ML20134G349

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Ack Receipt of Rept of Proposed Activities in non-Agreement States & Facsimile Copy Receipt of Initial Recognition Fee.License R-82001-G00 Issued by State of Tn Is Recognized as Valid for Use Up to 180 Days in Cy 97 Only
ML20134G349
Person / Time
Issue date: 01/13/1997
From: Dan Collins
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To: Shaw R
AFFILIATION NOT ASSIGNED
Shared Package
ML20134G352 List:
References
NUDOCS 9702100377
Download: ML20134G349 (3)


Text

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1 O O January 13, 1997 Nelson Engineering Service ATTN: Randy N. Shaw, P.E.

1279 Highway 79 Dover, Tennessee 37058 j

SUBJECT:

RECOGNITION OF RECIPROCITY - CALENDAR YEAR 1997

Dear Mr. Shaw:

i This acknowledges receipt of your Report of Proposed Activities in Non-  ;

Agreement States (NRC Form 241) dated January 10. 1997, and facsimile copy recei)t of the initial recognition fee as required by 10 CFR 150.20(b) and 10 CFl 170.31 (Category 16 - Reciprocity). ,

i License Number R-82001-G00 issued by the State of Tennessee is recognized as valid for use in non-Agreement States for up to 180 days in calendar year 1997 only. We have assigned a Location Reference Number (LRN) to the site you have reported. New activities should be reported on the enclosed NRC Form 241 marked as a revision. Revisions should be faxed to NRC Region II three days i in advance of the proposed activity, along with the fee for the revision. l There is no limit to the number of activities re)orted at one time, and one {

fee is charged without regard to the number on tie revision page. '

Clarifications change already-reported information or cancel jobs; they require no fee. Please indicate the already-assigned LRN for the site.

Licensed activities at Exclusive Federal Jurisdiction areas which are within the boundaries of Agreement States (including your stcte) are under the jurisdiction of the NRC and should be reported to us via the Form 241. We have enclosed a procedure for you to use in seeking determination of the status of federal areas. We have enclosed information on contacting other Agreement States for your convenience.

Some NRC regulations may differ from those of your Agreement State. You are responsible for the content and compliance with NRC regulations while conducting work within NRC jurisdiction. We have enclosed copies of the pertinent regulations for your use. The regulations. your license and procedures are required to be available so that staff who are occupationally

, exposed to radiation can view them on the way to or from licensed activities.

The Commission may, at its option, conduct an inspection of your activities.

i Enclosed is a copy of NUREG 1600, " General Statement of Policy and Procedures l

for NRC Enforcement Actions." We shall notify the appropriate NRC offices and Non-Agreement States of your proposed activities.

i

' 9702100377 970113 PDR STPRG ESGTN PDR

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l Our fax numbers are (404) 331-7437/5559. My telephone number is (404) l 331-5624. Please call should you have questions. '

J Sincerely, l David J. Collins. Health Physicist j

Materials Licensing / Inspection Branch 2 Division of Nuclear Materials Safety J

4

Enclosures:

1. NRC Form 241 w/LRN's
2. Blank Form 241 (carbon set & fax)
3. 10 CFR Parts 19, 20. 21, 30. 71. 150, 170
4. Form NRC-3 4
5. NUREG 1600 General Statement of Policy and Procedures

! for NRC Enforcement Actions 1 6. Exclusive Federal Jurisdiction Identification Procedure 1 7. Agreement State Listing i

l 4

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! Distribution (Without Enclosures 2-7) l 1

SEND TO PUBLIC DOCtMENT ROOM? YES NO OFFICE RII.:DNMS RII:0NHS SIGkATURE

] NAME D) Collins J ter DATE 01 / /d/97 01//d/97 01 / / 97 01 / / 97 01 / / 97 01 / / 97 COPY? NO NO YES NO YES NO YES NO YES NO 1 0FFICIAL RECORD COPY DOCUMENT NAME: G:\DNM5\MLIB2\RECIPR97\NEL50N.LTR i and includes transmittal letters for state of Tennessee, and Fort Campbell 1

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' NUMMT TO tt AS$tGrato eV NRC Iso LIST ADDITIONAL WORK SITES ON SEPARATE SHEET TO INCLUDE ALLINFORMATK.N CONTAINED lteITEMS 916 ABOVE.

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STATE EXP.A ATsON PATE 707 AL USAGE D*v3 TO DATE ucENSE NUM6ER K- $Cci-C Do A 'T M ~I/Zi/foco o 41

19. CERTIFIC AT)ON (VU5 F BE COMF4ETED B Y APPUCANT)
1. THE UNDE RSGNED, HE Rt0V CERTry THAT l e AJ1 nformatica m fMs refinn is Ifue enr1 corY@We b t bewe eeed and understarnd the prossion of the pene alI. cense 10 CFR '50 *0 reannted on the cever snoof of shia fo'm set. and I once$mnd theti sen seqmred to comply with these prowsions as to all byprodu::1. source, or speciel s uc!een meter a6 wheh a pcstes.4 sad use e non-Ag< cement Sieles or of' store wate's under 0 e genera? heerse for wtilch tNs report is fWed wMti15e U S Nuclear Regulat:,ry Comrnissen e l understs'.d that actui.es, including starsge. conducted in non,tfeer*ents unies under gene <al license 10 CFR 150 20 e<e limbed to e tsal of 180 ene m i celesW yeef l

d i unders! sad that I rnay t,e inspected ty NRC et the above lit. led wetk stie locahons eno at the Licensee fee off#ce address for actmt es performed M rion-A0'eement 5'Mes or c%ho's woe's I em a'so eve's that I will t,e respor6teblo (at any fees esar.ic;e ed rath such enspechons e i unders'end that condJCI of any activtsee ng descrit,cd above. includmg ccAduel of $cthshes on CeMs or locetoons dferent frDm thM,e descitted above er wit 5aul NRC ewshortretion, rne, sutaect me la enfor(e'r.ent metion. metur:mg cwil or c/mnal per.alties StGNAIVI'E DAk i C(.AtirNr% OF F 6til . R $O n. Me' agemeg 96r'eseMA*Ne (TytMN!nd he'9e e"a7T'K1h Y/C N w th k b 4twN Y E #

WARNING ( FAL5E ST ATEMENTS IN ThlS CERiflCATE WY BE $UBJECT TO dA AfDOR CRt'AAAL PEN /wTIES NRC REGMTo ELBMS$10NS TO THE f4RC BE COW' TETE AND ACCURATE P4 ALL tWERIAL RESPECTS 16 U S C.f.ECTION 1001 MAb F S IT A CRlMINM, OFF MAKE A WILLFWLV FA.AC STATfWENT OR REPRESENTATION TO ANf DEPARTMENT OR ACECf OF THE VN'TED STATES t.5 TO #Wy t4ATTER WITKN iT3 JURISCICTON g-G f %K rS *

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