.icense Og Condition 1 REG 5 LIC3 628 50-23204'01 PDR l hira?by state that within 30 day a the actions described by me to the inspector wm ow se.... .. es violations identified in the items checked abov This statement of corrective actions is made in accordance with the requirements of 10 CF R 2.201. No further response will be submitted unless required by

he N R M M]n '

SIGW ATU RI . 'L ICE MI.E'

,nkr 8DMTE Qvm w SIGNATURE - NRC 6NSPECTOR 4helsr I DATE

.