December 5, 2016 DNMS

Nudear Materials Licensing Branch

U.S. Nuclear Regulatory Commissions, Region IV

1600 E. Lamar Boulevard, Suite 400

Arlington, TX 76011-4125

Via: email Carol.Hill@nrc.gov

Re: Amendment Request to License No. 04-29436-01

Dear Ms. Hill:

PUBLIC 0 _ Immediate Release IL Normal Release

NON-PUBLIC

aQ A.3 Senafflve-Security Related A.7 Sensitive lntemal

0 OtlNtr: -::------

Revf~ Date: < 1. - ~- ( fO

Please accept this letter as a request for amendment to our Materials License No. 04-29436-01

to include a change of RSO. We would like to change out our current RSO, Theresa Nu nan, for a

new RSO, Nathan DeWitt. Please find attached the documentation for our new RSO, Nathan

DeWitt.

Please advise me of any further documentation you deem necessary for processing.

Tha{11( you, ,

.; \ · . . : . .. ~, .. , ----.... ·' . ,.., "'(.; . . .

Barbara Y. Cappa

Principa~ Director of Business Development - Hawaii Division

CONSOLIDATED Ei\lGINEE~IN5 Ll\BORATO::<!ES

An ETS Company

2001 Crow Canyon Road, Suite 100

San Ramon, CA 94583

Phone: (925)314-7121

Office (808) 284-3206

Cell: {925) 708-8588

Fax: {925) 855-7151

Hill, Carol

From:

Sent: To: Subject: Attachments:

Carol-

Barbara Cappa <bcappa@ce-labs.com>

Tuesday, December 06, 2016 8:21 AM Hill, Carol [External_Sender] Change of RSO

scan.pdf

Please see attached. I sent Nathan DeWitt's RSO certificate in previously. Please let me know if you need again.

Thank you and Happy Holidays!!

Very truly yours,

Barbara Y. Cappa Principal Director of Business Development - Hawaii Division E hilina'i 'oe ikau hana, a hana pono no

CONSOLIDATED ENGINEERING LABORATORIES An ETS Company

99-1376 Koaha Place

Aiea, HI 96701 (Oahu) 296A Ala ma ha Street, C-2

Kahului, HI 96732 (Maui)

Phone: (925)314-7121 Office {808) 284-3206 Cell: (925) 708-8588 www.ce-labs.com bca ppa@ce-labs.com

From: Barbara [mailto:bycappa@aol.com]

Sent: Tuesday, December 6, 2016 2:44 AM

To: Barbara Cappa <bcappa@ce-labs.com>; Barbara <bycappa@aol.com>

Subject:

1

th592526

Hill, Carol

From: Sent: To: Subject: Attachments:

Barbara Cappa <bcappa@ce-labs.com> Tuesday, December 06, 2016 8:28 AM Hill, Carol [External_Sender] RSO Cert DeWitt RSO Certificate.pdf

Thought I would be proactive instead ©

Very truly yours,

Barbara Y. Cappa Principal Director of Business Development - Hawaii Division E hilina'i 'oe ikau hana, a hana pono no

CONSOLIDATED ENGINEERING LABORATORIES An ETS Company

99-1376 Koaha Place Aiea, HI 96701 (Oahu) 296A Alamaha Street, C-2 Kahului, HI 96732 (Maui) Phone: (925)314-7121 Office (808) 284-3206 Cell: (925) 708-8588 www.ce-labs.com bcappa@ce-labs.com

1

)h592526

01

co

m

C!Certtf irate of C!Completton This is to certify that

Nathan DeWitt has conzpleted a course of study in

103 - Radiation Safety Officer Portable Density/Moisture Gauge Training dated

ATI Phone~ (702) 515-7482 \\Ww.usaati.com

08/15/2016 offered b)·

Amedcan Technical Institute. U..C

American Technical Institute 10161 Park Run Drive. Suite 150

Las Vegas Nevada 89145

NRC FORM 532 .,V-'""°"<.

U.S. NUCLEAR REGULATORY COMMISSION (05-2016)

l~' • ll ACKNOWLEDGEMENT - RECEIPT OF CORRESPONDENCE ~ 'I .• :

\., '/ .........

Name and Address of Applicant and/or Licensee Date

I 12/15/2016 l Ms. Barbara Y. Cappa

License Number(s~

I Director of Business Development - Hawaii Division I 04~294~6-01 Consolidated Engineering Laboratories MaUControl Number~s~ 2001 Crow Canyon Road Suite 100 I San Ramon, California 94583

I . 592526

Licensing and/or Technical Reviewer or Branch

CHill

This is to acknowledge receipt of your: 0 Letter and/or D Application Dated: 12/05/2016

The initial processing, which included an administrative review, has been performed.

0 Amendment D Termination D New License D Renewal

D There were no administrative omissions identified during our initial review.

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

D Your application for a new NRC license did not include your taxpayer identification number. Please complete and submit NRC Form 531, Request for Taxpayer Identification Number, located at the following link: httg;l/www,nrc.gov/reading-rmldoc-collections/forms/nrc531.gdf

Follow the instructions on the form for submission.

D The following administrative omissions have been Identified:

Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional 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 Boulevard Arlington, TX 76011-4511 (817) 200-1209 or (817) 200-1140

NRC FORM 532 (05-2016)

. Vf~st/,

Hill, Carol

From: Sent: To: Subject: Attachments:

Barbara,

Hill, Carol Thursday, December 15, 2016 10:36 AM bcappa@ce-labs.com Acknowledgement of Receipt of Amendment Request is attached. NRC 532.pdf

Your request for amendment was received on 12/06/2016. Amendments can take up to 90 days to process. Once the request is assigned to a reviewer, if the reviewer has questions or needs additional information they will contact you directly.

Carol L. Hiii, Licensing Assistant

Direct: 817-200-1140 Toll Free: 1-800-952-9677 Fax: 817-200-1083 E-mail: Carol.Hill@nrc.gov

US Nuclear Regulatory Commission 1600 E. Lamar Blvd. Arlington, TX 76011-4511

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BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

[ FOR ARPB USE ] INFORMATION FROM WBL

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

License Fee Worksheet - License Fee Transmittal A.REGION

1. APPLICATION ATTACHED Applicant/Licensee: Consolidated Engineering Laboratories

Received Date: 12/06/2016 Docket Number: 3038512 Mail Control Number: 592526 License Number: 04-29436-01

Action Type: Amendment

2. FEE ATTACHED

Amount:

Check No.:

3. COMMENT

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I I

1. Fee Category and Amount: ~~~~~~~~~~~~~~~~~

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

Signed:

Date:

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