Foxfire Consultants, Inc., Renewal Application Dtd 04/18/2005.
i0APPENDIX ANRIC FORM 313U.S. NUCLEAR REGULAT0RY COMMISSIONAP0 PROVDBOUB: NO.3 SOI"2Sz10 CFRW0.32. 33E*SEBMWN*44c W MW"poflccUIExuivmI)¶i2VAhN45WWIY.jgoyCokboft Amqwstbmd111e?S6.qIAIoC dc.m Sisl In p,.Ma BI pbk %*.60 mMp1.4.y S.' co"" .bNtgad.o wedeft eam4.ala tmS.Rmco.6smago"B,,,c (TO 161).us N.cI.*.ft".sdaoy C& w.64.% Waol.VAg. DC 2O1SSS I01.W by N".osC &-WseI&6bpI0IC o".APPLICATION FOR MATERIAL LICENSEwwo . o kcffk.orW. OfC*fWe. nIa0ft & R".q.Ia1o'Aftft. NES102. 3150.0120.k*,*iiroi&(C GAC We. not Adwe *eev-jcr0y.yob CUB68*. '.csb.,-m.ARC m'r WcItWwd et4 eccc. ar-da petnwsa not tvqvead go napon to. 1hy Wofmbb"o o110onINSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION.SEND TWO COPIES OF THE ENTIRE COMPLETED APPUCATION TO THE NRC OFFICE SPECIFIED SELOW.W YOU ARE LOCATED IN:APPUICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPILCATIONS WTH:DrMlO0N OFINDUSTRIAL AND MEDICAL NUCLEAR FEYOFFICE OF NUCLEAR MATERLALS SAFETY ANDOSAFEGUARDSUS NUCLEAR REGULATORY COMr5SSIONWAS.4NGTON, oC 2553.07tALL OTILLPEOIS.INDIANA. IOWA, MICHIDAN. MINNESOTA, MISSOURI. OHIO. OR VASCON3 IN.ENDAAPPICATIONS TMATERALS LCENSING SECTIONPE SONSLEAPPLICATIONS ASFOLLOWS!AlLU.S. NUCLEAR REGULATORY COMMISSION. REGION UTHERPERIONSIlLSAPPCATINSA FOLOWSeeCWARRVNYLLf RD.iFYOU ARE LOCATED IN.LSLE IL 053224351ALASKA. ARIZONA. ARKANSAS. CALIFORNIA. COLORADO. HAWAI. IDAMO. KANSA,S.LOUIVANA. MONTANA. NEBRASKA. NEVADA. NEW MEXICO. NORTH DAKOTA,OKLAMOMA. OREGON. PACIFIC TRUST TERRITORIES. SOUTH DAKOTA, TEXAS. U1JTAF.CONNECTICUT. DELAWARK. DISTRICT of COLUUIUA. MAINE. MARYLAND,MASSACiUSETTS. NEW HAMPSHIRE. NEW JERSCY. NEW YORKt PENNSYLVANIA.RXFOOEISLAND. ORV EUUONT, SENO APPLICATIONS To.WASHINGTON.ORWYOMIN4. SENDAPPLICATIONSTO:LICENDRNGASSISTANT SECTION.NUCLEAR MATERIALS SAFETlYBRANCHV S NUCLEAR REGULATORY CCAMISSJON REGION I475 ALEIS0ALE ROADKING OF PRUSSIA, PA It94s.5NICLEAR MATERIALS LICENSING SECTIONU S NUCLEAR REGULATORY COM4ISSION. REGION IVOII RYAN PLAZA DRIVE SUITE 4lCARUNGTONt. X 700114064ALABAMA, FLORIDA. OfORDIA. KENTUCKY. MISSISSIPPI. NORTH CAROLINA. PUERTORICO. SOUTH CAROLINA. TENNESSEE, ViRGINIA. VIRGIN ISLANOS. OR WEST VIROINIA.SENo APPLICATIONS TO:SAM NUNN ATLANTA FEDERAL CENTERU S NUCLEAR REGULATORY COMMISSIO. REGION .61 FORSYTH STREET. S W. SUITE 23785ATLANTA. GEORGIA 53035031i\UIPERSONS LOCATED IN AGREEMENT STATES SIND APPLICATIONS TO Mf4 U.S. NUCLEAR REGULATORY COMMISSION ONLY I THEY WIISH TO POSSESS AWS USE LICENSEDIMATERIAL IN STATES SUSJECT TO U.S.NUCLEAA REOULATORY COMMISSION WRISDICTON1ITHIS IS AN APPLCATION ICENSE NUMBERtove4-S11- a;e. 1iSSEDdG nskL 4 AXI,1IAettcNAME OF PERSON TO BE CONTACTED ABOUTTISS4ELEPHIONE"NUMBER5TTO Be PROVIDED IS DESCRIBED ITHE LCENSE APPLCATION GUIOFOR WHICHLICENSEDUATERIALWiLL B USED5.PURPOSEItINOVICUAL(S] RESPONSMLE FOR RADIATION SAFETY PROGRAM AND THEIRTRAINING EXPERIENCEtTRFACILITIES AND EOUIENTIaRADIATION SAFETY PROGRAMt7LICENSEEFEES tS-IocF ARo14WASTE MANAGEVENT.fm*umSm.G FOR l vOJALS WORKt IN OR FREGUENTtNo REsTRICTED AREASFEECATEGOYF E C TEGOYNCLOSETHE APPLANT NOELRSWANOSTHAT ALL ETATILMINIs 1) KNRESt NlAIKINS17 CSRTIPIAZ1ON (M.1556cdmR.1y SehCAieAo" Z'p too)I*112XII PAPEk THE TYPE AND SCOPE OF rSFORuARADIOACTIVE MATERIALasacca A-d4w pStyrAa to-, 6"* EI.otmo m.rdf.owo. wI -k be PeSa MDAb.*r1oOFAPPLICANT-(Jti*SUBWT ITEMS S THROUGH 11 ON7NAME AND MAILING ADORESSFodygT.fAAC2ADORESS(ES WHERELICENSED MATERIALWILL BEUSEOCRPOelSCot e *cwcp'1. de-")S3.cM11031)tfNLPON THE APPLICANTMMtDIAUAOWNThIS APPLICATAPAREtUsNIIpA4ITHE APPLICANT Ao ANYOFFCIAL EXECuTNG THISCERTICATIONON SEALFOFTHAPPANT. AMEDITE 2. CETmFYTHAT1SAPPLUCATIONIS PREPARED INCONFORUEYW T TTLE 10. CODE OF FEDERAL REGULATONS. PARTS 30.32,23.34.35.36.85AND 40. ANDOTHAT A LLFORMATON CONTAED HEREIN ISTRUE ANO DCORRECT TO THE BEsT OF THEIRK NOWLEDGE AND BELIEF.-mC-zWARNING IS U S C SECTION 1oo1 ACT OFJUNE 25. 1W 12 STAt 74 MAKES I? A CRIMIN.10 MAKE A WILLFULLY FALsESTA1E74NTOR REPRESENTATION fANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTERWATIN ITS JURlcToN.I - TYPECPRINTED NAME AND TITLEIV1gsqWA-1NUREG-1556, Vol. 1, Rev. INMSS/RGNt'f MATERIALS-02irq
ITEM 5a.Radioisotopeb.FormA. Cs-137SpecialFormA-1 02112Not to exceed9 mCi pr sourceB. Am241 :BeSpecialFormA-102451Not to exceed44 mCi per sourceC. Am241 :BeSpecialFormA-102700Not to exceed10 mCi per sourceD. An241 :BeSpecialFormA-100608orA-100337Not to exceed300 mCi per sourceE. Cs-137SpecialFormA-100601Not to exceed6 mCi per sourceC.TroxlerDrawing #d.MaximumAmount
ITEM 6A. For use in a Troxler model 3400 series, and/or 4640, and/or 4545, and/or 3565 portablemeasuring gauge.B. For use in a Troxler model 3400 series, and/or 3216, and/or 3218 portable measuring gauge.C. For use in a Troxler model 3200 series, and/or 3300 series portable measuring gauge.D. For use in a Troxler model 3241 portable measuring gauge.E. For use in a Troxler model 2376 portable measuring gauge.
ITEM 7Dusty Nagle has been designated as the company Radiation Safety Officer. A copy of his TroxierNuclear Gauge Training Certificate is attached for your review. The duties of the RadiationSafety Officer are listed in Item 10.
. . .- .----.-W. n- . - . -aECT ONIC LABORATORHEP;REB.J-IP-.CR;7TIPFIr-T.IITWAT.TH, AT.DUSTY NAGLE* ofSAMMONS SURVEYINGHAS SUCCESSFULLY COMPLETED THE TROXLER ELECTRONIC LABORATORIES,INC.TRAINING COURSE FOR T1; USE OF NUCLEAR TESTING EQUIPMENT.AiSUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLOWS:Radioloqical Safety1.2.3.4.Principles and practices of radiationprotection.Leak testing procedures.Mathematics and calcuZations basic tothe use and measurement ofradioactivity.Biological effects of radiation.4Radioactivity measurement standardizationand monitoring techniques andins truients.6. Accident and incident procedures.7. Procedures for nuclear gauge storageand transportation.8. General safety precautions.Gauge Operation1. Instrument theory2. Operating procedures3. MaintenanceINSTRUCTOR/5.4.5.February 1, 1990DATEN2IField applicationGauge calibration30969William F. Troxler.PRESIDENT
HAZMAT Certificationas required by U.S. DOT and IATAThis certifies thatDusty Naglehas been trainedand tested in accordance with the U.S. Departmentof Transportationand InternationalAirTransportAssociation (IA TA) hazardous materialrequirementsforgeneral awareness/familiarization,function-specific, and safety trainingas related to the transportationof nucleargauges. A description of thetrainingcourse materials is availablefrom Troxler 12/03/2005Expirationper IATA *12/03/2006Expirationper USDOT*Harvey DunlevyInstructorForshipments by air, the LI TA expiration date is applicable Forshipments by highway, the USDOT expiration is applicableFi F{) K!:Troxier Electronic Laboratories, Inc.PO Box 12057 * 3008 Cornwallis Rd. * Research Triangle Park, NC 27709Phone: (919) 549-8661 * Fax: (919) 549-0761 * www.troxlerlabs.cornCertifiedbyCompany Official: 'Dt"5- Y 0A&Lr:,Company Name:Company Address:FLP,g. AIN i1) 5.- ,;D(A/L jpl ,l-rhr.-ii AEnrollment ID: 6151
ITEM 8Each individual that will operate the nuclear gauge will complete the TroxIer nuclear gaugetraining course, read and understand our radiation safety procedure; complete Hazmat trainingcourse every three years, and be approved by our Radiation Safety Officer. Copies of eachindividuals training certificate will be maintained on file.
ITEM 9A.Sketch of storage facility is attached.B.Equipment:Foxfire Consultants, Inc., has an agreement with Tim Martin, Manager RadiationDepartment at Appalachian Regional Hospital at South Williamson, KY for the useof their Geiger counter if the need arises. This facility is approximately twentyeight (28) miles from our location.C.Personnel Monitoring:Troxler Monitoring ServicesDivision of Troxier Electronic Laboratories, Inc.PO Box 12057Research Triangle Park, North Carolina 27709Type: Thermoluminescent Dosimeter (TLD)Exchange Frequency: Quarterly
ITEM 10Radiation Safety ProgramDusty Nagle has been designated as the company Radiation Safety Officer and will assume theduties and responsibilities that include the following:A.To ensure that all terms and conditions of the license are being met and that theinformation contained in the license is up-to-date.B.To ensure that the equipment has been leak tested in the required timely mannerand that the leak test is performed in the manner prescribed by the equipmentmanufacturer.C.To ensure that the use of the equipment is only by individuals that have beenauthorized by the Radiation Safety Officer and that all users wear personnelmonitoring equipment when utilizing the equipment. Personnel monitoringequipment will consist of Thermoluminescent Dosimeter supplied by TroxlerMonitoring Services on a quarterly exchange period.D.To maintain the records as required by the license and the regulations. Theserecords shall include personnel exposure records, leak test records and trainingcertificates for all users.E.To ensure that the equipment is properly secured against unauthorized removal atall times when it is not in use.F.To serve as a point of contact and give assistance in case of emergency such asequipment damaged in the field or theft and to notify the proper authorities in caseof emergency.G.To ensure that all users have read and understand the radiation safety operatingand emergency procedures.Operating Procedures:Transportation of Equipment:A.Care shall be taken to ensure that the equipment is tightly secured to thetransporting vehicle and positioned as far as practical from the occupantcompartment (s). When transporting in an enclosed vehicle, the gauge will besecurely fastened and locked to the truck bed. Additionally, the gauge will becovered by a locked bed cover.
ITEM 10 (cont.)B.The gauge will be transported in the Troxler transportation case. Department ofTransportation requires that the gauge be transported in a properly labeledcarrying case.C.At all times during transport, the operator will have a properly completed Bill ofLading for each gauge.Utilization proceduresA.When the gauge is in the field, you as the authorized user must maintain controlover the gauge at all times. The gauge must never be left unattended.B.When not making measurements, the gauge should be placed in the transportationcase and returned to its permanent storage area as soon as possible. The gauge isto be used for its intended purpose only. By doing so, you will maintain anyradiation exposure to as low as reasonably attainable.C.When using the equipment, you will wear personnel monitoring device that hasbeen assigned to you. When you are not using the equipment, your monitoringdevice is to be stored in the radiation free area that has been designated in theoffice.Maintenance and Leak Test Procedures.A.Periodic maintenance will include cleaning the gauge. During any maintenance,you must wear your personnel monitoring device.B.No maintenance will be performed in which the radioactive source is removedfrom the gauge. For this type of maintenance, the gauge will be returned to themanufacturer.C.The leak test will be performed using the Troxler Model 3880 Leak Test Kit. Theleak test will be performed using the manufacturer's instructions. Again thepersonnel monitoring device will be employed. Gauges will be leak tested atintervals not to exceed six (6) months.
ITEM 10 (cont.)Emergency Procedures.In the event of physical damage to a gauge, the following will be performed:A.Immediately cordon off an area around the gauge. An area radius of 15 feet willbe sufficient.B.If a vehicle is involved, it must be stopped until the extent of contamination, if any,can be established.C.A visual inspection of the gauge is to be made to determine if the source housingand/or shielding has been damaged.D.At the earliest possible time, when the situation is under control, you must contactthe Radiation Safety Officer at (304) 664-2223 ( main office),(home)Describe the present conditions and follow the instructionsorof the Radiation Safety Officer.E.In the event the gauge is lost or stolen, immediately notify the Radiation SafetyOfficer at the numbers listed above.PERSONAL INFORMATION WAS REMOVEDBY NRC. 11O COPY OF THIS INFORMATIONWAS RETAINED BY THE NRC.
ITEM 11Waste Management:Disposal of any gauges will be by transfer to another facility specifically licensed for the material;or returned to the gauge manufacturer. Records of transfer will be maintained on file.
This is t acknowledge the receipt of your letter/application datedIE O6 SqL (, and to Inform you that the initial processing whichincludes an administrative review has been performed.There were no administrative omissions. Your application was assigned to atechnical reviewer. Please note that the technical review may identify additionalomissions or require additional information.EPlease provide to this office within 30 days of your receipt of this cardA copy of your action has been forwarded to our License Fee & Accounts ReceivableBranch, who will contact you separately If there Is a fee issue involved.Your action has been assigned Mall Control NumberWhen calling to inquire about this action, please refer to this control number.You may call us on (610) 337-5398, or 337-5260.NRC FORM 532 (RQHe-Sincerely,Licensing Assistance Team Leader
(FOR LFMS USE)INFORMATION FROM LTSBETWEEN:License Fee Management Branch, ARMandRegional Licensing Sections::::Program Code: 03121Status Code: 2Fee Category: 3PExp. Date: 20050531:Fee Comments::Decom Fin Assur Reqd: NLICENSE FEE TRANSMITTALA.REGION1.APPLICATION ATTACHEDApplicant/Licensee:Received Date:Docket No:Control No.:License No.:Action Type:2.1FEE ATTACHEDAmount:Check No.:FOXFIRE lINC./3. COMMENTSSignedDate.IL;.24'wCLIB. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered / /)1.Fee Category and Amount:2.Correct Fee Paid.AmendmentRenewalLicense3.OTHERApplication may be processed for:-SignedDate
ITEM 6 A. For use in a Troxler model 3400 series, and/or 4640, and/or 4545, and/or 3565 portable measuring gauge. B. For use in a Troxler model 3400 s
LICENSE RENEWAL GUIDE FOR ELECTRI-CAL WORKER In the application for renewal of electrical worker licence, you will be required to have scanned copies of your National ID and pay the applicable renewal fees. REQUIREMENT FOR RENEWAL OF ELECTRICAL WORKER APPLICATION 1. Copy of national id/Passport 2. Annual renewal fee as follows Class A1- ksh .
where the bacteria works it just like yeast works wine or bread dough. Then the liquid was run through ashes into shallow tiled or
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Option B – PMP credential and PgMP credential will share PDUs including those earned for the PgMP before obtaining the PMP and any PDUs earned after receiving the PMP. The PMP renewal date will be set equal to the existing PgMP renewal date. Therefore, renewal of the PMP credential will need to occur with the renewal of the PgMP credential.File Size: 549KBPage Count: 9Explore furtherHow to fill PMP Application form: Here's PMP Sample .www.izenbridge.comYour PMP Application Checklist - Project Management Institutewww.pmi.orgAre you stressing out over completing the application to .www.margaretmeloni.comRecommended to you b
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Figure E.1 Salem Downtown Renewal Plan: Original Boundaries with 1985 and 1988 Revisions E-3 Figure E-2 Salem Downtown Renewal Plan: 2011 Changes E-5 Figure 1.1 Salem Downtown Renewal Plan (map) 1-3 Figure 1.2 Salem Downtown Renewal Plan (aerial) 1-4 Figure 1.3 Land Use 1-6 Figure 1.4 Current Zoning 1-12
OPTION ONE: Online Renewal Process through Continuing Education Attainment A certification renewal postcard is mailed to all CCM s approximately three months prior to the "valid through" date printed on their certificates. The online renewal system is activated at this time. The new online renewal process is simple and easy to use.
RUMINANT ANIMAL NUTRITION ANN 503 BY Prof. C. F. I. Onwuka Dr. O.A.Isah *Dr. A.O. Oni Dr(Mrs) R.Y. Aderinboye *Course coordinator. COURSE OUTLINE Course introduction , preview and expectation The Nature of ruminant Stomach Physiology, microbiology and biochemistry of rumen Utilization of roughages in ruminant feeding The use of agro industrial by-products in ruminant feeding Importance and .
