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{{Adams | |||
| number = ML20246F996 | |||
| issue date = 07/05/1988 | |||
| title = Amend 4 to License 50-23204-01 for Shannon & Wilson Inc, Amending License in Entirety.Ba Riedlinger s Forwarding Amend & Ack Receipt of Application for Renewal of License Encl | |||
| author name = Riedlinger B | |||
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) | |||
| addressee name = | |||
| addressee affiliation = | |||
| docket = 03020360 | |||
| license number = 50-23204-01-A04, 50-23204-1-A4 | |||
| contact person = | |||
| document report number = 50-23204-01, 50-23204-1, 570789, 70789, NUDOCS 8905150161 | |||
| title reference date = 07-05-1988 | |||
| package number = ML20246F997 | |||
| document type = DKT 30 MTL BYPRODUCT, LICENSE,MTL/BYPRODUCT & AMEND TO LICENSE (DKT 30), TEXT-LICENSE APPLICATIONS & PERMITS | |||
| page count = 9 | |||
}} | |||
See also: [[see also::IR 05000232/2004001]] | |||
=Text= | |||
{{#Wiki_filter:. - _ _ _ _ _ _ . _ - - - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ _ . _ _ - - _ _ _ _ _ _ _ _ _ _ | |||
p--------------mmmamm---mmmmmmmmm----mmm--m--mmmmmm ---, | |||
, | |||
i NRC Form 374 PAGE 1 OF 3 PAGES | |||
i (3*83) U.S. NUCLEAR REGULATORY COMMISSION | |||
! MATERIALS LICENSE Amendment No. 4 | |||
Pursuant to the* Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, | |||
l Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations | |||
; | |||
i heretofoie made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, | |||
I source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to | |||
I deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This | |||
I license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is | |||
, subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any | |||
y ' conditions specified below. | |||
l | |||
- Licensee | |||
! In accordance with letter | |||
I | |||
dated June 20, 1988 | |||
l 1. Shannon & Wilson, Inc. 3. License number 50-23204-01 is amended in | |||
i. | |||
DBA Arctic Alaska Testing Laboratories its entirety to read as follows: | |||
i ,r _ | |||
2. | |||
I | |||
I | |||
P. O. Box 843 % tcr. f ,. | |||
Fairbanks, Alaska 99707 s \-([% ' 4 6xpira,tiondateJuly 31, 1993 | |||
( | |||
i | |||
l | |||
. Y[ 5. Docket or +v | |||
Reference No. 030-20360 | |||
. | |||
1 6. Byproduct, source, and/or A 7. Chemical and/or physical (8'. Maximum amount that licensee | |||
I special nuclear material N form | |||
'g / d,may possess at any one time | |||
I | |||
Q- _D +4 4,/ | |||
'' under this license | |||
- | |||
Cesium 137/ 4,/ A. N Dohb'ined sealed sour 6es;& f' A. ,rNot to exceed I | |||
lA. | |||
i Americium 241 /w ((Troxl'er DwgTNo. 'fM (10 millicuries | |||
i g TA4100281,7Rev.{B) iQ i (6fCesium137 | |||
i N 4s( 4, ;i And 50 millicuries | |||
i 1,..~ U.JQ ~~~, .4rLO ? /, raf Americium 241 | |||
g - | |||
l Er source | |||
1 3. Cesium 137 m B N Sealed s'urces>ps'% o , & B. 7 Not to exceed | |||
i L*, ' d (Troxisd Dwg.(N d gS ~ g | |||
. | |||
$10 millicuries | |||
I | |||
fV_ y fp'persource | |||
i | |||
QSealedA-10,2112)? b t00 a g 4t ~4 {i ,? ) | |||
I | |||
:. Americium 241 YC. neUtro'nks,ources ^ Not to exceed | |||
l '%' ~ (Troxler Dwg'. No. ,.h>Cr 50 millicuries | |||
i '/A-102451) N per source | |||
i i e , , M.' l | |||
1 3. Americium 241 D. Sesled 'n'eutron sources D. Not to exceed | |||
I (Troxle'r'Dwg.'No'' . 330 millicuries | |||
A-100337) per source | |||
l | |||
i | |||
i 9. Authorized use | |||
i | |||
1 4. For use in Troxler Model 2400 series moisture / density gauges for measurements | |||
of properties of construction materials. | |||
l | |||
' | |||
l | |||
l i 3 and C. For use in Troxler Model 3400 series moisture / density gauges for | |||
l ! measurements of properties of construction materials. | |||
! | |||
I D. For use in Troxler Model 3241 gauges for asphalt content measurements. | |||
I | |||
i | |||
i | |||
l | |||
l 8905250261 880705 " k | |||
REG 5 LIC30 | |||
1 | |||
50-23204-01 PDR | |||
! | |||
~...........-___,_________m___ | |||
AL60 | |||
L_______---___-_-______. ._ _ . _ _ _. _ _ _ -_-_ | |||
- - _ - - - - _ _ - _ _ - - _ _ _ _ _ _ _ - _ - - _ _ _ - _ _ - _ _ | |||
pummmmmmmmm-m---ammmmmmmmm=======================m==m=m9 | |||
l NRC Form 374A | |||
Wsq | |||
U.S. NUCLEAR REGULATORY COMMISSION | |||
PAGE 2 OF 3 ,,ces i | |||
Ucanse number I | |||
50-23204-01 1 | |||
MATERIALS LICENSE nocket or nererence number I | |||
SUPPLEMENTARY SHEET | |||
. | |||
030-20360 l | |||
* P | |||
Amendment No. 4 l | |||
N | |||
1 | |||
CONDITIONS | |||
l | |||
l | |||
10. Licensed material may be used at 2055 Hill Road; Fairbanks, Alaska; 5621 Arctic h | |||
Boulevard; Anchorage, Alaska; and at temporary job sites of the licensee anywhere I | |||
j in the United States where the U. S. Nuclear Regulatory Commission maintains I | |||
, jurisdiction for regulating the use of licensed material. | |||
l | |||
, | |||
11. Licensed material shall be used by, or under the supervision and in the physical y | |||
' | |||
presence of, Randall Fletcher, Stephen Adamczak, Jr., William Burgess, Fred l | |||
1 | |||
Brown, Winfield Beach, Dennis Peterson, JohW Spielman, or any other individuals 1 | |||
: who have completed the manufacture r ^ 's'traininpcourse, the State of Alaska i | |||
j Department of Transportation N and Public Facilities course, or the l'icensee's | |||
3 training course as described in the letter dated Marchi19,1985, and have been l | |||
y | |||
o designated by Randall Fletcher, Radiation Protection Officer. The licensee y | |||
i shall maintain records;of individuals designated as usersi . p | |||
j m ( ' | |||
^ | |||
l | |||
Sealed sources containing' licensed material shall not,be'opendd. i | |||
. | |||
12. | |||
w xy ye,, i | |||
13. A. Thesource(shspecifiedin) Item (s)f7iA3 th' rough;7.D.shalDbetestedfor l | |||
leakage and/or contamination at intervalsinot. to exceed 6' months. Any g | |||
source rece Ned from.another person which is not accompani.ed by a certificate | |||
~ | |||
p | |||
indicating that a test. was performed within a6 months before' the transfer N | |||
shall not bel_put intojuse:untilLtested;! ,1 - | |||
" | |||
N | |||
x , | |||
;.,j p - | |||
r - | |||
a i | |||
B. Any source intstorage andInot;beiN Vsed need not'b'e tested. When the I | |||
source is removed from:s'toragelfor useL6rJtransfer to another person, it h | |||
shall be tested beforefuse oro t,ransfer.- | |||
< | |||
< | |||
h | |||
y | |||
1 C. The test shall be' capable of detedtin' 'g5he presence of 0.005 microcurie of E | |||
radioactive material jon the test sample. If the~ test reveals the presence I | |||
y of 0.005 microcurie or'more- of removable contamination, the source shall be | |||
. | |||
I | |||
removed from service and decontaminated .. repaired, or disposed of in | |||
; accordance with Commission regulations 4A report shall be filed within 5 W | |||
; days of the date the leak test result is known with the U. S. Nuclear l | |||
' | |||
Regulatory Commission, Region V; Nuclear Materials Safety and Safeguards | |||
q Branch; 1450 Maria Lane, Suite 210; Walnut Creek, California 94596. The li | |||
y | |||
] report shall specify the source involved, the test results, and corrective p | |||
1 action taken. Records of leak test results shall be kept in units of | |||
1 microcuries and shall be maintained for inspection by the Commission. p! | |||
I | |||
p Records may be disposed of follcwing Commission inspection. > | |||
1 N | |||
l | |||
l D. The licensee is authorized to collect leak test samples for analysis by l | |||
j Troxler Electronic Laboratories, Inc. or tests for leakage and/or contamination > | |||
j shall be performed by persons specifically licensed by the Commission or an P | |||
1 Agreement State to perform such services. P. | |||
1 l' | |||
l 14. The licensee shall conduct a physical inventory every six (6) months to account | |||
, for all sources and/or devices received and possessed under the license. l | |||
p | |||
j Records of the inventories shall be maintained for two (2) years from the date p | |||
1 of each inventory. R | |||
1 P | |||
1 > | |||
bemeusechhawXsBPswamwasausudimmmvrmmazaususamaswrMr7MiUdWrMrd | |||
_ _ _ _ - _ _ _ _ _- . -- - - -- --- | |||
. - - _ _ _ _ _ - _ _ _ _ _ _ _ - _ - _ - _ - _ . . _ _ _ _ _ - . _ | |||
- . _ _ . - _- | |||
am m mm m m mm m mm mm m m m mmmm mmmmum m mmmmmmmmm m m m mmmmmm mm == =m m mmm9 | |||
,. NRC Form 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 3 op 3 ,,oes I | |||
k l &en Lic;nse nurnber l | |||
I 50-23204-01 I | |||
( MATERIALS LICENSE pocket or nererence number I | |||
SUPPLEMENTARY SHEET | |||
. | |||
030-20360 l | |||
, | |||
. | |||
Amendment No. 4 l | |||
l N | |||
l | |||
' | |||
l | |||
CONDITIONS | |||
l | |||
I | |||
g (continued) y | |||
i I | |||
15. The licensee may transport licensed material in accordance with the provisions I | |||
of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". I | |||
i | |||
16. Maintenance or repair of portable devices involving removal of the sealed g | |||
sources from the devices or removal or dismantling of shielding may be performed g | |||
by Randall Fletcher, the device manufact0}eF,por,by other persons specifically I | |||
authorized by the Commission oka'n' Agbee' merit' Statet to perform such services. I | |||
g.y 4 g, i | |||
17. Except as specifically provided otherwise in this lidsnse, the licensee shall | |||
I | |||
g | |||
conduct its program inaccordance with the statements, representations, and | |||
procedures contained in"the documents including any enclo'su'res, listed below. | |||
l | |||
p | |||
p | |||
g The Nuclear Regulatory Commission's regulations shall govern unless the i | |||
W statements, representations andxprocedures in the licens'ee' supplication and | |||
' | |||
i | |||
correspondence are'm6re res'trictive than the regulations. g | |||
g, se3 5 ;s , j l | |||
; | |||
, | |||
4 | |||
I A. | |||
B. | |||
Application dated July 1421983 /P [ k ', l | |||
Letter dated' August 3, 1983) ( )'' | |||
n | |||
lZ | |||
g | |||
Letter dated-July 18 F1984%, G_,MA_ Q ~ ' | |||
g p | |||
i C. e' l | |||
N D. Letter dated'Octoberl4,1984 :, yr;.mn p ^a ,W 7 i | |||
i E. | |||
N Letter dated" November.5P 19841 lij;iffF J + | |||
. | |||
l | |||
F. Letter dated March 1901985 <:< ! s ,' | |||
l G. Letter dated April 8/1985"'if c(l } t E bi f k R. - ? l | |||
g H. Letter dated Juiis .';> , 'l y | |||
, | |||
i | |||
N I. Training certific,20, | |||
ates1988 1 (JulyL1,l1988c | |||
received i | |||
g .i st: - ,~ p | |||
a e s/*f, p.1 | |||
l cj n | |||
y < > | |||
(,' s | |||
' | |||
, .., s t | |||
g i > | |||
d FOR THE U.S. NUCLEAR REGULATORY COMMISSION E | |||
( N | |||
- | |||
original signed by B. A. Riedlinger l | |||
Date July 5, 1988 By y ' | |||
N Beth.A. Riedlinger # | |||
N Health Physicist (Licensing) F | |||
$ Nuclear Materials Safety Section i | |||
4 Regi m V | |||
l | |||
l i | |||
l. I, | |||
a n | |||
l | |||
R | |||
l R | |||
H | |||
F. | |||
2aavavamwMhTamwmmasassaamT@rmaMAT&T* | |||
_ _ | |||
_ - - _ _ _ _ _ . - _ _ _ _ _ - - . _ - - | |||
l I | |||
L | |||
\ | |||
\~ | |||
\ | |||
. | |||
JULjW1988 | |||
Docket No. : 030-20360 | |||
License No.: 50-23204-01 | |||
Control No.: 70789 | |||
Shannon & Wilson, Inc. | |||
DBA Arctic Alaska Testing Laboratories | |||
.P. O. Box 843 | |||
Fairbanks, Alaska 99707 | |||
Attention: Randall K. Fletcher | |||
Radiation Safety Officer | |||
Gentlemen: | |||
Enclosed-is the NRC license renewal which you requested. | |||
Please review the enclosed document carefully and be sure that you understand | |||
all conditions. If there are any errors or questions, please notify us so , | |||
that we can provide appropriate corrections and answers. | |||
Minor changes have been made to your license to make it consistent with | |||
current NRC policies. These are format changes only and do not alter the | |||
content of your license. | |||
Any future correspondence relating to your license should specifically | |||
reference your license and docket numbers to expedite your inquiry. | |||
Sincerely, | |||
Beth A. Riedlinger | |||
Health Physicist (Licensing) | |||
Nuclear Materials Safety Section | |||
Enclosure: Attachment A | |||
Amendment No. 4 to License No. 50-23204-01 | |||
RV | |||
WJSEUNSKY | |||
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JUL SM1988 | |||
. | |||
Docket No. : 030-20360 | |||
License No.: 50-23204-01 i | |||
Control No.: 70789 | |||
Shannon & Wilson, Inc. | |||
DBA Arctic-Alaska Testing Laboratories P. O. Box 843 ' | |||
Fairbanks, Alaska 99707 | |||
Attention: Randall K. Fletcher | |||
Radiation Safety Officer | |||
SUBJECT: LICENSE RENEWAL APPLICATION | |||
' | |||
Gentlemen: | |||
This is to acknowledge receipt of your application for renewal of the | |||
material (s)licenseidentifiedabove. Your application is deemed timely | |||
filed, and accordingly, the license will not expire until final action has | |||
been taken by this office. | |||
Any correspondence regarding this renewal application should reference the | |||
contro1' number specified above and your license number. | |||
Sincerely, | |||
1 | |||
1 | |||
Beth A. Riedlinger I | |||
Health Physicist (Licensing) | |||
Nuclear Materials Safety Section | |||
lW | |||
b | |||
q./ gg | |||
It0 HUN 0XY n,Eoffp3E8 | |||
if lgf -.. | |||
7) $137 | |||
, | |||
* | |||
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u_ _ _ _ _ _ _ _ _ _ . _ _ _ . _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ ' | |||
! | |||
. .F , | |||
. | |||
. | |||
: (FOR LFMS USf6 | |||
: INFORMATION FROM'59flVE0 | |||
BETWEEN: : NNO | |||
. -------------- R EGIO N y | |||
License .f ee Management Branch, ARM : Program Code: 03121 | |||
- and : Status Code: 2 | |||
Regional Licensing Sections : | |||
: Fee | |||
Exp. Date: Categorg1ellB0f6P ,d l | |||
: Fee Comments: p l ,, J.dl. | |||
::::::::::::::::::::::::::::::::::::::::::::::::: | |||
LICENSE FE NSMITTAL | |||
A. REGION | |||
1. APPLICATION ATTACHED | |||
Applicant / Licensee: SHANNON & WILSON, INC. | |||
Received Date: 880624 | |||
Docket No: 3020360 | |||
Control No.: 570789 | |||
License No.: 50-23204-01 | |||
Action Type: Renewal l | |||
1 | |||
5l' , | |||
[ '. | |||
' | |||
. 2. FfE ATTACHED l | |||
l Amount: | |||
Check No.: gr' q | |||
3. COMMENTS | |||
b'l I' ' | |||
1 | |||
l Signed | |||
" | |||
/_ [ , .- [ C ( l | |||
Date W / / )I\o | |||
l B.LICENSEFEEMANAGEMENTBRANCH(Checkwhenmilestone03isentered/_d | |||
1. fee Category and Amount: ][ /2,<> ) | |||
l 2. Correct fee Paid. Application may be processed for: | |||
Amendment f | |||
Renewal / | |||
License | |||
3. OTHER | |||
Signed /k4 /lces | |||
Date O,/u /pc/ | |||
;; ~ - | |||
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}} |
Latest revision as of 22:15, 31 January 2022
ML20246F996 | |
Person / Time | |
---|---|
Site: | 03020360 |
Issue date: | 07/05/1988 |
From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
To: | |
Shared Package | |
ML20246F997 | List: |
References | |
50-23204-01, 50-23204-1, 570789, 70789, NUDOCS 8905150161 | |
Download: ML20246F996 (9) | |
See also: IR 05000232/2004001
Text
. - _ _ _ _ _ _ . _ - - - _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ _ _ _ _ - _ _ _ _ _ . _ _ - - _ _ _ _ _ _ _ _ _ _
p--------------mmmamm---mmmmmmmmm----mmm--m--mmmmmm ---,
,
i NRC Form 374 PAGE 1 OF 3 PAGES
i (3*83) U.S. NUCLEAR REGULATORY COMMISSION
! MATERIALS LICENSE Amendment No. 4
Pursuant to the* Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,
l Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations
i heretofoie made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct,
I source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to
I deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This
I license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is
, subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any
y ' conditions specified below.
l
- Licensee
! In accordance with letter
I
dated June 20, 1988
l 1. Shannon & Wilson, Inc. 3. License number 50-23204-01 is amended in
i.
DBA Arctic Alaska Testing Laboratories its entirety to read as follows:
i ,r _
2.
I
I
P. O. Box 843 % tcr. f ,.
Fairbanks, Alaska 99707 s \-([% ' 4 6xpira,tiondateJuly 31, 1993
(
i
l
. Y[ 5. Docket or +v
Reference No. 030-20360
.
1 6. Byproduct, source, and/or A 7. Chemical and/or physical (8'. Maximum amount that licensee
I special nuclear material N form
'g / d,may possess at any one time
I
Q- _D +4 4,/
under this license
-
Cesium 137/ 4,/ A. N Dohb'ined sealed sour 6es;& f' A. ,rNot to exceed I
lA.
i Americium 241 /w ((Troxl'er DwgTNo. 'fM (10 millicuries
i g TA4100281,7Rev.{B) iQ i (6fCesium137
i N 4s( 4, ;i And 50 millicuries
i 1,..~ U.JQ ~~~, .4rLO ? /, raf Americium 241
g -
l Er source
1 3. Cesium 137 m B N Sealed s'urces>ps'% o , & B. 7 Not to exceed
i L*, ' d (Troxisd Dwg.(N d gS ~ g
.
$10 millicuries
I
fV_ y fp'persource
i
QSealedA-10,2112)? b t00 a g 4t ~4 {i ,? )
I
- . Americium 241 YC. neUtro'nks,ources ^ Not to exceed
l '%' ~ (Troxler Dwg'. No. ,.h>Cr 50 millicuries
i '/A-102451) N per source
i i e , , M.' l
1 3. Americium 241 D. Sesled 'n'eutron sources D. Not to exceed
I (Troxle'r'Dwg.'No . 330 millicuries
A-100337) per source
l
i
i 9. Authorized use
i
1 4. For use in Troxler Model 2400 series moisture / density gauges for measurements
of properties of construction materials.
l
'
l
l i 3 and C. For use in Troxler Model 3400 series moisture / density gauges for
l ! measurements of properties of construction materials.
!
I D. For use in Troxler Model 3241 gauges for asphalt content measurements.
I
i
i
l
l 8905250261 880705 " k
REG 5 LIC30
1
50-23204-01 PDR
!
~...........-___,_________m___
AL60
L_______---___-_-______. ._ _ . _ _ _. _ _ _ -_-_
- - _ - - - - _ _ - _ _ - - _ _ _ _ _ _ _ - _ - - _ _ _ - _ _ - _ _
pummmmmmmmm-m---ammmmmmmmm=======================m==m=m9
Wsq
U.S. NUCLEAR REGULATORY COMMISSION
PAGE 2 OF 3 ,,ces i
Ucanse number I
50-23204-01 1
MATERIALS LICENSE nocket or nererence number I
SUPPLEMENTARY SHEET
.
030-20360 l
- P
Amendment No. 4 l
N
1
CONDITIONS
l
l
10. Licensed material may be used at 2055 Hill Road; Fairbanks, Alaska; 5621 Arctic h
Boulevard; Anchorage, Alaska; and at temporary job sites of the licensee anywhere I
j in the United States where the U. S. Nuclear Regulatory Commission maintains I
, jurisdiction for regulating the use of licensed material.
l
,
11. Licensed material shall be used by, or under the supervision and in the physical y
'
presence of, Randall Fletcher, Stephen Adamczak, Jr., William Burgess, Fred l
1
Brown, Winfield Beach, Dennis Peterson, JohW Spielman, or any other individuals 1
- who have completed the manufacture r ^ 's'traininpcourse, the State of Alaska i
j Department of Transportation N and Public Facilities course, or the l'icensee's
3 training course as described in the letter dated Marchi19,1985, and have been l
y
o designated by Randall Fletcher, Radiation Protection Officer. The licensee y
i shall maintain records;of individuals designated as usersi . p
j m ( '
^
l
Sealed sources containing' licensed material shall not,be'opendd. i
.
12.
w xy ye,, i
13. A. Thesource(shspecifiedin) Item (s)f7iA3 th' rough;7.D.shalDbetestedfor l
leakage and/or contamination at intervalsinot. to exceed 6' months. Any g
source rece Ned from.another person which is not accompani.ed by a certificate
~
p
indicating that a test. was performed within a6 months before' the transfer N
shall not bel_put intojuse:untilLtested;! ,1 -
"
N
x ,
- .,j p -
r -
a i
B. Any source intstorage andInot;beiN Vsed need not'b'e tested. When the I
source is removed from:s'toragelfor useL6rJtransfer to another person, it h
shall be tested beforefuse oro t,ransfer.-
<
<
h
y
1 C. The test shall be' capable of detedtin' 'g5he presence of 0.005 microcurie of E
radioactive material jon the test sample. If the~ test reveals the presence I
y of 0.005 microcurie or'more- of removable contamination, the source shall be
.
I
removed from service and decontaminated .. repaired, or disposed of in
- accordance with Commission regulations 4A report shall be filed within 5 W
- days of the date the leak test result is known with the U. S. Nuclear l
'
Regulatory Commission, Region V; Nuclear Materials Safety and Safeguards
q Branch; 1450 Maria Lane, Suite 210; Walnut Creek, California 94596. The li
y
] report shall specify the source involved, the test results, and corrective p
1 action taken. Records of leak test results shall be kept in units of
1 microcuries and shall be maintained for inspection by the Commission. p!
I
p Records may be disposed of follcwing Commission inspection. >
1 N
l
l D. The licensee is authorized to collect leak test samples for analysis by l
j Troxler Electronic Laboratories, Inc. or tests for leakage and/or contamination >
j shall be performed by persons specifically licensed by the Commission or an P
1 Agreement State to perform such services. P.
1 l'
l 14. The licensee shall conduct a physical inventory every six (6) months to account
, for all sources and/or devices received and possessed under the license. l
p
j Records of the inventories shall be maintained for two (2) years from the date p
1 of each inventory. R
1 P
1 >
bemeusechhawXsBPswamwasausudimmmvrmmazaususamaswrMr7MiUdWrMrd
_ _ _ _ - _ _ _ _ _- . -- - - -- ---
. - - _ _ _ _ _ - _ _ _ _ _ _ _ - _ - _ - _ - _ . . _ _ _ _ _ - . _
- . _ _ . - _-
am m mm m m mm m mm mm m m m mmmm mmmmum m mmmmmmmmm m m m mmmmmm mm == =m m mmm9
,. NRC Form 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 3 op 3 ,,oes I
k l &en Lic;nse nurnber l
I 50-23204-01 I
( MATERIALS LICENSE pocket or nererence number I
SUPPLEMENTARY SHEET
.
030-20360 l
,
.
Amendment No. 4 l
l N
l
'
l
CONDITIONS
l
I
g (continued) y
i I
15. The licensee may transport licensed material in accordance with the provisions I
of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". I
i
16. Maintenance or repair of portable devices involving removal of the sealed g
sources from the devices or removal or dismantling of shielding may be performed g
by Randall Fletcher, the device manufact0}eF,por,by other persons specifically I
authorized by the Commission oka'n' Agbee' merit' Statet to perform such services. I
g.y 4 g, i
17. Except as specifically provided otherwise in this lidsnse, the licensee shall
I
g
conduct its program inaccordance with the statements, representations, and
procedures contained in"the documents including any enclo'su'res, listed below.
l
p
p
g The Nuclear Regulatory Commission's regulations shall govern unless the i
W statements, representations andxprocedures in the licens'ee' supplication and
'
i
correspondence are'm6re res'trictive than the regulations. g
g, se3 5 ;s , j l
,
4
I A.
B.
Application dated July 1421983 /P [ k ', l
Letter dated' August 3, 1983) ( )
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Letter dated-July 18 F1984%, G_,MA_ Q ~ '
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N D. Letter dated'Octoberl4,1984 :, yr;.mn p ^a ,W 7 i
i E.
N Letter dated" November.5P 19841 lij;iffF J +
.
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F. Letter dated March 1901985 <:< ! s ,'
l G. Letter dated April 8/1985"'if c(l } t E bi f k R. - ? l
g H. Letter dated Juiis .';> , 'l y
,
i
N I. Training certific,20,
ates1988 1 (JulyL1,l1988c
received i
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d FOR THE U.S. NUCLEAR REGULATORY COMMISSION E
( N
-
original signed by B. A. Riedlinger l
Date July 5, 1988 By y '
N Beth.A. Riedlinger #
N Health Physicist (Licensing) F
$ Nuclear Materials Safety Section i
4 Regi m V
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_ _
_ - - _ _ _ _ _ . - _ _ _ _ _ - - . _ - -
l I
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\
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.
JULjW1988
Docket No. : 030-20360
License No.: 50-23204-01
Control No.: 70789
Shannon & Wilson, Inc.
DBA Arctic Alaska Testing Laboratories
.P. O. Box 843
Fairbanks, Alaska 99707
Attention: Randall K. Fletcher
Radiation Safety Officer
Gentlemen:
Enclosed-is the NRC license renewal which you requested.
Please review the enclosed document carefully and be sure that you understand
all conditions. If there are any errors or questions, please notify us so ,
that we can provide appropriate corrections and answers.
Minor changes have been made to your license to make it consistent with
current NRC policies. These are format changes only and do not alter the
content of your license.
Any future correspondence relating to your license should specifically
reference your license and docket numbers to expedite your inquiry.
Sincerely,
Beth A. Riedlinger
Health Physicist (Licensing)
Nuclear Materials Safety Section
Enclosure: Attachment A
Amendment No. 4 to License No. 50-23204-01
RV
WJSEUNSKY
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-
JUL SM1988
.
Docket No. : 030-20360
License No.: 50-23204-01 i
Control No.: 70789
Shannon & Wilson, Inc.
DBA Arctic-Alaska Testing Laboratories P. O. Box 843 '
Fairbanks, Alaska 99707
Attention: Randall K. Fletcher
Radiation Safety Officer
SUBJECT: LICENSE RENEWAL APPLICATION
'
Gentlemen:
This is to acknowledge receipt of your application for renewal of the
material (s)licenseidentifiedabove. Your application is deemed timely
filed, and accordingly, the license will not expire until final action has
been taken by this office.
Any correspondence regarding this renewal application should reference the
contro1' number specified above and your license number.
Sincerely,
1
1
Beth A. Riedlinger I
Health Physicist (Licensing)
Nuclear Materials Safety Section
lW
b
q./ gg
It0 HUN 0XY n,Eoffp3E8
if lgf -..
7) $137
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.
- (FOR LFMS USf6
- INFORMATION FROM'59flVE0
BETWEEN: : NNO
. -------------- R EGIO N y
License .f ee Management Branch, ARM : Program Code: 03121
- and : Status Code: 2
Regional Licensing Sections :
- Fee
Exp. Date: Categorg1ellB0f6P ,d l
- Fee Comments: p l ,, J.dl.
LICENSE FE NSMITTAL
A. REGION
1. APPLICATION ATTACHED
Applicant / Licensee: SHANNON & WILSON, INC.
Received Date: 880624
Docket No: 3020360
Control No.: 570789
License No.: 50-23204-01
Action Type: Renewal l
1
5l' ,
[ '.
'
. 2. FfE ATTACHED l
l Amount:
Check No.: gr' q
3. COMMENTS
b'l I' '
1
l Signed
"
/_ [ , .- [ C ( l
Date W / / )I\o
l B.LICENSEFEEMANAGEMENTBRANCH(Checkwhenmilestone03isentered/_d
1. fee Category and Amount: ][ /2,<> )
l 2. Correct fee Paid. Application may be processed for:
Amendment f
Renewal /
License
3. OTHER
Signed /k4 /lces
Date O,/u /pc/
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