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, . * . * l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m PAots g d' unc ronu ara '"0E - or g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N 11 'l g MATERIALS LICENSE || l|' INrsuant to the Atomic Energy Act of 1934, as amended, the Energy Reo 'l g' |g g Code of Federal Regulations, Chapter 1. Parts 30,31,32,33,34. 3$,39,40 and 70, and in reliance on statements arrj reprewntations heretofore 1 i 1, made by the igensee, a licene is hereb) mued authorinng the hcensee to recesse. acquire, pouess, and transfer byproduct, source, and speaal | Il nuclear matenal designated below; to use such material for the purpos:(s) and at the place (s) designated below; to <lekser or transfer such m f to persons authorized to receive it in accordarne uth the regulations of the applicable Part(sh This license shall be g! Specified in Sectxin 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nucle i g; Regulatory Commission now or hereafter in effect and to any conditions specified below, g I' 'l f Ucensee I! !I f 1. Tri State Roofing & 3. Ucense number 47 23687-02 ' g Sheet Metal Company i g | [l 3 E 2. p,o, gion tg g, Davisville, West Virginia 26142 %y& ,, 4.!Ex pira tion,da,te November 30,1997 ] , 6 5. Docket or %g',, '030-32939 (supercedes 47 23687-01)- g, e \, , ' j Reference No e g g' - \> # lj 6. Il> product, souice, and/or y 7. Chemical and/or physleal . Maximum amount that heensee | r- form inay possess at any one time I Ej special nuclear material s O under this license f ~ Yo sint,le source to exceed 50 i s i Americium 241 A. ' C Scaled neutron source' A. g g| A. . ;'icgistered pursuant; to ' 10, enliticuries | g t I; ; CFR 32.210 or an equiplent - q g ' d N , Agreement State regniation i bs I i | 1; p , 3., -_.y j3 , , , '|i 9 7f 1,' D f 9. Authorized Use: ,.s % W %, ". ;M_ f J' a p For use in Troxler models 3216 portable.gaug.ly[l . . /' .- I ing devices to measure properties of materials. g| , l A. IN l' / i)tii ' 1 a - vj || ' I; _' CONDITIONS . ._. l Co i I; ' * - li .s t p w. p y ;l Licensed material shallidNd only at temporary'jb sit'es of the lleensechhere in the Uc.ited States where j . ||I 10. the U.S Nuclear Regulatory Co6 mission maintainsjurisdiction for regulat'ing the use oflicensed material When t! |! not in use at temporaryjob sites, licensed snaterial shall be stored at the liclnsce's facilities at Number 10 Davisville 5 I 1 I: Road, Davisville, West Virginia; 117 Kochler Road,4Martinsvills, Virginia; and/or 2700 Goode's Bridge Road, ,- f f Richmond, Virginia. ^ h F g 11. The Radiation Protection Officer for this license is Timothy M. Iladen. |I ! I; g 11 |I l! 12. 1.icensed material shall be used by, or under the supervision and in the physical presence of, Timothy M. Iladen, ,t I l| Robert E. Wallbrown, Gerald F. McClung. Thomas G. Petty, Dale Barbour, Nat Pace or individuals who have [; h satisfactorily completed the dedce manufacturer's training program for safe use of portable gauging devices and f| have been trained in the licensee's operating and emergency procedures. The licensee shall maintain records of - g persons designated as users. R: , l' 13. Scaled sources containing licensed material shall not be opened or removed from the gauging device by the R| licensee. E ! a i I: ' ., n m g! 9212240104 921117-- g PDR ADOCK 03032939 8 PDR l C < $2;g ML DD r 1 * e

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Page 1: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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* l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k mPAots gd' unc ronu ara '"0E - or

g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

11 'lg MATERIALS LICENSE ||

l|' INrsuant to the Atomic Energy Act of 1934, as amended, the Energy Reorganization Act of 1974 (Public Law 93 438), and Title 10,'lg' |gg Code of Federal Regulations, Chapter 1. Parts 30,31,32,33,34. 3$,39,40 and 70, and in reliance on statements arrj reprewntations heretofore 1i

1, made by the igensee, a licene is hereb) mued authorinng the hcensee to recesse. acquire, pouess, and transfer byproduct, source, and speaal |

Il nuclear matenal designated below; to use such material for the purpos:(s) and at the place (s) designated below; to <lekser or transfer such matenal jl

f to persons authorized to receive it in accordarne uth the regulations of the applicable Part(sh This license shall be deemed to contain the conditionsg! Specified in Sectxin 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nuclear !g

ig; Regulatory Commission now or hereafter in effect and to any conditions specified below, g

I' 'l

f Ucensee

I! !I

f 1. Tri State Roofing & 3. Ucense number 47 23687-02'

g Sheet Metal Company ig

|[l 3E 2. p,o, gion tg g,

Davisville, West Virginia 26142 %y&,,

4.!Ex pira tion,da,te November 30,1997 ] ,6

5. Docket or %g',,'030-32939 (supercedes 47 23687-01)-

g, e \, , ' j

Reference No e gg' - \>#

lj 6. Il> product, souice, and/or y 7. Chemical and/or physleal . Maximum amount that heensee |r- form inay possess at any one time IEj special nuclear material s

O under this licensef ~

Yo sint,le source to exceed 50 isi Americium 241 A. ' C Scaled neutron source' A. g

g|A.

. ;'icgistered pursuant; to ' 10, enliticuries |g t

I; ; CFR 32.210 or an equiplent - q g'

d N , Agreement State regniation i bs Ii |1; p, 3., -_.y j3 , ,

,

'|i9 7f 1,' Df 9. Authorized Use: ,.s %W %, ". ;M_ f J' a pFor use in Troxler models 3216 portable.gaug.ly[l . ./'.-

Iing devices to measure properties of materials. g|

,

l A.INl' / i)tii '

1 a-

vj || 'I;_'

CONDITIONS. ._.

lCo iI;'

* -

li .s t- p w. p y ;l

Licensed material shallidNd only at temporary'jb sit'es of the lleensechhere in the Uc.ited States where j.

||I 10.the U.S Nuclear Regulatory Co6 mission maintainsjurisdiction for regulat'ing the use oflicensed material When t!

|! not in use at temporaryjob sites, licensed snaterial shall be stored at the liclnsce's facilities at Number 10 Davisville 5I1

I: Road, Davisville, West Virginia; 117 Kochler Road,4Martinsvills, Virginia; and/or 2700 Goode's Bridge Road, ,-ff Richmond, Virginia. ^ h F

g 11. The Radiation Protection Officer for this license is Timothy M. Iladen. |I!

I; g

11 |Il! 12. 1.icensed material shall be used by, or under the supervision and in the physical presence of, Timothy M. Iladen, ,t

Il| Robert E. Wallbrown, Gerald F. McClung. Thomas G. Petty, Dale Barbour, Nat Pace or individuals who have

[;f -h satisfactorily completed the dedce manufacturer's training program for safe use of portable gauging devices and

f|have been trained in the licensee's operating and emergency procedures. The licensee shall maintain records of -

g persons designated as users.

R:,

l' 13. Scaled sources containing licensed material shall not be opened or removed from the gauging device by theR| licensee.E ! a

iI:

'

., n mg! 9212240104 921117--g

PDR ADOCK 030329398 PDR lC<

$2;g ML DD r 1*

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Page 2: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

. _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ - - _ _ - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _

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* fEOL***E$LT1*2TA'"2TETJ'1T2NTJ~1T1W508TJTGTATJT14GEMT14T20LT1*3f1T23T)g une r.,,, ma u s. Nucttan ntauutony comunow 2 3

yy gxen= numte' '

47 23687 02,

( MATERIALS LICENSE -

* " " % 32939|t( $UPPLEMENT AIlY SHEETi4

i ;ld 'lI ||1 'l( !II (continued) CONDITIONS !p

|f|4

4 14. A.(1) The source (s) specified in item 7, shall be tested for leakage and/or contamination at intervals not toId execed 6 months. Any source rew.ved from another person which is not accompanied by a certificate I

| indicating that a test was performed within 6 months before the transfer shall not be put into use until ftested. jq

E1

I (2) Notwithstanding the periodic leak test required by this condition, any licensed scaled source is exempt from IF

-|j|N such leak tests when the source contains 100 microcuries or less of beta and/or gamma emitting material

| or 10 microcuries or less of alphapm)tting'rnat' rial.] j fe,

v ~, gq \ -

g IL Any source in storage and not being used need not be tested /When the source is removed ficm storage ;

q for use or transfer to an'other person, it shall be tested before use'ot transfer, I.I> II .-

4 C. The test shall be capable of detecting the presence of 0.005 microcuri'c Qf radioacthe material on the test LIN sample, if the test reveals the presence of 0.005 microcurie or more of removable contamination, the

| source shall te removed frorn senice and decontaminated,' repaired, or' disposed of in accordance with (( Commission regulations. A report shallle filed withir 5 days of the date the leak test result is known with g

q the U. S. Nuclear Regulatory Commission, Region 11, Dhision of Radiation Safety and Safeguards, Nuclear i.I Material Safety Section,101 Marietta Strect, Suite 2900 Atlanta, Georgia 30323. The report shall specify II the source inyolved, the test results, and corrective actio 'taken. Records of leak test results shall be kept I

in units of ndcrocuries, andihail be^mainjained f6(inspection by the C5tamission. Records may bc |II

disposed of following Commission inspedion! [ CQ:,' ' ( ' y g.g

The licensee'is authorlied to collect leak { test ~) { j ; splIs for analysis by Troider Electronics Laboratories or+ 1 2.:, gg

ILq D.I tests for leakage and/or contamination'shall be performed by persons specifically licensed by the iN Commission or an Agreement State to perform such nedtes. I '

!N ~p s, . , . g*

The licensee may transport licensed material in accordance with the provis{% bf 10 CFR Part 71," Packaging andqg 15. ons g

( Transportation of Radioactive Materia!.* Q p

>4 M .P( 16, ne licensee shall conduct a physical inventory every6 months to account for all sources and/or devices received ' F

,

| and possessed under the license. Records of Inventories "shall be maintained for 5 years from the date of each jImentory, nnd shall include the quantitles and kinds of byproduct material, manufacturrr's name and model yq

q numbers, location of the sources and/or devices, and the date of the leventory. p

E4 . _

t

s

4 17. The licensee shall maintain records of information important to safe and effective decommhsloning at Number 10

f Davisville Road, Davisville, West Virginia pursuant to the provisions of 10 CFR 30.35(g) until this license is B

terminated by the Commission. (,4i ig! 18. In addition to the possession limits in Item 8, the licensec shall further restrict the possession of licensed material y

I

(! to quantitics below the minimum specified 10 CFR 30.35(d) for establishing decommissioning financial assurance. k

( >

#[i rach portable nudcar gauge shall have a lock or outer locked container designed to prevent unauthortred or - E19,

accidental semmal of the sealed source from its shielded position, He gauge or its container must be locked f'when in transport, storage or when not under the direct sunelliance of an authorized user. .|y

|kjitV:;

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Page 3: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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* prr:n crrrres 2?rrrrre2=rrrrren?,rriferrerstures.~r3?rrearrrrrrrra.3rryr3 3 ' '

,, q r v. m~ ~ >g Nncro. mar 4A u s. Nucitan nicut Atony couvissioN

85 W 1 sanic numte }7 N7-02( MATERIALS LICENSE ')

"'"""""bS32939 |>" '

( SUPPt.[ MENT ARY SHEET

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q (cont.) CONDITIONS y

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)d 20. Any clraning, maintenance, or repair of the gauge (s) that requires atmoval of the source rod shalllx performed ;

4 only by the manufacturer or by other persons specifically licensed by the Commission or an Agreement State to ;>-pt form such senices.

q 21. When licensed materials are in use, the licensee shall require authorized users identitled in Conditions Nos.11 !>41,

q and 12 of this license to u$e film badges eschunged monthly or TI.D eschanged quarterly and processed by a

f).t( Senice accreditated by NVIAP pursuant to 10 CFR 20.202(c),

Except as gecifically provided otherwise in this license, khc licensec shall conduct its program in accordance withj>l4,

N' 22. i

| the statementr., representations, and procedures contained in the' documents including any enclosures, listed Islow. j4 The Nuclear Regulatory Com nission's regulations shall govern unless the statements, representations and y

procedures in the licensce's application and correspondence are more restrictive than the regulations. >(|, l4 i

4 A. Applications dated: ik

( |>

| M ay 15,1987 f-|>p4 September 15,1W2

#

( II. lxtiers dated ->

( >

July 17,1987 P' EN

f September 24, 1991 !i*~'

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p|(D| f FOR Tile U.S. NUCl. EAR REGULATORY COMMISSION

'

$4: i

'; EARL G. WRIGIIT - ;q

4) i>q: .p

DateJhj1h[ By*

i Region 11, Nuclear Materials Licensing Section '

q

i _101 Marietta Street, Suite 2900 ;

'4 Atlanta, GA NO23 |>>4

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,_- __ __ _ _ _ . . _ . _ . _ . _ _ . . _ . _ _ . , _ _ _ _ _ . . . _ _ _ _ _ . , _ . _ _ _

Page 4: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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(FOR LFHs 082)'

IRFORMATloN FROM LTA, ,

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BETWEEN-

LICENSE FEE MANAGEMENT BRANCH, ARM PROGRAM coDttAND STATUS CoDRI

REGIONAL LICENSING SECT!oNS Ftt CAtt00RYtXP DAT88-Pti COMMENTSIDecoM FIN AssUR REQO

......................................

LICENSE FEE TRANSHITTAL

A. P2GION II

b APPLICATION ATTACHED //P/ ,4d.APPI.ICANT/LICEN88B t "

RECEIVED DATSiDOCFET Not 030-3d9 Fi 'g>/ f/

Yl cN6 NJ-{%[Jf,//CCNTBob No.I d/ V <N 9

LICENSE No.tACTION TYPEt /Mu

2. ME ATTACHED c,c

AMOUNTt // c'e'CSECK Ko,t ;A,0 W

3. CONNENTS

SIGNED WM '

DATE 7/.2 W'/k*"

8. LICENSE Ftt.MANAGN'T4 BRANCHto Aasm amtyc4 6o. re Review: s <tio*/Resima #' 'l ifHEN NILtsToHE o3 18 ENTMRED/13 Daud TLr dy tener sent to tJcceue

U Asaped u Reviewer Initiate Techalant keview / ,o///'y 3%, u,, 3,, 1. FEE CATEGORY AND AMOUNT 3f

u osmT Tet<phm c2 Made 2. CORRECT FER PAID. APP CATIONM hadcay Raponse Sent AMENDNtNT

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NENE; p nnu to ane,=/Deay buet see LICEN8R- /

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19 Re<W ChASt Anistance in Otvlev

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n I he4 Acum completed; luued Ocease' / Amen &nent$1GNED } r 4%F

3 Vaided DATE ~ij N' U" #/Af/9V/24 Adad by NRC23 A lPP ate ned by Apptkaat

( 56u cw hf ,

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Page 5: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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', N C 8JmM 313 . ., s U S NUCLEQR REGULOTOR Y COMMil580NOPPROvt0.e.v oms. 40.m@S P Rt.,,,R,,,,,,,

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APPLICATION FOR MATERI AL LICENSE u s NuCttaa mutATOa v COMMiam =AimNoTON Oc10% ,. ANO TO Test 8 Artanona REDvCTiON eseOJt CT Oito01704 Or p aCl 08 MANAGEMtNT ANO euuGt t,wasm4GTONOC J040)

INST RUCTIONS: SE E THE APPROPRI ATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION SEND TWO COPIESOf THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE $PECIDED SE LOW.

APruc&TaONs POA OrsTRisufiON Op intMPT PRODUCTS estl APPuCAT1044 WffH If YOU ARC LOCATED IN

U L NUCLE AR RtGULATORY COMMisssON ILLINOts. tNO4 ANA,60n A, usCMtDass, MissNasOT4, MissouRs, Oseto ORDIVISION 08 INOusT A:At. AND MtOtCAL 8sVCLE AR SAFtTY, NMs4 wt& CON 8tsu, Stato APPLiCA TIONS T O'W A$mNG TON. OC 20668

U S NUCLt AR fetGULATORT COMMISSIOes RtGaON is,Att OTHIR PERSONS FILE APPUCAftONS A4 FOLLOWS. tF VOU art Maff 8HALI LICENSpeG SECTiONLOCAf tO ese 199 roost vtLT ROAD

CONNtCTeCUT DeLAw&RI. De87RtCT OF COLUMetA. MAINE. AE A vl.AND.MallACHustTTS NE W MAMPDMIRt. htW Jimiit V. NEW YORE, Pg *NSYLV ANIA. ARR ANSAS COLORADO, tOAMO, E ANSAs lluttiassa, teONT AN A Ne sR Asa 4AMOOt ISLA40. OR btRMONT, SINO APPUCAT6048 TO Ntn ut E 8CO, NO9f N D AROT A Oa LA MOMA, tuv7M OAaOT A. T8 R AS. UT AM,

"U S NuCLt AR REGULATORY COMMISSION. REGION INUCLE AR MAf tR* ALE $4f TTY SECTION 9 U S NuCLI AR REOULATORT COMutS5 SON Rf CsON tvert ALLINDAtt ROAO nsaf tmiAL siAOtAfeON PROF tCTION SECTiONRING DF PRUS$sA PA 19418 sit Ava4 PLAZA Osteyt,suif t 1000

ALASAMA. FLO8isOA. 080A0i4. EsprTUCKY Mi&SIA&sPPL NOATM CAROUNA.Put ATO RiCO. SOUTH CAROose& TEleNEgett, ytRotNtA. VisiQtN 84LANOS, OR AL Ass A, A Ri20N A, CAU pORNtA. H AWAlt,000 VAD A. On 8 OON, W A&MINOT ONwt ET viROlhia, SEND APPUCATIONS TO AND U.S TERRtTOR8tS ANO POsattasONs eh THE PAC 18 8C. SE NO APPLeCAf TONS

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WALNUT CRitK, CA 94M6

PtRSONS LOCA700 IN 40RtEMIsoT STAT 88 SEND Af*LICATIONS TO TMt U S NUCLEAR REQULATORY COAeMist10's ONLv 18 TMtY wi4M TO 90s:088 ANO USE LICENSIO MAT $ asALIN 81 ATt8 SVtJ4CT TO U S. NUCLE AR RtOutATORV COMus&SION JURi&OiCT004,

1 TMt$ 11 AN APPUCAf TON f OR (Chere apprRpnese somJ-

2 NAME ANO MAILING AOORE$$ 08 APPuCANT #eesmele CaeNs

Tri-State Roofing r, Sheet Metal Company-

Nt. uct NuA

. AMENOM NT TO vCENst UMetR P O Box 188Y- C Rt=e.At o. uCENat huMetR 47-2 3 6 87- Q.L_ Davisville, WV 16152

eu3 ApontS54881 RMERE UCENEtO MATERsAL NILL 58 USED O8i ev$5t& SLO I

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*a N AME 08 PERSON TO st CONTACTIO ASOut TMas APPpCATiON r g TtitPMONG NuMalR

Timothy Me Haden h..

304-485-6593sueMiT iT4Ms s THROuGM si ON sw a u- P APER. TMt YvPt ANO scoPt Op eNaORMATiON TO se PROviOto isOtsCRiot0 @t uCthst APPuCATioN c JiOf

& RADICACTIVE MAf TRIALe immem esse mees siumtest, t efiernicae ems /or emycesi lorm. emt e me wms i emount 5 PURPOSt|$) POR WHICM UCEN540 MAf TRIAL WILL 8t V580sv

ve8 tit $ mit he sospected et ens orie ilme

''"7NIGA.NnStYt'"* " ' ' " '" " * " " '"TR4 8 TR^'N'N0 'Om iNoiviOuALs wCRaiNG iN Om antouthfiNc RIsTR CTt O Ant as

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e e ACiuties ANO touiPMtN1 See Attached Letter S "^ o' ^' ' N S^ " " '" ^^"

No Changes n LIC S,,u t ,,twee ,, Cn. ,, s 3e, ,,o 2,,

11 WASTtMANAGtMENT | AMOUNT885 C Af tGORY - |tNCLOS1D $

l Il CE 8if tp 6 CAY eO4 (Afwee ae veme<emre- eoA seast TMt APPUCANT UNotRST ANOS ThAT ALL ST ATEMENTS AND RtP8ttstNT ATIONS n:ADE IN Y MIS AP*uC A TION ARE' 9'NO*NG uPON TM4 APPuCANT

( TMt A8PUCANT ANO ANY OPPIC%L Ext. . TING THIS CERTiptCATION ON SEMAlp OF TMt APPUCANT, Naut 0 IN ITEM 2.CERTi8V TMAT TMt3 APPLtCAff0N IS78sf Pamt0 fN CONFORMITY wtTM TtTe 8 ; COOT Os stotR AL MEGuLATIONS.PART8 30,32. 3134.35. ANO 40 ANO THAT ALL IN80AMAfsON CON' AshtO Mt at tN,15 TRut AND CORRICT TO TMt $til w e. IIR ENOWLEDGt AND SELib,

| W A RNiNG 18 U $ C SE CTION 1001 ACT O8 . NG 291948 42 $ TAT T as Mau tt it A CR min AL OpptNS$ TO Maa t A WILL8ULLY S AL$t ST Af tMENT OR REPsitst yT AfiONTO ANv DEPARTMENT OR AGENCY 08 TME ' miTED STATES AS TO ANY MATTER wtTMiN sT5 Jup#50iCTION

SIGN A TURt -CER TIF V!NG O8 71Cim TVPEO< PRINT RO NAME TIT L E DAlt

9 2

gh J Timothy Me Haden Radiation Protection Officer

l FOR NAC USI ONLY! TYPtusett ettLOG * tt Ca f tGOR T COMMEN T S

} f ( 0fAMOUNT Re ctivt 0 CMtCENOMetR

h/o #7DgTE.,P , O .V

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Page 6: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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g---_-3---- ,-----------_------------------------------y| Nnc rong an 1 3- # AGE 5|tPAGE oF

u.s. NUCLE AR REGULATORY COMMIS$10Ng . po;est ,,,,

| MATERIALS LICENSE _ Amendment No, 1''

,,: Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganir.ation Act of 1974 (Public Law 93-438), and Title 10,pg

_

gj ; Code of Federal Regulations. Chapter 1. Parts 30,31,32,33,34. 35. 39. 40 and 70, and in reliance on statements and representations heretofore --pr

( made by the licerace, a license is hereby issued authorizing tre licensee to receive, acquire, possess, and transfer byproduct. source, and special _ liGj i nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material )Fb to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions ;h

.

sp cified in Section 183 of the Atomic Energy Act of 1954, as arnended, and is subject to all applicable rules, regulations and orders of the Nuclear _ |!Regulatory Commission now or hereafter in effect and to any conditions specified below. . 4g

l-jLicensee -

5 in accordance with letter dated September 24,1991 !

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|h;;Tri State Roofing 3. Ljcense number 47 23687 01E

4; 1, & Sheet Metal Companyj

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is amended in its entirety to read as follows: -E

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P.O. Box 188Davisville, West Virginia 26142 4. Exp'Iration date July 31,19.72

fq ,- 5. Docket or030-30036

Reference No p

q| 6. Byproduct, source, and/ot4 7. Chemical and/ur physical S. Maximum amount that licensee !)'H! special nuclear material form may possess at any one time #c

. under this license $$ '

4 hNo single source to exceed SC y ;A. Americium 241 A. Scaled neutron source ' A.

4 registered _ pursuant to 10 millicuries ;g4

|! -iICFR 32.210 "' |g -.p-/q

(| 9. Authorized Use: ( jpj$ ,~ w

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yA. For use in Troxler models 316 portab!e gaugin devices to measure properties of materials.

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!h,'' m4| 10. Licensed material may be dsed at the licensee's facilities at Number 10 Davisville Road, Davisville, West Virginia; - jh -

117 Koehler Road, Martinsville, Virginla; 2700 Goode's Bridge Road, Richmond, Virginia and at temporary job hsites of the licensee anywhere in the United States where the U.S. Nuclear-Regulatory Commission maintams -;f--

jurisdiction for regulating the use of licensed material. lp!p -

11. The Radiation Protection Officer for the activities authorized by this license is Timothy M. Haden.4 h-Hj 12. Licensed material shall be used by, or under the supervision and in the physical presence of, Timothy M. Haden, _ M-I' Robert E. Wa11 brown, Gerald F. McClung, Romas G. Petty, Dale Barbour, Nat Pace or individuals who have ly '| satisfactorily completed the device manufacturer's training program for safe use of portable gauging devices and 7g

_ j'[g. have been trained in the licensee's operating and emergency procedures. The licensee shall maintain records of>s persons designated as users.

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l- 13. Scaled sources containing licensed material shall not be opened or removed from the gauging device by the E

licensee.

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''k_. E 31 MND mg,9| %RC f o*m 374 A U.S. NUCLE AR REGULATORY COMMISSION 2- 3 p, y. ,

4 ND I)Liceme number*. . .

q 47 23687-01 p

q MATERIALS LICENSE y

* * ""* f)-30036 >*

( SUPPt.EMENT ARY SHEET - 03d b

|kAmendment No. 1

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.>4.

CONDITIONS .)( (continued)4 !>.

bd 14. A.(1) The source (s) specified in item 7, shall be tested for leakage and/or contamination at intervals not to

) exceed 6 months. Any source received from another person which is not accompanied by a certificate

4 indicating that a test was performed within 6 months before the transfer shall not be put into use until .'( tested. I

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[!4 (2) Notwithstanding the periodic leak test required by this condition, any licensed scaled source is exempt from

such leak tests when the source contains 100 microcuries or less of beta and/or gamma emitting materialor 10 microcuries or less of alpha emitting material. - g4

4 C. J a, y'

( B. Any source in storage and not being used need not be tested. When the source is removed from storage h$ for use or transfer to another person, it shall be tested befo'e'bie or transfer. Djr

4 /X liC. The test shall be capNble of detecting the presence of 0.005 microcurie hf radioactive material on the test N

sample. If the. test reveals the presence of 0.005 microcurie or more"of removable contamination, the h44 4

q source shall be femoved from service and decontaminated, repaired, or. disposed of in accordance with

'4 Commissica regulations. A^ report shall be filed within 5 days 6f the date the leak test result is known with

j the U. S. Nuclear Regulatory Co'mmission, Region II, Divisi6n of Radiation' Safety and Safeguards, NuclearMaterial Safety Section,101 h!arietta Street, Suite 2900tAtlanta, Georgia 30323. The report shall specify h,

the source involved, the test resulis, and corrective actioniaken. Records of leak test results shall be kept k

in units of microcuries and shall~be'isaintaindd'foilssicc~ tion by~the C5Fnmission. - Records may be h'~

d4 disposed of following Commissid6'iripection.~r~yN

Qs V,yjjjil! c.C 7:w-1 ,.

f D. The licensee is authorized to c611cct leak teit'sdmpics for analysis by Tro r Electronics Laboratories ortests for leakage and/of/cohtam% ion]shall bej jierform_ed by persoEs'specifically licensed by the - gCommission or an Ae;reement State to perform such services. M p

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3 15. The licensee may transport licensed materialin accordance with the provisions of 10 CFR Part 71," Packaging and~

Transportntion of Radioactive Material."~

.

16. The licensee shall conduct a physical inventory every 6 months to account for all sources and/or desices received _fb

f and possessed under this license. Records ofinventoriessliall be maintained for 2 years from the date of each jg

'q inventory. ;pt

4 |E'!' 17. The licensee shall maintain records of information important to safe and effective decommissioning at Number 10 ;h

9@fDavis *:.ik Road, Davisville, West Virginia pursuant to the provisions of 10 CFR 3035(g) until this license is ih<

terminated by the Commission.

L 918. In addition to the possession limits in Item 8, the licensee shall further restrict the possession oflicensed material pj!

to quantities below the minimum specified 10 CFR 3035(d) for establishing decommissioning financial assurance. |hikj

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|rmurn~x=rstww1wrrrrrrr1wrrrrrrrrrrrrL%wrrrs~rrrrrAwxTr1Tes:st~x~r43 3p unC rdm mA U.S. NUCM AR R EGUt.ATORY COMMISSION ,,cg g, ,,ggg p

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(* * Licenu numtie'

47-23637 01

q MATERIALS LICENSE * """ " N D E - !y")jW SUPPLEMENTARY SHEET

4 E

N Amendment No. 1 >i >4 >I >q (continued) CONDITIONS y

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# 19. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with F,

i the statements, representations, and procedures contained in the documents including any enclosures, listed below. {P The Nuclear Regulatory Commission's regulations shall govern unless the statements, representations and ii

procedures in the licensee's application and correspondence are more restrictive than the regulations. |

A. Application dated May 15,1987

4 >E,$ B. Letters datr d:'g#

| - July 17,1987 pi

4 Sep<rmber 24,1991 q'1 - No' ember 1,1991 '

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f FOR THE U.S, NUCLEAR. REGULATORY COMMISSION fJ e

iq! ;FJf EARL G. WRIGHT .Ej

Date By #/ / (*}I: Region ll, Nuclear Matuills Safety Section y

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i 101 Marietta Street, Suite 2900 ij! Atlanta, GA 30323 >!!~ N

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[_ . -- CONTRACTC@S FOft,,

_ !Since /MS/-.

gT L SHEETING!

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SHEEi METAL FAB 91 CATION AND ERECTION- HEATING & AG CONCATIONING SYSTEM 3 -

TRI, STATE ' "o'

esr

ROOFING & SHEET METAL COMPANYm eOx a to o DAvisvuE ROAD. DAvrMLLE. (PARKERS 8URG) WEST VIRGt4A 26142 * TElfiHONE (304) 4856fBb FAX 462M1

November 1 , -1 9 9_1

Mr. Earl WrightUn i t ed St a t e s Regu l a t o ry Conuni s s ion101 Marletta Street, NW, Su i t e 2900Atlanta, GA 30323

Dear Mr. Wright: ~

l have been given authority by Roof, Management &. Service Company to-administer use of the Troxler gauges for-the following affiliateroofing companies, Service Roofing & Sheet Metal ;ompany,-Martins-ville, Virginia and Whitley/ Service Roofing-& Sheet Metal Company,.Richmond, Virginia. In an effort to centrally locate our filing _andrecord kcc;. i ng sys t em, we des i gna ted Tri-S t a te Roo f i ng -& Shee t Me t alCompany of Davisville, West Virginia as our sole source of

maintaining and record keeping of our Troxler; gauges. . __ Prev i ou sI will be the-Radiation Officer responsible for the record keeping.licenses located at Service Roofing of Virginia-and Whitley/ ServiceRoofing have been cancelled and the license of Tr1-State Roofing-&Sheet Metal-of Davisville, West Virginia have been amended to

-

include these satellite operations.

The originni storage plans will remain intact in accordance with theregulations. The dosimetry wi!i be done by Landauer= Company-ofGlenwood, IIlIncis. The. record keeping wl1I be on file at-the-office of Tri-State Roofing & Sheet-Metal Company-in1Davisville,_ r iWest Virginia. A sign-out tog will be maintained at each satellite:office to document the gauge usage. Copies of the amended licensesplus other pertinent information wl:1 be available-at each-satelliteoffice along with the bulk of the information located at th'e Tri-State, Davisville office. Leak testing report and data |will'bemaintained at the Yrl-State, Davisville' office.

Please address any future correspondence to me at Tri-State-Roofing&~ Sheet Metal. Company. If you have any questions,-contact thewriter.

_.

Very truly yours,

-TRI-STATE ROOFING &SHEET METAL COMPANY

*

y,

Timothy-M..Haden ~-

i

TM U d j

Ad Agreerrects are Car *ngsynt Upon dovernment Renrierwnts, SV*es. Acts of God, or Other Causes Beyond our Controt O'f+ers lo Subcontract - '

. are Based Upon Execut!On _f <f the 1966 Subcontract form Copyrghted by The ASHX:sted ceneral Contractors ct Amerca, and - 4

7tse Courci of Mechantal Speatty indusmes, Inc , or AAA Docurnent A-401,1978 Edmon insurance CertAcates Wdi Be Fumsted '

Jn Accordance Wth The $wncard Form issued By The insurance Company. Stenrarapbc Errors are Subsect to Correctm 'j. , . . . . . . . . .

_

,- ...

.;'______>

Page 10: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

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PO Box 13085-

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q1CTRONC LA3ORATopigg, av) dic* ns%o | ce; e; HEREBY CERTIFIES THAT

QTHOMAS G. PETTY

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| WHITLEY/ SERVICE ROOFING & SHEET METAL CO.. j,e

|p ggHAS SUCCESSFUI1Y COMPLETED THE TROXIER ELECTRONIC LABORATORIES, INC.g ' ~~ ,;. -.[;1TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT.

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.Wh ~ r. #' T,

SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLOWS Y} Radioloaical Safety _-)* ,> Radioactivity meastaement standardi::ation

-'

W5.Principles and pmatices of radiation and monitoring techniques and1. ^'

n . 5: protection. instruments. :Li 2. Leak testing procedurse. Accident and incident procedures. $6.

Mathematics and calculations basic to Procedures for nuclear gauge storagef*

..

&: %' 3. 7.

j the use and meastu'ement of and transportation.~

radioactivity. General safety precautions. .)~ -% Biological effects of radiation. 8.

> 4. ,

Gauce Ope mtion[ 'F

{ { 4. Field application'h~$h' ( 1. Instrwtent theory ~

S. Govas calibration u. .

3* II: 2. Operating pmcedures_e s. uaintenance:

WILLIAM F. TROILER '

04/04/91. m PRESIDENT :-!.

DATE(NSYRUCTOR // EW*~D !);

N9 38249 ,&.~.

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CONTRACTORS FCR |),-.

RochNG':'

Since 192H3 -

1

*[s -'

INDUSTRIAL SHEETING .a

- $HEET METAL FABRICATON AND ERECTON-#

HEATING & A!R COPDTONING SYSTEMS - : *

TRI-STATE " = '

wiROOFING "& SHEET METAL COMPANY. P.O ECX 188, NO. O DAV6'ALLE FOAD. DAVISVuE. (PARKETEajRG) WEST VrGtAA 26142 * TELEPHONE (304) 4854593 e FAX 4852841

.+

September 24, 1991

United States Nuclear Regulatory Comnission101-Marletta Street, NW, Sulte 2900

~

AtIanta, GA 30323,

Gentiemen:

We wish to amend-our current license-(#47-23687-01) to include.our- :2 other sister companies which also have Troxler 3216 MoistureGauges. Under the amendment all 3 gauges'would be registered withour Davisville office. The current addresses for the licensed.companies are:

' Lc q _ . deM @hTr1-State Roofing & Sheet Metal Company

Rem:t:er JA4 dig. d[ '[PP.O. Box 188-

Check No. /4c7. i, TDayi s vi i 1e, \W 26142 #47-23687-01Ameunt . 834oFt.e Cotw 3p l'[1~ ~ ~[~,-Service Roofing & Shect Metal Company'Typs of Fe-P.O. Box-791- /J D

~ /w/7 / 9/_ _ _ _ ,

MartinsviIIe, VA 24112 #45-24835-01 Date Ct.o oData Ct: . ;of 9(W~~

Whitley/ Service Roofing & Sheet Metal dbtnpany- JMC~,ZP.O. Box 13085 -

- -

Rickmond, VA-23225 #45-25148-01

At the Davisville office, we will maintain:all pertinent records.The existing. records at our other 2_locatlons wilj--be. transferred-

-

into the Dayisvi!le office.- Each office wi16 keep a log of the-

gauge and'show its.use. g.TNf 3 R

We have assigned.the-following numberstto''the- respective gauges.N O

1. Davisville Office-- Gauge A a-Contact Timothy M. Haden,Robert.'E..Wallbrown, Gerald I'. Mc(lung ?

. . - E2. .Ma r t i n s v i l l e O f f i ce - Gauge ~ B Cdti t ac t Dale Barbour.

Nat Pace-

3. Richmond Office - Gauge C - Contact Tom. Petty

A6 Ageernents are Cmungent Upan Govemmerd Requirements. Str*es A5s of God, or otner Causes Beyrand Our Controt oPers to Subcontract. are Based Upon Execution of the 1966 Subcontract Form Copynghted by The Associated Genera! Contractors of Amenca. and -

' The Councd of Mecharucal Specany Industnes, Inc , or A!A Docurnent A-401; 1978 Editort insurance Certficates W4 Be Fumshed ,- - In Accordance Wtn The Standard Form issued By The insurance Conrany. Stenographic Errors are subiect to Correctort

. . - . ,

Page 12: $2;g ML DD r 1 · *l'E1 ~1*A M KM*A*3"M*L*L'EM* M M'ETEL*E*3"3 M *K"3*2M*A."2M19~2*3M*2M*RM*A*A*K37 k m d' unc ronu ara '"0E - or PAots g g! (10 097 U.S. NUCLE AR REGULATORY COMMi$$10N

.-

d.TRI ST TE ROOF G & SHEET METAL C PANY

Un i ted S t a t e s Nuc l ea r Regu l a t ory Conmi s s ionAtlanta, GeorgiaSeptember 24, 1991

The existing licenses held by these individual offices will becancelled. See attached copies of their current licenses.

Please review this information and if you have any questions,contact our office.

Very truly yours,,

TRI-STATE ROOFIBG &SIlEET METAL COMPANY

-,

Timothy M. 1-ladenTM I/ d jAttachments