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{{#Wiki_filter:jm= == m = ww === m--M w ====--mcmannsnunan | {{#Wiki_filter:jm= == m = ww === m--M w ====--mcmannsnunan | ||
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NRC Form 374 % | |||
1 | |||
4 | |||
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PAGE | |||
OF | |||
PAGES | |||
: (3 83), | |||
U.S. NUCLEAR REGULATORY COMMISSIOO | |||
MATERIALS LICENSE | |||
Amendment No. 10 | |||
1 | |||
4 | |||
Q | 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 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 material designated below; to use such material for the purpose (s) and at the place (s) designated below; to | |||
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deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This | |||
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, | |||
license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is' | |||
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subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any | |||
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conditions specified below. | |||
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Licensee | |||
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In accordance with letter | |||
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dated November 12, 1987 | |||
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1. | |||
State of Alaska | |||
3. License number 50-09056-02 is amended in | |||
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Div. of Emergency Service, RSM Shop | |||
its entirety to read as follows:p | |||
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3501 E. Bogard Road | |||
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4. EipirationItate December 31, 1992 | |||
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Wasilla, Alaska 99687 | |||
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5. Docket or | |||
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Reference No. | |||
'030a07477 | |||
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6. Byproduct, source, and/or | |||
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7. Chemical and/or physical | |||
(J. Maximum amount that licensee | |||
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juay possess at any one time | |||
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special nuclear material | |||
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form | |||
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under this license | |||
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Cesium 137 | |||
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!Br ' Sealed]_ source (N~uclear | |||
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Cesium 137 | |||
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Cobalt 60 | |||
M 120 mill'icuries total | |||
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Model DCPAiV-786 ot W | |||
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D. | |||
Cesium 137 | |||
D J Sealed Sources | |||
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D. | |||
Not to exceed | |||
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Cesium 137 | |||
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Source sets | |||
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Not to exceed | |||
(Defense Civil | |||
132 millicuries | |||
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8801050636 871215 | |||
Preparedness Agency | |||
per set | |||
Model CDV-782 Model No. 1) | |||
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$$3 $-02 | |||
PDR. | |||
09 | |||
1 | |||
9. | |||
Authorized use | |||
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A. | |||
For use in an Office of Civil Defense Model CDV-794 Model 2 Calibrator for | |||
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calibration of instruments. | |||
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For use in a Civil Defense Model CDV-790, Model-1 Calibrator for calibration of | |||
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instruments. | |||
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For use in training instrument operators and for instrument calibration. | |||
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For use in Defense Civil Preparedness Agency Model DCPA V-757 Barrier Shielding | |||
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Demonstrator Set. | |||
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For use in training instrument operators. . | |||
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NRC Form 374R | |||
U.S. NUCLEAR REGULATORY COMMISSION | |||
4 | |||
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PME | |||
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PAGES | |||
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Liesnse number | |||
1 | |||
50-09056-02 | |||
1 | |||
MATERIALS LICENSE | |||
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nocket or nererence nurnber | |||
SUPPLEMENTARY SHEET | |||
030-07477 | |||
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Amendment No. 10 | |||
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CONDITIONS | |||
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10. | |||
A. | |||
Licensed material authorized in Conditions 6. through 9.A. and B. above may | |||
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be used only at Bldg. 3502, East Bogard Road; Wasilla, Alaska. | |||
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B. | |||
Licensed material authorized in Conditions 6. through 9.C., 9.D., and 9.E. | |||
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above shall be stored at Buildings 3503 or 350a East Bogard Road; Wasilla, | |||
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Alaska, or at the Emergency Operating Center, Capitol Building; Juneau, | |||
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Alaska, except for temporary storage at locations where training courses | |||
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are conducted. These materials:may[belused anywl:ere in the State of | |||
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Alaska. | |||
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M 11. Licensed material shall besused by, or under the supervision of, Truman B. Beer | |||
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or John R. Hensley. | |||
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6 | |||
12. | |||
A. | |||
(1) Eachsealed.s'ourcecontaininglicensedmaterial,o$herthantheDCPA | |||
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V-786, V 784, oF CDV.782 Model 1 source sets,and hydrogen 3, with a | |||
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4 | |||
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half-life #greaterithari' thirty days and4itany forn other than gas | |||
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shall bel tested for.. leakage and/or contamination at(intervals not to exceed | |||
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six months. | |||
In the absence ofca certificate from a,transferor | |||
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transfer,+asealedsourcelrev'e'ivedff(withinsixmonths~priortothe | |||
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indicating that.a test;has been made | |||
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oin;another persn'shall be be | |||
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put into use until tested. p g;}ji | |||
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Anysourceintstorageland'not;beiddbNUneednotbetesteo. When the | |||
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source is removed from storage 1foi u'selah transfer to ariother person, it | |||
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shall be tested before use or transfer.. ' | |||
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The test shall be' capable of detectingithe pfesence of 0.005 microcurie of | |||
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radioactive materiallon the test s'ap le. | |||
If the, test reveals the presence | |||
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of 0.005 microcurie on'more,of removable contamination, the source shall be | |||
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removed from service and decontaminated,_ repaired, or disposed of in | |||
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accordance with Commission 'regul~ationsyA report shall be filed within 5 | |||
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1 | |||
days of the date the leak test result is known' with the V. S. Nuclear | |||
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4 | |||
Regulatory Commission, Region V; Nuclear Materials Safety and Safeguards | |||
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Branch; 1450 Maria Lane, Suite 210; Walnut Creek, California 94596. The | |||
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report shall specify the source involved, the test results, and carrective | |||
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action taken. Records of leak test results shall be kept in units of | |||
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microcuries and shall be maintained for inspection by the Commissian. | |||
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Records may be disposed of following Commission inspection. | |||
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D. | |||
Tests for leakage and/or contamination shall be performed by the licensee | |||
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or by other persons specifically licensed by the Commission or an Agreement | |||
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State to perform such services. | |||
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# 13. | |||
Sealed sources containing licensed material shall not_be opened. | |||
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4 | |||
NRC F | |||
U.S. NUCLEAR REGULATORY COMMISSION | |||
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* ,orm 3743 | |||
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PAGE | |||
OF | |||
PAGES_ | |||
License number | |||
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50-09056-02 | |||
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MATERIALS LICENSE | |||
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SUPPLEMENTARY SHEET | |||
030-07477 | |||
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Amendment No. 10 | |||
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CONDITIONS | |||
(continued) | |||
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14. Each sealed source containing licensed material to be used outside of a shielded | |||
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exposure device shall have a durable, legible, and visible tag permanently | |||
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attached by a durable ring. The tag shall be at least one (1) inch square, | |||
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shall bear a conventional radiation symbol prescribed in 10 CFR 20.203(a), and a | |||
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minimum of the following instructions: DANGER - RADI0 ACTIVE MATERIAL - 00 NOT | |||
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HANDLE - NOTIFY CIVIL AUTHORITIES IF FOUND. | |||
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Replacement of tags and rings shallsbe carried loutjby the licensee in accordance | |||
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with instructions contained in procedures provide'd by"fhe Federal Emergency | |||
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Management Agency. | |||
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15. | |||
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Licensed material: contained in DCPA Sealed Source Sees shall be tested for | |||
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external leakage a'nd/or, contamination upon receipt from another person, | |||
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except when theilicensee: receives certification;from thezperson that the | |||
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sourceshadbeentestediwithin6monthsprio6to:transferandfoundfreeof | |||
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surface conta'mination. ;Thereafter, sources shall be testid for leakage | |||
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and/or contamination attintervals not to exc'eed;6 months.f Records of leak | |||
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testsshall,bemaintainedby,thelicensee.)jRecordsmaybe>disposedof | |||
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following Commission inspections | |||
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The test for'leakageland/or con d$i' , nation' shill N c,pablerof detecting the | |||
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presenceof0.005microcurieofiradipactivematerialon,thetestsample. | |||
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If the test reveals any radioactive: material ~(the licensee shall take | |||
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immediate actiontto prevent'the spread"of contamination?and within 5 days | |||
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af ter the date the leak test result islknown "shall,no'tify the U. S. Nuclear | |||
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Regulatory Commissions Region V; Nuclear Materials [ Safety and Safeguards | |||
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g | Branch; 1450 Maria Lane, Suite 210; Walnut CreekW California 94596. | ||
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%17. Pursuant to 10 CFR Part 40, " Domestic Licensing of Source Material", the licensee | D. | ||
s | Leak tests of sealed sources inaDCPAfSealed' Source Sets shall be performed | ||
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by the licensee in accordance with instructions contained in procedures | |||
provided by the Federal Emergency Management Agency. | |||
f 16. The licensee may transport licensed material in accordance with the provisions | |||
of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". | |||
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%17. Pursuant to 10 CFR Part 40, " Domestic Licensing of Source Material", the licensee | |||
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is authorized to possess, use, transfer, and import the uranium contained as | |||
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shielding material in the devices authorized by this license. | |||
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.S. NUCLEAR REGULATORY COMMISSION | |||
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NRC Form 3744 | |||
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PME | |||
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PACES | |||
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License numt,er | |||
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50-09056-02 | |||
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MATERIALS LICENSE | |||
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3,,,,,,,g,7,,,,,,,,,,,, | |||
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SUPPLEMENTARY SHEET | |||
l | 030-07477 | ||
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Amendment No. 10 | |||
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CONDITIONS | |||
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[ (continued) | |||
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j; 18. Except as specifically provided otherwise in this license, the licensee shall | |||
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conduct its program in accordance with the statements, representations, and | |||
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procedures contained in the documents including any enclosures, listed below, | |||
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The Nuclear Regulatory Commission's regulations shall govern unless the | |||
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statements, representations and procedures in the licensee's application and | |||
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correspondence are more restrictive than the regulations. | |||
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Pto, | |||
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A.AlaskaRadiologicalDefensetSour,ceHan211ngland/TrainingManualwhichwas | |||
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submitted with the applicati'on dated February '16[1979 | |||
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8 | |||
B Application dated Augusta , 1982 | |||
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C. Letter dated November 10, 1982 | |||
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D. Application dated Ja'nuary 5, 1983 | |||
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E. Letter dated Novembe'r4 2-,.._1987 | |||
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FOR THE V.S. NUCLEAR REGULATORY COMMISSION | |||
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original signed by B. A. Riedlinger | |||
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Date December 15, 1987 | |||
By | |||
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Beth A. Riedlinger | |||
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Health Physicist (Licensing) | |||
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Nuclear Materials Safety Section | |||
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Region V | |||
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}} | }} | ||
Latest revision as of 07:00, 3 December 2024
| ML20234B656 | |
| Person / Time | |
|---|---|
| Site: | 03007477 |
| Issue date: | 12/15/1987 |
| From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | |
| Shared Package | |
| ML20234B659 | List: |
| References | |
| 50-09056-02, 50-9056-2, NUDOCS 8801050636 | |
| Download: ML20234B656 (4) | |
See also: IR 05000090/1956002
Text
{{#Wiki_filter:jm= == m = ww === m--M w ====--mcmannsnunan .g , NRC Form 374 % 1 4 g PAGE OF PAGES
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U.S. NUCLEAR REGULATORY COMMISSIOO MATERIALS LICENSE Amendment No. 10 1 4 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 I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations , i ' heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, y source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to N deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This N , license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is' N
subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any ' conditions specified below. g Q Licensee lI In accordance with letter il dated November 12, 1987 jl l 1. State of Alaska 3. License number 50-09056-02 is amended in l Div. of Emergency Service, RSM Shop its entirety to read as follows:p 1 i w .._ g"Th'h.~ 2. 2 - w~ f I i 3501 E. Bogard Road % 4. EipirationItate December 31, 1992 h Wasilla, Alaska 99687 e l tv 5. Docket or N * g . \\ "' Reference No. '030a07477 y 6. Byproduct, source, and/or g 7. Chemical and/or physical (J. Maximum amount that licensee i
juay possess at any one time I special nuclear material s form y under this license I A.SiSeiledsource(0akRf'Nge.4, %j ' / @ N 's I % py ~~ ~ I - A. Cesium 137 'O ? A.(e)130 curies l b $Nati6 pal (L'aboFato'ry/Dwg! l g% 7No.70RNL-LR-DWC-2339A)i C y vi!( bi lli ^ l 1 !Br ' Sealed]_ source (N~uclear l B. Cesium 137 [~ b I @Q % , 4 Chicago 0CDjs-104)] f y, j/ < ) Q16 millicuries l (f) 9g y Q gpersource , 4- ry f y . n%
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lla @y>d CC, 4 sets of y ' C.V@PrepaFedriesstAgeisy?p C. Cobalt 60 M 120 mill'icuries total p O'v' Model DCPAiV-786 ot W dd I % V-784 SlsdUS6urce $bts fJ l I ea QQ. ~' D. Cesium 137 D J Sealed Sources S' D. Not to exceed (3M.Model 4D6E)3 AT 1millicuriepersourch p %p +pr r- F I m f e 4 g I E. Cesium 137 E. Source sets E. Not to exceed (Defense Civil 132 millicuries i E 8801050636 871215 Preparedness Agency per set Model CDV-782 Model No. 1) l $$3 $-02 PDR. 09 1 9. Authorized use i I ) A. For use in an Office of Civil Defense Model CDV-794 Model 2 Calibrator for I I calibration of instruments. l l i B. For use in a Civil Defense Model CDV-790, Model-1 Calibrator for calibration of g instruments. p . I j C. For use in training instrument operators and for instrument calibration. I i I D. For use in Defense Civil Preparedness Agency Model DCPA V-757 Barrier Shielding I, Demonstrator Set. ) [ g E. For use in training instrument operators. . k . MMww wwww w w ww wwwmUyww wwww yyw w wwwwryn:rm ww wmym wym mw ymm yy w w wqtyyy yymm e -
_ _ _ _ _ _ _ _ - - _ _ , , NRC Form 374R U.S. NUCLEAR REGULATORY COMMISSION 4 I PME N PAGES MdI Liesnse number 1 50-09056-02 1 MATERIALS LICENSE I nocket or nererence nurnber SUPPLEMENTARY SHEET 030-07477 h p p Amendment No. 10 g i p CONDITIONS I p . 10. A. Licensed material authorized in Conditions 6. through 9.A. and B. above may l be used only at Bldg. 3502, East Bogard Road; Wasilla, Alaska. y i B. Licensed material authorized in Conditions 6. through 9.C., 9.D., and 9.E. I ! above shall be stored at Buildings 3503 or 350a East Bogard Road; Wasilla, R j Alaska, or at the Emergency Operating Center, Capitol Building; Juneau, l Alaska, except for temporary storage at locations where training courses y are conducted. These materials:may[belused anywl:ere in the State of g J Alaska. , G % ' O {f f i , Y e%' 4 A l 1 M 11. Licensed material shall besused by, or under the supervision of, Truman B. Beer I l or John R. Hensley. ,y n 4 r:y - l > y 6 12. A. (1) Eachsealed.s'ourcecontaininglicensedmaterial,o$herthantheDCPA i ly V-786, V 784, oF CDV.782 Model 1 source sets,and hydrogen 3, with a i l 4 7 half-life #greaterithari' thirty days and4itany forn other than gas R j shall bel tested for.. leakage and/or contamination at(intervals not to exceed E six months. In the absence ofca certificate from a,transferor E transfer,+asealedsourcelrev'e'ivedff(withinsixmonths~priortothe I indicating that.a test;has been made g oin;another persn'shall be be p put into use until tested. p g;}ji g ( v' M " p ' i i f e .1 N p1 . A B. Anysourceintstorageland'not;beiddbNUneednotbetesteo. When the E j source is removed from storage 1foi u'selah transfer to ariother person, it l q shall be tested before use or transfer.. ' A p g y . a f; y . - i C. The test shall be' capable of detectingithe pfesence of 0.005 microcurie of H } radioactive materiallon the test s'ap le. If the, test reveals the presence ' p y of 0.005 microcurie on'more,of removable contamination, the source shall be g J g removed from service and decontaminated,_ repaired, or disposed of in g g accordance with Commission 'regul~ationsyA report shall be filed within 5 y 1 days of the date the leak test result is known' with the V. S. Nuclear W 4 Regulatory Commission, Region V; Nuclear Materials Safety and Safeguards
'l Branch; 1450 Maria Lane, Suite 210; Walnut Creek, California 94596. The W h report shall specify the source involved, the test results, and carrective l 6 action taken. Records of leak test results shall be kept in units of y ( microcuries and shall be maintained for inspection by the Commissian. p $ Records may be disposed of following Commission inspection. p 4 i ' l D. Tests for leakage and/or contamination shall be performed by the licensee l q or by other persons specifically licensed by the Commission or an Agreement p q State to perform such services. p 4 >
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Sealed sources containing licensed material shall not_be opened. P '4 h 4 h j > h l l u k e m = m m e ,m rm m a m m ,, - , ,. - e r - m ar - e - J ___ _ - - - - - - - - - - - -- --- - - _ - _
- (*** _ . . 4 NRC F U.S. NUCLEAR REGULATORY COMMISSION N
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l PAGE OF PAGES_ License number l N l 50-09056-02 I MATERIALS LICENSE g I g ,,g,,_, SUPPLEMENTARY SHEET 030-07477 i P l g Amendment No. 10 ' l CONDITIONS (continued) l 14. Each sealed source containing licensed material to be used outside of a shielded l l q exposure device shall have a durable, legible, and visible tag permanently p I attached by a durable ring. The tag shall be at least one (1) inch square, I i shall bear a conventional radiation symbol prescribed in 10 CFR 20.203(a), and a i i minimum of the following instructions: DANGER - RADI0 ACTIVE MATERIAL - 00 NOT E l l HANDLE - NOTIFY CIVIL AUTHORITIES IF FOUND. l O G C n .. l q Replacement of tags and rings shallsbe carried loutjby the licensee in accordance i i with instructions contained in procedures provide'd by"fhe Federal Emergency I i Management Agency. NN N i & '3 > I V , . .s l 15. A. Licensed material: contained in DCPA Sealed Source Sees shall be tested for l i g external leakage a'nd/or, contamination upon receipt from another person, p d' except when theilicensee: receives certification;from thezperson that the i 4 sourceshadbeentestediwithin6monthsprio6to:transferandfoundfreeof M E surface conta'mination. ;Thereafter, sources shall be testid for leakage y[ l and/or contamination attintervals not to exc'eed;6 months.f Records of leak q testsshall,bemaintainedby,thelicensee.)jRecordsmaybe>disposedof g i following Commission inspections V, 7 ~ < p ,, , q p ,n
,, - ,~ The test for'leakageland/or con d$i' , nation' shill N c,pablerof detecting the f , B B. a l presenceof0.005microcurieofiradipactivematerialon,thetestsample. ',r p g nya e ~ q C. If the test reveals any radioactive: material ~(the licensee shall take p
immediate actiontto prevent'the spread"of contamination?and within 5 days y 5 af ter the date the leak test result islknown "shall,no'tify the U. S. Nuclear R 4 Regulatory Commissions Region V; Nuclear Materials [ Safety and Safeguards N f; Branch; 1450 Maria Lane, Suite 210; Walnut CreekW California 94596. l g g . . i . . a + g D. Leak tests of sealed sources inaDCPAfSealed' Source Sets shall be performed W pH by the licensee in accordance with instructions contained in procedures provided by the Federal Emergency Management Agency. f 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". i %17. Pursuant to 10 CFR Part 40, " Domestic Licensing of Source Material", the licensee $ s is authorized to possess, use, transfer, and import the uranium contained as N l shielding material in the devices authorized by this license. l i , 4 N 4 5
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awnemmermemmertsram--y -.-.--- . ----- .S. NUCLEAR REGULATORY COMMISSION 4' ! NRC Form 3744 U PME OF PACES
License numt,er l l' 50-09056-02 I l MATERIALS LICENSE p ! 3,,,,,,,g,7,,,,,,,,,,,, l SUPPLEMENTARY SHEET 030-07477 E E i i i Amendment No. 10 g i I I I I L CONDITIONS I [ (continued) l r I j; 18. Except as specifically provided otherwise in this license, the licensee shall y conduct its program in accordance with the statements, representations, and I procedures contained in the documents including any enclosures, listed below, i The Nuclear Regulatory Commission's regulations shall govern unless the 1 8 l statements, representations and procedures in the licensee's application and l correspondence are more restrictive than the regulations. l np Pto, p ! Ii A.AlaskaRadiologicalDefensetSour,ceHan211ngland/TrainingManualwhichwas l I submitted with the applicati'on dated February '16[1979 1 i 8 B Application dated Augusta , 1982
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N I C. Letter dated November 10, 1982 e l D. Application dated Ja'nuary 5, 1983 d. l Ab l /lxf -
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g l g E. Letter dated Novembe'r4 2-,.._1987 .p vi p e '" y g- ' g + () N I l. 7.s}l m:1, / f. , l j\\ Q > Q g [[ l~ i c l p,.'- ( Q g l 'ih.sf" * [ 3 x - , 'i l 13 f i .y 5 4 (f) s s', , l %., ? Nij {;gp L ^ ': ,L " q* Il R es at i g w g e ., m' . 8 p -3<at t , ;t : 0 4 u . i g ,y .j
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. r,g , y 8 > ' < x 3 ,, , N $ +,[ s l b., d '< i l ,p- 1 , g M!KL "' p.s n 5 , ,. 4 vp 4,,v i @ p 4, s. f , ]g[ }.k, % g ' L g. s- e t s I g is ( FOR THE V.S. NUCLEAR REGULATORY COMMISSION p d M $ original signed by B. A. Riedlinger E Date December 15, 1987 By l Beth A. Riedlinger p Health Physicist (Licensing) y Nuclear Materials Safety Section p 9 Region V I l 1 R 4 l P > d p a p 4 m , l N P ! l ' N .p l P P bEwLva#KWarMi'W"" ws0sdraunamraammunTKaVEmuch@fh-vari 2rar;d i _ _ _ - - _ _ _ _ _ _ _ _ - - - - - . - }}