castlerock engineering; request for additional …scan0021.pdf please see attached form, and let me...

Simmons, Michelle

From: Sent: To:

Andrew Pilskalns <[email protected]> Thursday, September 15, 2016 7:01 PM Simmons, Michelle

Subject: [External_Sender] RE: RE: RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter

M ichelle,

Yes, I Andrew Pilskal ns agree to that statement. Sorry for the oversight.

Sincerely, ANDREW PILSKALNS, P.E.

c ROCK GEOTECHNICAL ENGINEERING

1114 East Babcock Bozema n, Montana 59715

Ph: (406)-586-9533 Cell: (406)-539-8439

[email protected] www.castle rocker.com

Si=RVll\JG; IVlT ID. UT, HI, WY, CO, NV, ND

r- -:1 ... 1c CJ /mmediate Release ¢' Normal Release

NON-PUBLIC 0 A.3 Sensitive-Security Related 0 A.7 Sensitive Internal 0 Other:._,_ ___ _

Reviewer: JV1> Date:~

CONFIDENTIALITY NOTICE: The information contained in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federal laws governing disclosure of private information. It is intended solely for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privi lege by send ing the accompanying transmission . If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

From: Simmons, Michelle [mailto :[email protected]] Sent: Thursday, September 15, 2016 7:17 AM To: Andrew Pi lskalns Subject: RE: RE: RE: RE: NRC License Renewal 25-29229-01 : Deficiency Letter

Thank you. You forgot to check one box. Please make the fol lowing commitment:

1

"The gauge manufacturer or other person licensed by the NRC or an Agreement State will perf rm nonroutine maintenance or repa ir operations that require detach ing the source rod from the gauge."

From: Andrew Pilskalns [mailto:ap.ca stlerock@gma il.com] Sent: Wednesday, September 14, 2016 5:37 PM To: Simmons, Michelle <[email protected]> Subject: [External_Sender] RE: RE: RE : NRC License Renewal 25-29229-01: Deficiency Letter

Forgot to send with rece ipt.


1114 East Babcock Bozeman, Montana 59715

Ph: (406)-586-9533 Cell: (406)-539-8439

ap.castle rock@gma il.com www.castlerocker.com

SfRVING; M , ID, UT, HI, WY. CO, NV, ND

CONFIDENTIALITY NOTICE: The information conta ined in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federal laws governing disclosure of private information. It is intended solely for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privilege by sending the accompanying transmission. If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

From: Simmons, Michelle [mailto:Michelle.Simmons mnr\:.gov] Sent: Wednesday, September 14, 2016 2:23 PM To: Andrew Pilskalns Subject: RE: RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter

Sir.

I need the form fi lled out. Your letter did not completely answer al l the questions or make any commitments to fo llow the guidance documents NUREG 1556 Volume f, Revision 2 or the necessary regu lations If I don't have the form filled out completely, I can 't renew your license.

2

Simmons, Michelle

From: Sent: To: Subject: Attachments:

Andrew Pilskalns <[email protected]> Wednesday, September 14, 2016 5:33 PM Simmons, Michelle [External_Sender] RE: RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter SCAN0021.PDF

Please see attached fo rm, and let me know if there is anyth ing else.



Ph: {406)-586-9533 Cell: {406)-539-8439

ap.castlerock@gmail .com www.castlerocker.com

SERVING; MT, ID, UT HI, WY, CO, NV, ND

CONFIDENTIALITY NOTICE: The information contained in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federal laws governing disclosure of private information. It is intended solely for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privilege by sending the accompanying transmission . If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

From: Simmons, Michelle [mailto:[email protected]] Sent: Wednesday, September 14, 2016 2:23 PM To: Andrew Pilskalns

··-------------- ...... _ -· . ·-··--·· ·.

Subject: RE: RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter

Sir,

I need the form fi lled out. Your letter did not completely answer all the questions or make any commitments to fo llow the guidance documents NU REG 1556 Volume t . Revision 2 or the necessary regulations. If I don't have the form filled out completely, I can't renew your licen e.

1

From: Andrew Pilskalns [mai lto:ap.castle rock@gmai l.com] Sent: Wednesday, September 14, 2016 3:15 PM To: Simmons, Michelle <M iche [email protected]> Subject: [External_Sender] RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter

Michelle,

We fill out the questionnaire NRC Form 313, 5 through 11 months ago. See attached.


ROCK G.EOTECHNICAL ENGINEERING.

1114 East Babcock Bozema n, Montana 59715

Ph: (406)-586-9533 Cell: (406)-539-8439

ap.castlerock@gma il.com www .castle rocker.com

SERVIN(); MT, iD, UT. HI, WY, CO,. NV, ND

CONFIDENTIALITY NOTICE: The information contained in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federa l laws governing disclosure of private information. It is intended solely for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privilege by sending the accompanying transmission. If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

From: Simmons, Michelle [mailto: [email protected]] Sent: Wednesday, September 14, 2016 1:27 PM To: Andrew Pilskalns Subject: RE: RE: NRC License Renewal 25-29229-01: Deficiency Letter

Thank you.

From: Andrew Pilskalns [mail to:ap.castlerock@gmai l.com]

Sent: Wednesday, September 14, 2016 2:02 PM

2

To: Simmons, Michelle <M [email protected]> Subject: [External_Sender] RE: NRC License Renewal 25-29229-01: Deficiency Letter

M,

We received the attachments and will send it back to you fill ed out.

Thank you


ROCK GEOTECHNICAL ENGINEERING

1114 East Ba bcock Bozeman, Montana 59715

Ph: (406)-586-9533 Cell: (406)-539-8439

ap.cast [email protected] www.castlerocker.com

SE..F VING; MT. Ir\ UT, HI, WY, CO, NV, ND

CONFIDENTIALITY NOTICE: The information contained in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federal laws governing disclosure of private information. It is intended solely for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privilege by sending the accompanying transmission. If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

From: Simmons, Michelle [mailto:[email protected]] Sent: Wednesday, September 14, 2016 7:14 AM To: §Q [email protected] Subject: FW: NRC License Renewal 25-29229-01: Deficiency Letter

From: Simmons, Michelle Sent: Monday, September 12, 2016 2:04 PM To: '[email protected]' <[email protected]> Subject: FW: NRC License Renewal 25-29229-01: Deficiency Letter

3

From: Simmons, Michelle Sent: Thursday, August 25, 2016 3:57 PM To: '[email protected]' <andy@castle rocker.com> Subject: NRC License Renewal 25-29229-01: Deficiency Letter

Docket No.: 03037201 License No.: 25-29229-01 Control No.: 591140

This is in reference to your renewal application dated June 14, 2016. In order to continue our review, please fill out the attached checklist and submit it to the NRC by September 15, 2016. Please include a cover letter with your response. Please note that all cover letters should be signed, dated, and on letterhead. You may contact me if you have any questions or concerns. You may fax your signed response to 817-200-1263, referencing mail control 591140. When you send the fax, you may wish to leave a voicemail or e-mail message to alert me to look for it. If you are submitting your response by email, the response must be submitted in pdf format. Please send me an e-mail or call me at 817-200-1590 if you have any questions.

Michelle Simmons Health Physicist US NRC 1600 East Lamar Blvd. Arlington, Texas 76011 817-200-1590

4

Yes No

~

x

Suggested Format for Providing Information Requested in Items 5 through 11 of

U.S. Nuclear Regulatory Commission Form 31 3

Items 5 and 6: Materials To Be Possessed and Proposed Uses

Manufacturer or Radionuclide Distributor Model No.

Cesium-137

Americium-241

-

Gauge manufacturer (or distributor) and model number

-r<' "" \ E-1 ~4"5 t>

Gauge manufacturer (or distributor) and model number

1'ox\ec-> ""\ ~o

UDY PlLSKALNS, P.K. mnm1mm1xm 1114 E. Babcock Street Bozeman, MT 59715

--

Use as Listed on SSO Regist Quantity Certificate

Specify activity YesJ(

Specify Other Uses Not Listed on

sso ration Registration

Certificate

)( Not per source and Specific description of the gaug e use: a plicable number of gauges requested. - ---__ a ,...,G; __ -__ J _ -- - -

-

----- ·-

Specify activity Yes 1li( per source and Specific description of the gaug number of gauges requested

40..£..&

' -

cm 406.539.8439 LHB/FlI 406.586. 9533

Hm f'tl~:heglcbal:ae.t 8-

...... _

0 Uses are:

(Submit safety analysis supporting safe use.)

'{Not e u e: applicable

D Uses are:


----- - - - ---

Yes No

x.

x

_ __ ,.

-··

Manufacturer or Use as Listed on SSO Registration Radionuclide Distributor Model No. Quantity Certificate

Californium- Gauge manufacturer Specify act1v1ty Yes CJ 252 (or dtstnbutor) and per source and Spectfic description of the gauge use:

modal number number of gauges requested

--

------__ ._ __

-Radium-:?.76 Gauge manufacturer Specify activity Yes j)l

(or distributor) and per source a d Specific description of the gauge use: model number: number of

~··· -frox\-(a

gauges requested.

~4>D « .,,..(.,; \

Other Isotope Gauge manufacturer Specify activity Yes 0

(Specify): (or distributor) and per source and Specific description of the gauge use: model number: number of

gauges requested.

·-Is financia l assurance required? If yes, submit evidence of financial assurance.

-·--

CASTLEHO'lll mm111m 11m111m hll ANDY PILSKAm. P.E. mnm1mm1ma 1114 E. Babcock Stree t Rozema n, MT 5?715

cm 406.539.8439 LUH/FAI 406.586.9533

Hilt G'.. tlcrock®theglobal.net

B-2

··•>-··~

Specify Other Uses Not Listed on

SSD Registration Certificate

-Cl Not applicable

Cl Uses are:

----

(Submit safety analysis supporting safe use)

~Not applicable

------"1 Uses are:


0 Not applicable

-

0 Uses are:

--(Submit safety analysis supporting safe use.)

-

Items 7 through 11 : Training and Experience, Facilities and Equipment, Radiation Safety Program,

and Waste Disposal

Item No. and Title Suggested Response Yes

7. INDIVIDUAL(S) Documentation demonstrating the RESPONSIBLE FOR proposed radiation safety officer's RADIATION training and experience (e g , SAFETY PROGRAM certificate of completion of the AND THEIR RSO's course and/or the TRAINING ANO authorized user's course) EXPERIENCE-RADIATION SAFETY OFFICER A~('irW

Name:_ f J.!}::6. \ "'$

8.

9.

!lrBY PILHUH, P.£. mmn1mm1ma 1114 ll. Babcock Street Bozema n, MT 59715

TRAINING FOR Before using licensed materials, INDIVIDUALS authorized users will have WORKING IN OR successfully completed one of the FREQUENTING training courses de cribed in the RESTRICTED "Criteria" part of the section titled, AREAS "Training for Individuals Working in

or Frequenting Restricted Areas" in NUREG-1556, Vol. 1, Rev. 2, "Consolidated Guidance About Materials Licenses: Program-Specific Guidance About Portable Gauge Licenses."

FACILITIES ANO Provide a facility diagram for each EQUIPMENT permanent portable gauge storage

location. Include on the diagram the use of adjacent areas (including above and below) , and information relevant to public dose and security as discussed in Sections 8.10.5, "Public Dose," and 8.10.6, "Operating, Emergency, and Security Procedures," respectively, in NUREG-1556, Vol 1, Rev 2, "Consolidated Guidance About Materrals Licenses Program-Specific Guidance About Portable Gauge Licenses"

8 - 3

£m 406.539.8439 umm 406.ss6.9s3J

I· Mm [email protected]

Submit ~ applicable documentation .

s-e-L A \"\-,..~\...~~J

R

Submit "' applicable documentation .

i~'e.

Att~c.~

---Alternative Procedures

Attached

0

Item No. and Title Suggested Response

10.1 RADIATION The applicant should not submit its SAFETY audit program to the NRC for PROGRAM-AUDIT review during the licensing phase. PROGRAM The audit program will be

reviewed during NRC inspections. --

10.2 RADIATION We will either possess and use, or SAFETY have access to and use, a PROGRAM~ radiation survey meter that meets RADIATION the criteria in the section titled, MONITORING "Radiation Safety Program-INSTRUMENTS Radiation Monitoring Instruments"

in NUREG-1556, Vol. 1, Rev. 2, "Consolidated Guidance About Materials Licenses: Program-Specific Guidance About Portable Gauge Licenses," in the event of an incident.

10.3 RADIATION Physical inventories will be SAFETY conducted every 6 months or at PROGRAM- other intervals approved by the MATERIAL NRC to account for all sealed RECEIPT AND sources and devices received and ACCOUNT ABILITY possessed under the license

AND We will develop, implement, and maintain procedures for ensurrng accountability of licensed materials at all times.

10.4 RAOIA TION We will maintain , for inspection by

AftDY PILSK!LNS. P.E. mmrnmm1ma 1114 B. Babcock Street Bozeman, MT 5971 5

SAFETY the NRC, documentation PROGRAM- demonstrating that unmonitored OCCUPATIONAL individuals are not likely to receive DOSE a radiation dose in excess of the

limits in 10 CFR 20.1 502(a).

OR We will provide and require the use of individual monitoring devices (dosimetry). All personnel dosimeters that require processing to determine the radiation dose will be processed and evaluated by a NVLAP-approved processor.

B-4

cm 406.539.8439 mnmx 406.586.9533

Mm c;i tkrock®thcglobal.rict

Yes Alternative Procedures

Attached

Need Not Be Submitted with Application

• 0

'5t' a

Cl 0

" ~ -

-


10.5 RADIATION The applicant is not requrred to SAFETY submit a response to the public PROGRAM- dose section in a license PUBLIC DOSE application This matter wm be

examined during NRC inspections

10.6 RADIATION W e will implement and maintain SAFETY the operating, emergency, and PROGRAM- security procedures in Appendix G OPERATING, to NUREG- 1556, Vol. 1, Rev. 2, EMERGENCY, ANO "Consolidated Guidance About SECURITY Materials Licenses: Program-PROCEDURES Specific Guidance About Portable

Gauge Licenses ." Copies of these procedures will be provided to all gauge users and will be available at each jobsite.

OR

Operating, emergency, and security procedures will be developed, implemented, and maintained and will meet the criteria in section 8.10.6, "Radiation Safety Program-Operating , Emergency, and Security Procedures ," NUREG-1556, Vof. 1. Rev. 2, "Consolidated Guidance About Materials Licenses: Program-Specific Guidance About Portable Gauge Licenses. " Copies of these procedures will be provided to all gauge users and will be available at each jobsite.

£ASTLE RO PK·: 111mu1m 11111111111 lJ '6)

'

llBY PIUK!LftS. P.K. mmu.111mm1ma 1114 E. 'Babcock Street Bozeman, MT 59715

mL 406.539.8439 LlHB/fll 406.586.9533

um castlerock@theglobaLnet

8-5


Attached


-0 C1 For this .. item, checking this box indicates that alternative procedures will be provided as part of the application

~ and that these procedures will be provided to all gauge users and will be available at each jobsite.


-10.7 RADIATION Leak tests will be performed at

HBY PILSKALHS. P.E. mmrnmm1mn 1114 E. Babcock Street Bozcma.11, MT 59715

SAFETY intervals approved by the NRC or PROGRAM-LEAK an Agreement State and specified TEST in the SSD registration certificate

Leak tests will be performed by an organization licensed by the NRC or an Agreement State to provide leak testing services to other licensees; or by using a leak test sample collect1on kit supplied by an organization licensed by the NRC or an Agreement State to provide leak test kits and/or sample analysis services to other licensees and according to the kit supplter's instructions Records of leak test results will be maintained

OR We will implement the model leak test program published m Appendix I of NUREG-1 556, Volume 1, Rev1s1on 2, uconsolidated Guidance About Materials licenses Program-Specific Guidance About Portable Gauge Licenses." Records of leak tests will be maintained

mL 406.539.8439 L!RB/F!I 406.586.9533

Him [email protected]

B-6


Attached .. 0 Forthis item, checking this box indicates that alternative equipment andfor procedures will be provided as part of the apphcation and that records of leak tests will be maintained.

Q


10.8 RADIATION Routine Cleaning and Lubrication SAFETY We will implement and maintain PROGRAM- procedures for routine MAINTENANCE maintenance of our gauges

according to each manufacturer's written recommendations and instructions.

Nonroutine Maintenance The gauge manufacturer or other person licensed by the NRC or an Agreement State will perform nonroutine maintenance or repair operations that require detaching the source or source rod from the gauge

10.9 RADIATION The applicant is not required to SAFETY submit a response about PROGRAM- transportation dunng the licensing TRANSPORTATION process. The NRC will review this

issue during inspection

11. WASTE The applicant is not required to MANAGEMENT- submit a response about waste GAUGE DISPOSAL management during the licensing AND TRANSFER process; however, the licensee

should establish and include gauge transfer and waste disposal procedures in its rad1at1on safety program.

ARBT PIL8K1LNS, P.R. mmrnm mime 1114 E. liabcock Street Bozema1', MT 5971 5

cm 406.539.8439 mumx 406.ss6.9533

Hm r'[email protected]

8-7


Attached

" CJ

0 a The information listed in Appendix F of this NU REG supporting a request to perform non routine maintenance in house is attached.



_A

G~RTIFICAJ'~ OF

COMPLETION - TE

PRESENTED BY

SSCJJCIA TES ,

TO

NDREW PILSKALNS

"" ... C e

FOR HA YING SUCCESSFULLY COMPLETED THE RADIATION SAFETY OFFICER TRAINJNG IN ACCORDANCE \VITH THE REQUIREMENTS OF NUREG 1556 VOL 1 APPENDJX D, 10 CFR PARTS

19, 20 & 30, AND DOT HAZMA T IN 49 CFR PART 172

PRESENTED THIS

MARCH 23~ 2012

Signature of Trainer ,klJl?Z"f;L ,kt -r V/' JL' ·- I HAL NIELSEN Location: IDAHO FALLS, JD

1 f r'··••.cc.·•.cc.-cc;""'·==· · ~·;c.c=•-=-"'=-=o.. . ____ =·= -- . --·n i -----=-=-=-=---- ____,__~~~~ ! ~ ~-==-- - ----' tJJiJi. ~ I.,. I: .' • ..u~ , ) ,,

0$n TlfIC~~ .~~'.~iii';,, J.l.'-J. -,£·. · .. !..,:'" ~~--~_·'.l ' :'--;l:~t:!P& . 'A ""' , . .;.;,_~ ?'i.:t t&1,. ~ ...

OF V'

COMPLETION PRESENTED BY

Q_A I<::. .ASSC>CI.A TES, . L . C ...

TO

ANDREW PILSKALNS FOR HA VINO SUCCESSFULLY COMPLETED THE RADIATION SAFETY AND NUCLEAR GAUGE USER SAFETY TRAINING IN ACCORDANCE WITH THE REQUIREMENTS OF NUREG 1556 VOL l ,

10 CFR PARTS 19 & 20, AND DOT HAZMAT REQUIREMENTS IN 49 CFR PART 172.

PRESENTED THIS DAY

MARCH 22, 2012

Signature of Trainer -..,t!:.:.+SL~~~_.L__-£,.a... _ __ .I HAL NIELSEN Location: IDAHO FALLS, JD

Castle Rock Geotechnical Engineering Inc. U.S. Nuclear Regulatory Co mmission license Information '-----·-------------····-··- -~--·---·

Materials License No. 25·29229·01 Li cer se Experati on Date: June 30, 2016 Reference Docket No. 030-37201

NOTE: Troxler gauge is locked and secured in company truck.

Troxler - 3430 Cesium 137 & Americium 241 source Serial Number - 31 485

Gauge Storage Map for 1114 East Babcock

;/ Office

Gal~

2-Story R<.>sidence

Dnvewav •

Babcock Stree North ~-~-_;.>

C:~~~:i I ---) -----------· - ---------;

lncl icate location of doors

CIVIL / GEOTECHNICt\L ENGINEERI NG 1114 East Babcock Bozeman, Montana, 597 15

office/fax: (406) - 586-9533 cell phone: (406) - 539-8439 e-mail : [email protected]

web site: cas le rocker .c.om

Location : 11}_4 East Babcock, Bozeman, MT 59715 ··--Date: June 17th, 2016, 5:00 PM

Company : Ca~tl e Rock Geotechnical Pusonel: __ _!l._fl(fy Pilskalns - RSO Officer. President __ _

Nuclear Gauge Storage Map

Simmons, M ichelle

From: Sent: To: Subject:

Attachments:

Dear Michelle,

Andrew Pilskalns <[email protected]> Wednesday, October 26, 2016 5:10 PM Simmons, Michelle [External_Sender] RE: NRC License Renewal 25 -29229-01: Add itional Information Needed Relinquishment of Ownership.PDF; NRC License Renewal, 25-29229-01.pdf

Please find attached the Relinquishment of Ownership document of our old Troxler Gauge (3411-B} Serial Number

10312. The Re linquishment of Ownersh ip PDF attached contai ns the documentation that C & H Engineering took over possession of the two Seaman Gauges, the C-200, erial No. A-366 and the C-300 Serial No . 21012.

Castle Rock Geotechnical has possession of only one ga uge.

You will al so find attached the NRC License Renewal letter you req uested for more inforn at ion.

Please let me know this is acceptable.


ROCK GEOTECHNICAL ENGINEERING


Ph: (406)-586-9533 Cel l: (406)-539-8439

[email protected] www.ca stlerocker.com

SERVING; MT, iD, UT, HI, WY, CO, NV, ND

CONFIDENTIALITY NOTICE: The information conta ined in this email message and any attachment(s) is the property of Castle Rock Geotechnical Engineering, Inc. and may be protected by state and federal laws governing disclosure of private information. It is intended sole ly for the use of the entity to which this email is addressed. If you are not the intended recipient, you are hereby notified that reading, copying or distribution of this transmission is STRICTLY PROHIBITED. The sender has not waived any applicable privilege by sending the accompanying transmission . If you have received this transmission in error, please notify the sender by replying to this e-mail and delete the message and attachment(s) from your system.

1

From: Simmons, Michelle [mailto:[email protected]] Sent: Monday, October 24, 2016 9:07 AM To: Andrew Pilskalns Subject: NRC License Renewal 25-29229-01: Additional Information Needed

Docket No.: 03037201 License No.: 25-29229-01 Control No.: 591140

Mr. Pilskalns,

This is follow up to our phone conversation this morning. In order to continue our review, the following additional information is needed.

1. Please confirm that only possess one Troxler 3430 portable gauge at this time.

2. Please confirm that you have disposed of the two Seaman Radium gauges that were formerly possessed by C&H. If so, please confirm that you no longer wish to have the authorization for radium-223. Please submit the documentation detailing the disposal of the two Seaman gauges.

Please submit it to the NRC by November 15, 2016. Please include a cover letter with your response. Please note that all cover letters should be signed, dated, and on letterhead. You may contact me if you have any questions or concerns. You may fax your signed response to 817-200-1263, referencing mail control 591140. When you send the fax, you may wish to leave a voicemail or e-mail message to alert me to look for it. If you are submitting your response by email, the response must be submitted in pdf format. Please send me an e-mail or call me at 817-200-1590 if you have any questions.

Michelle Simmons Health Physicist US NRC 1600 East Lamar Blvd. Arlington, Texas 76011 817-200-1590

2

REGISTRY OF RADIOACTIVE SEALED SOURCES AND DEVICES SAFETY EVALUATION OF DEVICE

(AMENDED PAGE 1)

NC-646-0-130-S DATE: April 04, 2007 PAGE: 1of10

DEVICE TYPE: Portable Surface Moisture and Density Gauges

MODEL No.: 3400 Series: Models 3430, 3430-M, 3430 Plus, 3440, 3440-M, 3440 Plus, 3450, 3451

MANUFACTURER/DISTRIBUTOR: Troxler Electronic Laboratories 3008 Cornwallis Road, P.O. Box 12057 Research Triangle Park, NC 27709 (919) 549-8661

SEALED SOURCE MODEL DESIGNATION:

Troxler Drawing No. A-102112 which coyers: AEA Technology/QSA, Inc. Model No. CDCW556 Capsule Type XN.30 Special Form Certificate No. USA/0673/S

AEA Technology/QSA, Inc. Model No. CDCW556 Capsule Type X12 l 8 Special Form Certificate No. USA/0614/S

Isotope Product Laboratories Model # HEG-137 Capsule type: 3024 Special Form Certificate # USA/0356/S

Troxler Drawing No. A-102451 wbicb covers: AEA Technotogy/QSA, Inc. Model # AMNV.997 Capsule type: X.1 Special Fonn Certificate # USA/0632/S

Isotope Product Laboratories Model# Aml.N02 Special Form Certificate# CZ/1009/S-85

Troxler Drawini No. C-106580 which covers: Isotope Product Laboratories Model Nos. 3021 or 3027 Special Form Certificate No. USA/0462/S

Troxler Drawing No. A-105779 which covers: Isotope Product Laboratories Model HEG-252 Capsule Type 3024 Special Fonn Certificate No. USA/356/S

AEA Technologies Mode No. CVN.t, Capsule Type X.1 Special Form CertlOcate No. USA/0632/S

LEAK TEST FREQUENCY: 12 months

ISOTOPE:

Cs-137

Cs-137

Cs-137

Am-24l:Be

Am-24I:Be

Am-241:Be

Cf-252

Cf-252

PRINCIPAL USE: CUSTOM DEVICE:

(G) Portable Moisture/Density Gauges YES ----

MAXIMUM ACTIVITY;

9 milticuries (333 MBq)

9 millicuries (333 MBq)

9 millicuries (333 MBq)

44 milticuries (l.63 GBq)

44 millicuries (1.63 GBq)

44 mitlicuries (1.63 GBq)

66 microcuries (2.44 MBq)

66 mlcrocurles (2.44 MBq)

____ x __ NO

castlerock engineering; request for additional …scan0021.pdf please see attached form, and let me...

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