IR 05000236/1995001

Matls Licensing Package for Amend 1 to License 50-23695-01 for Admiralty Testing Svc.Control:571698

ML20127F979
Person / Time
Site:	05000236, 03030178
Issue date:	12/30/1992
From:	Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
References
50-23695-01, 50-23695-1, 571698, NUDOCS 9301210107
Download: ML20127F979 (17)

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, 7"NRC Form 374= = = = =.= = =.= mL= =_= = m.= = = =M = =MN4MA*1tMEf3.'1E*E'X%[iqa ap mgy

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U.S. NUCLEAR REGULATORY COMMISSION

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MATERIALS LICENSE Amendment No. 1

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- ; Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Pubhc Law 93 -438), and 'litle 10, Code of federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations.

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heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct,.!

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source, and special nuclear matenal designated below; to use wch material for the purpose (s) and at the pbce(.) designated below;to l T deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the appheable 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 i

_ subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any. l 1 conditions specified below.

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In accordance with application

dated September 26, 1992 i

1. Admiralty Testing Services 3. Ucense number 50-23695-01 is amended

in its entirety to read as follows:

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Ketchikan, AK 99901 N-!-

4. Expiration date Dacember 31, 1997 t-

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5. Docket or 030-30178 l

Reference No.

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' 6. Byproduct, source, and/or 7. Chemical and/or physical ( 8. Maximum anwunt that licensee j

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special nuclear material form

< imay possess at any one time under this license A.

Cesium 137 A.

Sealed Sources A.

Not to exceed 10 (TroxlerOwg... t

' millicuries A-102112)

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B.

Americium 241 8.

Sealed neutron sources B.

Not to exceed 50 pt (TroxlerDwg.

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A-102451)

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Authorized use j

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A. and B.

For use in a Troxler Model 3400 Series Moisture-Density gauge to-measure

V properties of construction materials.

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CONDITIONS; g-

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Licensed material may be used at 2869 South-Tongass Avenue, Ketchikan, Alaska 99901 i

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and at temporary job sites-of the licensee anywhere in the United States where the F-

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U. S. Nuclear Regulatory Commission maintains jurisdiction for regulating the use of licensed material.

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. Licensed material shall be used by, or under the supervision and in the physical.

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i presence of, Mark T. Johnson or individuals who have successfully coinpleted the

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t; l-manufacturer's training program for gauge users and who have been designated by the (

l Radiation Protection Officer, Mark T. Johnson. The licensee shall maintain records.

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b of individuals designated as users.

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Scaled sources containing licensed material shall not be opened.

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50-23695-01 p

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M ATERIALS LICENSE nockn or 1Ghrena numb 8>

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SUPPLEMENTARY SHEET 030-30178 j

Amendment No. 1

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CONDITIONS (continued)

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13.

A.

The source (s) specified in Item (s) 7.A. and 7.B. shall be tested for leakage and/or contamination at intervals not to exceed 6 months. Any-source received i;l from another person which is not accompanied by a certificate indicating that l 1 a test was performed within 6 months before the transfer shall not be put into j j use until tested.

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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 j

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tested before use or transfer.

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C.

The test shall be capable of detecting the presince of 0.005 microcurie of

l radioactive material on the test sample.

If the test reveals the presence of j

0.005 microcurie or more of removable contamination,'the source shall be removed from service and decontaminated, repaired, or disposed of in

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q accordance with Commission regulations. A report shall be filed within-5 days !

q of the date the leak test result is known with the U. S. Nuclear Regulatory I

Commission, Region V, Radioactive Materials Safety Branch,1450 Maria Lane,

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I Walnut Creek, California _94596. __The _ report shall specify tne source involved, l

the test results, and corrective action taken.

Records of leak test results shall be kept in units of microcuries and shall be maintained for inspection q

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inspection.

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Troxler Electronic Laboratories.. Inc. or tests for leakage ana/or D.

The licensee is authorized to collbct leak-test samples for mlysis by q

contamination shall be performed by persor.s specifically licensed by the M{

Commission or an' Agreement State to perform such services.

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The licensee shall conduct a physical inventory every six (6) months to account for Ri Records of the

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all sources and/or devices received and p(ossessed under the license.2) years from th k

inventories shall be maintained for two 4l15. The licensee may transport licensed material in accordance with the provisions of 10

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CFR Part 71, " Packaging and Transportation of Radioactive Material".

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50-23695-01

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I MATERIALS LICENSE g,g, g,7,,,,,,,,,,w, SUPPLEMENT ARY SHEET 030-30178-

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Amendment No. 1 l

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CONDITIONS

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(continued)

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Except as specifically provided otherwise in this license, the licensee shall

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l conduct its program in accordance with the statements, representations, and j'

procedures contained in the documents including any enclosures, listed below. The i

Nuclear Regulatory Commission's regulations shall govern unless the statements, representations and procedures in the licensee's application and correspondence are

more restrictive than the regulations.

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Application dated September 26, 1992

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Letter dated December 19, 1992

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FOR THE U. S. NUCLEAR REGULATORY COMMISSION q'

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DEC 3 01992 o

[Date By:

D RIM Marw,.

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BethA.PrangeJ q! _

Sr.HealthPhysicist(Licensing)

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Region V 4:

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DEC s o,gy Docket No. : 030-30178 License No.:

50-23695-01 Control No.:

571698 Admiralty Testing Services P.O. Box 7193 Ketchikan, AK 99901 Attention: Mark T. Johnson Enclosed is the NRC license renewal which you requested.

Please review the enclosed document carefully and be sure that you understand all conditions.

If there are any errors or questions, please notify us so that we can provide appropriate corrections and answers.

Any future correspondence relating to your license should specifically reference your license and docket numbers to expedite your inquiry.

Sincerely, Beth A. Prange Sr. Health Physicist (Licensing)

Radioactive Materials Safety Branch

Enclosure:

Attachment A Amendment No. I to License No. 50-23695-01

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Distribution bec w/ original concurrence, copy of license and original correspondence:

License docket folder bec w/ copy of license and correspondence:

Inspection folder bec w/ copy of license:

Reading file bec w/ correspondence and 2 copies of license:

Shirley Crutchfield, LFMB, MNBB 4503 License only:

State of AK KPrendergast JMontgomery DSkov B

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12 /30/42 REQUEST COPY REQUEST COPY REQUEST COPY REQUEST COPY YES a NO O YES O NO O YES a NO O YES a NO R'

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I 12-19-92-U.S. Nuclear Regulatory Commision-Region V 1434 Maria Lane, Suite 210 Walast Creek, Calif. 94596

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.r Re: Licease No. "A-23695-81

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Cestrol No. 571698

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Dear Beth:

As requested this is in response to your letter dated 11-20-92.

1. Admiralty Testing Services is committed to insuring that our guage will be stored at 2869 5. Tongass Ave when met la use. It will never be left samattended and will be stored in a secure area when met la use.

2. Leak tests will be performed by myself at six meath intervals utilizing a Trexler leak test kit. Smears will be seat to Trexler Laboratories at P.O. box 12057 -Research Triangle Pk. N.C. 27799.

Investery will be conducted at six month latervals with records being kept for 2 years. coc wsr wit 2ww uwPc vuutec 3. Amy maintamance er clemains of the guage will be performed with the radioactive source in the shellded posities.

4. Transportation of the guage will be conducted la a

REGION V==

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higo MARIA LANE SUITE 210

WALNUT CREEK, CALIFORNIA Mtio6-5308 OCT t 6 sq Docket No.:

030-30178 License No.:

50-23695-01 Control No.:

571698 Admiralty Testing Services P.O. Box 7193 Ketchikan, AK 99901 SUBJECT: LICENSE RENEWAL APPLICATION This is to acknowledge receipt of your application for renewal of the material (s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

Any correspondence regarding this renewal application should reference the control number specified above and your license number.

Sincerely,

$ 0. ffiz 2.

Beth A. Frange Sr. Health Physicist (Licensing)-

Nuclear Naterials and Fuel Fabrication Branch

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g 636 30/7g RECEgED NRC Form 3131 U.S. NUCLE AR Rt GULATNb$bWSION (1241)

1. APPLICATION FOR; (Check and/or complete as sopropnare/

APPLICATION FOR BYPRODUCT 3AblAk L

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E SE INDUSTRIAL a. NEW LICE NSE See attached instructions for deraus b AYTNDVENT TO LICE NSE NUMBE R Completed appl.c8tions are f.ie>J m dantocate nith the D:aisioh of fvH C$cie ank %teoa! Safety.

Offee of Notlear %terd $#erv. and Safeguards. U S Nuctear Rega!atory Commmion'

Wssh ngron. DC 20555 or anplaations rwy be fotni m person at the Comm; won's artice at c' RE NE WAL OF-i 1717 H Street, NW, mshmyton. D C or 1315 Eastern A venue. Silver Soring. %ryland.

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50-2.% RS-01 V 2 APPLlCANT'S N AME //nsterarson. /,rm, pe son. etc /

3. N AME AND TITLE OF PERSON TO BE CONT ACTED kDPligA1.TY TEST s% SrJ2,QcES REGARDING THIS APPLICATION MA9K L ZC M SQJL WW T W(t60Y TE LEPHONE NUMBE R ARE A CODE - NUMBE R E XTE NSION TELEPHONE NVMEkR: ARE A CODE - NUMBE R E XTE NSION 9 o 1 - %2. 5 - Ip_45 clot - 2.2.s - to'45 9,

4. APPLIC AN T'S MAILING ADDR ESS //nclude 2,p Codf/

5. STREET ADDRESS WHERE LICENSED MATERIAL k.lLL E USED

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(Address to which NRC corresponder,ce notices butietens, etc.

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Kere-* KA4 AL AsvA N T d ' N M ( M q of Fu g V % m T o p _L % 5r. w.le n cm s.

(tF MORE SPACE IS NEEDED FOR ANY ITEM USE ADDITIONAL PROPERLY KEYED PAGES.)

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6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERI AL (See items 16 and 17 for required training end expenence of each Indivx. fusi named belowl FULL N AME I

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c'.2 90.wpke frin 7. RADIATION PROTECTION OFFICER I Attach a resume of pc s4W1 t&mng a h we ars?venect m~ttt%

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ELEMENT CHEMICAL NAME OF MANUFs

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MASS NUMBER PHYSICAL FORM MODEL NUM 3EW TOlfRC N f1 PM m " " ' ^ m '

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VITY PER SOURCE WHICH WILL BE POSSESSED AT ANY ONE TIME N O.

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HEREBY CERTIFIES THAT E

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Mark T. Johnson

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Constructors Testing Laboratory

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%.5 HAS SUCCESSTULLY COMPLETED TIIE TROXLER ELECTRONIC LABORATORIES, INC.

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TRAINING COURSE FOR Tile SE OP NUCLEAR TESTING EQUIPMENT.

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SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLOWS:-

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Q> ~ *ll Radiological Safety ll MCW

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Principles and practices of radiation S.

Radioactivity measurement standardination

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and monitoring techniques and t

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Leak testing procedures.

instruments.

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INatisematice ~ and calculations basic to 6. ' Accident and incident procedures.

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the use and measurement of 7. ' Procedures for nuclear gauge storage t,

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radioactivity.

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and transportat.io.n.

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8.. General safety prceautiona.

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l, Gauge Operation'

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Instrunent theory

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Field application

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Gauge calibration L>W+

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INSTRUCTOR DATE PRESIDENT

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ADMIRALTV' TESTING SERVICES Construction Materials Testing P.O. Box 7193 Ketchiksn, Alaska 99901 9-26-92 U.S. Nuclear Regulatory Commission Regles 5 1450 Maria Lane Yalaut Creek, Calif,94596 Atta: Gregory P. Tuhas Subject: Response te letter dated 9-9-1992 This is la response to your letter concerning license 30-23693-01. The first thing I would like to de is apologize for taking se long te get back to you. I just returned from a project la a remote estime villiage en the west coast of Alaska (Pistinum). I was scheduled to be en the project for a short duration (approx. ene week) however it turned late a six week stay. The remeteness_of this site made it impossible to respond untill new. I hope that you understand that it is met that I place a low priority em this actima it was just that it was impossible to correspond from this site. I realize the severity of this and understand that this is a serious subject. Below I would like to respond to the Items la your letter.

Da June gth 1988 Mr. Paul Zurakowski performed an inspection.

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During that laspecties Paul was latermed that Therme Bay was a temporary constructica site. The constructica site was a project om a remote read constructica project appres.15 miles from the community of Therme Bay. Due to remeteness of the project we agreed that my records would be stored at Seethcoast Constructica effice la Ketchikan which was our main headquarters for verk throughout Alaska. Since the project was to be a 1 year plus project I gave him a address to correspond to me with in Therme Bay. I them seat a letter to your offices explalaing that I would he la Thorne Bay and lacluded an address te-contact me through. I aise indicated la this letter that my records voeld-he stored la Ketchikan at Southcoast constructions office. The project la Thermo Bay turned late a 3 year plus project. Each year an additiemal phase was aquired by Southcoast constructies and I was requested to stay em. Da my original license I had my permanent certified storage site at a former asseclates laboratory at BC02 ber 7387 Palmer Ak,99645.

I considered all the projects I have been en slace to be temporary construction sites.

Soils Testing Concrete Testing Asphalt Testing Pile Tes ting _,

PrwfessionalServicer at Conwelitive Prices l

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I hevo v:rked cc these roc:ta sites for the last 4 to 5 y:ars.-.

contimoesty..Durlag the last couple of years I have worked la both I

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Ketchikaa and Therme Bay with a shift of aest of the verk la Ketchikaa.

As discussed with J.L. Meatsomery during his laspectica of July Id.

1992 my permensat address has shifted te my P.O. Box la Ketchikaa.

I still have my P.O. ben la Therme bay but have met utilised it for quite

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some time. I ales told Mr. Meatgemory that slace I was going to be applying for a removal en my license at the end of September that I would show my address to be my current P.O. ben la Ketchikaa where I am currently recievlag correspondance. I have just seat la my remeval form with the correct address.

I am currently back la Ketchikaa and have gone through my files.

Some hev part of my files are alssing which shev leak tests and exposure records. I am still trying to locate these records. I understand the importance of malatalalag these records and have included copies of a leak test that I just seat la along with request for sev film badges. I am the sole avaar of my business with me employees and solo user of the guage. I use the guage sa a very ilmited basis sometimes met uslag it for months at a time. However when it does became necessary to utilize the guage I must have it available Le

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perform my job. It is impossible to anticipate when it will be required.

In response to the transportstloa of the guage between Therme Bay and Ketchikaa I have located Hazardens shipping forms which I did fill est whom transporting the guage. The guage was transported by myself en a sea passenger vessel evned by myself. I have lacluded copies of these forms hereia.

In summary I venid just like to state that I an a small buslaess that would 11ke to continue to be permitted to utilize this guage. I can assure you that I understand the importance of maintalag complete records and maklag sure to keep 11aes of communication open with the NRC. In the future I will make a more concentrated effort to make sure that I comply with the requirments of the conditions of the license. If you have any additional questions please feel free to contact me at 907-225-1045 or P.O.

Box 7193 Ketchikan Ak. 99901 Thank you for your paticace and understanding.

Slacerely Admiralty Testing Services b

Mark T. Joh a

Owner

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SHIPPER'S DECLARATION FOR DANGEROUS GOODS 55pper l

Air Waybill No

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.h, q q o,13 Iwo completed and Srgned copies of this Declaration must WARNING t>e handed to the operator TRANSPORT DETAILS Failure to comply in all respects with the applicable

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Dangerous Goods Regulations may be in breach of

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T hiS Shipment it within the Airport of Departure the applicable law, subject to legal penalties This hmitations presentied for Declaration must not, in any circumstances, be 1!!!P*

completed and/or signed by a consolidator, a

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eien nan col <cotses forwarder or an IATA cargo agent.

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RCRAFT fE A h,

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N ATURE AND OUANTITY OF DANGEROUS GOODS (see sub-Section 81 of IATA Dangerous Goods Regulations)

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Additional Handhog information

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I hareby declare that the contents of this consignment are fully and Name/ Title of S!gnatory accurately descnbed above by proper shipping name and are classified.

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g Jr n~f packed, marked and labelled, and are in all respects in the proper Place and Date I

condition for transport by air acenrding to the applicable International and

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National Government Regulations.

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LcakTcst Analysis NOTES

.dion'uclide: h I 7/ Md 34 I

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Removable Activity 1. Follow proc:dures as d;fintd in

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>urce Serial:

%'67 your leak test kit instructions.

Beta Gamma Alpha 2. Fill out this form and the bag jt. Model: TC O G

%' 5 label with required information st* Sstial-'

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PCI uCi where applicable. Seal the filter its of Wipe:

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paper in the plastic bag. Place dividu11's Name: MAL-h E the plastic bag and this form in 12 phone: %7

~M "'0"5 the pre-addressed envelope.

Certification 3. Removable activity will be re.

ported in uCl. A value of "0" EASE TYPE oR PRINT LEGIBLY -

Date:

Indicates less than.00005 pCl.

l$ IS voVR RETURN ADDRES$ LABEL 4. Federal and State regulations require that sealed sources be removed from service and re.

ports filed if removable activity A D N i(7 A q I._f, T.

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is greater than.005 uCl.

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5. Due to the potential hazard,

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additional wipe be made if re-

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movable activity exceeds.0005 K T,Q A^w

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6. You will be notified by telephone collect if the test yields greate-

.sw Ei ctrome Laoorstones.inc., P.O. Bos 12057, Reteerch Triangio Park. N C.27709 919t$4W41 Telex 579474 than.00t PCI removable activ".s

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