TAT, Inc. dba

Carver Consultmg C1vil Eng1neers

Nuclear M~t·.Q/r;.:~,rC! US Nuclear REGION IV 611 Ryan Arlington, TX

Weare read:

Montana.

Sincerely,

Amendment No. 030-20642 No. 25-21426-01

ng that Item 10 A under the "Conditions" of our Materials License be amended to

Third Avenue East, Kalispell, Montana and 50 West Second Street, Whitefish,

Road, Kalispell, Montana site was sold to a new owner and is no longer being used be used by us again in the future. The 3411 B gauge that was stored in that location

leak test results for that gauge has been attached for your information only.

any question regarding this request please feel free to call.

PUBLIC IJ Immediate Releaae

_)i-Nonnal Release

NON-PUBUC IJ A.3 Stnsltlve-Securtty Rillllld IJ A.7 Sensitive Internal IJ Other: _____ _

Revlewerd t'TZ- 0111: ~-- 2 :( "" I t.j-

58 3931

-~~e'FORM 374 U.S. NUCLEAR REGULATORY COMMISSION

PAGE 1 OF _4_ PAGES

Amendment No. 05

MATERIALS LICENSE Pursuant to the Atomic Ener y Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Ch< pter I, Parts 30, 31, 32, 33, 34, 35, 36, 39, 40, and 70, and in reliance on statements and representations heretofore made by the licen ee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear !J1aterial designated below; to use such material for the purpose(s) and at the place(s) designated below; to deliver or transfer such mate alto persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain he conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended. 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.

Licensee

1. Carver Engineering, nc.

2. 1995 Third Avenue East

Kalispell, Montana 5! 901

6. Byproduct, source, and/pr special nuclear material

A. Cesium-137

B. Americium-241

9. Authorized use:

In accordance with application dated

October 25, 2004

3. License number 25-21426-01 is amended in

its entirety to read as follows:

4. ·Expiratibl1 date April 30, 2015

5. Docket No. 030-20642 Reference No.

7. Chemical and/or physical form

A. ·.~e~led ~.?!:!.rqes .(A~A . . ~eyhno!ptiJy!pSA .. :tnc., · . ~d,pel f:Jp,;_QpCW$56;

tsotC,pe 'Pfqdu¢f · · ~· ~abofatdri~s Model No,

.. . HEGt137) ' . . .

· ·:~,' se~'r~d neutro~; ·~burc~s· ' · ·('f\EA·T~PRrtqtog'yiq$A·.

Inc., MQ~~!\N,o. AMNV.997; Isotope Product Laboratories Model Nos. Am1.N02, 3021 or 3027)

8. Maximum amount that licensee may possess at any one time under this lieense

A. No single source to exceed ~he maximum activity specified in the certificate of ·registration issued by NRC or an Agreement State

B No single source to exceed the maximum activity specified in the certificate of registration issued by NRC or an Agreement State

A. and B. In Troxler Electronic Laboratories, Inc., Model No. 3400 Series portable gauging devices f ~r measuring physical properties of materials.

CONDITIONS

10. Licensed material ~ay be used or stored at the licensee's facilities located at:

A. 1995 Third A' enue East and 139 Kelly Road, Kalispell, Montana and 50 West Second Street, Whitefish, Mcntana.

B. Temporary jop sites anywhere in the United States where the U.S. Nuclear Regulatory Commission maintains juri ~diction for regulating licensed material.

!=1 8 3 9 3 1

2652 McGaw Avenue· [r ine, CA 92614 · Tel: (949) 419-1000 ' Toll Free: (883) 437-l7l4 · Fax: (949) 296-1144 ' www.dosimet<y.com

Customer: 90513L

Location ID OOOOOD

Report Number: 1928

Garver Engineeri g Inc 1995 3rd Avenue ast Kalispell, MT 599 1

MAY o 3 2007

Carver Engjneering Sealed Radioactive Source Leak Test Certificate

Save this report for your records

- ··--·-- - -- - - - ----·- ··- - ···-·---- ------- ------------ ---------- ---- --- ··· ····-

Isotope Activity/ Date Source Manufacturer: Collected By: Analyzed By: Result (uCi)

- --··- - ----····- -----·- - --- ---- - ---------· .. --- --··-·--------- - ·--- - ·- -- ·· - --------Cs-137

Am-241

7.7 mCi

1/9/2002

40mCi

1/9/2002

Troxler Electronics

Model: 34118

Serial: 6505

Troxler Electronics

Model: 34118

Seria!: 6505

Tina Lee Malkuch

Collected On: 4/24/2007

Using GDS Q1 ki

Tina Lee Malkuch

Collected On: 4/24/2007

Using GDS 01 ki

GDS Counting Lab

Analyzed On: 04/30/2007

GDS Counting Lab

Analyzed On: 04/30/2007

0.0000

0.0000

The Leak Tests were analyze in accordance with Global Dosimetry Solulions, Inc. procedures and Radioactive Material License #4635-30. Calibration and Quality Cant~ i records are maintained for the Leak Test Counling Equipment at Global Dosimetry Soluions, Inc. ·

~u, ___ __AI} _ ___ ----- 7'.4~~.? - -- ..... ·-Radiation Safety Date

Page 1

Murnahan, Colleen

From: Sent: To: Subject:

Hill, Carol Tuesday, May 20, 2014 6:06 PM Murnahan, Colleen

Attachments: FW: TAT dba Carver Engineering License Amendment request carver@carvereng.com_20140514_135446.pdf

For set up

From: Dykert, ason Sent: Tuesday May 20, 2014 4:09PM To: Tina Lee M lkuch; Hill, Carol Subject: TAT ba Carver Engineering License Amendment request

Thank you Ti a, I did notice that the address listed on the letter to us is our old address. Region IV has moved to a new location at 1600 E. Lamar Blvd . Arlington Texas 76011.

I will forward t is electronic letter to our licensing department, and they should be able to process this request.

Jason C Dyk rt Health Physi st, Branch A DNMS, Regio IV (817) 200- 1 27

From: Tina Le Malkuch [mailto:tinam@carvereng .com] Sent: Wednes ay, May 14, 2014 1:34PM To: Dykert, Ja on Cc: tinam ca Subject: Lice

Jason

Attached is ur amendment letter. The letter with attachments is being mailed out today to amend the " ondition 10 A" of our licenses by removing the un-used location at 139 Kelly Road , Kal is ell , MT.

Also the Ludlum gauge is be mailed out today to be calibrated .

Should you ave questions or concerns please email or call.

Tina

TAT, Inc. dba arver Engineering 1995 Third A v nue East P. 0. Box 203 Kalispell, Mont na 59903

1

I=) 8 3 8 3 1

Office: 406-25 -6202 Cell: 406-25 -5301 Fax: 406-75 -1093 E-mail: ~tin~a~m~~~~~~!..!.! Web Page: .!.!...!.!~~=~=~

2

BElWEEN:

Accounts Receivabl /Payable and

Regional Licensing ranches

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

[ FOR ARPB USE ] INFORMATION FROM WBL

Program Code: 03121 Status Code: Pending Amendment Fee Category: 3P Exp. Date: 04/30/2015 Fee Comments: Decom Fin Assur Reqd: N

License Fee V\i orksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATTA~HED ApplicantJLicensee: TAT, INC, DBA CARVER ENGINEERING

Received Date:

Docket Number:

Mail Control Number:

License Number:

Action Type:

2. FEE ATTACHED

Amount:

Check No.:

I 3. COMMENTS

v

05/14/2014 3020642 583931 25-21426-01

Amendment

I

Signed:

Date: £-.t.J -~o!f B. LICENSE FEE MANJ GEMENT BRANCH (Check when milestone 03 is entered I I )

1. Fee Category and J mount:

2. Correct Fee Paid. A~plication may be processed for:

Amendment:

Renewal:

License:

3. OTHER - ---+-- ----------

Signed:

Date:

NRC FORM 532 (1-2012)

U.S. NUCLEAR REGULATORY COMMISSION

DATE

06/03/2014

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE

TAT, Inc, DBA ( arver Engineering ATTN: Tina Lee Malkuch

LICENSE NUMBER

25-21426-01

MAIL CONTROL NUMBER

Radiation Safety Officer P.O. Box 2039

583931

Kalispell, MT 5< 903-2039 LICENSING AND/OR TECHNICAL REVIEWER

cmumahan ~

0 D

D

This is to ackno ~ledge the receipt of your:

0 LETTER and/or 0 APPLICATION DATED: 05/14/2014

The initial proce~sing, which included an administrative review, has been performed.

[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

There were nc administrative omissions identified during our initial review.

This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your a )plication is deemed timely filed, and accordingly, the license will not expire until final action ha been taken by this office.

Your application for a new NRC license did not include your taxpayer identification number. Please fill out r~RC Form 531, located at the following link:

http://www. n rc.gov /readi ng-rm/doc-collections/forms/nrc531 . pdf

Send the comoleted NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquar1ers office in Rockville, MD. You will be contacted separately ifthere is a fee issue involved.

Your applicatic n has been assigned the above listed MAIL CONTROL NUMBER. When calling to inqui e about this action, please refer to this control number. Your application has been forwardeCJ to a technical reviewer. Please note that the technical review, which is normally com~ leted within 180 days for a renewal application (90 days for all other requests), may identify a ditional omissions or require additional information. If you have any questions concerning thE processing of your application, our contact information is listed below:

Region IV U.S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Blvd. Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140

NRC FORM 532 (1 -2012)