NRC FORM 7(8-2011)10 CFR 110

U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0027

Page 1 of 3- "--EXPIRES: 08/311 012

Estimated burden per response to comply with this mandatory collection request: 2.4 ours.This submittal is reviewed to ensure that the applicable statutory, regulatory, and policyconsiderations are satisfied. Send comments regarding burden estimate to the Infon alionServices Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, QC 2055<; 0001,or by intemet e-mail to Infocoliects.Resource@nrc.gov, and to the Desk Officer, 0 ce ofInfonmation and Regulatory Affairs, NEOB-l0202, (3150-0027), Office of Manageme t andBudget, Washington, DC 20503. If a means used to impose an information collecton do s notdisplay a currently valid OMB control number, the NRC may not conduct or sponsor, nd a

" person is not required to respond to, the information collection.

APPLICATION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL,OR CONSENT REQUEST(S)

(See Instructions on Pages 4 and 5)

LtC.E;~SE NUMBER "' > • ,DOCKET NUMBER" ADAMS A9CESSION NUMBER "'" r:Y\.llli;;\~,~k'Gr~!v;"dD; 'v " F I IOO(t'1) 31 ·""l\AtJi\ r iLL iq:~ CC0 .••• ~

PART B. TO BE COMPLETED FOR ALL L1CENS~S, AMENDMENTS, RENEWALS, OR CONSENT REQUEST~(If more space is needed to complete any of the items. Jse Pages 3-4 first, and then attach additional sheets, if necessary.)

PART A.;FOR NRC US/: ONLY"J-

d DATE RECEIVED '

,.', l~JPUBLIC OR 0 NON:PUBLIC - JUN 2 1 Z012 _ "!~.

1. NAME AND ADDRESS OF APPLICANT/LICENSEE la. NAr.. E OF APPLICANT'S CONTACT lb. APPLICANT'S REFERENCE NUMBER

Ronan Engineering Company Craig . Caris CAC 20128050 Production DriveFlorence, Ky 41042

859-342-6426lc. PHC NE NUMBER ld. FAX NUMBER

85(-342-8500le. E-M IL ADDRESS

ccarisG~ronanmeasure.com

2. TYPE OF ACTION REQUESTED (Check One)

V; EXPORT D IMPORT(Parts B. C, E) (Parts B, D, E)

AMENDMENT/RENEWALCurrent License Number:

D CONSENT REQUEST(Parts B, C)Current License Number:

7/3112013

3. CONTRACT NUMBER(S)

See Page 34. FIRST SHIPMENT DATE 5. LAST SHIPMENT DATE 6. PROPOSED EXPIRATION DATE

8/1/2012 7/3112013

PART C. TO BE COMPLETED FOR EXPOR" LICENSES, AMENDMENTS, RENEWALS OR CONSENTS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDF ESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATEAND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONS GNEE(S) FOREIGN CONSIGNEE(S)

Refineria de Cartagena S.A.Carretera a Pasacaballos, Krn 12Zona Industrial de MamonalCartagena, Columbia

8a. INTERMEDIATE USE(S) sa. ULTIMATE END USE(S)

fixed gauges to measure level7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED

lOa. MAX TOTAL VOLUME / lOb. MAX ENRICHMENT 10c. MAX ISOTOPEELEMENT WGT (KG), OR OR WGT % WGT (KG)TOTAL ACTIVITY (TBq)

10. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES,NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FORNUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OFEQUIPMENT FOR EXPORT

special form sealed sources Cesium 137 2.516 TBq

~t>I\JUN 2 1 2012(\.rf,

11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF ~ AXIMUM TOTAL VOLUME)

N/A

NKlo -UKM (8-2011)

Page 2 of 3

NRC FORM 7(8·2011)10 CFR 110

us, NUCLEAR REGULATORY COMMI SION

APPLICATION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL, OR CONSENT REQUEST(S) (Continued)

PART D. TO BE COMPLETED FOR IMPORT LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

12. NAME(S) / ADDRESS(ES) OF FOREIGNSUPPLIERS AND/OR OTHER PARTIESTO IMPORT

13. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 14. NAME(S) / ADDRESS(ES) OF ULTIMATE u.CONSIGNEE(S) CONSIGNEE(S)

12a. NRC EXPORT LICENSE NUMBER(S)(if applicable)

13a. LICENSE NUMBER(S) / EXPIRATION DATE(S) 14a. LICENSE NUMBER(S) / EXPIRATION DAT (S)

13b. INTERMEDIATE USE(S) 14b. ULTIMATE END USE(S)

15. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES,NUCLEAR FACILITIES

15a. MAX TOTAL VOLUME / 15b. MAX ENRICHMENT 15c. MAX ISOTO EELEMENT WGT (KG), OR OR WGT % WGT (KG)TOTAL ACTIVITY (TBq)

16. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)

PART E. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR CONSENT REQUES (S)

17. ADDITIONAL INFORMATIONPROVIDED ON PAGES 3, 4,AND/OR ON SEPARATE SHEETS?

17a. COPIES OF RECIPIENTS'AUTHORIZATIONS PROVIDED? lJ YES [{] N[{] YES [.] NO

18 CERTIFICATION. I, the applicant's authorized official, hereby certify that this application is prepared in conformity with Ti le10,. . Code of Federal Regulations, and that all information provided is correct to the best of my knowledge.

18b. SIGNATURE - AUTHORIZED OFFICIAL l8c. DATEl8a. PRINT NAME AND TITLE OF AUTHORIZED OFFICIAL

Craig A. CarisRadiation Safety Officer

~UJ~~ .

JUN.2 1 2012\~

Page 3 of

U.S. NUCLEAR REGULATORY COMMIS IONNRC FORM 7(8-2011)10 CFR 110

APPLICATION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL OR CONSENT REQUEST(S)

/'

(Continued)

ADAMS ACCESSION NUMBER ~lLJ PUBLIC _

lI~NSE NUMBER _

. \(ib\~o. 00DOCKET NUMBER

L\O(){oo~l ORO NGN-PUBL C

ADDITIONAL INFORMATION (Reference applicable block numbers from page 1 and/or page 2 for each entry)Block 3 Contract Numbers

42166001-PO-IOOI71120242166001-PO-1111711202