County of Fairfax, Vi~&*j~4To protect and enrich the quality of life for the people, neighbowdI M derse communities of Fairfax County

ZW• FEB 1 3 PVA 2: 34

February 7, 2006 ,rk 3

U.S. Nuclear Regulatory CommissionRegion I475 Allendale RoadKing Of Prussia, Pennsylvania 19406-1415

Dear Sir/Madam: 7 756Z)'3 I

The County of Fairfaz, Virginia and the Noman M. Cole, Jr., Pollution Control Plant, holder of LicenseNo. 45-19479-01 is reporting.

Unit No. B-104, Model TN 5034 was removed by the Jendco Corp. of Pittsburgh, Pennsylvania, onOctober 8, 2004., and was in the possession of AEA Technology, Baton Rouge, Louisiana, as ofOctober 12, 2004. Unit No. B-100, Model TN4 5034, was removed by the Jendco Corp. of Pittsburgh,Pennsylvania, on January 18, 2006, and was in the possession of AEA Technology, Baton Rouge,Louisiana, as of January 25, 2006. This information is included as attachments number I and 2.

The Noman M. Cole facility is anticipating the removal of the remaining five TN model 5034 units(density gauges) during the year 2006. Will this require additional requests for license amendments?Please advise.

Should your agency require more information, please do not hesitate to contact me at 703-550-9740Ext. 243.

Sincerely,

WASTEWATER TREATMENT DIVISION

Arthur L. PuskasSafety Analyst, Radiat:ion Safety Officer

cc: Kailash B. Gupta, Director, Wastewater Treatment DivisionFile

FAIRFAX COUNTYeaten ,WASTEWATR MANACEMENT Dpartmnt of Public Works and Environmental Services

Wastewater Management, Wastewater Treatment Division9399 Richmond Highway

Lorton, VA 22079-1899Phone: 703-550-9740, TTY: 711, Fax: 703-339-5070

Quality qf WEatr = Quality of Lift www.fairfaxcountv.eov/dowes

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SERVICEREPORT

Date: 10/10/04Service Engineer:

CUSTOMER:*ADDRESS;:

CONTACT:PHONE:FAX:PO#:

Tom Ratillif

W.M. Schiosser / County of Fairfax9399G Rlchmond Hwy.Lorton, 'A 22079William Stopanick(703) 339-8370(703) 339-7021William Stopanick

iQLQ:/Q Arrived on site at Noman M. Cole, Jr., Pollution Control Plant in Lorton,VA. Met with Jim Moser of W.M1. Schlosser. Performed survey on device serialnumber Bi 04 to verify shutter was closed properly. Locked out device. Assistedwith removal of gauge from the frame it was mounted to. Placed the device intoshipping crate, performed shipping survey, and labeled for shipment per NRCand DOT guidelines.No problems noted. Left site.Please noie that ALARA was followed at all times.

Fairfax CountyWastewater Management Program"Cleaner Water, Brighter Future"

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368 Eutler St. F ttsburgh, PA 1522a . '3 a"Ptone: (412) 7132-1957Fax: (412) 447-0033e-mail: moWcule@jendco.com C1

To: W.M. Schlosser From: Mary McGuire

Atn: Stacie

Faxc (7031 339-7021 P09us 6 (Including cover)

Pho;n Date: 10/27/2004

Re: Serv'oe Report CC

X Urgont O3 For Revlew 0 Pgloo Comrr0..t a Please Reply 03 Plea. Racycle

Stacie,

I apologize for not getting this informatbn to you sooner.

AtXtched you will find the following documents for Torn Ratlif's service trip to your facility October 8,2004.

A. Letter from AEA Technology stating they have taken possmesion of source S/N B104.Please file for your records.

B. Service Report

C. Shipping Survey

D. Certificate of Liability Insutance - C ?I 7 C09

E. C ertificate of Auto Liability Insurance J L U.... ....... x. ... .

I will request irnsurance certificates listing W. M. Schlosser as additional Insured from our agent and willfax them to you In a few days. If after your review you have any questions or need additionalinformation please advise.

Thanks!

Best Regards,

(ary McGuire

14.

SHIPPER'S DECLARATION FOR DANGEROUS C;OODS (Provide at least two copies to the ailrine3 ..-,.

Shipper .C&2,2 Cc' KŽ.;bm. * . .;

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Roadwva s ta*f L= 4-654431_..XRNING

lure to comply in all respects with the applicableigerous Goods Regulations may.be in breach ofapplicable law, subject to.legal penalties. This

claration must not, in any circumstances, *bempleted and/or signed by a consolidator, awarder or an IATA -cargo agent.

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wo completed and signed copies of this Declaration mustbe handed to the operator

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TRANSPORT DETAILS

This shipment is within thelimitations prescribed for:(delete non.napplicable)

I ENG CARGOAND 0 AIRCRAFT

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Airport of Destination:Shipment type: (delete non-applicable)I R 1l dA 'TIVF II E o t r luv w9@v=I

NATURE AND QUANTITY OF DANGEROUS GOODS_--_-_--_-_-_--_-_--_-_---- - - -- -- --- - - - - - - - - --- r-- - - - - - - - - - - - - - - - -

Dangerous Goo-is Identification------------------------ -------- r------^--------i-----l

PlName Class or UN or Packing QSubsi- Quantity and Type ot packing * PackingDivsin :IDNo. Group :dir IstDivi…in ID …Risk

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I hereby declare that the contents of this consignment are fully`anidaccurately described above by the proper shipping name and areclassified, packaged, marked and labelled/placarded,.'and are in allrespects in proper condition for transport according to applicableinternational and national governmental regulatlions.

Namne/Title of Signatory

Place and Date * iF <outeEv-2 M 1 o

Signature(see warning above) ,/ . f

OP.097 2101

FREIGHT CHARGES ARE COLLECT UNLESS MARKED PREPAID BELOW1jj STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE

Ro0JI,ROADWAY EXPRESS, INC. (RDWY)GENERAL OFFICES: AKRON, OHIO(DUNS 00-699-8397)

PRO. NO.iabltt i hpent Is sbetto the terms and conditions IUnoIStraight Bill of Lading as slated in the NMFC 100 series tariff.

CKR IPCs 0I NTDESTIOIL NO. PA G E __ _ _ __ _ _ _

SHIPPER NO. TRAILER NO.,

SHIPPER NAME Jlof 2M36 , &

ADDRESS ;krzI 92z Q5 e -

.CONSIGNEE NAME AND ADDRESS

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rCITYE STAT~ ~ E ZIP CODE DSIN&INCT T

ORIGIN CITY (IFIDIFFERENT THANABOVE) STAE ZIP CODE PHONEN

D 4 ~ f v 1~ T .INVOICEE .. CUSTOMER NO. STORE NO.DET

ADDRESS P.O. NO.

CITY STATE ZIP CODE SPECIAL INSTRUCTIONS

ATTN.

CO E PEADI~OLCE TsCUSTOMER CHECK OKCOIE READC0LCU COD AM T $FOR COD AMOUNT? YES Li1 NOOlNO. SI~TS GI HO F HIM DESCRIPTION OF ARTICLES. SPECIAL MARKS, AND EXCEPTIONS NMFcrITEM NO. CLASS swt'iBrJ.o8',A.RAT CHRIE UESEO

HAZARDOUS MATERIALS FREIGHT CHARGES ARE: TOTALEMERGENCY CONTACT NUMBER: O LCOLLECT ;KPREPAID CHARGES$SNQTE 11) Where the rate is de endention value, ifhippes are required to state specifically In NOTE I3)Commdiie fe ringgspeal or additional care or attention In handling of st1o,,Ing mustbeswriting te agreedlor declared value ofth proertyeas follows matie ad acaeda= s n enure safe transpcortation with ordinary care. See Sec. 2eof N MFC Itm 360.'The agreed or declared value of the propery s hrby specifically stated by the shipper to be If this shipment Is to be delivered to the consignee. without recourse on the consignor, the

not xce dingper___ ____ ___ ___ ____ ___ ___consignor shail signl the foilow ing statem ent:not xcedingperThe carrier may decline to make delivery of thIs shipment without payment of freight and allNOTE (2) Liability Limitation for loss or damage on this shipment other lawful charges.may be applicable. See 49 U.S.C. § 14706 (c)(1)(A) and (B). Signature of consignorRECEIVED, subject to Individuaty determined rates or written contracts that have been agreed upon In writing between the carrier and shipper. If appiicable. otherwise to rates, classificationsand rules that have been established by the carrier and are avaitable to the shipper. on request.The property dascribed above Is In apparent good order, except as noted (contents andcondition of contents of packages unknown), marked, consignedl, and destined, as indicatedabove which said carrier (Ihe wordecan'er being understood throughout this contract asmean'n an eso rcrporation in possession of the property under the contract) aiayesnrctgrees tocar~ Its usual place of delivery of said destination. if on It route. otherwise to deliver tanoher carrier on the route to said destination.

IllIs mutually agreed as to ecah carrier of alt or any of said property overall or any portion ofsaid route to destination and as to each party at any time Interested In all or any of saidproperty, that every service to be performed hereunder shall be subject to all the conditions nc

rohibited by tow. whether printed or written, herein contained, Including the conditions on the~ack hereo which are hereby agreed to by the shipper and accepted for himself and his.assigns.

Ihereb~declare tat the pontefits of this conslgnmen br iu n acrnationly adesnobq ayove bypro per shipping name and are classified, packed, marked and labeled/placarded and are In allrepci rprcondition for transport according toapplica e Interatoala l ionsagovernmentat regulations. J1,

SHPE O P N A ECARRIER D/railer Loaded by: 0 Shipper 0 DrIver

ROADWAY EXPRESS, INC. of ~ prFreight Counted by:Shipper 0 DrIver: pateetssaid to containSHIPPER SIGN4ATUROADW 1 Y EMPLOYEE HI0 Driver: 0 Driver: ptallts

SIGNATflVRE loose pieces containnrg

I- * %Af "-*.~ IRI "Lltfco' n n,1 , mRZ dicn LA,7> An - -r Ic. Aeon n rc -. - I. .. .. . .

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UK -1; X3s$t1q! !vCOMPANYr INCORPORATED

1'066 Replacement/ Enhancement Existing Sludg Project# 1066 W.M. Schlosser Company Inc.Noman Cole Pollution Control Plant Tel: 703-339-8370 Fax: 703-339-70219399 Richmond HighwayLorton, Virginia

Transmitted To: Patrick.Brooks Transmitted By: lbrahimaBGayeParsons ' W.M. Schlosser Company Inc.10521 Rosehaven Street, Suite 100 Noman Cole'Field OfficeFairfax, VA 2:2030 - 9399G'Richmond HwyTel: 703-218-6292 Lorton, VA 22079Fax: 703-591-1305 Tel: 703-339-8370

Fax: 703-339-7021

1 D-02050-0005 - - A Record of Nuclear Mateerial Shipment - Nuclear 11/1012004Scale #6

m6461 d For-> E;7 }Approval UPS

iDntje S;RE.w Nots A ,6ThhA •'-

001 9 Record of Nuclear MaterialShip inent - Nuclear Scale #6

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,Fairfax County Department of F ubic Rick'F lsh*orks& Envirotirnerital Serviceis

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Ioll /,Of1) Signature Signed Date

Prolog Manager Printed on: 10/11,2004 PM7Database Page 1 ciiProlog Manager Printed on: 10/11j2004 PM7Database Page I of 1

Submittal No.: b - 0 Zo5o - -Contract No.: 03402771 . Project No.: | 402/ X00910

Contractor: . W.M. Schlosser Company. Inc.REVIEWED AND (Signature) (Date)APPROVED for loConformance with theContract. Documents By: _

References: _Drawing Sheet No's.:

Specification Section No.: 2 vcIPSpecification Paragraph No.: __. ._.I

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6765 Langlet DriveBaton Rouge, Louisiana 70809Telephone: 225-751-5893Fax: 225-756-0365

Date: October 12, 2004

Mary McGuireJENDCO Corporation368 Butler StreetPittsburg, PA 15223

Reference: 2004-288 (W. M. .Schlosser)

This is to advise that the Radioactive Matetial as detailed below has been received byAEA Technology QSA as of 10-12-04 and we have taken possession of this source:

Lj uc-turer I Model I SIN I Isotope j ActivityI -Texas N 5034 { B104 _ I Cs-137 1 200 mci

Please retain this record for your files. Should you require further assistance, pleasecontact us at ABA Technology QSA, Inc.

Regards,

Rusty BarrettTechnical Service Manager

J5ENTICt(c o r p o r a t I o IIn3 Butler Street Pittsburgh, PA 15223Tel: (412) 782-1957 Fax: (412) 4470033

-SHIPPING SURVEYRetain This Document for Regulatory Compliance

Customer: County of Frfniac-WM 5ch(osserAddress: q3a9G Rlcelnond Hwy.Addresc: Lrtofn. VA :2Q.I9

Date: 10/0L8/4

Device Model No.: TN r;f034 Source Type: Sealed Rod

(1) Isotope: CB-137 Serial No.: B104 Activity: 20 mCi Shield No.: W/A

. Survey Meter Model Na,: Bicwron 20 Serial No.: C067t:_ Calibration Date: C

*AII readings are lr mRem/H-1r; A' Denotes a reading at 1 meter at locatlon A (o - Hlglt R4ndfr At 1 )

LocatfonA 1 3.0 1.

B 2.0 Fp)C 5.0 ide

E I 1.5 1 .

FI 6.0

CB' 0.1 (ie)t

o 0.0 I F (bottom)

E I 0.GS .

F' ( 0.4

G' J 0.4

Comments: Dimensions: 38xl5x12 InchesWeight! 135 Ibs. Tliz.4

jonjFdal"if.Surveyed By:

. I . II

6765 Langley DriveBaton Rouge, Louisiana 70809Telephone: 225-751-5893Fax: 225-756-0365

Date: January 27, 2006

Mary McGuireJENDCO Corporation368 Butler StreetPittsburg, PA 15223

Reference: 2006-COO ( Fairfax County)

This is to advise that the Radioactive Material as detailed below has been received byAEA Technology QSA as of 1-25-06 and we have taken possession of this source:

Manufacturer | Model I SIN I Isotope I Activity lTN 5035 | B100 I Cs-137 1 200 mci

Please retain this record for your files. Should you require further assistance, pleasecontact us at AEA Technology QSA, Inc.

Regards,

Rusty BarrettTechnical Service Manager

4 A - Fairfax CountyWastewater Management Program"Cleaner Water, Brighter Future"

,,7 ,; ,>, /<-Vje ;r"

; ~+'A~c9e~ s@e jkt~

FROM:W.M. Schlosser9399G Richmond Hwy.Lorton, VA 22079

TO:AEA TECHNOLOGY QSAATTN: RUSTY BARRETT6765 LANGLEY DRIVEBATON ROUGE, LA 70809

PHONE: (225) 756-0365REF. JENDCO P.O. #529-06

FROM: .W.M. Schlos;3er9399G Richmond Hwy. ak WHAT -

Lorton, VA :22079 ,

TO:AEA TECHNOLOGY QSAATTN: RUSTY BARRETT6765 LANGLEY DRIVEBATON ROUGE, LA 70809

PHONE: (225) 756-0365REF. P.O. JENDCO # 529-06

- r <V

. . ,-097 11/05. FREIGHT CHARGES ARE COLLECT UNLESS MARKED PREPAID BELOW

0 STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE o16-670825-0

THANK YOU FOR USING ROADWAYroadway.com

CALL 1-800-ROADWAY (1-800-762-3929)

ROA9DWAYDATE 01/17/2006

DIL1 V -

ROADWAY EXPRESS, INC. (RDWY)GENERAL OFFICES: AKRON, OHIO(DUNS 00.4399-8397)

_ PRO. NO.-

SHIPPER NO. ITRAILER NO.

SHIPPER NAME

W.M. SchlosserADDRESS

9399G Richmond Hwy.

CONSIGNEE NAME AND ADDRESS

I AEA Technology, QSA

6765 Langley Drive

Attn: Rusty Barrett

CITY

LortonORIGIN CITY (IF DIFFERENT THAN ABOVE)

STATE I 11, c01ll

VA _ 22079DESTINATION CITY STATE zip C7080t

Baton Rouge LA 70809

STATE | I ZiP. 1EPHONE NO.

800-225-1383 Rusty Barrett

INVOICEE CUSTOMER NO. STORE NO. DEPT.JENDCO Corportion

ADDRESS P.O. NO.

368 Butler Street 529-06

SPECIAL INSTRUCTIONS AND/OR PLACE PRO STICKER HERE

Apply DiscountCITY

STATE ZIP CODEPittsburgh PA 15223

ATTN.

Accounts Payable Dept.

TIME-13ASED SERVICESSelect one ofthe services listed below:

0 Guaranteed Time-Critical- Service: Due C ate: 8By Noon O By 5:00 P.M.

0 GuaranteedTime-Critical"Window: DelivtrOn: Between (AM/PM) MtpIM & (AM/PM) AUIP.M.

O Guaranteed Multi-Day Window: Deliver Between Dates & El Proactive Notification

o Guaranteed Day - Standard Service By 5.OD PIM. EProactive Notificationo Time-Advantage- Service: Due Date: 0_ OBy Noon [ By 5:00 P.m. O Proactive NotificationNotice: AlN shipments are subject to Individual picing programs es published by Roadway or by vnrten Itransportalion contracts and Roadway 100 series rules tanMff.

COD FEE PREPAID N COLLECT[ COD AMT $ CUSTOMER CHECK OK FOR COD YES G. NO 5NO. SHPNG KIND OF DESCRIPTION OF ARRCLES SPECIAL MARKS AND EXCEP~tONS NMFC ITEM NO CLASs S WEIGHT (LB) FREIGHT DIM ENSIONSUNITS P1(0 DECITO FATCE.SECA AKADECPn SUBj. T OR corn?.- WDH EIH

Box X Radioactive Material Type A Package, Class 7. UN2915, 1649002 100 155

Yellow II, Ti=0.5, Cs-137.Solid Material, 200 mCi,

Non Special Form, tNon-Fissle Excepted

Dimensions: 42" x 1lb x 18 1/4' Inches

Emergency Contact 1412) 782-1957

HAZARDOUS MATERIALS FREIGHT CHARGES ARE: TOTALEMERGENCY CONTACT NUMBER: (412)782-1957 - COLLECT N PREPAID CHARGES$NOTE (1) Wlhere the rate Is dependent on value, shippers aie required to state specifically in writing the agreed or NOTE (3 Commodises requiring special or addaional care or eleon io hin tnding or slowing must be so rnarked ancdeclared value of the properly as toltows: pacbaned as to ensure sale trsnspvrlalon wilh ordinarv care See Sec 2 e10 f NMFC lem 360The agreed or declared value of the property is hereby specifici Ily stated by the shipper to be not exceding If this shipment Is to be delivered to the consignee, without recourse on the consignor, the consignor shall sign IhE

_ per ollowring statement:

NOTE (2) Liability Limitation for loss or damage on this shipment The carrier may decine to make deiveryofthis shipmentwithout paymentof 0treight and a hother awlut charges.may be applicable. See 49 U.S.C./14706 (:)(1)(A) and (B). Signature of consignorRECEIVED. subject to IndIvidually determined rates or written ontracts that have been agreed uPon In writirg between the carier and shipper. i appicable. otherwise o rates. classlficalions and rules tha have been established by the carreand are available to the shipper, on request.The property descrihed chos isl anpparent good order. e.ept as noted (coeterls and condition o contents o packages 1tis-rstuallyagmedaslbeerhcahrierioaltaoranyolsaid propertyoever or any ponionosaid mute todestination and s loeaduknon.) mrrked, consisned. and aeshned. a, indicated above whoch said canrie fthe word carrier being andersoed th-rughout parry as*ny lime interesed in off or ny ol said mpery. that every seice to be prdmed hereundder sha be subj ect to a INiti's contract as meaning any person or corporation In possession f the property under the contradl) agrees to carry s usual conditions not prohibited by Law, whethr printed or written, herein conained. Inckdng the condlons on the back hereol. wtiCh aipae of delivery of said deslination. It on its route. otherwise to deliver to another carrier on the route to said desrieen. hereby agreed to by the shipper and accepted for him-? and his assigns.I hereby declare that the contents ol this consgnment are tuty and accurately desribed above by the proprrr shipping name and are classihed. packaged, marked and tabeled/placarded and are in all respecIs rn proper condlion lor IUanspraccording to appticable International and national govenments] regulaeions

SHPPER COMPANY NAME CARRI Trailer Loaded by: 0 Shipper O Driver

AT t Freight Counted by:U _ I - I 0 / Shipper 03 Driver: pal~ets said toSiP RSIGNgTURE EILOYEE SIGNATURE H/LI REff ) 7 Driver: c ontain

-_nlo pieces Driver. pallets containing

Page/ off r MARK "IX" IN "HM" COLUMN FOR HAZARDOUS MATERIALSSINGLE SHIPMENT PICKUPi:

; I,- Ott.

This is to acknowledge the receipt of your letter/application dated

z.(7 1 reviev, and to inform you that the initial processing whichincludes an administrative review has been performed.

AA) zz .57- as / ? - dL23 There were no administrative omissions. Your application was assigned to a

technical reviewer. Please note that the technical review may identify additionalomissions or require additional information.

E Please provide to this office within 30 days of your receipt of this card

A copy of four action has been forwarded to our License Fee & Accounts ReceivableBranch, wiho will contact you separately if there is a fee issue involved.

Your action has been assigned Mail Control Number /3 'SWhen calling to inquire about this action, please refer to this control number.You may call us on (610) 337-5398, or 337-5260.

NRC FORM 532 (RD Sincerely,(6.96) Licensing Assistance Team Leader