ML20132B176
| ML20132B176 | |
| Person / Time | |
|---|---|
| Site: | 05000215 |
| Issue date: | 04/18/1980 |
| From: | Lipphardt P ATEC ASSOCIATES, INC. |
| To: | |
| Shared Package | |
| ML20132B180 | List: |
| References | |
| NUDOCS 8005130472 | |
| Download: ML20132B176 (8) | |
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. ( ; T/6/GC roRu NRC-313 I U.S. NUCLEAR REGULATCRY COMMISSION 1. APPLICATION FOR:
11 79) (Check and/or complete as appropronto) to CF R 30 .
AP' PLICATION FOR BYPRODUCT MATERIAL LICENSE INDUSTRIAL e. NEW LICENSE Soe strached instructions for deraits. b. AMENDMENT TO:
LICENSE NUMBER Completed applications are filed on duplicate with the Division of Fuel Cycle and Material Safety.
Office of Nuclear Material Safery, and Safeguards. U.S. Nuclear Regulatory Commission, Washington, DC 20SSS or applications may be foled in person at the Commission's office at "ig"g'u*gfu*u'u'g g gn 1717 H Street. NW. Washington D. C. or 191S Eastern Avenue. Silver Spring. Maryland.
- 2. APPLICANT *S NAME (/nstitution, firm. person, etc./ 3. NAME OF PERSON TO BE CONTACTED REGARDING THIS APPLICATION Atec Associates of Virginia, Inc. Peter A. Lipphardt TELEPHONE NUMBE R: ARE A CODE - NUMBE R EXTENSION TELEPHONE NUMBER: ARE A CODE - NUMBER EXTENSION 804-583-1557 804-583-1557
- 4. APPLICANT'S MAILING ADDRESS (include Zop Codel 5. STREET ADDRESS WHERE LICENSED MATERIAL WILL BE USED linclude Zip Code) 7611 Sewells Point Road Address in item 4; and temporary jobsites Norfolk, Virginia 23513 of the licensee in states under the USNRC' jurisdiction .
(IF MORE SPACE IS NEEDED FOR ANY ITEM. USE ADDITIONAL PROPERLY KEYED PAGES.)
- 6. INDIVIDUAL (S) WHO WILL USE OR DIRECTL SU'P ERVISE THE USE OF LICENSED MATERIAL (See items 16 and 17 for requored trarnong and esperrence of each individualnamed below)
FULL N AME TITLE 8- Peter A. Lipphardt Director. Materials Testing Division
- b. Roland E. Dubbe ', P. E. Vice President a
c-C. H. Powe rs Technician, Assistant R.'S. O.
- 7. RADIATION PROTECTlON OFFICER ' A ttach a resume of person's training and esperience as outlined in items 16 and 17 and describe his responsabilitoes under item 15 Peter A. Lippha rd t i
- 8. LICENSED MATERIAL L ELEMENT CHEMICAL NAME OF MANUFACTURER MAXIMUM NUMBER OF 1 AND AND/OR AND MILLICURIES AND/OR SEALED N MASS NUMBER PHYSICAL FORM MODEL NUMBER SOURCES AND MAXIMUM ACTI-E (// Sealed Sourcel VITY PER SOURCE WHICH WILL BE POSSESSED AT ANY ONE TIME NO. A B C~ D
Americium 241:Be Sealed Source A-100281. Rev. B See Attached (# 1)
Troxler Dwq. 10 M1111 curies of (2) Cesium 137 Sealed Source A-102112 cesium 137 per source Troxler Dwq. 50 mil?.icuries (3) Americium 241 Sealed Source A-102451 Americi ur der source (4) ,%.
DESCRIBE USE OF LICENSED MATERIAL $ hC6dlyD yy g g l E
l%m l "37 til Density and moisture determinations of soils, etc. '
D::ts 1 ]*]d,* *b l f1 )~l .!
m.QT.l iwMAKw (2) Density medsurement of soils, asphalt, etc. .,_ M W.!
- v.D.mh w,s e n/l o l (3) Mo .soutc ucicuu.. m_.~ + E' .__ ,
(4) N..)....)..,,.. '" N FORM NRC-3 f 3Al%1(79)W fg 4",
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Type os cua. .. ' W[JQ)[ 'kEEG'O]q
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Received By. . ... ,
- 9. STORAGE OF SEALED SOURCES y CONTAINER AND/OR DEVICE IN WHICH EACH SEALED NAME OF MANUFACTURER MODEL NUMBER 0 SOURCE WILL BE STORED OR USED.
B. C.
tio. A.
2401, 2402 u) 2451. or 2d52 Surface Moisture / Density Gauge Troxler 3401, 3401 B, (2) Surface Moisture / Density Gaune Troxler 3411. or 3411 B 3401, 3401 B, g3, Surface Moisture / Density Cauze Troxler 3411. 3411 B (4)
- 10. RADIATION DET ECTION INSTRUMENTS M ANUF ACTU RE R'S MODEL NUMBER RADIATION SENSITIVITY TYPE NAME NUMBER AVAILABLE DETECTED RANGE I OF (millirventgens/ hour
(*Ipha, beta, tt INSTRUMENT *' '**"I*I"" '*I G****"*"*"I n ~' D E F A B C N/A (2)
(3)
(4) .
- 11. CALIBRATION OF INSTRUMENTS LISTED IN ITEM 10 Ob. CALIBRATED BY APPLICANT Q. CAllBR ATED BY SERVICE COMP ANY Attach a seper'ete sheet desenbing m'thod, freg'vency and standants NAME, ADDRESS, AND FREQUENCY used for calibrating instruments.
Troxler Electronic Laboratories Inc.
Research Trianzie Park, N. C. 27709 (annuMIly)
- 12. PERSONNEL MONITORING DEVICES (Check and/or complete as appropriate.1 (Se ce Co anyl C A B
- 00) FILM BADGE R. S. Landauer Jr & Co. O uONTHLY Division of Technical Operations O (2) TH E RMOLUMINESCENCE Inc. @ QUARTERLY DOSIMETER (TLDJ Glenwood Scienct Park O (31 OTH E R (SpecifyJ: O OTHER (Specs &l:
Glenwoods Ill. 60485
- 13. FACILITIES AND EQUIPMENT (Check'were appropriate end attach annotated sketch (es) and description (s).
O & LABORATORY FACILITIES. PLANT F ACILITIES, FUME HOODS (/nclude filtration, sf anyl, ETC.
Och STORAGE FACILITIES, CONTAINERS, SPECIAL SHIELDING (fixed and/or temporary), ETC. See Pg 2 (adde nd .)
O c. REMOTE HANDLING TOOLS OR EQUIPMENT, ETC.
O d. CESPIRATORY PROTECTIVE EQUIPMENT, ETC.
- 14. WASTE DISPOSAL
- o. NAME OF COMMERCIAL WASTE OISPOSAL SERVICE EMPLOYED M/A L.lF COMMERCIAL WASTE DISPOSAL SERVICE IS NOT EMPLOYED, SUBMIT A DETAILED DESCRIPTION OF METHODS WHICH WILL BE USED FOR DISPOSING OF RADIOACTIVE WASTES AND ESTIMATES 0F THE TYPE AND AMOUNT OF ACTIVITY INVOLVED. IF THE APPLICATION IS FOR SEALED SOURCES AND DEVICES AND THEY WILL BE RETURNED TO THE MANUFACTURER,SO STATE.
If necess'ary they will be returned to manufacture. (See 11a above)
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INFORMATION REQUIRED FOR ITEMS 15,16 AND 17 Describe in. detail ti e information required for items 15,' 16 and 17. Begin each item on a !
separate page and key to the application as follows: i
} 15. RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropriate for the material to be used including the duties and responsibilities of the Radiation Protection Officer,
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- control measures, bioassay procedures (if needur), day-to<isy general safety instruction to be followed, etc. If the application is for sealed source's also submit leak testing procedures, or if leek testing will be performed using a leek test kit, specify manufacturer and model number of the look test kit.
- 16. FORMAL. TRAINING IN RADIATION SAFETY. Attach a resume for each individual named in items 6 and 7. Describe individual's formal training in the following areas where applicable, include the name of person or institution providing the train *ng, duration of training, when training was received, etc.
- a. Principles and practims of radiation protection.
- b. Radioactivity. measurement standardization and monitoring techniques and instruments.
- c. Mathematics and calculations basic to the use and measurement of radioactivity..
- d. Biologimi effects of radiation.
- 17. EXPERIENCE. Attach a resume for each individual named in items 6 and 7. Describe individual's work experience with radiation, including where experience was obtained. Work experience or on.
the-job training should be commensurate with the proposed use, include list of radioisotopes and maximum activity of each used.
- 18. CERTIFICATE '
(Din item must be compkteet by'applicent)
De applicent and any official esecuting thk certificete on behalf of the appHcent named in item 2, certify shot thk application is properett in conformity wish Tith 10, Code of Federe! Resuktione,
'nort 30, and shot ett Wormation contained herein, including any - 7 ts attached heere, k true and correct to the best of our knowheqe and belief. .
WARNIf0G.-18 USE., Seetion 1001: Act of June 25, ISa8: 52 Stat. 749; ninkes it e eriminst offense to make a witetuity falso statesnant er representation to any department er egency of the Uneted Senees es to any metter within its jurisdiction,
- s. LtcENSE FEE REQUIRED b. YING ICIAL ilSipsetuslf . ,
(See Section 170.31,10 CFR 170) . ,
- c. NAfdE IType or print) ' Q\'~
Peter A. Lipphardt (1) LICENSE FEE CATEGORY: 3.L* Director Technical ~ Servicese Radiation (2)[ LICENSE FEE ENCLOSED: 8110.00, '4/18/80 ronne uncoia I,tt.7el (;g@
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() \,j FORM NRC 313 (I) SUPPLEMENTARY PAGE #1 APPLICANr: ATEC ASSOCIATES OF VIRGINIA, INC.
LICENSE # 45-16546-01 (RENDJAL)
Continuation of Item #8 (1-D)
"Not to exceed 10 millicuries of Cesium 137 and 50 millicuries of Americium 241 per source" l
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FORM NRC 313 (I) SUPPLEMENTARY PAGE #3 APPLICAhT: ATEC ASSOCIATES OF VIRGINIA, INC.
LICENSE # 45-16546-01 (RENEWAL)
" Item 15 Radiation Protection Program" The radiation protection program conforms to the provisions of Title 10, chapter 1, code of Federal Regulations, Part 20, and the submittal accompanying the application for the license expiring 6/30/80 The program requires: the safe storage of the nuclear gauges (see attached sketch); the gauges, when in the field must be operated by, or under the direct supervision of personnel who have successfully completed the manufacture's certification program (2 days) of radiological safety and gauge -
operation; all gauge operators will have individually assigned film badges (evaluat'ed by R. S. Landauer Jr Co. at the end of each calendar quarter); all operators are supplied with the final dosimetry sum: nary for their badge if employment is terminated.
The Radiation Safety Of ficer's duties and responsibilities include the following:
prompt dispatch and reissuance of film badges; posting of quarterly and annual dosimeter reports; inventory and maintenance of gauges; semi-annual leak testing of gauges (by means of Troxler Wipe Test kit Model 3880 - analyzed by manufacturer);
to ensure proper storage procedures are maintained; updating of NRC license; posting of current regulations and information bulletins from NRC; to ensure required conditions for transporting gauges are met.
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FORM NRC 313 (1) SUPPLEMENTARY PAGE $4 L
APPLICANI: ATEC ASSOCIATES OF VIRGINIA, INC.
LICENSE # 45-16546-01 (R,ENEWAL) 1 i
Item 16, number 1 Peter A. Lipphardt, Director of Technical Services, Radiation Protection Officer, Atec Associates of Virginia, Inc, c,b,c,d and gauge operation training: In-house training Atec Associates of Virginia, Inc.
Most recent formal training from Troxler 1/23-1/24/79.
Number 2 Roland E. Dubbe', P. E. Vice President / District Manager, Atec Associates of Virginia, Inc.
a,b,c,d and gauge operation training: same as above, except Troxler date is 2/27-2/28/75. 1 Number 3 C. H. Powers, Field Technician, Assistant Radiation Safety Officer, Atec Associates of Virginia, Inc.
a,b,c,d, and gauge operation training. In-house training, Atec Associates of Virginia, Inc. Most recent formal training from Troxler 9/5-9/6/79.
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FORM NRC 313 (I) SUPPLEMENTARY PAGE # 5 APPLICANT: ATEC ASSOCIATES OF VIRGINIA, INC.
LICENSE # 45-16546-01 (RENEWAL)
Item 17, number 1 Peter A. Lipphardt, Radiation experience limited to Troxler Nuclear Gauges in 2400 and 3400 series (see item 8, lines 1-3 for radioisotopes involved).
Experience (on the job training) began in 1973 operating 2401 gauge under direct supervision of Radiation Protection Officer, Atec Associates of Maryland, Inc.
Basic use-soil density determinations in the field. Has since used gauges for density determinations of asphalt and base course (including FAA projects) materials and moisture content analysis of built-up roofing. Presently certified by Manufacturer. .
Number 2 Roland E. Dubbe' Experience (on the job training) began in 1974, operating 2401 gauge under direct supervision of Radiation Protection Officer, Atec Associates of Maryland, Inc.
Number 3 C. H. Powers, On the job training in soils and asphalt density determinations, under supervision of number 1 above, began June, 1979, employing 2400 and 3400 series gauges (see item 8, lines 1-3 for radioisotopes and m,ax. activity). Presently certified by manufacturer. Currently undergoi6g instruction on duties and 1 responsibilities of Radiation Protection Officer.
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