Group

FOIA/PA NO: / 02- 8

RECORDS BEING RELEASED IN PART

The following types of information are being withheld:

Ex. 1 :[-'] Records properly classified pursuant to Executive Order 13526Ex. 2:M Records regarding personnel rules and/or human capital administrationEx. 3 :Fl Information about the design, manufacture, or utilization of nuclear weapons

E"Information about the protection or security of reactors and nuclear materialsI-"Contractor proposals not incorporated into a final contract with the NRC']Other

Ex. 4:M Proprietary information provided by a submitter to the NRC'lOther

Ex. 5 :[] Draft documents or other pre-decisional deliberative documents (D.P. Privilege)[ Records prepared by counsel in anticipation of litigation (A.W.P. Privilege)[]Privileged communications between counsel and a client (A.C. Privilege).

SOther _ ___ __Ex. 6:RAtgency employee PII, including SSN, contact information, birthdates, etc.

E-Third party PII, including names, phone numbers, or other personal informationEx. 7(A):E-'Copies of ongoing investigation case files, exhibits, notes, ROI's, etc.

l--Records that reference or are related to a separate ongoing investigation(s)Ex. 7(C): E-Special Agent or other law enforcement PIH

m--PII of third parties referenced in records compiled for law enforcement purposesEx. 7(D):E-l Witnesses' and Allegers' PHI in law enforcement records

E-- Confidential Informant or law enforcement information provided by other entityEx. 7(E): E--]Law Enforcement Technique/Procedure used for criminal investigations

[-]Technique or procedure used for security or prevention of criminal activityEx. 7(F): .pInformation that could aid a terrorist or compromise security

Other/Comments:

I 036- So q323

mb-microtec .PO ftx 1174mb-aiimnoc(USA)

W-rfirtT6fiwawldaNY 14120-9174(71 61"9-269S

February 21, 2003

Division of Industrial Medical Nuicear SafetyOffice of Nuclear Materials Safety and SafeguardsU S Nuclear Regulatory CormmisonWashington DC 20555-0001.

Re.: License #31-23712-O1E RenewalExpiration Date: 4/30/03Pgam Code: 03254

Gendemen.

I have enclosed my renewal application. The distribution has not changed from mycurrent license.

Sincerely,

Rad" o Safety Offic•r

EndiNRC Form 313Attachments -Itema 5,6,7, 9, 10O& I I

0a a "30Y

LIm

P40

APPLICATION FOR MATERIAL UCENSE1c~L~y omwiluk.WafIplqon, DC 2C054O . or by

.ou I 4Mo,uand to Urn Dusk:D0os, Oft* o 11140mmlon mwd.kIO-I22, (315O4UaO). 051cmo artn-uut mm i d Bodget.

111I. E mm.. used fo' klan~m 1.-uo 001111000 does 1o0* vaNO u iumr, timkmnn N1mmy adt oniduct or sponwo.iwotneepirdlo Imepand b etim 11i . Almn mlmla.

INSTRUCflONS: SEE THE APPROPRIATE UCENSE APPUCATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION.SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW.APPUGATO• POR WSTRSIVION OF•OUNT PRODUCTS MiE APPLICATIONS WITH:

DOMUON OF INDUSTRIAL AND ImWIAL NUCLEAR SAFETYOFFICE OF NUCLEAR MATERALS SAFETY AND SAFEGUARDSU.S. NUCLEAR REVULATORY COMMSSONWASHINGTON, OC 2055-MB-

ALL OTHER PERSOMS FILE APPLrCATIONS AS FOLLOW&.

IF YOU ARE LOCATED IN:

CONNECTICUT, DELAWARE, DISTRICT OF CLUm A, MAINE MARYLAND,MASSACHUSETTS, NEW HNIPSHME, NEW JEISEY, NEW YORKM PENNSYLVANIJARHODE OLAN, OR VIWmT, 51mm APPLICATIONS Tor

CENIG.ASSSTAN SECTIONNUCLEAR MATERIALS SAFETY BRANCHUS. NUCLEAR REGULATORY COMMISIN, REGION475 AUJ34DALE ROADKING OF PRUSSIA. PA 19406-1415

A• IANA. FLORIDA OEORW WIWTUCKY, 08s0WIPP. NORTH CAOMLINUA PUERTORICO, SOUTH CAROA, T IEISSM NRU6A, iVIf ISLANDS, OR WEST VMG ,r56 NAPPLrCATIOMSTO

SAM NUNN ATLANTA FEAERAL CENTERu. S. NUCLEAR REG•LA.TORY COMISSION, REGION 00M FORSYTH STREET, &.W., SITNIE 2Mr35ATLANTA, GEORGIA -551

PBtM LOCATED SI AOW• STAT, 8310END APPUICATIOIS TO THE US. NUCLEAMATI3RIAL IN STATES SUBJICT TO U.5UNUCLEM RESULATURY COMMISSION JURIOICI

IF YOU amE LOCATED IN:

ILLNOW, INDNA, IWA. MICHIGA, INNESOTA. MISSOURI, OHIO, OR WISCONSIN, SENDAPPULCATIONSTV.

MATERALS LICENSING BRANCHU.S. NUCLEAR REGULATORY COMMISON. REGION M801 WARREfIILLE RD.USLE. IL 60I-4351

ALASKA. ARINA. ARKANSAS, CALIFORNIA COLORADO, HAWAR, IDAHO, KAMS,LoDUSIAN, MONTANA, NEBRASKA, NEVAW NOW EXIOo, NORTH DAKJOTA, OKLAHOMA,OREMON. PACIFIC TRUST TERRITORIES, SOUTH. DAKOTA, TEXAS, UTAH, WASINOTON, ORWYOMING, SEND APPLICATIONS TOr.

NUCLEAR MATERIALS LICENSING SECTIONU.S. NUCLEAR REGULATORY COMMISSION, REGION IV011 RYAN PLAZA DRIVE, SUITE 4WARLINGTON, TX 75011.8064

REGULATORY COMMISSION ONLY IF THEY WISH TO POSSS AND USE SrDMS.

1. THIS 1 AN APPLICATION FOR (Choc* upt Awn) 2. NAmE ANDMAILNG ADDRESS OFAPPLICANT pckatzpawen)

A. NEW LCS mb microtec Inc.. USAEL AME. MENTuo.ssN m _ _ _ _ PO Box 1174

--J R31North Tonawanda NY 14120[• C. REE A OF• LICENSE-0 NE3R11 r

r3. ADDRESS1W4WE UENSEDW MATERIALI. WJ. ELUSED OR POSSESSED 4. NAME OF PERSON TO BE CONTACTED ABOUT ilSAPPLICATION

.908 Niagara Falls Boulevard./North Tonawanda NY 14120 Lawrence Keating

(.716) 694-2695

SUBMIT ITEMS 'THROUGH 11 ON &r2 XTr PA 'PC TT AMD SCOPE OF INFORMATION TO EPROVIDED 0DE DINITHELICENSEAPPUC NOW&, RADIOACTIVE MATEIL

a. - mui mtd nims .unbb. mmicaI uiim pii•rlaui mid. umum d 6. PUIPOSSM FOR V141H LICENSED MATIUAL. WI.L BE USED.*1i1 be koememud d, _ew/__ tm_

7. INSICDUALM RESPONSIBLE FOR RADITION AFETY PROGRA ATHEIR . RAI FOR 9SDIUALS IWORKING IN OR FRSOLIIING RESTRICTED AEAS.TR/AININ EXPERENCE. PqrO 0 1 F. PMPI nyp-

S. FACITIES AND EQUlIPMET. 10 RADIATIONSAkFETY PROGRAM.

11. WASTEMA . T. 12. LICENSE FEES fr1O CFR 170 madim 1710.31)

__ __ _ __ _ __ _ __ _ __ _ FEE CATEGORY AmN SV 00

13. CETIFICATION. (Mlust be vw~ip4. byappkwMl THE APPLICANT UNDERSTAND$ THAT ALL. STA'TEMETS AND REPRESENTATIONS MADE ITHISD APPLICATION ARE BoomGUPON

THE APPLICANT AND ANY OFFICIAL ExaCIITnG 1)4 CERITFICATION ON BEHALF OF THE APPLICANT. NAMED IN ITEM Z. CERTIFY THAT THIS APPLICTION IS PREPARED INCONFORMITY WITH TITLE 10, CODE OF FEDERAL REGULATIONS. PARTS 30, 3Z 33,34,35, 30,30, AND 40, AND THAT ALLL INFORMATION CONTANE) HERE3N IS TRUE ANDCORRECT TO THE BEST OF THEIR KbIOWLEDGE AND BELIEF.WARNING: 15 U.S.C. SECTION 1001 ACTr OF JUNE 25,1IOU8G2 STAT. 740 MAKES IT A CRIMINAL OFFESE TO MAKE A WILLFULLY FALSE STATEMENT OR RERESENTATION TOANY DEPARTMENT DR AGENCY OF THEUNITED STATES AS TO ANY MATTER WTMhW ITS U=qIN

CETIFYING OFFICER - TYPEDIRINTED NdAME AND TITLE / DATE2-21-03

FOR NRC USE ONLYTYPE OF FEE jFEE LOG FEE CATEGORY IAMOUNT RECEIVED CHECK NMNBER COMMAENTS

APPROVED BY. DATE

NRC FORM 313 0-MM PRINTED ON RECYCLD PAPER

... .......

.. I

Application for

mb mncrotcc (USA)PO Box 1174N Tonawanda NY 14120

License Renewal - #31-23712-01E

a.) Hyrogen 3 b.) Wal

WuO

Radioactive Materials License

At•bhment •NRC313item #5February 21, 2003

ches containing sealed lightrces mb mictotecdels 400/1,400/2 and 40013

c.) n/a

Applcation for Radioactive Materls License

Tnb microtePO Box 1174N Tonwada NY 14120

Atachnien NRC3 13htem #6Februay 21, 2003

License Retewal - #31-23712-01E

Purpose for which the ma-crial will be used.

Distribute timepieces containing tritium light. Sources pursuant to Sections 32.22, 32.14,10 CFR32

Apv~iecm~i Lor Radkodcive Makeuablityuse.se- Renewal

mb microtecPO Box 1174N Tonawanda NY 14120

License Renewal #31-23712-0001

Attachment NRC313Item #7February 21. 2003Page I of 2

Experience

V..Persna]:

Education:

ResumeLa'wmcm Kceaing

l(b)(6)

(b)(6)

Training in RadiologiWa Headth.,

Experience:

l(b)(6)

(b)(6)

mb mikrolecPO Box 1174N Tonawanda NY 14120

Atahment NRC313Item #7February 21, 2003Page 2 of 2

/ (b)(6) [(b)(6)

I(b)(6) I(b)(6)6

I(b)(6)

I(b)(6)

(b)(6)

Auoliath -for Rzdj~yve Materish Limmu

mb microtecPO Box 1174N Toimwainda NY 14120

Attachment NRC313Item #9Page of 2

February 21, 2003License Renewal #31-23712-01 E

Facilites Description:

The office where watches will be stored is lomd in one room on the second floor ofWurlitzer lndusial Park, 908 Niagara Falts Blvd, North Tonawanda, New York 14120.The building is of poured concrete construction. Floors, walls, and ceiling ame solid,reinforced concrete. Fire protetivon is provided by a dry pipe sprinkler system. Securityis provided during non-businem hours by Wells Fargo Company...

A floor plan of the laboratory is on Page 2 of this section,

ApplSatwn for Rdioactive Materils Uceuse

mb microtec (USA)PO Box 1174N Tonawra N'Y 14120

Item No. 9 "FaciliticesPge 2 of 2

License RcriwwJ #31-23 712-OIE

mb mic-roWec (USA) Anuachment NRC313PO Box 1174 Item #10N Tonawanda NY 14120 Febnmy 21),2002

Page 1 of 4

Liecnse Renewal #31-23712-01E

Radiatioe Safety Program

Section I Statement of Corporate PolicyDate of Issue February 21, 2003

It is the established policy of rb microtec Inc. (USA) to handle radioactive material In amanner that:

I. Is in compliance with al applicable State and Federal regulationz2. Minmizes exposure of employms3, Minimize$s releas to the euvironeift4. Conforms to the ALARA concepW

t,.

mb inicrotec (USA) Attachment NRC3 13PO Box.I 174 Item #10NTonawanda NY 14120 Fekuary 21,2002

Page 2 of 4

Radiation Safety Program

Section II Duties of the Radiation Safety OffieDate of Essue: February 21, 2003

A. The Radiation Safety Officer is responsible for the development and execution of anadequate health physics program consistent with the requirements of applicable Stateand Federal regulations and the objectives of professional Health Physics.

B. The Radiation Safety Officer will review all significant changes in procedures andmethods prior to their adoption.

C. The Radiation Safety Officer is responsible for assuring that all appropriatecommunications are made with regulatory agencies.

mb microter (USA) Attachment NRC313,!PO Box 1174 Itern#1ON Tonawanda NY 14120 February 21, 2002

Page,3 o

Radiation Safety Program

Section IRI Porsonnel MonitoringDate of Issue: February 21, 2003

A. Personnel Monitoring

I External Radiation

Doses due to external radiation need not be considered. Primary beta rays donot penetrate the GTLS glass enolosure. Traces of very sof (i few KeV)secondary "BREMSSTRALUNG" are absorbed by the watchcase and crystal.

2. ContaminaionWatches that visually indicate tube failure will be wipe tested. Adjaewnt areaswitl also be tested for contamination. Analysis of wipe samples will beprovided by National Leak Test Center.

3. Personal monitoring for interal exposure is not required.

I.

mb microlec (USA)POBox 1174N Tonawanda NY 14120

Attac~hment NRC313Item #10Febnmay 2 1, 2002Pac4of'4

Radiation Safey Progm

Secion IV Waste DisposalDate of Issue: Febn•y 21, 2003

Defctive and rctumed watches will be retmned to the manufacturr, mb microtec AG inSwitzerland, for dimmebly and reclamatiom

AaDWigLtO. fvr &jkjoatbve Mpter!jI& Licg'

mb microtec Attachment NRC31.3POBox 1 74 item #11N Tonawanda NY 14120 Febmary 21,2003

I License Renewal #31-23712-01 E

Waste Management:

No waste will be genr.atced. Thew products am• exempted after initial transfer from mbmicrotec ag.