NRC FORM 374 PAGE 1 OF 4 PAGES

NRC FORM 374 PAGE I OF 4 PAGESU.S. NUCLEAR REGULATORY COMMISSION

MATERIALS LICENSEPursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,Code of Federal Regulations, Chapter I, Parts 30, 31, 32, 33, 34, 35, 36, 39, 40, and 70, and in reliance on statements andrepresentations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, andtransfer byproduct, source, and special nuclear material designated below; to use such material for the purpose(s) and at the place(s)designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of theapplicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, asamended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in effectand to any conditions specified below.

Licensee

1. Jicarilla Apache Nation Contract Roads 3. License number 30-29388-01

2. P.O. Box 709 4. Expiration date May 31, 2020Dulce, New Mexico 87528 M -,c.Np.O30-38273

ReferenE• I •

6. Byproduct, source, and/or 7. I and/or physical form Maximum amount that licensee may

special nuclear material Ipssess at any one time under this

A. Radium-226 'V A.,ealed sources (Gammatron A P.5 millicuries per source andA. ~ ~ i Raim-2 ..J ItA-PGo TGP;o•1.5 millicuries total"4' a 4deAN-HPG or GT-GHP;

• .. , o lo g y S A , In c

9. Authorized use: W•-'•• C•• •' :i;, ,

A. To be used oear a o-rat t *1 C -f rtableilitie devices formeasuring phi*al p .o tril.0

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A. Building 21, Bureau of Indian Affairs Building#319, Seneca Street, Dulce, New Mexico, and

B. Temporary job sites anywhere in the United States where the U.S. Nuclear Regulatory Commissionmaintains jurisdiction for regulating the use of licensed material, including areas of exclusive Federaljurisdiction within Agreement States.

If the jurisdiction status of a Federal facility within an Agreement state is unknown, the licensee shouldcontact the federal agency controlling the job site in question to determine whether the proposed job siteis an area of exclusive Federal jurisdiction. Authorization for use of radioactive materials at job sites inAgreement States not under exclusive Federal jurisdiction shall be obtained from the appropriate stateregulatory agency.

11. Licensed materials may be used by, or under the supervision and in the physical presence of, individualswho have received the training described in the application dated March 15, 2010.

NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 2 of 4 PAGES

License Number

30-29388-01MATERIALS LICENSE Docket or Reference NumberSUPPLEMENTARY SHEET 030-38273

12. The Radiation Safety Officer (RSO) for this license is Byron G. Quintana.

13. A. Sealed sources shall be tested for leakage and/or contamination at intervals not to exceed theintervals specified in the certificate of registration issued by U.S. Nuclear Regulatory Commissionunder 10 CFR 32.210 or by an Agreement State.

B. In the absence of a certificate from a transferor indicating that a leak test has been made within theintervals specified in the certificate of registration issued by U.S. Nuclear Regulatory Commissionunder 10 CFR 32.210 or by an Agreement tat r to the transfer, a sealed source or detector cellreceived from another person shal •i tested and the test results received.

C. Sealed sources need not b# 1&t•d if they are in storage andar, ot being used. However, whenthey are removed from sm'i&e for use or transferred to another15ewbn, and have not been testedwithin the required leak't interval, they shall be tested before use 6rransfer. No sealed sourceshall be stored for a miod of more than 10 years without being tested.ý leakage and/orcontamination.

D. The leak test shall-be capabl f d ing the presenc 0 0.5 microcue(185 becquerels) ofradioactive mater~ion the tes m f th es ev '11 th resence ofiQ005 microcurie(185 becquerels)7nore of rervb ntIn ion, ep shall be fil&WýNith the U.S. NuclearRegulatory Comri-ion in acco an ith 3 (c) ), and the s!,rce shall be removedimmediately from rice an rpds d of in 4rdance withCommission regul uatione a ne datie leak test result isknown with the U.O•ucleamissio i 612 Ea .amar Blvd., Suite 400,Arlington, Texas 76qW-412 'Dr, Divisi f ar Matei6o Safety. The report shallspecify the source inkgred, ton take&•

E. Tests for leakage and/o aminatin sh orme y per• specifically licensed by theU.S. Nuclear Regulatory Cl ission or an' ment State to 4porm such services. In addition,the licensee is authorized to collect leak test samples but -t perform the analysis; analysis of leaktest samples must be performed byers s if'l lcsed by the Commission or anAgreement State to perform such services.

F. Records of leak tests results shall be kept in units of microcuries and shall be maintained for 3 years.

14. Sealed sources or source rods containing licensed material shall not be opened or sources removed ordetached from source rods or gauges by the licensee, except as specifically authorized.

15. The licensee shall conduct a physical inventory every 6 months, or at other intervals approved by theU.S. Nuclear Regulatory Commission, to account for all sources and/or devices received and possessedunder the license. Records of inventories shall be maintained for 5 years from the date of eachinventory, and shall include the radionudides, quantities, manufacturer's name and model numbers, andthe date of the inventory.

NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 3 of 4 PAGES

License Number

30-29388-01MATERIALS LICENSE Docket or Reference NumberSUPPLEMENTARY SHEET 030-38273

16. Except for maintaining labeling as required by 10 CFR Part 20 or 71, the licensee shall obtainauthorization from U.S. Nuclear Regulatory Commission before making any changes in the sealedsource, device, or source-device combination that would alter the description or specifications asindicated in the respective Certificates of Registration issued either by the Commission pursuant to10 CFR 32.210 or by an Agreement State.

17. Each portable nuclear gauge shall have a lock or outer locked container designed to preventunauthorized or accidental removal of the sealed source from its shielded position. The gauge or itscontainer must be locked when in transport, sltrag)rwhn not under the direct surveillance of anauthorized user. 1 f re S

18. Any cleaning, maintenance, or ,dO- f the gauges that requires ahing the source or source rod fromthe gauge shall be performe•QIy by the manufacturer or other persb ecifically licensed by theU.S. Nuclear Regulatory Ce ission or an Agreement State to perform, h services.

19. The licensee is authori &fo tr4osport licensed material only in ac/c anc^vjh the provisions of10 CFR Part 71, "Packa g aVQT'rbnortation of Radioactive atkrial."

20. A. If the licensee uselunshielde al Urs ued o-rthan 3 fee Qlow the surface, thelicensee shall us rfae casinth e n fro the We depth to 12r i*hes above the surfaceand other appropriate procedur to ce =e baV Dio e source oprobe becoming lodgedbelow the~e suiaeh.,g it is no hs abov •e surface, the licenseebelow the surfacmait it is no le -t491shall implement procedure thlet go f1? schobstr subeface, thicnmeasurements. hIi fe'pos nee k

B. If a sealed source or robe es lodgftbelow the surface and itbecomes apparen t rts r t so, or prob y not be successful, thelicensee shall notify the . ua emmis n an , mit the report required by10 CFR 30.50(b)(2) and (c. he licensee sh ot abandon th led source or probe withoutobtaining the Commission's prior wen consent. Notific n an reporting requirements should bemade to the NRC Emergency Opelionste at1-b 6-5100.

NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 4 of 4 PAGES

License Number

30-29388-01MATERIALS LICENSE Docket or Reference NumberSUPPLEMENTARY SHEET 030-38273

21. Except as specifically provided otherwise in this license, the licensee shall conduct its program inaccordance with the statements, representations, and procedures contained in the documents, includingany enclosures, listed below. The U.S. Nuclear Regulatory Commission's regulations shall govern unlessthe statements, representations, and procedures in the licensee's application and correspondence aremore restrictive than the regulations.

A. Application dated March 15, 2010 (ML1 0097559)B. Letter with enclosures dated May 11, 2010 (ML101400420)

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FOR THE U.S. NUCLEAR REGULATORY COMMISSION

IRAIDate May 20, 2010 By

Roberto J. Torres, Senior Health PhysicistNuclear Materials Safety Branch BRegion IVArlington, Texas 76011-4125