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
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: Flagged Hello Mr. Lowman.
Please see the attached documentation of a H3 exit sign return to the manufacturer. Do we require such documentation from general licensees?
Bill Maier Regional State Liaison Officer U. S. Nuclear Regulatory Commission Region 4 office 1600 E. Lamar Blvd.
Arlington, TX 760114511 Office: 8172001267 bill.maier@nrc.gov From: Kerry.Martin@deq.idaho.gov idaho.gov
Sent: Wednesday, May 23, 2018 4:15 PM To: Maier, Bill <Bill.Maier@nrc.gov>
Subject:
[External_Sender] Disposition of Tritium Exit Sign Received this in the mailI assume it should have gone to NRC.kerry Kerry L. 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 1
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 tzwFoor4a3763234L9 RGA # 997133 (UN2911)
SRB TECH LICENSE NC Radioactive Materials License #034-0534-2 SIGN MANUFACTURE FOREVER-LITE, INC SIGN MODEL SLXTUl.-G320 SIGN SERIAL NUMBER 289,096 SIGN MANUFACTURE DATE JUNE 2OO7 SIGN CURIES or Tbq tL.2!
ORIGINAL INSTALLATION 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 f (6 2211 N 26th Street, Boise lD 83702 - School Address o.irYY Tel 208.939-2827 t
gh 1F tofl RECORDS.
THIS iS NOT A SHIPPING L ABEL.
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$ignatura:
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BOX ID AND II\ryENTORY 1 WORKSTTEET a L L Man Serial Date of Curies orTbq Number Fcr EVE " L tTf, SIXTU
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?1 rt3B SHIP TO:
SRBTECM{OLOGIES t] 25E0 Landmark Drive RGA#
Wlnston-Salem, NC 27103 No Shipmentwill be accepted without a Tcl: (336)659-2610 Far (336)-76&7720 proper RGA number and IlN2911 written Email: l4lissar@srbteeh_$slaliies.cam on outside of package. '
Date Issued: lryiration date:
Returned Goods Authorization
'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.
Phone:
Bil To: The Exit Light Co., lnc. 877-352-3948 F'ax:
ContactName: PurchasingDepartment 877-352-3949 Email:
Address: 3170 Scott Street pu rchasing@exitlightco. com Cify: Vista S* CA Zipz 92081 INSTALLATION AI}DRESS Company Name: Boise River Montessori Inc Address: 4934 N Maidstone Place Boise State: ID 83713 I have read snd agree to all terms and conditions: Replacement Signs Ordered?r @ N Signature:
3lt5/18 lltryrhh Sualq" Date ordered PO#: 186028 Do notwrite belowthisline - This snace resenred forSRBT - Do not nnite below this line Returned for Disposal: Y/N Replaced under Warranty: Y/N Disposal Fee:
Payment Method:
Payment l)ate: Date Retumed:
Date received: Checked in by: