ML022670014

Duke Engineering & Services, Clarification, Vernon, VT, Dtd 09/23/02

ML022670014
Person / Time
Site:	Vermont Yankee File:NorthStar Vermont Yankee icon.png
Issue date:	09/23/2002
From:	Der-Hagopian H Duke Engineering & Services
To:	Elizabeth Ullrich Division of Nuclear Materials Safety I
References
000511
Download: ML022670014 (1)

Text

I ZO 39VJ NRC FORM 241 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY 0MB: NO. 3150-0013 EXPIRES: 07,31,2002 1Estimated burden per toflSO to a71ply. with thi, mandatory collectio requestm 15 mi nutes. This no-tifiction is reulred so that NRC*a) 7.1S999 shedulo Inspcti~n oft, th activities t. ensure IhaI they afe conductdi accordanse lih requiremOnts for protection of the public health a(

REPORT OF PROPOSED ACTIVITIES IN

• afety. send com.men r

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burden esnlmato o the Record, M3nagoment. Branch

,..6 E1,.*'2' Nuclear1'*Fa*o*mCommissi on OF EXCLUSIVE n an Re NON-AGREEMENT STATES, AREAS to EhE W ek Officer Office oflet=,*llo-a

s. N 10202(10-ll office of M11anagerment an~ Budget. Whill11 FEDERAL JURISDICTION, OR OFFSHORE WATERS 26 a means used to Impoo an imformat on collecaon dno Dnot diaplay a curently valid MB control number tl NRC may non infomrm tion collection, (Please mead the instructioflS before completing ti~S fofln) crdo~

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1. NAME OF LIENE TYPEso Ormm~~;t ocu M amild~bdF REPORT LICEt-:E:tO]G8 f [I INITIAL El REVISION

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CLARIFICATION R4, U.ICEI,1S Q

CONTACT AND TITLE Environrr cntal Laboratory flaro Der Hagopinan 29 R~esearch Drive R~adiationh Safctv Officer Westborough, MA 01581 5

HOENUMBER S. FACSIMILE NU[MElR

7. ACTIVITI TO BE CON DUCTED UNDER THE GENERL LICEISE GIEN I 0 CFR 150.20 WELL LOGGING El LEAKTESTING AND/OR CALIBRATIONS 13 TELETH ERAPIYI R RADIATOR SERVICE 13 PORTABLE GAUGES

[*

O"T R (SpeCify)

F Perform QA on whole body ounting equipment REGISTERED AS USER OF PACKAGING (CERTIFiCATES OF COMPLIANCE NUMBERS)

Li" RADIOGRAPHY =>

.CLETN AR

,CITYCOUNTY, STATE ZiP CODE

19. ACTUAL PSICAL ADDRESS OF V0RK LOCATION fLAheeiaid

,1ber oF o'e' I COD'.

Give ea ceolepO an adre O d)or o a8 pomolej Vermont Yankee Work will be taking place in the whole body counting facility P.O. Box 157 on site at Vcrmont Yanke.

Governor Hunt Road.

Vernon, VT 05354 10 CE TEEP NE NUMBER ELEPHONENUMBER fl-hjuje Am*a Coda) fiftud Aim Code)

(802~ 257-7711 X-5475 (802) 257-7711 X-5491

3. NUMBER OF 14 i.16 LOCATION

. SWORK DYS ADD DELETE REFERENCE NUMBER

12. DATES SCHEDULED 16BET CE FROM INUMBERTO BE Sept. 20, 2002 Sept. 20, 2002 1

1 NA LIST ADDITIONAL WORK SITES ON SEPARATE SHEET'S TO INCLUDE ALL INFORMATION CONTAINED IN ITEMS 9-16 ABOVE.

17. LIS" RADIOACTIVE MATERIAL, WHICH WILL BE POSSESSED. USED, INSTALLED, SERVICED; OR TESTED

(,.eliid de*or/vlialn of ro and qgwo[ly otradsoecWa maeieal, roaled surces, o" deor 6e; to be sc'd.)

Cs-134 5.28E-2uCi Cs-137 1.7E0 uCl 1-131.910EOuCi Co-60 4.51E-1 uCi Ce-144 2.09E-3uC.

All contained in hlumsliod oransD

-aF AGREEMETT S

LICENSE WI-IICHAUTHORIZ THE U1 DINo CONDUCT LICENSE ilM

-5 A

Dt ACTIVITIES WHICH ARE THE SAME EXCEPT FOR LOCATION OF USE AS SPECIFIED IN ITEM9 14-597g1M S

t. 30. 2004

19. CERTIFICATION (MUSTBE COMPLETED BYAPPLICAN7)

1. THE UNDERSIGNED, HEREBY CERTIFY THAT:

a.

Ali information In this report Is true and complete.

b. I have read and undersiand 1he proVision of the general license 10 CFR 150.20 reprinted on the Instructions of this form; and I understand that I am required! to comply with those provisions az to all byproduct, source. or special n,,clear material which I possess and use In non-Agreement States or offshore waters under the general license for which this report is filed with the U.S. Nuclear Regulatory Commission.

I understand that activities. including storage, conducted in non.Agreement S*ates under general lioense 10 CFR ISO120 are Limited toa total or 180 days in calendar year. With the eOXeption of work conducted in off-shore waters, which is authorized for an unlimlled period of time in the calendar year.

d.

I understand that I may be Inspected by NRC at the above listed work site locations and at the Licensee home office address for activities performed in non-Agreoment States or offshore waters.

a.

I understand that conduct of any activitieS not described above, including conduct of activtie5 on dates or locations diftrent from those described above orvithoIut NRC authorization mar sub ect me to enforcement action. includina civil or criminal Aenalti".

aro Der Hagopian (RSO)

"09-602 WARNING: False statements in thi, certificate maybe subject* o ciVil and/or penalties. NRC regulations require that submi t

the NRC be complete and accurate in all material respects. 18 U.S.C. Section 1001 makes it a criminal offense to make a willfully false statement or representation to any department or agency of the United States -as to any matter within its jurisdiction.

DATE I

TOTAL USAGE -

D F R R

RE VE G

-RFFICTOTAL ONG REDYS EDPATE R NRC FORM 241 l ~999)

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