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{{Adams | |||
| number = ML20147G429 | |||
| issue date = 03/13/1997 | |||
| title = Matls Licensing Package for Amend 1 to License 50-23296-01 for Haas & Associates,Inc.Control:572468 | |||
| author name = Prange B | |||
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) | |||
| addressee name = | |||
| addressee affiliation = | |||
| docket = 03031184 | |||
| license number = 50-23296-01-A01, 50-23296-1-A1 | |||
| contact person = | |||
| document report number = 50-23296-01, 50-23296-1, 572468, NUDOCS 9703280127 | |||
| document type = DKT 30 MTL BYPRODUCT, LICENSE,MTL/BYPRODUCT & AMEND TO LICENSE (DKT 30), TEXT-LICENSE APPLICATIONS & PERMITS | |||
| page count = 59 | |||
}} | |||
See also: [[see also::IR 05000232/1996001]] | |||
=Text= | |||
{{#Wiki_filter:- | |||
pmm/==mamm1pmmm*=miwmwx2m*wawma.mmmo.<,<mmammmmmammmmug | |||
- | |||
RC FORM 374A. U.S. NUCLEAR REGULATOQY COMMISSION OF PAGES g | |||
- | |||
g PAGE 1 1 | |||
License Number g | |||
g | |||
N . | |||
50-23296-01 El | |||
3 MATERIALS LICENSE Docket or Reference Number (I ; | |||
y SUPPLEMENTARY SHEET 030-31184 El l' | |||
N E | |||
( t Amendment No. 1 E | |||
N E! | |||
N E' l | |||
N E | |||
W E | |||
W E | |||
W Haas & Associates, Inc. E | |||
W 200 West 34th Avenue, #753 E | |||
' Anchorage, Alaska 99503 El . | |||
E! | |||
E | |||
E l | |||
In accordance with the Order Suspending License dated November 15, 1995, and with the g l | |||
determination that the requirements of 10 CFR 30.36 have been satisfied, g | |||
License No. 50-23296-01 is hereby terminated. g | |||
- | |||
6 l | |||
N N | |||
s E | |||
s E , | |||
s EI | |||
B E | |||
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION E | |||
% , | |||
y E | |||
W E | |||
Date By Md hz | |||
E | |||
s Materia ~1s Branch [ | |||
!. Region IV, WCF0 V g E | |||
s Walnut Creek, California 94596 g E, | |||
9 9703200127 970313 E | |||
( PDR ADOCK 03031184 E | |||
g C PDR gi | |||
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. | |||
/ %g UNITED STATES | |||
fr t NUCLEAR REGULATORY COMMISSION | |||
, k. REGloN iv | |||
611 RYAN PLAZA DRIVE, SulTE 400 | |||
' | |||
AR LINGToN, TEXAS 760118064 | |||
%*****+0 | |||
#AR 131997 | |||
. | |||
, | |||
Mr. Sandor Manyoky | |||
Vice President | |||
; Haas & Associates | |||
3900 East 112th Avenue | |||
. Anchorage, Alaska 99516 | |||
SUBJECT: LICENSE TERMINATION | |||
, | |||
Enclosed is Amendment 1 to License 50-23296-01,terrrinating the license. The license is | |||
no longer valid and should not be used for any purpose. | |||
We understand that you still possess a portable gauge containing radium-226. As the | |||
U. S. Nuclear Regulatory Commission has no jurisdiction over that material, its possession | |||
and use does not require a license from this agency. | |||
1 | |||
This termination amendment does not relieve you of any responsibility to pay outstanding | |||
fees owed to the federal government. | |||
< | |||
This action was issued in accordance with the Order Suspending License dated | |||
November 15,1995. The order specified, in part, that, "The License shall be terminated | |||
upon satisfaction of the requirements of 10 CFR 30.36." 10 CFR 30.36(j) specifies that | |||
' | |||
the disposition of alllicensed material will be certified, and that a completed | |||
' | |||
NRC Form 314 should be submitted or equivalent information obtained. | |||
Lacking your willingness to supply a completed NRC Form 314, we obtained the equivalent | |||
information. The last inspection of your license was conducted on July 28, and | |||
; | |||
August 2,1995. The Inspection Report, No. 95-01, indicated that you possessed two | |||
' | |||
licensed gauges, Troxler Model 3411-B, serial numbers 5485 and 1053) This was also | |||
: confirmed in a letter from you dated March 6,1996. In that letter you indicated that the | |||
gauges had been transferred to Mark Hansen, P.E., License 50-23283-02. Although | |||
Mr. Hansen agreed to accept the gauges, they were not immediately transferred to his | |||
, | |||
possession. - On March 5,1997, we were able to verify that the two Troxler 3411-B | |||
i gauges had been received by Mark Hansen. The gauge with serial number 5485 was | |||
- received on July 22,1996, and was leak tasted that day. The gauge with serial | |||
number 10537 was received on December 3,1996, and was also leak tested on receipt. | |||
i- The leak test analyses were performed by Troxler on July 30,1996, and December 18, | |||
i | |||
1996, respectively, They indicated no removable contamination in excess of | |||
0.005 microcuries. Thus, the sources retained their integrity, and close-out surveys of | |||
former storage areas are not required. | |||
_ | |||
.- | |||
. | |||
, | |||
. | |||
Haas & Associates -2- | |||
Our records also indicate that at one time you possessed three Troxler 3411B gauges | |||
which were transferred to you from Frederick Schwaderer (License 50-29017-01, this | |||
license was subsequently terr.iinated). These gauges had serial numbers 9235,9828,and | |||
10534. These were transferred to Mark Hansen (License 50-23283-02) in November | |||
1993. Leak test analyses conducted on these sources after their transfer to Mark Hansen | |||
indicated that the sources retained their integrity and that close-out surveys are not | |||
required due to their possession, | |||
if you have questions concerning these matters, contact Beth Prange at | |||
(510) 975-0250. | |||
Sincerely, | |||
Ross A. Scarano, Director | |||
Division of Nuclear Materials Safety | |||
Docket: 030-31184 | |||
License: 50-23296-01 | |||
Control: 572468 | |||
Enclosure: As stated | |||
cc w/o enclosure: | |||
Mark Hansen | |||
HC 02 Box 7387 | |||
Palmer, AK 99645 | |||
State of Alaska | |||
i | |||
! | |||
i | |||
,s- | |||
% e | |||
e | |||
Haas & Associates -3- | |||
E-Mail report to Document Control Desk (DOCDESK) | |||
bec to DCD (4E07) | |||
bec distrib. by RIV: | |||
RIV Regional Administrator | |||
DDandois (T-9E10) | |||
WBrown | |||
GSanborn | |||
CLCain | |||
JJHolonich, NMSS (T-7J9) | |||
DBSpitzberg | |||
LLHowell | |||
FAWenslawski | |||
BPrange, WCFO LB | |||
NMI&FC\DB 1 | |||
WCFO Inspection File | |||
MIS System | |||
WCFO Materials Docket File (2) | |||
LFDCB, T-9E10 I | |||
, i | |||
4 | |||
i DOCUMENT NAME: G:\HAAS | |||
lo receive copy of document, indicate in box: "C" = Copppout enclosures "E" = Copy with enclosures "N" = No copy | |||
RIV:WCFO:MB c C:MB 6 RC pJy OC:DAF:LFARB _ | |||
AD:DNMS | |||
BPrange up FWenslawsji WBrawh DDandoisejf4fCaintic | |||
l. 03/ N97 - 03p/97 F 03/10/97 03/ /97 / | |||
'03/11/97 | |||
OFFICIAL RECORD COPY | |||
l | |||
I | |||
i- | |||
. . | |||
. | |||
INFb T FR0 LTS | |||
BETUEEN: | |||
License Fee Management Branch, ARM - | |||
--------- RECEW E D | |||
Pro ram Code: 03800 NRC | |||
RegionalLi$esingSections C PV WCTO | |||
0" E O " e m. .?. M....t.I.!.II27 | |||
. . . . . u../. | |||
IIA.918 n; I: ;i; | |||
LICENSE FEE TRANSMITTAL | |||
A. REGION b | |||
1. APP ICATION ATTACHED | |||
E!::a%!:i"'": MJ A550 GATES INC. | |||
o 01Nb.- 52!k8 | |||
A!$o T ei hh ih | |||
"- | |||
E^!!^c"E" | |||
Check No. s-v- | |||
hau 1 | |||
3. COMMENTS | |||
], 7My | |||
511"* 2-lld m' # | |||
B. LICENSE FEE MANAGEMENT BRANCH heck when e mil' stone 03 eis / | |||
,frJ | |||
1. Fee Category and Amount: , t he g | |||
z. C | |||
' | |||
- A | |||
gegreeeaid.;ptionmayseprocessedtor: | |||
fi"::'l | |||
3. OTHER - | |||
- | |||
Si ned | |||
Dake | |||
f | |||
sf | |||
. | |||
# | |||
[6N | |||
f | |||
RECEIVED BY LfMS | |||
, Cate f. --------- | |||
' ug Nu i . . W?.W . . | |||
C;' /D ....-.. . --. | |||
Ot3.3 Comrleted h _ _ . | |||
' | |||
* | |||
, | |||
'. . | |||
$Nd4LKb | |||
~ | |||
- | |||
R EC tuY ED | |||
a;y V :70 | |||
HAAS at, ASSOCIATES, EVC. | |||
A R k CML ENGINEERING CONSULTANTS $MATERIALSfTMTig = ENVIP.ONMENTAL SERVICES | |||
March, 6, 1996 | |||
Nuclear Regulatcry Commission | |||
1450 Maria Lane #210 | |||
Walnut Creek, CA 94596 | |||
Attn: Beth Prange | |||
Re: Gage transfer | |||
Dear Ms. Prange: | |||
l | |||
We have transferred two Troxler 3411 B Gages to Mark Hanson P.E. l | |||
as of-this date. ; | |||
J | |||
The serial numbers are as follows: | |||
Gage #1 15485 Gage #2 10537 | |||
These are the only two gages we had that required an NRC license. | |||
Gage #1 is stored in Dillingham, and gage #2 is stored in King | |||
Salmon. | |||
Leak testing will be performed before shipping. | |||
If you have any questions or require additional information, | |||
please feel free to call us at 344-4108, or fax us at 349 8791. | |||
Sincerely , | |||
andor Manyoky, P.E. | |||
Civil Engineer | |||
SM/rkm | |||
CC: Mark Hanson | |||
3900 E 112TH AVENUE + ANCHORAGE, ALASKA 99516.TEl/ FAX (907) 349-8791 | |||
, | |||
Mark H a n ts e n , P . E . 907 746 4721 P.01 | |||
c | |||
' | |||
'. . /i , - | |||
./, | |||
l *I l hM0J24M(/I ) | |||
i; . | |||
M ARK HANSEN P.E. | |||
1 ', | |||
, | |||
consuiting Engineer - Testino Laboraiory | |||
; | |||
'. ' | |||
907-745-4721 Fax:746-4721 | |||
; Fax Transmittal | |||
: i | |||
l Date: '3-l'87 L1J Pages including this one. | |||
? ; To: B ETN PRnace | |||
: | |||
' | |||
l Fax No.: S/0 - 975-03fl | |||
4 | |||
4 | |||
Original Mailed Yes O No @ | |||
i | |||
I | |||
! | |||
l | |||
. | |||
I | |||
; | |||
. | |||
g - x | |||
y - - - | |||
4 | |||
$ | |||
# | |||
4 | |||
! | |||
572y'bf | |||
. _ , . . - . - -- -.- , _ . - - ~ . - _ . . _ - - . .- - . - - - - _. . - - . - = . . -. . | |||
- . - _ ..- | |||
Mark Hansen,P.E. 907 746 4721 P.02 | |||
* .- | |||
, , , . .. n.. . . . . - - - - .-. | |||
e' | |||
, | |||
_ | |||
(, ' " " " 5' | |||
R ' ' **''""twth caw'.a anos."u's''A. | |||
''*"''"#''''"- | |||
LEAK TEST ANALYSIS | |||
insat Th hat' | |||
Device - Model # st1in . Serial # ap p n ing | |||
! Source (s) Serial # 40 70An --- . Serial #_46 loS6 this form has been | |||
: analyzed using an | |||
4 Date of Test: 7-12-96 - | |||
approved monitoring | |||
' | |||
method that measures | |||
u d r:mmmmm a rtr'ILTEMB E mm19m i mWTmfrrn mMT. m7TTW m m e both beta / gamma & alpha | |||
(- contamination; and, that | |||
'! . the results of this analysis | |||
MARK HANSEN shows the romovable | |||
* | |||
) HC 02 BOX 7387 activity to be less than | |||
; * PALMER, AK 99645 0.005 microcuries. | |||
i | |||
Your Name. | |||
Telephone: ( | |||
. | |||
) | |||
MARK HANSEN | |||
g gg,'g | |||
# O D~ | |||
l | |||
! ORIGINAL COPY | |||
a | |||
' | |||
/g Th0XLER '" *"""' ad' u"c* "n""rr"ro's nor i a<o a "u"s"a'*""'* "'*- | |||
. . | |||
LEAK TEST ANALYSIS | |||
9L11n on?R This certifies that the | |||
! Device - Model # . Serial # sample accompanying | |||
' | |||
j | |||
40 7180 46 1210 this form has been | |||
. Serial # | |||
' | |||
Source (s) - Serial # | |||
3-1-95 analyzed using an | |||
, | |||
Date of Test: approved monitoring | |||
# | |||
method that measures | |||
, u d r3TrsmmurritLUNmMtffmFM.mm mER A ME both beta / gamma & alpha l | |||
! | |||
i | |||
' | |||
( . | |||
, | |||
contamination; and, that | |||
the results of this analysis | |||
l | |||
MARK HANSEN P.E. shows the removable | |||
* | |||
i HCO2 BOX 7387 activity to be less than | |||
* PALMER, AK 99645 0. 5 'crocuri s. | |||
i * | |||
' , | |||
K N I - | |||
- ' i | |||
Your Name: | |||
Telephone: ( ) ' ' | |||
- - | |||
i ORIGINAL COPY | |||
! | |||
o | |||
Mark Hansen,P.E. 907 745 4721 P.03 | |||
4 3 | |||
.. . . | |||
.r | |||
Troxlit ElIctronic Lcbortt:ri:s, Inc. | |||
3008 Cornwettis Rd., P.O Box 12057 | |||
/ - | |||
Research Triangte Park, NC 27709 | |||
Tel: 4919) 649 8661 Fax: (919) 549-0761 | |||
1 | |||
- | |||
Ucense: f1C o32-o1821 | |||
L.EAK TEST CERTIFICATE | |||
DEVICE: | |||
Model: 3411 Serial No: 9235 Sample Date: 8 ~lO- | |||
, | |||
SEALED SOURCES: | |||
'" ^ | |||
! | |||
"" ^ | |||
NUCLtDE SENAL NO. l | |||
l (mCl) (MCI) | |||
CS.137 40 . 6550 8.2 5.9 j | |||
. | |||
AM-241:BE l . .. . .l | |||
47 . 5705 40 o | |||
l 39.1 | |||
LEAK TEST ANAL.YSIS: | |||
The sample has been analyzed using counting system capable of measuring | |||
beta , gamma, and alpha contarnination. | |||
Date of last calibration: 1/14/97 | |||
' BETA GAMMA | |||
ALPHA | |||
5.11E + 05 S.65E + 03 | |||
Conversion f actor (com/uci) - - - . . . . . | |||
. . . . _ - | |||
_ . .._ _ _ . . . . _ | |||
Background eneasurement (cpml 1 ! 22 . | |||
' | |||
2 | |||
I 35 | |||
Sample measurement (cpm) | |||
. . . . . . . | |||
. _. . .h . ., . . | |||
< MDA 1.36-05 | |||
Act:vlty (uCi) | |||
. j. . . . -. | |||
f | |||
... | |||
. | |||
. Min. Detectable Activity (uCH 7.0E.06 I 7.6E 06 | |||
l 1 | |||
This certifies that the above leak test results are: | |||
Less than 0.005 uCi (200 Bq): E Greater than 0.005 uCI (200 Bq): I | |||
Measurement Date: 2/10/97 Certified by: ~ | |||
J4 | |||
l | |||
h> b | |||
if greater than 0.005 uCi : | |||
Date | |||
Person Notified | |||
Phone and/or Fax | |||
Rev.1/97 | |||
. | |||
/ W---"uT7i | |||
n | |||
woky coxx2ssicW | |||
uV | |||
ggYi" scj00j0& g | |||
TELEPHONE OR VERBAL CONVERSATION TIME ilo l{ | |||
RECORD | |||
00 g0 v aIn@ >l | |||
j [ ] INCOMING CALL M OUTGOING CALL [ ] VISIT | |||
PERSON CALLIN3: OTTICE/ ADDRESS: PHONE NUMBER. 1 | |||
' ' | |||
PERSON CALLED: OTTICE/ ADDRESS: FRONE NUMEER: | |||
, | |||
' | |||
hat Hw Mae Ra m . P.e. (107) 795- Y72/ ; | |||
ColNERSATION | |||
- | |||
! | |||
1 | |||
SUBJ ECT - ' | |||
Gcuuvo V | |||
% % r he. | |||
SUMMARY - | |||
1 | |||
' | |||
Tita K q S"'^# T T * * "* M m / /5/96. t | |||
T11e luR+& r.ynd hM no / , | |||
* D Oh , & | |||
) O Y f& f^&, | |||
. | |||
-73.Q.PenOe. | |||
_ __ ..- _ _ __ _ _. _ _____ _ | |||
__ | |||
g- - | |||
TALII | |||
IIITIALS: | |||
ACTICY RIQUISTED: | |||
DATE: | |||
IIITIALS: | |||
A C'5101 TAIIBI: | |||
DATX: | |||
~ ~ ~ ~ ~ | |||
I t'ic' f6TM'i1t ~~s iv76 ^/63 { rp / Q c . R li) .- -- - _ - . - - - _ | |||
v. .. _ . _ _ _ _ _ _ _ _ _ . . _ _ _ _ _ . _ . _ _ _ _ _ . _ _ _ . . _ . _ . _ _ . | |||
i | |||
' | |||
Hansen,P.E. 907 746 4721 P.01 | |||
, | |||
. "o - | |||
O" ark O | |||
MARK HANSEN P.E. | |||
Coneutde g Ing! nee,s Te,ung laboistory | |||
11002 BOX 7387, PALMER. ALASKA 99645 (907) 7434 721 FAX (907) 14r>4721 | |||
arch 4,1997 | |||
Beth Prange | |||
U.S. Nuclear Regulatory Commission | |||
Fax: 510-975-0381 | |||
Beth: | |||
As we discussed by telephone today, I am providing a record of the two | |||
Troxler Model 3411-B gauges transferred from Haas and Associates, Inc. | |||
Gauge No. 5485 was received on 7/22/96. Upon receipt, a leak test wipe | |||
was taken and sent to Troxler for analysis. Results are attached, | |||
Gauge No.10537 was received on 12/3/96. Upon receipt, a leak test wipe | |||
was taken and sent to Troxler for analysis. Results are attached. , | |||
it is trusted this information meets your present requirements | |||
Sincerely, | |||
/ Am | |||
Mark Hansen | |||
! | |||
l | |||
; | |||
- . _ . _ . . - - _ -- .__ . . . _ . - - _ _ - . - - . . . - . ~ . - - - - . . _ - - - . - - | |||
! ark Hansen,P.E. 907 746 4721 P.02 | |||
* | |||
r 4 * * | |||
. . .. --- | |||
~ . - . | |||
M P'O. Bea 12057. 3000 cornwallis nd. Resect.h Tr'iaTo Park. | |||
renn coronr.a r7709 u s A. | |||
LEAK TEST ANALYSIS | |||
Device - Model # 3 f// O , Serial # S YSS __ | |||
This certifies that the | |||
sample accompanying | |||
Source (s) - Serial #C(, LS P'L , Serial # GfC.1 /59/ . | |||
this form has been | |||
Date of Test: ~7 '!.1- 96 analyzed usin0 an | |||
i | |||
approved monitoring | |||
bo b t a ma & aIp . | |||
L contamination; and that | |||
l | |||
* MARK I/4MI6hf b the results of this analyst: | |||
l e //C. 02. /3o): 7367 shows the removablo | |||
activity to be less than | |||
! | |||
. f%.y g 4 g 0.005 microcuri | |||
' | |||
l Yo r N e M/MK - | |||
f21% | |||
Telephone: 603 7 9.f. 97v1 7~30 ^7[ | |||
ORIGINAL COPY | |||
- | |||
l | |||
! | |||
me g e P.o. Bos 12057,3008 cornwaks 01 Researen Treng's Park. | |||
North Carohna 27709. U.S.A. | |||
I | |||
Device - Model # 3 WI O , Serial # /gg39 ' | |||
This certifies that the | |||
l sampfe accompanying | |||
l Source (s) - Serial # 40 -1971 , SerialN7 9Sf this form has been | |||
/ | |||
Date of Test: /b'<' 444 analyzed usin0 an | |||
, | |||
approved monitoring | |||
oth t a ma & a p - | |||
l | |||
C contamination; and, that | |||
* | |||
MAU I A M S f5 M , [ E . the results of this analyst | |||
. | |||
/D 'J 1 /3dX 7%7 shows the removable | |||
* activity to be less than | |||
e | |||
PA L/42 4R 996Y5 0.oos microcuries. | |||
Your Name; MMK ' | |||
W | |||
Telophone: @07) 'Jt/5 9'7'L/ IE N | |||
ORIGINAL 00PY | |||
l | |||
! | |||
. | |||
__ .-. - - . _ - | |||
;/ | |||
^ | |||
'tf-T TucLEAa OtoRYcoxx2sslow C3 | |||
J ~~ | |||
kidTTM V 40lCDl00 3/S/97 | |||
TIME / 30 ! | |||
TELEPHONE OR VERBAL C0lNERSATION | |||
RECORD E 00 am@ i | |||
[ ] INCOMING CALL pet OUTGOING CALL [ ] VISIT | |||
FERSON CALLING: OTTICE/ ADDRESS: ?BOE NW3ER: | |||
' | |||
PERSON CALLED: OTTICE/ADDFIS S : THOE WQGER: | |||
, | |||
% W@ ' | |||
lfaao t- M | |||
COINERSATION | |||
(907.) BW- 4/O8' ; | |||
- | |||
* '~ (Ji'm hentynum @W W ) | |||
Lu'ce. - e TM | |||
SUMMARY - | |||
YN Sl'& W Y f'0 JD ; | |||
f , he dif n whk +o f&c<ts lu I;m. &,s4 | |||
M he. hao no liar d m & hc'v- fix54 M & | |||
he had two o[JWem : Ifnakehk | |||
s vf tc y fie / n | |||
k r afeQ | |||
98 | |||
2d M c'ey1 ath <%. | |||
AT&E TY) | |||
. | |||
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IIITIALS: | |||
ACTICI REQUESTED: | |||
DATE: | |||
ACTICI TAIEEI: li1TIALS: | |||
EATE: | |||
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RECORD | |||
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT | |||
PERSON CALLIN3: OTTICE/ ADDRESS: PHONE WWGER: | |||
i | |||
OTTICE/ ADDRESS: FBONE NWEER: | |||
, FERSON CALLED: | |||
l | |||
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TAKER | |||
IIITIALS: | |||
ACTICI REQUESTED: | |||
DATE: | |||
AC7101 TAKEEI: INITIALS: | |||
CATX: | |||
yosM 2:8 Fiv7 5~t/63-{ r3 / O c | |||
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U s. wucLEAR REcuLAf 0RY coxMIssIDW DATE | |||
RECI6W V | |||
13/0g/00 7/,77/pg, | |||
TELEPHONE OR VERBAL CONVERSATION TN '/330 l | |||
RECORD 4 W am @ i | |||
j | |||
, | |||
[ ] INCOMING CALL pr}- OUTGOING CALL [ ] VISIT | |||
PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: I | |||
FERSON CALLED: OFFICE / ADDRESS: FRONE NUMBER: | |||
' | |||
t%R W (907) 7ys~ 47-2l . | |||
1 | |||
ColWERSATION i | |||
SUBJECT - | |||
M6 QQ | |||
SUMMARY - C V | |||
/) han the. t h b'H; w , y | |||
* K | |||
fY, & | |||
un rumter - n kaa uuf6 l | |||
whed <&bn & an ;4 7c #. weef A rk wa. n | |||
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cam + /ea e a v M b | |||
1At | |||
t-dA u y% pla~. | |||
' | |||
~73Yh~ V | |||
Sh[kkEYTO: f_ykr- l 1 ADVISE K3 03 ACT103 | |||
TAKE3 | |||
ACTICI REQUESTED: IIITIALS: | |||
DATE: | |||
g | |||
ACTIOI TAKEBI IIITIALS: | |||
DATE: | |||
rid ~fUiN ~ ~ ~ ' ~ ^ - | |||
- _ .' _ --._------..---- | |||
210' 'E n f. 0 ~~8/Di l 6 / O c~ it19)~ | |||
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. | |||
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_ - _ _ . _- _ _ _ - . __ - __ | |||
, | |||
\ . | |||
, | |||
oSO3ll7tj | |||
YO: License Fee and Accounts Receivable Branch | |||
FROM: Region IV - WCF0 | |||
SUBJECT: V0IDED APPLICATION | |||
Applicant: Id%3 Y $$d& k[6 9 , | |||
Control Number: ['72607 | |||
License No.: EO '2 M 75 -O/ | |||
l | |||
Docket No.: 0$0".3l{W$- | |||
l | |||
;- | |||
Date Voided: 8~/3 A Y- | |||
l | |||
Reason for Void: | |||
Tu I,'es ,<do nel- he. (meved. Th lim d;wAlsl <A | |||
nalca0. % I,% wao suB o vuA %. & .M | |||
v ~ | |||
. | |||
laaA & u Orh Mu) Uw L fnllare 4r> | |||
c cu Am. $9t?t D 0$s 2n9theh<L ndw /kr OGu41s | |||
o ' | |||
- | |||
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& L> | |||
Signature | |||
3Hh7 | |||
Date | |||
Attachment: | |||
l- Official Record Copy of | |||
Voided Action | |||
' | |||
l | |||
C. | |||
fd( : | |||
l | |||
FOR LFARB USE ONLY | |||
{I \ \ i | |||
l Final Review of VOID completed: 1 | |||
Refund Authorized and processed | |||
- | |||
. | |||
[ No Refund Due | |||
1 | |||
Fee Exempt or Fee Not Required | |||
. | |||
' | |||
Comments: Log completed /o | |||
Processed by: f>4' | |||
e | |||
L J | |||
' | |||
' | |||
RECEIVED | |||
, | |||
- - | |||
NRC | |||
: (r0R llMS ust) / Rly WCFO | |||
,y , g , y . . INIORMAMON IRug i1S | |||
, | |||
' n ense f ee Management Branch, ARM | |||
. . . . . - - _ . . ~~~~ 94 JUL I 8 f,1111: 53 / | |||
3 Program Code: 03171 - | |||
and \ | |||
ke9ionti licensing Sections : Status Lode: ? - | |||
: | |||
t ee utegory: 3P | |||
Ixp. Lia t e: 19940630 | |||
'\' / | |||
. 8 ee Conunents: ^ | |||
. Oecom Iin Assur R(ijd:~N~~~ ~ - - | |||
::....:::::: ...: :: .:: : : . . .' '~: | |||
.. | |||
I f CI NSI III T' SMITTAL | |||
- A. RIGIO | |||
?. APPIICAI!ON ATTACHED | |||
Ar.pt4 int /ticensee: HAAS & ASSOCI A1[S INC. | |||
w,-< | |||
e i vei1 11at e: 94062/ | |||
huket ho: 3031184 | |||
fon'rol No.: 5/?00/ | |||
1 4else No.. 50-23296-01 .. | |||
At t ion Type- Renewal | |||
A ta u h, h | |||
* | |||
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No.. | |||
mg | |||
Sitned ~ ~ ~ | |||
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P. t itiN5! ffI MANAGEM[NT BRANCH ( eck when milestone 0 is eriter /A) f | |||
1 8 er f.stegory and Amount: | |||
7 _ | |||
'. Lorre<t lee Paid. Application may be processed for: | |||
ON 'f tdpiefi t | |||
O'new t I | |||
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;; M A RK F ANSEN P.E. | |||
', consviting engineer - Testing Laboratory | |||
. 907-745-4721 F ax:746-4721 | |||
i __ | |||
Fax Transmittal | |||
: | |||
1 | |||
l Date: 3-/47 lli Pages including this one. l | |||
j | |||
!l To: _ D Et# F//mcr | |||
. | |||
! Fax No.: S/ 0 - 975-03fl | |||
I | |||
' | |||
Original Mailed YesO No Q | |||
l I | |||
i> 1 | |||
3 | |||
, | |||
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/- | |||
- no c. . ma u s ^ LEAK TEST ANALYSIS | |||
3 TROXLER 3008 Com*aEs Rd .P.O . Box 12057 Research Trian7 | |||
Th r es that the | |||
u11n , Serial # insu ,ny | |||
Device - Model # ap | |||
-_. Serial #_/.6 1oSA this form has been | |||
Sourco(s) - Serial # A0 7aAn analyzed using an | |||
, | |||
Date of Test: 7-12-96 - | |||
approved monitoring | |||
method that measures | |||
. | |||
i udr:mmrmmartrtILUTnmsmmignmrwrrarsnmmr.rrITim:mu both beta / gamma & alpha | |||
contamination; and, that | |||
, | |||
(- . | |||
the results of this analysts | |||
MARK HANSEN shows the removablo | |||
* activity to be less than | |||
! HC 02 BOX 7387 | |||
< | |||
* PALMER, AK 99645 0.005 microcuries. | |||
'U E | |||
MARK HANSEN | |||
Your Name. . | |||
_ | |||
g pg_g | |||
: | |||
! | |||
Telephone: ( ) | |||
; ORIGINAL COPY | |||
; | |||
. | |||
t | |||
' | |||
i | |||
4 | |||
TROXLER * * *"*** adnom"e*o"n"e'm' "os."u"s"a.# ** "** LEAK TEST ANALYSIS | |||
This certifies that the | |||
. | |||
2 | |||
Device - Model #_ M11n -, Serial # am -- | |||
sample accompanying | |||
* | |||
40 7180 , Serial # 46 1210 this form has been | |||
Source (s)- Serial # analyzed using an | |||
3-1-95 | |||
Date of Test: approved monitoring | |||
1 | |||
method that measures | |||
E J r:rTsymmusityrm:E mm'a man'mmne r.rma m:mu both beta / gamma & alpha | |||
1 | |||
contamination; and, that | |||
i | |||
' ( . | |||
, | |||
the results of this analysis | |||
MARK HANSEN P.E. Shows the removable | |||
* | |||
HCO2 BOX 7387 activity to be less than l | |||
l. * PALMER, AI 99645 0.05 | |||
l | |||
; . | |||
' | |||
MA K HANS f - - - - | |||
Your Name: | |||
; Telephone: ( ) | |||
ORIGINAL COPY | |||
, | |||
a | |||
- | |||
, | |||
c | |||
. . | |||
Troxler El;ctronic Lcb:rst:ri:s, Inc, | |||
3008 Cornwellis Rd., P.O. Box 12057 | |||
Research Triengte Park, NC 27709 | |||
Tat; (919) 649-8661 Fax: (919) 549-0761 | |||
Llcense: fJC 032 01821 | |||
: | |||
LEAK TEST CERTIFICATE | |||
DEVICE: | |||
Model: 3411 Serial No: 9235 Sample Date: 8'lO- | |||
, | |||
SEALED SOURCES: 1 | |||
I i fNmAL ACTIVITY CURRENT ACTIVITY | |||
1 l | |||
NUCLtDE ' | |||
SERIAL NO. (MCI) (MCI) | |||
l - | |||
.. . | |||
CS-137 , | |||
40 . 6550 8.2 5.9 | |||
. , | |||
. .. ... . . | |||
47 6705 40.o 39.1 l | |||
AM-241:BE l | |||
: | |||
1 | |||
l | |||
LEAK TEST ANALYSIS: | |||
The sample has been analyzed using counting system capable of measuring | |||
i beta , gamma, and alpha contamination. | |||
\ | |||
Date of last calibration: 1/14/97 | |||
i | |||
' ALPHA BETA-GAMMA | |||
! | |||
Conversion f actor (epm /uCl) 5.11 E + 05 D.55E + 05 | |||
1 22 | |||
Background measurement (cpm) | |||
2 ' 35 | |||
Sample measurement (cpm) | |||
, . . . . . . - . _. . | |||
. h . _. . | |||
] | |||
< MDA 1.3t 05 | |||
Activity (uC6) l . . . | |||
. __. .._ .J . . . . _ ._. , - . . . | |||
7.6E 06 | |||
h. Detectable ActMiy tuC4 7.0E.06 t | |||
i | |||
This certifies that the above leak test results are: | |||
' | |||
Less than 0.005 uCi (200 Eq): E Greater than 0.005 uCi (200 Dq): I | |||
Measurement Date: 2/18/97 Certified by: h) | |||
l | |||
~ | |||
11 greater than 0.00E uCi : | |||
Date | |||
Person Notified | |||
Phone and/or Fax | |||
Rev.1/97 | |||
4 | |||
n. | |||
. . . . . 6 Wh-- | |||
, A ~-T. | |||
u JUcgxir | |||
7(sycouls713 | |||
.TE | |||
jggjgg g - | |||
TIME ao l | |||
TELEPHONE OR VERBAL ColNERSATION | |||
RECORD am @ i | |||
[ ] INCOMING CALL [>Q OUTGOING CALL [ ] VISIT , | |||
' | |||
OTTICE/ ADDRESS: PHOE NUMBER: | |||
P G SON CALLIN3: | |||
' | |||
OTFICE/ ADDRESS: FBOE NUMEER: | |||
, | |||
PGSON CALLED: | |||
h& i+w M a a' % , P. E . (T07)7Y5- V72l , | |||
- | |||
COINERSATION | |||
SUBJECT - | |||
Gmuvo 6nnth eGeoe. | |||
SUMMARY - V | |||
" N * * ' S m /2 /5/96. | |||
- | |||
S | |||
Tita K; q | |||
T11e. IuRt.ek r.apovf iM no lea? . | |||
* D O ,& | |||
d* 1 emvt w * I% c-m. | |||
4 | |||
} | |||
. | |||
0 | |||
- 73.a.Pr | |||
I | |||
I ] ADVIsz KI or ACT1on | |||
REFERRED TO: TAKEI | |||
IIITIALS: | |||
ACT101 REQUISTED: | |||
DATE: | |||
. | |||
IIITIALS: | |||
ACTIOI TAIEEY: | |||
DATE: | |||
_ | |||
. . - = - | |||
_ | |||
- - | |||
t se r osx 21s szy.o t /02 ter/ Qc.x W) _ _ _ - - . . _ _ . | |||
. - - .. - ---.. .-- | |||
_ . _ . . - - | |||
a. . . . . . _ _ . _ | |||
% | |||
. | |||
O - | |||
. | |||
' . | |||
. | |||
f | |||
MARK HANSEN P.E. | |||
' Connu1deg Engineer. Tc s',tng laboistory | |||
HCO2 BOX 7587, PALMER. AIASKA 99645 (907)7434721 FAX (907) 7444721 ; | |||
' | |||
arch 4,1997 | |||
i | |||
Beth Prange ; | |||
U.S. Nuclear Regulatory Commission l | |||
Fax: 510-975-0381 | |||
1' | |||
Beth: | |||
As we discussed by telephone today, I am providing a record of the two | |||
Troxler Model 3411-B gauges transferred from Haas and Associates, Inc. : | |||
Gauge No. 5485 was received on 7/22/96. Upon receipt, a leak test wipe | |||
was taken and sent to Troxler for analysis. Results are attached, | |||
f | |||
Gauge No.10537 was received on 12/3/96. Upon receipt, a leak test wipe | |||
was taken and sent to Troxler for analysis. Results are attached. . | |||
It is trusted this information meets your present requirements | |||
Sincerely, | |||
% | |||
Mark Hansen | |||
1 | |||
_ | |||
~ | |||
/ ~,~ 'Mdri~Hdnsen3P.E'. 9 0 7 '' 7 4 d "4 7 21 ~~~ - ' P ! ~~O 2 | |||
' | |||
.. ". 5 ~) . | |||
=- , | |||
,. | |||
. . . . . - _ . _ . | |||
; | |||
. | |||
m. . ' 8 | |||
, p.o. Box 12os7. soon comwaras no. Resene Triage Park. | |||
nonn coronne ma.u sA | |||
LEAK TEST ANALYSIS | |||
, Serial # SPSS This certifies that the | |||
Device- Model# 3 /// O " | |||
P | |||
Source (s) - Serial #44 L5 'FL , Serial # CC4 /59/ fh f m as been | |||
analyzed using an | |||
' | |||
Date of Test: 7 'L1-% approved monitoring | |||
h 1h t 8 | |||
u d r7M3mm u mImprm a m ma s.m trmum p ff'rra n.T M bo h 9 ama&jp'. | |||
'* # * | |||
* MARK I}AWSGN l'. E . ,n,7ofzf,"g;n g"g h,*[ | |||
* //C. o2 shows the removable | |||
/3 o.X 73$7 activity to be less than | |||
. /34f gs;;4 /)g | |||
0.005 microcurl | |||
, | |||
. 99 05 ( ' | |||
Quv | |||
Your Namo: M/MK | |||
- | |||
b | |||
; Telephone: Go?) 7 Y.s". */ 71-) b30 ~Vh. | |||
ORIGINAL COPY | |||
.. ._ . | |||
! "d | |||
(TROXLER " * ' '' '' n'.R**'a'77e? "''''''"'''' umunmem | |||
, Serial # /0S'39 This certifies that the | |||
' | |||
Device Model# 3 Y/I O " | |||
P | |||
Source (s) . Serial # 40 90'71 , SerialN7 / 9 k,4 ft(f fm asbeen | |||
analyzed usin0 an | |||
Date of Test: /'L '4 44 | |||
~ '' approved monitorinD | |||
, | |||
u dmTTmmu mILyrm s md mdmraznm7;vm 5rrTrum e n [o't t ga ma & a p.- | |||
; | |||
contamination: and, that | |||
i | |||
, qg g . | |||
g g. the results of this analyst. | |||
shows the removable | |||
" | |||
* | |||
llc 01 /3 0 z 7 % 7 activity to be less than | |||
l | |||
i . | |||
, | |||
bA W'f M 99[6 0.005 microcuries. | |||
Your Name: M4fA' M' AH | |||
f /k/ F-9(, | |||
l | |||
Tolophono: (907) 7t/5 '/7'L./ | |||
ORIGINAL. COPY | |||
4 | |||
! | |||
: | |||
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. | |||
. | |||
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, | |||
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GIikY coxx1sli6v .M " | |||
00/00/00 3/S/f7 | |||
. | |||
' | |||
tidIBil V | |||
TIME / 30 l | |||
TELEPHONE OR VERBAL ColNERSATION E 00 a ! | |||
RECORD | |||
[ ] INCOMING CALL M OUTGOING CALL [ ] VISIT , | |||
' | |||
OTTICE/ ADDRESS: PHONE N W3ER: | |||
FERSON CALLIN3: | |||
, | |||
OTTICE/ ADDRESS: PHONE NUKEER: | |||
, | |||
PERSON CALLED: | |||
O [[ano +- Oaweix8e (f07)3W-WO8' ; | |||
~ | |||
- | |||
i | |||
ColNERSATION | |||
* ~ ''' ~ | |||
L%e TOk (Jim hon y @ @ 'a 2 5 ) | |||
' | |||
SUMHARY - | |||
. | |||
, Se~6n h shcW 14P y 4e /nd ft /Jg ; | |||
p , he die n wkA +o t&& hk i;m. S. s+.gn;,p | |||
+M-k hao no ll & m e h<no. ks4 M & | |||
k had tw ophu : h ayue +0 ahae G h rq M | |||
M tay %e I:cm | |||
28 ~ | |||
. | |||
2d M(hwaae W R' the. | |||
<%. Air % < | |||
% stak4%t u IJRC Ilc- u>as neadads40 do wd % | |||
h ha4% SCcA de Wl 0 WD M /ze W 44 | |||
A YddIW b NL WO h q ( Q | |||
( IS 4 S d -* Con fvhtfe r) . | |||
d f I'' | |||
O L/cv 4 | |||
-- | |||
REFERRED TO: | |||
[ ] ADVISz KE on Action | |||
TAKE1 | |||
IIITIALS: | |||
ACT2cI AEQUISTED: | |||
DATE: | |||
IIITIALS: ! | |||
ACTICI TAIZ31: I | |||
DATE: , | |||
- - - | |||
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/ TIME l | |||
' TELEPHolfE OR VERBAL CONVERSATION 00:00 am/pm i | |||
# | |||
: RECORD | |||
[] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT | |||
' | |||
PERSON CALLING: OTTICE/ ADDRESS: PHOE EUMBER: | |||
OTTICE/ ADORE 55: FBONE NUEER: | |||
, | |||
FERSON CALLED: | |||
1 | |||
.i | |||
' | |||
ColNERSATION i | |||
SUBJ ECT - | |||
SUMMARY - l | |||
ur 10 0 [55M q & Mwk ng ; | |||
%- - # y a mw | |||
ar evdee m~w #at he y M . zrw4 | |||
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IIITIALS: | |||
ACTICT REQUESTED: | |||
~ | |||
DATE: | |||
. | |||
IIITIALS: | |||
ACTICI TAIEET: | |||
DATX: | |||
_ . _ _ | |||
tEC 7 0EM 218 EEV.D $/93 ( E*3' / b d C | |||
'- .... _._ _ .-RIV).- - - . . - - - - - - - | |||
. -- - - - - - - - | |||
. | |||
.g * | |||
. UNITED STATES | |||
* | |||
/g2"8% \ NUCLEAR REGULATORY COMMISSION | |||
s E q$ REGloN IV | |||
** | |||
. 611 RYAN PLAZA DRIVE, SUITE 400 | |||
%, * . , * ,0[ AR LINGToN, TEXAS 760118064 | |||
November 15, 1996 | |||
. | |||
Mr. Sandor Manyoky | |||
Vice President | |||
Haas & Associates | |||
3900 East 112th Avenue | |||
Anchorage, Alaska 99516 | |||
. | |||
SUBJECT: ORDER SUSPENDING LICENSE | |||
, | |||
This letter is in reference to the Order Suspending License issued on November 15,1995. | |||
Under the terms of the Order, License 50-23296-01is suspended, and you may no longer | |||
use licensed material. You must restrict activity to safe and secure storage or transfer, | |||
and you must continue to control entry into restricted areas until NRC has confirmed that | |||
they are suitable for unrestricted use. You must also properly dispose of the licensed | |||
material which was procured under License 50-23296-01. Upon receipt of information | |||
regarding the proper disposition of all licensed material, the license will be terminated. | |||
These matters were discussed with you in a telephone conversation on January 17,1996, | |||
and again on March 6,1996, in a letter dated March 6,1996, you indicated that you had | |||
transferred the two gauges remaining under your license to Mark Hansen, P.E., | |||
License 50-23283-02. Discussions with Mr. Hansen have indicated that the gauge, which | |||
was located in Dillingham, Alaska, has been transferred to his license. Further, leak tests | |||
performed subsequent to the transfer demonstrate that the source has maintained its | |||
integrity. Mr. Hansen has stated that your other gauge has not been transferred to him | |||
; and remains at your facility in King Salmon, Alaska. | |||
Since March 1996, efforts to contact you by telephone or in person have been | |||
unsuccessful. Therefore, to demonstrate responsiveness to the Order, you must | |||
immediately submit the following information to us: | |||
1. A statement that the gauge which remains in King Salmon, Alaska, is in secure | |||
storage and is not being used to measure properties of materials. | |||
4 | |||
2. A timeline for final transfer of the remaining gauge from your facilities in King Salmon | |||
to Mark Hansen, P.E. | |||
3. A statement that no other licensed materials have been procured. | |||
Upon transfer of all materials from your possession, you must also complete and submit | |||
the enclosed NRC Form 314," Certificate of Disposition of Materials." Your reply to the | |||
! | |||
information requested above and your submittal of the NRC Form 314 should be sent to | |||
the address shown above, Attention: Nuclear Materials Licensing Branch. | |||
l | |||
. | |||
, | |||
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Hass & Associates -2- November 15,19% | |||
If you have questions concerning these matters, contact Frank Wenslawski at | |||
(510)975-0219. | |||
Sincerely, | |||
m .= # | |||
Ross A. Scarano, Director | |||
Division of Nuclear Materials Safety | |||
Docket: 030-31184 | |||
License: 50-23296-01 | |||
Control: 572007 | |||
Enclosure: | |||
NRC Form 314 | |||
, . . - - . . .. . - . - . - - - . . - - . .. . - . - . . . - . . . . . . | |||
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Hass & Associates -3 November 15, 1996' | |||
bec: | |||
D. B. Spitzberg | |||
Docket File - i | |||
WCFO Inspection File 1 | |||
LFDCB, T-9 E10 | |||
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DOCUMENT NAME: G:\HAAS.LTR | |||
. To receive copy of pument, Indicate in box: "C" = Copy without enclos,ures "E" = Copy with enclosures "N" = No copy | |||
MB ',00' (, MB f () DNMS f | |||
BPrange ffv FWerislawski RScaran'o / | |||
114/96 11/$96 11/jj96 | |||
- | |||
OFFICIAL RECORD COPY | |||
- | |||
. ._. | |||
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' SENDER: Compute it:ms 1 and 2 when additional arrvic:e cr3 desir:d cnd c mptte it:ms | |||
3 and 4. | |||
Put your address in the " RETURN TO" Space on the reverse side. Failure to do this will prevent this card | |||
from being returned to you. The return receipt fee will provide you the name of the person delevered to and | |||
the date of delivery For additional fees the following services are available. Consult postmaster for fees | |||
and check bodes) for addrtional service (s) requested. | |||
1. O Show to whom delivered, date, and addressee . eddress. 2. O Restricted Delivery | |||
(Lrtre chargel (Ertra charge) | |||
3. Article Addressed to: 4. Article Number l | |||
Mr. Sandor Manyoky V.P. P 359 058 484 g | |||
Haas & Associates Type of Service: l | |||
3900 East 112th Avenue LJ Registered O in.ored | |||
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Anchorage, Alaska '99516 gce ,,d ,, ,, | |||
Always obtain signature of addressee | |||
,g, , , orpent and DATE DELtVERED. , | |||
5. Signat dre Addressee's Address (ONLY y | |||
munted exndfu @ | |||
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6. Signeture - Agent | |||
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7. Dete of Dehve | |||
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PS Form 38'1 Apr. d 89 DOMESTIC RETURN HECE1PT | |||
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P 3E9 058 484 | |||
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RECEIPT FOR CERTIFIED MAIL j | |||
l uonovoA | |||
INSUAAN,CE C0Hat AA0E PROVIDED | |||
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(See Reverse) j | |||
f S "'' Mr. Sandor Manyoky V.I . | |||
j street and No naaS h ASSoClateS | |||
, . 3900 East 112th Avenue | |||
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g Ancfiorage ,P o State and ZIP Efaska 99516 I | |||
i ? Postage $ ! | |||
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''O HAAS 81. ASSOCIATES, INC. | |||
A B k CML ENGINEERING CONSULTANTS $MATERI,ALSfTESTING + ENVIRONMENTAL SERVICES | |||
March, 6, 1996 | |||
Nuclear Regulatory Commission | |||
1450 Maria Lane #210 | |||
Walnut Creek, CA 94596 | |||
Attn: Beth Prange | |||
Re: Gage transfer | |||
Dear Ms. Prange: | |||
l | |||
' | |||
We have transferred two Troxler 3411 B Gages to Mark Hanson P.E. | |||
as of this date. | |||
The serial numbers are as follows: | |||
Gage #1 15485 Gage #2 10537 | |||
These are the only two gages we had that required an NRC license. | |||
Gage #1 is stored in Dillingham, and gage #2 is stored in King | |||
Salmon. | |||
Leak testing will be performed before shipping. j | |||
If you have any questions or require additional information, l | |||
please feel free to call us at 344-4108, or fax us at 349-8791. ] | |||
Sincerely / | |||
andor Manyoky, P.E. | |||
Civil Engineer | |||
SM/rkm | |||
CC: Mark Hanson | |||
3900 E 112TH AVENUE * ANCHORAGE, ALASKA 99516 + TEl/ FAX (907) 349-8791 | |||
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ACTIOT REQUESTED: IIITIALS: | |||
DATE: | |||
ACTIOE TAKEBE IIITIALS: | |||
CATE: | |||
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[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT f | |||
l PERSON CALLINC: OFFICE / ADDRESS: PHONE NUMBER: | |||
FERSON CALLED: OFFICE / ADDRESS: Fi1OfE NtMEER: | |||
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Saden hagy Mcm + Cwee . (107)39y-9Dr | |||
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TAKEE | |||
ACT101 REQUESTED: IEITIALS: | |||
DATI: | |||
ACTICI TARIBI: IIITIALS: | |||
CATE: | |||
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00:00 am/pm | |||
RECORD I{ | |||
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PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER: | |||
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PERSON CALLED: OFFICE / ADDRESS: Fil0NE NUMEER: | |||
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CONVERSATION | |||
SUBJECT - | |||
SUMMARY - | |||
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4 | |||
: | |||
REFERRED TO: I 1 ADV353 K3 03 ACT103 | |||
TAKE3 | |||
ACTION REQUESTED: IIITIALS: | |||
DATE: | |||
ACTION TAKEBI 111TIALS: | |||
CATE: | |||
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ " ~~'~~ ~ ~ ~ ~ ~ ~~ | |||
rEE'icix 218 | |||
~ | |||
1 | |||
-~s 'a v 0 ~ 203-[ srF/ Q7.' 31 v ) l | |||
- - . . . . . . - . . . - . . .. --, - n-en- | |||
03-06-1996 01:03Pf1 FROM lmS & nSSoCInTES TO 15109750381 P.01 | |||
~ | |||
i | |||
MARK HANSEN P.E. | |||
Comuktng Engineers Tnting Laboratory | |||
. | |||
llc 02 box 7387. FALMER. AK 99045 (907) 7454721 f | |||
I | |||
i | |||
August 31,1994 , | |||
Haas and Associates, Inc. | |||
. | |||
3900 E.112th Ave , | |||
Anchorage, AK 99516 f | |||
Subject: Transfer of Troxler Moisture Density Gauges I | |||
. | |||
Gentlemen: | |||
While roviewing our records, we find that we do not have a rocord of transfer for | |||
the nuclear gauges we received from you about November 30,1993. Prior to | |||
this time, Mark Hansen was an authorized user under your license. By this i | |||
letter, we acknowledge receipt of the fellowing gauges: | |||
Model Gauge Serbi | |||
Troxler 3411 b 9235 | |||
Troxler 3411 b 9828 | |||
Troxter 3411 b 10534 | |||
Also attached is a copy of our NRC license, which you will need for your records. | |||
S.ncerely, | |||
d | |||
Mark Hansen | |||
V | |||
/ f | |||
b | |||
. | |||
4 | |||
i | |||
i | |||
TOTAL P.01 ! | |||
(v3 (-) | |||
U,s. NUCLEAR RKCULAf0RY COMMISSION DAh[ | |||
RECI6W V | |||
_gofogf.00 y/7/7g 7 | |||
TELEPHONE OR VERBAL CONVERSATION TIME /0/32 l j | |||
RECORD '00:4)0@pm iH | |||
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT | |||
PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: | |||
hk bishw~ Trox les (119) 599- 866/ ' | |||
PERSON CALLED: OFFICE /ADDRE';S : FilONE NUMBER: | |||
CONVERSATION | |||
SUBJECT - r | |||
e] QWic)(o | |||
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SUMMARY - | |||
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p y s Sns J /o537noe 6A' bdf :n | |||
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sM smi% sw 9255, 7e289 ad a534 -~ | |||
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_ _ .__ _ _ ____.,- _.._ _ __.-_ _ ._.-- ______.___ _- - - - - - - . - - - - - - - | |||
TAKEB | |||
ACTICI REQUESTED? IIITIALS: | |||
DATE: | |||
ACTICI TAKIBI: IIITIALS: | |||
DATE: | |||
. - | |||
- | |||
- . _ . - _ _ | |||
) | |||
N o _ _ | |||
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- | |||
u.s. wuct. EAR k. ATORY COMMISSION | |||
RECI6M V | |||
40f00/CP 7[/:t//f | |||
TELEPHONE OR VERBAL ColNERSATION TIME l | |||
RECORD 00:00 am @ i | |||
[ ] JNCOMING CALL !><)' OUTGOING CALL [ ] VISIT | |||
' PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER: | |||
i | |||
' | |||
PERSON CALLED: OTTICE/ ADDRESS: FRONE NUMEER: | |||
%hn hmd% Hm e aowc. Oro7)394-9/08 , | |||
CONVERSATION - | |||
SUBJECT - 6.P &, h | |||
SUMMARY - | |||
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[ ] ADVISE KE 01 action | |||
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REFERRED TO: | |||
TAKE1 | |||
ACTIO1 REQUESTED: IIITIALS: | |||
DATE: | |||
' | |||
ACTIOI TAKIII: IIITIALS: | |||
DATE: | |||
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RECI6W V | |||
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TELEPHONE tR VERBAL CONVERSATION TIME l | |||
RECORD 00:00 am/ptn i | |||
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT ; | |||
' PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: | |||
. | |||
' | |||
PERSON CALLED: OFFICE / ADDRESS: FHONE NUMEER: | |||
' | |||
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CONVERSATION 4 | |||
SUBJECT - | |||
! | |||
SUMMARY - ! | |||
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pg, p ,%r4 & 6 fo be 1 | |||
REFERRED TO: | |||
- zr n m | |||
[ ] ADVISE ME 01 JtCTidt | |||
TAKE1 | |||
ACTICI REQUESTED: IIITIALS: | |||
DATE: | |||
ACT103 TAKIEI: IIITIALS: | |||
DATE: | |||
~ ~ ~ ~ ~ ~ | |||
~~] | |||
'- | |||
rR6 rosM'fif~Eiv70~~8/93''[rr/ Q c-1 5) | |||
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | |||
. - . . -- _ ___ ~ _ - . . ----- . . | |||
U.S. NUCLEAR REGULATORY COMMISSION DATE:3/21/95 | |||
TIME: 9:00 l | |||
TELEPHONE OR VERBAL CONVERSATION RECORD am or pm | |||
INCOMING CALL OUTGOING CALL VISIT | |||
' | |||
PERSON CALLING ADDRESS PHONE # / EXTENSION | |||
Krnt Frendergast RIV, WCFO (510)975 - 0255 . | |||
l | |||
PERSON CALLED: ADDRESS: PHONE # / EXTENSION: | |||
Sandor Manyoke Haas and Assoc. 907344-4108 ; | |||
l | |||
CONVERSATION ! | |||
SUBJECT: Renewal | |||
I | |||
SUMMARY: Sandor, indicated that he would like to resume operation | |||
and is no longer interesting in storage only license. He has been ; | |||
to his Doctor and will be able to return to work. He stated he will | |||
finish the application that was sent to him with the new SRP for , | |||
' | |||
portable gauges by 3/24/95. I told he could call me if he has any | |||
questions on the guide and to use the checklist in the back of the | |||
SRP to check his application before sending it in. | |||
Cd/d 3/30/c<s , M v 5Irl- A be a t j swcE l | |||
,_ | |||
re n o a a.p p n c a r _ .1 3 | |||
plQ tr/3 ) gf - S (M N.IJ WO % E "''" ^ | |||
5'( s & l << S - %Le SOA .p s f $s f Ca 6 $ | |||
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c<ll</ | |||
Mf( O ,f ct gpl, M n c' w ~ leplo,~( Q | |||
\ w s il was4.l vo? O %Nv , ! | |||
! | |||
) | |||
I | |||
l | |||
REFERRED TO: MS-15 ADVISE ME OF | |||
ACTION TAKEN | |||
ACTION REQUESTED (Y) OR (N) | |||
Provide information l | |||
INITIALS: KP | |||
DATE I | |||
ACTION TAKEh INITIALS: | |||
DATE | |||
NRC FORM 218 i | |||
REPO (2-89;KMP) | |||
U.S. NUCLEAR REGULATORY COMMISSION DATE: 3/13/95 il | |||
TIME: 1:00 l | |||
TELEPHONE OR VERBAL CONVERSATION RECORD am or pm | |||
INCOMING CALL OUTGOING CALL VISIT | |||
' t | |||
PERSON = CALLING ADDRESS PHONE # / EXTENSION ! | |||
K0nt Prendergast' RIV, WCFO (510)975 - 0255 l | |||
! | |||
PERSON CALLED: ADDRESS: PHONE # / EXTENSION: j | |||
Sendor Manyoke Haas & Assoc. 907/344-4108 | |||
; | |||
CONVERSATION | |||
! | |||
SUBJECT: License Amendment | |||
SUMMARY: I spoke with Sandor Manyoke regarding his request for | |||
storage only. I wanted to explain the time limitations and conditions | |||
for storage and let him know that prior to any use that he must | |||
request.for and submit an application for renewal. He asked how | |||
he would get permission to use the gauges. I told him that he would l | |||
hava to submit a new application. I explained that there was a new j | |||
standard review plan for portable gauges. He stated that he was not j | |||
sure what he wanted to do at the present. That he might want to sell | |||
- | |||
l | |||
his gauges but did not want to do anything until he has seen.the new l | |||
' | |||
SRP. He requested I hold up issuing the license for storage only l | |||
until he had seen the SRP. Then he would make up his mind. | |||
~ | |||
W.b C1219 - 3/131 <if ; | |||
! | |||
! | |||
l | |||
REFERRED TO: MS-15 ADVISE ME OF 1 | |||
ACTION TAKEN | |||
ACTION REQUESTED. (Y) OR (N) | |||
Provide information | |||
INITIALS: KPjh9 | |||
DATE 3j,3,43- | |||
ACTION TAKEN INITIALS: | |||
DATE | |||
NRC FORM 218 | |||
REPO (2-89;KMP) | |||
- _ . - | |||
U.S. NUCLEAR REGULATORY COMMISSION DATE 1/25/95 | |||
TIME: 9:00 | |||
TELEPHONE OR VERBAL CONVERSATION RECORD ("Em)or pm | |||
INCOMING CALL OUTGOING CALL VISIT | |||
' | |||
PERSON CALLING ADDRESS PHONE # / EXTENSION | |||
K nt Prendergast RIV, WCFO (510)975 - 0255 | |||
PERSON CALLED: ADDRESS: PHONE # / EXTENSION: | |||
Srndor Maniyoke Haas and Associates 907/344-4108 | |||
CONVERSATION | |||
SUBJECT: LICENSE RENEWAL l | |||
SUMMARY: I contacted Sandor regarding the fact that although his | |||
license had expired that we were honoring the June 29, 1994 deemed | |||
Timely letter. However, there is need to renew the license or terminate | |||
thn license. Sandor stated that he wishes to renew the license for | |||
storage only. He has been in an auto accident and does not know if he | |||
will be able to work this year. I asked him to send us a fax | |||
requesting t!'.e license be renewed for storage only, and to consider | |||
how long he may want to store the gauges prior to disposing of them to | |||
cnd authorized person. I mentioned we do not routinely license | |||
l radioactive materials for indefinite storage. Sandor stated he would send a | |||
fcx and that he has already paid for the renewal. | |||
REFERRED TO: MS-15 ADVISE ME OF | |||
ACTION TAKEN | |||
ACTION REQUESTED (Y) OR (N) | |||
Provide information requested. | |||
Picce this record in license file INITIALS: KPggoff | |||
DATE jgffgy | |||
j ACTION TAKEN INITIALS: | |||
DATE | |||
NRC FORM 218 | |||
, | |||
, | |||
# | |||
f | |||
/ **%k UNITED STATES | |||
NUCLEAR RESULATORY COMMISSION l | |||
f | |||
* | |||
j | |||
e | |||
REGION IV | |||
** # | |||
Walnut Creek Field Office | |||
% , , , , , +' 1450 Maria Lane | |||
Walnut Creek, Califomia 94596-5368 | |||
' AUG 191994 | |||
Docket: 030-31184 | |||
License: 50-23296-01 | |||
Control: 572007 | |||
I | |||
Haas & Associates, Inc. | |||
ATTN: Sandor Manyoky, P.E. | |||
Civil Engineer | |||
3900 E. Il2th Ave. i | |||
i | |||
Anchorage, Alaska 99516 | |||
SUBJECT: LICENSE RENEWAL | |||
This is in reference to your letter dated June 23, 1994 requesting renewal of | |||
your byproduct material license. A review of your license file indicates that | |||
there have been changes to your program which are not reflected in your | |||
license. For this reason, you should resubmit a complete renewal application. | |||
In your reply, you should address the following issues: | |||
1. Please specify the appropriate mailing address. If a different address | |||
is needed during certain times of the year in order for information and | |||
correspondence to reach you, please specify that as well. | |||
2. You should indicate the maximum number of Troxler Model 3400 gauges, 4640 | |||
gauges, 3216 gauges, and 3241 gauges which you may wish to possess at any | |||
one time. This information is needed so that the correct possession | |||
limits are indicated for each model. | |||
3. You should provide a sketch of the gauge storage area (s) currently in | |||
use. Specify their locations (street addresses), and describe key j | |||
control procedures. ' | |||
; 4. A standard license condition = indicates that physical inventories will be | |||
~ | |||
conducted eveVy"Yirmo'nthf.'"However, a review of the file-indicated that | |||
your gauges are typically in storage between November and April of the ! | |||
tollowing year. If this is the case, you should specify when you will | |||
conduct inventories. For example, a procedure indicating that you will | |||
inventory the gauges prior to their first use in May and after the last i | |||
use in October seems to be more appropriate to your situation. You | |||
should submit the procedures you will use for inventories. You should | |||
also commit to maintaining records of the inventories and indicating the | |||
dates when the gauges are put into and removed from storage. | |||
s | |||
. . . _ . _ _ - . _ _ _ _ _ . . _ _ . _ . _ _ . _ . _ _. | |||
- . _. ._ - - . _ . _ _ . . _ - - | |||
. . | |||
-: l | |||
2 | |||
2 i | |||
: We will continue the review of your renewal request upon receipt of this l | |||
' | |||
information. In order to continue prompt review of your application, we j | |||
request that you submit your response to this letter within 30 days from the ' | |||
date of this letter. Please reply in duplicate, and refer to Mail Control No. | |||
572007. | |||
I | |||
Sincerely, | |||
# | |||
l | |||
Beth A. Prange | |||
Sr. Health Physicist (Licensing) | |||
; Materials Branch | |||
:. | |||
; | |||
Enclosure: Licensing guide for portable gauges | |||
- | |||
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--. . . - . - - - . . . - - | |||
, | |||
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PORTABLE AND SEMIPORTABLE CAUGES* | |||
M Your application is being returned for signature. | |||
V Actual sites of use , /1' ^ | |||
' | |||
ad$tew | |||
, ' SfynN [0Cd$%.; | |||
Y | |||
ek. Name of individual to be contacted about this application | |||
A Name of the manufacturer and model number of each sealed source | |||
A Pcuas e Dnilb f | |||
pl. | |||
Name of the manufacturer and model number of each gauge or device | |||
ad Individual (s) responsible for radiation safety program | |||
d Training and experience of individual (s) responsible for radiation | |||
\ safety program | |||
Y Describe permanent storage area for gauges or device | |||
d Means of preventing unauthorized use [cd7Ie* # | |||
[# | |||
M IJcLWh/ | |||
v8. Specify whether film ba ges or hAs will be used | |||
Specify exchange frequency (At least monthly for film badges | |||
and at least ly for TLDs) | |||
Leak testing of sealed sources Itjd1 | |||
k Maintenance on gauges involving removal of source holder, etc. | |||
AIc (nabb41a4 inV Cds f./mtevtz( c" stusa hew yt f | |||
f- Safety procedures for transporting gauges or devices kN h[201:c) 0d/ | |||
.; | |||
th Describe operating and emergency procedures | |||
R Describe disposal of gauge or device when use is discontinued | |||
GL k ,,,, an m 4r4 fa aaWyc/ vec</2 | |||
-4 d444hhGu a kaA u.,NJ&d1-s.hggJ .# -_,mA ch4*.dJar--ed.BGhwsome.g. JD&4 *'yh4 4 ~ & e, a Aheuhm. .4 g ed.g s e4,. 4 ag.mne., _ww.,A | |||
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Docket File | |||
WCF0 Inspection File | |||
LFDCB, T-9 E10 | |||
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UNITED STATES | |||
NUCLEAR REGULATORY COMMISSION | |||
1 | |||
I | |||
! - ~ " ' | |||
gg;l 31W ! | |||
%,,o , , ,,, [t Walnut Creek Field Office | |||
1450 Maria Lane | |||
Walnut Creek, California 94596-5368 | |||
JUd i 41995 l | |||
l | |||
Haas & Associates, Inc. l | |||
' | |||
ATTN: Sandor Manyoky, P.E. | |||
Civil Engineer | |||
3900 E. 112th Avenue | |||
Anchorage, Alaska 99516 l | |||
SUBJECT: LICENSE RENEWAL | |||
This is in reference to your letter dated June 23, 1994 requesting renewal of ' | |||
your byproduct material license; to our letter dated August 19, 1994 i | |||
describing information needed to renew the license; and to subsequent letters ! | |||
from you dated February 7 and 14, 1995, indicating that you wished to convert l | |||
your license to storage-only. This also refers to telephone conversations l | |||
with Mr. Kent Prendergast of this office on March 13, 21, 24, 1995, April 3, l | |||
1995, and May 10, 1995. In these telephone conversations, you indicated that i | |||
you would like to resume use of licensed materials, that you would answer the ! | |||
questions in our letter dated June 23, 1994, and that you would submit a new | |||
application in the format described in the new portable gauge licensing guide | |||
by March 24, 1995. ; | |||
I | |||
As we have no written response from you subsequent to your letter of February | |||
14, 1995, we have to assume that it would be acceptable for us to issue a | |||
storage-only license. Unless we receive a written response from you by July | |||
9,1995, we will renew your license with a storage-only provision. Should you | |||
decide to use your gauges subsequent to that time, you will need to submit a i | |||
license amendment request and pay the appropriate fee. | |||
If you wish to renew your present program, you should submit a completed | |||
renewal application, addressing the items described in our letter to you dated | |||
August 19, 1994, and as detailed in the new portable gauge licensing guide | |||
(copies enclosed). Please reply in duplicate, and refer to Mail Control No. ! | |||
572007. | |||
Sincerely, I | |||
WV f | |||
Beth A. Prange | |||
Sr. Health Physicist (Licensing) | |||
Materials Branch : | |||
Docket: 030-31184 | |||
License: 50-23296-01 | |||
Control: 572007 | |||
Enclosures: As stated | |||
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Docket File I | |||
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WCFO Inspection File J | |||
LFDCB, T-9 E10 | |||
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WCF0 | |||
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i- BPrange M | |||
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. 6/ f/96 | |||
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.. . ... - - .-. , . .. | |||
02-14-1995 09:21Ft1 FROM VM G & ASSOCIATES TO 151uw:w.uul P.01 | |||
. . | |||
- | |||
. | |||
',I'I,\ M8 St. ASSOCIATES, M | |||
hCIVil ENGINEGRING CONSULTANTS ' MATERIALS TESilNG & EfMRONMENTAL SERYlCES I | |||
l | |||
. | |||
ff.$ . | |||
WeI d 0" A 0<- ;?- n - w | |||
jk: Ken i | |||
; fhl b/(LMjd %/tew | |||
#''' | |||
v,u % (s70) W | |||
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A/9.C bi ce H sc 1 k qv( M (_,flo w/lg | |||
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S'YPh h (4 h w 5 4 e d upp3, j | |||
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Samdw w k g Pe , | |||
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civ:\ Ey&v- | |||
! | |||
3000 E ii2TH AVENUE * ANCHORAGE, ALASKA 99516 4 TEL/ FAX (907) 34H791 3 | |||
l | |||
TOTAL P.01 | |||
-_ _ _ _ _ __ ._ - _ _ _ _ _. ._ . | |||
1 | |||
. . j | |||
i | |||
a. | |||
RECEIVED <3' I | |||
idRC I | |||
T RIV WCFO | |||
HAAS af, ASSOCIATES, INC. | |||
AA L CML ENGINEERING CONSULTANTS * MATERIAL @tdSDNd!U EhMONMENTAL SERVICES | |||
j | |||
: | |||
i | |||
i | |||
i | |||
February 7, 1995 | |||
i | |||
! | |||
., | |||
Nuclear Regulatory Comission j | |||
' | |||
1450 Maria Lane | |||
Walnut Creek, CA 94596-5368 | |||
i | |||
' | |||
Attention: Beth Prange | |||
4 | |||
Re: License Renewal #50-23296-01 | |||
, Dear Ms. Prange: | |||
I would like to amend our license for storage only. I was in a i | |||
car accident in December. At this time I do not know when I | |||
will be able to resume my work. | |||
l l | |||
' | |||
Sincerely, | |||
Sandor Manyoky, P.E. | |||
Civil Engineer | |||
4 | |||
Y | |||
t | |||
. | |||
l | |||
3900 E 112TH AVENUE * ANCHORAGE, ALASKA 99516 + TEUFAX (907) 349-8791 | |||
4 | |||
572.oo / | |||
. _ . _. _ _ _ __ ._. . _ _ . - _ _ _ | |||
. . | |||
DC W & > | |||
r'' # Y '% UNITED STATES | |||
p \ NUCLEAR REGULATORY COMMISSION | |||
j* j | |||
e | |||
REGION IV | |||
# | |||
Walnut Creek Field Office | |||
% , , , , j! 1450 Maria Lane | |||
Walnut Creek, California 94596-5368 | |||
! | |||
'JW ! 91994' | |||
. | |||
Docket No.: 030-31184 | |||
License No.: 50-23296-01 | |||
Control No.: 572007 | |||
1 | |||
Haas and Associates, Inc. l | |||
3900 E 112th Avenue | |||
Anchorage, AK 99516 | |||
l | |||
Attention: Sandor Manyoky, P.E. | |||
1 | |||
SUBJECT: LICENSE RENEWAL APPLICATION | |||
i | |||
This is to acknowledge receipt of your application for renewal of the | |||
materials license identified above. Your application is deemed timely filed, | |||
; and accordingly, the license will not expire until final action has been taken | |||
; by this office. | |||
j | |||
Any correspondence regarding this renewal application should reference the | |||
control number specified above and your license number. | |||
Sincerely, | |||
0- | |||
Beth A. Prange | |||
Health Physicist (Licensing) | |||
Materials Branch | |||
Walnut Creek Field Office | |||
. . _ _ _ - . _ _ . _ . . . _ . . _ . _ _ _ _ _ . . . . _ _ _ _ _ . _ _ | |||
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Distribution | |||
License docket folder | |||
. Inspection folder | |||
, | |||
LFDCB, T 9-E10 | |||
i | |||
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blf | |||
BPfange | |||
i 6/9/94 | |||
9 II | |||
i | |||
a | |||
l REQUESTCOPp REQUEST COPY RE@EST COPY RE@EST COPY | |||
YES NO YES NO YES NO YES N0 | |||
SEND TO DCS SEND TO PDR * Please indicate which documents | |||
should not be sent to PDR. | |||
' | |||
YES - | |||
NO - YES- N0* - | |||
j Refer to RV 0502-A8. | |||
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4 | |||
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-- - | |||
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' * | |||
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RECEIVED | |||
[h Rl[fVSF0 NAAS af, ASSOCIATES, INC. | |||
A11 CML ENGINEERING CONSULTANTSgg gqAggG . ENVIRONMENTAL SERVICES | |||
030-3ll 8 9- | |||
June 23, 1994 | |||
j | |||
United States Nuclear Regulatory Commission l | |||
1450 Maria Lane | |||
Walnut Creek, CA 94596-5368 | |||
Attention: Beth Prange | |||
i | |||
Re: N.R.C. license renewal (50-23296-01) ' | |||
Dear Ms. Prange: ) | |||
This is our letter of intent to renew our N.R.C. license. Our | |||
application is category 3P. We presently have two Troxler 3411-B | |||
densometers. We may consider the purchase of another 3411-B gage | |||
in the future. | |||
The renewal fee of SC70.00 is enclosed. Please let us know if | |||
you require additional information. | |||
Sincerely, | |||
Haas & Associates Inc. | |||
Sandor Manyoky, P.E. , | |||
Civil Engineer j | |||
SM/shm | |||
Enclosure | |||
! Log __ _ -- 1- - | |||
Remitter _ __ _ _ - - - - - - | |||
- | |||
Cf,ack | |||
Amount _ No.f_ | |||
. 7 O- ------ - -- | |||
fee Categcry _ _ _ff-- - --- - | |||
Type of Fee /VM- - 5- | |||
7- | |||
Date Chack tac'd._ | |||
Date Cor xted _ - - - - - - l | |||
gy __f ,.j f u ___ -_-- -- | |||
572M7 | |||
3900 E 112TH AVENUE ANCHORAGE, ALASKA 99516 TEl/ FAX (907) 349-8791 | |||
i | |||
.. | |||
}} |
Latest revision as of 02:36, 8 August 2022
ML20147G429 | |
Person / Time | |
---|---|
Site: | 03031184 |
Issue date: | 03/13/1997 |
From: | Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
To: | |
References | |
50-23296-01, 50-23296-1, 572468, NUDOCS 9703280127 | |
Download: ML20147G429 (59) | |
See also: IR 05000232/1996001
Text
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- RC FORM 374A. U.S. NUCLEAR REGULATOQY COMMISSION OF PAGES g -
g PAGE 1 1
License Number g
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50-23296-01 El
3 MATERIALS LICENSE Docket or Reference Number (I ; y SUPPLEMENTARY SHEET 030-31184 El l' N E ( t Amendment No. 1 E N E! N E' l N E W E W E W Haas & Associates, Inc. E W 200 West 34th Avenue, #753 E
' Anchorage, Alaska 99503 El . E! E E l In accordance with the Order Suspending License dated November 15, 1995, and with the g l determination that the requirements of 10 CFR 30.36 have been satisfied, g License No. 50-23296-01 is hereby terminated. g - 6 l
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION E % , y E W E Date By Md hz E s Materia ~1s Branch [ !. Region IV, WCF0 V g E s Walnut Creek, California 94596 g E, 9 9703200127 970313 E ( PDR ADOCK 03031184 E g C PDR gi
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, k. REGloN iv
611 RYAN PLAZA DRIVE, SulTE 400
'
AR LINGToN, TEXAS 760118064 %*****+0 #AR 131997
. ,
Mr. Sandor Manyoky Vice President
- Haas & Associates
3900 East 112th Avenue
. Anchorage, Alaska 99516
SUBJECT: LICENSE TERMINATION
,
Enclosed is Amendment 1 to License 50-23296-01,terrrinating the license. The license is no longer valid and should not be used for any purpose. We understand that you still possess a portable gauge containing radium-226. As the U. S. Nuclear Regulatory Commission has no jurisdiction over that material, its possession and use does not require a license from this agency.
1
This termination amendment does not relieve you of any responsibility to pay outstanding fees owed to the federal government. < This action was issued in accordance with the Order Suspending License dated November 15,1995. The order specified, in part, that, "The License shall be terminated upon satisfaction of the requirements of 10 CFR 30.36." 10 CFR 30.36(j) specifies that
'
the disposition of alllicensed material will be certified, and that a completed
'
NRC Form 314 should be submitted or equivalent information obtained. Lacking your willingness to supply a completed NRC Form 314, we obtained the equivalent information. The last inspection of your license was conducted on July 28, and
August 2,1995. The Inspection Report, No. 95-01, indicated that you possessed two
'
licensed gauges, Troxler Model 3411-B, serial numbers 5485 and 1053) This was also
- confirmed in a letter from you dated March 6,1996. In that letter you indicated that the
gauges had been transferred to Mark Hansen, P.E., License 50-23283-02. Although Mr. Hansen agreed to accept the gauges, they were not immediately transferred to his , possession. - On March 5,1997, we were able to verify that the two Troxler 3411-B
i gauges had been received by Mark Hansen. The gauge with serial number 5485 was - received on July 22,1996, and was leak tasted that day. The gauge with serial
number 10537 was received on December 3,1996, and was also leak tested on receipt. i- The leak test analyses were performed by Troxler on July 30,1996, and December 18, i 1996, respectively, They indicated no removable contamination in excess of 0.005 microcuries. Thus, the sources retained their integrity, and close-out surveys of former storage areas are not required. _
.- . , . Haas & Associates -2- Our records also indicate that at one time you possessed three Troxler 3411B gauges which were transferred to you from Frederick Schwaderer (License 50-29017-01, this license was subsequently terr.iinated). These gauges had serial numbers 9235,9828,and 10534. These were transferred to Mark Hansen (License 50-23283-02) in November 1993. Leak test analyses conducted on these sources after their transfer to Mark Hansen indicated that the sources retained their integrity and that close-out surveys are not required due to their possession, if you have questions concerning these matters, contact Beth Prange at (510) 975-0250. Sincerely, Ross A. Scarano, Director Division of Nuclear Materials Safety Docket: 030-31184 License: 50-23296-01 Control: 572468 Enclosure: As stated cc w/o enclosure: Mark Hansen HC 02 Box 7387 Palmer, AK 99645 State of Alaska
i ! i
,s- % e e Haas & Associates -3- E-Mail report to Document Control Desk (DOCDESK) bec to DCD (4E07) bec distrib. by RIV: RIV Regional Administrator DDandois (T-9E10) WBrown GSanborn CLCain JJHolonich, NMSS (T-7J9) DBSpitzberg LLHowell FAWenslawski BPrange, WCFO LB NMI&FC\DB 1 WCFO Inspection File MIS System WCFO Materials Docket File (2) LFDCB, T-9E10 I
, i
4
i DOCUMENT NAME: G:\HAAS
lo receive copy of document, indicate in box: "C" = Copppout enclosures "E" = Copy with enclosures "N" = No copy RIV:WCFO:MB c C:MB 6 RC pJy OC:DAF:LFARB _ AD:DNMS BPrange up FWenslawsji WBrawh DDandoisejf4fCaintic
l. 03/ N97 - 03p/97 F 03/10/97 03/ /97 /
'03/11/97 OFFICIAL RECORD COPY l I
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.
INFb T FR0 LTS BETUEEN: License Fee Management Branch, ARM - --------- RECEW E D Pro ram Code: 03800 NRC RegionalLi$esingSections C PV WCTO 0" E O " e m. .?. M....t.I.!.II27 . . . . . u../. IIA.918 n; I: ;i; LICENSE FEE TRANSMITTAL A. REGION b 1. APP ICATION ATTACHED E!::a%!:i"'": MJ A550 GATES INC. o 01Nb.- 52!k8 A!$o T ei hh ih "- E^!!^c"E" Check No. s-v- hau 1 3. COMMENTS ], 7My 511"* 2-lld m' # B. LICENSE FEE MANAGEMENT BRANCH heck when e mil' stone 03 eis / ,frJ 1. Fee Category and Amount: , t he g z. C ' - A gegreeeaid.;ptionmayseprocessedtor: fi"::'l
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- R EC tuY ED a;y V :70 HAAS at, ASSOCIATES, EVC. A R k CML ENGINEERING CONSULTANTS $MATERIALSfTMTig = ENVIP.ONMENTAL SERVICES March, 6, 1996 Nuclear Regulatcry Commission 1450 Maria Lane #210 Walnut Creek, CA 94596 Attn: Beth Prange Re: Gage transfer Dear Ms. Prange: l We have transferred two Troxler 3411 B Gages to Mark Hanson P.E. l as of-this date. ; J The serial numbers are as follows: Gage #1 15485 Gage #2 10537 These are the only two gages we had that required an NRC license. Gage #1 is stored in Dillingham, and gage #2 is stored in King Salmon. Leak testing will be performed before shipping. If you have any questions or require additional information, please feel free to call us at 344-4108, or fax us at 349 8791. Sincerely , andor Manyoky, P.E. Civil Engineer SM/rkm CC: Mark Hanson 3900 E 112TH AVENUE + ANCHORAGE, ALASKA 99516.TEl/ FAX (907) 349-8791 ,
Mark H a n ts e n , P . E . 907 746 4721 P.01 c ' '. . /i , - ./,
l *I l hM0J24M(/I )
i; . M ARK HANSEN P.E.
1 ',
, consuiting Engineer - Testino Laboraiory
'. ' 907-745-4721 Fax:746-4721 ; Fax Transmittal
- i
l Date: '3-l'87 L1J Pages including this one. ? ; To: B ETN PRnace
' l Fax No.: S/0 - 975-03fl
4 4
Original Mailed Yes O No @ i I ! l . I
.
g - x
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4
! 572y'bf
. _ , . . - . - -- -.- , _ . - - ~ . - _ . . _ - - . .- - . - - - - _. . - - . - = . . -. . - . - _ ..- Mark Hansen,P.E. 907 746 4721 P.02 * .- , , , . .. n.. . . . . - - - - .-. e'
,
_ (, ' " " " 5' R ' ' **""twth caw'.a anos."u'sA. *""#'"- LEAK TEST ANALYSIS insat Th hat' Device - Model # st1in . Serial # ap p n ing ! Source (s) Serial # 40 70An --- . Serial #_46 loS6 this form has been : analyzed using an
4 Date of Test: 7-12-96 -
approved monitoring
'
method that measures u d r:mmmmm a rtr'ILTEMB E mm19m i mWTmfrrn mMT. m7TTW m m e both beta / gamma & alpha (- contamination; and, that
'! . the results of this analysis
MARK HANSEN shows the romovable *
) HC 02 BOX 7387 activity to be less than
- * PALMER, AK 99645 0.005 microcuries.
i
Your Name. Telephone: ( . ) MARK HANSEN g gg,'g # O D~
l ! ORIGINAL COPY a
' /g Th0XLER '" *"""' ad' u"c* "n""rr"ro's nor i a<o a "u"s"a'*""'* "'*- . . LEAK TEST ANALYSIS 9L11n on?R This certifies that the ! Device - Model # . Serial # sample accompanying ' j 40 7180 46 1210 this form has been . Serial # ' Source (s) - Serial # 3-1-95 analyzed using an , Date of Test: approved monitoring
method that measures , u d r3TrsmmurritLUNmMtffmFM.mm mER A ME both beta / gamma & alpha l
! i '
( . , contamination; and, that the results of this analysis l MARK HANSEN P.E. shows the removable *
i HCO2 BOX 7387 activity to be less than
* PALMER, AK 99645 0. 5 'crocuri s. i * ' , K N I - - ' i Your Name: Telephone: ( ) ' ' - -
i ORIGINAL COPY !
o
Mark Hansen,P.E. 907 745 4721 P.03 4 3 .. . . .r Troxlit ElIctronic Lcbortt:ri:s, Inc. 3008 Cornwettis Rd., P.O Box 12057 / - Research Triangte Park, NC 27709 Tel: 4919) 649 8661 Fax: (919) 549-0761 1 - Ucense: f1C o32-o1821 L.EAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 9235 Sample Date: 8 ~lO-
,
SEALED SOURCES: '" ^ ! "" ^ NUCLtDE SENAL NO. l l (mCl) (MCI) CS.137 40 . 6550 8.2 5.9 j . AM-241:BE l . .. . .l 47 . 5705 40 o l 39.1 LEAK TEST ANAL.YSIS: The sample has been analyzed using counting system capable of measuring beta , gamma, and alpha contarnination. Date of last calibration: 1/14/97 ' BETA GAMMA ALPHA 5.11E + 05 S.65E + 03 Conversion f actor (com/uci) - - - . . . . . . . . . _ - _ . .._ _ _ . . . . _ Background eneasurement (cpml 1 ! 22 . ' 2 I 35 Sample measurement (cpm) . . . . . . . . _. . .h . ., . . < MDA 1.36-05 Act:vlty (uCi) . j. . . . -. f ... . . Min. Detectable Activity (uCH 7.0E.06 I 7.6E 06 l 1 This certifies that the above leak test results are: Less than 0.005 uCi (200 Bq): E Greater than 0.005 uCI (200 Bq): I Measurement Date: 2/10/97 Certified by: ~ J4 l h> b if greater than 0.005 uCi : Date Person Notified Phone and/or Fax Rev.1/97 .
/ W---"uT7i
n woky coxx2ssicW uV ggYi" scj00j0& g TELEPHONE OR VERBAL CONVERSATION TIME ilo l{ RECORD 00 g0 v aIn@ >l j [ ] INCOMING CALL M OUTGOING CALL [ ] VISIT PERSON CALLIN3: OTTICE/ ADDRESS: PHONE NUMBER. 1 ' ' PERSON CALLED: OTTICE/ ADDRESS: FRONE NUMEER: , ' hat Hw Mae Ra m . P.e. (107) 795- Y72/ ; ColNERSATION - ! 1 SUBJ ECT - ' Gcuuvo V % % r he. SUMMARY - 1 ' Tita K q S"'^# T T * * "* M m / /5/96. t T11e luR+& r.ynd hM no / , * D Oh , & ) O Y f& f^&, . -73.Q.PenOe. _ __ ..- _ _ __ _ _. _ _____ _ __ g- - TALII IIITIALS: ACTICY RIQUISTED: DATE: IIITIALS: A C'5101 TAIIBI: DATX: ~ ~ ~ ~ ~ I t'ic' f6TM'i1t ~~s iv76 ^/63 { rp / Q c . R li) .- -- - _ - . - - - _ v. .. _ . _ _ _ _ _ _ _ _ _ . . _ _ _ _ _ . _ . _ _ _ _ _ . _ _ _ . . _ . _ . _ _ . i
' Hansen,P.E. 907 746 4721 P.01
,
. "o - O" ark O MARK HANSEN P.E. Coneutde g Ing! nee,s Te,ung laboistory 11002 BOX 7387, PALMER. ALASKA 99645 (907) 7434 721 FAX (907) 14r>4721 arch 4,1997 Beth Prange U.S. Nuclear Regulatory Commission Fax: 510-975-0381 Beth: As we discussed by telephone today, I am providing a record of the two Troxler Model 3411-B gauges transferred from Haas and Associates, Inc. Gauge No. 5485 was received on 7/22/96. Upon receipt, a leak test wipe was taken and sent to Troxler for analysis. Results are attached, Gauge No.10537 was received on 12/3/96. Upon receipt, a leak test wipe was taken and sent to Troxler for analysis. Results are attached. , it is trusted this information meets your present requirements Sincerely, / Am Mark Hansen ! l ;
- . _ . _ . . - - _ -- .__ . . . _ . - - _ _ - . - - . . . - . ~ . - - - - . . _ - - - . - -
! ark Hansen,P.E. 907 746 4721 P.02
* r 4 * * . . .. --- ~ . - . M P'O. Bea 12057. 3000 cornwallis nd. Resect.h Tr'iaTo Park. renn coronr.a r7709 u s A. LEAK TEST ANALYSIS Device - Model # 3 f// O , Serial # S YSS __ This certifies that the sample accompanying Source (s) - Serial #C(, LS P'L , Serial # GfC.1 /59/ . this form has been Date of Test: ~7 '!.1- 96 analyzed usin0 an
i
approved monitoring bo b t a ma & aIp . L contamination; and that
l
* MARK I/4MI6hf b the results of this analyst:
l e //C. 02. /3o): 7367 shows the removablo
activity to be less than
!
. f%.y g 4 g 0.005 microcuri '
l Yo r N e M/MK -
f21% Telephone: 603 7 9.f. 97v1 7~30 ^7[ ORIGINAL COPY -
l !
me g e P.o. Bos 12057,3008 cornwaks 01 Researen Treng's Park. North Carohna 27709. U.S.A.
I
Device - Model # 3 WI O , Serial # /gg39 ' This certifies that the
l sampfe accompanying l Source (s) - Serial # 40 -1971 , SerialN7 9Sf this form has been
/ Date of Test: /b'<' 444 analyzed usin0 an
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approved monitoring oth t a ma & a p -
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C contamination; and, that * MAU I A M S f5 M , [ E . the results of this analyst . /D 'J 1 /3dX 7%7 shows the removable * activity to be less than e PA L/42 4R 996Y5 0.oos microcuries. Your Name; MMK ' W Telophone: @07) 'Jt/5 9'7'L/ IE N ORIGINAL 00PY
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__ .-. - - . _ - ;/ ^ 'tf-T TucLEAa OtoRYcoxx2sslow C3 J ~~ kidTTM V 40lCDl00 3/S/97 TIME / 30 ! TELEPHONE OR VERBAL C0lNERSATION RECORD E 00 am@ i [ ] INCOMING CALL pet OUTGOING CALL [ ] VISIT FERSON CALLING: OTTICE/ ADDRESS: ?BOE NW3ER: ' PERSON CALLED: OTTICE/ADDFIS S : THOE WQGER:
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% W@ ' lfaao t- M COINERSATION (907.) BW- 4/O8' ; - * '~ (Ji'm hentynum @W W ) Lu'ce. - e TM SUMMARY - YN Sl'& W Y f'0 JD ; f , he dif n whk +o f&c<ts lu I;m. &,s4 M he. hao no liar d m & hc'v- fix54 M & he had two o[JWem : Ifnakehk s vf tc y fie / n k r afeQ 98 2d M c'ey1 ath <%. AT&E TY) . -/he /h*r E % sta k r + % t ka, b) R C Il m u>as necdads40 do wd % p ' ' hm SW ao Wl WD % /te w44 (A fcl IW * NL WO $ q C toQ d f l' Oy (& is 4 S ub -' Co n tv% c he r ) , o ve < -+ I ITEIES 03 ACTIE ~ REE' ERRED TO: TAKE1 IIITIALS: ACTICI REQUESTED: DATE: ACTICI TAIEEI: li1TIALS: EATE: ~ ~ ~ ~ - UC Toix'f1F Tsi~6~~t763 [rr/ Qc.Eli) - _ _ ... - -.- .- -.- - -- - - - - - - - - - ' I.- ... _ -- _.------ . ..
' e,_. _ _m .. - , .u~"C .- i * 'T yYh"TCU*** - 00/00/00 TIME I TELEPHONE OR VERBAL ColNERSATION 00:00 am/pm i RECORD [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT PERSON CALLIN3: OTTICE/ ADDRESS: PHONE WWGER: i OTTICE/ ADDRESS: FBONE NWEER:
, FERSON CALLED: l
l - ColWERSATION ~ SUBJECT - SUMMARY - Wc. t00uArbiSWC 9 &y Mwk g . mm - a y a - <a odr W M h y a>4f'ae& w4 cem -w/w he temukake/ ha ll % Alf4 r kw towudb~. Off% / k wL(f bd . - f. 47~g - -- -- .n---.--. _. - -- TAKER IIITIALS: ACTICI REQUESTED: DATE: AC7101 TAKEEI: INITIALS: CATX: yosM 2:8 Fiv7 5~t/63-{ r3 / O c Ltsc . _ ._ _ _ _'_ __ _1IV]. _ . , _ _ _ _ _ _ _ . . _ - . . - - . . - - - .
* . _ _ t _ [' U s. wucLEAR REcuLAf 0RY coxMIssIDW DATE RECI6W V 13/0g/00 7/,77/pg, TELEPHONE OR VERBAL CONVERSATION TN '/330 l RECORD 4 W am @ i j
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[ ] INCOMING CALL pr}- OUTGOING CALL [ ] VISIT PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: I FERSON CALLED: OFFICE / ADDRESS: FRONE NUMBER:
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t%R W (907) 7ys~ 47-2l . 1 ColWERSATION i SUBJECT - M6 QQ SUMMARY - C V /) han the. t h b'H; w , y * K fY, & un rumter - n kaa uuf6 l whed <&bn & an ;4 7c #. weef A rk wa. n 2} R k; SA 6,o # he,n r% g a w p w a % w. s w ' cam + /ea e a v M b 1At t-dA u y% pla~. ' ~73Yh~ V Sh[kkEYTO: f_ykr- l 1 ADVISE K3 03 ACT103 TAKE3 ACTICI REQUESTED: IIITIALS: DATE: g ACTIOI TAKEBI IIITIALS: DATE: rid ~fUiN ~ ~ ~ ' ~ ^ - - _ .' _ --._------..---- 210' 'E n f. 0 ~~8/Di l 6 / O c~ it19)~ ~~~ - - . -- -_-.. --.- - - - .- - - - - ~]
_ - _ _ . _- _ _ _ - . __ - __
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, oSO3ll7tj YO: License Fee and Accounts Receivable Branch FROM: Region IV - WCF0 SUBJECT: V0IDED APPLICATION Applicant: Id%3 Y $$d& k[6 9 , Control Number: ['72607 License No.: EO '2 M 75 -O/
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Docket No.: 0$0".3l{W$-
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Date Voided: 8~/3 A Y-
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Reason for Void: Tu I,'es ,<do nel- he. (meved. Th lim d;wAlsl <A nalca0. % I,% wao suB o vuA %. & .M v ~
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laaA & u Orh Mu) Uw L fnllare 4r> c cu Am. $9t?t D 0$s 2n9theh<L ndw /kr OGu41s o ' - e & L> Signature 3Hh7 Date Attachment:
l- Official Record Copy of
Voided Action '
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C. fd( :
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FOR LFARB USE ONLY {I \ \ i
l Final Review of VOID completed: 1
Refund Authorized and processed - . [ No Refund Due
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Fee Exempt or Fee Not Required . ' Comments: Log completed /o Processed by: f>4'
e
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' ' RECEIVED , - - NRC : (r0R llMS ust) / Rly WCFO ,y , g , y . . INIORMAMON IRug i1S , ' n ense f ee Management Branch, ARM . . . . . - - _ . . ~~~~ 94 JUL I 8 f,1111: 53 / 3 Program Code: 03171 - and \ ke9ionti licensing Sections : Status Lode: ? - : t ee utegory: 3P Ixp. Lia t e: 19940630 '\' / . 8 ee Conunents: ^ . Oecom Iin Assur R(ijd:~N~~~ ~ - - ::....:::::: ...: :: .:: : : . . .' '~: .. I f CI NSI III T' SMITTAL
- A. RIGIO
?. APPIICAI!ON ATTACHED Ar.pt4 int /ticensee: HAAS & ASSOCI A1[S INC. w,-< e i vei1 11at e: 94062/ huket ho: 3031184 fon'rol No.: 5/?00/ 1 4else No.. 50-23296-01 .. At t ion Type- Renewal A ta u h, h * , , - , touwtNis No.. mg Sitned ~ ~ ~ . M , D e _~' ~h 4 P. t itiN5! ffI MANAGEM[NT BRANCH ( eck when milestone 0 is eriter /A) f 1 8 er f.stegory and Amount: 7 _ '. Lorre<t lee Paid. Application may be processed for: ON 'f tdpiefi t O'new t I f !$! a ga i ff + e" se (g$ ,i i ~ . - . . . . . . . " " . _ . . . _ . . . . _ _ . _ . = 5ioned '" D I O DaIe ~T_7 _ ~_ 6 _ _. , t .t 1 .C= m w
u .-. - , q=- ! ;; M A RK F ANSEN P.E. ', consviting engineer - Testing Laboratory . 907-745-4721 F ax:746-4721 i __ Fax Transmittal : 1 l Date: 3-/47 lli Pages including this one. l j !l To: _ D Et# F//mcr . ! Fax No.: S/ 0 - 975-03fl I ' Original Mailed YesO No Q l I i> 1 3
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~ ~ ^ ^ ^ ~ ~ ^ - - . e , . . . _ . ,...-..- - -. /- - no c. . ma u s ^ LEAK TEST ANALYSIS 3 TROXLER 3008 Com*aEs Rd .P.O . Box 12057 Research Trian7 Th r es that the u11n , Serial # insu ,ny Device - Model # ap -_. Serial #_/.6 1oSA this form has been Sourco(s) - Serial # A0 7aAn analyzed using an
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Date of Test: 7-12-96 - approved monitoring method that measures
. i udr:mmrmmartrtILUTnmsmmignmrwrrarsnmmr.rrITim:mu both beta / gamma & alpha
contamination; and, that
,
(- . the results of this analysts MARK HANSEN shows the removablo * activity to be less than
! HC 02 BOX 7387 <
* PALMER, AK 99645 0.005 microcuries. 'U E MARK HANSEN Your Name. . _ g pg_g
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Telephone: ( )
- ORIGINAL COPY
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TROXLER * * *"*** adnom"e*o"n"e'm' "os."u"s"a.# ** "** LEAK TEST ANALYSIS This certifies that the
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Device - Model #_ M11n -, Serial # am -- sample accompanying * 40 7180 , Serial # 46 1210 this form has been Source (s)- Serial # analyzed using an 3-1-95 Date of Test: approved monitoring 1 method that measures E J r:rTsymmusityrm:E mm'a man'mmne r.rma m:mu both beta / gamma & alpha 1 contamination; and, that
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' ( . , the results of this analysis MARK HANSEN P.E. Shows the removable * HCO2 BOX 7387 activity to be less than l l. * PALMER, AI 99645 0.05
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' MA K HANS f - - - - Your Name:
- Telephone
- ( )
ORIGINAL COPY , a
- , c . . Troxler El;ctronic Lcb:rst:ri:s, Inc, 3008 Cornwellis Rd., P.O. Box 12057 Research Triengte Park, NC 27709 Tat; (919) 649-8661 Fax: (919) 549-0761 Llcense: fJC 032 01821
LEAK TEST CERTIFICATE DEVICE: Model: 3411 Serial No: 9235 Sample Date: 8'lO-
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SEALED SOURCES: 1 I i fNmAL ACTIVITY CURRENT ACTIVITY 1 l NUCLtDE ' SERIAL NO. (MCI) (MCI) l - .. . CS-137 , 40 . 6550 8.2 5.9 . , . .. ... . . 47 6705 40.o 39.1 l AM-241:BE l
1 l LEAK TEST ANALYSIS: The sample has been analyzed using counting system capable of measuring
i beta , gamma, and alpha contamination.
\ Date of last calibration: 1/14/97 i ' ALPHA BETA-GAMMA ! Conversion f actor (epm /uCl) 5.11 E + 05 D.55E + 05 1 22 Background measurement (cpm) 2 ' 35 Sample measurement (cpm)
, . . . . . . - . _. .
. h . _. . ] < MDA 1.3t 05 Activity (uC6) l . . . . __. .._ .J . . . . _ ._. , - . . . 7.6E 06 h. Detectable ActMiy tuC4 7.0E.06 t i This certifies that the above leak test results are:
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Less than 0.005 uCi (200 Eq): E Greater than 0.005 uCi (200 Dq): I Measurement Date: 2/18/97 Certified by: h) l ~ 11 greater than 0.00E uCi : Date Person Notified Phone and/or Fax Rev.1/97
4
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. . . . . 6 Wh-- , A ~-T. u JUcgxir 7(sycouls713 .TE jggjgg g - TIME ao l TELEPHONE OR VERBAL ColNERSATION RECORD am @ i [ ] INCOMING CALL [>Q OUTGOING CALL [ ] VISIT , ' OTTICE/ ADDRESS: PHOE NUMBER: P G SON CALLIN3: ' OTFICE/ ADDRESS: FBOE NUMEER: , PGSON CALLED: h& i+w M a a' % , P. E . (T07)7Y5- V72l , - COINERSATION SUBJECT - Gmuvo 6nnth eGeoe. SUMMARY - V " N * * ' S m /2 /5/96. - S Tita K; q T11e. IuRt.ek r.apovf iM no lea? . * D O ,& d* 1 emvt w * I% c-m. 4 } . 0 - 73.a.Pr I I ] ADVIsz KI or ACT1on REFERRED TO: TAKEI IIITIALS: ACT101 REQUISTED: DATE: . IIITIALS: ACTIOI TAIEEY: DATE: _ . . - = - _ - - t se r osx 21s szy.o t /02 ter/ Qc.x W) _ _ _ - - . . _ _ . . - - .. - ---.. .-- _ . _ . . - - a. . . . . . _ _ . _
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. O - . ' . . f MARK HANSEN P.E. ' Connu1deg Engineer. Tc s',tng laboistory HCO2 BOX 7587, PALMER. AIASKA 99645 (907)7434721 FAX (907) 7444721 ; ' arch 4,1997 i Beth Prange ; U.S. Nuclear Regulatory Commission l Fax: 510-975-0381 1' Beth: As we discussed by telephone today, I am providing a record of the two Troxler Model 3411-B gauges transferred from Haas and Associates, Inc. : Gauge No. 5485 was received on 7/22/96. Upon receipt, a leak test wipe was taken and sent to Troxler for analysis. Results are attached, f Gauge No.10537 was received on 12/3/96. Upon receipt, a leak test wipe was taken and sent to Troxler for analysis. Results are attached. . It is trusted this information meets your present requirements Sincerely, % Mark Hansen 1
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~ / ~,~ 'Mdri~Hdnsen3P.E'. 9 0 7 7 4 d "4 7 21 ~~~ - ' P ! ~~O 2 ' .. ". 5 ~) . =- , ,. . . . . . - _ . _ .
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m. . ' 8 , p.o. Box 12os7. soon comwaras no. Resene Triage Park. nonn coronne ma.u sA LEAK TEST ANALYSIS , Serial # SPSS This certifies that the Device- Model# 3 /// O " P Source (s) - Serial #44 L5 'FL , Serial # CC4 /59/ fh f m as been analyzed using an
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Date of Test: 7 'L1-% approved monitoring h 1h t 8 u d r7M3mm u mImprm a m ma s.m trmum p ff'rra n.T M bo h 9 ama&jp'. '* # * * MARK I}AWSGN l'. E . ,n,7ofzf,"g;n g"g h,*[ * //C. o2 shows the removable /3 o.X 73$7 activity to be less than . /34f gs;;4 /)g 0.005 microcurl , . 99 05 ( ' Quv Your Namo: M/MK -
b
- Telephone
- Go?) 7 Y.s". */ 71-) b30 ~Vh.
ORIGINAL COPY .. ._ .
! "d
(TROXLER " * ' n'.R**'a'77e? "'"' umunmem , Serial # /0S'39 This certifies that the ' Device Model# 3 Y/I O " P Source (s) . Serial # 40 90'71 , SerialN7 / 9 k,4 ft(f fm asbeen analyzed usin0 an Date of Test: /'L '4 44 ~ approved monitorinD
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u dmTTmmu mILyrm s md mdmraznm7;vm 5rrTrum e n [o't t ga ma & a p.-
contamination: and, that
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, qg g . g g. the results of this analyst. shows the removable " * llc 01 /3 0 z 7 % 7 activity to be less than
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i . , bA W'f M 99[6 0.005 microcuries. Your Name: M4fA' M' AH
f /k/ F-9(, l
Tolophono: (907) 7t/5 '/7'L./ ORIGINAL. COPY
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- - ._ ._ .. e , , . - ~~u~i TiicirAT - GIikY coxx1sli6v .M " 00/00/00 3/S/f7 . ' tidIBil V TIME / 30 l TELEPHONE OR VERBAL ColNERSATION E 00 a ! RECORD [ ] INCOMING CALL M OUTGOING CALL [ ] VISIT , ' OTTICE/ ADDRESS: PHONE N W3ER: FERSON CALLIN3:
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OTTICE/ ADDRESS: PHONE NUKEER: , PERSON CALLED: O [[ano +- Oaweix8e (f07)3W-WO8' ; ~ -
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ColNERSATION * ~ ~ L%e TOk (Jim hon y @ @ 'a 2 5 )
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SUMHARY -
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, Se~6n h shcW 14P y 4e /nd ft /Jg ; p , he die n wkA +o t&& hk i;m. S. s+.gn;,p +M-k hao no ll & m e h<no. ks4 M & k had tw ophu : h ayue +0 ahae G h rq M M tay %e I:cm 28 ~ . 2d M(hwaae W R' the. <%. Air % < % stak4%t u IJRC Ilc- u>as neadads40 do wd % h ha4% SCcA de Wl 0 WD M /ze W 44 A YddIW b NL WO h q ( Q ( IS 4 S d -* Con fvhtfe r) . d f I O L/cv 4 -- REFERRED TO: [ ] ADVISz KE on Action TAKE1 IIITIALS: ACT2cI AEQUISTED: DATE: IIITIALS: ! ACTICI TAIZ31: I DATE: , - - - @ - - .. - .._ . . - - .. . - - . - -.. -- . - . - . - ...
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' . /--~~~~~~u - . C~i!Ucil)I > Tcly ecxxItsIcv ' ,6 " ~ l " ' ricI6W v 00/00/00 t / TIME l ' TELEPHolfE OR VERBAL CONVERSATION 00:00 am/pm i # : RECORD [] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT ' PERSON CALLING: OTTICE/ ADDRESS: PHOE EUMBER: OTTICE/ ADORE 55: FBONE NUEER: , FERSON CALLED: 1 .i ' ColNERSATION i SUBJ ECT - SUMMARY - l ur 10 0 [55M q & Mwk ng ; %- - # y a mw ar evdee m~w #at he y M . zrw4 cm A he twauk/ G 1: % [ lw & r I,'m te M . Ottte w ru , he way ; . hot- - , t - . _ _ _ _ _ _ ___. - g- g, g TAIE1 ! IIITIALS: ACTICT REQUESTED: ~ DATE: . IIITIALS: ACTICI TAIEET: DATX: _ . _ _ tEC 7 0EM 218 EEV.D $/93 ( E*3' / b d C '- .... _._ _ .-RIV).- - - . . - - - - - - - . -- - - - - - - -
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. UNITED STATES * /g2"8% \ NUCLEAR REGULATORY COMMISSION s E q$ REGloN IV ** . 611 RYAN PLAZA DRIVE, SUITE 400 %, * . , * ,0[ AR LINGToN, TEXAS 760118064 November 15, 1996
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Mr. Sandor Manyoky Vice President Haas & Associates 3900 East 112th Avenue Anchorage, Alaska 99516
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SUBJECT: ORDER SUSPENDING LICENSE
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This letter is in reference to the Order Suspending License issued on November 15,1995. Under the terms of the Order, License 50-23296-01is suspended, and you may no longer use licensed material. You must restrict activity to safe and secure storage or transfer, and you must continue to control entry into restricted areas until NRC has confirmed that they are suitable for unrestricted use. You must also properly dispose of the licensed material which was procured under License 50-23296-01. Upon receipt of information regarding the proper disposition of all licensed material, the license will be terminated. These matters were discussed with you in a telephone conversation on January 17,1996, and again on March 6,1996, in a letter dated March 6,1996, you indicated that you had transferred the two gauges remaining under your license to Mark Hansen, P.E., License 50-23283-02. Discussions with Mr. Hansen have indicated that the gauge, which was located in Dillingham, Alaska, has been transferred to his license. Further, leak tests performed subsequent to the transfer demonstrate that the source has maintained its integrity. Mr. Hansen has stated that your other gauge has not been transferred to him
- and remains at your facility in King Salmon, Alaska.
Since March 1996, efforts to contact you by telephone or in person have been unsuccessful. Therefore, to demonstrate responsiveness to the Order, you must immediately submit the following information to us: 1. A statement that the gauge which remains in King Salmon, Alaska, is in secure storage and is not being used to measure properties of materials.
4
2. A timeline for final transfer of the remaining gauge from your facilities in King Salmon to Mark Hansen, P.E. 3. A statement that no other licensed materials have been procured. Upon transfer of all materials from your possession, you must also complete and submit the enclosed NRC Form 314," Certificate of Disposition of Materials." Your reply to the ! information requested above and your submittal of the NRC Form 314 should be sent to the address shown above, Attention: Nuclear Materials Licensing Branch.
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' i . Hass & Associates -2- November 15,19% If you have questions concerning these matters, contact Frank Wenslawski at (510)975-0219. Sincerely, m .= # Ross A. Scarano, Director Division of Nuclear Materials Safety Docket: 030-31184 License: 50-23296-01 Control: 572007 Enclosure: NRC Form 314
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Hass & Associates -3 November 15, 1996' bec: D. B. Spitzberg Docket File - i WCFO Inspection File 1 LFDCB, T-9 E10 J j i i i ; l i i 1 , l ' DOCUMENT NAME: G:\HAAS.LTR . To receive copy of pument, Indicate in box: "C" = Copy without enclos,ures "E" = Copy with enclosures "N" = No copy MB ',00' (, MB f () DNMS f BPrange ffv FWerislawski RScaran'o / 114/96 11/$96 11/jj96 - OFFICIAL RECORD COPY
- . ._. . i , o 9 .e * ' SENDER: Compute it:ms 1 and 2 when additional arrvic:e cr3 desir:d cnd c mptte it:ms 3 and 4. Put your address in the " RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you. The return receipt fee will provide you the name of the person delevered to and the date of delivery For additional fees the following services are available. Consult postmaster for fees and check bodes) for addrtional service (s) requested. 1. O Show to whom delivered, date, and addressee . eddress. 2. O Restricted Delivery (Lrtre chargel (Ertra charge) 3. Article Addressed to: 4. Article Number l Mr. Sandor Manyoky V.P. P 359 058 484 g Haas & Associates Type of Service: l 3900 East 112th Avenue LJ Registered O in.ored o Anchorage, Alaska '99516 gce ,,d ,, ,, Always obtain signature of addressee ,g, , , orpent and DATE DELtVERED. , 5. Signat dre Addressee's Address (ONLY y munted exndfu @ l{ ; X ! ' I 6. Signeture - Agent ' ~ I X # 7. Dete of Dehve \ // .j$p\ \\\\ \ \ n M \\\\ \ \\ H\\\\ \\\\ \\\\ \ t PS Form 38'1 Apr. d 89 DOMESTIC RETURN HECE1PT I P 3E9 058 484
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RECEIPT FOR CERTIFIED MAIL j
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INSUAAN,CE C0Hat AA0E PROVIDED i
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(See Reverse) j f S " Mr. Sandor Manyoky V.I . j street and No naaS h ASSoClateS
, . 3900 East 112th Avenue I E e
g Ancfiorage ,P o State and ZIP Efaska 99516 I
i ? Postage $ ! f .55 l l Cer14dFee '
1.10
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Restr.cled Ochvey Fee Ret m Receipt showing wi io .unam ano caie cei..ered - 1.10 $ e Refuen Reh si' owl'*j10 vvhom s> Date aqAodren oFuevyti ;
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' O O - UTs. WUCLEAR RECULAf otY COMMIssioW DATE RECibM V gclng lefy/ff TELEPHONE OR VERBAL CONVERSATION TIME '/!/o l RECORD 00 00 am@ i [ ] INCOMING CALL N OUTGOING CALL [ ] VISIT PIRSON CALLING: OFFICE / ADDRESS: Pfl0NE NUMBER: PERSON CALLED: OFFICE / ADDRESS: FilofE NUMEER: firs. Vom (907) 795 -y72) COINERSATION SUBJECT - NU V ' SUMMARY - 99 h an n& recud tb % K; Sa%n . ha n h in d . u M +1 m Ie e t S Q k r & w 11a p. % m ad hm <mafaad ' pn f %4 P%mul, v~ e 40 W~Af 8 o *f WM g , < & ). R:g/#m se % M ~ nw>s S##*^ i 9 - - .gcjw M now wm Af EnV 4 M mm p<o 4 by w, S A l1 % IS In p g; $ % nw , MrItrs. W & *iot %< phant HO k " - - 7$. O /r - .- , - . ~ _ ---- - .~ a.s. __.-- - . . - - - - - - - - . - - - - - . = - = - - - TAKEE ~ ACTICI REQUESTED: IllTIALS: J DATE:
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ACTICI TAKEBI: gg'g g ('.Q ff , IIITIALS: g #-;s ske ddy, ~ not-hm Suba-ar wmk W tetek % = p ku e . ,,1,, MN/f6
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? hav.e nc+ r&& 14 c,y Saw pi ,, m . , i 3 11w a scits fu0 lo h S0 - . l J e$&q' thd Du Of mudk raacAd. W & faff Swfm Msafag o d . sex w k t l G,%$4t6prsun& (O+n 12 m N O h W W k cpz prm . , ~~ s a u w,en M~+ g r ~ Yp V s s u a , - f, hn?-r C REFERRED TO: 1 J Advise MI cs ACTION TAKEI ACTICI REQUESTEDt IIITIALS: YAT5: " ACTIOI TAKIBI: IIITIALS: DATE: ' ~ }.=riIc ^ r er M 318 's - - . tyTO'~3 jo3~[wp/Q2 31y) --n_.~ ~ ~ ~ _ . . . .n.-.=.._.____._ - - . . _ ^^'--~~~~~~-~~~---~~~~~~~] . __ - . . - . - - .-
- - ' u.s. wuctrAa RecuLAtoRY coxxIssioW I DETY REcloW V l 40f00/OO- 6 6' //i; TELEPHONE OR VERBAL CONVERSATION TIME lI RECORD 00:00(sE/pm ' [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT FIRSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: PERSON CALLED: CFFICE/ ADDRESS: Fil0NE NUMEER ksl\' Yl(irtain ($'67) 795 - y]2/ CONVERSATION SUBJECT - hUad cpaq< SUMMARY - " _ $LLr- 5 h^ll l]oyc inf 18ktx/' c hQ f; Q,y% (- a p hat ~W still p/a,, }c & so. cf 7 pill at( a< iE S, O R, . - 75/L,. e d 6 ! I blKIhnsen,RG. So-pazg3.oz REFERRED TO: [ ] Arvisz ME on ACT:03 TAKEE ACTIOY REQUESTBD: IIITIALS; DATE: ACTION TAKEBI: IIITIALS: DATE:
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- . - lii8. WUCLEAA kTCULAf D'Iff~dOMMI8if6W DlTT RECI6W V 00/00/0p f[pjg TELEPHONE CR VERBAL CONVERSATION l TIME p30 li RECORD l . 0-ppin i l [ ] INCOMING CALL M OUTGOING CALL [ ] VISIT PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: ' PERSON CALLED: OFFICE / ADDRESS: Filch'E NUMEER: l%# tk+wn (907)J'/5-9^?2l CONVERSATION l SUBJECT - 11 l T190 S cMV '" SUMMARY - , D1 n g s% eg w ege is 10 h PsA%( up reytumA?. ; . The b;nirtf y uja ks (>& Asp 90 rup m uge _. Q txla vid of up + cped %. cp k c&k a project s+aAnd kg SmkknA.y % j661s c q te. , p e u t & +a s 1 0 us fucqc v .C$. < C i . r culace bk ao +1Le (en f.e& f omfd M&+ Aab . A had(W 4M% Ce Vl> N 1 ctt f cc1c ' &f - 73 8 <
REFERRED TO: [ ] ADVISE ME 05 ACTIOE
TAKEE
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DATE:
ACTIOE TAKEBI y (4 h g 6 d hge. /p 111TIALS:
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UTs NucLaAn ITcutAfhaY coxxisifoi RECI6W V IDhfi ~ $0/-00/-00-- ffy/gg TELEPHONE CR VERBAL CONVERSATION TIME I RECORD /Pm ' [ ] INCOMING CALL b4 OUTGOING CALL [ ] VISIT PERSON CALLING: OFFICE /ADDRESSt PHONE NUMBER: , PERSON CALLED: OFFICE / ADDRESS: THONE KUMEER: - bL M% (90]]}Y$~ $l.2/ CONVERSATION SUBJECT - G cm. p A A n s c 6 c w ; rc., SUMMARY - 1 W5.OHa n a)ao rid ( 5 ML LUlM$% % Cd ~ l1ttek > kioM kJNuk h'cw CdQs + C%dd &, > Yf.kt&tWQs ?G 5a $1LL ) & -{n A ' & la/rv71d f $3:L (O *1 W h . kabk d t -tleg. h a og n rah A . j hy 0GW horb bCC*\ W" / " ha/ hab M - f ! ~ b. G1n i l 4 REFERRED TO: [ ] ADVISE ME OR ACTIOI TAKER ACTIOI REQUESTED: IIITIALS: DATE: ACTIOE TAKEEI: IIITIALS: DATE: Y ~f6fx 21 E - 87 9'3 [ - bdc slii) '~ '- - ]
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* _ _ w.- - . -g . a conuziiih - 3E 4cycojec gj,gjy(. TELEPHONE OR VERBAL CONVERSATION TIME t#o S l i RECORD -0000-am@ [ ] INCOMING CALL M OUTGOING CALL [ ] VISIT , ' PIISON CALLING: OTTICE/ ADDRESS: PHONE NUMBER: 1 ' PERSON CALLED: OTTICE/ ADDRESS: FRONE UUMEER: M a # S am a +- @o73795 - 471/ , ColNERSATION - G n &c- ~ & cts +- Caesc . SUMMARY - V 7bl be ' tE ' i t' W CC ' k du ' , -p yn;tu +tn Sains an. So m Oe h% 3 g g e $Lse; 4famanqisie: cy in /4G ~
- ,
g , M 1 % o +1ta, 31cphe S 6 sm. b AR i u i'a W& - 75fra a 6 . . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ - - -- _ TAKE1 ACTION REQUESTED: IIITIALS: DATE: ACTION TAIZEI: IIITIALS: DATE: - ~ ~ ~ ~ ~ rTc' TOTM ' i ii- E z v.0's / 6 3-[W/Qc - _- . ...-.__ ._ _-_-R1Y). _ . . . ___.. _ _ - _ _ - _ . - . - - - - - - - - - -
/ . .
' :ECE:VED ' ~ O HAAS 81. ASSOCIATES, INC. A B k CML ENGINEERING CONSULTANTS $MATERI,ALSfTESTING + ENVIRONMENTAL SERVICES March, 6, 1996 Nuclear Regulatory Commission 1450 Maria Lane #210 Walnut Creek, CA 94596 Attn: Beth Prange Re: Gage transfer Dear Ms. Prange: l ' We have transferred two Troxler 3411 B Gages to Mark Hanson P.E. as of this date. The serial numbers are as follows: Gage #1 15485 Gage #2 10537 These are the only two gages we had that required an NRC license. Gage #1 is stored in Dillingham, and gage #2 is stored in King Salmon. Leak testing will be performed before shipping. j If you have any questions or require additional information, l please feel free to call us at 344-4108, or fax us at 349-8791. ] Sincerely / andor Manyoky, P.E. Civil Engineer SM/rkm CC: Mark Hanson 3900 E 112TH AVENUE * ANCHORAGE, ALASKA 99516 + TEl/ FAX (907) 349-8791
o if s. NucirXFifCtfCAf 0RFCWNis8f6i o ~ l ^T[I[ Recrow y opfoogoo3/g/pg TELEPHONE OR VERBAL CONVERSATION TIME 2: VC l RECORD 00:00 am/p?) i i ( ) INCOMING CALL [ ] OUTGOING CALL [ ] VISIT ql
PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER:
i
PERSON CALLED: OFFICE / ADDRESS: PHONE IMGER: '
Mr.th,y _ Ma a n ,r.e. @o 7) 795-Y72/ CONVERSATION
SUBJEU? - SUMMARY -
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DATE:
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.- . .V v u.s. wucLEAa arcutAtoav coxxIssrou DKtI"" RicIcW v 00/0o/00 TELEPHONE OR VERBAL CONVERSATION TIME 00:00 am/pm RECORD I{ i [ ] INCOMING CALL .[ ] OUTGOING CALL [ ] VISIT f PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER: i- l l'l PERSON CALLED: OFFICE / ADDRESS: Fil0NE NUMEER: _ _ _ CONVERSATION SUBJECT - SUMMARY - (m&& WVO t N hw f BCM w bdMk ' )O d f fCV OT41 I d l i - f. l#A !! ! 4 : REFERRED TO: I 1 ADV353 K3 03 ACT103 TAKE3 ACTION REQUESTED: IIITIALS: DATE: ACTION TAKEBI 111TIALS: CATE: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ " ~~'~~ ~ ~ ~ ~ ~ ~~ rEE'icix 218 ~ 1 -~s 'a v 0 ~ 203-[ srF/ Q7.' 31 v ) l - - . . . . . . - . . . - . . .. --, - n-en-
03-06-1996 01:03Pf1 FROM lmS & nSSoCInTES TO 15109750381 P.01 ~ i MARK HANSEN P.E. Comuktng Engineers Tnting Laboratory
.
llc 02 box 7387. FALMER. AK 99045 (907) 7454721 f I i August 31,1994 , Haas and Associates, Inc. . 3900 E.112th Ave , Anchorage, AK 99516 f Subject: Transfer of Troxler Moisture Density Gauges I . Gentlemen: While roviewing our records, we find that we do not have a rocord of transfer for the nuclear gauges we received from you about November 30,1993. Prior to this time, Mark Hansen was an authorized user under your license. By this i letter, we acknowledge receipt of the fellowing gauges: Model Gauge Serbi Troxler 3411 b 9235 Troxler 3411 b 9828 Troxter 3411 b 10534 Also attached is a copy of our NRC license, which you will need for your records. S.ncerely, d Mark Hansen V / f b . 4 i i TOTAL P.01 !
(v3 (-) U,s. NUCLEAR RKCULAf0RY COMMISSION DAh[ RECI6W V _gofogf.00 y/7/7g 7 TELEPHONE OR VERBAL CONVERSATION TIME /0/32 l j RECORD '00:4)0@pm iH [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER:
hk bishw~ Trox les (119) 599- 866/ '
PERSON CALLED: OFFICE /ADDRE';S : FilONE NUMBER:
CONVERSATION
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DATE:
ACTICI TAKIBI: IIITIALS:
DATE: . - - - . _ . - _ _ )
N o _ _ "~~ _, jf - u.s. wuct. EAR k. ATORY COMMISSION RECI6M V 40f00/CP 7[/:t//f TELEPHONE OR VERBAL ColNERSATION TIME l RECORD 00:00 am @ i [ ] JNCOMING CALL !><)' OUTGOING CALL [ ] VISIT ' PERSON CALLING: OTTICE/ ADDRESS: PHONE NUMBER: i ' PERSON CALLED: OTTICE/ ADDRESS: FRONE NUMEER: %hn hmd% Hm e aowc. Oro7)394-9/08 , CONVERSATION - SUBJECT - 6.P &, h SUMMARY - Lt-r% /he*~ fir, SW M bbdMd45 - )i n - he. doco wriA +c (m. it% sam tuf- he c<no fnruba web. 1% r ' h fe Jrwe a s k terur U+ m e qfp snw' /te cdmaA m 1 . In:d c ' h NOM R k $!\ % SI NW~ s Mr. hg 2sfiw au. Mll B , tkr k r hao 3pu - 1is 8 2N0! (R*/& - "'" ""b - m c SM # b' b / '/, , & MWk10W Ntt. (W ' f naa nap g %%shLhaszhad, /sca*L. Mms'>w. We % 1he stree:Vhn 6 p [ ] ADVISE KE 01 action
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RECI6W V [" 00/00/00 TELEPHONE tR VERBAL CONVERSATION TIME l RECORD 00:00 am/ptn i [ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT ; ' PERSON CALLING: OFFICE / ADDRESS: PHONE NUMBER: . ' PERSON CALLED: OFFICE / ADDRESS: FHONE NUMEER: ' i CONVERSATION 4 SUBJECT - ! SUMMARY - ! Q $7 age ttt- K,*y W wm r/os-d, so % is ' ~gg% b f W - "' ""7"1 r P" h k ,l 4 ox~ p , a p n- e -s a . l fte shan' M L stoa E. la s an., wy,ae. & um a M 6 cw - ru~f a m - ww * ws ejjMeawd % ra u>Js ~ r h, r M . 1 % / W 5' w e S W // , aa n / & w k near rm ada"""A ^ '% N y, as c - es y e + g,a a_ e n ;p g%= , a.&n 1 pg, p ,%r4 & 6 fo be 1 REFERRED TO: - zr n m [ ] ADVISE ME 01 JtCTidt TAKE1 ACTICI REQUESTED: IIITIALS: DATE: ACT103 TAKIEI: IIITIALS: DATE: ~ ~ ~ ~ ~ ~ ~~] '- rR6 rosM'fif~Eiv70~~8/93[rr/ Q c-1 5) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
. - . . -- _ ___ ~ _ - . . ----- . .
U.S. NUCLEAR REGULATORY COMMISSION DATE:3/21/95 TIME: 9:00 l TELEPHONE OR VERBAL CONVERSATION RECORD am or pm INCOMING CALL OUTGOING CALL VISIT ' PERSON CALLING ADDRESS PHONE # / EXTENSION Krnt Frendergast RIV, WCFO (510)975 - 0255 . l PERSON CALLED: ADDRESS: PHONE # / EXTENSION: Sandor Manyoke Haas and Assoc. 907344-4108 ; l CONVERSATION ! SUBJECT: Renewal I SUMMARY: Sandor, indicated that he would like to resume operation and is no longer interesting in storage only license. He has been ; to his Doctor and will be able to return to work. He stated he will finish the application that was sent to him with the new SRP for , ' portable gauges by 3/24/95. I told he could call me if he has any questions on the guide and to use the checklist in the back of the SRP to check his application before sending it in. Cd/d 3/30/c<s , M v 5Irl- A be a t j swcE l ,_ re n o a a.p p n c a r _ .1 3 plQ tr/3 ) gf - S (M N.IJ WO % E "" ^ 5'( s & l << S - %Le SOA .p s f $s f Ca 6 $ c k- c<ll</ Mf( O ,f ct gpl, M n c' w ~ leplo,~( Q \ w s il was4.l vo? O %Nv , ! ! ) I l REFERRED TO: MS-15 ADVISE ME OF ACTION TAKEN ACTION REQUESTED (Y) OR (N) Provide information l INITIALS: KP DATE I ACTION TAKEh INITIALS: DATE NRC FORM 218 i REPO (2-89;KMP)
U.S. NUCLEAR REGULATORY COMMISSION DATE: 3/13/95 il TIME: 1:00 l TELEPHONE OR VERBAL CONVERSATION RECORD am or pm INCOMING CALL OUTGOING CALL VISIT ' t PERSON = CALLING ADDRESS PHONE # / EXTENSION ! K0nt Prendergast' RIV, WCFO (510)975 - 0255 l ! PERSON CALLED: ADDRESS: PHONE # / EXTENSION: j Sendor Manyoke Haas & Assoc. 907/344-4108 ; CONVERSATION ! SUBJECT: License Amendment SUMMARY: I spoke with Sandor Manyoke regarding his request for storage only. I wanted to explain the time limitations and conditions for storage and let him know that prior to any use that he must request.for and submit an application for renewal. He asked how he would get permission to use the gauges. I told him that he would l hava to submit a new application. I explained that there was a new j standard review plan for portable gauges. He stated that he was not j sure what he wanted to do at the present. That he might want to sell - l his gauges but did not want to do anything until he has seen.the new l ' SRP. He requested I hold up issuing the license for storage only l until he had seen the SRP. Then he would make up his mind. ~ W.b C1219 - 3/131 <if ; ! ! l REFERRED TO: MS-15 ADVISE ME OF 1 ACTION TAKEN ACTION REQUESTED. (Y) OR (N) Provide information INITIALS: KPjh9 DATE 3j,3,43- ACTION TAKEN INITIALS: DATE NRC FORM 218 REPO (2-89;KMP)
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U.S. NUCLEAR REGULATORY COMMISSION DATE 1/25/95 TIME: 9:00 TELEPHONE OR VERBAL CONVERSATION RECORD ("Em)or pm INCOMING CALL OUTGOING CALL VISIT ' PERSON CALLING ADDRESS PHONE # / EXTENSION K nt Prendergast RIV, WCFO (510)975 - 0255 PERSON CALLED: ADDRESS: PHONE # / EXTENSION: Srndor Maniyoke Haas and Associates 907/344-4108 CONVERSATION SUBJECT: LICENSE RENEWAL l SUMMARY: I contacted Sandor regarding the fact that although his license had expired that we were honoring the June 29, 1994 deemed Timely letter. However, there is need to renew the license or terminate thn license. Sandor stated that he wishes to renew the license for storage only. He has been in an auto accident and does not know if he will be able to work this year. I asked him to send us a fax requesting t!'.e license be renewed for storage only, and to consider how long he may want to store the gauges prior to disposing of them to cnd authorized person. I mentioned we do not routinely license l radioactive materials for indefinite storage. Sandor stated he would send a fcx and that he has already paid for the renewal. REFERRED TO: MS-15 ADVISE ME OF ACTION TAKEN ACTION REQUESTED (Y) OR (N) Provide information requested. Picce this record in license file INITIALS: KPggoff DATE jgffgy
j ACTION TAKEN INITIALS:
DATE NRC FORM 218
, , # f / **%k UNITED STATES NUCLEAR RESULATORY COMMISSION l f * j e REGION IV ** # Walnut Creek Field Office % , , , , , +' 1450 Maria Lane Walnut Creek, Califomia 94596-5368 ' AUG 191994 Docket: 030-31184 License: 50-23296-01 Control: 572007 I Haas & Associates, Inc. ATTN: Sandor Manyoky, P.E. Civil Engineer 3900 E. Il2th Ave. i i Anchorage, Alaska 99516 SUBJECT: LICENSE RENEWAL This is in reference to your letter dated June 23, 1994 requesting renewal of your byproduct material license. A review of your license file indicates that there have been changes to your program which are not reflected in your license. For this reason, you should resubmit a complete renewal application. In your reply, you should address the following issues: 1. Please specify the appropriate mailing address. If a different address is needed during certain times of the year in order for information and correspondence to reach you, please specify that as well. 2. You should indicate the maximum number of Troxler Model 3400 gauges, 4640 gauges, 3216 gauges, and 3241 gauges which you may wish to possess at any one time. This information is needed so that the correct possession limits are indicated for each model. 3. You should provide a sketch of the gauge storage area (s) currently in use. Specify their locations (street addresses), and describe key j control procedures. '
- 4. A standard license condition = indicates that physical inventories will be
~ conducted eveVy"Yirmo'nthf.'"However, a review of the file-indicated that your gauges are typically in storage between November and April of the ! tollowing year. If this is the case, you should specify when you will conduct inventories. For example, a procedure indicating that you will inventory the gauges prior to their first use in May and after the last i use in October seems to be more appropriate to your situation. You should submit the procedures you will use for inventories. You should also commit to maintaining records of the inventories and indicating the dates when the gauges are put into and removed from storage. s
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2
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- We will continue the review of your renewal request upon receipt of this l
'
information. In order to continue prompt review of your application, we j request that you submit your response to this letter within 30 days from the ' date of this letter. Please reply in duplicate, and refer to Mail Control No. 572007.
I
Sincerely, #
l
Beth A. Prange Sr. Health Physicist (Licensing)
- Materials Branch
- .
Enclosure: Licensing guide for portable gauges
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PORTABLE AND SEMIPORTABLE CAUGES* M Your application is being returned for signature. V Actual sites of use , /1' ^ ' ad$tew , ' SfynN [0Cd$%.; Y ek. Name of individual to be contacted about this application A Name of the manufacturer and model number of each sealed source A Pcuas e Dnilb f pl. Name of the manufacturer and model number of each gauge or device ad Individual (s) responsible for radiation safety program d Training and experience of individual (s) responsible for radiation \ safety program Y Describe permanent storage area for gauges or device d Means of preventing unauthorized use [cd7Ie* # [# M IJcLWh/ v8. Specify whether film ba ges or hAs will be used Specify exchange frequency (At least monthly for film badges and at least ly for TLDs) Leak testing of sealed sources Itjd1 k Maintenance on gauges involving removal of source holder, etc. AIc (nabb41a4 inV Cds f./mtevtz( c" stusa hew yt f f- Safety procedures for transporting gauges or devices kN h[201:c) 0d/ .; th Describe operating and emergency procedures R Describe disposal of gauge or device when use is discontinued GL k ,,,, an m 4r4 fa aaWyc/ vec</2
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. . g#% t UNITED STATES NUCLEAR REGULATORY COMMISSION 1 I ! - ~ " ' gg;l 31W ! %,,o , , ,,, [t Walnut Creek Field Office 1450 Maria Lane Walnut Creek, California 94596-5368 JUd i 41995 l l Haas & Associates, Inc. l ' ATTN: Sandor Manyoky, P.E. Civil Engineer 3900 E. 112th Avenue Anchorage, Alaska 99516 l SUBJECT: LICENSE RENEWAL This is in reference to your letter dated June 23, 1994 requesting renewal of ' your byproduct material license; to our letter dated August 19, 1994 i describing information needed to renew the license; and to subsequent letters ! from you dated February 7 and 14, 1995, indicating that you wished to convert l your license to storage-only. This also refers to telephone conversations l with Mr. Kent Prendergast of this office on March 13, 21, 24, 1995, April 3, l 1995, and May 10, 1995. In these telephone conversations, you indicated that i you would like to resume use of licensed materials, that you would answer the ! questions in our letter dated June 23, 1994, and that you would submit a new application in the format described in the new portable gauge licensing guide by March 24, 1995. ; I As we have no written response from you subsequent to your letter of February 14, 1995, we have to assume that it would be acceptable for us to issue a storage-only license. Unless we receive a written response from you by July 9,1995, we will renew your license with a storage-only provision. Should you decide to use your gauges subsequent to that time, you will need to submit a i license amendment request and pay the appropriate fee. If you wish to renew your present program, you should submit a completed renewal application, addressing the items described in our letter to you dated August 19, 1994, and as detailed in the new portable gauge licensing guide (copies enclosed). Please reply in duplicate, and refer to Mail Control No. ! 572007. Sincerely, I WV f Beth A. Prange Sr. Health Physicist (Licensing) Materials Branch : Docket: 030-31184 License: 50-23296-01 Control: 572007 Enclosures: As stated
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WCFO Inspection File J LFDCB, T-9 E10 l i l l ) l
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02-14-1995 09:21Ft1 FROM VM G & ASSOCIATES TO 151uw:w.uul P.01 . . - . ',I'I,\ M8 St. ASSOCIATES, M hCIVil ENGINEGRING CONSULTANTS ' MATERIALS TESilNG & EfMRONMENTAL SERYlCES I l . ff.$ . WeI d 0" A 0<- ;?- n - w jk: Ken i ; fhl b/(LMjd %/tew # v,u % (s70) W Dew & - ; ; i n v yrar p p, y pha a m afou 4d y A/9.C bi ce H sc 1 k qv( M (_,flo w/lg ' . ro Oy J (pm nat-/S </v Ch: (1/e e aApsk o u y<u skra p 4 : "Sd r So u) ih w Mi 5 yw we wid .e[JIe . S'YPh h (4 h w 5 4 e d upp3, j 6g( ; Samdw w k g Pe , ; civ:\ Ey&v- ! 3000 E ii2TH AVENUE * ANCHORAGE, ALASKA 99516 4 TEL/ FAX (907) 34H791 3
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TOTAL P.01
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i February 7, 1995 i !
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Nuclear Regulatory Comission j ' 1450 Maria Lane Walnut Creek, CA 94596-5368
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Attention: Beth Prange
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Re: License Renewal #50-23296-01
, Dear Ms. Prange:
I would like to amend our license for storage only. I was in a i car accident in December. At this time I do not know when I will be able to resume my work.
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Sincerely, Sandor Manyoky, P.E. Civil Engineer
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l 3900 E 112TH AVENUE * ANCHORAGE, ALASKA 99516 + TEUFAX (907) 349-8791
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. _ . _. _ _ _ __ ._. . _ _ . - _ _ _ . . DC W & > r # Y '% UNITED STATES p \ NUCLEAR REGULATORY COMMISSION j* j e REGION IV # Walnut Creek Field Office % , , , , j! 1450 Maria Lane Walnut Creek, California 94596-5368
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Docket No.: 030-31184 License No.: 50-23296-01 Control No.: 572007 1 Haas and Associates, Inc. l 3900 E 112th Avenue Anchorage, AK 99516
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Attention: Sandor Manyoky, P.E.
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SUBJECT: LICENSE RENEWAL APPLICATION i This is to acknowledge receipt of your application for renewal of the materials license identified above. Your application is deemed timely filed,
- and accordingly, the license will not expire until final action has been taken
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j Any correspondence regarding this renewal application should reference the control number specified above and your license number. Sincerely, 0- Beth A. Prange Health Physicist (Licensing) Materials Branch Walnut Creek Field Office
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Distribution License docket folder
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i a l REQUESTCOPp REQUEST COPY RE@EST COPY RE@EST COPY
YES NO YES NO YES NO YES N0 SEND TO DCS SEND TO PDR * Please indicate which documents should not be sent to PDR.
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RECEIVED [h Rl[fVSF0 NAAS af, ASSOCIATES, INC. A11 CML ENGINEERING CONSULTANTSgg gqAggG . ENVIRONMENTAL SERVICES 030-3ll 8 9- June 23, 1994 j United States Nuclear Regulatory Commission l 1450 Maria Lane Walnut Creek, CA 94596-5368 Attention: Beth Prange i Re: N.R.C. license renewal (50-23296-01) ' Dear Ms. Prange: ) This is our letter of intent to renew our N.R.C. license. Our application is category 3P. We presently have two Troxler 3411-B densometers. We may consider the purchase of another 3411-B gage in the future. The renewal fee of SC70.00 is enclosed. Please let us know if you require additional information. Sincerely, Haas & Associates Inc. Sandor Manyoky, P.E. , Civil Engineer j SM/shm Enclosure ! Log __ _ -- 1- - Remitter _ __ _ _ - - - - - - - Cf,ack Amount _ No.f_ . 7 O- ------ - -- fee Categcry _ _ _ff-- - --- - Type of Fee /VM- - 5- 7- Date Chack tac'd._ Date Cor xted _ - - - - - - l gy __f ,.j f u ___ -_-- -- 572M7 3900 E 112TH AVENUE ANCHORAGE, ALASKA 99516 TEl/ FAX (907) 349-8791 i ..
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