ML20151Z170
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| ML20151Z170 | |
| Person / Time | |
|---|---|
| Site: | 03020575 |
| Issue date: | 08/19/1998 |
| From: | Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 466856, 50-21374-01, 50-21374-1, NUDOCS 9809210182 | |
| Download: ML20151Z170 (52) | |
See also: IR 05000213/1974001
Text
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NRC FORM 374
PAGE 1 oF 4 PAGEs
U.s. NUCLEAR REIULAToRY Co Mission
Amendment No. 5
t.
MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,
! Code of Federal Regulations, Chapter 1, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and
representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and
transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s)
designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the
applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954,
as amended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in
effect and to any conditions specified below.
Licensee In accordance with application dated
July 13,1998
'
1. McLane Testing 3. License number 50-21374-01 is amended
16its entirety to read as follows:
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2. P.O. Box 468 M, " 4. Expiration date September 30,2003
Soldotna, AK 99669
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5. Docket No. 030-20575
Reference No. O
6. Byproduct, source, and/or speciald ,J. Chemicaland/orphysicalform -.,8. Nidx! mum amount that licensee may
,
nuclear material 4f \q y '
possess at any one time under this
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A. Cesium-137 '~I, A. Sealed sources (Troxler;
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A. r Not to exceed 10 millicuries
i- D L Dwg. AC102112)3. '
7per source
g ,4 iwcWG c. L
B. Americium-241 W B. Sealed neutron sources: , B.gNot to exceed 50 millicuries
(3 hE[(Tro,xlerDwg. A-102451)[J *
gper source
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C. Americium-241 O, 'g .
UC? Sealed neutron sources C.DNot to exceed 110 millicuries
% 'i[(Troxle7DwglNo."Ap3 '
4, 100608)lf Df *% (f[ persource
D.
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Cesium-137 / D. Sealed sources i D. Not to exceed 10 millicuries
2
(Amersham Model '
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per source
CDCW556 or Isotope
Products Model No. HEG-
0057)
E. Americium-241 E. Sealed neutron sources E. Not to exceed 50 millicuries
(Amersham Model No. per source
AMNV.997 or Isotope
Products Laboratories
Model No. HEG-0058)
F. Cesium-137 F. Sealed sources F. Not to exceed 10 millicuries
(Amersham Model No. per source
f ' CDCW556 or Isotope
Products Laboratories
! Model HEG-137-8M)
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G. Cesium-137 G. Sealed sources G. Not to exceed 10 millicuries
(Amersham Model No, per source
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CDC W556) -
ML40 .
9809210182 980819
PDR ADOCK 03020575
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NRC Fo.'tM 374A u.s. NUCLEAR F EGuLAToRY Commission PAGE 2 of 4 PAGES
License Number
50-21374-01 l
MATERIALS 1.lCENSE Docket or Reference Numt,er
SUPPLEMENTARY SHEET 030-20575
Amendment No. 5
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9. Authorized use
A. and B. For use in Troxler Model 3411B portable moisture-density gauges to measure properties of
construction materials.
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C. For use in Troxler Model 3241-C gauges to measure asphalt content of construction materials. l
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D. and E. For use in Troxler Model.3400 Series portable gaudes to measure properties of construction
materials. y" 'i js
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For use in Troxler Model 4640 or 4640B portable gauges to measure properties of construction materials.
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E and G. For use in Troxler Model 3450 portable gauges to measure properties of construction materials.
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10. Licensed material may be used at t$e licehsees( fNil'ities at Mile Point 3.
north of Soldotna, Alaskin, and at tehiporary job sites of the licensee anywhere in the United States where
the U. S. Nuclear Regulatory Commission maintains jurisdiction for r'egulating the use of licensed
' material, including areas of. excitisive fe'deral }urisdictioil within Agreement States.
If KQ4MQ,9$%@ Q)
lf the jurisdiction status of!a federal facility.within,an Agreeme,nt State is unknown, the licensee sho
contact the federal agency co, ntrolling the job site in, question to determine whether the proposed job site
is an area of exclusive federaljurisdiction. Authorization for use of fadioactive materials at job sites in ,
' Agreement States not under exclusive'federaljurisdiction shall be obtained from the appropriate state
regulatory agency.
'
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11. A. Licensed material shall only be used by, or under the supervision and in the physical presence of,
S. A. McLane, or individuals who have received the training described in the application dated
July 13,1998.
B. The Radiation Safety Officer (RSO) for this license is S. A. McLane.
12. Sealed sources or source rods containing licensed material shall not be opened or sources removed or
detached from source rods or gauges by the licensee, except as specifically authorized.
_ _ - _ _ _ __ ~ _ -__ _ __ _ ___ _
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NRC FORM 374A U.s. NUCLEAR RE2ULAToRY Commission PAGE 3 of 4 PAGEs !
Ucense Number
50-21374-01
MATERIALS LICENSE oocket r Reference Number
SUPPLEMENTARY SHEET 030-20575
l
Amendment No. 5
L i
13. A. Sealed sources shall be tested for leakage and/or contamination at intervals not to exceed the ,
l intervals specified in the certificate of registration issued by NRC under 10 CFR 32.210 or by an '
4p Agreement State. '
B. In the absence of a certificate from a transferor indicating that a leak test had been made within the
intervals specified in the certificate of registration issued by NRC under 10 CFR 32.210 or by an
Agreement State prior to the transfer, a sealed source or detector cell received from another person
shall not be put into use until tested H ' ~Mr e
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C. Sealed sources need not Oe't$ste#if they are in storage and'not being used. However, when they
are removed from storage for use or transferred to another person, and have not been tested within
the required leak test interval, they shall be tested before use or transfer. No sealed source shall be
stored for a period of more than 10 years without being tested for leakage and/or contamination.
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D. The leak test shall be capable of de'ecting the p.resence of 0.005 microcurie of radioactive material
on the test sample.iflf the testieveals the presence of 0.005 microcurie or more of removable
^
contamination, a report shall be filed with the U.S. Nuclear Regulatory Commission in accordance I
with 10 CFR 30.50 (b)(2), and the source shall be removed immediately from service and '
decontaminated, repaired, or disposed 'of in accordance.with Commission regulations. The report !
shall be filed within 5 days'of the date the leak test result is knosn with the U. S. Nuclear Regulatory
Commission, Region IV, Division'of Nuclear Materials Safety,' 611 Ryan Plaza Drive, Suite 400,
Arlington, Texas 76011-8064?The report shall specify the source involved, the test results, and i
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corrective action taken.g'W T'Q %p ,%l@g r.N ~v i
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E. Tests for leakage and/or contamination shall be performed by persons specifically licensed by the
Commission or an Agreement Stated,s perform such services. In addition, the licensee is authorized
to collect leak test samples but not perform the analysis, analysis of leak test samples must be
performed by persons specifically licensed by the Commission or an Agreement State to perform
such services.
14. The licensee shall conduct a physical inventory every six (6) months, or at other interval appro ved by
NRC, to account for all sources and/or devices received and possessed under the license.
15. The licensee is authorized to transport licensed material only in accordance with the provisions of 10
CFR Part 71," Packaging and Transportation of Radioactive Material".
16. Each portable gauge shall have a lock or outer locked container designed to prevent unauthorized or
accidental removal of the sealed source from its shielded position. The gauge or its container must be
locked when in transport, storage, or when not under the direct surveillance of an authorized user.
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17. Except for maintaining labeling as required by 10 CFR Part 20 or 71, the licensee shall obtain
authorization from NRC before making any changes in the sealed source, device, or source-device
combination that would alter the description or specifications as indicated in the respective Certificates of
Registration issued either by the Commission pursuant to 10 CFR 32.210 or by an Agreement State.
,
__ _ _ . _ _ _ ___ _ . _ ___ _ . __
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NRC FORM 374A u.s. NUCLEAR REluLAToRY CoMZ1ssioN PAGE 4 of 4 PAGEs
License Number
50-21374-01
MATERIALS LICENSE Docket or Reference Number
SUPPLEMENTARY SHEET 030-20575
Amendment No. 5
!
l
18. Any cleaning, maintenance, or repair of the gauges that requires detaching the source or source rod from
l
the gauge shal.' be performed only by the manufacturer or other persons specifically license by the !
Commission or an Agreement State to perform such services.
l
19. A. If the licensee uses unshielded sealed sources extended more that 3 feet below t'he surface, the
licensee shall use surface casing that extends from the lowest depth to 12 inches above the surface ,
and other appropriate procedures to reduce the probability of the source or probe becoming lodged l
below the surface. If it is not feasible to extend the casing 12 inches above the surface, the licensee
shallimplement procedures to ensu' re that the cased hole is f ee of obstruction before making
,
measurements. N *m
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B. If a sealed source or.a probe containing sealed sources becomes' lodged below the surface and it
becomes apparent that efforts to recover the seaied source or probe may not be successful, the
licensee shall notify the U.S. Nuclear Regulatory Commission and submit the report required by 10
CFR 30.50(b)(2) and (c). the licens'ee shall not abandon the sealed source or probe without
obtaining the Commission's prior written consent. f '{ ~
L k !! i. $ 0 .7
20. In addition to the possession limits in item 8, the~ licensee shall further restrict the possession of licensed
material to quantities below the rninimum limit specified in 10 CFR 30.35(d) for establishing
decommissioning financial assurance.yf
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21. Except as specifically prMided otherwise in this licenselthe licensee shall honduct its program in j
accordance with the statements, representations', and_ procedures contained in the documents including
.
any enclosures, listed below.;The Nuclear Regulatory Commission's' regulations shall govern unless the
statements, representations and procedures in the licensee's appliciation and correspondence are more
restrictive than the regulations.
-.
A. Application dated May 27,1993
B. Application dated July 13,1998
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION
, D:te By b6 #1rrov.
Materials f anch
Region IV, WCFO
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Walnut Creek, California 94506
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UNTTED STATES
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NUCLEAR REGULATORY COMMISSION
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REGION IV
d WALNuTCREEK FIELD OFFICE l
1450 MARIA LANE
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WALNUT CREEK, CALIFORNIA'9NN
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August 11,1998 !
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McLane Testing !
, ATTN: S.A. McLane
Radiation Safety Officer i
1
P.O. Box 468 -
Soldotna, AK 99669
SUBJECT: LICENSE AMENDMENT
i
Please find enclosed License No. 50-21374-01. You .should review this license carefully and be
sure that you understand all conditions. Please note that as part of this amendment, in
accordance with 10 CFR 30.36, effective February 15,1996, the expiration date of your license
has been extended by a period of five years. Your new expiration date is stated in item 4 of the
:
license. If you have any questions, you may contact the reviewer who signed your license at
'
(925) 975-0250.
Our review of the information supplied by McLane Testing indicates that the transfer of control
of licensed activities described is in accordance with the Atomic Energy Act of 1954 (68 Stat.
919), including any amendments thereto. We hereby give NRC's consent to same pursuant to i
10 CFR 30.34(b). '
i
You should note that License Condition 20. has been added to your license relative to the !
maximum amount of material you may possess under the license. This licensing action was i
necessary to preclude you from exceeding possession limits of materials requiring that
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decommissioning financial assurance be provided. Should you determine that you require
possession of materialin excess of 10 CFR 30.35(d). amounts, please notify us regarding an i
amendment to your license. !
The NRC is required to have your Taxpayer identification Number in order to make payments i
(refunds). The self-addressed, stamped NRC Form 531, " Request for Taxpayer identification
Number"is enclosed.
NRC expects licensees to conduct their programs with meticulous attention to detail and a high
standard of compliance. Because of the serious consequences to employees and the public
which can result from failure to comply with NRC requirements, you must conduct your program
involving radioactive materials in accordance with the conditions of your NRC license,
representations made in your license application, and NRC regulations. In particular, note that
you must:
1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and i
Reports to Workers: Inspection and investigations," 10 CFR Part 20, " Standards for
Protection Against Radiation," and other applicable regulations. !
2. Possess radioactive material only in the quantity and form indicated in your license.
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McLane Testing -2-
3. Use radioactive material only for the purpose (s) indicated in your license.
4. Notify NRC in writing of any change in mailing address (no fee required if the location of
radioactive material remains the same).
5. Request and obtain written NRC consent before transferring your license or any right
thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of
control of your license to any person or entity. A transfer of control of your license ;
includes not only a total change of ownership, but also a change in the controlling l
interest in your company whether it is a corporation, partnership, or other entity. In
addition, appropriate license amendinents must be requested and obtained for any other
planned changes in your facility or program that are contrary to your license or contrary
to representations made in your license application, as well as supplemental
correspondence thereto, which are incorporated into your license. A license fee may be
charged for the amendments if you are not in a fee-exempt category.
6. Maintain in a single document decommissioning records that have been certified for
completeness and accuracy listing all the following items applicable to the license:
l
*
Onsite areas designated or formerly designated as restricted areas as defined in I
10 CFR 20.3(a)(14) or 20.1003.
-
Onsite areas, other than restricted areas, where radioactive materials in
quantities greater than amounts listed in Appendix C to 10 CFR 20.1001-20.2401
have been used, possessed, or stored.
-
Onsite areas, other than restricted areas, where spills or other unusual
occurrences involving the spread of contamination in and around the facility,
equipment, or site have occurred that required reporting pursuant to 10 CFR
30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures
have removed the contamination.
-
Specific locations and radionuclide contents of previous and current burial areas
within the site, excluding radioactive material with half-lives of 10 days or less,
depleted uranium used only for shielding or as penetrators in unused munitions,
or sealed sources authorized for use at temporary job sites.
-
Location and description of all contaminated equipment involved in licensed
operations that is to remain onsite after license termination.
7. Submit a complete renewal application with proper fee, or termination request at least
30 days before the expiration date on your license. You will receive a reminder notice
approximately 90 days before the expiration date. Possession of radioactive material
l after your license expires is a violation of NRC regulations. l l '
8. Request termination of your license if you plan to permanently discontinue activities
involving radioactive material.
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McLane Testing ' -3-
l l You will be periodically inspected by NRC. Failure to conduct your program in accordance with
NRC regulations, license conditions, and representations made in your license application and
l supplemental correspondence with NRC will result in enforcement action against you. This
- . could include issuance of a notice of violation; imposition of a civil penalty; or an order
suspending, modifying, or revoking your license as specified in the " General Statement of
Policy and Procedure for NRC Enforcement Actions"(Enforcement Policy), NUREG 1600.
Thank you for your cooperation.
Sincerely,
8e5 O. frwx.
Beth A. Prange d
Sr. Healih Physicist (Licensing)
Materials Branch
Docket: 030-20575 .
License: 50-21374-01
Control: . 466856
Enclosures: As stated
cc: State of AK
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DOCUMENT NAME: G:\BETH\MCTEST
To receive copy of document. Indicate in box: "C" = Copy without enclosures ' "E" = Copy with enclosures "N" = No copy
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OFFICIAL RECORD COPY
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50-2137b ol
] a A.,P,eue,rtetx:eMis NUuw P.O. Box 468
Solderna, AK 99669
"c Reewei.or ucsNss NuuecR
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Mcl,ane Testing and temporary jobsites
Mile 3.5 Kenai Spur Hwv. anywhere in the United States S.A. McLane
Soldotna, AK 99669
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where NRC maintains jurisd . a,,,,,,,,,,
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Page A-1 NURE - 1556 Vol.1
b ._ I
l
b 466856
C eww wNo FAX 110. 6109750381 P.05
~
-
'Mcu\NE
.TESTINO. NRfM02
1. New Name of Licensed Organization: McLane Testing
2. Contact: S. A. Sam McLane
P.O. Box 468
.
Soldotna, AK 99669
Tel: 907-283-4218
Fax: 907-283-3265
9
3. INDIVIDUAL (S) RESPONSIDLE FOR RADIATION SAFETY PROGRAM AND THEIR
TRAINING AND EXPERIENCE- RADIATION SAFETY OFFICER
S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has
successfully completed one of the coursos described in the Criteria in the section entitled
" Individual (s) Responsible for Radiation safety Program and 'iheir Training and Experience -
Radiation Safety Officer" in NUREG-1556, Vol.1 dated May 1997.
Before being named as RSO, future RSOs with have successfully completed one of the
training courses described in the Criteria in the section entitled " Individual (s) Responsible for
Radiation safety Program and Their Training and Experience - Radiation Safety Officerin
NUREG-1556, Vol.1 dated May 1997.
Further amend license by removing Lawrence B. Johnson. Mr. Johnson is no longer with
McLane Testing.
TRAINING FOR INDIVIDUALS WORKING IN OR FREOUENTING RESTRICTED AREAS
Before using licensed materials, authorized users will have successfully completed one of the
training courses described in the Criteria in the section entitled ' Training for individuals
Working in or Frequenting Restricted Areas"in NUREG-1556, Vol.1 dated May 1997.
4. Transferor Further Business The transferor, McLane and Associates will not remain in
non-licensed business and will not apply for a license in the future.
5. Description of Transaction McLane and Associates is currently owned by a bankruptcy
estate and will no longer be conducting business using gauges with licensed radioactivo
source materials. Therefore M&A seeks to amend its NRC license to transfer ownership,
control and responsibility of Troxler Model 3411B moisture density gauges (serial numbers:
9800,12192 & 13G50) and Troxler Model 3241 asphalt content gauge, serial no. 562 to
McLane Testing. The transaction is a disposition of bankruptcy estate assets and liabilities.
No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license
amendment and transfer of ownership, control and responsibility. McLane Testing, a
partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agmes to accept
ownership, control and responsibility of the gauges and their seated sources.
Page 2 of G
sui si ao i ro a . w ub Wuu HtX NU, bl09tbO381 P.06
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'McLANE
NRC9802
eTESTINGe
l
6. Operating and Emergency procedures We willimplement and maintain the operating
end emergency procedures in Appendix 11 of NUREG 1556, Vol.1 dated May 1997, and
i'
provide procedures to all gauge users and at each job site. See additional safety information
attached.
We will control and maintain constant surveillance over gauges that are not in storage and
,
secure stored gauges from unauthorized removal or use.
7. Changes in Use, Possession, Location and Storage
No changes in location or facility are planned. McLane Testing will occupy the same physical
space and facilities as the former owner, McLane and Associates. Equipment and i
i
procedures are being upgraded. Additional gauges and their source materials are listed in
the table under item 5 and G.
As mentioned above. McLane Testing will and does occupy the former McLane and
l
Associates facility at Mlle 3.5 Kenal Spur Highway. The licensed materials will continue to be
stored and used in designated areas.
8. Changes Requiring Amendment Without Change of Ownership
New gauges will probably be purchased and are listed in the table of Materials to be
Possessed.
9. Surveillance items and Records
All surveillance requirements and records for the licensed material are current and will be
current at the time of the transfer. Gauges are currently in storage or use. Most recent tests
were performed in 1998. Copies are attached. Inventory, utilization and storage logs are
current.
10. Records Concerning Safe and Effective Decommissioning of the Facility
All records concerning safe and effective decommissioning of the facility; public dose; and
waste disposal will be transferred to the new licensee.
11. Status of the Facility
The facility consists of a materials lab room with a short-term (ovemight) storage cabinet and
a long-term storage facility consisting of a 40-ft. stationary van with locked storage cabinet.
The facility is clean. Leak test records document absence of contamination.
Decontamination is not expected to occur before transfer. McLane Testing, the successor
company, agrees to assume fullliability for decontamination of the facility.
Page 3 of 6
ut amo rru w 40 ntPwcFU fnX No. 5109750381 P.07 l
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' McLANE
* TEGTING e NRC9802
We will develop, implement, and maintain gauge transfer and disposal procedures as part of i
our radiation safety program. i
!
12. Decontamination Plans
The transferor, McLane and Associates,is transfening alllicensed source materlat and
responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane
Testing and all its partners, agree to accept the material and responsibility.
l
l
13. Transferee Confirmation
The transferee, McLane Testing, agrees to abide by all commitments and representations i
previously mado to NRC by the transferor. These include, but are not limited to: maintaining ;
decommissioning records required by 10 CFR 30.35(g); implementing decontamination l
activities and decommissioning of the site; and completing corrective actions for open ;
~
inspection items and enforcement actions.
I
The transferee, McLane Testing, accepts full liability conceming licensed, radioactive source
materials for the site. No financial assuranco is required at this time due to the limited nature
and amount of licensed source material.
;
The transferee, McLane Testing, accepts full responsibility for open inspection items and/or '
any resulting enforcement actions.
14. Documentation of Agreement
The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the
change n ownership of the licensed material and activity, and the conditions of transfer; and
the tr sferee is ade aware of all open inspection items and its responsibility for possible
re 1 in fore ner#f f cjlffe
b i je- f % /]V4h 98
.-senneth BattleyU.S Trusjeb' ' Date S. A. McLene Date /
- RSO for McLane and Associates
Case No(s). A 95%14
A 9e 00015 HA
HA
A 95~ 1
A 95-00017 HAR
W 0 i$ M _
0hi$
Date ' S. A. McLane Date #
S. A.McLane
Partner, McLane Testing RGO for McLane Testing
Page 4 of 6
jUL-31-98FRJ12:48 118-14CF0 FAX N0. 51tni?50381 P 08
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McLANE 'RC9802
e TESTING *
15. Transferee Commitment.
The transferee, McLane Testing, commits to abide by all constraints, conditions,
requirements, representations, and commitments identified in the existing license.
..
RADIATION SAFETY PROGRAM
t
Audit Program Not submitted with this application.
Termination of Activities Not required with this application. However, when the license
expires or at the time, the licensee (McLane Tosting) ceases opemtions, NRO Form 314 will
be submitted.
Survey instruments McLane Testing possesses and will use a Troxler radiation survey
meter that meets the Criteria in the section entitled " Radiation Safety Program - Instnaments*
In NUREG-1556, Vol.1 dated May 1997 in the event of an incident.
Material Receipt and Accountability Physical lnventories will be conducted at intervals not
to exceed 6 months, to account for all sealed sources and devices received and possessed
under the license.
Occupational Dosimetry We will maintain, for inspection by NRC, documentation of
dosimetry processed and evaluated by an NVLAP-appro'ved processor that is exchanged at
a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc.
for dosimetry analysis.
Public Dose We will ensure th .t licensed gauges will be used, transported and stored in
such a way that members of the public will not receive more than 1 milleslevert (1 mSv)[100
millirem (100 mrar 1)) in any one year, and the dose in any restricted area will not exceedo.02
milleslevert (0.02 mSv){2 millirem (2 mrem)]in any one hour, from licensed operations.
Leak Test Leak tests will be performed atintervals approved by the NRC or an Agreement
State and specified in the Sealed Sourco anr! Device Registration Sheet. Leak tests will be
performed by an organization authorized by NRC or an Agreement State to provide leak
testing services for other licensees, using a leak test kit supe %d by by the organization.
Currently, Troxler Electronic Laboratorios provides the wipe kits and does the analysis.
McLane Testing does not intend to request authorization to perform Leak Testing Sample
Analysis.
Maintenance
Routine Cleanino and Lubrication We willimplernent and maintain procedures for reutine
maintenance of our gaugt s according to each manuf acture's recommendations and
l ( instructions. I
Page 5 of 6
r
JUI-31-98 FR1 12:49 NB-WCF0 FAX 110. 5109750381 P.09
.
McLANE NRCP802
eTESTINO+
Non routine Maintenance We will send the gauge to the manufacturer or other person
authorized by NRC or an Agreement State to perform non-routine maintenance or repair that
require the removal of the sourco or source rod form the gauge.
Transportation We will develop, implement and maintain safety programs for the public
transport of radioactive mateiial to ensure compliance with DOT regulations.
APPLICATION FOR AMENDMENT TO LICENSE No. 50-12374-01
CNANGE OF OWNERSHIP
MATERIALS TO BE POSSESSED AND PROPOSED USES
RADIOlSoTOPE MANUFACTURER / QUANTITY MOST oTHERUb
YES NO NOT SPEcfFIED
MoDEL NO. COMMON
USE ON SSo
CERTIFICATE
Not to exceed Measure Not applicable
X Am-241 Trevier 32414
Asphett content Gauge maximum Phyofcal
actMty per Properties of
source as Materials
specified in
Sealed soures
and Devlee
registration
sheet
Not to exceed Measure Not applicable
X Am-241, cs 101 Troxior 3411.B
Meisture Dens!!y Gauge maximum Pbvsleal
actMty per Properties of
source as Materials
spedfied in
Sealed source
and Device
registradon
sheet
Not to awcoed Measure Not apphcable
X Am-241, Cs-137 T roxter 3440
Moisture Density Gauge merimum Physical
actMty per Ptoperties of
snuree as Materials
specified in
Sealed source
and Device
registration
sheet
Not to exceed MeMure Not appikable
X Co-137 Troter 4640
Moisture Density Gauge marimum Physical
actMty per Properties of
source as Materials
specifiedin
Sealed source
and Device
reg 4tration
sheet
Not to exceed Measure Not applicable
X Am-241. Cs.137 Troxler 3450
Moisture Density Gauge mnvimum Physical
actMty per Properties of
source as Materielt
specified in
Scaled source
afv:f Devloe
I registration ,
sheet _
l ,
Page 6 of 6
aut. y so rra ic. w nu-wutu 1.AX NO, 5109750381 P 10
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i '
Traxl;r Elsett:nic LCborct: rho, Inc,
3008 Comwalrs nd., P.O. Pox 12057
Research Trianole Park, NC 27709
Tel: (919) 549-5661 Fax: (919) 549-o761
License: NC 032-01821
'
LEAK TEST CERTIFICATE
.
DEVICE:
- Model: 3411 Serial No: 9800 Sample Date: _ d-3-ib
SEALED SOURCES:
INITIAL ACTIVITY CURrsENT ACTIVITY
NUCLfDE SEfttAL NO. (mel)
(MCI)
40 . 7152 B.3 6.0
CS-137
46 . 1182 40.0 39.0
AM-241:BE
I
LEAK TEST ANAL.YSIS
The sample has been analyzed using a counting system capat)le of measuring bete,
gamma, and alpha contamination.
Dete,of last celibration: 12/15/97
ALPilA ITETA-GAMMA
__
4.60E + 05 7.43E + 05
Conversion factor (epm /uCl) _
1 24
Background measurement (cpm)
1
22
Sample measurement (epm)
< MDA
__
Activity (uCl) < MDA
7.fiE-06 1.0E45
Min. Detectable Activity (uCl)
This cortifies that the above leak test results are:
[d Less than 0.005 uCi (185 Bq) O creater i .n o.00 i (les so)
Measuremen' Date: 5/11/98 Certified by: "
W If M
/
if greater then 0.005 uci (185 Bq): f
Date
Person Notified __
___
Phone and/or Tax
Rev. 4/97
k 466856
- ' - JUL-31-U5 1HI 12:43 TIB-WCFD FAX NO. 5109750381 P,11
l
- -
Tr xter Electronic L boratori::s,Inc.
i
* 3006 Comw:. lits Rd., P.O.Dox 12057
e.,e, u.. e.,x. ne ano, l
(,TROXLER R
Tel: (919) 849-8661 Fax: (919) 549 0761
Lieense: NC 032 0182.I
__ l
1
LEAK TEST CERTIFICATE l
1
- DEVICE:
Model: 3411 Serial No: 12192 Sample Date: _[. -/k- 71_
.
SEALED SOURCES:
INITIAL ACTIVITY CURRENT ACTIVITY
NUCLIDE SERIAL NO. WCQ
50 . 22 7.3 5.5
CS-137 !
47 . 7537 40.0 39.2
AM.241:RE
l
LEAK TEST ANALYSIS:
The semple has been analyzed using a counting system capable of measuring bete,
gamma, and alpha contamination.
l
Date of last catibration: 1/14/97 1
___
ALPHA BETA-GAMMA
4.51 E + 05 7.45E + 05
Conversion f actor (cpm /uci)
0 24
R.ekground measurement (cpm) __
0 25
Sampi, measurement (epm)
< MD A <@
Activity tuCD
7 DE 06 1.0E45
Min. Detectable Activity (oCI)
This certifies that the above leak test results are:
@ Less then 0.005 uCl (200 Bqi O creater then o.cos ..c (200 so)
Measurement Date: 5/21/97 Certified by: %1 /[A
/
if greater than 0.005 uCI :
! Date
- Person Notified
l
Phone _
_
and/or fax
flev, 4/97
I (
JUL T FK1 T6bU TIB-WUFU FAX 110. 5109750381 P.12
.
/ Troxler Electronic Laborat:rles, Inc. ;
i
3006 Comwaths Rd., P.O.Rox 12057
h Research Triangle Park, NC 27709
Tel: (919) 549-8661 Fac (919) 5494761 '
Ucense: NO 032 01821
l
l
LEAK TEST CERTIFICATE '
i
,
)
DEVICE:
Model: 3411 Serial No: 13650 Sample Date: /.2-[~ 7 7
6EALED SOURCES:
INITIAL ACTIVITY CURMffT ACTTVITY
NUCLIDE SFRIAL NO.
50 . 2413 8.0 6.1
CS 137 j
40.0 39,3
AM-241:BE 47 . 8967
l
l
,
l
LEAK TEST ANALYSIS:
The sample ben been analyzed using a counting system capable of measuring bete,
gamma, and alpha contamination.
Date of last calibration: 6/18/97
ALPHA RETA. GAMMA
l
Conwrsion factor (epm /uCO 4.6SE + 0S 7.44 E +05
._
0 27
Background measurement (com) __
1 19
Sample measurement (cpm}
< MDA < MDA
Activity (uC))
5.8E-06 1.1 E-05
Min. Detectable Aetfvity (u01)
This certifies that the above feak test results are:
@ Less then 0.005 uCi (200 Bq) O creater an o.cos oci 1200 Ba)
Measurernent Date: 12/5/97 Certified by: %f Ald'- -
f
_
If greater then 0.005 uCI :
Person Notified Date
Phone and/or Fax
Rev,4/97
ut a su t ra u..bu lib-wa u FAX 110. 5109I50381 P.13 I ..--
.
*
Troxler Electronic ti;bnrat:rt:s, Inc,
3008 Comwalhe Rd., P.O. Dor 12057 *-
.
noeorch Trieregle Park, NC 277o9 ll p } j
Tel: (919) 549 P661 Fax: (919) 5490761 .f; i
License: NC 032 01E21
LEAK TEST CERTIFICATE
..
DEVICE:
Model: 3241 Serial No: 502 Sample Date: b~ 3 ~Y
SEALED SOURCES:
INITIAL ACTIVITY CURRENT ACTMTY
NUCllDE F,ERIAL NO. (MCI)
ImC1)
.
55 . 7620 100.0 98.0
AM-241:BE
LEAK TEST ANALYSIS:
The sample has been analyzed using a counting system capable of measuring beta,
gamme, and alphe contamination.
Date of last calibration: 12/15/97
AlfH A BETA-GAMMA
_
Convertien tactor (cpm /uci) 4.60E 4 05 7.43E + 05
0 26
Background messurement lepm)
0 22
Sample measurement (epm)
< MDA < MDA
Activity tuC1)
7.3E 06 1.1 E45
Min. Detectable Activity tuCt)
This certifies that the above leak test results are:
O Less than 0.005 uCi(185 Bq) O Greater an0.005 ci (185 sq)
Mensurement Date: 5/12/98 Certified by: %
If greater than 0.005 uCl (185 Bq): (
Person Notified Date
Phone end/or Fax
Rev 4/97
L 406856
--
.
App ndix A
,,
U. S. NUCLEAR REGULATORY CCMMISSION APPRQvtO SY OMS: NCL 81860U g% ygggggg
NRC FORM 313
p.etO Esenaamd bwean per mesanos b eemper men Cs immanuten ==a-a.,-
10 CF14 30. 32,33 emeuest T h _g
ows,
m .-aSuluned
w w er De apenamese is na.meses.y t.o fw .ar
_
u. 36. u. 3 .n. .O u e
nme. n. W
P *.tF-
. nan- e* m n - R.- e. 9,M a4rn u.1 Nu ,
APPLICATION FOR MATERIAL LICENSE "Re's"u"e"a'T c ,"""""" *-""'"* * '-* ~= 'a-*
c n P nsed Q1SO41R Caus er Monmoemme and sudest
Womungen, DC 20003, NRC may na anneust er eeunner. and a person a
nas ,eeueue to essend tA e enesman or - uNees aenspesys a
sweney stJld CMS aanWat number.
INSTRUCTIONS: EEE THE APPROPRIATE UCENSE APPUCATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPUCATION.
SEND TWO COPIES OF THE ENTIRE COMPLETED APPUCATION TO THE NRC OFFICE SPECIFIED BELOW.
IP YOU ARE LOCATED pc
APPUCATION POR OtSTRISUTlose CP EXEMPT PRODUCTS PLE APPUCATIONS WITH:
OrvlSION OP WOUSTRIAL AND MEDCAL NUCLEAR SAFETY LLINOIS, INotANA 80WA IIICNeQAN, MeeNESOTA MISSOUR!, ONIO, OR WISOONSIN,
OFYlCE OF NUCLEAR MATERtALS SAFETY AND SAFEQUAROS SEND APPUCATIONS 70:
U.S NUCLEAR REGULATORY COMMISSON
WASHWGTON. OC met MATmALS uCENSmG SEC90N
U.1 NUCLEAR REGULATORY ' m"M REGON O
ALL QTHER PERSONS FILE APPUCATIONS AS POLLOWS: 801 WARRENVLLE RO.
IF YOU ARE LOCATED IN:
LMLE, L e05324361
CONNECTICUT, DELAWARE, OtSTRICT OF COLUMMA, MAME, MARYLAND. ALASKA ARED3NA ARKANSAS, CAUPORISA, COLORADO, MAWAS, CANO, KANSAS,
MASSACHUSETTS. NEW MAMPSNIRE, NEW JERSEY, NEW YORK, PENNSYLVANIA, LOURSIANA, MONTANA, NESRASKA NEVADA NEW MFra,M NORTN OAMOTA
RHODE ISLAND, OR VERh00NT,8080 APPUCATIONS 70: OKLANonan, CReccet, PACIPic TRUST TERRff0 RIES, SOUTN DAKOTA. TEXAS, UTAM,
WASNINGTON,OR WYOtetNG, SIDdO APPUCATIONS TQt
LN,, ASSISTANT SEC"10N ,
1
NUCLEAR MATERMLS SAFETY BRMCM PRJCLEAR MATUtlALSLED4SDC SEC'ON ~ 't 1
U S. NUCLEAR REGULATORY COwneSSON. REGION l U.S NUCLEAR REGULATCRY mammenn't, REGON [~) , I' l
475 ALLENOALE ROAO Sti RYAN Pl.AZA ORn/E, SJrTE 400 U '
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KING OP PRUSSA PA 18400-1415 ARUNGTON,TX TOQM4084 [. -
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8, Amm A, PLORIDA OEORGIA, KEN ,i ( ) {1 t
R,CO. 80Um CAR .mMN S TUCKY, .-NauRMISS4 Sal. ppt,WoniR
.LANO.OR NORTM ONA CAROUNA PUERTO ,
'
" " " ^ " " ^ " "
AUG 3 m3
NUCLEAR uATERmLS uCENSmG sEC,0N '
U.S NUCLEAR REGULATORY COedMISSION, REGION 8 l
101 MARiErTA STREET, Nw, Surre :soo
ATLANTA, GA 30323 0100
PERSONS LOCATED IN AGREEMENT STATES SEND APPUCATIONS TU THE U.S. NUCLEAR REOULATORY COMMISeaON ONLY IP THEY WISH TO POSSESS AND USE UCENSED
MATERIAL IN STATES SUSJECT TO U.S NUCLEAR REGULATORY COMMISSaQN JUfbSDICTIONS,
THIS IS AN AP8UCATION FOR (Casas esproprue Anrn) 2. NAME AND MAluNG ADDRESS OF APnUCANT (hshatsZIPansef I
1.
A NEw uCENSE
50-21374-01 McLane Testing J
"]" s. AMENOMENTTQ uCENSE NuMsER
P.O. Box 468
C. RENEWAL or uCENSE NuMsER I
- Soldotna, AK 99669
1 ADOREsSn wNERE uCENSEO MATERw.Wu sE USED OR PMNn & NAMEOFPERENTOSECONTACTED ASQUTMS
APPUCATON
Mclane Testing and temporary jobsites
Mile 3.5 Kenai Spur Hwy. anywhere in the United States S.A. McLane
Soldotna, AK 99669 where NRC maintains jurisd- ,y ,,,, l
iction. 407-?R1-4?1R
I
,
1
nJBMIT frEMS 5 THROUGH 1108s 8112 X 11' PAPE7L THE TYPE AND SCOPE OF INfCRMATION TO BE PROvCED IS DESCRIBE 0 M THE LEENSE APPUT.AfDN CUCE.
g RAOCACTIVE MATERIA 4.
a. Dement and mens nummer it anonusal ansfer pnynaami hum; and e rnummurn amowe S. PURPOSE (5) POR WHCM UCENSED MATUtlAL WILL BE USE2
wnen una he : e any one ama
S. TRAINING FOR NOrVDUALS WORKING H OR FREQUENTNG RES'RICTED AREA 1
gg
-
8. FACILt9ES AND EQUIPMENT. 10. RADIATION SAFETY PROGRAM.
12, UCENSG FEES iSee 10 CFR f 7D a,W Sm: son f 7tLJ1) l
H. WASTE MANA EMENT. l
P E CATEGORY 3p l ENCLOSED $ 350.00
11 CERTIFICATON. (Must De . ^ py epmmung THE APPUCANT UNDERSTANOS THAT ALL STATEMENTS AND REPRESENTADONS MADE N TMS APPUCATION ARE 8ANCENG
UPON THE APpUCANT l
I
mE APPUCANT AND ANY OmCIAL EXECU9NG THS CERTIFCATION ON SEHAur OF NE APPUCANT. NAMED M ITEM 2, CERTIFY THATTHIS APPUCATION 5 PREPAREO IN
CONFORMITY WITH TTTLE 10. CODE OF FEDERAL REGULATIONS, PART3 30,32,33, 34,3% 38,3D AND 40, AND THAT ALL INFORMATCN CONTAMEO HEREN IS TRUE ANO l
CORRECT TO TkE BEST OFTHEIR paOW , EDGE AND SEUEF. l
WARNING: 18 U.S C. SEC*10N 1CD1 ACT OFJUNE 21.1946 62 STAT. 748 MAKES IT A CRadhAL OFFENSE TO MAKE A WlU. FULLY FALSE STATEMENT OR REPREENTAI '
ANY OcPARmENT OR AcENCv OF THE uNiTuo STATES AS TO ANY MATTER WfmW ITS JURISOCMON.
SIGNATUR DATE
CERT 1PYING OPPICER -TYPELNPRINTED NAME AND TffLE
S. A. McLane // $4c4 /3 4(o 98
/
FOR NRC USE DNLY"
*
TYPE OF FEE FEE LOG FEE CATEGORY AMOUNT RECEVEO CHECK NUMBER CXmmaENTS
$
APaROvED SY OATE
-
PRaN ON RECYCLED PAPER l
wC FoRu 313 g.se)
Page A-1 NURIG - 1556, Vol.1
b 4oue56
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McLANE
* TESTING * NRC9802
1. New Name of Licensed Organization: McLane Testing
2. Contact: S. A. Sam McLane
P.O. Box 468
Soldotna, AK 99669
Tel: 907-283-4218
Fax: 907-283-3265
3. INDIVIDUAL (S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR
TRAINING AND EXPERIENCE - RADIATION SAFETY OFFICER
S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has
successfully completed one of the courses described in the Criteria in the section entitled
" Individual (s) Responsible for Radiation safety Program and Their Training and Experience -
Radiation Safety Officer"in NUREG-1556, Vol.1 dated May 1997.
Before being named as RSO, future RSOs with have successfully completed one of the
training courses described in the Criteria in the section entitled " Individual (s) Responsible for
Radiation safety Program and Their Training and Experience - Radiation Safety Officer" in
NUREG-1556, Vol.1 dated May 1997.
Further amend license by removing Lawrence B. Johnson. Mr. Johnson is no longer with
McLane Testing.
TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
Before using licensed materials, authorized users will have successfully completed one of the
training courses described in the Criteria in the section entitled " Training for Individuals
Working in or Frequenting Restricted Areas"in NUREG-1556, Vol.1 dated May 1997.
4. Transferor Further Business The transferor, McLane and Associates will not remain in
non-licensed business and will not apply for a license in the future.
5. Description of Transaction McLane and Associates is currently owned by a bankruptcy
estate and will no longer be conducting business using gauges with licensed radioactive
source materials. Therefore M&A seeks to amend its NRC license to transfer ownership,
control and responsibility of Troxler Model 3411B moisture density gauges (serial numbers:
9800, 12192 & 13650) and Troxler Model 3241 asphalt content gauge, serial no. 562 to
McLane Testing. The transaction is a disposition of bankruptcy estate assets and liabilities.
No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license
amendment and transfer of ownership, control and responsibility. McLane Testing, a
partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agrees to accept
ownership, control and responsibility of the gauges and their sealed sources.
Page 2 of 6
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McLANE
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I * TESTING * NRC9802
6. Operating and Emergency Procedures We will implement and maintain the operating
and emergency procedures in Appendix H of NUREG-1556, Vol.1 dated May 1997, and
provide procedures to all gauge users and at each job site. See additional safety information
attached.
I We w31 control and maintain constant surveillance over gauges that are not in storage and
secure stored gauges from unauthorized removal or use.
7. Changes in Use, Possession, Location and Storage
No changes in location or facility are planned. McLane Testing will occupy the same physical
space and facilities as the former owner, McLane and Associates. Equipment and
procedures are being upgraded. Additional gauges and their source materials are listed in
the table under item 5 and 6.
. As mentioned above, McLane Testing will and does occupy the former McLane and
Associates facility at Mile 3.5 Kenal Spur Highway. The licensed materials will continue to be
stored and used in designated areas.
8. Changes Requiring Amendment Without Change of Ownership
New gauges will probably be purchased and are listed in the table of Materials to be
Possessed. i
9. Surveillance items and Records
All surveillance requirements and records for the licensed material are current and will be
current at the time of the transfer. Gauges are currently in storage or use. Most recent tests
were performed in 1998. Copies are attached. Inventory, utilization and storage logs are
current.
10. Records Concerning Safe and Effective Decommissioning of the Facility
'
All records conceming safe and effective decommissioning of the facility; public dose; and
waste disposal will be transferred to the new licensee.
11. Status of the Facility
l The facility consists of a materials lab room with a short-term (ovemight) storage cabinet and l a long-term storage facility consisting of a 40-ft stationary van with locked storage cabinet.
The facility is clean. Leak test records document absence of contamination.
Decontamination is not expected to occur before transfer. McLane Testing, the successor
company, agrees to assume full liability for decontamination of the facility.
Page 3 of 6
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McLANE
e TESTING * NRC9802
,
We will develop, implement, and maintain gauge trensfer and disposal procedures as part of our radiation safety program. 12. Decontamination Plans The transferor, McLane and Associates, is transferring all licensed source material and responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane Testing and all its partners, agree to accept the material and responsibility. 13. Transferee Confirmation The transferee, McLane Testing, agrees to abide by all commitments and representations previously made to NRC by the transferor. These include, but are not limited to: maintaining decommissioning records required by 10 CFR 30.35(g); implementing decontamination activities and decommissioning of the site; and completing corrective actions for open inspection items and enforcement actions. The transferee, McLane Testing, accepts full liability conceming licensed, radioactive source materials for the site. No financial assurance is required at this time due to the limited nature and amount of licensed source material. The transferee, McLane Testing, accepts full responsibility for open inspection items and/or any resulting enforcement actions. 14. Documentation of Agreement
1
The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the ! change 'n ownership of the licensed material and activity, and the conditions of transfer; and i the tr sferee is made aware of all open inspection items and its responsibility for possible re , in . forc/ner#ge)8u
i .st- / D Vuh 98
Renneth'BattleyU.S. Trust # _ Date S. A. McLane Date / l Case No(s). A 95- 14 A RSO for McLane and Associates I
A 9 00015 HA )
A 95 016 l
A 95-00017 HAR
0 YS 0lb&V$
S. A. McLane Date ' S. A. McLane Date ' Partner, McLane Testing RSO for McLane Testing
l
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McLANE -
* TESTIN G * NRC9802
15. Transferee Commitment
The transferee, McLane Testing, commits to abide by all constraints, conditions, , .
.
4
requirements, representations, and commitments identified in the existing ' llc'e rise._- jin
Jyc hhy
MB 31998 iM
RADIATION SAFETY PROGRAM ) i(
'
Audit Program Not submitted with this application. --
Termination of Activities Not required with this application. However, when the license
expires or at the time, the licensee (McLane Testing) ceases operations, NRC Form 314 will
be submitted.
Survey Instruments McLane Testing possesses and will use a Troxler radiation survey
meter that meets the Criteria in the section entitled " Radiation Safety Program - Instruments"
in NUREG-1556, Vol.1 dated May 1997 in the event of an incident.
Material Receipt and Accountability Physical inventories will be conducted at intervals not
to exceed 6 months, to account for all sealed sources and devices received and possessed
under the license.
Occupational Dosimetry We will maintain, for inspection by NRC, documentation of
dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at
a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc.
for dosimetry analysis.
Public Dose We will ensure that licensed gauges will be used, transported and stored in
such a way that members of the public will not receive more than 1 millesievert (1 mSv)[100
millirem (100 mrem)] in any one year, and the dose in any restricted area will not exceed 0.02
millesievert (0.02 mSv)[2 millirem (2 mrem)] in any one hour, from licensed operations.
Leak Test Leak tests will be performed at intervals approved by the NRC or an Agreement
State and specified in the Sealed Source and Device Registration Sheet. Leak tests will be
performed by an organization authorized by NRC or an Agreement State to provide leak
testing services for other licensees, using a leak test kit supplied by by the organization.
Currently, Troxler Electronic Laboratories provides the wipe kits and does the analysis.
McLane Testing does not intend to request authorization to perform Leak Testing Sample
Analysis.
Maintenance
Routine Cleanina and Lubrication We will implement and maintain procedures for routine
maintenance of our gauges according to each manufacture's recommendations and
instructions.
Page 5 of 6 lb 466856
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McLANE !
* TESTING e NRC9802
Non-routine Maintenance We will send the gauge to the manufacturer or other person l
authorized by NRC or an Agreement State to perform non routine maintenance or repair that i
require the removal of the source or source rod form the gauge.
l
Transportation We will develop, implement and maintain safety programs for the public l
transport of radioactive material to ensure compliance with DOT regulations. l
APPLICATION FOR AMENDMENT TO LICENSE NO. 50-12374-01
CHANGE OF OWNERSHIP
MATERIALS TO BE POSSESSED AND PROPOSED USES '
YES NO RADIOlSOTOPE MANUFACTURER / QUANTITY MoST OTHER USES j
MODEL NO. COMMON NOT SPECIFIED
USE ON SSD
CERTIFICATE
X Am-241 Troxler 3241-C Not to exceed Measure Not applicable
Aspha!t Content Gauge maximum Physical
activity per Properties of
source as Materials
specified in I
Sealed source
and Device
registration
sheet
X Am-241, Cs-137 Troxler 3411-B Not to exceed Measure Not applicable
Moisture Density Gauge maximum Physical
activity per Properties of
source as Materials
specified in
Sealed source
and Device
registration
sheet
X Am-241, Cs-137 Troxler 3440 Not to exceed Measure Not applicable
Moisture Density Gauge maximum Physical
activity per Properties of
source as Materials
specified in
Sealed source
and Device
registration
sheet
X Cs-137 Troxler 4640 Not to exceed Measure Not applicable
Moisture Density Gauge maximum Physical
actMty per Properties of
source as Materials
specified in
Sealed source
and Device
registration
sheet
X Am-241, Cs 137 Troxler 3450 Not to exceed Measure Not applicable
! Moisture Density Gauge maximum Physical '
activity per Properties of
source as Materials
specified in
Sealed source
and Device
registration
sheet
Page 6 of 6
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Troxler Electronic Laboratories, Inc.
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3008 Cornwallis Rd., P.O. Box 12057
Research Triangle Park, NC 27709
l
Tel: (919) 549-8661 Fax: (919) 549-0761
License: NC 032-01821
LEAK TEST CERTIFICATE
DEVICE:
Model: 3411 Serial No: 9800 Sample Date: M-3-7[
SEALED SOURCES:
NUCLIDE SERIAL NO.
ImCl) (mCl)
CS-137 40 7152 8.3 6.0
AM-241:BE 46 . 1182 40.0 39.0
LEAK TEST ANALYSIS:
The sample has been analyzed using a counting system capable of measuring beta,
gamma, and alpha contamination.
Date of last calibration: 12/15/97
ALPHA BETA-GAMMA
Conversion factor (cpm /uCl) 4.60E + 05 7.43E + 05
Background measurement (cpm) 1 24
Sample measurement (cpm) 1 22
l Activity (uCi) < MDA < MDA
Min. Detectable Activity (uCl) 7.6E-06 1.0E-05
This certifies that the above leak test results are:
C Less than 0.005 uCi (185 Bq) O creater n0.00 i (185 so)
l Measurement Date: 5/11/98 Certified by: ( l
If greater than 0.005 uCi (185 Sq):
f
Person Notified Date
'
Phone and/or Fax
Rev. 4/97
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Tr:xt:r Electr:nic L::bor:.t:ri:s, Inc.
. 3008 Cornwtitis Rd., P.O. Box 12037 l,
'-
Research Triangle Park, NC 27709
)ll ' ' _
Tel: (919) 549-8661 Fax: (919) 549-0761, ,
License: NC 032-0182-1 M' lQ a. ;
_ . . j
LEAK TEST CERTIFICATE ?;
DEVICE:
Model: 3411 Serial No: 12192 Sample Date: 5-/d- 77 i
SEALED SOURCES: I
NUCLIDE SERIAL NO.
CS-137 50 . 22 7.3 5.5
AM-241:BE 47 . 7537 40.0 39.2
LEAK TEST ANALYSIS:
The sample has been analyzed using a counting system capable of measuring beta,
gamma, and alpha contamination. 1
Date of last calibration: 1/14/97
1
ALPHA BETA-GAMMA
Conversion f actor (cpm /uCi) 4.51 E + 05 7.45E + 05
Background measurement (cpm) 0 24
Sample measurement (cpm) 0 25
.
Activity (uCi) < MDA < MDA
Min. Detectable Activity (uCi) 7.0E-06 1.0E-05
This certifies that the above leak test results are.
O Less than 0.005 uCi (200 Bq) C Greater than 0.005 uCi (200 Bq)
Measurement Date: 5/21/97 Certified by: Af /k
/
if greater than 0.005 uCi :
Person Notified Date
Phone and/or Fax
Rev. 4/97
k 466856
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, Troxler Electronic Laboratories, Inc.
3008 Cornwallis Rd., P.O. Box 12057
/(TROKLER Re e.,cn T,i n9 i e e.,L. NC 27709
Tel: (919) 549-8661 Fax: (919) 549-0761
License: NC 032-01E21
LEAK TEST CERTIFICATE
DEVICE:
Model: 3411 Serial No: 13650 Sample Date: /o2-/- 7 7
SEALED SOURCES:
INITIAL ACTIVITY CURRENT ACTIVITY
NUCLIDE SERIAL NO.
Cl)
CS-137 50 . 2413 8.0 6.1
AM-241:BE 47 . 8967 40.0 39.3
LEAK TEST ANALYSIS:
The sample has been analyzed using e counting system capable of measuring beta,
gamma, and alpha contamination.
Date of last calibration: 6/18/97
ALPHA BFTA-GAMMA
Conversion factor (cpm /uCl) 4.65E + 05 L*4E+05
Background measurement (epm) 0 27
Sample measurement (cpm) 1 19
Activity (uCi) < MDA < MDA
Min. Detectable Activity (uCl) 5.BE-06 1.1 E-05
This certifies that the above leak test results are:
O Less than 0.005 uCi (200 Bq) C Greater an 0.005 uCi (200 Bq)
Measurement Date: 12/5/97 Certified by:
I
If greater than 0.005 uCi :
Person Notified Date
Phone and/or Fax
! !
Rev. 4/97
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Tr:x12r El:ctr:nic Lib:r:t:rlis, Inc.
3008 Cornwallis Rd., P.O. Box 12057
0 1
Research Triangle Park, NC 27709 i.. I
. y- .f+.
Tel: (919) 549-8661 Fax: (919) 549-0761 4 .
License: NC 032-0182-1-
'AJJ3 3:e3 .J};
. g,
.; .wd 1
LEAK TEST CERTIFICATE -
,
_
DEVICE:
Model: 3241 Serial No: 562 Sample Date: b~ 3 ~Y
SEALED SOURCES:
NUC LIDE SERIAL NO.
(MCI) (mCl)
.
AM-!41:BE 55 . 7620 100.0 98.0
LEAK TEST ANALYSIS:
The sample has been analyzed using a counting system capable of measuring beta,
gamma, and alpha contamination.
Date of last calibration: 12/15/97
ALPHA BETA-GAMMA
Conversion factor (cpm /uCi) 4.60E + 05 7.43E + 05
Bac6Dround measurement (cpm) 0 26
Sample measurement (cpm) 0 22
Activity (uCl) < MDA < MDA
-
Min. Detectable Activity (uCl) 7.3E-06 1.1 E-05
This certifies that the above leak test results are:
O Less than 0.005 uCi (185 Bq) O creater en o.co5 Ci (185 sq)
Measurement Date: 5/12/98 Certified by:
=
I
lif greater than 0.005 uCi (185 Bq): (
Person Notified Date
Phone and/or Fax
Rev. 4/97
l b 466856
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McLANE TESTING NADONAl. BANK OF ALASKA
P.O. BOX 468
sotDomA. AK99669 1663
SOLDOTNA. AK 99669 89-5/1352 O
PHONE (907) 283-4218 FAX (907) 283-3265 o
EIN 92-0153664
7/30/98 co
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U.S. Nuclear Regulatory Commission
i Materials Testing / ATTN: Beth Prange 4
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1450 Maria Lane, STE 300
Walnut Creek, CA 94596
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5 n'O O L S E 3 n" : 12 5 2000 5 7s: 1 LOO 78 38 30u'
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U.S. Nuclear Regulatcry Commission 7/30/98
US NRC Amendment To License 350.00
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NBA CHECKING Fee Cat.3P/ Amendment to Ucence#50- 350.00
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U.S. Nuclear Regulatory Commission 7/30/98
US NRC Amendment To License 350.00
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McLANE TESTING NATMAl. BAM OF ALASM
P.o. box 468 "*^*#" S63
SoLDoTNA. AK99669
PHONE (907) 283-4218 FAX (907) 283-3265
EIN 92@N
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7/30/98 to
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s "350.00 g..
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1450 Maria Lane, STE 300
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1663
U.S. Nuclear Regulatory Commission 7/30/98
US NRC Amendment To Ucense 350.00
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Appendix A
,
u.s.NucumR RROUUWORY COMWisemN eY esa m. tween suPusem mens ,
-NRc rORw ass
m
w ea'm = n
Em,.e,
-~ w . o,
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** -
APPLICATION FOR MATERIAL LICENSE a"*a"."'
. . c-'='m aaa* 8='5.a=. -* * P=-- ;
w.-= === c= i --o - . .
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.
i .- = . s <w~.,.. :
.pe sye.as Ossa eul es
INsTRUCDONS: SEE THE APPROPRIATE UCENSE APPUCADON GulOE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPUCADON
$END TWO COPIES OF THE ENTWC COMPLETED APPUCATION TO THE NRC OFFICE SPECfFIED BELOW,
AppuCAftces FOR DesTIMWVTIUef or P3EMPT PitocuCTS PILE APf%sm-.tuffN: IF TWU AAR LetATEP Nt
y,yggggg, ppggggg ggspA GIN *Beneft, guessggpfA, gpe.ma en gagg,gg '
DMAION OP INDU5f46AL ANF14ef@ Cat NU(1fAA $AfRTY
OFFCE DW NUCLEAR Waff9 TAM 4APPTY AND sam 1UaA06 gesD APPuc4Tiesse Tm
,
U.5 NUCLEAR flPOULAT0stf COndhA$sWON l
[
WASHpe0TQae. DC 205848VN RAAYW9tenLS UCEttedG WIC99000
;
An ofnet pensome Pite AmxAmae As roena- U,8,,
, NUI'1F,A4,nPOU,L,A100tv
,,,,,,,,,t g CDRIAAESION, nESION 5
U8LP, B 85-14881
OP TOW AME LOGATM IN'
ALAswA N AfmAsesis,cAlmletenA cumanAsso,HAssafl,inAsso,MAssaA4,
f ' C.OstsetCTiCUf.
a aamamquegTTg, ngwDALA4 M4a.psenet.WARE, P'Atmer'T
eew Jyngef, OFPOINSTLVaseg
esPg Tesuf. 00lJfGlendL nenet, tammTLAsse.
LOUWimpe4 WesITAfeA IlmqAaw4 servagg gegw upueno, psestfit pAprefA
esing DAfterA,Tynes, UTAst,
mesoDE ISLAsso, OA VEstuosef, trase APPLfCafenses rtr. "' aaaaaaa susueose, P.earic a egneTuus? ,_ _ _
venaMussfeet,esturv. Appucagyssesyet
LCUN5986 ASesTANT9FCT10N
fruCLEAft MATERIALS SAFt'TY gnAre"J4 pgUclynst gnagguALA Uccepsg scTicM '
U.S. NUCLEAR RE0VLAT0fty coastsagt.IN, RGQION l gg pgugk3AA stEGULAft>47"*a"a*"w #50IflN IV,
i
#91 pyAss ptAAA tugwi, surf de
475 ALLENDALE RCAO
14NG Op petyggA, PA 1Ds041496 AfEpsGTO.f,TX TW5114 Des
na AshhAAA PL0nt0A OpemeA NfMTUCnY, IMeessaspet, nonTN CAftouMA PUPUlfg
MICO, 90Utte CAnouses, fgenersen, VanesuA Vmeel 10LANOS,04 W59T WHIGIINA
aseso Aprusafiosse To' i
NUCLEAft GAATG818ALS LEFN518#148'CT10N
U S MUCLEAft WPCULA708tV CounstenN, RPGt0N N
909 h08RT1TA STnFET. NW, Styta peup !
ATLANTA, OA 385 5 0988
Peptecess LOCAfee IN Aaseresent sTATys peup APrtCAT10see 70 TNG U.S. MUCLMA pseULAtonf a===a'aaa'* cnLT F TNey tutest Tg POGGEAS ABS UAE UCggggg)
i
thATsultAL IN STATES SUtaPCT TO V.s N7maa SpoutAvestf ca.-amm ggingangg9ggags,
vesis AN ApPuCATioNron p.m pe =w a seAus ANomauso Aconseson APPuCAm e-A s.re e
! t, 1
A. 945W UCEN4F McLane Testing
50-21374-01
]" s. A
""'#
0,,isNT voucPuss nuumm
~ '"
P.O. Box 468
Soldotna, AK 99669
-
a Na=PoFPepsraisenrCoN Actuo Annurit s
! 3. Amenessesi wNene uCeMese =Atutw, wiu, u Usso en Poenesseo
**"*^*"
Mclane Testing and temporary jobsites
Mile 3.5 Kenai Spur Hwy. anywhere in the United States S.A. McLane
Soldotna, AK 99669 where NRC maintains jurisd . mmeo eNummai
l ! iction. 907-7Abid1R
stwf rf* Jus s TNnoV0H t t ON s.ia a it* P@gfL D( TYPE AND SCCF1 OP DIPORRAAftDM TO SE Pn0WIUt$l$ h-pm(UCENEE APpWCATION P EE
t '
7 specACTYve anafgnat
lemene .ad mens eve mer e spents.i s.W.payou.f tuv.; e,. s. m imwn epi at 6. PURPosu(q POR w#ecM LEPteMD RAAftpuALwlLL SE UeEn
d. net wR 6. , i .t ear s.w 9,ma
F. IN0lvt0VALM) R$FONsDess Post RADIA110N sAPETV PucanAsd Ape 3 TNE'It
TC 2 Og'Eftigpecs,
PActVTIES AND EguiPilaENT 90 SLACIATION 2APf'ff P4004Aal
8.
13, UcaNERE P384 fa., se cat f 79 ow 3 se f 9e39
! AssOUNT i 51, WASTE MANAosMENf,
-.'TATIUMg taADE 94 TH10 AfBPUCAftoM Alte WINUSE)
13. b fCIFCATIOpe. (IWyst toe wpas Sy.ppatsMO THE APPUCANT UN01FSTANDS THAT ALL SYA@sD@S AND
upons THE APruCANT
THE Apr8UCANT AND ANY OFFICIAL PKPCU?tNS TW9 CfRfTICATION ON AliH8tP Of THE APPUCANT,8th486D 99 ITBd 1 CEPfYY THATDeB APPUCAf
ccNropinaff WffM1TFLE 10 CODE 08 PEDEP.AL esmA ATID*et PAHf3 30. SL R Se,35 Se y aNo at Ass 0 THAT ALL peFolomeATIONCCedTAP4KD#8EftsBN10
CCRRECT TO THE DEff Dr THibit IUngwrm amo guquer, NrAmN=
,.U e .--,., Aereu e a 4 . .me..A ,r A e.s 4L ermeeTo =A E Aw'umnue afAT,.wroi
. wA,N
ANY DEPARTMENT 04 A05Ntv Up"YW LINf'fD pf a*W1 AS TO ANT $dAffER Wrf4EN effi JUBtsgDeCTN
moseafyns oAm
cemfirma osma Tweervra ,rso NAus ANoinks
S.-A. McLane
!
FOR4RCOSE ONLY
r6s Cmuu=T Awowr = .i awen Muuuust comments .
rrwe or rsu rnsLee
8
Aermoves ey o*TE
.
P= no oM werCLeo RAP +n
" NUEEG - 1556. Vol.1
i Page A-1 i
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JUL-10-98FR111i52Ali ' 11CLAIN 0011S01Th1G GROUP FAX 110, 9072833265 P. 03 j
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McLANE
eTESTING* NRC9R02
1. New Name of Licensed Organization: McLane Testing i
2. Contact: S. A. Sam McLane
P.O. Box 468
Soldotna, AK 99669 l
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Tel: 907-283-4218
Fax: 907-283-3265
3. INDIVIDUAL (S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THElR
TRAINING AND EXPERIENCE- RADIATION SAFETY OFFICER I
S.A. Sam McLane is the Radiation Safety Officer (RSO) for McLane Testing. He has
successfully completed one of the courses described in the Criteria in the section entitled
" Individual (s) Responsible for Radiation safety Program and Their Training and Experience -
Radiation Safety Officer" in NUREG 1550, Vol.1 dated May 1997.
Before being named as RSO, future RSOs with have successfully completed one of the
training courses described in the Criteria in the section entitled individual (s) Responsible for
Radiation safety Program and Their Training and Experience - Radiation Safety Officer" in
NUREG 1556, Vol.1 dated May 1997.
TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS i
Before using licensed materials, authorized users will have successfully completed one of the
training coursos described in the Criteria in the section entitled "Trair; lng for Individuals
Working In or Frequenting Restricted Areas"in NUREG 1550, Vol.1 dated May 1997.
4. Transferor Further Business The transforor, McLane and Associates will not remain in
non-licensed business and will not apply for a license in the future.
5. Description of Transaction McLane and Associates is currently owned by a bankruptcy
estate and will no longer be conducting business using gauges with licensed radioactive
source materials. Therefore M&A seeks to amend its NRC license to transfer ownership,
control and responsibility of Troxler Model 34110 moisture density gauges (serial numbers:
9800, 12192 & 13650) and Troxler Model 3241 asphalt content gauge, serial no. 562 to
McLane Testing.1he transaction is a disposition of bankruptcy estate assets and liabilities.
No transfer of stock etc. is involved. Kenneth Battley, trustee, has agreed to the license
amendment and transfer of ownership, control and responsibility. McLane Testing, a
partnership comprised of S.A. McLane, S.S. McLane and M.S. McLane agrees to accept
ownership, control and responsibility of the gauges and their sealed sources.
6. Operating and Emergency Procederas We willimplement and maintain the operating
and emergency procedures in Appendix H of NUREG 1550, Vol. I dated May 1997, and
provide procedures to all gauge users and at each job site. See additional safety information
attached.
Page 2 of 5
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"JUL-10-98'FRIill53Ali MCLASE'00NSUI.TINGGRhiiP FAX 50.9072833265 P. 04 i
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! NicLANE l . T F. S T I N G * NRC9902 !
We will control and maintain constant surveillance over gauges that are not in storage and
secure stored gauges from unauthorized removal or use.
7. Changes in use, Possession, Location and Storage
No changes in location or facility are planned. McLane Testing will occupy the same physical
space and facilities as the former owner, McLane and Associates. Equipment and
procedures are being upgraded. Additional gauges and their source materials are listed in
the table under item 5 and 6.
As mentioned above, McLane Testing will and does occupy the former McLane and
Associates facility at Mile 3.5 Kenal Spur Highway. The licensed materials will continue to be
stored and used in desi0nated areas.
8. Changes Requiring Amendment Without Change of Ownership
New gauges will probably be purchased and are listed in the table of Materials to be
Possessed.
9. Surveillance items and Records
All surveillance requirements and records for the licensed material are current and will be
current at the time of the transfer. Gauges are currently in storage or use. Most recent tests
were performed in 1998. Copies are attached. Inventory, utilization and storage logs are
current.
10. Records Concerning Safe and Effective Decommissioning of the Facility
All records concoming safe and effective decommissioning of the facility; public dose; and
waste disposal will be transferred to the new licensee.
11. Status of the Facility
The f acility consists of a materials lab room with a short-term (ovemight) storage cabinot and
a long-term storage facility consisting of a 40-ft. stationary van with locked storage cabinet.
The facility is clean. Leak test records document absence of contamination.
Decontamination is not expected to occur before transfer. McLane Testing, the successor
company, agrees to assume full liability for decontamination of the facility.
We will develop, implement, and maintain gauge transfer and disposal procedures as part of
our radiation safety program.
Page 3 of 5
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' JUL-10-98 FRI 11:53 Att f1Cl.ANE CONSULTING GROUP FAX NO. 9072833265 P. 05
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McLANE
= TESTIN G e NRC9902
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12. Decontamination Plans
The transferor, McLane and Associates, is transferring alllicensed source material and
responsibility for any cleanup needed at the time of the transfer to McLane Testing. McLane
Testing and all its partners, agree to accept the material and responsibility.
13. Transferee Confirmation
The transferee, McLane Testing, agrees to abide by all commitments and representations
previously made to NRC by the transferor. These include, but are not limited to: maintaining ,
decommissioning records required by 10 CFR 30.35(g); implementing decontamination )'
activities and decommissioning of the site; and completing corrective actions for open
inspection items and enforcement actions.
The transferee, McLane Testing, accepts fuli liability conceming licensed, radioactive source
materials for the site. No financial assurance is required at this time due to the limited nature
and amount of licensed source material.
The transferee. McLane Testing, accepts full responsibility for open inspection items and/or
any resulting enforcement actions.
14. Documentation of Agreement
The transferor, McLane and Associates, and the transferee, McLane Testing, agree to the
change in ownership of the licensod material and activity, and the conditions of transfer; and
the transforee is rnade aware of all open inspection items and its responsibility for possible
resulting enforcement actions.
Kenneth Battley U.S. Trustee Date S. A. McLane Date
Case No(s). A 95-00014 HAR RSO for McLane and Associates
A 95-o0015 HAR
A 95-00016 HAR
A 95-00017 HAR
S. A. McLane Date S. A. McLane Date
Partner, McLane Testing RSO for McLane Testing
15. Transferee Commitment
The transferee, McLane Testing, commits to abide by all constraints, conditions,
i
requirements, representations, and commitments identified in the existing license.
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. JUL-10-98 FRI 11:53 All 11CIS!!ECONSULTillGGROUP FAX 110.90i2833265 P. 06
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McLANE l
*TESTINGe NRC9802
RADIATION SAFETY PROGRAM
Audit Program Not submitted with this application. ]
Termination of Activities Not required with this appication. However, when the license f
expires or at the time, the licensee (McLane Testing) ceases operations, NRC Form 314 will )
be submitted.
- 1
Survey instruments McLane Testing possesses and will use a Troxler radiation survey l
meter that meets the Criteria in the section entitled * Radiation Safety Program - Instruments" l
in NUREG-1556, Vol. I dated May 1997 in the event of an incident. i
Material Receipt and Accountability Physicallnventories will be conducted at intervals not
to exceed 6 months, to account for all sealed sources and devices received and possessed
under the license. l
Occupational Dosimetry We will maintain, for inspection by NRC, documentation of
dosimetry processed and evaluated by an NVLAP approved processor that is exchanged at '
a frequency recommended by the processor. McLane Testing plans to use Landauer, Inc.
for dosimetry analysis.
Public Dose We will ensure that licensed gauges will be used, transported and stored in
such a way that members of the public will not receive more than 1 milleslevert (1 mSv)[100
millirem (100 mrem)] in any one year, and the dose in any restricted area will not exceed 0.02
milleslevert (0.02 mSv)[2 millirem (2 mrem)]in any one hour, from licensed operations.
Leak Test Leak tests will be performed at intervals approved by the NRC or ar. Agreement
State and specified in the Sealed Source and Device Registration Sheet. Leak tests will be
performed by an organization authorized by NRC or an Agreement State to provide leak
testing services for other licenscos or using a leak test kit supplied by an organization
authorized by NRC or an Agreement State to provide leak test kits to other licensees and
according to the kit supplier's interactions.
Maintenance
Routine Cleaning and Lubrication We willimplement and maintain procedures for routine
maintenance of our gauges according to each manufacture's recommendations and
instructions.
Non routine Maintenance We will send the gauge to the manufacturer or other person
authorized by NRC or an Agreement State to perform non-routine maintenance or repair that
require the removal of the source or source rod form the gauge,
f Transportation We will develop, implement and maintain safety programs for the public ,
transport of radioactive material to ensure compliance with DOT regulations.
Page 5 of 5
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JUL-10-98 FR1 11:54 AM
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11CLANE CONSULTING GROUP FAX N0. 9072833265 P. 07
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McLANE
e TESTING e NRC91102 j
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APPLICATION FOR AMENDMENT TO LICENSE NO. 50-1237441 I
CHANGE OF OWNERSHIP l
MATERIALS TO BE POSSESSED AND PROPOSED USES
YES NO RAIUUISOTOPE MANUFACTURER / OUANTITY MOST OTHEH USES l
MODEL NO. COMMON NOT SPECirlED l
USE ON SSD l
CERTIFICATE I
X Am 241 Troxler 32410 Not to exceed Measure Not applicable
Asphalt Content Gauge maAmum Physical
activity par Properties of
source as Materials
specified in I
Sealed source
and Device
registration
sheet
X Am 241,Os-137 Troxier 3411 B Not to exc sed Measure Not applicable
Moisture Density Gaugo maximum Physical
activity per Properties of
source as Materials
specthed in
Sealed source
and Device
reg!stration
sheet
X Am441, Cs-137 Troder 3440 Not to exceed Measure Not applicable
Moisture Density Gauge maximum Physical
activity per Proper 1ies of
source as Materials
specified in
Sealed source
and Device
registration
sheet
X Cs 137 Troxier 4640 Not to exceed Metsure Not epplicable
Moisture Density Gauge maximum Physical
activity por Properties of
source as Materials
specified in
Sonfed source
and Device
registration
sheet
X Am441, Cs-137 Troxler 3450 Not to exceed Measure Not applicable
Moisturo Dee'iy Gauge mesmum Physical
activity per Properties of
sourcsas Ma%Is
specified in
Sealed aource
and Device
reg lstration
__
sheet
Page G of 5
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JUL-10-98 FRI 11:54 AM MCLANECONSULTikGGROUP FAX NO 90}2833265 P. 08
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f l Troxler Doctronic Laboratories, Inc,
2005 Cornwellis Rd., P,0. Box 12057
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/(TROXLER n....,c,, T,i.,i, r.,u. NC 2,70,
Tef: (919) $49 8661 Fax: (919) 549 0761
l License: NC 032-01821 l
LEAK TEST CERTIFICATE
'
DEVICE:
Model: 3411 Serial No: 9800 Sample Date: M-3-7[
SEALED SOURCES:
' CURRENT ACTIVITY
INITIAL ACTIVITY
NUCLfDE SFRIAL NO. (mCy (mC1)
C5-137 40 7152 8.3 0.0
AM-241:BE 46 . 1182 40.0 39.0
LEAK TEST ANALYSIS:
The cample has been analyzed using a counting system capable of measuring beta,
gamma, and alpha contamination.
Date of last calibration: 12/15/97
ALPHA BETA-GAMMA
Conversinn f actor (cpm /uCi) 4.60E + 05 7.43E + 05
,.
.
Bachar,und measurement (cpm) 1 24
Sample rnessurement (epm) 1 22
_
Activity fuCi) < MDA < MDA
Min. Detectable Activhy (uCl) 7.6E 06 1.0E-05
This certifies that the above leak test results are:
O Less than 0.005 uCl (185 Bq) O creater n0.00 .i ties eq)
Measurement Date: 5/11/98 Certified by:
"
0 b
/
if greater than 0.005 uCl(185 Bq): f
Person Notified Date
I l Phone and/or Tax l
- e.v. 4/97
! !
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. liUL-10-98 FR1 11:54 All t1CLAllE 00115ULTil1G GROUP FAX 110. 9072833265 P. 09
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. - Trrxler Electr:nic Laborat:rles, Inc.
3008 Cornwa!4s Rd.. P.O. Box 120$7
/(TROXLER R....,=n 1,i.noie e.,,, NC 2770.
Tel: 1919) 549-8661 ras: (919) 549-0761
Ucense: NC 032-01821
LEAK TEST CERTIFICATE
DEVICE:
Model: 3411 Serial No: 12192 Sample Date: 8 - /'f - [ 7
SEALED SOURCES:
INITIAL ACTIVITY CURRENT ACTIVITY
NUCLICE SERIAL No.
(mCH (mC31
CS.137 50 . 22 7.3 5.5
-
AM-241:8E 47 . 7537 40.0 39.2
LEAK Tr.ST ANALYSIS:
1
'
The sarnple has been analyzed using a counting system capable of measuring beta,
gamma, and alpha contamination.
Date of tast calibration: 1/14/97
ALPHA BETA GAMMA
Conversion facter (epm /wCl) 4.51 E + 05 7.4 S E + 05
-
Background measurement (epml 0 24 l
l
Sample rnessurement (cpml 0 25
. .
Activity luCl) < MDA < MDA
Min. Detectable Activity (uCi) 7.0E-06 1.0E-05
l
This certifies that the above leak test results are:
O Less than 0.005 uCl (200 Bq) C Greater than 0.005 uCi (200 Sq) l
Measurement Date: 5/21/97 Certifled by: 1 1 .a._
/ !
If greater than 0.005 uCl : f
l
Person Notified _
Date !
l
Phone and/or Fax j
Rev. 4/97
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JUI.-10-98 FRl'11:55 AH HCLANECONSOI.TINGGROUP FAX NO. 9072833265 P. 10
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Troxler Electronic Laboratories, Inc.
3008 Cornwallis Rd., P.O. Box 12057
/~hTROXLER ,
Re,e.,,s T,i.n,ie e.,u, uC 2,70,
Tel:(919) 549 8661 Fax: (919) 549-0761 1
Licente: NC 032-0182-1
LEAK TEST CERTIFICATE
DEVICE:
Model: 3411 Serial No: 13050 Sample Date: /2d 77 i
!
SEALED SOUflCES:
I
INITIAL ACTIVITY CURRENT ACTIVITY I
NUCt. foe SERIAL NO.
Cl) l
C5137 50 2413 8.o 6.1 l
m. I
AM-241:BE 47 . B967 40.o 39.3
i
LEAK TEST ANALYSIS
The sample has been anaryred using a counting system capable of measuring beta, l
gamma, and alpha contamination.
Date of last calibration: 0/10/97
ALPHA BETA-GAMMA
l
Conversion f actor (epm /uci) 4.65E + 05 7.44E + 05
.
Beckg ound rnessurement (cpm) 0 27
Sample enessurement (cpm) 1 19
.
-
- -
Activity (uCi) < MDA < MDA
Min. Detectable Activity tuCil 5.8E-06 1.1 E.05
This certifies that the above leak test results are:
@ Less than 0.005 uCi(200 Bq) C Greater an 0.005 uCi (200 Bq)
Measurement Date: 12/5/97 Certified by: N'M Ne
f
If greater than 0.005 uCi :
Person Notified Date
l l Phone and/or fax I r
nov. 4rs7
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JUL-10-98 FRI 11iS5'AM MCLA!1E 00f1SOLTil10 GROUP FAX t10. 9072833265 P. 11
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Troxler Electronic Laboratories, Inc. ;
3008 Cornwelfis Rd., P.O. Box 12057
l ,/(TROXLER ne,e.,cn 1,,,noi. e.,x. NC 22,0. ) Tel: (919) 549 8661 Fax: 1919) 549-0761
License: NC 032-01E21
LEAK TEST CERTIFICATE
DEVICE:
1
Model: 3241 Serial No: 562 Sample Date: $*~ b Y
SEAIID SOURCES:
NUCLIDE SERIAL NO.
.
AM.241:BE 55 . 7620 100.0 98.0
l
LEAK TEST ANALYSIS:
The sample has been analyzed using a counting system capable of measuring beta, l
gamma, and alpha contamination.
Date of last calibration: 12/15/97
ALPHA BETA-GAMMA
Conversion f acter (cpm /uC1) 4.60E + 0S 7.43E + 05
Dack9round rnessurement leprn) 0 26
-
Sample measurement (cpm! 0 22
Activity (uCl) < MDA < MDA
Min Detectable Activity luCil 7.3E 06 1.1 E-06
This certifies that the above leak test results are:
@ Less than 0.005 uCI (185 Bq) O arente pan o.cos C; (18s eqi
Measurement Date: 5/12/98 Certified by: DN
!
If greater than 0.005 uCi (185 Bq): (
Person Notified Date
l
Phone and/or Fax
Rev. 4/97
! !
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.
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.
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TELEPHONE OR VERBAL COINERSATION l TIME ~2: 29
,
RECORD l
~00: O& am/@ i
[ ] INCOMING CALL [ ] OUTGOING CALL [ ] VISIT
PGSON CALLIN3: OTTICE/ ADDRESS: PBONE WIMSG2
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. OTTICE/ ADDRESS: PBONE N'&GER:
) (PESON
(M CA LED:Voi om<uf )
% McLaa M < Lome Ti;;L;r [907) 285 - 92/8 ,
COINERSAT' ION .
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SUMMARY -
/ O W w nce NGlt m lk OC ba+t.g [& ,
ls) 0
& Ix lias (i46/.
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2b 00 gaages go lwleu) 3 ?
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& ffn hcl ~ xd4 baa decanad g;p-d, ' AjJ +
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} Any1SI XI 01 ACIlot
REFERRED TO: TAIII
IIITIALS:
ACTICI RIQUISTID:
DATI:
.
ACT10I TAIIII: IIITIALS:
DATI:
---
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iTc ToTi fii YzT-~o :762 ier / Q c-xiV)
u- - -------... - _.- - ._- - -- .. - - _ - - - - ..- -- - -- *
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! . , 1: , l- . L- From:- .Beth Prange ( To ' .ARD1.ARP1.JDC1 !- . Dates,
-
8/3/98 4:10pm'
l
subjects : McLane : and Associates
. This amendment is ready to go, once the fee approval is obtained. Please
'
E-mail me when the fee-paid milestone is' issued so I can issue the case.
.Thanks.
:.!;
License No.' '50-21374-01-
Docket No.'030-20575. '
Control No. 466856 l
l
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.I
I know this will take.a'few days,-since it was sent to RIV, AO on 7/31/98 by ]
-fax. Thanks again. -
CC: TWD2.TWP9.SLK, TWD2.TWP9. REM 1
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hao & <tced
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: (FOR LFMS USE)
-
INFORMATION FROM LTS
BETWEEN: : --------------------
:
License Fee Management Branch. ARM : Program Code: 03121 _.
- t
: : Status Code: 0
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and
Regional Licensing Sections - Fee Categor 3P .-n~:F^'m
. Exp. Date: y:030930 e0 p@m!b
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A. REGION = ,~i -
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1. APPLICATION ATTACHED
. Applicant /Lithnsee: MCLANE AND ASSOCIATES
-Received Date:- 980731
Docket No: 9- 3020575 <
Control No,oc. 466856
License No,ed 50-21374-01-
'ActionTypeg Amendment
2. FEE ATTACHE -
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B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered / /) -
1. Fee Category and Amount: -
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2 Correct Fee Pai ~ Application may be processed for:
Amendment
Renewal -
License
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+4 UNITED STATES
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NUCLEAR REGULATORY COMMISSION '
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WASHINGTON, D.C. 2006H001
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May 23. 1996 '
MCLANE AND ASSOCIATES
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ATTN: HR. LAWRENCE J. SCHMIDT
Radiation Safety Officer
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P.O. BOX 468
SOLD 0TNA. AK 99669
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SUBJECT: ONE-TIME EXTENSION OF LICENSE EXPIRATION DATE
LICENSE NUMBER 50-21374-01. DOCKET NUMBER 3020575
Dear HR. LAWRENCE J. SCHMIDT
,
On January 16. 1996, the Nuclear Regulatory Commission (NRC) amended its regulations in 10 CFR 30, 40
and 70 to extend the expiration date of certain byproduct, source, and special nuclear material licenses J
by five years (61 FR 1109). The above ret. -.ced license was extended by this rulemaking and will now
expire on September 30. 2003. Your license will not be amended to show this extended date until the next 2
routine licensing action. Until then, you may provide copies of this letter to vendors and other
interested parties as evidence that the license has been extended as a result of the rule.
The extended license authorizc;s the same activities and contains the same limitations as it previously ;
did. There will be no change in the frequency that the NRC inspects activities authorized by this ~
license.
i
The amended rules state that in the case'of licensees who are granted extensions and who have a currently
pending renewal application for that extended license, the application will be considered withdrawn by
the licensee and any renewal fees paid by the licensee for that application will be refunded. This will
apply to licenses with expiration dates after July 1. 1995, for which renewal applications and the
appropriate fees have been submitted and the renewal is stP1 pending. Refunds will be mailed to
licensees under separate cover. '
All licensees, including those whose renewal applications were withdrawn by this rulemaking, who wish to
change their radiation safety programs must request amendment of their licenses to reflect these
changes. Amendment requests must include the correct amendment fee since the NRC cannot apply pending
renewal refund balances toward amendment fees.
'If you have any questions regarding this letter, please contact the individual below.
Arlington. TX: Billie Gruszynski. (817) 860-8120
Walnut Creek. CA: Beth Prange. (510) 975-0250
Thank you for your cooperation in this matter.
I
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O b Cool. Director
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Divis on f Industrial and Medical Nuclear Safety
Office of Nuclear Materials Safety and Safeguards
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_OL ~ '3_PAGES ~
MATERIALS LICENSE
Pursuant to the Atomic Energy Act of1954, as amended, the Energy AmendmentReor No. )4'y l
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i heretofore made by the licensee,, and , , , n
a license is hereby
in reliance on statements iss
and representati
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i source, and special nuclear material designated below; ee toto use such
receive, material
acquire, possess,f and transfer byp f
[ deliver or transfer such material to persons authorized to receive (s) anditatinthe acc p
or the purpose place (s) designa
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subject to all applicable rules, regulations and orders o
conditions specified below. , as amended, and is
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ory Commission now or hereafter in effect an E
k h' ucensee
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$ Ef+wl-- In accordance with application
I 1. McLane .and-Assobu' tas, dated .May477 -M93 /
3. Ucense number
50-21374-01 is amended
2. P.O. Box 468
in its entirety to read as follows:
' , , date
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Soldotna, AK 99669
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AQ
t' l [ip'iration
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September
30, ~139),3
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5. Docket or
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' Reference No. 030-20575
specialnuclear material 7. Chemical and/or physical
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form ',.8.
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p Maximum amount that licensee
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Cesium -J37 l ' '. .
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A.i'.'Sealedsources ; ,, e A.
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Americium-241
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Americium-241 V CT
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V, S'eale'd neut'ron sources i
(Troxler Dw
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Not to exceed 110
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Authorized use
31ll0 h _ g
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i properties of construction materials.For use in Troxler Mod .{
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[ For use
materials, in Troxler Model 3241-C gauges to measure asphalt nstruction
contentb
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CONDITIONS <
10.
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Licensed material may be used at the licensee's facilities at Mile P
off the job
Kenai Spur Highway north of Soldotna, Alaska, and atstemporary .
of the
licensee anywhere in the United States where the U.yS. Nuclear Re
Commission ;I
maintains jurisdiction for regulating the use of licensed material .
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PDR 930920
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50-21374-01 i
MATERIALS LICENSE g, ,y,,,_,, L
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SUPPLEMENTARY SHEET
030-20575 L
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Amendment No. # 5 [
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CONDITIONS C
(continued) C
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11. Licensed material saall be used by, or under the supervision and in the physical F
presence of, S. A. McLane, Lrae=4- kha;;r or individuals who have successfully f
completed the manufacturer's training program for gauge users and who have been [
designated by the Radiation Protection Officer, S. A. McLane. The licensee ~shall ;
maintain records of individuals designated as users. C
12. Sealed sources containing licensed material;shall not be opened. I
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13. A. The source (s) 'specified in' Item (s) 7. A. through. C. shall be tested for :
leakage and/or contamination at intervals not to exceed 6 months. Any source :
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received from another person which is not accompanied by a certificate ;
indicating that a test was performed within 6 months before the transfer shall :
not be put into use until tested. -
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B. Any source in ' storage and not being used need not be tested. When the source !
is removed from storage:for use or transfer to'another person, it shall be ;
tested before use or transfer. - - " '
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C.
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The test shall be capatile bf. detecting the presence of 0.005 microcurie of
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radioactive material _on'the test sample. ' If the test reveals the presence of i
0.005 microcurie or more of removable contamination, the source shall be
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removed from service and decontaminated, repaired, or disposed of in [
accordance with Commission regulations?. A report shall be filed within 5 days i
of the date the leak testlesult.is known with the U. S. Nuclear Regulatory :
Commission, Region V, Radioactive' Materials Safety, Branch,1450 Maria Lane, ;
Walnut Creek, California 94596./ The! report shall specify the source involved, i
the test results,'and corrective' action taken., Records of leak test results i
shall be kept in units of microcuries and shall'be maintained for inspection F
by the Commission. Records may be disposed of following Commission : )
inspection.
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SUPPLEMENTARY SHEET 030-20575
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l Amendment No. f S l
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l CONDITIONS 1
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q D. The licensee is authorized to collect leak test samples for analysis by p
1 1roxler Electronic Laboratories, Inc. or tests for leakage and/or N ,
! I contamination shall be performed by persons specifically licensed by the F
Commission or an Agreement State to perform such services. ll
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The licensee shall conduct a physical iheritory every six (6) months to account for
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y all sources and/or devices received and possessed under the license. Records of the l i
I inventories shall be maintained for two (2) years frora ,the date of each inventory. H
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15. The licensee may transport licensed material in accordance with the provisions of 10 l
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CFR Part 71, " Packaging and Transportation of Radioactive Material". p ;
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4 16. Except as specifically provided otherwise in this license, the licensee shall y
I conduct its program in accordance with.the statements, representations, and
4 procedures contained in the documents including any enclosures, listed below. The
l Nuclear Regulatory Commission's regulations shall govern unless the statements, g
g representations and procedures .in the licensee's application and correspondence are
( more restrictive than the regulations. ;-
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4 A. Application dated May 27, 1993!'! i
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i SEP 2 01993
! f Dated: By: M-8[G, hv, !
e BethA.Prange(j p
$ Sr. Health PhyMcist (Licensing) h
4 Radioactive Materials Safety Branch li '
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JUL-10-98 FRI 11:54 Ali 11CLA!E CONSULTING GROUP FAX NO. 9072833265 P. 07
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McLANE
eTESTINGe NRC9802
APPLICATION FOR AMENDMENTTO LICENSE No. 50-12374-01
CHANGE OF OWNERSHIP
MATERIALS TO BE POSSESSED AND PROPOSED USES
YES NO RADiotSOTOPE MANUFACTUREN OUANTITY MOST OTHER USES
MODEL No. COMMON NOT SPECIFIED
USE ON SSD
CERTIFICATE
X Am 7.41 y Troxter 3241 C Not to exceed Measure Not apphcable
Asphalt Content Gauge meudmum Physicst
activity per Properties of
source as Mete tals
specttied in
Sealed source
and Device
registration
sheet
X Am 241, Co 137 Troxior 3411-B Not to exceed Measure Not apphcable
Moisture Density Gauge maximum Physical
activity per Properties of
At- 054C-D- IR-S sa'e* a
epeelhed Irt
Mat **'s
Sealed source
and Device
registration
sheet
X Am 241, Cs 137 Trohr 3440 Not to exceed Measure Not applicable
Moisture Density Gauge maximum Physical
/ activity per
source as
Properties of
Materials
specified in
Sealed source
and Device
registration
sheet
X Cs137 Troxter 4640 Not to exceed Measure Not appkeable
Moisture Density Gauge maximum Physical
activity por Prcperties of
k" OM[p-D-/3/-S source as
speelf;ed in
Matehls
Sealed source
and Device
registrat;on
sheet
X Am-241, Cs-137 Troxter 3450 Not to exceed Measure Not applicatxe
Moisture Density Gauge maximum Physical
. activity per Properties of
NC-C6[h" O * / 3b source u Mateels
$ specified in
Seated source
and Device
reg;stration
8"
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Page G of 5
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JUL-10-98F.91'IliS1A!1 110LN5 CONSUi. TING GP.0UP FAXNO.9072833265 P. 01 -
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McLANE Testing
PO Box 468
Soldotna, AK 99669
Phone: (907) 283-4218 )
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Fax: (907)283-3265
Date:
IO E
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Job No.
.
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Fox cover Sheet l
Please deliver the following pages to:
Name: 0 hfWe
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Company:
City: c d d ht u I 6 r. e k
Fox Number: 92S- 97S- o38)
From: l
Total # of pages (include cover sheet): Il
Please call the telephone number above if all pages are not received.
Comments:
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