ML18144A434
| ML18144A434 | |
| Person / Time | |
|---|---|
| Issue date: | 05/23/2018 |
| From: | Bill Maier NRC Region 4 |
| To: | Don Lowman NRC/NMSS/DMSST/MSLB |
| Lowman D | |
| References | |
| Download: ML18144A434 (5) | |
Text
1 Weaver, Deborah From: Maier, Bill Sent: Wednesday, May 23, 2018 5:36 PM To:Lowman, Donald
Subject:
FW: Disposition of Tritium Exit Sign Attachments:
2925_001.pdf Follow Up Flag:Follow up Flag Status:
FlaggedHello Mr. Lowman.
Please see the attached documentation of a H 3 exit sign return to the manufacturer. Do we require such documentation from general licensees?
BillMaierRegionalStateLiaisonOfficerU.S.NuclearRegulatoryCommissionRegion4office1600E.LamarBlvd.Arlington,TX76011 4511Office:817 200 1267bill.maier@nrc.gov From:Kerry.Martin@deq.idaho.govidaho.govSent:Wednesday,May23,20184:15PMTo:Maier,Bill<Bill.Maier@nrc.gov>
Subject:
[External_Sender]DispositionofTritiumExitSignReceivedthisinthemail-IassumeitshouldhavegonetoNRC-.kerry KerryL.Martin Idaho Department of Environmental Quality INL Oversight Manager 900 North Skyline Drive, Suite B Idaho Falls, ID 83402 E-mail: kerry.martin@deq.idaho.gov Work Phone: 208-528-2615 Cell Phone: 208-520-1763 Boise River Montessori, lnc.4934 N Maidstone Place, Boise lD 837L3 May L7th, 2oL8 Kerry L. Martin ldaho Department of Environmental Quality INL Oversight Program Manager 900 North Skyline Drive, Suite B ldaho Falls, lD 83402 PH (208) s28-26ls Kerry.martin
@deq.idaho.gov RE: Notification of Disposal of Tritium Exit Sign, RGA #997133 EN2911
Dear Mr. Martin,
This letter is notification that the following one-sided Tritium Exit Sign was shipped on May 17th, 2018, by UPS Ground to SRB Technologies, 2580 Landmark Drive, Winston-Salem, NC 27Ot3for disposal.UPS TRACKING NUMBER RGA #SRB TECH LICENSE SIGN MANUFACTURE SIGN MODEL SIGN SERIAL NUMBER SIGN MANUFACTURE DATE SIGN CURIES or Tbq ORIGINAL INSTALLATION tzwFoor4a3763234L9 997133 (UN2911)NC Radioactive Materials License #034-0534-2 FOREVER-LITE, INC SLXTUl.-G320 289,096 JUNE 2OO7 tL.2!2211 N 26TH STREET, BOISE IDAHO 83702 Since Anton oJ Gonzalez, Jr.dent / Secretary Boise iver Montessori, lnc.4934 N Maidstone Place, Boise lD 83713 - Home Office 2211 N 26th Street, Boise lD 83702 - School Address Tel 208.939-2827 o.irYY (6 t f gh 1F THIS iS NOT A SHIPPING L ABEL.IRilIl(IItO sllIplltltl SI{IP REF SltIP IIF tofl RECORDS.63ffi419$16 , ll SliIP DflTEI TlttIR 1? l,lRY l0l8 E}(PECIE!
DELIIJEII DflIEI illJR e4 ltRY e0lB EoD SltIP FROI'I: Rilr0r{t0 00ltzRLEz 493{ tt ilnllsl0llE pL r0l$E lD 03?13 H08) 939-lBe?Sll IPltEltT Il{F0Rllf,T lOtt I rips GR0ultD c0ft}{E[clnL I LIs 6,4 oz flcluf,L l,lT T,O0 LM TILLf,ILE III Iiltsr l8,ool(lo,oolle,oo Iil ItUl'llElr llllF001403?
ID: I'l11?993l(lltll'Il(l(C ll . r lr ll 'r SIIIP IO: sRI rtcilll0L00lEs I'lELt$$f, ELLI$0ll E5O8 LRIIDI'IfiRI( DR[it'SI0t{
sf,LE}t ttc l?103'6?16 ru$Ht$$(316) ?60-??e0 DE$CRIP EIIPIRED IIOII OF EIIII S I 0000s Gil SIIIPIIEITI CllfiIGES:
0[0tlil0 c0l'll'lEnclf,L SERllICE OPTIOIIS cr't$ pR0cE$$lltc FEt 0l 00 t0 16 0 0 BllIPP$TllE tlPS IOISE, I H08) I It{ROUOtlI
$T0RE t{53?D I3?13-I0?l 3g'5590 t J -+IOIfiL c0ltP HTTP 0uEs LETE OIiL I I // THEUPS T rotts? c0 HE TRRCKI 3ToRE. Coil ITTRCT S}II (sE PPED HO: E83 ltt vouR llEl EITTEN SHIPItEilT I rnollsER I0 TnficK!D u sHlPllEllr ifli'iHiils8lfH:HiiilfiE[lH'inisnEfilitiFlr[rllletlFfil'tfitiir-lEfiill{iiug'r"rniEn"$ignatura:
$ll Iplltltl ID I lll'l?ll3l{}ltJfll(fiC illllllll ilillillllllllllll illffillllllll illllll ililllllllll
{BOX ID AND II\ryENTORY WORKSTTEET L L 1 a Man Fcr EVE" L tTf, al Rs++Serial Number Date of Curies orTbq SIXTU 1.'3Z@tBJ, o G- zo"F I I 2 27 zotT 777 t 3\
SHIP TO: SRBTECM{OLOGIES 25E0 Landmark Drive Wlnston-Salem, NC 27103 Tcl: (336)659-2610 Far (336)-76&7720 Email: l4*lissar@srbteeh_$slaliies.cam
?1 rt3B No Shipmentwill be accepted without a proper RGA number and IlN2911 written on outside of package. 'RGA#Date Issued: lryiration date: '2.) A coDv of the the Box and Inventqrv Worlrsheet must be Blflced inside each corr$rpondine b$x.3.) The assisned RGA is valid.onlv for tFe numbFr of sisns listed below.4.) Onlv one shipment can be made usins this RGA p.gmber.
- qq 1 B>5.) Unde! llR9,.reeul?tionsit is vour resnonsibilitv to notifv vour state requlator and tFe USNRC of the transfer of these siens. See the procedure forr,ns fof a4ditional inforqption im 6.) Please refer to t[e full policv o.n the subseguent pages to insurq vour shipment is nrepared nronerly.Returned Goods Authorization Bil To: The Exit Light Co., lnc.ContactName:
PurchasingDepartment S* CA Zipz 92081 Vista Cify: Address: 3170 Scott Street Phone: 877-352-3948 F'ax: 877-352-3949 Email: pu rchasing@exitlightco.
com INSTALLATION AI}DRESS 4934 N Maidstone Place 83713 Boise Name: Boise River Montessori Inc State: ID Company Address: I have read snd agree to all terms and conditions:
Signature:
lltryrhh Sualq" Replacement Signs Ordered?r
@ N Date ordered 3lt5/18 PO#: 186028 Do notwrite belowthisline - This snace resenred forSRBT- Do not nnite below this line Returned for Disposal: Replaced under Warranty: Payment l)ate: Payment Method: Y/N Y/N Disposal Fee: Date Retumed: Date received: Checked in by: t]