18
NRC FORM 313 (03-2014) U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0120 EXPIRES: 05/31/2015 10 CFR 30, 32, 33, 34 35, 36, 37, 39, and 40 A£0(1(1'>- APPLICATION FOR MATERIALS \'!llf/1 LICENSE +., +v .. ,..it. Estimated burden per response to comply with this mandatory collection request: 4.3 hours. Submittal of the application is necessary to determine that the applicant is qualified and that adequate procedures exist to protect the public health and safety. Send comments regarding burden estimate to the FOIA, Privacy, and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to [email protected], and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0120), Office of Management and Budget, Washington, DC 20503.1f a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection . INSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION. SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW. *AMENDMENTS/RENEWALS THAT INCREASE THE SCOPE OF THE EXISTING LICENSE TO A NEW OR HIGHER FEE CATEGORY WILL REQUIRE A FEE. APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH: OFFICE OF FEDERAL & STATE MATERIALS AND ENVIRONMENTAL MANAGEMENT PROGRAMS DIVISION OF MATERIALS SAFETY AND STATE AGREEMENTS U.S. NUCLEAR REGULATORY COMMISSION WASHINGTON, DC 20555-0001 ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS: IF YOU ARE LOCATED IN: ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA, SEND APPLICATIONS TO: LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGULATORY COMMISSION, REGION I 2100 RENAISSANCE BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 19406-2713 IF YOU ARE LOCATED IN: ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS TO: MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION Ill 2443 WARRENVILLE ROAD, SUITE 210 LISLE, IL 60532-4352 ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING, SEND APPLICATIONS TO: NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011-4511 PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S. NUCLEAR REGULATORY COMMISSION JURISDICTIONS. 1. THIS IS AN APPLICATION FOR (Check appropriate item) D A. NEW LICENSE D B. AMENDMENT TO LICENSE NUMBER 0 C. RENEWAL OF LICENSE NUMBER 52-25063-01 3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED CEMEX Puerto Rico, Inc. Road 123, Km. 8.0 Ponce, Puerto Rico 00733 2. NAME AND MAILING ADDRESS OF APPLICANT (Include ZIP code) CEMEX Puerto Rico, Inc. PO Box 331349 Ponce, Puerto Rico 00733-1349 4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION Vanessa del S. Rodriguez BUSINESS TELEPHONE NUMBER BUSINESS CELLULAR TELEPHONE NUMBER (787) 842-3000 (787) 969-0445 BUSINESS EMAIL ADDRESS vanessade l.srodriguez@cemex. com SUBMIT ITEMS 5 THROUGH 11 ON 8-1/2 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE. 5. RADIOACTIVE MATERIAL a. Element and mass number; b. chemical andfor physical form; and c. maiximum amount which will be possessed at any one time. 8. TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS. 10. RADIATION SAFETY PROGRAM. 12. LICENSE FEES (Fees required only for new applications, with few exceptions*) (See 10 CFR 170 and Section 170.31) 6. PURPOSE(S) FOR WHICH LICENSED MATERIAL WILL BE USED. 7. INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING EXPERIENCE. 9. FACILITIES AND EQUIPMENT. 11. WASTE MANAGEMENT. FEE CATEGORY I AMOUNT I ENCLOSED $ 13. CERTIFICATION. (Must be completed by applicant) THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLICA T/ON ARE BINDING UPON THE APPLICANT. THE APPLICANT AND ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT, NAMED IN ITEM 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY WITH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34, 35, 36, 37, 39, AND 40, AND THAT ALL INFORMATION CONTANED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND BELIEF. WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION. CERTIFYING OFFICER- TYPED/PRINTED NAME AND TITLE DATE Vanessa del S. Rodriguez I Health & Safety Manager '' l

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Page 1: l:~!·~ APPLICATION FOR MATERIALS LICENSE

NRC FORM 313 (03-2014)

U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0120 EXPIRES: 05/31/2015

10 CFR 30, 32, 33, 34 35, 36, 37, 39, and 40

~<."'~"" A£0(1(1'>-

l:~!·~ APPLICATION FOR MATERIALS \'!llf/1 LICENSE +., +v .. ,..it.

Estimated burden per response to comply with this mandatory collection request: 4.3 hours. Submittal of the application is necessary to determine that the applicant is qualified and that adequate procedures exist to protect the public health and safety. Send comments regarding burden estimate to the FOIA, Privacy, and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to [email protected], and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0120), Office of Management and Budget, Washington, DC 20503.1f a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection .

INSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION. SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW. *AMENDMENTS/RENEWALS THAT INCREASE THE SCOPE OF THE EXISTING LICENSE TO A NEW OR HIGHER FEE CATEGORY WILL REQUIRE A FEE.

APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH:

OFFICE OF FEDERAL & STATE MATERIALS AND ENVIRONMENTAL MANAGEMENT PROGRAMS DIVISION OF MATERIALS SAFETY AND STATE AGREEMENTS U.S. NUCLEAR REGULATORY COMMISSION WASHINGTON, DC 20555-0001

ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS:

IF YOU ARE LOCATED IN:

ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA,

SEND APPLICATIONS TO:

LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGULATORY COMMISSION, REGION I 2100 RENAISSANCE BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 19406-2713

IF YOU ARE LOCATED IN:

ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS TO:

MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION Ill 2443 WARRENVILLE ROAD, SUITE 210 LISLE, IL 60532-4352

ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING,

SEND APPLICATIONS TO:

NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011-4511

PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S. NUCLEAR REGULATORY COMMISSION JURISDICTIONS.

1. THIS IS AN APPLICATION FOR (Check appropriate item)

D A. NEW LICENSE

D B. AMENDMENT TO LICENSE NUMBER

0 C. RENEWAL OF LICENSE NUMBER 52-25063-01

3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED

CEMEX Puerto Rico, Inc. Road 123, Km. 8.0 Ponce, Puerto Rico 00733

2. NAME AND MAILING ADDRESS OF APPLICANT (Include ZIP code)

CEMEX Puerto Rico, Inc. PO Box 331349 Ponce, Puerto Rico 00733-1349

4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

Vanessa del S. Rodriguez

BUSINESS TELEPHONE NUMBER BUSINESS CELLULAR TELEPHONE NUMBER

(787) 842-3000 (787) 969-0445

BUSINESS EMAIL ADDRESS

vanessade l.srodriguez@cemex. com

SUBMIT ITEMS 5 THROUGH 11 ON 8-1/2 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE.

5. RADIOACTIVE MATERIAL

a. Element and mass number; b. chemical andfor physical form; and c. maiximum amount which will be possessed at any one time.

8. TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS.

10. RADIATION SAFETY PROGRAM.

12. LICENSE FEES (Fees required only for new applications, with few exceptions*) (See 10 CFR 170 and Section 170.31)

6. PURPOSE(S) FOR WHICH LICENSED MATERIAL WILL BE USED.

7. INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING EXPERIENCE.

9. FACILITIES AND EQUIPMENT.

11. WASTE MANAGEMENT.

FEE CATEGORY I AMOUNT I ENCLOSED $

13. CERTIFICATION. (Must be completed by applicant) THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLICA T/ON ARE BINDING UPON THE APPLICANT.

THE APPLICANT AND ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT, NAMED IN ITEM 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY WITH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34, 35, 36, 37, 39, AND 40, AND THAT ALL INFORMATION CONTANED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND BELIEF. WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.

CERTIFYING OFFICER- TYPED/PRINTED NAME AND TITLE DATE

Vanessa del S. Rodriguez I Health & Safety Manager

'' l

Page 2: l:~!·~ APPLICATION FOR MATERIALS LICENSE

INFORMATION REQUESTED IN ITEMS 5 THROUGH 11

{As per NUREG -1556 Volume 1 Appendix B)

CEMEX Puerto Rico, Inc. Page 1

Page 3: l:~!·~ APPLICATION FOR MATERIALS LICENSE

ITEMS 5 AND 6: POSSESSED MATERIALS AND USES

Radioisotope Manufacturer or Quantity Use As Listed Specify Other l

Distributor Model onSSD Uses Not No. Certificate Listed on SSD

' Certificate

Cesium -137 Sealed Sources 2650 In Kay- Not Applicable (Kay-Ray /Sensall millicuries Ray/Sensall Model Series 7700- total and no Model No. Y; Ohmart/VEGA single source 7063PS; Model A-2102; 3M to exceed the Ohmart/VEGA Co. Model 4F6S; maximum Model SH-F1A; Monsanto activity fixed gauging Research Co. specified in devices for Model 24248, the controlling Amersham Models certificate of industrial CDC.700, registration processes. CDC.7llm) issued by the

US Nuclear regulatory Commission or an Agreement State

Californium - 252 Sealed Sources 42 millicuries In Thermo Not Applicable (Frontier total and no Gamma Technology Corp. single source Metrics Model Model 100 Series; to exceed the No. CB-GN QSA Global Inc. maximum fixed gauging Model CVN.CYn activity devices for Series, FSUE Model specified in elemental HK252M41) the analysis of bulk

certificate of material. registration issued by the US Nuclear regulatory Commission or an Agreement State

CEMEX Puerto Rico, Inc. Page 2

Page 4: l:~!·~ APPLICATION FOR MATERIALS LICENSE

ITEMS 7 THROUGH 11: TRAINING AND EXPERIENCE, FACILITIES AND

EQUIPMENT, RADIATION SAFETY PROGRAM, AND WASTE DISPOSAL

7. INDIVIDUAL(S) RESPONSIBLE Vanessa del S. Rodriguez and Jose Copy of the Certificates i FOR RADIATION SAFETY Martinez-Rubero successfully is include in Appendix

PROGRAM AND THEIR TRAINING completed 40 hours of training of A. , AND EXPERIENCE- RADIATION specialized instruction in Radiation 1 SAFETY OFFICER Safety Officers, as defined in NUREG

-1556. Name: Vanessa del S. Rodriguez

8. TRAINING FOR INDIVIDUALS The devices covered by this License WORKING IN OR FREQUENTING Renewal Application are not

RESTRICTED AREAS installed in restricted areas, however, any and all employees who will for any reason have occasion to operate any of these devices have attended and/or will attend a training program and receive the necessary instructions' on the proper and safe way to operate these devices.

9. FACILITIES AND EQUIPMENT Licensed materials are used or 1. In Kay-stored only at the licensee's facilities Ray/Sensall located at CEMEX Puerto Rico, Inc., Model No.

State Road 123, Km. 8.0, Ponce, 7063PS;

Puerto Rico. Ohm art/VEGA Model SH-F1A; fixed gauging devices for controlling industrial processes.

2. In Thermo Gamma Metrics Model No. CB-GN fixed gauging devices for elemental analysis of bulk material.

10. RADIATION SAFETY PROGRAM 10.1 Radiation safety program will Copy of the CEMEX be carried out by licensee's RSO. Puerto Rico Inc.

Radiation Safety Program is included in Appendix B.

CEMEX Puerto Rico, Inc. Page 3

Page 5: l:~!·~ APPLICATION FOR MATERIALS LICENSE

10.2 Personnel monitoring devices are not necessary. 10.3 Radiation Detection Instrument

I A calibrated, operable survey meter that can measure at least 1.0 through 200 milliroentgens per hour will be available. This instrument will be: (1) calibrated so that the readings are+/- 10% of the actual values over the range of the instrument; (2) have a calibration chart or graph that shows the results of the calibration, the date of the last calibration affixed to the survey meter; and (3) be calibrated at least annually and after servicing. Calibration records will be kept a minimum of 2 years after each calibration. Calibration of survey meter is to be performed by Dade Moeller & Associates, Inc. ®, 438 North Frederick Avenue, Suite 220, Gaithersburg, MD 20877-2477, Telephone (800)871-7930; www.moellerinc.com

10.4 Leak Testing Licensee personnel will collect leak test samples for analysis by Dade Moeller Inc. using leak test kits provided by Dade Moeller Inc. and approved by the commission for this purpose. Alternatively, tests for leakage and/or contamination may be performed by persons specifically licensed by the Commission or an agreement state to perform such services. 10.5 Lock-Out Procedures If maintenance is required inside the vessel, a lock-out procedure will be employed to prevent personnel access within the vessel whenever the source is in the "measure" (on) position. Basically, the procedure consists of having all access doors to the vessels locked with a key kept by the

CEMEX Puerto Rico, Inc. Page4

Page 6: l:~!·~ APPLICATION FOR MATERIALS LICENSE

responsible person for the radiation safety program. If operating personnel desire access into the vessel, the responsible person would be notified and he/she would make sure that the source housing(s) are locked "store" (off) position before allowing the access doors to be opened. This procedure will be posted, so that personnel can see them. 10.6 Material Receipt and Accountability Physical inventories will be conducted at intervals not to exceed 6 months, to account for all sealed sources and devices received and possessed under the license.

10.7 Occupational Dosimetry We will maintain, for inspection by NRC, documentation demonstrating that unmonitored individuals are not likely to receive radiation dose in excess of 10 percent of the allowable limits in 10 CFR Part 20. 10.8 Operating and Emergency Procedures Operating and emergency procedures will be developed, implemented and maintained and will meet the criteria in the section entitled "Radiation Safety Program -Operating and Emergency Procedures" in NUREG-1556, Vol.1, Rev. 1, dated November 2001. 10.9 Maintenance Routine Cleaning and Lubrication We will implement and maintain procedures for routine maintenance of our gauges according to each manufacturer's recommendations and instructions. Non-Routine Maintenance We will send the gauge to the manufacturer or other person authorized by NRC or an Agreement State to perform non-routine maintenance or repair operations

CEMEX Puerto Rico, Inc. PageS

Page 7: l:~!·~ APPLICATION FOR MATERIALS LICENSE

that require the removal of the source or source rod from the gauge. !

11. WASTE MANAGEMENT- Disposal of licensed material will be GAUGE DISPOSAL AND TRANSFER by transfer to a licensee specifically

authorized to possess the radioactive material. Sealed source and device will be transferred to supplier or authorized disposal firm for disposal.

CEMEX Puerto Rico, Inc. Page6

Page 8: l:~!·~ APPLICATION FOR MATERIALS LICENSE

CEMEX Puerto Rico, Inc.

APPENDIX A

COPY OF RSO LICENSE

Page7

Page 9: l:~!·~ APPLICATION FOR MATERIALS LICENSE

~ertificate of ~raining Awarded To

Vanessa del S. Rodriguez

Recognizing completion of 40 hours of specialized instruction in

Radiation Safety Officer

November 14, 2014

Presented By

Dade Moeller Training Acadenzy

438 N. Frederick Avenue. Suite 220. Gaithersburg. MD 20877 www.moellerinc.cornlacademy -- 301-990-6006

AAHP has awarded this course 32 Continuing Education Credits, 2011-00-0019

ABIH Diplomates can claim this course for 40 hours in the IH CM Area

Alan L. Fellman, PhD, CHP

Page 10: l:~!·~ APPLICATION FOR MATERIALS LICENSE

Radiation Safety & Control Services, Inc. r/~t4u~tc-

\RSCS R..c.,., (' .. "i-"~t .. " ~ IJI'~,...: "".oe ;'~

Course Instructors:

Jose Martinez-Rubero Ut.~ol-~~ol-a-40~~/#­

Radiation Safety Officer Training

Orlando, FL

February 21- 25, 2005

RSCS ft:··~'" ..... .,&,-:ru?o<!.e· ....

This course has been approved for 40, Category A, CE credits (reference number NHZ0183001) by the ASRT, 32 CE credrts by the AAHP and 4.5 CM Points by the ABIH NOTE: This class satisfies the Department of Transportation requirements listed in Title 49 CFR parts 172 subpart Hand expires three years from the data listed above.

Page 11: l:~!·~ APPLICATION FOR MATERIALS LICENSE

CEMEX Puerto Rico, Inc.

APPENDIX B

RADIATION SAFETY PROGRAM

PageS

Page 12: l:~!·~ APPLICATION FOR MATERIALS LICENSE

RADIATION SAFETY PROGRAM

1. Organization for Control of Radiation

1.1 Use of radioactive materials is regulated and licensed by the Nuclear Regulatory

Commission (NRC). The license references sections of Title 10 Code of Federal

Regulation (10 CFR) for the control of ionizing radiation and references the

information submitted during the license operation process.

1.2 The Radiation Safety Program is designed to provide safety for personnel, property,

the environment and the public for use of radioactive materials. The program is

under the direction of the Radiation Safety Officer (RSO).

1.3 Radioactive materials may only be used as established in the Radioactive Materials

License.

2. RSO Duties and Responsibilities

The RSO is responsible for the following:

2.1 Review and approve all protocols for the use of radioactive materials.

2.2 Timely review of leak test results, maintenance of records, and issuing reports.

2.3 Provide for the training of all radioactive materials initial and annual refresher

training to ancillary personnel and maintain records of this training to include topics

covered, the amount oftime spent, the date(s), and instructors and students name.

2.4 Supervise and coordinate radioactive waste disposal, including the maintenance of

waste in storage and disposal records.

2.5 Maintain records of radioactive materials inventory, receipt and transfer of licensed

material, radiation surveys, and audits waste disposal instrument calibration reports.

2.6 Provide supervision and assistance for the management of emergency, accident,

spill, or exposure situations.

2.7 Ensure that the terms and conditions of the radioactive materials license are met

and that the license is amended for changes in the use of radioactive material,

responsible individuals, or commitments provided to NRC in the licensing process.

2.8 Ensure that licensed materials are properly secured against unauthorized removal at

all times.

2.9 Ensure that the radiation safety program is reviewed at intervals not exceeding 12

months.

3. Responsibilities and Requirements of Working in a Sealed Source Radiation Area

3.11ndividuals, before working in a sealed source radiation area must complete the

following requirements:

3.1.1 Receive the authorization from the RSO.

CEMEX Puerto Rico, Inc. Page 9

Page 13: l:~!·~ APPLICATION FOR MATERIALS LICENSE

3.1.2 Participate in radiation safety training as requested by the RSO.

3.1.3 Do not smoke, eat, drink, apply cosmetics, or store/use personnel effects in

the sealed source radioactive area.

3.1.4 Maintain good personal hygiene.

4. General Policies and Procedures for Radioactive Materials Use

4.1 Designation of Radioactive Material Use Areas (Posted).

The RSO's office phone number and an off-duty phone number will be posted along

with the other postings as required in 10 CFR Part 19 (including this written

program).

4.1.1 Radioactive Materials are to be used only in areas as authorized by the RSO.

4.1.2 The RSO will be responsible for the designation of Posted areas.

4.1.3 Areas where radioactive materials are used or stored will be posted with the

signs as required in 4.2.

4.1.4 The RSO will conduct an inspection survey for areas in which radioactive

material use has been discontinued and no longer requires designation as a

posted area.

4.2 Signs and Labels for Areas and Equipments.

4.2.1 A "CAUTION RADIOACTIVE MATERIALS" sign must be conspicuously posted

on the areas where radioactive materials are being used or stored.

4.3 Periodic Surveys of Radioactive Material Use Areas.

4.3.1 Sealed sources shall be tested for leakage and/or contamination at intervals

not to exceed six months or at the intervals specified in the certificate of

registration issued by the US Nuclear Regulatory Commission under 10 CFR

32.210.

4.3.2 Sealed sources need not be if they are in storage and are not being in used.

4.3.3 Records of leak test results shall be kept in units of microcuries and shall be

maintained for 5 years.

4.4 Radioactive Contaminated Areas

4.4.1 In general, no contamination can be tolerated. Any contamination that is not

confined to controlled surfaces shall be cleaned immediately.

4.4.2 Preparations for decontamination should begin promptly. Determine the

extent and hazard presented by the contamination. The RSO will assist in this

evaluation.

4.4.3 Surface contamination action guidelines for restricted and unrestricted areas

will be as follows:

• Removable (beta-gamma) 220dpm/100cm2

• Fixed (beta-gamma) 2,200 dpm/100cm2

CEMEX Puerto Rico, Inc. Page 10

Page 14: l:~!·~ APPLICATION FOR MATERIALS LICENSE

4.4.4 The amount of removable radioactive material per 100cm2 of surface area

will be determined by wiping the surface with a dry filter or soft absorbent

paper, applying moderate pressure and assessing the amount of radioactive

material on the wipe area with an appropriate instrument of known

efficiency.

4.4.5 The amount of fixed contamination will be determine from the direct

monitoring with an appropriate survey meter of the surface or item in

question and correcting for measurements above background the observed

net count-rate for the instrument efficiency and the measurement geometry.

For most situations, approximations assuming point source geometry will be

sufficient.

4.5 Decontamination of Areas Contaminated with Radioactivity

4.5.1 Preparations for decontamination should begin promptly. Determine the

extent and hazard by the contamination. The RSO will assist in this

evaluation.

4.6 Major Spills (greater than 1011Ci total or more than 1m2 contaminated area)

4.6.1 CLEAR THE AREA: Notify all persons not involved in the spill to vacate the

area, but to not leave the area until they have been surveyed for

contamination.

4.6.2 PREVENT THE SPREAD: Cover the spill with absorbent pads, but do not

attempt to clean it up. Confined the movement of all personnel to prevent

the spread.

4.6.3 CLOSE THE AREA: If possible, sealed and/or install warning labels to prevent

entry.

4.6.4 CALL FOR HELP: Notify the RSO immediately.

4.6.5 SURVEY PERSONNEL AND DECONTAMINATE IF NECESSARY: Contaminated

clothing should be removed and stored for further evaluation by the RSO. If

the spill is on the skin, flush thoroughly and then wash with mild soap and

warm water.

4.6.6 PLAN FURTHER ACTION: The RSO will supervise the decontamination

methods and the potential need for follow-up bioassay.

4.7 Minor Spills (less than l01J.Ci total and less than 1m2 area).

4.7.1 NOTIFY: Notify persons in the area that a spill has occurred and call the RSO.

4.7.2 PROTECT PERSONNEL: Perform any personnel decontamination before

proceeding with spill clean-up.

4.7.3 CONTROL: Restrict the contaminated area. Do not allow anyone or anything

to leave the contaminated area without being monitored for radioactivity

before starting clean-up work.

CEMEX Puerto Rico, Inc. Page 11

Page 15: l:~!·~ APPLICATION FOR MATERIALS LICENSE

4.7.4 SURVEY: Use a GM survey meter, check the area around the spill, hands, and

clothing for contamination. Mark off the contaminated area with "RAD" tape.

4.7.5 CLEAN-UP: Gather decontamination supplies. Wear protective clothing.

Clean-up the spill using dry paper towels first. Use decontamination agents

after dry techniques have been used. Work from outside edge of the spill in

towards the center. Use only 1"pass" of the paper towel then place it in

radioactive waste.

4.7.6 SURVEY AGAIN: Use appropriate survey meter for direct measurements and

take wipes and analyze for "removable" contamination.

4. 7. 7 REPORT: Report the results of the decontamination effort to the RSO.

5. Area Survey Procedures

5.1 Routine Survey After Use of Radioactive Material

Survey with an appropriate survey meter for the isotope used.

5.1.1 Check battery condition, replace if necessary.

5.1.2 Check meter response using "check source".

5.1.3 Take a background reading in a normal background area.

5.1.4 Perform the required surveys.

5.1.5 Record results in logbook as shown below:

Page 1 should list the radioisotope and maximum activity in use or

storage and include a drawing of the area.

Succeeding pages should log the following information:

o Date

o Name of Surveyor

o Background Radiation Levels in units of counts per minute (cpm)

o Record the results in the log book: any contamination found in

units of counts per minute, personnel notified, time, date, and

any decontamination performed.

6. Disposal of Radioactive Materials

6.1 All radioactive waste will be disposed of by transfer to an authorized recipient.

Each procedure that uses radioactive materials will be examined and the fraction of

the total activity in each waste stream estimated. This calculation will be changed as

necessary for each change in procedures.

Records will be maintained of radioactive waste as it is generated, stored and

shipped for off-site disposal.

7. Procedures for Procurement, Receipt, and Inventory

7.1 Procurement Procedures.

7.1.1 The user will complete a purchase requisition/order (PO) and forward it to

the RSO.

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7.1.2 The RSO will insure that the requested material, quantities, and form are

authorize by the licensee and the possession limits are not exceeded prior to

the order being placed with a vendor.

7.2 Receipt of Radioactive Materials Packages.

Instructions to Shipping and Receiving Personnel

7.2.1 Upon arrival, receiving personnel will contact the RSO. The RSO will monitor

and wipe test packages, as required by 10 CFR 20.

7.2.2 During off-duty hours security or other designated trained personnel should

accept delivery of radioactive packages in accordance with the procedure

outlined:

7.2.2 .. 1 Any package containing radioactive material that arrive during off

duties hours shall be signed for by designated trained personnel

on duty an taken immediately to the designated receiving area

and placed a locked secure storage.

7.2.2 .. 2 If the package appears to be damaged, immediately contact the

RSO. Ask the carrier to remain at the facility until it can be

determined that neither the carrier nor the vehicle is

contaminated.

8. Other Procedures

8.1 Physical Security of the Radioactive Material Use Areas.

8.1.1 The access to the posted areas will have locked doors or will have another

suitable means to prevent entry by unauthorized personnel. The main

entrance, or access, will be attended when not closed and locked.

8.1.2 Visitors will be escorted when in posted areas and the personnel have the

right to challenge unfamiliar persons as to their identity and reasons for

being in posted areas.

9. Qualifications of Users and Radiation Safety Training

9.1 Qualifications and Training for Principal Investigators. Principal Investigators are the

primary users of radioactive material and are named on the license and can

supervise others in the use of radioactive material.

9.1.1 Each Principal Investigator must have received a minimum of 8 hours of

training in Radiation Safety. The training can be any combination of review of

written materials, 1-on-1 training, viewing video tapes or classroom

instructions. The following topics must have been addressed:

Atomic Structure and Radioactivity

Biological Effects

Biological Risk (NRC Guide)

Review of the Radiation Safety Program

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Inventory and Security of Radioactive Materials

Review of Rules and Regulations

Using Surveys Meters

Performing Contamination Surveys

Leak Tests

Radioactive Waste

Training in another facility can be used to meet this requirement if a review

of this Radiation Safety Program is provided. In addition, the RSO will

document the 8-hour training and the 1-on-1 training.

9.2 Instructions to Ancillary Personnel

9.2.1 All personnel frequenting any portion of the restricted area will receive

instructions concerning the appropriate performance of their work in areas

where sealed source radioactive materials maybe used or stored.

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G~ This is to acknowledge the receipt of your letter~i'ljdated

f J /'d. g/pf)/1· , and to inform you that the initial processing which inCludes an administrative review has been P-erformed. , .

-.5:-<- J-6()'- 3 -L) I (h"'7U/(ilttf0 LKJ There were no administrative omissions. Your application was assigned to a technical reviewer. Please note that the technical review may identify additional omissions or require additional information.

O Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee. & Accounts Receivable Branch, who will contact you separately if there is a fee issue involved.

Your actio~ has been assigned Mail Control Number ·'-~--:t.j 95;j' When calling to inquire about this action, please refer to this control number. You may call us on (61 0) 337-5398, or 337-5260.

NRC FORM 532 (RI)

{6-96)

Sincerely, Licensing Assistance Team Leader.