. . . . . - . - - . - -. _ . . - . . . - - - , . I #CC FsO 374A- ~' " ''"" - - - - ~- '- - '''c'E DU L AT OR Y COldMISSION - 3 p3p g | ' - '"''"'"'--------' -"'''' ----- ----- ' U.S. NUCL E A3 pgg , y l "U' 4 License trLmber * I ! * | | I | MATERIALS LICENSE *""""QQ'B928-01 1 : 1 SUPPLEMENTARY SHEET | | N 030 4 7366 1 ; | I i A rnn n riracm f fin . n_ _'' I, y ; 4 I I Edwards Oil Service, Inc. I 530 South Rouge i 1 Detroi t,111 48217 I ' | 1 | !j | In accordance with liRC Form 314 * Certificate of Disposition" dated llay 8,1990, License , Nutuber 21-18928-01 is hereby terminated. 1 I;l ! l > I I | | | ! gy. m Q {- u u,'9 , Q A y | - , , , I s CV I ! /) I Q I i -( | 1 | cf,. N y % .- | w - | <' ~A A w I b ' g!)}w <; | ,fl %fu\ f I ' ,,/ C. I / ( [g cgm f- % a m . * 1 yy A/- ' | , pJ %)3 I ; | *Q, ! ., 9 k(\f(O, '*( y)'fm <' A < -: < I f 22 i ' | y_ * % s,s -, f N | , y a p ^ %: +' r p T r #g ,F :: i : N ' v'; I | Jc-4Uq " L i ! J-. N x, , I p , ,4 .hy , , < ' g > tG -l ' 3 { t @, , " | (#) ' r Ay! i%24 ,1;3 h&JY ' (*,) I | ' % ' SQu' M LS | \ Ak- !,n n my, -g , s , , * , Q ([ [j k Q, f g y*, , M 4 # S,gN '" * I o i , : (i vd w d- &# 4. 1 ,k QL g$ i i A g n I I i ' ! 4 | | 4 1 ; I g ' $ I , l- 4 I ' ! R I ! 9 I 4 1 , 4 1 4 1 4 I g For the U.S. Nuclear Regulatory Commission | '' 9010230003 900702 i i ,% g REQ 3 LIC30 y V.<; I MATLSLICENSING PDR I , Original Signed i Date: J_uly 2,1990 By Patricia 11. _Vacherlon 8 4 p, _ 1 -- q Itaterials Licensing Section, Region Ill p NNishv.ammm1pswimummaLwawsuummaiDuausaiQiKiKEbz e E- -A p- , - .. . . - . _ _ . -
Transcript
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I #CC FsO 374A- ~' " ''"" - - - - ~- '- - '''c'E DU L AT OR Y COldMISSION - 3 p3p g | '[- '"''"'"'--------' -"'''' ----- ----- '
1. APPLICATION ATTACHED() APPLIC ANT / LICENSEE: EDWARDS DIL SERV., INC.-
RECEIVED DATE: 900515DOCKET NO: 301T366
' () CONTROL NO.: 369368LICENSE NO.: 21-19928-01ACTION TYPE: TERMINATION
2. FEE ATTACHEDAMOUNT: ._, ____
() CHECK NO.! ... ....
3. C OMMENT S
SIGNED.__ M _._____._.
DATE ___iC:JJC-fivO
03 IS ENTERED / /)B. LICENSE FEE MANAGEMENT BRANCH (CHECK W MILESTONE _/
O 1. FEE CATEGORY AND ANDUNT: ...________. _ _ ____________
L. - 2. CORRECT FEE PAID. AFP fATION MAY B E _'n 555E0 OR:!O AMENOMENT ~ ~ - - - - - -
____ _________
| RENEWAL .....____ . __
LICENSE ___..____.....
v3. OTHER ___....___....____________. ..____
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
O$1GNED - -
DATE __[[_ _EI E( yfhE.~_~[.~[[_~_[[_~_~_~['~
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.
EDWARDS OIL SERVICE, INC. !-
530 SOUTH ROUGE, DETROIT, MICHIGAN 48217;
'
(313) 841 226)
4
8 May 1990,
!Nuclear Regulatory Commission !
R0gion III [799 Roosevelt RoadGlen Ellyn, Illinois 60137 }
:
Attn.: Ms. Rose Pankratz !.
Daar Ms. Pankratzt ;
i
l've forwarded this paperwork to your attention for your review becauseof our earlier discussions regarding this situation.
.
|,
A's you may recall, EOS had a gas chromatograph with an electron capture |dotector which was licensed with the NRC,under license #.21-18928-01.-It was replaced in Dec., 1987 with an identical Varian GC, which.Varianindicated would be covered by this same Itcence. After our telephone !
discussions it was obvious that switching to registration under Varian's t
gsneral license was prefered over the current arrangement.. i
>.
To accomplish this change I have attached-the following 7. f:.n
NRC-314 to terminate our license. k w2M h: E ,
A " Registration of Generally Licensed Devices" form 9mrovged Q :Varian. j,- g~
,
bntad me if IThanks once again for your help in this matter. Pleas'onything additional is required. E -{*:
Sincerely,. ;
ttl 4 8 iRECEIVEDA. F... Laethem y i
Analytical Chemist . MAY 151990./
Attachments: NRC-314. - DT REGION III"
-
Registration. y; [| 1
& PJA.M P(Y 9' g i 4 92, 3
i
DDmM.NO 8 9 3 6 8; !'
. . __ . _._ , _ _ - _
.
UA NUCLEAR REOULATORY COMe819510N aNnOvte Dv CastI eAc t,ons seeI maea .m.a.nMx,,ni
|
twince mi.e' we . .
we = iH l'
CERTIFICATE OF DISPOSITION CF MATE 28AL.S"''*"*""*d '
.
(All items MUSr be Completed, please prkrt)
LICtNSEE hatst &WD ADDatS5 klCENSE huwe(m
5 h AftD $ ess S t gyrc g, 00SS0~00ffo $ *' g cg g
| D L 19\'O t T m i t 44 /(r A " W 8 s? / ] L *Ct Nst i n*** A1 eow t A s t
fr/90/90THE LICENS([ OR ANY INDIVIDUAL ExtCUTING THl3 CERTIFICATE ON 9tHALF OF THE LICEN$(( CERTIFIES THAtl (Checa eadApr compJere ageannwuprem hents) wee )
A. MATE RIALS DATA fcheca erw emr compfere, as necesarrt
] 1. NO WAttRI ALs HAV( (VER $((N POSSES $f D OR PROCURED BY THE LICENSEE UND(R THIS LICENSE.On
2. ALL MAT (htALS PROCURED AND/OR POSSESSED BY THE LICENStt UNDER THE LICENSE NUMSER CITED ABOVE M' AVE 6ttN TRANSFE RRED ON
. . . - - . -- -=
WMtCM 8.A5 kmC t CtNat huwega
OR
3. ALL MATIRIALS PROCURED AND/OR POS$tS$tD SY THE LICENSEE UNDER THE LICENSE NUNDER CITED ABOVE HAVE B((N TRANSF(RRED ON
DAtt 70
woucu eeAs tectmst nuwstm [is5vtc ev TMt atAtt of
AN AGREEMENT STATE PURSUANT TO'SECTION 274 OF THE ATOMIC ENERGY ACT OF 1964, AS AMENDED, AND THE ENERGY REORGANIZATION
ca - ACT OF 1974.4. M Af t RI ALS H AVE DEEN DISPOSED OF IN THE FOLLOWING M ANNE R. (Operribe swcl/ar (smes/ procedures-//eddeoonal swe 4 neednf, uns the sweerw of
she fome, or peerede erracnmeses)
Tit A D l O 4W ON .* E 64/ 6A1 C or tt o M i ss wA PH ,
YA M Alf % VhM$nt e5 VAttIA W thtK t a u ts s.*w s T A"D n n ,ssat un n or n
M *TCIfT Fcg % ge p g s k. jg t p u,g g;;; pp ,n, pp y pgy gg,5 ,gg,
8. OTHER DAT A
1. OUR LICENSE HAS NOT YET EXPIRED: PLE ASE TERMINATE IT.- 2. WAS A PADIATION SURVEY CONOUCTED TO CONFIRM THE ABSENCE OF LICENStD RADIOACTIVE MATERIALS AND TO DETERMINE WHETHER ANY
_ CONTAMINATION REMAINS ON THE PREMISES COVERED SY THE LICENSEP (Q5eca one)
_NO
YES. THE RESULTS (O.eca one)
ARE ATT ACHED, OR
WE RE FORW ARDED TO NRC ON (Oste)
3. THE PE RSON TO BE CONT ACTED REGARDING THE INFORMATION PROVIDED ON TH15 FORM
| TtttewoNt huwatanaug
A. f. / /r a rn s 30 / SWI -?2 c f*m4. MAIL ALL FUTURE CORRESPONDENC[ RIGARDING THIS LICENSE TO
/). f. A A e w %
R(TURN TO CE RTIFYING OF FICI AL
U.S. Nucicar Regulatory Commission ; . .Tuos p. ,, '",gOffice of Inspection & Enforcement' fa _9,Region !I1 , , , , , , , , , , , , , , , , , , , , ,
799 Roosevelt Rd. A. F, umraGlen Ellyn, Illinois 60137 ..p g y rie u o ,f u, n- |-
*CKC Form 314 (Il421
;.
CONTROL NO. 8 0 3 (3 g
I~
l.. *.
-.
Retab blank ortinel for future reporting.' REGISTRATION OF Department of Health una only.GENERALLY LICENSED DEVICES
pLocation of use No. Street City S p*, Zip County [
It 313 ) B yl- it p WTelephone :
|lJASTL Ou R n e s n e" A wd --gg _
iNature of organiastoon
gp'," |An f, $4 6 THi %*
,'Name of indevedual user ,
7) !
Meding edersee til detterent from et.ovel ;
No Poet Ottice boa- ,
I
'Re submit if any change has taken pirice, in California re submit on every July of even numbered years '.
!Dodse DateManufacturer: Vanan Instru' ment Group, Walnut Creek Division !
*
2700 Mitchell Drive, Walnut Creek, CA 945981675, Contra Costa CountyTelephone: (415) 939 2400 ,
License Manufacturing N0256 07 !''
Distnbution #3092 07 GL'
lootope: Nickel 63 - 8 milliCure, maximumDedos: Type Ele:: tron Capture Detector. Model 0240]972 00 or 03-917440 00 [Purpose- Detector for Gas Chromato;)raphs: 3000 or VISTA Series'
,
;
I herewith commit myself and company to adhere to the regulations supplied in the Radiation Safety Manual (P/N 03 913999 00) -jl
iI am aware of tne following requirements:
(1) Registration within thirty (30) days. Section 30192 (c)(2)(A). |*
(2) General requiroment. Section 30253. '
(3) Access to premises and records. Section 30254.
(4) Leak test and record keeping. Section 30293. ((5) Reporting of theft of loss of device, Section 30294. i
,
| (6) Notification of incidents. Section 30295. , ,- .
(7) No unauthorized transfer of ownership. Section 30192 (c)(2)(B). -
(8) Shipping specifications. (Page 6 and last page).
!- # "Signature.is Title: A*'AJ yy at 4 s c H Lm s i f 9ggg. [e () ~ 9 0
CONTROL NO. 8 9 3 6 8u,
~,.
^
Retese tdar* eriginel for futuro trponing.' REGISTRATION OF Departrn;nt of Health use only.-
GENERALLY UCENSED DEVICES*- * *
Subsus two marked-up copses 12 authorityhadig jur,iese0 tion in erme of use.
SWBIA eAs. marked up cQy.
(No fee required)
wem
M 7$ O w/) sV D.S Os s. $ g gvo t g'
Name of orgensaction ownen0 eevice~
' ~ 2)Previous rcystration numtwr (if any).
MstblW WM WA YNL -.f"?lp S2 R e> v & g. 3 E 2 steroryLacesson'of use No. Suuet City State Zip County
(3/3 1 8 t'/ * d 2 ([Telephone
Lin ss i Ou R n c o n o" A r o.~' -
g;' Nature of organiaation.,* .
f. . ,9 4 r et 3 m*e
6),, ,,
Nome of indevedual user
7)Meetin0 address (if gefferent from above)No Post Office bon
,
CRs submit if any change has taken place. In California re submit on every July of even numbered years.
Dedes, Oste-Varian Instru'rnent Group. Walnut Creek Division
.
Manulacturer.2700 Mitchell Dnvo, Walnut Creek CA 945981675. Contra Costa County i
