_ - _ _ - _ - _ _ _ _ _ _ ^ - f, , n 034t> - | U.S. NLMEH REGULATORY COMMISS10N 1, b /LICATION FOR: ! ' ~ | FORM 'NRC 313 6 (Ch k and/ t compAeta as tpproproet:) ! ' \ 15 19) .si h ) f APPLICATION FOR BYPRODUCT MATERIAL LICENSE s. NEW LICENSE INDUSTRIAL XX See attached instructiorRt for details. b. AMENDMENT TO: LICENSE NUMBER j ' Completed applications are filed in duphcete with the Division of fuel Cycle and Material Safety, Officr of Nuclear Materra! Safety, ar" Safeguards. U.S. Nuclear Regulatory Commossion' Washington, DC 20S55 or opphcations may be filed in person at the Commission's office at c. REg,gg NEWAL u,g nu, OF',,, 1717 H Street, NW, Washington, O. C. or 1915 Eastern Avenue, Silver Spring, Maryland. 2, APPLICANT'S NAME (Institution, firm, person, etc.) 3. NAME OF PERSON TO BE CONTACTED REGARDING TH46 APPLICAN - glSOLTD{Tp CONTROLS CORPORATION | R bert L. Flournoy B6t}[eT ConIM Ucut 06801 i 1ELEPHONE NUMBER; ARE A CODE - NUMBE R E XTENSION TELEPHONE NUMBE R' ARE A CODE - NUMBE R EXTENSION ' 203 743 6721- 703 339-7555 4. APPLIC ANT'S MAILING ADDRESS (includelep Codel 5. STREET ADDRESS WHf RE LICENSED MATERIAL WILL SE USEC, P. O. Box 726 " " ' ' " " ' * * ' * " ' ' Springfield, Va. 22150 7213 lockport Place Lorton, Va. 22079. .; B70'/9 p/ 2 g ) (IF MORE SPACE IS NEEDED FOR ANY ITEM, USE ADDITIONAL PROPERLY KEYED PAGES.) j 6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL (See items 16 and 17 for reQuked trainong and experoence of each indtvndualnamed below) FULL NAME TITLE a. Mr. Charles W. Peters Project Manager j b. Mr. Eser I. Karaoglan Senior Scientist { Dr. Russell K. Sherburne Chief Scientist i .. i 1 RADIATSCN PROTECTION OFF|CEFt I A ttach a resume of person's tramong and expertence as outtoned on items |I6 and 17 and describe has responsobihties under item 15. : Mr. Robert L. Flournoy | B. LICENSED MATERIAL NAME OF MANUF ACTURER MAXIMUM NUMBER OF L ELEMENT CHEMICAL AND AND/OR AND MILLICURIES AND/OR SEALED i SOURCES AND MAXIMUM ACTI- N MASE NUMBER PHYSICAL FORM MODEL NUMBER (11 Sealed Source / VITY PER SOURCE WHICH WILL E BE POSSESSED AT ANYONE TIME j NO. A B C D %g ''a***''j U.S. Radium Corp. 20,000 mci ._, m 3H As Tritium Target. Model 508-3 3 Sources 4 , ' 55 Is tope Products,Inc. 110.1 /eCi j | Fe Plated Metal pq . Gl Model 225.* Ss M , 3 Sources ; 137 Isotope Pr :ts, It c. 110. juCi ) - can Cs Solid-Sealed Model 229-Tvoe R 2 Sources 60 Isotope Products, Inc. 110 A Ci 744 j W Co Solid-Sealed Mod.el 236-Type R 2 Sources DESCRIBE USE OF LICENSED MATERIAL E m H will be used as target material for a 14 meV (See continuation sheet) i H g, To be used as instrument calibration source , 33 To be used as instrument calibration source > To be used as instrument calibration source gg9 ~ ~ ~ ' ' F ORM NRC 313 116-78) ~ , X~1 w " f 8904190481 890404 2 14'o, wJ Mb M[ ' v M fy . b, - 1 ' REG 2 LIC30 s \ 45-25035-01 PNU , ; _ _ _ _ _ _ _ _ _ _ _ | | 9. STOR AGE OF SE ALED SOURCES NAME OF MANUFACTURER MODEL NUMBER I Y CONTAINER AND/OA DEVICE IN WHICH E ACH 5EALED 1 N SOURCE WILL BE STORED OR USED. C, NO. A. B. m StOped in shipping container in Dry ---- ..-- Box Used in Mackinn Stored in lead pig ---- --- (2) ---- --- (3) Stored in lead pig Stored in lead pig ---- --- ic 10. RADIATION DETECTION INSTRUMENTS SENSITIVITY ! TYPE M ANU F ACTU R EWS MODEL NUMBER RADIATION DETECTED RANGE OF NAME NUMBER AVAILABLE , (alphe, bete, (milliroentgen / hour C4 INSTRUMENT pomme, neutron) et counts / minute) F Q A B C D E ' Eberline E-120E v/ N Geiger Inst. Co. HP-193 Probe 1 Beta-ganna 0-5 mr/hr. Ing Count Texas I*' Rake Meter. Nuclear TN917< 1 Neutrons -- Gas Flow PAC 4Gwith 1 Beta-gamma , EberlineIns .. TP 1 Probe 0-1,000,^b00 Intern.Pronor tionR1 an-p u v der to 11. CALIBRATION OF INSTRUMENTS LISTED IN ITEM 10 , Ca. CALIBRATED BY SERVICE COMPANY Gb. CALIBRATED BY APPLICANT A rtsch a sopunte sheet describing method, treauency and stenderds NAME ADDRESS, AND FREQUENCY und for conbrutino enstrum*nts. Eber1L,ne Instr. Co., SantaFe, N.M. See Rndiation Protection Manual - Physics Dept. U. of Ed. (See Rad. Prot. Appendix "D" Manual, Appendix "D") , I 12. PERSONNEL MONITORING DEVICES TYPE SUPPLIER EXCHANGE FREQUENCY (Check pd/or compiere ss approproste.) (Servoce Company) g A D Radiation Management Co.8 bMONTHLY O(1) FILM BADGE 9022 A-1 Telegraph Road d (2) THE RMOLUMINESCENCE Lorton, Virginia 22079 0 oVARTERLY ! DOSIMETER (TLD) O OTHER (Specoty): | O (3) OT H E R (Specify): 13. F ACILITIES AND EQUIPMENT (Check were appropriate and attach annotated sketch (es) and description (s). $ a. LABORATORY F ACILITIES, PLANT F ACILITIES, FUME HOODS (Include filtration,if eny), ETC. See Rad. Protection' '.anual O b. STOR AGE F ACILITIES, CONTA'INE RS, SPECI AL SHIE LDING (fixed end/or temporary), ETC. See Rad. Protection Man lal O c. REMOTE HANDLING TOOLS OR EQUIPMENT,ETC. O d. RESPIRATORY PROTECTIVE EQUIPMENT, ETC. 14. WASTE DISPOSAL a.NAMERadiation OF COMMERCIAL Management W ASTE DISPOSAL Co., SERVICE9022 A-1EMPLOYED TelegrRph Rd., Lorton, Va. 22079 j b. IF COMMERCIAL W ASTE DISPOSAL SERVICE IS NOT EMPLOYED. SUBMIT A DETAILED DESCRIPTION OF METHODS WHICH WILL BE USED FOR DISPOSING OF R ADIOACTIVE WASTES AND ESTIMATES OF THE TYPE AND AMOUNT OF ACTIVITY INVOLVED IF THE APPLICATION IS FOR SEALED SOURCES AND DEVICES AND THEY wtLL BE RETURNED TO THE MANUFACTURER,SO STATE. Not Applicable t ~ / FORM NRC 313146 78) ' ' .y - 2 $ $. w - t. O . 0 0- . ~% INFORMATION REQUIRED FOR ITEMS 15,16 AND 17 Describe in detail the information required for items 15,16 and 17. Begin each item on a separate page and key to the application as follows: (1) Senior Personnel Qualifications Statement, Attached. SEE:(2) Radiation Protection Manual, Attached. 15. RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropriate for the material to be used including the duties and responsibilities of the Radiation Protection Officer, control measures, bioassay procedures Ilf needad>, day-today general safety instruction to be followed, etc. If the application is for sealed source's also submit leak testing procedures, or if leak testing will be performed using a leak test kit, specif y rnanufacturer and model number of the leak test kit. 16. FORMAL TRAINING IN R ADIATION SAFETY. Attach a resume for each individual named in items 6 and 7. Describe individual's formal training in the following areas where applicable, include the name of person or institution providing the training, duration of training, when training was received, etc. a. Principles and practices of radiation protection. b. Radioactivity measurement standardization and monitoring techniques and instruments. c. Mathematics and calculations basic to the use and measurement of radioactivity. d. Biological effects of radiation. 17. EXPERIENCE. Attach a resume for each individual twned in Items 6 and 7. Describe individual's work experience with radiation, including where experience was obtained. Work experience or on- the job training should be commensurate with the proposed use, include list of radioisotopes and maximum activity of each used. 18. CERTIFICATE (This stem must be completed by appiscont) . I ' The app!> cant and any offocial esecuteng this certifocare on behatt of the sophcant named on item 2, . certofy that this apolocation os prepared un conformtry with Totle 10, Code of federal Reputations, Part 30, and that all informstron contained hereon, oncluding any supplements attached hereto, is true and correct to the twst of our knowirdge and belief. | W ARNING.-18 USC. Sect on 1031; Act of June 25,1948; C2 Stat. 749; makes it a criminal off ense to make a wittf ully false statement or representat.c n to any department or apeney & Dneted States ~as,so ' any metter within its jurisdiction. N' n?. '3 . g a. LICENSE FE E REQUIRED b. CERT YING OFFICI A,L (5,gnorurel (Sow Secten 170.31,10 CFR 170) ' ' ~ $190 $N AME (Type or prmti OG S ELI | n"q- ' Charles '4. reters __ d TITLE 0) LICENSE FEE CATEGORY: h- pp gg yg gp WeM *3 ' '' (2) LlLENSE F EE ENCLOSED s 190.00 November 28, 1973 F ORM N RC,313 1 16-78) _ _ _ _ _ _ _. _. _ . ,a a, ('^N c) , t) , f i I 1 Application Continua tion Sheet | No. 8, E, (1) Texas Nuclear Neutron Generator (Model 9400). The neutron output of this machine vill be limited nornally to 107 neu- trons/vac. Occasionally, the nachine will be operated to produce 100 neutrons /& Appropriate shielding will be used at that time. (See attached Radiation Protection Manual, Appendix "E", Figures 2 and 3.) No. 15 Leak-testing - Scaled sources vill be leak tested once each half- year by the R.S.O. Smear wipes will be taken on each sealed source using Whatman 41 paper smears. Smears will be assayed using a gas- flow internal proportional counter as described in item 10 of this a pplication. i i 1 . v D?513 i i _ _ _ _ . _ _ _ _ _ . _ _ _ _ _ _ _ _ _ * . .: .. f)m _1 . ! .- t}i . | - | | | 1 i ! 'l SE1IOR PERSONNEL QUALIFICATIONS STAT 9EIT , i 1 CONSOLIDATED CONTROLS CORPORATION j ICRTON, VIRGEilA > 37513 1 . L____--_---_-____-______-__---. ._ . _ _ _ _ _ _ . _ _ _ _ .