Page 1 of 3 APPROVED BY OMB: NO. 3150-0027 EXPIRES: (11/30/2015) Estimated burden per response to comply with this mandatory collection request: 2.4 hours. This submittal is reviewed to ensure that the applicable statutory. regulatory, and policy considerations are satisfied. Send comments regarding burden estimate to the Infonnation ~~~~;~::~PLICATIONUF::U:::R1::::::~~::::Services Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to
[email protected], and to the Desk Officer. Office of LICENSE, AMENDME~T, RENEWAL, Infonnation and Regulatory Affairs, NEOB-10202, (3150-0027), Office of Management and OR CONSENT R~IQUEST(S) Budget, Washington, DC 20503. If a means used to impose an infonnation collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a (See Instructions onl~ages 4 and 5) person is not required to respond to, the infonnation collection. PART B. TO BE COMPLETED FokiALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT REQUESTS (If more space is needed to compl~tr any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 1. NAME AND ADDRESS OF APPLICANT/LICENSEE I 1a. NAME OF APPLICANT'S CONTACT 1b. APPLICANT'S REFERENCE NUMBER John Broughton Tucker Energy Services 1c. PHONE NUMBER 1d. FAX NUMBER 12607 E. 60th Street (918) 252-5416 (918) 252-4496 Tulsa, OK 74146-6910 1e. E-MAIL ADDRESS
[email protected] 2. TYPE OF ACTION REQUESTED (Check OnJ) CONSENT REQUEST (Parts B, C) EXPORT IMPORT AMENDMENT/RENEWAL D D D Current License Number: (Parts B, C, E) (Parts Bi' D, E) Current License Number: PCB55-03 3.