of 5 /5
. ,- 2 Yn f f ~/ V &? ' t *A -3 - i mm .. Fonu . NRC-313 I U.S. et , ;EGULATORY COMMISSIOR WPLICATION FOR: . I' A9I (Check and/or complete as appropriato) 10 C F A 30 _ -e a PLICATION FOR BYPRODUCT MATERIAL LICENSE 3 INDUSTRIAL a. NEW LICENSE - - | See attached onstructions for details. j $ ') b AMENDMENT TO - LICENSE NUMBE R a Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety - Offue of Nuclear Materoat Safety, and Safeguards u S Nuuear Regulatory Commassion' c' RENEWAL OF %shmqton. DC 20555 or apphrations nuy be f led , nerson at the Commission's off ce at i g,cyngg nungg n -- 3 1717 H Street NW Washington D C or 7915 Eastern A venue. Sriver Sonng. M3ryland , i _ - 2. APPLIC AN T'S N AME (Institution, firm, person, etc./ 3. NAME OF PERSON TO BE CONTACTED REGARDING THIS / n CLOW CORPORATION APPLIC ATION :[ PAUL. J. PONSTEEL , TE LEPHONE NUMBE R ARE A CODE - NUV8E R E X TE NSION TE LEPHONE NUMBE R ARE A CODE -- NUMBE R E X TENSION 6 2 2 - 15 6 '5 1 (614) v22-6651 (614) 212 h G. APPLIC ANT'S MAILING ADDRESS (Include Zep Codel 5. STREET ADDRESS WHERE LICENSED MATERIAL WILL BE USED -' (include Zop Code) CLOW CORPORATION CLOW CGRPORATION P. O. BOX 479 P O. BOX 479 COSHOCTON, OHIO 43812 COSHOCTON, OHIO 418,? 6 g (IF MORE SPACE IS NEEDED FOR ANY ITEM, USE ADDITIONAL PROPERLY KEYED PAGES.) _= 6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL [ (See Items 16 and 17 for requoreo training and experience of each indivodual named below) y FULL NAME TITLE A. C BROWN ME T A L L!'R(;IS T _= *- W. W. MENCER GENERAL FOREMAN, MELTING h T. DEAN (;EN E R A L FOREMAN, 3RD 9HTFT ___ a c. y, yogpppgagy (7yg ynggypy d 7. R ADI ATION PROTECTlON OFFICER | Attach a resume of person's training and experience as outhned on items k | 16 and 17 and descrobe hos responsobohtnes under Irem 15. | ' C. A. RO A H R T(: SAFETY DTRECTOR \ : , 8. LICENSED MATERIAL ' L ELEMENT C H EMIC A L NAME OF MANUFACTURER MAXIMUM NUMBER OF 1 AND AND/OR AND MILLICURIES AND/OR SE ALED d M MASS NUMBER PHYSIC AL FORM MODEL NUMBER SOURCES AND MAXIMUM ACTI- j E /// Sealed Source / VITY PER SOURCE WHICH WILL - BE POSSESSED AT ANY ONE TIME ' HO. A B C D Texas Nuci t si r - (1) Cesium-l D S1,a j e ] Soura. 97 > s 7; 9?C 2 - 600 Mil!1 curies exh _ Texas *;uc l ea r -- III ';t ron t i am +' St Lil e n! Gou re r > r> %-o G 38 ] J - ; vi .pmu r it' , <& _ __ , - (3) - -- -- _ _ _ - _ _ _ - _ _ _ (4) DESCRIBE USE OF LICENSED M ATERI AL $ E L _ _ _ . . _ . _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ __ _. _ . , _ _ _ _ _ _ _ _ _ _ _ til 1 each ,1, 1 ; m u s , , <! t4 .,r,t7,,i .,37 jgygj n so7eg .u r - - - - - - .__- . _ - _ _ _ _ _ - _ _ _ . . _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _' _ < i (2) | --__'h- _ - - _ _ -_ l'all <lt'Vic'e' ti s o n al t' c ) < c , y) f y , 8 y ,; 7: J n ,q(h .yp, J } , _ (3) 8508020210 850628 M9 f 2 REG 3 LIC30 ' 34-16334-01 PDR g - e g, I \ f ORM N RC 313 I (1 79) = -

h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

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Page 1: h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

. ,- 2Yn f f ~/ V &?

'

t*A -3 -i mm..

Fonu . NRC-313 I U.S. et , ;EGULATORY COMMISSIOR WPLICATION FOR:. I' A9I (Check and/or complete as appropriato)

10 C F A 30_

-e a

PLICATION FOR BYPRODUCT MATERIAL LICENSE 3INDUSTRIAL a. NEW LICENSE

-

-

| See attached onstructions for details. j $ ') b AMENDMENT TO -

LICENSE NUMBE R a

Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-

Offue of Nuclear Materoat Safety, and Safeguards u S Nuuear Regulatory Commassion'c' RENEWAL OF%shmqton. DC 20555 or apphrations nuy be f led , nerson at the Commission's off ce ati

g,cyngg nungg n -- 31717 H Street NW Washington D C or 7915 Eastern A venue. Sriver Sonng. M3ryland,

i_

.

-

2. APPLIC AN T'S N AME (Institution, firm, person, etc./ 3. NAME OF PERSON TO BE CONTACTED REGARDING THIS /n

CLOW CORPORATION APPLIC ATION :[PAUL. J. PONSTEEL,

TE LEPHONE NUMBE R ARE A CODE - NUV8E R E X TE NSION TE LEPHONE NUMBE R ARE A CODE -- NUMBE R E X TENSION6 2 2 - 15 6 '5 1 (614) v22-6651 (614) 212 hG. APPLIC ANT'S MAILING ADDRESS (Include Zep Codel 5. STREET ADDRESS WHERE LICENSED MATERIAL WILL BE USED

-'(include Zop Code)CLOW CORPORATION CLOW CGRPORATIONP. O. BOX 479 P O. BOX 479COSHOCTON, OHIO 43812 COSHOCTON, OHIO 418,?

6g

(IF MORE SPACE IS NEEDED FOR ANY ITEM, USE ADDITIONAL PROPERLY KEYED PAGES.) _=6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL [(See Items 16 and 17 for requoreo training and experience of each indivodual named below) y

FULL NAME TITLEA. C BROWN ME T A L L!'R(;IS T

_=*- W. W. MENCER GENERAL FOREMAN, MELTING

h T. DEAN (;EN E R A L FOREMAN, 3RD 9HTFT___

ac. y, yogpppgagy (7yg ynggypy d7. R ADI ATION PROTECTlON OFFICER | Attach a resume of person's training and experience as outhned on items k| 16 and 17 and descrobe hos responsobohtnes under Irem 15.

|' C. A. RO A H R T(: SAFETY DTRECTOR \ :,

8. LICENSED MATERIAL'

L ELEMENT C H EMIC A L NAME OF MANUFACTURER MAXIMUM NUMBER OF1 AND AND/OR AND MILLICURIES AND/OR SE ALED d

M MASS NUMBER PHYSIC AL FORM MODEL NUMBER SOURCES AND MAXIMUM ACTI- jE /// Sealed Source / VITY PER SOURCE WHICH WILL -

BE POSSESSED AT ANY ONE TIME'

HO. A B C D

Texas Nuci t si r -

(1)Cesium-l D S1,a j e ] Soura. 97 > s 7; 9?C 2 - 600 Mil!1 curies exh

_

Texas *;uc l ea r --

III ';t ron t i am +' St Lil e n! Gou re r > r> %-o G 38 ] J - ; vi .pmu r it' , <&_ __

,

-

(3)-

-- -- -

_ _ _ - _ _ _ -_ _ _

(4)

DESCRIBE USE OF LICENSED M ATERI AL $EL _ _ _ . . _ . _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ __ _. _ . , _ _ _ _ _ _ _ _ _ _ _

til 1 each ,1, 1 ; m u s , , <! t4 .,r,t7,,i .,37 jgygj n so7eg .u r- - - - - -

.__- . _ - _ _ _ _ _ - _ _ _ . . _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _' _<

i

(2) | --__'h- _ - - _ _ -_

l'all <lt'Vic'e' ti s o n al t' c ) < c , y) f y , 8 y ,; 7: J n ,q(h .yp, J },

_

(3) 8508020210 850628 M9 f 2REG 3 LIC30 '

34-16334-01 PDR g-eg,

I \f ORM N RC 313 I (1 79) =

-

Page 2: h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

_ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ ___ .__ _ _ - _ .

|9. STORAGE OF SEALED SOURCES

Y CONTAINER AND/OR DEVICE IN WHICH EACH SEALED NAME OF MANUFACTURER MODEL NUMBER

N SOURCE WILL BE STORED OR USED.

NO. A. B. * C.

(1) The source holder itself is complete _ Texas Nuclear 5193

I2' Container for shipping, storage & use "'exas Nuclear 5365

(3) . .

(4)

10. RADIATION DETECTION INSTRUMENTSTYPE M ANU F ACTU R E R'S MODEL NUMBER RADIATION SENSITIVITY

Y OF NAME NUMBER AVAILABLE DETECTED RANGE

N INSTRUMENT (alphs. beta, (milliroentgens/ hourE gamma, neutron) or counts / minute)yn,

A B C D E F

N.A. .

(2)

(3)

(4)

11. CAllBRATION OF INSTRUMENTS LISTED IN ITEM 10

O s. CALIBRATED BY SERVICE COMPANY Ob. CAllBRATED BY APPLICANT ._ ,

A ttach a separate sheet describing method, frequency and standards .

NAME, ADDRESS, AND FREOUENCY ^_-used for calibrating instruments.

N.A.

12. PERSONNEL MONITORING DEVICES'#H# ' E*'#

(Check and/or camp te as appropriate.) (Servc C ny)-

-

A B

O MONTHLYO(1) FILM BADGE

O (2) THE RMOLUMINESCENCE O QUARTERLY

DOSIMETER (TLD) ,

O(3) OTHER (Specify): NA O OTHER (Specify):

13. FACILITIES AND EQUIPMENT (Check were appropriate and attach annotated sketch (es) and description (s).

O a. LABORATORY FACILITIES, PLANT F ACILITIES, FUME HOODS (/nclude filtration,if any),ETC.

O b. STOR AGE FACILITIES, CONTAINE RS, SPECI AL SHIE LDING (fixed and/or temporary), ETC.

O c. REMOTE HANDLING TOOLS OR EQUIPMENT. ETC.

O d. RESPIRATORY PROTECTIVE EQUIPMENT, ETC. y,A,

14. WASTE DISPOSALa. NAME OF COMMERCI AL WASTE DISPOSAL SERVICE EMPLOYED

N.A.b.lF COMMERCI AL WASTE DISPOSAL SERVICE IS NOT EMPLOYED, SUBMIT A DETAILED DESCRIPTION OF METHODS WHICH WILL

BE USED FOR DISPOSING OF R ADIOACTIVE WASTES AND ESTIMATES OF THE TYPE AND AMOUNT OF ACTIVITY INVOLVED. lFTHE APPLICATION IS FOR SEALED SOURCES AND DEVICES AND THEY WILL BE RETURNED TO THE MANUFACTURER,SO STATE.

*.*

.

/, m- a m',

* *-w -FORM NRC-313 i (179)'

,

. .

h .. - . . . - . .. . . . . . . .

Page 3: h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

_ .

h..

INFORMATTON REQUIRED FOR ITEMS 15,16 AND T7-s.

Describ on detail the information required for items 15,16 and 17. Begin each item on aseparate page and key to the application as follows:

15. R ADI AllON PROTECTION PROGR AM. Describe the radiat.on protection program as appropriate forthe material to be used including the duties and responsibilities of the Radiation Protection Officer,control measures, bioassay procedures (if needed/, day-today general safety instruction to be followed,

'

etc. If the application is for sealed source's also submit leak testing procedures, or if leak testing will beperformed using a leak test kit, specify manufacturer and model number of the leak test kit.

16. FORMAL TR AINING IN R ADI ATION SAFETY. Attach a resume for each individual named initems 6 and 7. Describe individual's formal training in the following areas where applicable. Includethe name of person or institution providina the training, duration of training, when training wasreceived, etc.

a. Principles and practices of radiation protection.

b. Radioactivity measu remen t standardization and monitoring.

.

techniques and instruments.

c. Mathematics and calculations basic to the use and measurement of =

radioactivity .

d. Biological eff ects of radratiom

17. EXPERIENCE. Attach a resume for each individual named in items 6 and 7. Describe individual'swork experience with radiation, including where experience was obtained. Work experience or on-the-lob training should be commensurate with the proposed use. Include list of radioisotopes and

maximum activity of each used.

. . . . - -_ . . - . - ~

i RECEIVED BY LFMSApplicant. .. 4 4. . , ,,,

Check No JV l E,( }. p.,, ,Amoum Fee . ] .f k h b / ,,a u,.( j Date1 yTypeat. _

' -

- !? ' A f8.' CE R TIF IC AT E k'g avoirtant> p Z m. . ..E. . _jQrg s Lo

__Datq% hew - + . rem must ne compieted hv , , _ _ ,

Received By By..=Ha" ''~ M i -

. ,,

O rig. To . . . . .-;

Action Compi.) N, .[/. -

The applicant and any of ficral executing this wir focate on behalf of e appi cant named on trem 2,

ar ti fy that this apptecation os prepared in o'n t or mit y w u rh To t te 10. Code of Federal R egula tion s,Part 30. and that a tt in f o rma t ron contained hereon, onclud<ng any supplernents attached < hereto, is trueend a>rrect to the be st of nur k nowledge a *rd belsef | | . ,,

,i

gre. l's

W A R N IN G. -- 18 U.S.C . Sect ion 1001. A ct of J une 25.1948, 62 Stat. 749; ,s4 it a criminal of f ense to make a wiltf ully f alse statement orrepresentation to any department or agency of the Umted States as to any ter within its jurisdiction.

' A LILE NSE F E E REQUIREO ib U R TIF Y ING -Fi'TI L /Segnatur !

. . .

(See Sectron 170 31 10 CFR 170)'

c[s . c;jn - |e A-,

e

'p r e n t )NAME ITwoe orJack R. Kanuckel.w - _ __ ___ _ - - _ - _ _ _ _ _ _ _ - -

'I" " ' " '(1) L I C E NSE F EE CATEG7RY j

,>r ia l Plant Manager<. .. .

.

_3_ .--.-_ - -.-.

(M LICENSE F EE E NCLOSE D $ ]]J. )August 30, 1979 /,

gp j y g gs o n u s nc m i n nn -,

. .

..

Page 4: h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

i='

li

.

(~'y . (a~%*

-. ..

v .. . . . wL -p E " . - ._

'? 15. The radiation protection' officer will advise those employees

whose assignments require entry into the-monitoried vessels,'

_and/or adjustment and repair of source mountings, of the possi-- bility=of radiation exposure.

The department foremen will-personally check that the sealed,

' sources are locked. closed at all times except when a particu-'

'

lar cupola (vessel) is in operation. The radiation protection

officer will ' check at irregular intervals to assure that the

sources are locked in the closed position when a' vessel (cupola)

is not--in operation.'

|

EXCEPTION:

When a cupola is not in operation that

source may be unlocked during that period

required by Maintenance personnel to check

and/or adjust proper operation of the level

control.

No additional personnel monitoring devices are required due

i to the presence of these sources. The source' holders are

: so designed that it is unlikely that any person can receive an

exposure in excess of'O.125 rem per year and the radiation levels

I at one foot from the nearest accessible surface are less than

-5 MR/ hour.

We estimate that six persons could be within three feet cf any

nuclear device five hours per week or less.

The source holders were tested'for integrity after installation

|' by Texas Nuclear Division Ramsey Engineering. In December 1977

N and on three year intervals thereafter, a leak test is performed

using Texas Nuclear labs and procedure OT-1K. Inventory and

test records are maintained in Engineering File 365.J4.00.

I:

I

i.

I

i

Ii

!

Page 5: h- ti s o n al t' c ) M9 f · 2020. 5. 26. · Completed apl>hrations are fded on duptware with the Dowsion of Fuel Cycle and Materw Safety-Offue of Nuclear Materoat Safety, and Safeguards

'm.__ . _

( O..

;... Q..

-.- ., .,

,

< .., _

4.

16. EFormal training was presented on August 31, 1979, by theRamsey Engineering Company - Texas . Nuclear Division, to

those individuals who directly supervise the use of the

licensed material and the Radiation Protection officer.

The two-hour course covered the following areas:(a) Principles and Practice of Radiation Protection

(b) Radioactivity measurement, monitoring techniques,and basic calculations to measure radioactivity.A radiation survey was performed to illustrate this

area of discussion.

(c) Biological effects of radiation. The majority of thecourse dealt with this topic as it related to our

radioactive material.

17. The experience of Archie Brown, Willard Mencer, Tom Dean,Jake Honabarger, and Cliff Roahrig in radiation, has comethrough their interaction with the Radioisotopes Cesium 137,and Strantium 90 located at the Clow corporation in Coshocton,Ohio, for which this license shall apply.

L