ML20128M039

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Corrected Registry of Radioactive Sealed Source & Devices Safety Evaluation of Devise for Model Sensor Unit on 950728. Certificate:NR-174-D-101-E
ML20128M039
Person / Time
Issue date: 09/05/1996
From:
NRC
To:
Shared Package
ML20128M014 List:
References
SSD, NUDOCS 9610150264
Download: ML20128M039 (3)
v • d • e


Text

.. __ . . _ . ._ _ _ _ _ - . __ _ _ _ _ . . _ . ._. _ _ .

I REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF DEVICE (CORRECTED PAGE 1 - September 5, 1996) l HQt: NR-174-D-101-E DATE: July 28, 1995 PAGE 1 OF 3 1

l DEVICE TYPE: Gas and Aerosol Detector l

MODEL: Sensor Unit DISTRIBUTOR: Palomar Sensor Applications Corporation (Formerly Temet USA, Inc.)

737 Walker Road, Suite 1 i

P.O. Box 439 Great Falls, VA 22066 MANUFACTURER: Environics OY Tyomiehenkatu 2 50100 Mikkeli, FINLAND J

SEALED SOURCE MODEL DESIGNATION: Amersham: AMM i

ISOTOPE: MAXIMUM ACTIVITY:

l Americium-241 160 Ci (5.92 GBq) i l

LEAK TEST FREOUENCY: Not required l PRINCIPAL USE: (P) Ion Generator, Chemical Agent Detectors CUSTOM DEVICE: YES X NO 9610150264 960909 PDR RC *

< d SSD PDR

_ . . . _ _ _ . _ _ _ . . _ . _ .. _ _ _ _ . . _.. . _ . _ _ _ _ _ - ._______m _ _ _ __ -__ _ -.

PAGE1 NRC FORM 567 U. S. NUCLEAR REGULATORY COMM;ISION REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION INSTRUCTIONS: Send this request AND a copy of all related letters /appicatens and drawings to: The Sealed Source Safety Secten, ATTN: Chief, OWFN Mail Stop 6 H3. Change the Ucense Tracking System milestone to 19 and assign to rev6 ewer code I-5.

NOTE: Retain a copy of this request with the application and background files.

REQU ER REGION / LOCATION:

Mg ha b/ ]I il lli IV V U HQ O LFDCB TELEPHONE NUMBER DATE ' / TYPE OF ACTION REQUESTED (Check as appropriate) >

APPUCANTS NAME SOURCE REVIEW AMENDMENT OF REGISTRATION SHEET MJA CONTROL NUMBER (S) DEVICE REVIEW

" ()

LETTE%APPLEATON DATE LCENSE NUMBER (S) CUSTOM REVIEW COMMENTS. l 737 W& So{ 9 /  ;

f0- Nf Auct M on m A '

FOR SSSS USE ONLY T4EVIEWER MODEL NUMBERS NUMBER ASSGNED h'm)b  %-G DATE RECEIVED Sumt ancs-DATE ASSGNED

  • shs/9& r N 94 DATETOFEESP7/4

- Tm OF AC- (,,,. Cat. t,,e , ., e , ,,P.)

d COMMERCIAL DISTRIBUTION (FORMAL) l USE BY A SINGLE APPLICANT (CUSTOM)

SOURCE (9C) DEVICE (9A) SOURCE (9D) DEVICE (98)

NEW NEW W j AMENDMENT / MENDMENT AMENDMENT ENDMENT MSAFETY EVALUATION REQUIRED j LICENSING ACTION REQUIRED IF KNOWN -

NO FEES REQUIRED NO j OTHER (Specity)  !

l TOTAL NUMBER OF NOTES 4 REVIEW HOURS NUMBER OF i DEFICIENCY LETTERS NUMBER OF DEFICIENCY CALLS

, FOR BILLING PURPOSES ONLY gNAME CHANGE ADDRESS CHANGE j NEW REGISTRATION - J PRODUCT INACTIVE -

ADD TO BILLING REMOVE FROM BILLING FOR FEE USE ONLY TYPE OF FEE FEE CATEGORY ~

] DA U 9B DC U 9D F. MOUNT RECOVED CHECK NUMBER MATANN UPDATED AS REQUIRED DATE OF CHECM LCG j MATSYS UPDATED AS REQUIRED d.PPROVED BY DATE RETURN DATE COMMENTS NRC FOF;M 667 (b83)

PAGE1 NRC FORM 567 ,

U. S. NUCLEAR REGULATORY COMMISSION

/ (6 93)

REQUEST FOR A SEALED SOURCE OR /N

  • DEVICE EVALUATION INSTRUCTIONS: Send this request AND a copy of all related letters /apphcations and drawings to: The Sealed Source Safety Section, ATTN: Ch#ef, OWFN Mall Stop 6 H3. Change the Ucense Tracking System milestone to 19 and assign to reviewer code I-5.

NOTE: Retain a copy of this request with the applicatxm and background files.

REQUET> LR REGION / LOCATION:

/ /2/AmdA $#l ShM (ho 1 il lil IV UV O HQ R LFDCB TELEPHONE NUMBER DATE / / /

TYPE OF ACTION REQUESTED (Check as appropriate)

APPLICANT'S NAME SOURCE REVIEW AMENDMENT OF REGISTRATION SHEET NAll CONTROL NUMBER {S) DEVICE REVIEW NUMBER (S)

LETTER 0APPLICATON DATE LICENSE NUMBER (S) CUSTOM REVIEW COMMENTS

  • M '

f0- V~5f .)

A:Ad L&2) ifA 3,?Obb FOR SSSS USE ONLY REVinWER y MODEL NUMBERS NUMBER ASSIGNED . l DATE RECEIVED M n jidAA DATE ASSIGNED

!/shl- lI

~

l j DATE TO FEES l

< 4/f3 /9/  ?/7/9(.- P4.grW44 )v l TYPE OF ACTION (Indicate the number of each type) /  !

/l COMMERCIAL DISTRIBUTION (FORMAL) l USE BY A SINGLE APPLICANT (CUSTOM)

SOURCE (9C) DEVICE (9A) SQURCE (9D) DEVICE (98) j t

_ _ _ _ i NEW NEW NEW AMENDMENT g MENDMENT _

AMENDMENT MibENDMENT jW6 SAFETY EVALUATION REQUIRED j LICENSING ACTION REQUIRED IF KNOWN -

NO FEES REQUIRED NO e j OTHER (Specsty) l TOTAL NUMBER OF NOTES REVIEW HOURS  ;

/ NUMBER OF DEFICIENCY LETTERS )

l NUMBER OF DEFICIENCY CALLS

, FOR BILLING PURPOSES ONLY AME CHANGE ADDRESS CHANGE EW REGISMADON - J MODUCT INACME - j ADD TO BILLING REMOVE FROM BILLING j FOR FEE USE ONLY TYPE OF FEE l

FEE CATEGORY -

l 9A U 98 9C U 9D QMOUNT RECEIVED CHECK NUMBER MATANN UPDATED AS REQUIRED DQTE OF CHECK LOG MATSYS UPDATED AS REQUIRED APPROVED BY DATE RETURN DATE COMMENTS NRC FORM b67 (B 93)

ORIGINATORS COPY  !

w .- -_ - - - - . .i

._. . . _ . . .. . . ~ - _- .-. - - - - -. .

l PAGE1 l NRC FORM 567 ,

U. S. NUCLEAR RE1ULATORY COMMnSION I We3) -, I

' ft" REQUEST FOR A SEALED SOURCE OR c" l DEVICE EVALUATION l

lNSTRUCTIONS: Send this request AND a copy of all related letters / applications and drawings to: The Sealed Source Safety Section, ATTN: Chef, }

l OWFN Mail Stop 6 H3. Change the License Tracking System miles, tone to 19 and assign to reviewer code I-5. ,

l NOTE: Retain a copy of this request with the applicatKm and background files.

l Rt:GJESTER REGION / LOCATION: 1

/'f& a4 n;wf. /f ,,3 _. h i n ]I R 11 til U IV UV R HQ R LFDCB f TELEPHONE NUMBER DATE / / / TYPE OF ACTION REQUESTED (Check as appropriate) i 1

I APPLCANT'S NAME SOURCE REVIEW AMENDMENT OF j REGISTRATION SHEET l l MAit CONTROL NUMBER (S) DEVICE REVIEW N BER(S)  ;

l i LETTER / APPLICATION DATE LICENSE NUMBER (S) CUSTOM REVIEW  !

COMMENTS f ll/

/ J'Ahi ',

Ab/' y Al

,)J dy V3/ }

- 1)  ; //L- v i/A  %)Obb ,

FOR SSSS USE ONLY REVIEWER g MODEL NUMBERS NUMBER ASSIGNED DATE RECEIVED f (lh DATE ASSIGNED 

                                                                                               %A        / ,, &
                                                                                                                                                            ~$f                I DATE TO FEES                                     }
                                  ?/, R / I,i p'                                               V/j / &                                      ;      i ;}                        l TYPE OF ACTION (Indicate the number of each type)                                                   !
           -d COMMERCIAL DISTRIBUTION (FORMAL)                                                        l USE BY A SINGLE APPLICANT (CUSTOM)                                     !

SOURCE (9C) DEVICE (9A) SOURCE (9D) DEVICE (9B) NEW 'pN NEW NEW . AMENDMENT -' AMENDMENT AMENDMENT / JAMENDMENT ' j NO SAFETY EVALUATION REQUIRED j LICENSING ACTION REQUIRED IF KNOWN - NO FEES REQUIRED NO 

         } OTHER (Specsty) i TOTAL NUMBER OF                                  NOTES                                                                       i REVIEW HOURS                                                                                                                 '

NUMBER OF DEFICIENCY LETTERS NUMBER OF DEFICIENCY CALLS , 

                 ,                                                                     FOR BILLING PURPOSES ONLY                                                                ,

j'NAME CHANGE ADDRESS CHANGE j NEW REGISTRATION - ] PRODUCT INACTIVE -  ! ADD TO BILLING REMOVE FROM BILLING > FOR FEE USE ONLY TYPE OF FEE FEE CATEGORY 

                                                                                                  ]9A                    9B                   9C           U 9D                !

AMOUNT RECEIVED CHECK NUMBER i MATANN UPDATED j AS REQUIRED DATE OF CHECK LOG ' ] MATSYS UPDATED ' AS REQUIRED APPROVED BY DATE RETURN DATE COMMENTS l NRC FORM $67 (6-93) SSSS USE ONLY- SUSPENSE COPY

b - 'h t ' * / i f, { 

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                                                                          .\1 ATERI AI S 1.ICENSE                               Amendment No. 01                             ;!

P 

>      lg' g Pursuant to the Atonus Energy -\ct or 1954. as amenJed. the f.nergy Reorgam/ation A t of IC4 (P. % 1,aw < 4 2* t anJ Title 10. CNe e t AI pl
p l'eJeral Regulalions. Chapter 1. Parts % 11. U. 3 2. 34. 3 4. 4. N. 40. and 'n. anJ n rehance on st, ements and representatens
  • i
                                                                                                                                                          *et st. re trade fl
by the biensee. a license is herebs asueJ authorving the htensee to retene. a, quire. pmes and transfer byprodact, wurse. and special naslear {l Pi matenal JeugnatcJ below. to use sush material f or the purposeist anJ at the placeiu Jesignated below. ta Jelner or transfer suth material to ?i

[ penons authonted to ret en e it n accorJance w ah the regulations of the apphcable Parus e Thn hcense shall be deemed to contain the condaions [l lg specified in hection 1 %3 of the Atomic Energy Act of 1954. as amendcJ. anJ a subject to all apphcable rules. regulations, and orJers of the Pl 15, Nui.lcar Regulatory Commnuon now or hereatter in ettect and to any sondmons specihed below. kl l hty,V ((A. y +,s 

                                                                                     %                                                                                       h h                      , g ' Lice isee                      jhI                 ,

In accordance with letter dated 

             ;                                                                    s s          March 1, 19 b,,                                                              y fi L           Palomar Sensor Applications Corporat'io'n l                          .t. License Number 45-25316-02E is hereby 3l 3j B

cy f ame.:Jed tc read as follows: 5l il W 2. 737 Walker Road, Suite I bq j ~/ ! t' 

                                                                                                                                                                            #f llB l B
I P.O. Box 439 Great Falls, Virginia 22066
4. spiration Date October 31, 2000 El

}jg l

5. Docket or El g_ Reference No. 030-33935 E' l

M 6. Ihproduct, Sourec, and or 7. Chenucal and er Ph> sical 8. Stasimum Amount that Licensee sl ll Sheial Nuclear N1aterial Form Stay Possess at Any One Time jl t d@a i l'nder This License 3 Sc . ei s,l 

    .y                A. Americium-241                             A.      Foil sources                                 A.        Not applicable                         E Bj                                                                      (Amersham Model AMM)                                   (See Condition 10)                     Ell
                                                                                                                                                                            .i n !
      ~

g 9. Authorized Use )m El Bj y Pursuant to Section 32.26, 10 CFR Part 32, the licensee is authorized to distribute %l .Ig n gas and aerosol detectors as specified in Condition 10 to persons exempt from the 'Ej 

  !                   requirements for a license pursuant to Section 30.20, 10 CFR Part 30, or equivalent                                                                   Ei ll                     provisions of the regulations of any Agreement State.                                                                                                 EI
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CONDITIONS 'il I sl i 10. The following gas and aerosol detector device may be distributed pursuant to this 

                                                                                                                                                                           'il l             license provided the amount of americium-241 contained in the device does not exceed 's!
         !             the amounts specified in the following table:                                                                                                        s!

I s! I 

         '                                    Device Model                                Maximum Ouantity per Device l                                                                                                                                                                  lili M90 Chemical Agent Detector                                                                                                                  @
         !                                                                                                 160 microcuries                                                  yl 1

si i 11. This license does not authorize possession or use of licensed material. i i! si i 12. The licensee may distribute only from its facility located at 737 Walker Road, l Suite 1, Great Falls, VA. jll s t i 13. il The licensee shall file periodic reports as specified in Section 32.29(c) of 10 CFR il t Part 32. , sl Q h #. D* sl r Q 

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