ML13364A296

GL Registration from Virginia Electric and Power Company (Dominion), North Anna, Units 1 & 2

ML13364A296
Person / Time
Site:	North Anna
Issue date:	12/16/2013
From:	Gerald Bichof Virginia Electric & Power Co (VEPCO)
To:	NRC/FSME
References
13-642, GL-700115-18
Download: ML13364A296 (10)

Text

VIRGINIA ELECTRIC AND POWER COMPANY RICHMOND, VIRGINIA 23261 December 16, 2013 Director, Office of Federal and State Materials And Environmental Management Programs ATTN: GLTS U. S. Nuclear Regulatory Commission Washington, DC 20555-0001 Serial No.

NAPS/JHL Docket Nos.

License Nos.13-642 50-338/-339 NPF-4/-7 Gentlemen:

VIRGINIA ELECTRIC AND POWER COMPANY (DOMINION)

NORTH ANNA POWER STATION UNITS I AND 2 ANNUAL REGISTRATION OF GENERALLY LICENSED DEVICES In accordance with 10 CFR 31.5, enclosed is NRC Form 664, General Licensee Registration, for generally licensed devices maintained at North Anna Power Station. If you have any questions, please contact Mr. R. B. Evans at (540) 894-2107.

Very truly yours, Gerald T. Bischof Site Vice President Enclosure Commitments made by this letter: None

cc:

U.S. Nuclear Regulatory Commission Attention: Document Control Desk Washington, D. C. 20555-0001 Director, Office of Nuclear Material Safety and Safeguards U.S. Nuclear Regulatory Commission Washington, D. C. 20555-0001 U.S. Nuclear Regulatory Commission Region II Marquis One Tower 245 Peachtree Center Ave., NE Suite 1200 Atlanta, Georgia 30303-1257 NRC Senior Resident Inspector North Anna Power Station

I IIIII 11111111 II IIIII liii 1111111 II IIII 11111 IIII III III II I111111 IN I IIIl iiiIII III IIII 1111 GL-700115-18 11/04/2013 NRC FORM 664 02 - 2004 10 CFR 31.5 SECTION 1 PAGE 1 of 2 U.S. NUCLEAR REGULATORY COMMISSION GENERAL LICENSEE REGISTRATION APPROVED BY OMB: NO. 3150-0198 EXPIRES: 03/31/2010 Estimated burden per response to comply with this mandatory collection request: 20 minutes. NRC will use this information to track general licensees and their devices to ensure a higher level of device accountability. Send comments regarding burden estimrate to the Records and FOlAIPrivacy Services Branch (T-5 F52), U.S. Nuclear Regulatory Corrsrission, Washington, DC 20555-0001, or by internet e-mail to infocollects@nrc.gov to the Desk Officer. Office of Information and Regulatory Affairs, NEOB-10202, (3150-0000). Office of Management and Budget. Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a Derson is not reouired to reseond to. the information collection.

Complete all six sections of this registration form. If any of the preprinted information is incorrect, provide the changes in the applicable boxes. USE CAPITAL LETTERS.

General License Registration Number GL-700115-18 SECTION 1 - GENERAL LICENSEE INFORMATION Enter the company name and the street address/physical location of use for your device(s). For portable devices, specify the primary storage location. Do not use a P.O. Box address.

Company Name: DOMINION VIRGINIA POWER Department:

NORTH ANNA POWER STATIO Address Line 1:

1022 HALEY DRIVE AddressI I

I END I

I I

700 Address Line 2:

END OF ROUTE 700 I I 1 1 1 1I 1I City:

MINERAL I

I I

I I

I I

I I

I I

I I

I I

I I

I I

I I

I I

I State: VA LI ]

Zip Code: 23117 - 0402 ZiII

-DILIrZy 3..

..

• W-0 A

A

I~ l 111111 111111111 1

li iil 11111Ill 11111 1111 liiil 11111 11111 1111111 GL-700115-18 11/04/2013 I11111111 III 11111 III 1111111 IN SECTION 1 PAGE 2 of 2 SECTION 1 - GENERAL LICENSEE INFORMATION (Continued)

Enter the name, telelphone number and title of the person who is the responsible individual for the device(s).

Last Name:

%WA4G*&

IE V I A

I I

I I I

First Name: -Be*-

Middle Initial:

f. oc*

_(<*

Telephone:

(540) 894-2401 Extension:

[*tI

ý1 II**I I I[_

M LFJL-k

Title:

CURRENT SAFETY OFFICER Enter the mailing address where correspondence regarding your device(s) should be sent.

This address should be specific to the use or storage location of your device(s).

Department:

NORTH ANNA POWER STATION Address Line 1:

1022 HALEY DRIVE Address Line 2:

END OF ROUTE 700 City:

MINERAL State:

VA LLI Zip Code: 23117 -0402

- Ell*l 1J A

A

11111111 IIII II nIlII uIII III IIII iIII IIn I In 1111111 iil ilr nII iIIIIIII II GL-700115-18 11/04/2013 SECTION 2 - DEVICES SUBJECT TO REGISTRATION Our records indicate that you have these devices. Please update the information as necessary.

NRC Device Key 595514 (Internal Control Number)

Distributor/Distributed By:

OXFORD INSTRUMENTS ANALYTICAL Distributor License Number:

29-30342-02G Manufacturer Name: METOREX, INC Device Model (Not Source Model): DOPS Device Serial Number: 128018 Transfer Date (Receipt Date): 08/12/1999 Not in possession of devic (Also complete Section 4.)

MM DD YYYY SECTION 2 PAGE 1 of 1 I I e

Isotope (e.g. AM241) 1 AM241 2

3 4

5 6

Activity (e.g. 100) 30.000000000 Unit (e.g. mCi) mCi A

A

'lii IIII II111 II Ilili IIII 11111 1

Ili IIIII IIII1111111 11111 IIIN I 1IIIlil 111I iii III III GL-700115-18 11/04/2013 SECTION 3 SECTION 3 - ADDITIONAL DEVICES SUBJECT TO REGISTRATION PAGE 1 of 1 Provide information about other devices you have that are subject to registration. Do not report specifically licensed devices.

Manufacturer Name Initial Transferor Name Initial Transferor License Number (if known)

Device Model Number (Not Source Model)

Device Serial Number

]

]

I 0 Manufacturer/Initial Transferor listed above How acquired and date (e.g.,

from a distributor/manufacturer, 0 Other General Licensee Date Transferred: [jj Ijj L

other licensee, other source)?

I I

I U Other Source (Received)

MM DD YYYY 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Isotope (e.g. AM241)

EvClyn EllilU EIIILIZZ EIIIIII KELIIEZ EllCllU Activity (e.g. 100)

T-1 i-I E-L E-L 1-F Unit (e.g. mCi)

Ellf EKD KClL ED' EL__

KlnL KClL A

A

• III III IIII II II1I1U11111 1111I1I11 111 I1I11111111 iii IIII IIII IIIIHI 1 II lIIItIl III IIII IIII GL-700115-18 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 4 11/04/2013 Provide information about devices listed in Section 2 or 6, but no longer in your possession.

PAGE 1 of 1 Part I Transfer Date:

NRC Device Key:

(from Section 2 or 6)

MM DD YYYY Location of the Device:

o Whereabouts Unknown (complete Part 1 only) 0 Transferred to another general licensee (complete Parts 2 and 3) o Never Possessed the Device (complete Part 1 only) 0 Transferred to a Specific Licensee (Not the manufacturer) o Returned to Manufacturer (complete Part 1 only)

(complete Part 2)

Part 2 License Number of Recipient (if transferred to a specific licensee):

Company Name:

Department:

Address Line 1:

Address Line 2:

City:

State: E Zip Code: I-ZII EI Part 3 Enter the name of the individual responsible for this device:

Last Name:

First Name:

Middle Initial:

Telephone Number:

Extension:

Title:

A A

'111111111111111111111III 11111 IIII IIII I DI II III 1111111 IIII IIII IIIl I IIIIII liiiI II IIII III IIII GL-700115-18 SECTION 5 - CERTIFICATION SECTION 5 11/04/2013 PAGE 1 of 1 I hereby certify that:

A.

All information contained in this registration is true and complete to the best of my knowledge and belief.

B.

A physical inventory of the devices subject to registration has been completed, and the device information on this form has been checked against the device labeling.

C.

I am aware of the requirements of the general license, provided in 10 CFR 31.5.

(Copies of applicable regulations may be viewed at the NRC website at:

http://www.nrc.gov/reading-rm/doc-collections/cfr)

SIGNATURE - RESPONSIBLE INDIVIDUAL (Listed in Section 1)

DATE WARNING:

FALSE STATEMENTS MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL ASPECTS. 18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY WRONG STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER IN ITS JURISDICTION.

A A

I III IIII III~l II11 1110 111111111 11111 1111 IIlii 1111 VIIII III 1 III II GL-700115-18 11/04/2013 1111111Ili 11 iii 111 III

~

. a a

qP

(-Fln R'

N

"),.*, I IUN I

- UIDVlIL,*, NV I *Ul5JtlUI I IU K't-l I W0 I IUN PAGE 1 of 1 NRC Device Key: 825331 Manufacturer License No:

12-04933-04G Manufacturer Name: PERKINELMER LIFE SCIENCES Model Number: B310000 Serial #: DG08129527 Transfer Date: 7/20/2012 C Isotope: BA133 Activity: 0.020000000 Unit:

uCi NRC Device Key: 689428 Manufacturer Name: GE ION TRACK Model Number: ITEMISER III Manufacturer License No:

20-15525-04G Serial #: 09-8424 Transfer Date: 6/30/2003 C Isotope: N163 Activity: 10.000000000 Unit:

mCi NRC Device Key: 707159 Manufacturer Name: METOREX, INC.

Model Number: 880 Isotope: CD109 Activity: 10.0 Manufacturer License No:

455-01G Serial #: 128018 Transfer Date: 2/27/2002 C 00000000 Unit:

mCi NRC Device Key: 547351 Manufacti Manufacturer Name: CONCO SERVICES CORP.

Model Number: 101 Serial #: N596 Isotope:

N163 Activity: 5.000000000 urer License No:

MD-31-076-01 Transfer Date: 2/15/1994 C Unit:

mCi

Dominion Generation North Anna Power Station P.O. Box 402 Mineral, VA 23117

~Dominiow 02 1R 0002004774 C

MAILED FROM ZIP,

Director, Office of Nuclear Material Safety and Safeguards U. S. Nuclear Regulatory Commission Washington, D.C. 20555-0001