u.s. nuclear regulatory commission materials …nrc form 374 page _1__ of _4_ pl\ges . u.s. nuclear...

4
NRC FORM 374 PAGE _1 __ OF _4_ Pl\GES U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I, Parts 30, 31, 32 , 33, 34 , 35, 36, 39, 40, and 70, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing th e licensee to receive, acquire, possess, and transfer byproduct, source, and special 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 to persons authorized to receive it in accordan ce with the regulations of the applicable Partes). This license shall be deemed to the ion in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable la . s the r , r her. effect and to any conditions specified below. .;:;; l( , . "..' . . 0 3. License number 13-32836-01 . 4. Expiration date January 31,2022, 5. Docket No. 030-38 497 Reference No . ---------- 1. Covanta 2. __--__ __ 6. Byproth,iot. and/or 7. Chemical and/or physical form 8. Maxim\Jm amount ttiat Ii C4llh see may Indianap special ' lll l,lcl ,ear material . f.l(l)S$e . 88' at anyone time this A. Cesium-137 , '" '. It c No single source to e 100 millicuries Total possession not to 1 curie. ns Et. Sealed so urces registered witt' NRC under 10 Cf R ·2 .2 10 or with an Agreement .", - -; State and il1corporated in a '.compatible device as . ili\ , erI1 9.of tpjs . 9. Authorized use: .' "'. \ A. - or use in ,RonanJ¥1odel GS-400 & Gl urce holders for level meas urements. " i I ± , ' 1'. QONO nl QNS <1 10. maybe used only at thedicenseels faeilit'es locatad·at 2320 South Han;ii ngStr eet, IndianapOIi ndiana. ' , .. 11 . Licensed mat e I pe used by, or under the supervision of individuals wh he training described in the I er ted December 12, 2011. The licensee shall maintain r 0 s of individuals designated as users frlr 3 f,lf"owing the last use of licensed by the individual . 't. ,' , . 12. The Radiation Safety Officer fo I'tHiS-ii,cen,se' is.. Tho . r,FIEIs A. Wehrenberg. I' l I 13. A. Sealed sources shall be tested for leakage arid/or contamination at intervals not to exceed the intervals specified in the certificate of registration issued by the U.S. Nuclear Regulatory Commission under 10 CFR 32.210 or by an Agreement State. B. Notwithstanding Paragraph A of this condition, sealed sources designed to primarily emit alpha particles shalf be tested for leakage and/or contamination at intervals not to exceed 3 months.

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Page 1: U.S. NUCLEAR REGULATORY COMMISSION MATERIALS …NRC FORM 374 PAGE _1__ OF _4_ Pl\GES . U.S. NUCLEAR REGULATORY COMMISSION . MATERIALS LICENSE . Pursuant to the Atomic Energy Act of

NRC FORM 374 PAGE _1__ OF _4_ Pl GES

US NUCLEAR REGULATORY COMMISSION

MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954 as amended the Energy Reorganization Act of 1974 (Public Law 93-438) and Title 10 Code of Federal Regu lations Chapter I Parts 30 31 32 33 34 35 36 39 40 and 70 and in reliance on statements and representations heretofore made by the licensee a license is hereby issued authorizing the licensee to receive acquire possess and transfer byproduct source and special 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 to persons authorized to receive it in accordance with the regulations of the applicable Partes) This license shall be deemed to cOQt~in the ion ~ecifi~Q in Section 183 of the Atomic Energy Act of 1954 as amended and is subject to all applicable la ione~J s the ~Jcle r R~ulatory Com~

r her effect

and to any conditions specified below l( 0

3 License number 13-32836-01

4 Expiration date January 312022

5 Docket No 030-38497 Reference No

---------shy -----------------L------------------------------~--~------

1 Covanta Indian~po

2

------~~__--__ __6 Byprothiot ~ource andor 7 Chemical andor physical form 8 MaximJm amount ttiat IiC4llh see may

Indianap

special lllllclear material fl(l)S$e88 at anyone time 11J1~er this ~ Ilceris~

A Cesium-137 eit~

Itc

No single source to e 100 millicuries Total possession not to ~xceed 1 curie

nsEt

Sealed sources registered er witt NRC under 10 Cf R

middot22 10 or with an Agreement - - State and il1corporated in a

compatible ga~gillg device as )~pecjfi ifd ili erI1 9of tpjs

9 Authorized use

A - or use in RonanJyen1odel GS-400 ampGlurce holders for level measurements

i I plusmn 1

QONOnlQNS lt1

10 Licens mat~rial maybe used only at thedicenseels faeilites locatadmiddotat 2320 South HaniingStreet IndianapOIi ndiana

11 Licensed mate I pe used by or under the supervision of individuals wh he training described in the I e r ted December 12 2011 The licensee shall maintain r 0 s of individuals designated as users frlr 3 ye~~~ flfowing the last use of licensed mat~ri~1 by the individual

t ~~

12 The Radiation Safety Officer ~~O) fo ItHiS-iicense isThorFIEIs A Wehrenberg I l I

13 A Sealed sources shall be tested for leakage aridor contamination at intervals not to exceed the intervals specified in the certificate of registration issued by the US Nuclear Regulatory Commission under 10 CFR 32210 or by an Agreement State

B Notwithstanding Paragraph A of this condition sealed sources designed to primarily emit alpha particles shalf be tested for leakage andor contamination at intervals not to exceed 3 months

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGE 2 of 4 PAGES License Number

13-32836-01

MATERIALS LICENSE SUPPLEMENTARY SHEET

Docket or Reference Number

030-38497

C In the absence of a certificate from a transferor indicating that a leak test has been made within the intervals specified in the certificate of registration issued by the US Nuclear Regulatory Commission under 10 CFR 32210 or by an Agreement State prior to the transfer a sealed source received from another person shall not be put into use until tested and the test results received

D Sealed sources need not be t ste iWhey c n lonly hydrsgefl-3 or they contain only a radioactive gas or the half-life of t ~iso isBO middot~ays or tess er t~yen contaiJ1) not more than 100 microcuries of beta andor gammra e~19 m aterial or not more than 10 micro rie$ of alpha emitting material

E Sealed souramp s ~e not be tested if they are in storage and are not being sed H owever when they are r ov O from storage for use or transferred to another person ana h~ve hot been tested within f r uired leak test interval they shall be tested before use or transfer N ~Ied source shall~e s ored for a period of more than 10 years without being tested for leakage andor con~ ation

F rh~ leak test stlallbe capable of detecting the presence of 0005 microcu ri~ (185 becqtJerels) of f oactive materialQ toe test sample If the test reveals the presenct of 0005 microcLlrie (185 p~querels) or more Qyable contamination a report shall b~ I witttthe US Nuclear

g -gulatory ComrniS j alaquoCOrdance with 1 0 CFR 3050(c)(2~JI ~rdU) M Urce shall be rermO-fid immediately from se~ (j de~ontaminatea repaired or cii$po ~ of jlilaccordance with ~

om mission regulatio repltlrt shallJefiled Within 5 dayslQ middotemiddot ~te the leak test result s 4

known with the approprial NjJclear Regulatory Comrni~sron eglOn a I Office referenced in Appendix D of 10 CFRlij9 0 The report shall specify the tsource j iY01ved the test results corrective action taken bull~ gt

H Records of leak test re$ults shallbe k-ept in units of microcuries and snail be maintained or3middotyears 0 kf ~

14 ources containing icensed materi~ shall not(be opened or Scentjjf ceS removed frolll s rce b e licensee except as specifjcaBy allltntlrlzed r

15 I conduct a physical inver1t~JfI ekery ali1onths or at other interval atory Commission to accourft ~r all sealed sources andor davie received and

possessed uno th eense Records of inventories shall be maintained for secti from the date of each inventory an stlti1 include the radionuclides quantities manufacturers name and model numbers and the date of the irtventory 1

~__ A I

16 A Each gauge shall be testetEnqrthe ro~ o~t~~epn-off l1llechanism (shutter) and indicator if any at intervals not to exceed 6 mOAth$ or atsu~h 10n~Atervals as specified in the certificate of registration issued by the US Nuclear Regulatory Commission pursuant to 10 CFR 32210 or the equivalent regulations of an Agreement State

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGE 3 of 4 PAGES

17

18

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Docket or Reference Number 030-38497

B Notwithstanding the periodic on-off mechanism (shutter) and indicator test the requirement does not apply to gauges that are stored not being used and have the shutter lock mechanism in a locked position The gauges exempted from this periodic test shall be tested before use

ism (shutter) shutter control Ij n ed by the US Nuclear

initially mount a gauge if permitted by the certificate of registration 0 Qby the US ory Commission or an Agreement State and under the following conditions

A the ga ge must be mounted in accordance with written instructions provided by the ma cturer

ted in a location compatible with the Conditjpns otNormal Use~ d 1 l itations andmiddot n~rwoitli ito~Qnsiderations of Use in the certificate ~ ~tion issued by the US

clear Regulatory slOp or an Agreement State t

C he on-off mechanisml h r) rrl liJst be locked in the off posmiddotilion it pplicable or the source must be otherwise fully shielde

n

) Mo nting does nof include electrlOal ~onnection) activation c)foliation of the gauge The sourc ust remain fully shiel edand(the gauge may not be used until it is installed and made operational by persQn specificaHy itensed by the US RegUlatory Commission or an Agreement State to perform such operatfcns

19 A D rep~l aT repl~ ~ compo ents ~hbare not related t Ae ogical safety of tlle a~Vice contain4r1g tC)dlICfmaterial~nd tyeniat do not result i l) otential

rtion of the body to come into earliaet with ttleprimaryp~am or in increased diattion levels essi81e areas ~1

B l)111ly not maintain repair or replare any of the following device oom rlents the sealed source the u older source drive mechanism on-off mechanism (s shutter control or shielding or aDy 0 er component related to the radiological safety of the d ~ce except as provided otherwise by spe ic conditiQa of this license

) t j

20 Prior to initial use and after i~qation ~I ~tiOflt~aAtlirlg ~ alignrmeril or any other activity involving the source or removal of the shielding fheicensE1~hshall aSSOre that a radiological survey is performed to determine radiation levels in accessible areas around above and below the gauge with the shutter open This survey shall be performed only by persons authorized to perform such services by the US Regulatory Commission or an Agreement State

NRC FORM 374A us NUCLEAR REGULATORY COMMISSION PAGE 4 of 4 PAGES

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Dockei or Reference Number 030-38497

21 The licensee shall operate each device containing licensed material within the manufacturers specified temperature and environmental limits such that the shielding and shutter mechanism of the source holder are not compromised

22 The licensee shall assure that the shutt~r ech J11 1 eac device is locked in the closed position during periods when a portion of inctlvj uals middot 11 May ~ subject to the direct radiation beam The licensee shall review and ify p r riate itsI 0 rqCedures whenever a new device is obtained to incorporate the yjcii manufacturers recommendatio

23 Except for main ini labeling as required by 10 CFR Part 20 or 71 the Iicer1$ee shall obtain

authorization Qrri e US Nuclear Regulatory Commission before making anychaiiges in the sealed source de e source-device combination that would alter the description or spedfi 1S as indicated t e respective certificate of registration issued either by the Commission ~ur ant to 10 CFR 3221 Q an Agreement State

24 Th li9 nsee is a~h~rized to transport licensed mat~rial in accordance with the provisions of 10cFR Pait[1l1 Packaglnga[)d ~Ia~sportatlon of Radioactive MatenaL

1

25 ~ as specifically pr middotOthfrrwise in this license the licenSef ~ Eluct its program i ~ accordance with the stat ~ ~ r~ResentatiQns andproceduresconla f3di in the documents inel ding anYenclosures listed bel ~ US Nuclear Regulatory Commission regulations shall govern unless0

the statements representatio d procedures in thegt licensees a~plic~ion and correspondence are

~ r

mpre restrictive than the ~m1ltHnu

A

---------------shy

I

l

bull

p6R THE US NUCLEAR REGUtATeR-yenCOMMISSION

By_J -_ r rW e L SJrnmons Materials Licensing Branch Region 1111

Date

Page 2: U.S. NUCLEAR REGULATORY COMMISSION MATERIALS …NRC FORM 374 PAGE _1__ OF _4_ Pl\GES . U.S. NUCLEAR REGULATORY COMMISSION . MATERIALS LICENSE . Pursuant to the Atomic Energy Act of

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGE 2 of 4 PAGES License Number

13-32836-01

MATERIALS LICENSE SUPPLEMENTARY SHEET

Docket or Reference Number

030-38497

C In the absence of a certificate from a transferor indicating that a leak test has been made within the intervals specified in the certificate of registration issued by the US Nuclear Regulatory Commission under 10 CFR 32210 or by an Agreement State prior to the transfer a sealed source received from another person shall not be put into use until tested and the test results received

D Sealed sources need not be t ste iWhey c n lonly hydrsgefl-3 or they contain only a radioactive gas or the half-life of t ~iso isBO middot~ays or tess er t~yen contaiJ1) not more than 100 microcuries of beta andor gammra e~19 m aterial or not more than 10 micro rie$ of alpha emitting material

E Sealed souramp s ~e not be tested if they are in storage and are not being sed H owever when they are r ov O from storage for use or transferred to another person ana h~ve hot been tested within f r uired leak test interval they shall be tested before use or transfer N ~Ied source shall~e s ored for a period of more than 10 years without being tested for leakage andor con~ ation

F rh~ leak test stlallbe capable of detecting the presence of 0005 microcu ri~ (185 becqtJerels) of f oactive materialQ toe test sample If the test reveals the presenct of 0005 microcLlrie (185 p~querels) or more Qyable contamination a report shall b~ I witttthe US Nuclear

g -gulatory ComrniS j alaquoCOrdance with 1 0 CFR 3050(c)(2~JI ~rdU) M Urce shall be rermO-fid immediately from se~ (j de~ontaminatea repaired or cii$po ~ of jlilaccordance with ~

om mission regulatio repltlrt shallJefiled Within 5 dayslQ middotemiddot ~te the leak test result s 4

known with the approprial NjJclear Regulatory Comrni~sron eglOn a I Office referenced in Appendix D of 10 CFRlij9 0 The report shall specify the tsource j iY01ved the test results corrective action taken bull~ gt

H Records of leak test re$ults shallbe k-ept in units of microcuries and snail be maintained or3middotyears 0 kf ~

14 ources containing icensed materi~ shall not(be opened or Scentjjf ceS removed frolll s rce b e licensee except as specifjcaBy allltntlrlzed r

15 I conduct a physical inver1t~JfI ekery ali1onths or at other interval atory Commission to accourft ~r all sealed sources andor davie received and

possessed uno th eense Records of inventories shall be maintained for secti from the date of each inventory an stlti1 include the radionuclides quantities manufacturers name and model numbers and the date of the irtventory 1

~__ A I

16 A Each gauge shall be testetEnqrthe ro~ o~t~~epn-off l1llechanism (shutter) and indicator if any at intervals not to exceed 6 mOAth$ or atsu~h 10n~Atervals as specified in the certificate of registration issued by the US Nuclear Regulatory Commission pursuant to 10 CFR 32210 or the equivalent regulations of an Agreement State

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGE 3 of 4 PAGES

17

18

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Docket or Reference Number 030-38497

B Notwithstanding the periodic on-off mechanism (shutter) and indicator test the requirement does not apply to gauges that are stored not being used and have the shutter lock mechanism in a locked position The gauges exempted from this periodic test shall be tested before use

ism (shutter) shutter control Ij n ed by the US Nuclear

initially mount a gauge if permitted by the certificate of registration 0 Qby the US ory Commission or an Agreement State and under the following conditions

A the ga ge must be mounted in accordance with written instructions provided by the ma cturer

ted in a location compatible with the Conditjpns otNormal Use~ d 1 l itations andmiddot n~rwoitli ito~Qnsiderations of Use in the certificate ~ ~tion issued by the US

clear Regulatory slOp or an Agreement State t

C he on-off mechanisml h r) rrl liJst be locked in the off posmiddotilion it pplicable or the source must be otherwise fully shielde

n

) Mo nting does nof include electrlOal ~onnection) activation c)foliation of the gauge The sourc ust remain fully shiel edand(the gauge may not be used until it is installed and made operational by persQn specificaHy itensed by the US RegUlatory Commission or an Agreement State to perform such operatfcns

19 A D rep~l aT repl~ ~ compo ents ~hbare not related t Ae ogical safety of tlle a~Vice contain4r1g tC)dlICfmaterial~nd tyeniat do not result i l) otential

rtion of the body to come into earliaet with ttleprimaryp~am or in increased diattion levels essi81e areas ~1

B l)111ly not maintain repair or replare any of the following device oom rlents the sealed source the u older source drive mechanism on-off mechanism (s shutter control or shielding or aDy 0 er component related to the radiological safety of the d ~ce except as provided otherwise by spe ic conditiQa of this license

) t j

20 Prior to initial use and after i~qation ~I ~tiOflt~aAtlirlg ~ alignrmeril or any other activity involving the source or removal of the shielding fheicensE1~hshall aSSOre that a radiological survey is performed to determine radiation levels in accessible areas around above and below the gauge with the shutter open This survey shall be performed only by persons authorized to perform such services by the US Regulatory Commission or an Agreement State

NRC FORM 374A us NUCLEAR REGULATORY COMMISSION PAGE 4 of 4 PAGES

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Dockei or Reference Number 030-38497

21 The licensee shall operate each device containing licensed material within the manufacturers specified temperature and environmental limits such that the shielding and shutter mechanism of the source holder are not compromised

22 The licensee shall assure that the shutt~r ech J11 1 eac device is locked in the closed position during periods when a portion of inctlvj uals middot 11 May ~ subject to the direct radiation beam The licensee shall review and ify p r riate itsI 0 rqCedures whenever a new device is obtained to incorporate the yjcii manufacturers recommendatio

23 Except for main ini labeling as required by 10 CFR Part 20 or 71 the Iicer1$ee shall obtain

authorization Qrri e US Nuclear Regulatory Commission before making anychaiiges in the sealed source de e source-device combination that would alter the description or spedfi 1S as indicated t e respective certificate of registration issued either by the Commission ~ur ant to 10 CFR 3221 Q an Agreement State

24 Th li9 nsee is a~h~rized to transport licensed mat~rial in accordance with the provisions of 10cFR Pait[1l1 Packaglnga[)d ~Ia~sportatlon of Radioactive MatenaL

1

25 ~ as specifically pr middotOthfrrwise in this license the licenSef ~ Eluct its program i ~ accordance with the stat ~ ~ r~ResentatiQns andproceduresconla f3di in the documents inel ding anYenclosures listed bel ~ US Nuclear Regulatory Commission regulations shall govern unless0

the statements representatio d procedures in thegt licensees a~plic~ion and correspondence are

~ r

mpre restrictive than the ~m1ltHnu

A

---------------shy

I

l

bull

p6R THE US NUCLEAR REGUtATeR-yenCOMMISSION

By_J -_ r rW e L SJrnmons Materials Licensing Branch Region 1111

Date

Page 3: U.S. NUCLEAR REGULATORY COMMISSION MATERIALS …NRC FORM 374 PAGE _1__ OF _4_ Pl\GES . U.S. NUCLEAR REGULATORY COMMISSION . MATERIALS LICENSE . Pursuant to the Atomic Energy Act of

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGE 3 of 4 PAGES

17

18

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Docket or Reference Number 030-38497

B Notwithstanding the periodic on-off mechanism (shutter) and indicator test the requirement does not apply to gauges that are stored not being used and have the shutter lock mechanism in a locked position The gauges exempted from this periodic test shall be tested before use

ism (shutter) shutter control Ij n ed by the US Nuclear

initially mount a gauge if permitted by the certificate of registration 0 Qby the US ory Commission or an Agreement State and under the following conditions

A the ga ge must be mounted in accordance with written instructions provided by the ma cturer

ted in a location compatible with the Conditjpns otNormal Use~ d 1 l itations andmiddot n~rwoitli ito~Qnsiderations of Use in the certificate ~ ~tion issued by the US

clear Regulatory slOp or an Agreement State t

C he on-off mechanisml h r) rrl liJst be locked in the off posmiddotilion it pplicable or the source must be otherwise fully shielde

n

) Mo nting does nof include electrlOal ~onnection) activation c)foliation of the gauge The sourc ust remain fully shiel edand(the gauge may not be used until it is installed and made operational by persQn specificaHy itensed by the US RegUlatory Commission or an Agreement State to perform such operatfcns

19 A D rep~l aT repl~ ~ compo ents ~hbare not related t Ae ogical safety of tlle a~Vice contain4r1g tC)dlICfmaterial~nd tyeniat do not result i l) otential

rtion of the body to come into earliaet with ttleprimaryp~am or in increased diattion levels essi81e areas ~1

B l)111ly not maintain repair or replare any of the following device oom rlents the sealed source the u older source drive mechanism on-off mechanism (s shutter control or shielding or aDy 0 er component related to the radiological safety of the d ~ce except as provided otherwise by spe ic conditiQa of this license

) t j

20 Prior to initial use and after i~qation ~I ~tiOflt~aAtlirlg ~ alignrmeril or any other activity involving the source or removal of the shielding fheicensE1~hshall aSSOre that a radiological survey is performed to determine radiation levels in accessible areas around above and below the gauge with the shutter open This survey shall be performed only by persons authorized to perform such services by the US Regulatory Commission or an Agreement State

NRC FORM 374A us NUCLEAR REGULATORY COMMISSION PAGE 4 of 4 PAGES

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Dockei or Reference Number 030-38497

21 The licensee shall operate each device containing licensed material within the manufacturers specified temperature and environmental limits such that the shielding and shutter mechanism of the source holder are not compromised

22 The licensee shall assure that the shutt~r ech J11 1 eac device is locked in the closed position during periods when a portion of inctlvj uals middot 11 May ~ subject to the direct radiation beam The licensee shall review and ify p r riate itsI 0 rqCedures whenever a new device is obtained to incorporate the yjcii manufacturers recommendatio

23 Except for main ini labeling as required by 10 CFR Part 20 or 71 the Iicer1$ee shall obtain

authorization Qrri e US Nuclear Regulatory Commission before making anychaiiges in the sealed source de e source-device combination that would alter the description or spedfi 1S as indicated t e respective certificate of registration issued either by the Commission ~ur ant to 10 CFR 3221 Q an Agreement State

24 Th li9 nsee is a~h~rized to transport licensed mat~rial in accordance with the provisions of 10cFR Pait[1l1 Packaglnga[)d ~Ia~sportatlon of Radioactive MatenaL

1

25 ~ as specifically pr middotOthfrrwise in this license the licenSef ~ Eluct its program i ~ accordance with the stat ~ ~ r~ResentatiQns andproceduresconla f3di in the documents inel ding anYenclosures listed bel ~ US Nuclear Regulatory Commission regulations shall govern unless0

the statements representatio d procedures in thegt licensees a~plic~ion and correspondence are

~ r

mpre restrictive than the ~m1ltHnu

A

---------------shy

I

l

bull

p6R THE US NUCLEAR REGUtATeR-yenCOMMISSION

By_J -_ r rW e L SJrnmons Materials Licensing Branch Region 1111

Date

Page 4: U.S. NUCLEAR REGULATORY COMMISSION MATERIALS …NRC FORM 374 PAGE _1__ OF _4_ Pl\GES . U.S. NUCLEAR REGULATORY COMMISSION . MATERIALS LICENSE . Pursuant to the Atomic Energy Act of

NRC FORM 374A us NUCLEAR REGULATORY COMMISSION PAGE 4 of 4 PAGES

MATERIALS LICENSE SUPPLEMENTARY SHEET

License Number

13-32836-01 Dockei or Reference Number 030-38497

21 The licensee shall operate each device containing licensed material within the manufacturers specified temperature and environmental limits such that the shielding and shutter mechanism of the source holder are not compromised

22 The licensee shall assure that the shutt~r ech J11 1 eac device is locked in the closed position during periods when a portion of inctlvj uals middot 11 May ~ subject to the direct radiation beam The licensee shall review and ify p r riate itsI 0 rqCedures whenever a new device is obtained to incorporate the yjcii manufacturers recommendatio

23 Except for main ini labeling as required by 10 CFR Part 20 or 71 the Iicer1$ee shall obtain

authorization Qrri e US Nuclear Regulatory Commission before making anychaiiges in the sealed source de e source-device combination that would alter the description or spedfi 1S as indicated t e respective certificate of registration issued either by the Commission ~ur ant to 10 CFR 3221 Q an Agreement State

24 Th li9 nsee is a~h~rized to transport licensed mat~rial in accordance with the provisions of 10cFR Pait[1l1 Packaglnga[)d ~Ia~sportatlon of Radioactive MatenaL

1

25 ~ as specifically pr middotOthfrrwise in this license the licenSef ~ Eluct its program i ~ accordance with the stat ~ ~ r~ResentatiQns andproceduresconla f3di in the documents inel ding anYenclosures listed bel ~ US Nuclear Regulatory Commission regulations shall govern unless0

the statements representatio d procedures in thegt licensees a~plic~ion and correspondence are

~ r

mpre restrictive than the ~m1ltHnu

A

---------------shy

I

l

bull

p6R THE US NUCLEAR REGUtATeR-yenCOMMISSION

By_J -_ r rW e L SJrnmons Materials Licensing Branch Region 1111

Date