ML20137H066

Forwards NRC 810316 Rept of Proposed Activities in non-Agreement States Re Graver Tank & Mfg Co,Inc Activities in State of Mi

ML20137H066
Person / Time
Issue date:	04/14/1981
From:	Brown G NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:	Van Farowe D MICHIGAN, STATE OF
Shared Package
ML20136D183	List: IA-85-256, Requests That Encl Form Be Completed & Submitted by 760915 & Facility Emergency Plan & Implementing Procedures by 761007 in Order for NRC to Prepare Info Packets for Use in Responding to Incidents or Emergencies IA-85-258, Amend 3 Renewing License R-108 & Incorporating Security Plan as License Condition IA-85-261, Documents That Appropriate Corrective Actions Taken by Dow Chemical Co in Response to 780113 Immediate Action Ltr,Per 780207 Enforcement Conference at Facility IR 05000264/1973001 IR 05000264/1975001 IR 05000264/1977002 IR 05000264/1979003 ML20137G383 ML20137G390 ML20137G402 ML20137G410 ML20137G417 ML20137G432 ML20137G437 ML20137G446 ML20137G450 ML20137G456 ML20137G460 ML20137G467 ML20137G472 ML20137G478 ML20137G487 ML20137G507 ML20137G524 ML20137G586 ML20137G600 ML20137G614 ML20137G637 ML20137G653 ML20137G750 ML20137G793 ML20137G816 ML20137G854 ML20137G875 ML20137G888 ML20137G896 ML20137G903 ML20137G908 ML20137G916 ML20137G921 ML20137G926 ML20137G931 ML20137G940 ML20137G951 ML20137G972 ML20137G976 ML20137G983 ML20137G990 ML20137G997 ML20137H003 ... further results
References
FOIA-85-256, FOIA-85-258, FOIA-85-259, FOIA-85-261 NUDOCS 8508280141
Download: ML20137H066 (2)

Text

'

'rE UNITEb STATES c;J""'D,

ig j'.. :.

NUCLEAR REGULATORY COMMISSION A

$ 7,,

.,""f k

REGION IV S

ARUNGTON. TEXAS 76011 2,

611 RYAN PLAZA DRIVE, SUITE 1000 k

APR 141981 PRINCIPAL STAFF DIR E&IS MD PAO /

\\/Dh s[

Y D. E. Van Farowe, P.E., Chief 3R&oJ Division of Radiological Health g_Z \\

Michigan Department of Public Health 7

3500 North Logan St.

ort &os Fuh P. O. Box 30035 g

Lansing, Michigan 48909 Gentlemen:

Enclosed for your information and records is a copy of Form NRC-241 dated March 16, 1981, showing activities by Graver Tank and Manufacturing Company, Inc., in Michigan, a location where NRC has jurisdiction.

Sincerely, h /k n D. Brown, Chief Technical Inspection Branch

Enclosures:

1.

Form NRC-241 2.

Texas Radioactive Material License No.

11-2176 i

I 99(DD[

8508280141 850712 b*

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g;N8;ois6 eon APR 17188r

Form Atc.ss:

Farm Anorno.l.

gs'th. bo U.S. ATOMIC ENERGY CoMMISStoN RefCRT OF PnOPOSED ACT!Vl?!ES s

IN NON-AGRsEMENT STATES itectlen 150.20 of 10 CFR 150 catablishes a Cenern) !!rs'nse authoriz!nft any person who holds n specine lleense from art " Agreement State" ea state with wh!rh the U.S. Atomic Energy Commission hns entered into on effcettve acrec-ment under sutisection 274b of the Atomic Energy Ae:t UI 10548 where the licensee maintains c.n oince for directin::

the !!cen.wd activity and nt which radlation safety records are normally maintained, to conduct the same activity in "Non-Agrectnent States"if the specific liccuse issued by the Agreement State does not ilmit the authoriced actit f ty to speciRed irlstallatietss or locations.

INsTRUCTIo'NS Submit this Form and the Agreement State specinc license If the Licensee, af ter filing this report. Proposes to ennduct in quadruplicate at least 3 days prior to engaging in each activitics in non-Agreement statca not spectacd in this report.

activity permitted under the oenern! License established by an amended Form AEC-241 (Revised) should be flied with Sec.150.20 of 10 CPR 150. Send to:

the Commis, ion.

Director of the Atomic Energy Commission Regional Com-pil.*Jscc Ocice listed in Appendu: D of Part 20 of this ch.tpter NOTE: Activrrt::s coNWctEs IN IfOtt*ACAEtME.W STATE 3 ITNDE t for the region.in which the Agreement State that issued THE cENERAL LICENSE ARE LIMITED TO A TOTA!. OF 180 the specific license it located.

DAYS IN ANY CALENDAR YEAR.

9. N AME OF LICENME

2. ADOr4ESS OF LICENSEE -

(Pereen er horn proposing to conduct the esti.ities described belo e}

' thfailing address or other facetion erhere licensee mer be leseted)

Graver Tank & Mfg. Co., IIic.

P. O. Box 1764 (Graver Southwest)

Houston, Texas 77001 EL DESCRIPTION OF ACTIVITIES TO DE CONQUCTED IN NON.AbREa MENT STATES UNCER THE G[NERAMf Graver Tank will be performing, oth X-ray tube anc Ir um radiographing.

Graver will be operating under our Texas Liscense No. 11-2176 as ammended.

We will be using two radiographers, both will be safety trained _in Texas Regulations.

& LOCATIONS AT WHfCH THE*.E ACTivtTIES WILL BE CONOUCTED. AND DATES SOMEDULED.

(aire en cornptete an addreee en possible >

"TREET AND NUMBER (or other location)

CITY AND STATE From-To--

DAYS

...The Dow Chemical'Co.

Midland, Michigan 48640 April 13, 1981 3

to 175 dr Michigan. Division October 5, 1981

9. UST SEALCD SOUnCES. OR DEVICES CONTAINING SEALED SOURCES. WHICH WILL SE POSSCSSEO.USED. lNSTALLEO. SEMvlCEO OR TESTED BN NON.AGRECM CNT STATES.

+

(freelude deseription el type and enantity elradienctiee material conta;.~*d in each eested source er device.}

1.

Iridium 192 - Gulf Nuclear G13-20V camerk, 100 CI or less 2.

naltospat 200 KV X-rav' tube..

C. NUMBER OF SPECIFIC LICENSE AND NAME OF STATE ISSUING SUCH SPECfF8C LICENSE WHICH AUTHORIZES THE UNDERstCNEO TO CONOUCT ACTlvlTICS WH4CH ARE THE SAME. EXCEPT FOR LOCATION OF L'3E. AS THOSE SPECIF6ED aN STEM 3 ABOVE. FOUR COPIES OF THE Sr*ECIFIC,8.ICENSE MUST ACCOMPANY THIS FORM.

Texas Liscense #11-2176 Graver Tank & Mfg.eCo., In.c.*

as mmmended.

.P. O. box 1764, Houston, TX 77001 CERTIFICATE 7.1. THE UNDERSIGNED. HEREDY CERTIF"Y THAT:

c. Allinformation in this tcport is true and comp!cte.

b. I have read and understand the provisions of the generallicense 10 CFR 150.20 reprinted below and on the reverse side of this form: and I understand that I am required to comply with these provisions as to all byproduct, source, or special nuclear material which I possess and use in non agreement States under the oeneral License for which this report is Sled with the U.S. Atomic Energy Comminion.

' e. I inaderstand that activitica conducted in non Agreement States under oeneral License 10 CFR 150.20 ste limited to a total of 150 days In any calendar year.

OATE:

TYPE OR PRINT NAME OF LICENSEEt 3/16/81 Graver Tank & tifg. Co.,Inc. (Graver Southwt PLEASE SIG N hlap,

HERE 8Y' NmWABTwu WF

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EnTirv..o CFeicuu ) fue

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/

o,

• t EARNING 18 U.S.C. Section 2001: Act of June 2~,,1988: G2 StatIMKin'aGIt a crirnin'ai d5nseM/ma(c $ *lllfully falac state.

snemt or representation to any department er agency of the United States as to any riatter'within its jurisdiction.

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