ML14239A157

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431-01-1072, Fuel Facilities, Transportation, Byproduct, Source and Special Nuclear Material Docket Files - Terminated Cases (Date Span: 10/1949-06/1998)
ML14239A157
Person / Time
Issue date: 06/06/2001
From: Shelton B
Office of Information Services
To:
US National Archives & Records Admin (NARA), Federal Records Center
Records.Resource@nrc.gov
References
N1-431-92-3/1C 431-01-1072
Download: ML14239A157 (79)
v • d • e


Text

Complete and send original and two copies of this form to the appropriate Federal Records PAGE OFPAGE5~

,ORDS TRANSMITTAL AND RECEIPT ,Center for approval prior to shipment of records. See specific instructions on reverse. 1 1 1 T Iota the address for the records center serving your area as shown in 36 5. FROM (Enter the name and complete mailing address of the office retiring the records. The signed CFR t . 0.) receipt of this form will be sent to this address)

U.S. Nuclear Regulatory Commission Records Center 9 * *L iFederal Mail Stop T- 6E6 Washington, D.C. 20555-0001 (E'TRANSFRRING %TENY OFEIClAL.(SigJtrap~hilp i DATE TRANSFER lrenda Jo. Snelton, Unier, UUIU/IIIU/IKMB I AUTHO IZATIO ttz Le,JC2?Z 1 6 X

3. AGENCY I IfLAwM*rypLA NeVi ttOFFICIAL (Name, office and telephone No.)

CONTACT OCIO/IMD/RMB (301) 415-5633

4. RECORDS CENTER RECORDS RECEIVED BY (Signatureand title) DATE )JUN RECEIPT JUDITH A. BARNES, Chief 2 5 ZUU1 ACCESSION AND DISPOSAL RRApru Fold Line Fold
6. ZRECORDS DATA ACCESSION NUMBER *eNCY L COMPLETED BY RECORDS CENTER VOLUME BOX SERIES DESCRIPTION r z DISPOSAL AUTHORITY DISPOSAL
  • L..0' RG FY NUMBER (cu. ft) NUMBERS (With inclusive dates of records) U P DATE LOCATION OZ (a) (b) (c) (d) (e) (f) Ig) (h) (I) (j) (k) (I) (M) 43T- u 1.U72 23 1-23 I-uel I-aCilities, I ransportation, Byproduct, R .N1-431-92-3/1C P2 Source and Special Nuclear Material Docket Files - Terminated Cases 2Ao) -6'5)*-33 (Date Span: 10/1949-06/1998)

APPR VED FCR TRANSFER Put this copy in Box 1 of the accession NSN 7540-00-634-4093 135-107 Standard Form 135 (Rev. 7-85)

Prescribed by NARA 36 CFR 1228.152 Line

Page 1 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER

1. JOB NUMBER 2. FRC ACCESSION NUMBER 3. DATE JOB RECEIVED 984129 431-01-1072 02/12/1999
4. VOLUME IN CUBIC FEET 5. LOCATION NUMBER(S) 6. DATE ELIGIBLE FOR DESTRUCTION 23 05/08:05-3.3 - 05/08:05-3.3 PERM
7. DATE ELIGIBLE FOR TRANSFER TO NARA 8. ORIGINATING OFFICE CODE 01/01/2019 FC/NMSS/
10. COMMENTS Formerly Job 322
11. ORIGINATING OFFICE (Office/Division/Branch, 12. FILE CUSTODIAN (Name/Telephone) 13. LOCATION OF RECORDS(Building/Room)

FC/NMSS/ David Pinckney (301)415-5637 5E40

14. TITLE OF RECORD SERIES (Refer to NUREG-0910) 15. RECORD SCHEDULE NUMBER (Complete a separate form for each series) (Refer to NUREG-0910)

Fuel Facilities, Transportation, Byproduct, Source and Special Nuclear Material Docket NRCS 02-19.04E Files(E) 1

16. CLASSIFICATION OF RECORDS 17. RECORD MEDIUM

[X] UNCLASSIFIED [X] PAPER El AUDIOVISUAL*

F-1 OTHER (Specify below) El MICROFORM' II MACHINE READABLE*

HIGHEST CLASSIFICATION *PROVIDE SPECIFIC MEDIUM

18. TOTAL NUMBER OF CONTAINERS 19. TYPE OF CONTAINER(S)

(NOTE: Paperrecords must be retiredin 1-cubic foot record center boxes) 23 [X] RECORD CENTER BOX

__ OTHER (Specify) 20 GENERAL DESCRIPTION OF RECORDS (Providea generaldescription of the records using items commonly used by the staff familiar with the records.)

Decommissioning Files NRC FORM 35 (11-93)

Page 2 of DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container. If more space is required, use NRC for 35A, 'Records Transfer Continuation'.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 1 05/08:05-3.3 01-03144-04 08/1960- 11/1969 Monsanto Chemical Company Decatur AL 35602 License Termination/Decommissioning File 1 05/08:05-3.3 01-08353-02 06/1961 - 09/1968 Southern Natural Gas Company Birmingham AL 35202 License Termination/Decommissioning File 05/08:05-3.3 04-00059-02 03/1956 - 05/1965 Richardson X-Ray Service Alhambra CA 91803 License Termination/Decommissioning File 05/08:05-3.3 04-00059-02 03/1966- 04/1971 Richardson X-Ray Service Alhambra CA 91803 License Termination/Decommissioning File Reports Rules and Regulations For Handling Radioisotopes - 7/2/57 Safety Rules and Regulations With Radioactive Isotopes -8/16/57 Operating and Emergency Procedures - 7/2/57 Operating and Emergency Procedures - 8/16/57 05/08:05-3.3 04-00364-07 03/1962- 01/1971 Department of the Navy Vallejo CA 94592 License Termination/Decommissioning File 05/08:05-3.3 04-00487-09 11/1968 - 11/1969 Department of the Navy, Commander, Naval Electroni Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 04-00672-05 08/1958- 01/1971 McCullough Tool Company
25. RECORDS LIAISON OFFICER _.Typed Name and Signature 26. DATE 01/06/2000
27. REVIEWING ANALYST -- Signature 28. DATE NRC FORM 35 (11-93)

Page3 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER NUMER.*(Month/Year 24DAESN
24. DATE SPAN s)

NUMBER . 23. RECORDS DESCRIPTION Los Angeles CA 90058 License Termrination/Decommissioning File 05/08:05-3.3 04-00672-06 07/1958- 01/1971 McCullough Tool Company Los Angeles CA 90058 License Termination/Decommissioning File 05/08:05-3.3 04-00860-10 09/1964- 03/1971 Northrop Corporation Beverly Hills CA 90213 License Termination/Decommissioning File 05/08:05-3.3 04-00860-11 03/1967 - 03/1971 Northrop Corporation Beverly Hills CA 90213 License Termination/Decommissioning File 05/08:05-3.3 04-01757-10 09/1968- 01/1970 Department of the Navy, Naval Weapons Center China Lake CA 93555 License Termination/Decommissioning File 05/08:05-3.3 04-02221-01 01/1957- 02/1971 Kaiser Steel Corporation Napa CA 94558 License Termination/Decommissioning File 05/08:05-3.3 04-03519-02 06/1958- 0411971 United Air Lines, Inc.

San Francisco CA 94128 License Termination/Decommissioning File 05/08:05-3.3 04-05310-01 05/1959- 12/1962 Oilfields Inspection Service Co.

Long Beach CA License Termination/Decommissioning File Report Operation and Maintenance Inspection for Puff Camera - 1958 05/08:05-3.3 04-06184-04 11/1964- 04/1971 The Geotex Corporation Long Beach CA 90806 License Termination/Decommissioning File

______________ ______________ L _________________

NRC FORM 35 (11-93)

Page4 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER F 24. DATE SPAN NUMBER i 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 04-10189-01 07/1964 - 04/1971 John A. Blume and Associates San Francisco CA 94105 License Termination/Decommissioning File 05/08:05-3.3 04-01039-02 08/1958 - 12/1966 2 Department of the Navy San Francisco CA 94101 License Termination/Decommissioning File 05/08:05-3.3 04-11398-01 09/1965- 05/1971 Department of the Air Force Vandenberg Air Force Base CA 93437 License Termination/Decommissioning File Report Radiological Safety Analysis Summary - 1/16/68 2

05108:05-3.3 04-11628-01 03/1966- 11/1970 X-Ray Testing Company Gardens CA 90249 License Termination/Decommissioning File 2 05/08:05-3.3 04-11770-01 05/1966- 08/1971 Republic Corporation El Segundo CA 90245 License Termination/Decommissioning File 2 05108:05-3.3 04-11772-01 12/1961 - 05/1970 Certified Industrial X-Ray San Leandro CA 94577 License Termination/Decommissioning File 2 05/08:05-3.3 04-12034-01 11/1966- 06/1971 Department of the Navy FPO San Francisco CA 96601 License Termination/Decommissioning File 2 05/08:05-3.3 04-12363-01 06/1967 - 05/1971 Dick Tyrrell Jewelers, Inc.

Walnut Creek CA 94596 License Termination/Decommissioning File 05/08:05-3.3 04-12403-01 06/1967- 05/1971 NRC FORM 35 (11-93)

Page5 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

De Vons Jewelers Sacramento CA 95814 License Termination/Decommissioning File 05/08:05-3.3 04-12419-01 05/1967 - 05/1971 National Distributors Vallejo CA 94590 License Termination/Decommissioning File 05/08:05-3.3 04-12420-01 08/1967- 09/1971 Millens, Inc.

Oakland CA 94612 License Termination/Decommissioning File 05/08:05-3.3 04-12440-01 09/1967- 04/1971 Ballreich and Company, Inc.

Beverly Hills CA 90210 License Termination/Decommissioning File 05/08:05-3.3 04-12452-01 08/1967- 04/1971 A. S. Samuels Co.,Jewelers San Francisco CA 94102 License Termination/Decommissioning File 05/08:05-3.3 04-12574-01 11/1967- 08/1971 Western Clock Imports Los Angeles CA 90041 License Termination/Decommissioning File 05/08:05-3.3 04-13148-01 11/1968- 02/1971 Department of the Air Force Los Angeles CA 90045 License Termination/Decommissioning File 05/08:05-3.3 04-13433-01 03/1964- 03/1971 Crown Controls, Inc.

Monterey Park CA 01754 License Termination/Decommissioning File 05/08:05-3.3 04-13488-01 10/1969- 02/1970 Department of the Navy San Francisco CA 94130 License Termination/Decommissioning File 05/08:05-3.3 04-13495-01 10/1969- 07/1971 Department of the Navy NRC FORM 35 (11-93)

Page6 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER NUMBER

" 1 24. DATE SPAN

, 23. RECORDS DESCRIPTION (MonthYears)

San Diego CA 92132 License Termination/Decommissioning File Drawings (11)- 6/14/71 2 05108:05-3.3 05-08152-01 02/1962- 01/1971 Lyle F. Campbell Grand Junction CO 81501 License Termination/Decommissioning File 2 05/08:05-3.3 05-13150-01 10/1967 - 04/1971 Equipment Specialties Company Denver CO 80211 License Termination/Decommissioning File 2 05/08:05-3.3 06-00221-04 07/1956 - 07/1971 Uniroyal, Inc.

Naugatuck CT 06770 License Termination/Decommissioning File 2 05/08:05-3.3 06-01390-01 09/1956- 03/1971 New England Alloy Casting Hartford CT 06110 License Termination/Decommissioning File Reports Outline of Written Administrative, Operating and Emergency Instructions - 1/13/60 Outline of Written Administrative, Operating and Emergency Instructions - 12/28/60 Written Administrative Operating, and Emergency Instructions - 9/11/62 2 05/08:05-3.3 06-01968-01 06/1955 - 03/1971 MIF Industries, Inc.

Branford CT 06405 License Termination/Decommissioning File 2 05/08:05-3.3 06-02135-07 03/1966- 05/1971 The Perkin-Elmer Corporation Norwalk CT 06852 License Termination/Decommissioning File 2 05/08:05-3.3 06-02345-01 03/1957- 12/1970 Clover Manufacturing Company Norwalk CT 06852 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page7 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 1 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 06-03993-01 0511958- 05/1971 Fred H. Emmert Storrs CT 06268 License Termination/Decommissioning File 05/08:05-3.3 06-07522-04 05/1966- 04/1970 United Aircraft Corporation East Hartford CT 06108 License Termination/Decommissioning File 05/08:05-3.3 0612461-01 09/1967 - 03/1971 The May Department Stores Company Hartford CT 06115 License Termination/Decommissioning File 05/08:05-3.3 06-12643-01 12/1967- 12/1968 Isolab, Incorporated Greenwich CT 06830 License Termination/Decommissioning File 05/08:05-3.3 06-12865-01 06/1968 - 04/1969 Newmont Exploration Limited Danbury CT 06810 License Termination/Decommissioning File 05/08:05-3.3 06-12889-01 07/1968- 03/1971 The Lewis Engineering Company Naugatuck CT 06770 License Termination/Decommissioning File 05/08:05-3.3 06-12950-01 08/1968 - 04/1971 Rogers Corporation Rogers CT 06263 License Termination/Decommissioning File 05/08:05-3.3 06-12970-01 09/1968- 05/1970 M. T. I. Cronin, M.D.

New Haven CT 06511 License Termination/Decommissioning File 05/08:05-3.3 06-13203-01 04/1969- 04/1971 McGraw-Edison Company Bristol CT 06010 L L NRC FORM 35 (11-93)

Page8 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21.24. (MonTE DATE SPAN ars)

NUMBER N U MB E 23. RECORDS DESCRIPTION (Mo nth /Years)

License Termination/Decommissioning File 3 05/08:05-3.3 06-13328-01 01/1969 - 04/1971 Salem Clock Company West Hartford CT 06110 License Termination/Decommissioning File 3 05/08:05-3.3 06-13373-01 E 11/1966 - 11/1970 Flexible Tubing Corporation Guilford CT 06437 License Termination/Decommissioning File 3 05/08:05-3.3 08-00038-25 10/1963 - 12/1970 Department of the Navy Washington DC 20360 License Termination/Decommissioning File 3 05/08:05-3.3 08-00038-27 08/1963- 01/1971 Department of the Navy Washington DC 20360 License Termination/Decommissioning File 3 05/08:05-3.3 08-00038-37 0111956- 06/1970 Department of the Navy Washington DC 20360 License Termination/Decommissioning File 3 05/08:05-3.3 08-03309-02 06/1968 - 04/1970 Children's Hospital of the District of Columbia Washington DC 20009 License Termination/Decommissioning File 3 05/08:05-3.3 08-03443-01 02/1958- 08/1970 Ralph M. Caulk, M. D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-03604-02 12/1965- 09/1970 Washington Hospital Center Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-04828-01 03/1959- 09/1965 Federal Aviation Agency Washington DC 20545 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page9 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER - 3E D ETI24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION I (Month/Years) 3 05/08:05-3.3 08-05562-01 07/1959- 08/1970 S. N. Albert, M.D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-05970-05 05/1963- 06/1971 Department of the Navy Washington DC 20360 License TerminationlDecommissioning File 3 05/08:05-3.3 08-07824-01 06/1961 - 08/1970 Drs. Martens & Levin, Department of Pathology, Was Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-07992-01 12/1961- 08/1970 Chalom A. Albert, M. D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-08174-01 12/1961- 02/1970 Edward E. Gahres, M.D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-09230-02 03/1963- 08/1970 Domenic Sabatini, M.D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-09412-01 06/1963 - 08/1970 Frederick P. Litwin, M.D.

Washington DC 20010 License Termination/Decommissioning File 3 05/08:05-3.3 08-09840-01 02/1964- 05/1970 The C. W. England Laboratories, Incorporated Washington DC 20018 License Termination/Decommissioning File 3 05/08:05-3.3 08-11056-01 05/1965- 04/1971 Woodward & Lothrop, Incorporated Washington DC 20013 License Termination/Decommissioning File NRC FORM 35 (11-93)

Pagel0 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2D 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 08-11817-01 07/1966 - 06/1970 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-03 11/1967- 06/1970 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-05 02/1968 - 10/1969 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-07 09/1968 - 10/1969 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 0811817-08 02/1969- 10/1969 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-09 02/1969 - 12/1970 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-10 03/1969 - 06/1970 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-11 06/1969 - 06/1970 Department of the Navy Washington DC 20390 License Termination/Decommissioning File 05/08:05-3.3 08-11817-12 08/1969 - 07/1970 Department of the Navy Washington DC 20390

.1. L ____________________________________________________________________ __________________

NRC FORM 35 (11-93)

Pagel1 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to thej material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date needed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER R M 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File Reports License Application for the NCEL STU 1-6 Implantment Utilizing the Ripple III RTG 7/24/69 Safety Review NOMAD/Sentinel-25D - 4/14/70 05/08:05-3.3 08-11836-01 07/1966- 09/1969 Department of the Navy Washington DC 20360 License Termination/Decommissioning File 05/08:06-3.3 08-12524-02 11/1967- 08/1970 Jay R. Shapiro, M.D.

Washington DC 20010 License Termination/Decommissioning File 05/08:05-3.3 08-12711-01 03/1968- 09/1970 Biospherics Research, Inc.

Washington DC 20011 License Termination/Decommissioning File 05/08:05-3.3 08-13140-01 12/1968- 01/1970 Department of the Air Force Washington DC 20330 License Termination/Decommissioning File 05/08:05-3.3 08-13557-01 01/1970 - 08/1970 Richard C. Reba, M.D.

Washington DC 20010 License Termination/Decommissioning File 05/08:05-3.3 09-08836-01 08/1962- 11/1966 U.S. Department of Justice Tallahassee FL 32304 License Termination/Decommissioning File 05/08:05-3.3 09-12467-01 09/1967 - 07/1970 Veterans Administration Hospital Gainesville FL 32601 License Termination/Decommissioning File 05/08:05-3.3 12-00351-02 10/1956- 01/1970 St. Anthony Hospital Rockford IL 61106 License Termination/Decommissioning File L J ________________________________________________________________ J _________________

NRC FORM 35 (11-93)

Pagel2 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION t11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21.CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN 21.

CONUMBNER ".

  • 05/08:05-3.3 12-00382-03 11/11959- 05/1964 Northwestern University Evanston IL 60611 License Termination/Decommissioning File 05/08:05-3.3 12-00382-04 07/1964- 09/1969 Northwestern University Chicago IL 60611 License Termination/Decommissioning File 05/08:05-3.3 12-00668-05 05/1960- 04/1971 St. Procopius College Lisle IL License Termination/Decommissioning File 05/08:05-3.3 12-00857-03 03/1958 - 03/1971 Barber-Colman Company Rockford IL 61101 License Termination/Decommissioning File 05/08:05-3.3 12-00857-04 0111959- 03/1971 Barber-Colman Company Rockford IL 61101 License Termination/Decommissioning File 05/08:05-3.3 12-00899-02 04/1957- 02/1971 Corn Products Company Argo IL 60501 License Termination/Decommissioning File 05/08:05-3.3 12-00899-04 09/1965- 10/1971 Corn Products Company Argo IL 60502 License'Termination/Decommissioning File 05/08:05-3.3 12-00920-02 04/1957 - 03/1971 International Harvester Company Chicago IL 60609 License Termination/Decommissioning File 05/08:05-3.3 12-00924-03 06/1956- 04/1971 United States Systems Corporation Chicago IL 60611 License Termination/Decommissioning File J __________________

NRC FORM 35 (11-93)

Pagel3 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23 RECORDS DESCRIPTION 24. DATE SPAN NUMBER R (Month/Years) 05/08:05-3.3 12-01433-01 02/1955- 1011970 Lutheran Deaconess Hospital Chicago IL 60622 License Termination/Decommissioning File 05/08:05-3.3 12-02124-02 05/1957 - 03/1971 Mobil Oil Company East St. Louis IL 62202 License Termination/Decommissioning File 05/08:05-3.3 12-02897-01 06/1954 - 06/1971 Leader Iron Works, Incorporated Decator IL 62525 License Termination/Decommissioning File Reports Operating Procedures and On The Job Training Program - 2/9/62 Radiological Program - 10/4/65 05/08:05-3.3 12-02954-02 07/1965 - 03/1971 Link-Belt Company Chicago IL 60609 License Termination/Decommissioning File 05/08:05-3.3 12-02959-01 06/1957 - 04/1971 Wagner Castings Company Decatur IL 62525 License Termination/Decommissioning File 05/08:05-3.3 12-03231-02 09/1961 - 04/1971 Luminous Processes, Inc.

Ottawa IL 61350 License Termination/Decommissioning File 05/08:05-3.3 12-03235-03 05/1964 - 09/1970 Time National Laboratories Chicago IL 60633 License Termination/Decommissioning File Report Administrative, Operating and Emergency Instructions to Personnel Assigned to Isotope Division of Department of Radiography - 6/14/67 NRC FORM 35 (11-93)

Pagel4 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 RI24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION(Month/Years) 05/08:05-3.3 12-03273-02 12/1957 - 03/1971 Alton Box Board Company Alton IL 62002 License Termination/Decommissioning File 05/08:05-3.3 12-03777-01 06/1958- 08/1964 Globe Roofing Products Company, Inc.

Chicago IL 60633 License Termination/Decommissioning File 05/08:05-3.3 12-03777-02 08/1963- 03/1971 Globe Roofing Products Company, Inc.

Chicago IL 60633 License Termination/Decommissioning File 05/08:05-3.3 12-04672-01 01/1959- 03/1971 N. Wood Counter Laboratory Chicago IL 60615 License Termination/Decommissioning File 05/08:05-3.3 12-05639-02 11/1966- 11/1970 Chicago Bridge and Iron Company Oak Brook IL 60521 License Termination/Decommissioning File 05108:05-3.3 12-07276-03 02/1966 - 04/1971 International Harvester Company Chicago IL 60617 License Termination/Decommissioning File 05/08:05-3.3 12-07894-02 12/1961 - 04/1971 Picker Corporation Elmhurst IL 60126 License TerminationlDecommissioning File Report Radioisotope Training Manual Part III Neutron Experiments - 1/13/66 05/08:05-3.3 12-08819-01 08/1962- 04/1971 Amsted Research Laboratories Bensenville IL 60106 License Termination/Decommissioning File 05/08:05-3.3 12-08907-01 10/1962- 04/1971 Barber-Green Company NRC FORM 35 (11-93)

Pagel5 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (1 1-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (eg. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need ed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. 2CNTER CONTAINER 23. RECORDS DESCRIPTION 24
24. DAT DATE SPANv SPAN NUMBER *(Month/Years)

Aurora IL 60507 License Termination/Decommissioning File 05/08:05-3.3 12-08936-01 10/1962- 04/1971 State of Illinois Department of Law Enforcement Joliet IL 60432 License Termination/Decommissioning File 05/08:05-3.3 12-09028-02 02/1965 - 04/1971 City of Alton, City Hall Alton IL 62002 License Termination/Decommissioning File 05/08:05-3.3 12-09094-01 09/1962- 04/1969 Texaco, Inc.

Lawrenceville IL 62439 License Termination/Decommissioning File 05/08:05-3.3 12-09160-02 05/1969- 02/1970 Health Physics Associates, Ltd.

Highland Park IL 60035 License Termination/Decommissioning File 05/08:05-3.3 12-09185-02 12/1964- 02/1967 Darling & Company Chicago IL 60609 License Termination/Decommissioning File 05/08:05-3.3 12-10132-01 01/1964- 05/1971 St. Charles Hospital Aurora IL 60507 License Termination/Decommissioning File 05/08:05-3.3 12-10423-02 02/1968- 07/1970 Standard T. Chemical Company Chicago IL 60411 License Termination/Decommissioning File 05/08:05-3.3 12-10745-01 02/1965- 03/1997 Borg-Warner Corporation Decatur IL 62525 License Termination/Decommissioning File 05/08:05-3.3 12-11380-01 10/1965- 03/1971 Joseph L. Breger Highland Park IL 60039 NRC FORM 35 (11-93)

Pagel6 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER r'!. ( . 24. DATE SPAN NL*.B >&23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 05/08:05-3.3 21-11393-01 11/1965- 10/1996 Mallinckrodt Chemical Works Rosemont IL 60018 License TerminationlDecommissioning File 05/08:05-3.3 12-11426-01 11/1965- 04/1971 Fleischmann Distilling Corporation Plainfield IL 60544 License Termination/Decommissioning File 05/08:05-3.3 12-11437-01 09/1961 - 08/1996 American Medical Association Chicago IL 60610 License Termination/Decommissioning File 05/08:05-3.3 12-11558-01 02/1966 - 04/1970 Lifestream Laboratories Lake Villa IL 60046 License Termination/Decommissioning File 05/08:05-3.3 12-11863-01 07/1966- 01/1970 Commercial Testing and Engineering Company Chicago IL 60601 License Termination/Decommissioning File 05/08:05-3.3 12-11920-01 08/1966- 09/1966 Loretto Hospical Chicago IL 60644 License Termination/Decommissioning File 05/08:05-3.3 12-11988-01 05/1966 - 0311997 Mallinckrodt Chemical Works Decatur IL 62525 License Termination/Decommissioning File 05/08:05-3.3 12-12126-01 11/1966- 1011970 Calumet Steel Division, Borg-Warner Corporation Chicago IL 60412 License Termination/Decommissioning File 05/08:05-3.3 12-12435-01 03/1967 - 0711970 Engis Equipment Company NRC FORM 35 (11-93)

Pagel7 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to thel material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date needed to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container. I

21. CONTAINER N 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION I (Month/Years)

Morton Grove IL 60053 License Termination/Decommissioning File 05108:05-3.3 12-12548-01 111/1969- 03/1971 Frank F. Jaeger & Associates Wilmette IL 60091 License Termination/Decommissioning File 05/08:05-3.3 12-12655-01 01/1968 - 05/1971 The Cobid Corporation Chicago IL 60640 License Termination/Decommissioning File 05108:05-3.3 12-12689-01 01/1968- 09/1970 Contract Maintenance Corporation Albany IL 61230 License Termination/Decommissioning File 05/08:05-3.3 12-12709-01 01/1968- 01/1971 Leonard Vinnick, M. D.

Niles IL 60648 License Termination/Decommissioning File 05/08:05-3.3 12-12795-01 04/1968 - 06/1971 Brooks Engineering Company Chicago IL 60611 License Termination/Decommissioning File 05/08:05-3.3 12-13115-01 01/1969- 02/1971 John J. Gorezinger Peoria IL 61603 License Termination/Decommissioning File 05/08:05-3.3 12-13116-01 12/1968- 05/1971 General Mills, Inc.

West Chicago IL 60185 License Termination/Decommissioning File 05/08:05-3.3 12-13152-01 01/1969 - 03/1971 Alnor Instrument Company Chicago IL 60610 License Termination/Decommissioning File 05/08:05-3.3 12-13155-01 02/1969 - 03/1971 S. B. Penick & Company Chicago IL 60610 NRC FORM 35 (11-93)

Pagel8 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between Items in the same container. Triple space when beginning a new container.

21 CNAIERT

21. CONTAINER 23. RECORDS DESCRIPTION 24. (Month/Years)

DATE SPAN NUMBER N Mnh~as License Termination/Decommissioning File 05/08:05-3.3 12-13285-01 06/1969- 06/1970 St. Mary High School Chicago IL 60612 License Termination/Decommissioning File 05/08:05-3.3 12-13286-01 06/1969- 04/1971 St. Gregory High School Chicago IL 60626 License Termination/Decommissioning File 05/08:05-3.3 12-13287-01 06/1969 - 04/1971 Holy Trinity High School Chicago IL 60622 License Termination/Decommissioning File 05/08:05-3.3 12-13288-01 06/1969 - 04/1970 Lourdes High School Chicago IL 60629 License Termination/Decommissioning File 05/08:05-3.3 12-13289-01 06/1969 - 0211971 Madonna High School Chicago IL 60641 License Termination/Decommissioning File 05/08:05-3.3 12-13290-01 06/1969 - 04/1971 Gordon Technical High School Chicago IL 60618 License Termination/Decommissioning File 05/08:05-3.3 12-13291-01 06/1969 - 04/1971 Holy Family Academy Chicago IL 60622 Licene Termination/Decommissioning File 05/08:05-3.3 12-13293-01 06/1969- 04/1971 St. Michael Central High School Chicago IL 60614 License Termination/Decommissioning File 05/08:05-3.3 12-13297-01 12/1968 - 06/1970 Automation Industries, Inc.

Rosemont IL 60018 License Termination/Decommissioning File NRC FORM 35 (11-93)

Pagel9 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER . ]24.DATE SPAN NUMBERX 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 12-13378-01 08/1969 - 03/1971 Elron, Incorporated Skokie IL 60076 License Termination/Decommissioning File 05/08:05-3.3 12-13429-01G 05/1968- 03/1971 McMaster-Carr Supply Company' Chicago IL 60657 License Termination/Decommissioning File 05/08:05-3.3 12-13521-01 10/1969- 03/1971 Toasta Foods Company Schaumburg IL 60172 License Termination/Decommissioning File 05/08:05-3.3 12-13782-01 03/1970 - 04/1971 Electro-Tech Marketing Associates Chicago IL 60614 License Termination/Decommissioning File 05/08:05-3.3 12-13817-01 09/1970 - 06/1971 A. E. Shaw Chicago IL 60637 License Termination/Decommissioning File 05/08:05-3.3 13-00155-11 06/1958- 11/1970 American Oil Company Whiting IN 46394 License Termination/Decommissioning File 05/08:05-3.3 13-00559-03 05/1958 - 03/1971 Gartland Foundry Company Terre Haute IN 47808 License Termination/Decommissioning File 05/08:05-3.3 13-00982-01 04/1956- 09/1960 Radio Corporation of America (RCA)

Marion IN 46952 License Termination/Decommissioning File 05/08:05-3.3 13-00982-03 04/1954 - 04/1971 Radio Corporation of America (RCA)

Marion IN 46952 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page20 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER .. .. 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month[Years) 05/08:05-3.3 13-01407-01 10/1956- 03/1971 Uniroyal, Incorporated Mishawak IN 46544 License Termination/Decommissioning File 05/08:05-3.3 13-01983-02 01/1957- 10/1970 University of Notre Dame Notre Dame IN 46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-03 08/1957 - 10/1970 University of Notre Dame Notre Dame IN 46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-04 10/1958- 10/1970 University of Noter Dame Notre Dame IN46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-05 01/1962- 12/1963 University of Notre Dame Notre Dame IN 46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-10 06/1965- 10/1970 University of Notre Dame Notre Dame IN46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-11 03/1967 - 10/1970 University of Notre Dame Notre Dame IN 46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-13 10/1969 - 10/1970 University of Notre Dame Notre Dame IN46556 License Termination/Decommissioning File 05/08:05-3.3 13-01983-14 12/1969 - 10/1970 University of Notre Dame Notre Dame IN46556 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page2l of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER ', T24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 6 05/08:05-3.3 13-02402-02 07/1963 - 04/1971 Cabot Corporation Kokomo IN 46901 License Termination/Decommissioning File 7 05/08:05-3.3 13-02402-03 06/1969- 04/1971 Cabot Corporation Kokomo IN 46901 License Termination/Decommissioning File 7 05/08:05-3.3 13-05596-04 04/1963 - 07/1970 J. Maxwell Davis Evansville IN 47715 License Termination/Decommissioning File 7 05/08:05-3.3 13-06147-03 12/1959- 10/1966 Industrial Heat Treating & Metallurgical Company, Indianapolis IN 46207 License Termination/Decommissioning File 7 05/08:05-3.3 13-06711-02 12/1961 - 08/1969 Valparaiso University Valparaiso IN 46383 License Termination/Decommissioning File 7 05/08:05-3.3 13-06956-01 10/1960- 06/1970 St. Joseph County Civil Defense South Bend IN 46614 License Termination/Decommissioning File 7 05/08:05-3.3 13-08708-01 04/1962- 08/1969 Marion College Marion IN 46952 License Termination/Decommissioning File 7 05/08:05-3.3 13-08829-01 09/1962- 07/1970 Harold L. Benham Bedford IN 47421 License Termination/Decommissioning File 7 05/08:05-3.3 13-08884-02 03/1965- 04/1969 Pin H. Pu, M.D.

Terre Haute IN 47803 L ___________ J ______________________________________________________ .1 NRC FORM 35 (11-93)

Page22 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neet to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 DESCRIPTION 24. DATE SPAN NUMBER 23. RECORDS E P(Month/Years)

License Termination/Decommissioning File 7 05/08:05-3.3 13-08993-02 11/1964- 07/1970 Lake County Civil Defense Gary IN 46408 License Termination/Decommissioning File 7 05/08:05-3.3 13-09252-01 03/1963- 04/1971 Roll Coater, Inc.

Greenfield IN 46140 License Termination/Decommissioning File 7 05/08:05-3.3 13-09256-02 03/1963- 07/1969 Hanover College Hanover IN 47243 License Termination/Decommission File 7 05/08:05-3.3 13-09304-01 05/1963- 07/1970 Delaware County Civil Defense Muncie IN 47305 License Termination/Decommissioning File 7 05/08:05-3.3 13-09639-01 11/1963- 09/1969 Indiana State University Terre Haute IN 47809 License Termination/Decommissioning File 7 05/08:05-3.3 13-09639-02 12/1966- 06/1971 Indiana State University Terre Haute IN 47809 License Termination/Decommissioning File 7 05/08:05-3.3 13-10010-01 0411964- 07/1970 Ayrshire Collieries Corporation Indianapolis IN 46225 License Termination/Decommissioning File 7 05/08:05-3.3 13-10522-01 01/1964- 03/1971 Stokely-Van Camp, Inc.

Indianapolis IN 46206 License Termination/Decommissioning File 7 05/08:05-3.3 13-10896-01 03/1966- 07/1970 Rush County Civil Defense Rushville IN 46173 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page23 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER T 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 13-11281-01 08/1965- 10/1970 Edward P. Onderak, M. D., Porter Memorial Hospital Valparaison IN License Termination/Decommissioning File 05/08:05-3.3 13-11503-01 09/1965 - 07/1970 Madison County Civil Defense Alexandria IN 46001 License Termination/Decommissioning File 05/08:05-3.3 13-11634-02 06/1966 - 07/1970 National Gypsum Company Shoals IN 47581 License Termination/Decommissioning File 05/08:05-3.3 13-11884-02 10/1968 - 10/1970 George E. Farrell, M. D.

Rensselaer IN 47978 License Termination/Decommissioning File 05/08:05-3.3 13-11934-01 07/1966 - 08/1969 Warrick County Civil Defense Boonville IN 47601 License Termination/Decommissioning File 05/08:05-3.3 13-12324-01 01/1967 - 07/1970 Jasper County Civil Defense Resselaer IN 47978 License Termination/Decommissioning File 05/08:05-3.3 13-12325-01 01/1967 - 07/1970 Fort Wayne-Allen County Civil Defence Fort Wayne IN 46802 License Termination/Decommissioning File 05/08:05-3.3 13-12581-01 09/1967- 07/1970 LaPorte County Civil Defense Michigan City IN 46360 License Termination/Decommissioning File 05108:05-3.3 13-12922-01 08/1968- 03/1971 Great Atlantic and Pacific Tea Company Terre Haute IN 47808 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page24 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neet to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 1 24. DATE SPAN NUMBER a 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 13-12983-01 10/1968 - 06/1998 United Foam Corporation Bremen IN 46506 License Termination/Decommissioning File 05/08:05-3.3 13-13029-01 11/1968- 03/1970 Fayette County Civil Defense Connersville IN 47331 License Termination/Decommissioning File 05/08:05-3.3 13-13134-01 01/1969- 03/1970 Clay County Civil Defense Brazil IN 47834 License Termination/Decommissioning File 05/08:05-3.3 13-13484-01 07/1969 - 08/1970 Military Department of Indiana Indianapolis IN 46241 License Termination/Decommissioning File 05/08:05-3.3 13-13549-01 10/1961 - 04/1971 Arthur L. Koch, Ph. D.

Bloomington IN 47401 License Termination/Decommissioning File 05/08:05-3.3 13-15828-01 09/1973 - 06/1998 The Newman Foundry Company, Inc.

Kendallville IN 46735 License Termination/Decommissioning File 05/08:05-3.3 14-06077-01 12/1959- 03/1971 Iowa State High Commission Ames IA 50011 License Termination/Decommissioning File 05/08:05-3.3 14-06555-01 04/1960- 04/1971 Clinton Corn Processing Company Clinton IA 52732 License Termination/Decommissioning File 05/08:05-3.3 14-12037-01 12/1966 - 03/1971 Cargill, Incorporated Redfield IA 50233 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page25 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER [ 24. DATE SPAN NUMBER m 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 14-13276-01 05/1969- 04/1971 Armstrong Rubber Company Des Moines IA 50317 License Termination/Decommissioning File 05/08:05-3.3 14-13877-01 11/1970- 04/1971 Griffin Pipe Products Company Council Bluffs IA 51501 License Termination/Decommissioning File 05/08:05-3.3 17-00363-03 10/1958- 03/1971 Nuclear Systems, Incorporated Baton Rouge LA 70802 License Termination/Decommissioning File 05/08:05-3.3 17-02914-01 06/1957 - 02/1970 Shilstone Testing Laboratory Baton Rouge LA 70821 License Termination/Decommissioning File Report Administrative Control and Radiological Protective Procedure for Information of All Personnell - 12/7/66 05/08:05-3.3 17-08820-01 09/1962 - 04/1971 Central Testing Co., Inc.

Lake Charles LA 70604 License Termination/Decommissioning File 05/08:05-3.3 17-08835-01 08/1962- 03/1971 Delta Testing and Inspection, Incorporated New Orleans LA 70130 License Termination/Decommissioning File 05/08:05-3.3 17-09964-01 11/1963- 11/1969 Welding Testing Laboratory Baton Rouge LA 70805 License Termination/Decommissioning File 05/08:05-3.3 17-10794-01 12/1964- 0311971 Owensby and Kritikos, Incorporated Gretna LA 70053 License Termination/Decommissioning File NRC FORM 3$ (11-93)

Page26 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 24. DATE SPAN NUMBER1 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 17-11461-01 12/1965 - 12/1967 The Vin-Rus Company, Incorporated New Orleans LA 70122 License Termination/Decommissioning File 05/08:05-3.3 17-12293-01 02/1967 - 04/1971 Rothschild Boiler and Tank Works, Inc.

Shreveport LA 71102 License Termination/Decommissioning File Report Operating and Radiation Safety Instructions for Radiography Department - 2/10/67 05/08:05-3.3 18-01179-02 08/1958 - 05/1971 Standard Packaging Corporation South Brewer MA 04412 License Termination/Decommissioning File 05/08:05-3.3 20-00320-9 03/1958 - 08/1967 New England Nuclear Corporation Boston MA License Termination/Decommissioning File 05/08:05-3.3 20-00815-04 02/1957 - 09/1970 General Electric Company West Lynn MA 01905 License Termination/Decommissioning File 05/08:05-3.3 20-01382-02 10/1960- 01/1970 Tracerlab, Inc.

Waltham MA License Termination/Decommissioning File 05108:05-3.3 20-02630-02 11/1968- 04/1971 American Optical Corporation Souothbridge MA 01550 License Termination/Decommissioning File 05/08:05-3.3 20-02691-09 01/1968- 09/1970 Children's Cancer Research Foundation, Inc.

Boston MA 02115 License Termination/Decommissioning File 05108:05-3.3 20-02691-14 09/1969- 05/1971 The Children's Cancer Research Foundation, Inc.

NRC FORM 35 (11-93)

Page27 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items In the same container. Triple space when beginning a new container.

21. CONTAINER 1 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Boston MA 02115 License Termination/Decommissioning File 05/08:05-3.3 20-03316-04 05/1964- 09/1970 General Electric Company Pittsfield MA 01201 License Termination/Decommissioning File 05/08:05-3.3 20-03502-02 09/1960 - 04/1996 The Cooley Dickinson Hospital Northhampton MA 01060 License Termination/Decommissioning File 05/08:05-3.3 20-03556-01 04/1958 - 04/1971 LePage's Incorporated Gloucester MA 01930 License Termination/Decommissioning File 05/08:05-3.3 20-03952-01 02/1958- 04/1971 Nuclear Components, Inc.

Great Barrington MA 01230 License Termination/Decommissioning File 05/08:05-3.3 20-04767-01 02/1959- 10/1969 Jarrell-Ash Company Waltham MA 02154 License Termination/Decommissioning File 05/08:05-3.3 20-05321-01 12/1960- 10/1964 Luminous Products Corporation Boston MA 02118 License Termination/Decommissioning File 05/08:05-3.3 20-05321-02 04/1961 - 08/1970 Luminous Products Corporation Boston MA 02118 License Termination/Decommissioning File 05/08:05-3.3 20-06401-02 04/1968- 02/1971 Sylvania Electric Products, Inc.

Woburn MA 01801 License Termination/Decommissioning File 05/08:05-3.3 20-07360-01 04/1961 - 03/1971 NRC FORM 35 (11-93)

Page28 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION i 11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/311/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 1 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Egilda D. Witherell Newton Lower Falls MA 02162 License Termination/Decommissioning File 9 05/08:05-3.3 20-07420-01 05/1961 - 01/1970 Monsanto Research Corporation Boston MA 02149 License Termination/Decommissioning File 9 05/08:05-3.3 20-09057-03 09/1967- 01/1970 Robert B. Brigham Hospital Boston MA 02120 License Termination/Decommissioning File 9 05/08:05-3.3 20-09826-01 01/1964 - 03/1971 Edward W. Webster, Ph.D.

Lexington MA 02173 License Termination/Decommissioning File 9 05/08:05-3.3 20-10502-01 02/1964 - 05/1971 IndustRay Company, Incorporated Wakefield MA 01880 License Termination/Decommissioning File 9 05/08:05-3.3 20-10176-01 07/1964- 03/1973 EG&G, Incorporated Bedford MA 01730 License Termination/Decommissioning File 9 05/08:05-3.3 20-11004-01 05/1965- 06/1970 Salem State College Salem MA License Termination/Decommissioning File 9 05108:05-3.3 20-11014-01 04/1965- 0911970 Shahmoon Industries, Incorporated Everett MA 02149 License Termination/Decommissioning File 9 05/08:05-3.3 20-11865-01 08/1966 - 05/1967 International Chemical and Nuclear Corporation Cambridge MA 02138 License Termination/Decommissioning File 9 05108:05-3.3 20-12312-01 06/1967 - 04/1971 Pyrotector, Incorporated I I NRC FORM 35 (11-93)

Page29 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 01-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (eg. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Higham MA 02043 License Termination/Decommissioning File 05/08:05-3.3 20-12334-01 06/1967 - 04/1971 National Aeronautics and Space Administration (NAS Cambridge MA 02139 License Termination/Decommissioning File 05/08:05-3.3 20-12482-01 10/1967- 05/1971 Haveg Industries Taunton MA 02780 License Termination/Decommissioning File 05/08:05-3.3 20-12559-01 11/1967 - 04/1971 Kenmore Research Company Framingham MA 01701 License Termination/Decommissioning File 05/08:05-3.3 20-12588-01 12/1967- 03/1971 Celluplastics, Inc.

Fitchburg MA 01420 License Termination/Decommissioning File 05/08:05-3.3 20-12725-01 02/1968 - 03/1971 Northeast Associates Lynn MA 01902 License Termination/Decommissioning File 05/08:05-3.3 20-12792-01 04/1968- 03/1970 Computron, Incorporated Bedford MA 01730 License Termination/Decommissioning File 05/08:05-3.3 20-12814-01 04/1968 - 12/1971 machinery Electricfication, Inc.

Northboro MA 01532 License Termination/Decommissioning File 05/08:05-3.3 20-12867-01 06/1968- 03/1995 Radiation Materials Company, Incorporated Waltham MA 02154 License Termination/Decommissioning File 05/08:05-3.3 20-12869-02 06/1968 - 02/1970 Saint Vincent Hospital Worcester MA 01604 NRC FORM 35 (11-93)

Page30 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 05/08:05-3.3 20-12934-01 08/1968 - 04/1971 David G. Armstrong Sudbury MA 01776 License Termination/Decommissioning File 05/08:05-3.3 20-12941-01 06/1968- 04/1971 Optronics International, Inc.

Burlington MA 01803 License Termination/Decommissioning File 05/08:05-3.3 20-13018-01 10/1968- 04/1971 Charles T. Morgan Co. Inc.

Massachusetts MA 01937 License Termination/Decommissioning File 05/08:05-3.3 20-13112-01 01/1969- 04/1971 Adcole Corporation Waltham MA 02154 License Termination/Decommissioning File 05/08:05-3.3 20-13130-01 12/1968- 03/1971 Stickney Engineering Associates Lynnfield MA 01940 License Termination/Decommissioning File 05/08:05-3.3 20-13229-01 01/1969- 06/1970 Picker-Hoechst, Incorporated Bedford MA 01730 License Termination/Decommissioning File 05/08:05-3.3 20-13235-01 01/1969- 03/1970 International Chemical and Nuclear Corporation Waltham MA 02154 License Termination/Decommissioning File 05/08:05-3.3 20-13235-01 01/1969 - 08/1994 International Chemical and Nuclear Corporation Waltham MA 02154 License Termination/Decommissioning File Reports Health Physics Manual - 1/69 Reports Health Physics Manual - 11/23/70 05/08:05-3.3 20-13235-03G 05/1968- 03/1971 NRC FORM 35 (11-93)

Page3l of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION (Month/Years)

NUMBER 10- 111 MnhYas International Chemical and Nuclear Corporation Waltham MA 02154 License Termination/Decommissioning File 05108:05-3.3 20-13260-01 05/1969- 03/1971 Fibre Optics Industries, Inc.

Bedford MA 01730 License Termination/Decommissioning File 05108:05-3.3 20-13278-01 04/1969- 12/1970 Republic Corporation Natick MA 01760 License Termination/Decommissioning File 05/08:05-3.3 20-13693-01 05/1970- 04/1971 Richard W. Homer Wilbraham MA 01095 License Termination/Decommissioning File 05108:05-3.3 21-00243-04 03/1955- 05/1970 Butterworth Hospital Grand Rapids MI 49503 License Termination/Decommissioning File 05/08:05-3.3 21-00258-02 08/1957- 01/1970 W. A. Foote Memorial Hospital Jackson M1 49201 License Termination/Decommissioning File 05/08:05-3.3 21-00258-05 08/1961 - 01/1970 W. A. Foote Memorial Hospital Jackson M1 49201 License Termination/Decommissioning File 05/08:05-3.3 21-00265-01 04/1956- 07/1964 The Dow Chemical Company Midland MI 48640 License Termination/Decommissioning File 05/08:05-3.3 21-00265-02 11/1954- 05/1976 The Dow Chemical Company Midland MI 48640 License Termination/Decommissioning File 05/08:05-3.3 21-00342-03 04/1958- 09/1963 Wayne University College of Medicine NRC FORM 35 (11-93)

Page32 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neet ad to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER ' *. T 24. DATE SPAN NUMBER .. 23. RECORDS DESCRIPTION (Month/Years)

Detroit MI License Termination/Decommissioning File 06/08:05-3.3 21-02187-02 02/1957 - 08/1967 Mercy Hospital Muskegon MI 49443 License Termination/Decommissioning File 05/08:05-3.3 21-03037-01 08/1957 - 04/1971 Mark Leroy Harris, Jr.

Ann Arbor MI 48103 License Termination/Decommissioning File 05/08:05-3.3 21-03076-02 02/1959- 08/1970 The Cleveland-Cliffs Iron Company Ishpeming MI 49849 License Termination/Decommissioning File 05/08:05-3.3 21-03210-02 12/1967 - 12/1969 St. John Hospital Detroit MI 49236 License Termination/Decommissioning File 05/08:05-3.3 21-03216-01 09/1957- 09/1970 Cobustion Engineering, Inc.

Saginaw MI 48607 License Termination/Decommissioning File 05/08:05-3.3 21-04381-01 06/1957- 03/1971 Marathon Oil Company Detroit MI 48217 License Termination/Decommissioning File 05/08:05-3.3 21-05706-02 10/1961 - 03/1971 General Motors Corporation Ypsilanti MI 48197 License Termination/Decommissioning File 05/08:05-3.3 21-05808-01 09/1959- 03/1971 General Motors Corporation Warren MI 48090 License Termination/Decommissioning File 05/08:05-3.3 21-06046-02 09/1970- 04/1971 NRC FORM 35 (11-93)

Page33 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Packaging Corporation of America Grand Rapids MI 49502 License Termination/Decommissioning File 05/08:05-3.3 21-06233-01 02/1960- 03/1967 Wallace M. Roeske (Civil Defense)

Boyne City MI 49779 License Termination/Decommissioning File 05/08:05-3.3 21-07158-02 11/1960- 04/1970 K. J. Law Engineers, Inc.

Detroit MI 48240 License Termination/Decommissioning File 05/08:05-3.3 21-08362-04 05/1966 - 03/1971 Dow Corning Corporation Midland MI 48641 License Termination/Decommissioning File 05/08:05-3.3 21-09178-02 08/1964- 04/1971 Charles S. Simons, Ph.D.

Kalamazoo MI 49006 License Termination/Decommissioning File 05/08:05-3.3 21-09246-01 03/1963- 12/1969 Gelman Instrument Company Ann Arbor MI 48106 License Termination/Decommissioning File 05/08:05-3.3 21-09246-02 10/1969- 09/1971 Gelman Instrument Company Ann Arbor MI 48106 License Termination/Decommissioning File 05/08:05-3.3 21-09997-01 03/1964- 03/1971

0. E. Gooding and Company Ypsilanti MI 48107 License Termination/Decommissioning File 05/08:05-3.3 21-10578-01 11/1964- 07/1970 North Detroit General Hospital Detroit MI License Termination/Decommissioning File 05/08:05-3.3 21-10973-01 01/1965 - 04/1971 Reichold Associates I. L NRC FORM 35 (11-93)

Paae34 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (1 1-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Belmont MI 49306 License Termination/Decommissioning File 10 05/08:05-3.3 21-11326-02 04/1967 - 07/1971 Gam Rad, Incorporated Detroit MI 48221 License Termination/Decommissioning File 10 05/08:05-3.3 21-11448-01 11/1965- 01/1971 General Motors Corporation Pontiac MI 48053 License Termination/Decommissioning File 10 05/08:05-3.3 21-11861-01 0711966- 03/1971 William F. Hawkins Ann Arbor MI 48106 License Termination/Decommissining File 10 05/08:05-3.3 21-11929-01 09/1966 - 10/1978 Melvin H. Johnson, Jr., M. D.

Battle Creek MI 49017 License Termination/Decommissioning File 10 05/08:05-3.3 21-12139-01 01/1967- 03/1971 Audio Distributors, Inc.

Grand Rapids MI 49507 License Termination/Decommissioning File 10 05/08:05-3.3 21-12428-01 09/1967- 04/1971 Sidney Krandall and Sons Detroit MI 48203 License Termination/Decommissioning File 10 05/08:05-3.3 21-12955-01 08/1968 - 04/1971 CHEMFIL-Miles Chemical and Filter Company, Inc.

Troy MI 48084 License Termination/Decommissioning File 10 05/08:05-3.3 21-13259-01 05/1969 - 03/1970 Detroit Lime Company Detroit MI 48209 License Termination/Decommissioning File 10 05/08:05-3.3 21-13507-01 10/1969- 03/1971 Ash Stevens Incorporated Detroit MI 48202 NRC FORM 35 (11-93)

Page35 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 10 05/08:05-3.3 21-13566-01 12/1969- 03/1971 Dexter Lock Grand Rapids MI 49502 License Termination/Decommissioning File 10 05/08:05-3.3 22-0057-33G 10/1966- 03/1971 Minnesota Mining and Manufacturing Company St. Paul MN 55101 License Termination/Decommissioning File 10 05/08:05-3.3 22-00223-01 04/1956 - 04/1958 The Duluth Clinic Duluth MN 55802 License Termination/Decommissioning File 10 05/08:05-3.3 22-00223-03 11/1958- 07/1970 The Duluth Clinic, Ltd.

Duluth MN 55802 License Termination/Decommissioning File 10 05/08:05-3.3 22-01124-01E 09/1956- 04/1971 Economics Laboratory, Inc.

St. Paul MN 55101 License Termination/Decommissioning File 10 05/08:05-3.3 22-03585-03 09/1958- 09/1965 City of Duluth Civil Defense Agency Duluth MI License Termination/Decommissioning File 10 05/08:05-3.3 22-04094-03 01/1958 - 05/1968 William Feder Madelia MN 56862 License TerminationlDecommissioning File

10. 05/08:05-3.3 22-04836-01 02/1959- 04/1968 Albert L. Beissel, Jr.

Hoyt Lakes MN 55750 License Termination/Decommissioning File 10 05108:05-3.3 22-05999-01 11/1959- 03/1969 Alvar A. Jarvi (Civil Defense)

Duluth MN License Termination/Decommissioning File

________________________________________________________________ L NRC FORM 35 (11-93)

Page36 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2E24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 10 05/08:05-3.3 22-08272-02 04/1967 - 04/1971 International Milling Minneapolis MN 55428 License Termination/Decommissioning File 10 05/08:05-3.3 22-09665-01 10/1963- 05/1971 Litton Systems, Incorporated Minneapolis MN 55413 License Termination/Decommissioning File 11 05/08:05-3.3 22-10490-01 05/1964 - 07/1969 Wilbert J. Becker Sanboro MN 56083 License Termination/Decommissioning File 11 05/08:05-3.3 22-10490-01 05/1964 - 07/1969 Wilbert J. Becker Sanboro MN 56083 License Termination/Decommissioning File 11 05/08:05-3.3 22-10499-01 08/1964- 11/1968 Donald J. Graham Le Sueur MN 56058 License Termination/Decommissioning File 11 05/08:05-3.3 22-11049-01 04/1965- 06/1969 Donald J. Van Loon Red Wing MN 55066 License Termination/Decommissioning File 11 05/08:05-3.3 22-11666-01 03/1966- 04/1968 Milan F. Behr Waterville MN 56096 License Termination/Decommissioning File 11 05/08:05-3.3 22-12227-01 04/1967- 03/1971 Jack Dale Johnston St. Cloud MN 56301 License Termination/Decommissioning File 11 05/08:05-3.3 22-12442-01 08/1967- 12/1970 William H. Morrison III Red Lake Falls MN 56750 NRC FORM 35 (11-93)

Page37 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER F 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (MonthlYears)

License Termination/Decommissioning File 11 05/08:05-3.3 22-13074-01 12/1968 - 04/1971 Ralph L. Allen Edina MN 55436 License Termination/Decommissioning File 11 05/08:05-3.3 22-13075-01 12/1968- 07/1970 Thomas A. Bellinghausen Minnetonka MN 55343 License Termination/Decommissioning File 11 05/08:05-3.3 12/1968 - 07/1970 22-13078-01 Robert A. Luartes Hopkins MN 55343 License Termination/Decommissioning File 11 05/08:05-3.3 22-13121-01 01/1969- 04/1971 John N. Dempsey Minnetonka MN 55343 License Termination/Decommissioning File 11 05/08:05-3.3 22-13122-01 01/1969 - 06/1970 Nat Robbins, Jr.

Minneapolis MN 55424 License Termination/Decommissioning File 11 05/08:05-3.3 22-13421-01G 06/1955 - 03/1971 Northern Mining Equipment Company Hibbing MN 55746 License Termination/Decommissioning File 11 05/08:05-3.3 22-13601-01 01/1970- 07/1971 Streater Industries, Inc.

Albert Leas MN 56007 License Termination/Decommissioning File 11 05/08:05-3.3 22-13842-01 09/1970 - 05/1971 Central Engineering Company Minneapolis MN 55418 License Termination/Decommissioning File 11 05/08:05-3.3 24-00144-02 03/1958 - 10/1969 St. Louis Veterans Administration Hospital St. Louis MO 63106 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page38 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER . 23. RECORDS DESCRIPTION (Month/Years) 11 05/08:05-3.3 24-04206-03G 04/1972 - 07/1996 Mallinckrodt, Inc.

St. Louis MO 63147 License Termination/Decommissioning File 11 05/08:05-3.3 24-05390-02 06/1957 - 08/1968 Oscar G. Fryer, Ph.D.

Springfield MO 65802 License Termination/Decommissioning File 11 05/08:05-3.3 24-06797-01 09/1960- 09/1970 A. Denton Vail, M.D.

Springfield MO 65806 License Termination/Decommissioning File 11 05/08:05-3.3 24-08047-01 12/1961 - 01/1971 ABEX Corporation St. Louis MO 63120 License Termination/Decommissioning File 11 05/08:05-3.3 24-10257-01 08/1964 - 04/1971 St. Joseph Lead Company Viburnum MO 65566 License Termination/Decommissioning File 11 05/08:05-3.3 24-10562-01 11/1964- 05/1971 Joe M. Hopping Warrensburg MO 64093 License Termination/Decommissioning File 11 05/08:05-3.3 24-10809-01 02/1965 - 04/1971 Armco Steel Corporation Kansas City MO 64125 License Termination/Decommissioning File 11 05/08:05-3.3 24-12183-01 03/1967- 05/1971 Barber-Colman Company St. Louis MO 63110 License Termination/Decommissioning File 11 05/08:05-3.3 24-12527-01 10/1967- 03/1971 Ralph A. Burns Kansas City MO 64123 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page39 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION i11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24oDTElSPAN NUMBER 21 OTIE (Month/Years)
24. DATE SPAN 05/08:05-3.3 24-12818-01 10/1960- 05/1971 Industrial Testing Laboratory Kansas City MO 64105 License Termination/Decommissioning File 05/08:05-3.3 24-12897-01 06/1968 - 06/1971 Eagle-Picher Industries, Inc.

Joplin MO 64801 License Termination/Decommissioning File Reports Industrial Radiography Instructor's Guide - 5/11/70 Reports Industrial Radiography Manual - 5/11/70 Reports Industrial Radiography Student Guide and Laboratory Exercises - 5/111/70 05/08:05-3.3 24-12910-01 07/1968- 04/1971 Cardinal Industries Webb City MO 64870 License Termination/Decommissioning File 05/08:05-3.3 24-12918-01 07/1968- 03/1971 Thompson-Stearns-Roger Corporation St. Charles MO 63301 License Termination/Decommissioning File 05/08:05-3.3 24-13402-01 07/1969 - 08/1994 Atcor Laboratories, Inc.

Columbia MO 65201 License Termination/Decommissioning File 05/08:05-3.3 24-13656-01 03/1970- 05/1971 Dennis D. Faulk, Central Missouri State College Warrensburg MO 64093 License Termination/Decommissioning File 05/08:05-3.3 24-13768-01 07/1970 - 04/1971 Edwin L. Cox Columbia MO 65201 License Termination/Decommissioning File 05/08:05-3.3 25-06194-04 11/1961 - 05/1971 Richard B. Bridenbaugh, M. D.

Billings MT 59101 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page40 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER . 24. DATE SPAN NUMBER . 23. RECORDS DESCRIPTION (Month/Years) 11 05/08:05-3.3 25-11229-01 08/1965- 07/1971 Yapuncich-Sanderson and Brown Laboratories Billings MT 59103 License Termination/Decommissioning File 11 08/1968- 0411971 05/08:05-3.3 25-12947-01 Holly Sugar Corporation Hardin MT 59034 License Termination/Decommissioning File 12 05/08:05-3.3 27-04198-03 03/1964- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File Report Health Physics Manual - Undated Health Physics Manual - 5/22/63 12 05/08:05-3.3 27-04198-04 04/1964- 01/1970 University of Nevada Reno NV 89507 License Termination/Decommissioning File 12 05/08:05-3.3 27-04198-05 04/1964- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File Report Materials Science and Technology for Advanced Applications Volume II - 4/2/64 Report Nevada Bureau of Mines, Report 6, Total Instrumental Analysis of Rocks Part A and B - 4/2/64 Report Oxygen Determination In Rocks, Minerals, and Water by Neutron Activation - 4/2/64 12 05/08:05-3.3 27-04198-06 07/1965- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File 12 05/08:05-3.3 27-04198-07 02/1966 - 01/1971 University of Nevada Reno NV 89507 NRC FORM 35 (11-93)

Page4l of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTIONDATE SPAN NUMBER 2 (Month/Years)

License Termination/Decommissioning File 05/08:05-3.3 27-04198-08 1211966- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File 05/08:05-3.3 27-04198-09 03(1969- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File 05/08:05-3.3 27-04198-10 09/1969- 01/1971 University of Nevada Reno NV 89507 License Termination/Decommissioning File 05/08:05-3.3 27-08106-01 10/1961 - 04/1971 The Flintkote Company Henderson NV 89015 License Termination/Decommissioning File 05/08:05-3.3 27-10875-02 07/1967- 04/1972 State of Nevada Carson City NV 89701 License Termination/Decommissioning File 05/08:05-3.3 27-13526-01 01/1969- 09/1970 James R. Schuft, M.D.

Reno NV 89503 License Termination/Decommissioning File 05/08:05-3.3 29-00040-07 04/1965- 09/1970 Allied Chemical Corporation Morristown NJ 07960 License Termination/Decommissioning File 05/08:05-3.3 29-00055-07 0611965- 04/1970 Isotopes, Inc.

Westwood NJ 07675 License Termination/Decommissining File Report Services In Research - Undated Report Subsurface Tracing With Radioisotopes - 1/65 05/08:05-3.3 29-00139-02 07/1956 - 07/1969 E.R. Squibb and Sons 4 J NRC FORM 35 (11-93)

Page42 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER * " [ 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION I (Month/Years)

New Brunswick NJ 08816 License Termination/Decommissioning File Report Manual of Radiation Safety - 5/4/61 Manual of Radiation Safety - 10/30/61 Manual of Radiation Safety - 2/1/65 Drawings (1) 1/17/53 (5) 8/30/56 (24)4/5/63 12 05/08:05-3.3 29-01023-01 08/1956 - 0511971 Dr. Robert J. Gross Newark NJ 07102 License Termination/Decommissioning File 12 05/08:05-3.3 29-01207-02 1211958- 03/1971 Vitro Corporation of America West Orange NJ 07052 License Termination/Decommissioning File 12 05/08:05-3.3 29-01256-04 06/1959- 03/1971 Johns-Manville Research and Engineering Center Manville NJ 08835 License Termination/Decommissioning File 13 05/08:05-3.3 29-01699-01 03/1953 - 05/1971 Wagner Electric Corporation Livingston NJ 07039 License Termination/Decommissioning File 13 05/08:05-3.3 29-01699-03 11/1957- 05/1971 Wagner Electric Corporation Bloomfield NJ 07003 License Termination/Decommissioning File 13 05/08:05-3.3 29-02424-01 10/1949- 12/1970 St. John X-Ray Laboratory Califon NJ 07830 License Termination/Decommissioning File 13 05/08:05-3.3 29-02547-01 07/1956 - 03/1971 De Laval Turbine, Inc.

Trenton NJ 08602 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page43 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 24. D
24. DATE PSCRIPTION SPAN NUMBER1 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 29-02830-02 10/1967- 01/1971 Purolator Products, Incorporated Rahway NJ 07065 License Termination/Decommissioning File 05/08:05-3.3 29-03135-01 10/1957- 04/1971 Duro Test Corporation North Berger NJ 07047 License Termination/Decommissioning File 05/08:05-3.3 29-03890-01 07/1958 - 04/1971 Associated Testing Laboratories, Inc.

Wayne NJ 07470 License Termination/Decommissioning File 05/08:05-3.3 29-06790-01 08/1960- 07/1970 The Harshaw Chemical Company Pennington NJ 08534 License Termination/Decommissioning File 05/08:05-3.3 29-06790-02G 05/1967 - 07/1970 Hamner Electronics Company, Incorporated Princeton NJ 08540 License Termination/Decommissioning File 05/08:05-3.3 29-07155-01 02/1961 - 05/1971 Shape-Flex Corporation Clifton NJ 07013 License Termination/Decommissioning File 05/08:05-3.3 29-07305-02 03/1960- 06/1967 Harry B. Lansing Dunellen NJ License Termination/Decommissioning File 05/08:05-3.3 29-07325-03 06/1966- 04/1971 Radio Corporation of America (RCA)

Camden NJ 08101 License Termination/Decommissioning File 05/08:05-3.3 29-07747-01 09/1961 - 05/1971 Champion Packages Company South Hackensack NJ 07606 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page44 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION II11-93*

NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neet ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21 COTIE

21. CONTAINER 23. RECORDS DESCRIPTION 24. (MonthIear)

DATE SPAN NUMBER (Month/Years) 13 05/08:05-3.3 29-08024-02 04/1962 - 05/1970 Thiokol Chemical Corporation Denville NJ 07834 License Termination/Decommissioning File Drawings(5) - 4/4/62 13 05/08:05-3.3 29-08024-04 1211961 - 04/1970 Thiokol Chemical Corporation Denville NJ 07834 License Termination/Decommissioning File 13 05/08:05-3.3 29-09803-01 01/1964 - 04/1971 American Standard, Inc.

New Brunswick NJ 08903 License Termination/Decommissioning File 13 05/08:05-3.3 29-09981-01 03/1964- 04/1971 Apex Chemical Company, Inc.

Elizabethport NJ 07206 License Termination/Decommissioning File 13 05/08:05-3.3 29-10849-01 03/1965- 03/1971 Texas - U.S. Chemical Company Parsippany NJ 07054 License Termination/Decommissioning File 13 05/08:05-3.3 29-10863-01 04/1965 - 03/1971 Pack-Rite Company Cherry Hill NJ 08034 License Termination/Decommissioning File 13 05/08:05-3.3 29-11131-01 10/1964- 06/1967 Newark Civil Defense and Disaster Control Council Newark NJ 07106 License Termination/Decommissioning File 13 05/08:05-3.3 29-11427-01 11/1965- 04/1971 Union Carbide Corporation Fair Lawn NJ 07410 License Termination/Decommissioning File 13 05/08:05-3.3 29-11918-01 09/1966 - 07/1970 Monsanto Company Kearny NJ 07032 NRC FORM 35 (11-93)

Page45 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER . 24. DATE SPAN NUMBER NUMBER_ 23. RECORDS__DESCRIPTION

__ _ __ __ _ __ I _ (Month/Years)

(Month/Years)__

License Termination/Decommissioning File 13 05/08:05-3.3 29-12134-01 02/1967- 04/1971 American Home Products, Inc.

Cranford NJ 07216 License Termination/Decommissioning File 13 05/08:05-3.3 29-12226-01 04/1967- 03/1971 The Dow Chemical Company Carteret NJ 07008 License Termination/Decommissioning File 13 05/08:05-3.3 29-12303-01 06/1967- 10/1969 Ametek, Incorporated Summit NJ 07901 License Termination/Decommissioning File 13 05/08:05-3.3 29-12633-01 12/1967- 04/1971 Chem Systems, Inc.

Hackensack NJ 07601 License Termination/Decommissioning File 13 05/08:05-3.3 29-12696-01 01/1968- 03/1971 Joan R. Flynn, M.D.

New Brunswick NJ 08901 License Termination/Decommissioning File 13 05/08:05-3.3 29-12990-01 09/1968- 02/1970 St. Benedict's Preparatory School Newark NJ 07102 License Termination/Decommissioning File 13 05/08:05-3.3 29-13296-01 05/1969 - 04/1971 Pompton Lakes High School Pompton Lakes NJ 07442 License Termination/Decommissioning File 13 05/08:05-3.3 29-13523-01 11/1969- 03/1971 Metrologic Instruments, Inc.

Bellmawr NJ 08030 License Termination/Decommissioning File 13 05/08:05-3.3 29-13537-03G 02/1960 - 03/1971 United States Radium Corporation Morristown NJ 07960 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page46 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION I11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need ad to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2-O 1CPTION
24. DATE SPAN NUMBER
  • 23. RECORDS DESCRIPTION (Month/Years) 14 06/08:05-3.3 30-00692-05G 08/1964 - 12/1975 Eberline Instrument Corporation Santa Fe NM 87501 License Termination/Decommissioning File 14 05/08:05-3.3 30-05095-01 04/1959 - 06/1971 Daniel B. Hurley Alburquerque NM 87106 License Termination/Decommissioning File 14 05/08:05-3.3 30-07861-01 11/1961 - 03/1971 M. Howard Milligan Albuquerque NM 87106 License Termination/Decommissioning File 14 05/08:05-3.3 30-08034-01 01/1952- 06/1971 Climax Chemical Company Hobbs NM 88240 License Termination/Decommissioning File 14 05/08:05-3.3 30-09549-01 07/1963- 06/1971 Department of the Air Force Holloman Air Force Base NM 88330 License Termination/Decommissioning File 14 05/08:05-3.3 30-09920-01 03/1964- 06/1966 El Paso Natural Gas Company Farmington NM 87401 License Termination/Decommissioning File 14 05/08:05-3.3 30-11050-01 0411965- 05/1969 Charles E. O'Meara Las Cruces NM 88001 License Termination/Decommissioning File 14 05/08:05-3.3 30-12908-01 06/1968 - 03/1971 Honeywell, Incorporated Silver City NM 88061 License Termination/Decommissioning File 14 05/08:05-3.3 30-13003-01 09/1969 - 03/1970 Marcus J. Smith, M. D.

Santa Fe NM 87501 NRC FORM 35 (11-93)

Page47 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER m m 23. RECORDS DESCRIPTION I (Month/Years)

License Termination/Decommissioning File 14 05/08:05-3.3 30-13540-01 10/1969- 03/1970 Elliott I. Wyloge, M. D.

Santa Fe NM 87501 License Termination/Decommissioning File 14 05/08:05-3.3 31-00402-03 04/1965- 04/1967 American Machine and Foundry Company New York NY 10016 License Termination/Decommissioning File 14 05108:05-3.3 31-00826-04 12/1963 - 01/1964 Buffalo General Hospital Buffalo NY License Termination/Decommissioning File 14 05/08:05-3.3 31-06401-01 02/1960- 11/1970 Sylvania Electric Products, Inc.

New York NY 10017 License Termination/Decommissioning File 14 05/08:05-3.3 31-07056-02 03/1965 - 03/1970 Ebasco Services, Incorporated New York NY 10006 License Termination/Decommissioning File Report Specification Ebasco 73-65 Nondestructive Testing Procedures - 12/3/70 14 05/08:05-3.3 31-07289-01 03/1961 - 04/1969 Department of the Army, First U.S. Army Medical La New York NY 10007 License Termination/Decommissioning File 14 05/08:05-3.3 31-08850-02 07/1964- 03/1971 Allen V. Tornek Company, Inc.

New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-08977-02 07/1965- 07/1970 Benrus Watch Company, Inc.

New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-09148-01 01/1963- 04/1965 NRC FORM 35 (11-93)

Page48 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER l 23. RECORDS DESCRIPTION (Month/Years)

Byn Watch Company, Inc.

New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-09259-01 04/1963- 10/1970 Henry Coehler Company, Inc.

New York NY 10011 License Termination/Decommissioning File 14 05/08:05-3.3 31-09345-01 06/1967- 05/1971 The Nestle Company, Incorporated White Plains NY 10605 License Termination/Decommissioning File 14 05/08:05-3.3 31-09672-03 07/1964 - 06/1970 Department of the Navy, U.S. Naval Applied Science Brooklyn NY 11251 License Termination/Decommissioning File 14 05108:05-3.3 31-09672-04 04/1964 - 08/1970 Department of the Navy, Naval Applied Science Labo Brooklyn NM 11251 License Termination/Decommissioning File 14 05/08:05-3.3 31-09672-05 03/1968 - 05/1970 Department of the Navy, U.S. Naval Applied Science Brooklyn NY 11251 License Termination/Decommissioning File 14 05/08:05-3.3 31-11078-01 06/1965- 05/1971 Bernard S. Lippman, Inc.

New York NY 10020 License Termination/Decommissioning File 14 05/08:05-3.3 31-11117-01 06/1965- 04/1971 Aimcee Wholesale Corporation New York NY 10018 License Termination/Decommissioning File 14 05108:05-3.3 31-11212-01 04/1965 - 0311971 Academy Testing Laboratories, Incorporated New York NY 10001 License Termination/Decommissioning File 14 05/08:05-3.3 31-12268-01 05/1967 - 03/1971 Roamer Watch Corporation NRC FORM 35 (11-93)

Page49 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2R D IO24. DATE SPAN NUMBER m m 23. RECORDS DESCRIPTION (Month/Years)

New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-12361-01 07/1967- 03/1971 Metasco Inc.

New York NY 10016 License Termination/Decommissioning File 14 05/08:05-3.3 31-12415-01 08/1967- 03/1971 Vulcan Watch Company of North America New York NY 10010 License Termination/Decommissioning File 14 05/08:05-3.3 31-12427-01 08/1967- 04/1971 Cartier, Incorporated New York NY 10022 License Termination/Decommissioning File 14 05/08:05-3.3 31-12496-01 09/1967- 07/1970 Belforte Watch Company, Inc.

New York NY 10036 License Termination/Decommissioning File 14 05108:05-3.3 31-12497-01 10/1967- 07/1970 Sovereign Watch Company, Incorporated New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-12522-01 10/1967- 03/1971 Marcel Watch Corporation New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-112563-01 11/1967- 03/1971 Belmont Industries Incorporated of Delaware New York NY 10001 License Termination/Decommissioning File 14 05/08:05-3.3 31-12597-01 01/1968- 06/1971 Lowenthal Watch Company, Incorporated New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-12956-01 09/1968 - 03/1971 M. & W. Ullmann & Company, Inc.

New York NY 10036

.1 J NRC FORM 35 (11-93)

Page50 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to thel material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date needed to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23 RECORDS DESCRIPTION 24. DATE SPAN NUMBER R (Month/Years)

License Termination/Decommissioning File 14 05/08:05-3.3 31-12995-01 10/1968- 03/1971 Voltaire Time, Incorporated New York NY 10036 License Termination/Decommissioning File 14 05/08:05-3.3 31-13062-01 12/1967- 03/1971 Mohertus Trading Company New York NY 10018 License Termination/Decommissioning File 14 05/08:05-3.3 31-13420-01G 12/1964- 03/1971 Ralph C. Schwarz & Sons, Inc.

Rochester NY 14607 License Termination/Decommissioning File 15 05/08:05-3.3 32-06938-02 10/1969- 07/1970 Carolina Powr and Light Company Raleigh NC 27602 License Termination/Decommissioning File 15 05/08:05-3.3 32-10591-02 10/1964- 03/1971 Independent Laboratories, Incorporated Winston-Salem NC 27108 License Termination/Decommissioning File 15 05/08:05-3.3 32-12623-01 12/11967- 08/1969 Duke Power Company Charlotte NC 28201 License Termination/Decommissioning File Report Radiography Manual - 6/12/68 15 05/08:05-3.3 32-13191-01 05/1968- 03/1971 MacGuire and Crawford Instruments Company Charlotte NC 28209 License Termination/Decommissioning File 15 05/08:05-3.3 32-13439-01 08/1969- 02/1970 Department of the Army, U.S. Army Engineer Distric Wilmington NC 28401 License Termination/Decommissioning File

______________ L _____________ _____________________________________________________________ U NRC FORM 35 (11-93)

Page5l of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER (Month/Years)

Drawings(10) - 8/28/69 15 05/08:05-3.3 33-06769-06 02/1961 - 04/1970 North Dakota State University Fargo ND 58102 License Termination/Decommissioning File 15 05/08:05-3.3 34-00293-07 10/1960- 06/1970 Ohio State University Columbus OH 43210 License Termination/Decommissioning File 15 05/08:05-3.3 34-00499-05 07/1964- 04/1971 General Electric Company Cincinnati OH 45215 License Termination/Decommissioning File 15 05/08:05-3.3 34-00501-05 08/1957- 01/1970 Bendix Corporation Cincinnati OH 45241 License Termination/Decommissioning File 15 05/08:05-3.3 34-00501-06 10/1956- 01/1970 Bendix Corporation Cincinnati OH 45241 License Termination/Decommissioning File 15 05/08:05-3.3 34-00501-07 07/1958 - 01/1970 Bendix Corporation Cincinnati OH 45241 License Termination/Decommissioning File 15 05/08:05-3.3 34-01026-02 06/1958 - 06/1970 Youngstown Hospital Association Youngstown OH 44501 License Termination/Decommissioning File 15 05/08:05-3.3 34-01108-02 05/1960- 01/1971 Hoechst Pharmaceutical Company Cincinnati OH 45229 License Termination/Decommissioning File 15 05/08:05-3.3 34-01488-01 11/1956- 04/1971 The Hoover Company North Canton OH 44720 License Termination/Decommissioning File

__________ 4. _________ ____________________________________________ J ____________

NRC FORM 35 (11-93)

Page52 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 011-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER 23 (Month/Years) 15 05/08:05-3.3 34-01798-01 11/1956 - 03/1971 The Warner and Swasey Company Cleveland OH 44103 License Termination/Decommissioning File 15 05/08:05-3.3 34-01820-01 09/1953- 05/1971 Saint Mary's Hospital Cincinnati OH 45214 License Termination/Decommissioning File Report Pancreas Scans A Yearly Report - 12/31/69 15 05/08:05-3.3 34-01826-01 01/1957- 01/1969 Department of Health, Education, and Welfare Cincinnati OH 45226 License Termination/Decommissioning File Report Radiation Safety Manual - 1/9/57 Report Radiation Safety Manual for Sanitary Engineering Center Activities - 12/24/64 15 05/08:05-3.3 34-02054-06 01/1970 - 03/1971 B. F. Goodrich Company Brecksville OH 44141 License Termination/Decommissioning File 15 05/08:05-3.3 34-02280-01 12/1959- 12/1966 North American Aviation, Inc.

Columbus OH 43216 License Termination/Decommissioning File 15 05/08:05-3.3 34-02280-02 02/1959 - 03/1971 North American Rockwell Corporation Columbus OH 43216 License Termination/Decommissioning File 16 05108:05-3.3 34-03043-01 12/1956 - 02/1971 The Babcock and Wilcox Company Research Center Alliance OH 44601 License Termination/Decommissioning File 16 05/08:05-3.3 34-03303-02 02/1960 - 01/1970 Thomas Scarlett, M. D.

NRC FORM 35 (11-93)

Page53 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER N (Month/Years)

Akron OH 44307 License Termination/Decommissioning File 05/08:05-3.3 34-03515-02 05/1956- 04/1971 Hughes-Bechtol, Incorporated Dayton OH 45401 License Termination/Decommissioning File 05/08:05-3.3 34-03739-02 02/1966 - 04/1971 Lewis Animan Hospital Cincinnati OH 45215 License Termination/Decommissioning File 05/08:05-3.3 34-04041-01 03/1958- 05/1970 St. John Hospital Steubenville OH 43952 License Termination/Decommissioning File 05/08:05-3.3 34-04994-01 01/1959- 03/1971 Data Corporation Dayton OH 45432 License Termination/Decommissioning File 05/08:05-3.3 34-05015-03 01/1968 - 01/1971 Veterans Administration Hospital Dayton OH 45428 License Termination/Decommissioning File 05/08:05-3.3 34-06386-02 05/1959- 04/1971 Reactive Metals, Incorporated Ashtabula OH 44004 License Termination/Decommissioning File 05/08:05-3.3 34-05757-02 02/1965 - 04/1971 Edward C. Pandorf Cincinnati OH 45202 License Termination/Decommissioning File 05108:05-3.3 34-06188-05 04/1966- 03/1971 Mead Corporation Chillicothe OH 45601 License Termination/Decommissioning File 05/08:05-3.3 34-06188-06 07/1966- 03/1971 The Mead Corporation Chillicothe OH 45601 NRC FORM 35 (11-93)

Page54 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER 23. (Month/Years)

License Termination/Decommissioning File 16 05/08:05-3.3 34-06328-01 04/1960 - 09/1970 Columbus State Hospital Columbus OH 43223 License Termination/Decommissioning File 16 05/08:05-3.3 34-06771-01 06/1960- 06/1969 Robert R. Renner, M. D.

Cleveland OH 44106 License Termination/Decommissioning File 16 05/08:05-3.3 34-06789-01 08/1960 - 12/1970 Mallinckrodt Chemical Works Brookpark OH 44135 License Termination/Decommissioning File Report Health Physics Procedures Manual - 5/15/67 16 05/08:05-3.3 34-06838-07 08/1969- 04/1971 Armco Steel Corporation Middletown OH 45042 License Termination/Decommissioning File 16 05/08:05-3.3 34-07251-02 02/1963 - 04/1971 The Cincinnati Gas and Electric Company Cincinnati OH 45202 License Termination/Decommissioning File 16 05/08:05-3.3 34-08520-01 04/1962 - 03/1971 Marathon Pipe Line Company Findlay OH 45840 License Termination/Decommissioning File 16 05/08:05-3.3 34-08558-02 02/1964- 05/1971 B. F. Goodrich Chemical Company Avon Lake OH 44012 License Termination/Decommissioning File 16 05/08:05-3.3 34-08796-01 08/1962- 03/1971 Nondestructive Testing, Inc.

Massillon OH 44646 License Termination/Decommissioning File 16 05/08:05-3.3 34-09492-01 07/1963- 04/1971 Fountainhead Industries NRC FORM 35 (11-93)

Page55 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01131190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2E 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Maple Heights OH 44137 License Termination/Decommissioning File 16 05108:05-3.3 34-09947-01 02/1964 - 06/1971 R. L. McCartney, M.D.

Kettering OH 45429 License Termination/Decommissioning File 16 05/08:05-3.3 34-10693-01 01/1965- 01/1970 Oglebay Norton Company Cleveland OH 44115 License Termination/Decommissioning File 16 05/08:05-3.3 34-11105-01 05/1965 - 06/1993 General Nuclear, Incorporated Croton OH 43013 License Termination/Decommissioning File 16 05/08:05-3.3 34-11125-01 06/1965 - 05/1969 Chromatographic Analyses, Incorporated Cincinnati OH 45215 License Termination/Decommissioning File 16 05/08:05-3.3 34-11952-01 04/1966- 08/1970 Department of the Air Force, 6570th Aerospace Medi Wright-Patterson Air Force Bas OH 45433 License Termination/Decommissioning File Report Application for Renewal of AEC Byproduct Material License - 2/17/69 16 05108:05-3.3 34-12443-01 07/1967- 04/11971 API Instruments Company Chesterland OH 44026 License Termination/Decommissioning File 16 05/08:05-3.3 34-12670-01 01/1968- 09/1971 Timken Roller Bearing Company Canton OH 44706 License Termination/Decommissioning File 17 05/08:05-3.3 34-12681-01 02/1968- 04/1971 Bio/Toxicological Research Associates Spencerville OH 45887 NRC FORM 35 (11-93)

Page56 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION i11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. NUMBER CONTAINER *
21. ONTINE 23. RECORDS DESCRIPTION 4 24. DATE SPAN (Month/Years)

Mnt/eas License Termination/Decommissioning File 17 05/08:05-3.3 34-12777-01 04/1968 - 04/1971 Automatic Sprinkler Corporation of America Broadview Heights OH 44141 License Termination/Decommissioning File 17 05/08:05-3.3 34-13418-01G 03/1964 - 0511971 Process Valve and Equipment Company Chagrin Falls OH 44022 License Termination/Decommissioning File 17 05/08:05-3.3 34-13721-01 03/1970- 11/1970 The Dow Chemical Company Heath OH 43025 License Termination/Decommissioning File 17 05/08:05-3.3 35-00141-02 03/1956 - 04/1971 The Samuel Roberts Noble Foundation, Inc.

Ardmore OK 73401 License Termination/Decommissioning File 17 05/08:05-3.3 35-00478-03 02/1958 - 01/1971 D. Nello Brown, M. D.

Oklahoma City OK 73103 License Termination/Decommissioning File 17 05/08:05-3.3 35-00880-01 05/1953 - 09/1970 Dr. Henry E. Turner Oklahoma City OK 73103 License Termination/Decommissioning File 17 05/08:05-3.3 35-01088-01 09/1956- 03/1971 Okan Pipeline Company Tulsa OK 74102 License Termination/Decommissioning File 17 05/08:05-3.3 35-01456-01 1011956- 03/1971 Sunray DX Oil Company Duncan OK 73533 License Termination/Decommissioning File 17 05/08:05-3.3 35-02154-01 01/1957- 01/1971 Oklahoma Natural Gas Company Oklahoma City OK 73101 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page57 of.

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01131190, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 1 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER (Month/Years) 17 05/08:05-3.3 35-02685-03 11/1969- 04/1971 Eagle Picher Industries, Inc.

Miami OK 74354 License Termination/Decommissioning File 17 05/08:05-3.3 35-06745-02 06/1961 - 03/1971 Dewey Portland Cement Company Tulsa OK 74116 License Termination/Decommissioning File 17 05/08:05-3.3 35-09609-01 09/1963- 11/1970 Goes Perforating & Logging Ardmore OK 73401 License Termination/Decommissioning File 17 05/08:05-3.3 35-10579-01 1211964- 01/1970 Newman Memorial Hospital Shattuck OK 73858 License Termination/Decommissioning File 17 05/08:05-3.3 35-11598-01 02/1966- 03/1968 Petroleum Research Corporation Tulsa OK 74103 License Termination/Decommissioning File 17 05/08:05-3.3 35-12521-01 10/1967- 04/1971 Jones and Laughlin Steel Corporation Tulsa OK 74102 License Termination/Decommissioning File 17 05108:05-3.3 35-12636-01 11/1967- 05/1971 Kerr-McGee Corporation Oklahoma City OK 73102 License Termination/Decommissioning File 17 05108:05-3.3 35-12702-01 01/1968- 04/1971 American Torpedo Company of Oklahoma, Incorporated Bartlesville OK 74003 License Termination/Decommissioning File 17 05/08:05-3.3 35-13060-01 11/1968- 04/1971 Reynolds Wireline, Inc Oklahoma City OK 73112 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page58 of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (l 1-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER
  • 2RO DSPN24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 35-13211-01 02/1969- 03/1971 National Testing of Oklahoma, Incorporated Cleveland OK 74020 License Termination/Decommissioning File 05/08:05-3.3 36-10233-01 07/1964- 03/1968 U. S. Department of the Interior Klamath Falls OR 97601 License Termination/Decommissioning File 05/08:05-3.3 36-10223-02 05/1967- 05/1969 U. S. Department of the Interior Klamath Falls OR 97601 License Termination/Decommissioning File 05/08:05-3.3 37-00030-02 09/1958 - 10/1966 United States Radium Corporation Bloomsburg PA 17815 License Termination/Decommissioning File 05/08:05-3.3 37-00030-02 01/1967- 10/1967 U. S. Radium Corporation Bloomsburg PA 17815 License Termination/Decommissioning File 05/08:05-3.3 37-00030-02 11/1967- 12/1969 U. S. Radium Corporation Bloomsburg PA 17815 License Termination/Decommissioning File Report Third Course In Radioisotope Techniques - 12/30/65 Drawings(5)- 8/23/57 Drawings(6)- 6/13/60 Drawings(3)- 5/9/68 05/08:05-3.3 37-00168-12 11/1966- 04/1969 Presbyterian University of Pennsylvania Philadelphia PA 19104 License Termination/Decommissioning File 37-00408-08 07/1969- 01/1995 Philco Corporation NRC FORM 35 (11-93)

Page59 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

N ER AUM

21. CONTAINER k ".,:.* . u ,YI& -'... 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER_ ~~._______________________________ (Month[Years)

Blue Bell PA 19422 License Termination/Decommissioning File 18 05/08:05-3.3 37-00497-17 08/1968 - 10/1969 Westinghouse Electric Corporation Pittsburgh PA 15230 License Termination/Decommissioning File 18 05/08:05-3.3 37-00497-18 04/1970- 04/1971 Westinghouse Electric Corporation Pittsburgh PA 15230 License Termination/Decommissioning File 18 05/08:05-3.3 37-00611-03 04/1956 - 04/1967 The Budd Company Philadelphia PA 19129 License Termination/Decommissioning File 18 05/08:05-3.3 37-00611-04 04/1957- 10/1969 The Budd Company Phoenixville PA 19460 License Termination/Decommissioning File 18 05/08:05-3.3 37-00862-03 12/1958- 09/1970 PPG Industries, Incorporated Pittsburgh PA 15238 License Termination/Decommissioning File 18 05/08:05-3.3 37-00862-04 01/1959- 07/1996 PPG Industries, Incorporated Pittsburgh PA 15238 License Termination/Decommissioning File 18 05/08:05-3.3 37-01712-04 08/1963- 08/1973 U.S. Department of the Interior, Bureau of Mines Pittsburgh PA 15213 License Termination/Decommissioning File 18 05/08:05-3.3 37-01712-07 04/1973 - 04/1996 U.S. Department of the Interior, Bureau of Mines Pittsburgh PA 15213 License Termination/Decommissioning File 18 05/08:05-3.3 37-01861-09 04/1966- 05/1971 Bethlehem Steel Corporation Bethelhem PA 18016

________________________________________________________________ I.

NRC FORM 35 (11-93)

Page60 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER  :. 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 18 05/08:05-3.3 37-01861-14 10/1968- 05/1971 Bethlehem Steel Corporation Bethlehem PA 18016 License Termination/Decommissioning File 18 05/08:05-3.3 37-01861-15 06/1969- 05/1971 Bethlehem Steel Corporation Bethlehem PA 18016 License Termination/Decommissioning File 18 05/08:05-3.3 37-02006-08 06/1970- 04/1971 General Electric Company Philadelphia PA 19101 License Termination/Decommissioning File 18 05/08:05-3.3 37-02076-03 05/1958- 10/1970 Department of the Navy, Naval Air Development Cent Johnsville, Warminster PA 18974 License Termination/Decommissioning File 18 05/08:05-3.3 37-02262-11 03/1969- 03/1969 Armstrong Cork Company Lancaster PA 17604 License Termination/Decommissioning File 18 05/08:05-3.3 37-03202-01 11/1954- 11/1969 Penn Steel Casting Company Chester PA 19016 License Termination/Decommissioning File 18 05/08:05-3.3 37-03420-02 10/1966- 02/1970 Episcopal Hospital Philadelphia PA 19125 License Termination/Decommissioning File 18 05/08:05-3.3 37-03528-01 03/1957- 12/1969 Buckeye Pipe Line Company Elverson PA 19520 License Termination/Decommissioning File 18 05/08:05-3.3 37-03528-01 01/1970- 03/1971 Buckeye Pipeline Company Allentown PA 18103 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page6l of _

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31190, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

Report Radiographers Qualification Test and Answers - 8/4/61 Report Revised Outline and Summary of Radiographic Course - 8/4/61 Report Administrative, Operating and Emergency Procedures - 12/26/62 05/08:05-3.3 37-03572-04 02/1969- 06/1971 Hamilton Watch Company Lancaster PA 17604 License Termination/Decommissioning File 05/08:05-3.3 37-03632-03 08/1967- 04/1971 Westinghouse Electric Corporation Lester PA 19113 License Termination/Decommissioning File 05/08:05-3.3 37-03698-02 06/1963- 03/1971 Commonwealth of Pennsylvania Harrisburg PA 17120 License Termination/Decommissioning File 05/08:05-3.3 37-04400-02E 04/1969- 03/1971 Sylvania Electric Products, Incorporated Emporium PA 15834 License Termination/Decommissioning File 05/08:05-3.3 37-04746-01 02/1959- 06/1970 National Drug Company Philadelphia PA 19144 License Termination/Decommissioning File 05/08:05-3.3 37-05278-02 07/1967- 03/1971 H'RB-Singer, Incorporated State College PA 16801 License Termination/Decommissioning File 05/08:05-3.3 37-06575-02 03/1969- 09/1970 Charlergoi-Monessen Hospital North Charleroi PA 15022 License Termination/Decommissioning File 05/08:05-3.3 37-06587-01 06/1960- 05/1971 City of Harrisburg Civil Defense Harrisburg PA 17101 License Termination/Decommissioning File NRC FORM 35 (11-93)

Paae62 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION 111-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) i 18 37-06791-01 09/1960 - 06/1971 Bernard Sigel, M. D.

Philadelphia PA 19129 License Termination/Decommissioning File 18 37-07543-01 06/1961 - 05/1971 City of Lebanon Lebanon PA 17042 License Termination/Decommissioning File 18 37-07690-07 11/1957- 01/1995 Bartol Research Foundation Swarthmore PA 19081 License Termination/Decommissioning File 18 05/08:05-3.3 37-07912-04 0811967- 04/1971 Lehigh University Bethlehem PA 18015 License Termination/Decommissioning File 18 05/08:05-3.3 37-07951-02 12/1961 - 03/1971 Picker Nuclear Pittsburgh PA 15235 License Termination/Decommissioning File 19 05/08:05-3.3 37-08663-01 07/1962- 03/1971 Rosoff Laboratories Philadelphia PA 19143 License Termination/Decommissioning File 19 05/08:05-3.3 37-09467-01 07/1963- 03/1971 Prismo Safety Corporation Huntingdon PA 16652 License Termination/Decommissioning File 19 05/08:05-3.3 37-09532-01 0511963- 01/1971 Perk Lee Davis, M. D.

Waynesburg PA 15370 License Termination/Decommissioning File 19 05/08:05-3.3 37-10164-01 04/1964- 04/1971 United Refining Company Warren PA 16365 L ________________

NRC FORM 35 (11-93)

Page63 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 124. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 19 05/08:05-3.3 37-10522-01 11/1964- 01/1970 Glow-Lite Corporation Warren PA 16365 License Termination/Decommissioning File 19 05/08:05-3.3 37-11207-01 06/1965- 05/1971 Mary B. Dratman, M. D.

Philadelphia PA 19129 License Termination/Decommissioning File 19 05/08:05-3.3 37-11233-01 07/1965- 06/1971 Crucible Steel Company Pittsburgh PA 15230 License Termination/Decommissioning File 19 05/08:05-3.3 37-11303-02 10/1967- 01/1971 Continental Can Company, Incorporated Homestead PA 15120 License Termination/Decommissioning File 19 05/08:05-3.3 37-12088-01 01/1967- 01/1971 City Iron Works, Incorporated Dunmore PA 18512 License Termination/Decommissioning File 19 05/08:05-3.3 37-12107-01 02/1967- 08/1968 U.S. Department of the Navy Philadelphia PA 19112 License Termination/Decommissioning File 19 05/08:05-3.3 37-12259-01 04/1967 - 04/1971 General Testing Laboratories, Inc.

Allentown PA 18102 License Termination/Decommissioning File 19 05/08:05-3.3 37-12278-01 05/1967 - 04/1971 Lehigh Valley Anthracite, Incorporated West Pittston PA 18643 License Termination/Decommissioning File 19 05/08:05-3.3 37-12281-01 04/1967- 04/1971 Weston Instruments, Inc.

Hatboro PA 19040 License Termination/Decommissioning File NRC FORM 35 (11-93)

Page64 of__

NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 19 37-12286-01 03/1967 - 03/1971 Rice-Pittsburgh Company, Incorporated Pittsburgh PA 15241 License Termination/Decommissioning File 19 37-12607-01 11/1967 - 04/1971 Supelco, Incorporated Bellefonte PA 16823 License Termination/Decommissioning File 05/08:05-3.3 37-12895-01 10/1963- 10/1970 Penn Central Company Phildelphia PA 19104 License Termination/Decommissioning File 05/08:05-3.3 37-12936-01 08/1968- 04/1971 Leone Engineering Company West Newton PA 15089 License Termination/Decommissioning File 05/08:05-3.3 37-13190-01 03/1969 - 09/1970 Marie H. Manno, M. D.

Charleroi PA 15023 License Termination/Decommissioning File 05/08:05-3.3 37-13221-01 03/1969- 06/1970 American Telephone and Telegraph Company Malvern PA 01002 License Termination/Decommissioning File 05/08:05-3.3 37-13258-01 04/1969- 04/1971 American Electronic Laboratory, Incorporated Lansdale PA 19446 License Termination/Decommissioning File 05/08:05-3.3 37-13321-01 10/1968- 03/1971 St. Vincent College Latrobe PA 15650 License Termination/Decommissioning File 05/08:05-3.3 37-13414-01G 03/1964 - 04/1971 Biltmore Products Company, Incorporated Pittsburgh PA 15234 License Termination/Decommissioning File L __________________

NRC FORM 35 (11-93)

Page65 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION i11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION I (Month/Years) 19 37-13538-01 12/1969 - 12/1969 Alfredo R. Candal, M.D.

Honesdale PA 18431 License Termination/Decommissioning File 19 38-09860-01 02/1964- 05/1971 Frederick W. Barnes, Jr., M. D.

Providence RI 02912 License Termination/Decommissioning File 19 05/08:05-3.3 39-11859-01 06/1966- 10/1968 Southern Machinery Company Greer SC 29651 License Termination/Decommissioning File 19 05/08:05-3.3 39-12462-01 04/1967- 07/1969 Maurice B. Tanner, M. D.

Columbia SC 29202 License Termination/Decommissioning File 19 05/08:05-3.3 39-12469-01 10/1965- 03/1971 John W. Walker Columbia SC 29204 License Termination/Decommissioning File 19 05/08:05-3.3 41-12407-01 07/1967 - 03/1971 Perel & Lowenstein Jewelers Memphis TN 38103 License Termination/Decommissioning File 19 05/08:05-3.3 42-00145-07 03/1968 - 06/1971 The Humble Oil and Refinging Company Houston TX 77001 License Termination/Decommissioning File Reports Cameron Marine Systems - 9/4/69 Reports Application for Source Material License - 4/16/71 Reports Applicants Environmental Report - 4/16/71 Drawings(2)- 7/20/67 Drawings(I)- 4/17/68 19 05/08:05-3.3 42-00145-08 08/1969- 02/1972 Humble Oil and Refining Company Houston TX 77001 NRC FORM 35 (11-93)

Page66 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (l 1-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER .1 24.ATESPAN NUMBER 23. RECORDS DESCRIPTION I (MonthlYears)

License Termination/Decommissioning File 05/08:05-3.3 42-00220-04 11/1956- 04/1971 Veterans Administration Hospital Dallas TX 75216 License Termination/Decommissioning File 05/08:05-3.3 42-00541-02 06/1957 - 10/1970 Gulf Logging and Perforating Services Houston TX 77045 License Termination/Decommissioning File 05/08:05-3.3 42-00787-04 02/1962 - 10/1969 General Dynamics Corporation Fort Worth TX 76101 License Termination/Decommissioning File Report Radiological Decontamination of Artificial Simulant Fallout - 9/22/71 05/08:05-3.3 42-00787-05 11/1963 - 04/1971 General Dynamics Corporation Fort Worth TX 76101 License Termination/Decommissioning File Report Military Significance of Radioactive Contamination of Field Clothing - 6/28/63 05/08:05-3.3 42-02976-02 05/1953- 03/1971 Precision Inspection Limited Houston TX 77017 License Termination/Decommissioning File 05/08:05-3.3 42-05191-01 12/1958- 02/1969 Tracerlog Company, Inc.

Monahans TX 79756 License Termination/Decommissioning File 05/08:05-3.3 42-11942-01 09/1966 - 12/1970 Department of the Air Force (Disaster Medicine Tra Sheppard Air Force Base TX 76311 License Termination/Decommissioning File 05/08:05-3.3 42-12231-02 02/1965- 03/1970 Automation Industries, Incorporated NRC FORM 35 (11-93)

Page67 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. N21L CONTAINER . 23. RECORDS DESCRIPTION 24. (MonthlYears)

DATE SPAN Houston TX 77036 License Termination/Decommissioning File Report Isotope Manual - 2/15/65 05/08:05-3.3 42-13110-01 1211968- 03/1971 Geotech, A Teledyne Company Garland TX 75040 License Termination/Decommissioning File 05/08:05-3.3 42-13744-01 07/1970- 04/1971 General Services Administration (GSA)

Fort Worth TX 76102 License Termination/Decommissioning File 05/08:05-3.3 43-01966-02 03/1959- 03/1971 William H. Clark Salt Lake City UT 84119 License Termination/Decommissioning File 05/08:05-3.3 43-02333-01 0211957- 12/1970 Chevron Pipe Line Company Salt Lake City UT 84110 License Termination/Decommissioning File 05/08:05-3.3 43-06732-01 07/1960- 04/1971 Beryllium Associates Salt Lake City UT 84103 License Termination/Decommissioning File 05/08:05-3.3 43-06846-02 08/1961 - 04/1971 Kennecott Copper Corporation Magna UT 84044 License Termination/Decommissioning File 05/08:05-3.3 43-12087-02 03/1968- 0811970 Utah State University Logan UT 84321 License Termination/Decommissioning File 05/08:05-3.3 44-11731-01 0511966- 03/1971 Ben-Mont Bennington VT 05201 License Termination/Decommissioning File 05108:05-3.3 44-13701-01 05/1970- 04/1971 NRC FORM 36 (11-93)

Page68 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (l 1-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER2 (Month/Years)

Simmonds Precision Products, Incorporated Vergennes VT 05491 License Termination/Decommissioning File 05108:05-3.3 45-00034-27 03/1965- 03/1971 University of Virginia Charlottesville VA 22903 License Termination/Decommissioning File 05108:05-3.3 45-01779-01 11/1954- 03/1971 Liggett and Myers Tobacco Company Richmond VA 23210 License Termination/Decommissioning File 05/08:05-3.3 45-02208-03 1011960- 05/1970 Arlington County Health and Special Weapons Sectio Arlington VA 22207 License Termination/Decommissioning File 05/08:05-3.3 45-03499-03 05/1965 - 09/1965 College of William and Mary Williamsburg VA License Termination/Decommissioning File 05/08:05-3.3 45-06582-02 06/1960 - 03/1971 Olin Mathieson Chemical Corporation Saltville VA 24370 License Termination/Decommissioning File 05/08:05-3.3 45-06582-03 06/1968- 03/1971 Olin Mathieson Chemical Corporation Saltville VA 24370 License Termination/Decommissioning File 05108:05-3.3 45-06972-01 11/1960- 05/1970 Hampton Roads Sanitation District Commission Norfolk VA 23501 License Termination/Decommissioning File 05/08:05-3.3 45-07548-01 05/1959- 07/1970 Melpar, Incorporated Falls Church VA 22046 License Termination/Decommissioning File

.1 U ________________________________________________________________ U NRC FORM 35 (11-93)

Page69 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date need to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBeR-, 1 (Month/Years) 21 05108:05-3.3 45-07823-03 0111965- 02/1969 Department of the Navy (US Naval Weapons Laborator Dahlgren VA 22448 License Termination/Decommissioning File 05/08:05-3.3 45-07823-04 07/1965- 02/1969 Department of the Navy (Naval Weapons Laboratory)

Dahlgren VA 22448 License Termination/Decommissioning File 05/08:05-3.3 45-08227-01 08/1961 - 06/1970 Prince William County Office of Civil Defense Manassas VA 22110 License Termination/Decommissioning File 05/08:05-3.3 45-08245-01 01/1962 - 06/1970 City of Danville, Virginia, Office of Civil Defens Danville VA 24541 License Termination/Decommissioning File 05/08:05-3.3 45-08307-01 01/1962- 07/1970 Department of Public Safety, City of Richmond Richmond VA 23219 License Termination/Decommissioning File 05/08:05-3.3 45-09451-01 04/1963 - 05/1970 Department of the Army, U.S. Continental Army Comm Fort Monroe VA 23351 License Termination/Decommissioning File 05/08:05-3.3 45-09669-01 11/1963- 06/1970 Veterans Administration Hospital Salem VA 24153 License Termination/Decommissioning File 05/08:05-3.3 45-09773-01 11/1963- 07/1970 County of Culpeper Courthouse Culpeper VA 22701 License Termination/Decommissioning File 05/08:05-3.3 45-09778-01 11/1963- 06/1970 City of Charlottesville Civil Defense Office Charlottesville VA 29901 License Termination/Decommissioning File 05/08:05-3.3 45-09864-01 02/1964 - 07/1970 J U U NRC FORM 35 (11-93)

Page70 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when-beginning a new container.

21. CONTAINER D 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (MonthlYears)

County of Amherst, County Court House Amherst VA 24521 License Termination/Decommissioning File 05/08:05-3.3 45-09989-01 12/1963- 06/1970 Washington County Office of Civil Defense Abingdon VA 24210 License Termination/Decommissioning File 05/08:05-3.3 45-10085-02 03/1964 - 06/1970 Roanoke College Salem VA 24153 License Termination/Decommissioning File 05/08:05-3.3 45-10368-01 03/1964 - 07i1970 Clarke County, Virginia Berryville VA 22611 License Termination/Decommissioning File 05/08:05-3.3 45-10403-01 08/1964- 07/1970 City of Portsmouth, Virginia Portsmouth VA 23705 License Termination/Decommissioning File 05/08:05-3.3 45-10541-01 11/1964- 07/1970 Nansemond County Board of Supervisors Suffolk VA 23434 License Termination/Decommissioning File 05/08:05-3.3 45-10688-01 01/1965- 09/1970 Fairfax County Police Department Fairfax VA 22030 License Termination/Decommissioning File 05/08:05-3.3 45-10916-01 04/1965- 03t1971 Sharpley Laboratories, Incorporated Fredericksburg VA 22401 License Termination/Decommissioning File 05/08:05-3.3 45-11442-01 11/1965- 01/1971 City of Newport News, Office of Civil Defense Newport News VA 23607 License Termination/Decommissioning File 05/08:05-3.3 45-11572-01 02/1966- 06/1970 City of Franklin Civil Defense NRC FORM 35 (11-93)

Page7l of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 9 2RE DES 24. DATE SPAN NUMBER,' 23. RECORDS DESCRIPTION (Month/Years)

Franklin VA 23851 License Termination/Decommissioning File 05/08:05-3.3 45-11849-01 08/1966 - 08/1966 Joseph H. Mattare Alexandria VA 22304 License Termination/Decommissioning File 05/08:05-3.3 45-11941-01 10/1966- 05/1970 World Atomics, LTD.

Arlington VA 22201 License Termination/Decommissioning File 05/08:05-3.3 45-12066-01 11/1966- 03/1971 Control Science Corporation Alexandria VA 22312 License Termination/Decommissioning File 05/08:05-3.3 45-12492-01 08/1967- 05/1970 City of Norfolk Norfolk VA 23501 License Termination/Decommissioning File 05/08:05-3.3 45-12672-01 01/1968 - 06/1970 City of Hampton Hampton VA 23369 License Termination/Decommissioning File 05/08:05-3.3 45-12874-01 06/1968- 04/1971 Virginia Associated Research Center Newport News VA 23606 License Termination/Decommissioning File 05/08:05-3.3 45-12884-01 07/1968- 04/1971 Hanes Corporation Galax VA 24333 License Termination/Decommissioning File 05/08:05-3.3 45-13168-01 01/1969- 09/1970 Jack D. Mahan, M.D.

Suffolk VA 23434 License Termination/Decommissioning File 05/08:05-3.3 45-13176-01 02/1969 - 03/1971 Virginia Institute for Scientific Research Richmond VA 23226 NRC FORM 35 (11-93)

Page72 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 23. RECORDS DESCRIPTION 24. DATE SPAN NUMBER_ 23__RECORDSDESCRIPTION_ (Month/Years)

License Termination/Decommissioning File 05/08:05-3.3 45-13347-01 06/1969 - 03/1971 Continental Can Company, Incorporated Hopewell VA 23860 License Termination/Decommissioning File 05/08:05-3.3 46-00091-11 04/1963- 06/1965 The Boeing Company Seattle WA 98124 License Termination/Decommissioning File Report Handbook for Industrial Hygiene Monitoring with attached drawings - 4/11/63 05/08:05-3.3 46-00091-12 01/1964- 08/1966 The Boeing Company Seattle WA 98142 License Termination/Decommissioning File 05/08:05-3.3 46-06377-03 07/1967 - 08/1969 U.S. Department of Interior, Fish and Wildlife Ser Seattle WA 98102 License Termination/Decommissioning File 05/08:05-3.3 46-07811-01 08/1961 - 09/1969 Skagit Corporation Sedro-Wolley WA 98284 License Termination/Decommissioning File Drawings(2)- 8/7/72 05/08:05-3.3 47-05340-02 03/1959- 06/1970 Oliver Matthews Kingwood WV 26537 License Termination/Decommissioning File 05/08:05-3.3 47-07631-01 07/1961 - 03/1971 Consolidation Coal Company, Incorporated Osage WV 26543 License Termination/Decommissioning File 05/08:05-3.3 47-10778-01 02/1965- 02/1967 Richard Douglas Blevins A, ___________________________________________________________________________________________________

NRC FORM 35 (11-93)

Page73 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date nee(

to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 1 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/ears)

West Logan WV 25601 License Termination/Decommissioning File 05/08:05-3.3 48-10168-01 06/1964- 07/1968 E. S. Olson, M. D.

Racine WI 53403 License Termination/Decommissioning File 05/08:05-3.3 48-01265-01 10/1956 - 08/1966 Ampco Metal Incorporated Milwaukee WI 53201 License Termination/Decommissioning File 05/08:05-3.3 48-01927-01 01/1957 - 05/1971 C. Darwin Jurss, M. D.

Milwaukee WI 52306 License Termination/Decommissioning File 05/08:05-3.3 48-03165-01 11/1955- 03/1971 Milwaukee Water Works Milwaukee WI 53211 License Termination/Decommissioning File 05/08:05-3.3 48-05539-01 07/1959 - 03/1971 State Highway Commission of Wisconsin Madison WI 53702 License Termination/Decommissioning File 05/08:05-3.3 48-05780-01 08/1959 - 03/1971 Gateway Products Company La Crosse WI 54601 License Termination/Decommissioning File 05/08:05-3.3 48-08623-04 11/1968- 03/1971 General Motors Corporation Milwaukee WI 53201 License Termination/Decommissioning File 05/08:05-3.3 48-11043-01 05/1965 - 03/1971 Robert R. Radtke Stoughton WI 53589 License Termination/Decommissioning File 05/08:05-3.3 48-11611-01 03/1966 - 04/1971 1 John R. Cameron Middleton WI 53562 NRC FORM 35 (11-93)

Page74 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01131/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2 ON24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years)

License Termination/Decommissioning File 05/08:05-3.3 48-12284-01 04/1967- 03/1971 Kiekhaefer Corporation Oshkosh WI 54901 License Termination/Decommissioning File 05/08:05-3.3 48-12557-01 11/1967- 03/1971 Globe-Union, Incorporation Milwaukee WI 53201 License Termination/Decommissioning File 05/08:05-3.3 48-13005-01 10/1968- 03/1971 Filmite Oil Corporation Butler WI 53007 License Termination/Decommissioning File 05/08:05-3.3 48-13237-02 07/1969 - 08/1970 Howard A. Mueller, M. D.

Sheboygan WI 53081 License Termination/Decommissioning File 05/08:05-3.3 48-13436-01 09/1969 - 05/1971 Display Corporation - International Milwaukee WI 53202 License Termination/Decommissioning File 05/08:05-3.3 49-9301-01 05/1963 - 07/1970 J. V. Ledden, M.D.

Lander WY 82520 License Termination/Decommissioning File 05/08:05-3.3 50-09300-01 12/1962- 11/11968 Department of the Air Force, Deputy Commander for Eielson Air Force Base AS 99702 License Termination/Decommissioning File 05/08:05-3.3 51-08059-02 03/1964- 04/1970 Department of the Navy, Naval Shore Electronics En Fort Amador CZ 09580 License Termination/Decommissioning File 05/08:05-3.3 52-06121-03 11/1959- 10/1970 San Juan City Hospital Santurce PR License Termination/Decommissioning File NRC FORM 35 (11-93)

Page75 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31190, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 05/08:05-3.3 53-00017-03 09/1957 - 08/1971 University of Hawaii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-05 07/1956- 08/1971 University of Hawaii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-06 08/1962- 08/1971 University of Hawaii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-07 06/1963 - 08/1971 University of Hawaii Honolulu HI 96822 License Termination/Decommissioning File 05108:05-3.3 53-00017-11 04/1964 - 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-13 11/1964- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-14 09/1966- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-15 06/1967 - 03/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-16 10/1967- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File L .1.

NRC FORM 35 (11-93)

Page76 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec ed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 2D24. DATE SPAN NUMBER W 23. RECORDS DESCRIPTION I (Month/Years) 05/08:05-3.3 53-00017-17 12/1967- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-18 02/1968- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-19 09/1968- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-20 04/1969- 08/1971 University of Hawii Honolulu HI 96816 License Termination/Decommissioning File 05/08:05-3.3 53-00017-21 06/1969 - 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-00017-22 12/1969- 08/1971 University of Hawii Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-08011-01 11/1961 - 02/1969 Theodore Winnick, Ph.D.

Honolulu HI 96822 License Termination/Decommissioning File 05/08:05-3.3 53-13410-OIG 02/1969- 04/1972 Ward Foods, Incorporated Honolulu HI 96802 License Termination/Decommissioning File 05/08:05-3.3 53-13810-01 03/1970 - 03/1971 Hawaiian Airlines, Inc.

Honolulu HI 96820 License Termination/Decommissioning File J L NRC FORM 35 (11-93)

Page77 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date neec to apply the disposition instructions (e.g. license terminated 01131190, case closed 01131/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CONTAINER 24. DATE SPAN NUMBER 23. RECORDS DESCRIPTION (Month/Years) 22 55-13554-01 01/1970 - 03/1971 TMX Ltd.

St. Croix VI 00840 License Termination/Decommissioning File 23 05/08:05-3.3 GL-133 04/1961 - 06/1969 Pyrotronics, Incorporated Union NJ 07083 License Termination/Decommissioning File Reports #1 Atomic Energy and Radioactive Substances - 4/25/61 Price List, Medotopes (Radioactive Pharmaceuticals - 10/64 Pyr-A-Larm Fire Detection System - 6/23/65 Fire Detection and Alarm Systems - 6/23/65 Quarterly Report to AEC July-September 1965 - 10/15/65 Quarterly Report to AEC Oct-December 1965 - 1/28/66 Quarterly Report to AEC April-June 1966 - 7/8/66 Quarterly Report to AEC July-Sept. 1966 - 10/14/66 Leak Test Report July-December 1966 - 12/14/66 Quarterly Report to AEC Oct-Dec 1966 - 1/30/67 Quarterly Report to AEC Jan-March 1967 - 4/18/67 Reports #2 Quarterly Report to AEC April-June 1967 - 7/24/67 Quarterly Report to AEC July-September 1967 - 10/25/67 Quarterly Report to AEC October-December 1967 - 1/10/68 Reports #3 Quarterly Report to AEC January-March 1968 - 4/15/68 NRC FORM 35 (11-93)

Page78 of NRC FORM 35 U.S. NUCLEAR REGULATORY COMMISSION (11-931 NRCMD 3.53 RECORDS TRANSFER Continuation DETAILED INVENTORY OF RECORDS BEING TRANSFERRED For each individual folder, binder, report, tape, etc., sufficient description to permit retrieval. Provide all identifying numbers that apply to the material (e.g. docket number, case number, contract number, form number, etc.). Provide the date span of each item as well as any date needed to apply the disposition instructions (e.g. license terminated 01/31/90, case closed 01/31/90, etc.). Double space between items in the same container. Triple space when beginning a new container.

21. CON . .24. DATE SPAN NUMBER , '
  • 23. RECORDS DESCRIPTIONs)

Leak Test Reports January-June 1968 - 5/7/68 Leak Test Reports July-December 1968 - 12/4/68 Leak Test Reports January-June 1969 - 5/15/69 Application to United State Atomic Energy Commission for Specific License Under Paragraph 30.20 and 32.26 of 10 CFR - 6/19/69 Drawings(2)- 7/63 Drawings(2)- 8/31/64 Drawings(1)- 9/13/68 23 05/08:05-3.3 GL-140 02/1964 - 09/1969 W.E. Sanderson and Associates Phoenix AZ 85014 License Termination/Decommissioning File 23 05/08:05-3.3 GL-340 12/1968 - 01/1970 Department of the Navy, Naval Weapons Station Charleston SC 29408 License Termination/Decommissioning File

.1_____________ .3 NRC FORM 35 (11-93)

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