| 'a ttach a resume of person's training and esperience as
TRANSCRIPT
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FORM NRG 313 I U.S. NUCLE AR REGULATORY COMMfSSION 1. APPLICATION FOR:(340) (Check and/or compkte as appropriate)10 CF R 30
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APPLICATION FOR BYPRODUCT MATERIAL LICENSEINDUSTRIAL X a. NEW LICENSE
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See strached instructions for details, b. AMENDMENT TO:LICENSE NUMBER
Completed applications are filed in duplicate with the Division of Fuel Cycle and Material Safety,Office of Nuclear Material Safety, and S.efeguards, U.S. Nuclear Regulatory Commission'
., c' RENEWAL OFt Washington, DC 20555 or applications may be filed in person at the Commiuion's office at uggn,gnuy,gn
1717 H Street, NW, Washington, D. C. or 1915 Eastern A venue, Sitar Spring. Maryland.
2. APPLIC ANT'S N AME (Institution, ferm, person, etc.) 3. NAME AND TITLE OF PERSON TO BE CONTACTED'
REOARDING THIS APPLICATIONUS ARMY CORPS OF ENGIllEERSALBUQU:'RQUE DISTRICT CHAP 1ES R. MABitIIER CPT. E?!
TELEPHONE NUM8ER: ARE A CODE - NUMBER EXTENSION TELEPHONE NUMBER: ARE A CODE - NUMBE R EXTENSION
(505) 766-2731 (505) 766-13904. APPLIC ANT'S M AILING ADDRESS (Include les Codel 5. STREET ADDRESS WHERE LICENSED MATERIAL nill BE USED
(Address to which NRC con espondence. notices, bulletins, etc., (Include Zip Codel
should be sent.) ATTN : SWASO Facilities of the licensee located inP.O. Box 1580 Albuquerque and/or various job sitesAlbuquerque, NM 87103 located within jurisdiction of the NRC
(IF MORE SPACE IS NEED"D FOR ANY ITEM USE ADDITIONAL PROPERLY KEYED PAGES.)6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERI AL
(See items 16 and 17 for required trarn>ng and emperience of each indivodual named below)
FULL NAME TITLE
' SEE ATTACHED SHEET XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXYXXXXX
DJ XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXF XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXYXXvXXXXvXXXX
C- XXXXXXXXXXXXXXXXXXXXXXXXXXXX^XXXXXXXXXXXF XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXvXI7. R ADI ATlON PROTECTION OFFICER
| 'A ttach a resume of person's training and esperience as outlined in items6 *"d !! *nd oescribe his tespons>bitorios under ttem is.CHARLES R. KABINIER CPT. EN.Chief, Safety / Security Office | ALTERNATE: MR. DALE CARVER
8. LICENSED MATERIALL ELEMENT CHEMICAL NAME OF MANUFACTURER MAXIMUM NUMBER OFi AND ANDIOR AND MILLICURIES AND/OR SEALEDN MASS NUMBER PHYSIO %L FORM MODEL NUMdER SOURCES AND MAXIMUM ACTI.E //t Sealed Source) VITY PER SOURCE WHICH WILL
BE POSSESSED AT ANY ONE TIME
N O. A B C D
TROXLER ELEC. LABSCESIUM 137 SEALED SOURCE CC-1429 8 MILLICURIES
TROXLER ELEC. LABS(2) AMEPICIUM 241/BE. SEALED SOUPCE CAA-450 40 MILLICURIES
CP!1 CORPORATION(3) CESIUM 137 SEALED SO"PCE CPN-131 10 MILLICURIES
CPN CORPORATIONI#I AMEPICIUM 241/BE. SEALED SOURCE CPN-131 50 MILLICURIES
DESCRIBE USE OF LICENSED MATERIALE
W SEE ATTACHED SHEET XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
W XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXvXYXXXXXXX
I3I XXXXXX;*XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXVXXXXvXXXXyvXXvX
(4) . ...... .. ......, ,"vvvvvvvvvvvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXI - 8807130367 080524
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REG 4 LIC3030-17283-02 PDRvvv > -
7._
9. STOR AGE OF SEALED SOUFCES* * *
y CONTAINER AND/OR DEVidE IN WHICH EACH SEALED NAME OF MANUFACTURER MODEL NUMBERw SOURCE WILL BE STORED OR UOED.
,
INO. A. B. C.
(1)DENSITY / MOISTURE GAUGE TbOXLE9 ELEC. LABS 3411B
DENSITY / MOISTURE GAUGE TROXLER ELEC. BABS 3411B
(3)DENSITY / MOISTURE GAUGE CPN CORP. A,BRC,MC,or 501
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(4)DENSITY /MOISTilg,JAUGE CPN. CORP. A.BRC.MC.or 501
10. RADIATION DETECTION INSTRUMENTSTYPE M AN U F ACTU R E R'S MODEL NUMBER R ADIATION SENSITIVITY
{ OF NAME NUMBER AV AIL ABLE DETECTED RANGEN INSTRUMENT (a/pha, bew, (miniroentgens/ hour
9Q, gamms. neutron) or counts / minute)A B C D E F
(1)NOT REQUIRED XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXXXXX
NOT REOUIPID XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXXXXX
NOT FIOUII2D XX"XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXXXXX
NOT PF UIPED XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXX XYXXXXXVXXXXXXXX, 11. CALIBR ATION OF INSTRUMENTS LISTED IN ITEM 10C a. C AL'BRATED BY SERVICE COMP ANY O b. CAllPR ATED BY APPLICANT
NAME, AQDRESS, AND FREOUENCY A ttach a separate sheet descrobong method, frequency and standardsused for calibrating instruments.
NOT APPLICABLE NOT APPLICABLE12. PERSONNEL MONITORING DEVICES
TYPE SUPPLIER EXCHANGE FREQUENCY(Check and/or compiere os opproproote.) (Servoce CompanylA B c
3(1) FILM 8ADGE US AP11Y Z MONTHLY,
IONIZ7NG RADIATION DOSIMETRY CENTERO(2) THERMOLUMINESCENCE ATTN: DRSMI - MCI - DCS O QUARTERLY
DOSIMETER /TLD) LEXINGTON, KY 40511
C (3) OTHE R ISpecoty): . O OTHE R (Specofv):
|13. FACILITIES AND EQUIPMENT (Check were aporooriate and attach annotated sketch (es) and description (s).
3a LABOR ATOR Y F ACILITIES, PL ANT F ACILITIES, FUME HOODS (Include foltration, if eny), ETC.3 b. STOR AGE F ACILi TIES. CONTAINE RS. SPECI AL SHIE LDING (foxed and/or temporary), ETC.O c. REMOTE HANDLING TOOLS OR EQUIPMENT, ETC.
O d. RESPIR ATORY PriOTECTIV E EQUIPMENT, ETC.
14. WASTE DISPOSAL
s. N AME OF COMMERCI AL WASTE DISPOSAL SE RVICE EM'LOYE D HOT APPLICABLE,
b.lF COMMERCIAL WASTE DISPOSAL SERVICE IS NOT EMPLOYED, SUBMIT A DETAILED DESCRIPTION OF METHODS WHICH WILLBE USED FOR OISPOSING OF RADIOACTIVE WASTES AND ESTIMATES OF THE TYPE AND AMOUNT OF ACTIVITY INVOLVED.lFTHE APPLICATION IS FOR SE ALED SOURCES AND DEVICES AND THEY WILL BE RETU9NED TO THE MANUFACTURER,SO STATE.
THE WASTE WILL BE RETUPNED TO THE MANUFACTURER OF TiiE GAUGE / SEALED SOURCE OR OTIIERAUTinRIZED DISPOSAL FACILITY.
FORM NRC.313 I (3-80)
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INFORMATION REQUIRED FOR ITEMS 15,16 AND 17
Deteribe Iri detail the information required for items 15,16 and 17. Begin each item on aseparate page and key to the application as follows:
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15. RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropriate forthe material to be used inc|uding the duties and responsibilities of the Radiation Protection Officer,control measures, bioassay procedures //f needed/, day to< fay general safety instruction to be followed,.
etc. If the application is for sealed source's also submit leak testing procedures, or if leak testing will bepeiformed using a leak test kit, specify manufacturer and model number of tne leak test kit.
16. FORMAL TRAINING IN RADIATION SAFETY, Attach a resume for each individual named initems 6 and 7. Describe individual's formal training in the following areas where applicable, includethe name of person or institution providing the training, duration of training, when training wasreceived, etc.
e. Principles and practices of radiation protection,
b. Radioactivity measurement standardization and monitoringtechniques and instruments,
c. Mathematics and calculations basic to the use and nyeasurement ofradioactivity.
d Biological effects of radiation. |
17. EXPE HENCE. Attach a resume for each individual named in items 6 and 7. Describe individual'swork <perience w:th radiat:on, including where experience was obtained. Work experience or on-
Ithe job training should be commensurate with the proposed use. Include list of rafoisotopes andmaximum activity of each used.
1ft. CERTIFICATE(Thk itern must be completed by applicent) j
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|The opplicant and any o!!scial executing this cert.ficott on behoff of the ,pplicant named in item 2,certify that this spoticatoon is prepared in conformity with Title 10, Code of Federal Regulations,Part 30, and that all information contained herein, including any supplements artseed hereto, is truo |
and correct to the bert of our knowJedge and betref.
WARNING.-18 U.S.C., Section 100h Act of June 25,1948; 62 Stat. 749; makes it a ceiminal offem to tnoke a wiltfully false statement orrepresentation to any deportment or esency of the United States es to any matter within its jurisdiction.
AA A !e. LICENSE FEE REQUIRED b.CER 'F 2 OF CIA i tur ,g
(See Section r?0.3t.10 CFR 170)
c. NA'XIE (Type or print)U.S. GOVEPl!MEllT AGE!!CY CllAP1ES R. YABIflIER CPT. Efi
(1) LICENSE FEE CATEGORY: '
EXEMPT CHIEF, SAFETY / SECURITY OWICE
gQ ]{ gg(2) LICENSE FEE ENCLOSED: $
FORM NRC-3t3 i (3 80)
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APPLICATION FOR BYPRODUCT MATER'IA'L LICENSEINDUSTRIAL
,
DEPARTMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW MEXICO 87103
Supplemental Sheet to Item 6
6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OFLICENSED MATERIAL
FULL NAME TITLE
a. Cpt. Charles R. Kabinier / Chief, Safety / Security Office'b. Dale H. Carver Civil Engineer
c. Joseph E. Gutierrez '# Materials Engineer ing Tech.d. Jorge W. Lugo / Materials Engineering Tech.e. Otto C. Kirsten f/' Construction Representat ive
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APPLICATION FOR BTPRODUCT HATERIAL LICENSEINDUSTRIAL
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DEPARTHENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERS-
P.O. 30X 1580ALBUQUERQUE, NEW MEXICO 87103
Supplemental Sheet to Item 7
~7. RADIATION PROTECTION OFFICER:CHARLES RANDALL KABINIERCPT. EN.CHIEF, SAFETY / SECURITY OFFICE
TRAINING:1. Distinguished graduate of the United States
Army Engineer School Atomic Demolition MunitionsOfficer Course. Department of Military Engineer-ing held at FT. Belvoir, VA October 31, 1977. Ex-
perience with large and small yield nuclearmunitions systems. Sources and quantitiesis cla ssif ied. .
I;
2. Distinguished graduate of the United States ArmyForscom Area NBC Defense Operations Course. |
10-79 held at FT. Campbell, Ky. 24 May 1979.Utilized various small quantity isotopes assources f or surveying and monitoring.
3. Completed Campbell Pacific Nuclear Corporationcourse on Radiation Safety and Use of NuclearSoil Gauges.
Course Contained:a.) PRINCIPLES AND PRACTICES OF RADIATION PROTECTION-
theory, terminology, and practical ax-planations of Radioactive materials,license requirements, storage, trans-portation, and Emergency Procedures tobe used with portable nuclear devices-typical of "soil, agricultural, roof,and other construction gauges usingsmall (not more than 300 millicuriea)sources in scaled capsules."
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Continuation for. Supplemental Sheet to Item 7
7. RADIATION PROTECTION OFFICER
3 (b) MATHEMATICS AND CALCULATIONS IN RELATION TO USE ANDMEASUREMENTS OF RADI0 ACTIVITY-determination of radiation levels in mrems withinworking. distance of a typical portable "construc-tion device", calculation of probable weekly radi-ation dose under heavy work condition, and relationof that dose to the NRC maximum annual allowancesfor occupational use of radioactivity. Establish-,
* ment of relationship of this occupational dose tothat obtained from normal life exposures of back-ground radiation at sea level and high altitude,jet plane travel, normal health'X-Rays, etc.
(c) RADIOACTIVE MEASUREMENT STANDARDIZATION AND MONITORINGTECHNIQUES AND INSTRUMENTS-demonstration of radiation levels typical with use ofsmall, portable devices using convention survey meter,concentration on inverse squares law factors, effectsof shielding, time, and distance in use of materials.
10 LOGICAL-EFFECTS OF RADIATION-(d) general discussion of effects of low level radiation onthe body with emphasis on the relationship of routinelifestyle exposure (anvironmental, routine medica'., etc.)*to the added expo sure f.om normal use of portable devicesusing small millicurie sources.
4 Received OJT f rom Kirtland AFB Radiation Saf ety Of ficer, CPT.David Hunter. Giver _ns:rection in NRC regulations and propertechniques "tilizco in procuring a byproduct material license.Reviewed various monitoring instruments that measure and/or !
detect. Giv en in s t ruc t ion in administering a radiation jsafety program in consonance with NRC directives. I
ALTERNATE RADIATION PROTECTION OFFICER:
DALE H. CARVERCivil Engineer,Construction Branch
1. Completed training course on Radiation Safety and Use ofNuclear Soil Gauges given by Campbell Pacific NuclearCorporation of Pacheco, California. Tau *ght Principles and I
Practices of Radiation Protection, Radioactivity Measure-ment Standardization and Monitoring Techniques and In- !struments, Mathematical Calculations basic to the use andMeasurement of Ra d io a c t iv it y , Nuclear Physics, Biological
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Continuation for Supplemental Sheet to Item '
7. RADIATION PROTECTION OFFICER
effects of radiation, Familiariza' tion with Cesium 137,Americium 241/Be.
2. OJT under certified user of Troxler Nuclear Soil Gaugefor two years. Did not operate, but observed actual useof soil gauge and became knowledgeable of radiation safety.
1
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.- CONTINUA N PAGE FOR SUPPLEMENTAL SJ T TO ITEM 7,
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v(Certiftrate of (Completimt )
!I
awa4ded /c!
SECOND LIEUTENANT CHARLES R KABINIER j|
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Sm succoufal com/sle/ ion of the |!|
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ATOMIC DEM0LITION MUNITIONS OFFICER COURSE ||
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Sgt /A/4 31ST gay y OCTOBER , 1977
at %st 6%fm's, %g4sia
2m&s |DlQcT6C U'
DEPARTMENT OF nlLITARY ENGINEERING
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dh DALE H CARVER
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25TH FEBRUARY [[ 82 , HOLIDAY INN-
ALBUQUERQUE g,
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-NEW MEXICO - h~~~ |
i ! J MPBEL / PATRICK J.A:AMPBELL 4,.
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APPLICATION FOR BYPRODUCT MATERIAL LICENSEINDUSTRIAL
DEPARTMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW MEXICO 87103
Supplemental Sheet to Item 8E
8. DESCRIBE USE OF LICENSED MATERIAL
ELEMENT AND MASS FORM MANUFACTURER SERIAL # ACTIVITY
1. CESIUM 137 SEALED SOURCE TROXLER ELEC. CC-1429 8 MILLICURIES2. AMERICIUM 241/Be. SEALED SOURCE TROXLER ELEC. CAA-450 40 MILLICURIES
Items 1 and 2 above to be used in Troxler Electric labora-tories model 3400 series moisture / density gauge for the meas-urement of density and moisture of construction materials atvarious j ob sites.
3. CESIUM 137 SEALED SOURCE CPN CORP. CPN-131 10 MILLICURIES4. AMERICIUM 241/Be SEALED SOURCE CPN CORP. CPN-131 50 MILLICURIES
Items 3 and 4 above to be used in CPN Corp. Model A, BRC, MC,or 501 Density / Moisture Gauges for the measurement of densityand moisture of construction materials at various job sites.
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APPLICATION FOR BTPRODUCT MATERIAL LICENSEINDUSTRIAL
DEPARIMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW HEXICO 67103
i
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Supplemental Sheet to Item 12 abc
12. PERSONNEL MONITORING DEVICES
US ARKi 12tIZING RADIAtirN posIHEny CEKTIRLEXI:ICT01, KENTVCKY 4 % 11
mp3RY SCNEXL/ 70R F11Ji RADGE SER'.' ICE !1982 |
l
PERIODLETT!3 FROM TO
C 17 Jan 1962 21 Feb 1982
H 21 Feb 1982 21 tur 1982
L 21 Mar 1982 18 Apr 1982
P lb Apr 1982 16 Hay 1982
T 16 May 1982 20 Jan 1982
Y 20 Je 1492 18 Jul 1932
e 1 M .lut 18 82 15 Act, 1982
a 15 Au819E2 19 Sep 19#2
1 19 Sep 1982 17 Oct 19??
p 17 Oct 1982 21 Nov 1982
21 Nov 19R2 19 Dec 1982u
y 19 Dec 1982 16 Jan 1983
C 16 Jan 1983 20 Feb 1983
E 70 rob 1983 20 Mar 1983
L 20 Mar 1983 17 Apr 1983
SD$A3.L n. 2030, :tevised 1 Jan 82 Previous Edition Obsolete
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APPLICATION FOR BYPP.0 DUCT MATERIAL LICENSEINDUSTRIAL
DEPARTMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BCX 1580ALBUQUERQUE, NEW MEXICO 87103
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Supplemental Sheet to Item 13
13. FACILITIES AND EQUIPMENT ,
Attached are sketches / drawings and descriptions of the Albu-;
querque storage facilities for the gauge (s).
Mesa Lab, El Pa so , TexasThe Mesa Lab has a storage area with partitioned walls andlocked door. Only the authorized users have access to thisarea. The area is located away from hearily traveled / workareas. The entire compound is protected by 6 ft. chain linkfence with 1 ft. barbed-wire outriggers. A high security lockis utilized at the gate.
McKelligon Lab, El Paso, TexasThe McKelligon Lab'has a storage area separate frut. the labarea. Inside this storage area is a partitioned wall storagearea for the gauge (s). Only authorized users have access tothis area. The entire compound is protected by 6' chain linkfence with 1 ft. barbed wire outriggers. A high security lockis utilized at the gate.
Albuquerque Plant Branch Facility, KAFB, N.M.The plant branch warehouse is an uninhabited masonry building.The bu ild ing contains a steel vault that is utilized for stor-ing the gauges. Only authorized users have access into thevault. The bu il d in g is protected by Kirtland AFB SecurityPolice Surveillance,
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;f APPLICATION'FOR BYPRODUCT MATERIAL LICENSEINDUSTP.IAL
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DEPARTMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW HEXICO 87103
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Supplemental Sheet to Item 15t
15. RADIATION PROTECTION PROGRAM'
U.S. ARMY CORPS OF ENGINEERS, ALEUQUERQUE DISTRICT
RADIATION PROTECTION OFFICER: CPT. CHARLES KABINIER '
ALTERNATE: HR. DALE H. CARVER
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The following Nuclear Safety Program will be observed at :
all times. A cory of this procedure sheet will be main- s
tained with the gauge in the shipping case as well as inthe license f ile wit h t he Radiation Protection Officer.1. The nuclear gauge will be securely restrained in ve-hicles to prevent theft or loss while unattended or in an i
iaccident. Metal clamps, chains, bars, or storage cabinetsiwill be used.
2. The nuclear gauge and its shipping case will be hidden!from view while in an unattend23 vehicle to minimize at- !tractive nuisance value.'
!3. All users will wear film badges when esing the nuclear i
jgauge. badges will be stored away from gauges when not inuse and will be protect.ed from external heat. ;
t,
I4. Radiation labels or placards will be removed from ve-jhicles when not actually transporting t he nuclea r gauges to
avoid confuslon should an accident occur to the vehicle whenft does not c onta in t he gauge,1
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Continuation for Supplemental Sheet to Item 15
15. RADIATION PROTECTION PROGRAM
5. Gauges will be securely locked in storage arer.s whennot in use. Keys will be restricted to authorized users only.
6. The nuclear gauge will be used only by users specif-ically authorized by the Radiation Protection Officer.
7. Disposal of the source or of the device will be doneby the licensee directly.
In the event of emergency disposal, the manufacturer orother authorized disposal facility will be contacted for,
instructions.
The unit will be transferred only to authorized licenseesfor this specific device / source and a record of transferwill be r e t a i;.e d in our files, with proof of license author-ity by the recipient, in the event of sale, trade, loan orother transfer. -
8. IN THE EVENT OF EMERGENCY WITH POSSIBLE DAMAGE TO THERADIOACTIVE SOURCE: IMMEDIATELY CALL RPO for instruction
A.) FREEZE THE SITE - STOP ANY INVOLVED VEHICLESB.) RESTRICT ACCESS TO 10' FROM THE GAbOE, VEHICLES, OR TRACKS.C.) CALL FOR COMPETANT, TRA).IED ASSISTANCE.
EMERCENCY NUMBERS
A.) ALBUQUERQUE DISTRICT RPO 505-766-1390
B.) TROXLER FACTORY 817-275-0571
C.) CPN CORP. FACTORY 415-687-6472
D.) LOCAL POLICE AUTHORITIESfill in
E.) LOCAL CIVIL DEFENSEfill in
F.) LOCAL HEALTH AUTHORITIESfill in
G.) NRC REGION {{ 817-465-8100
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Continuation Sheet for Supplemental Sheet to Item 15
15. RADIATION PROTECTION PROGRAM
9. Transportation activities will be carried out IAM therequirements of 10CFR Part 71 and Department of Trans-portation regulatfons.
10. Authorized o s e r .t vill only have access to the gauge fromits storage area and will not leave the gauge unattended.After use the gauge will.be retained to it s permanentstorage location and locked up.
11. Aut horized users will be familiar with the instructionmanual of the equipment and follow the safety precautions.
12. Only user maintenance will be performed on the equipment.Maintenance requiring dismantling of the shielding orshutter devices and/or repair to the source will be doneby the manufacturer.
13. The equipment will be leak tested semi-annually using the )instructions and/or kit provided by the U.S. Army Ioniz ingRadiation Dosimetry Center Attn: DRSMI - MCI - DCNLexington, Ky 40511 or other authorized agency. }
14. Responsibilities cf the Radiation Protection Officer.
a.) To assure that byproduct materials possessed under the '
license conform to the materials listed on the license.b.) To assure that use of the devices, particularly in the
field, is only by individuals aut hor iz ed by the license.
c.) To a ssure that all users wear personnel monitoring equip-ment such as film badges.
d.) To assure that gauges are properly secured against un-authorized removal at all times,
e.) To serve as a point of contact and give assistance incase of emergencyi .1uge damage in the field, fire,theft, etc.) and to assure that proper authorities arenotified promptly.
f.) To assure that the terms and condit ions of the license'are met and that required records are periodically re-viewed and maintained in compliance with license.
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APPLICATION FOR BYPRODUCT MATERIAL LICENSEINDUSTRIAL
DEPARTMENT OF THE ARMYALBUQUEPQUE DISTRICT, CORPS OP ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW HEXICO 87103
Supplemental bheet for Item 16
16. FORMAL TRAINING IN RADIATION SAFETY
A.) Charles E. Kabinier Cpt. EN.See Supplemental Sheet to Item 7
B.) Mr Dale H. CarverSee Supplemental Sheet to Item 7
C.) Mr. Joseph E. Gutierrez -
Successfully completed Troxler Electronic Laboratoriescourse for the use of nuclear testing equipment. Coursecompleted on 2/5/81. See attached certificate for sub-ject matter contained in the course.
D.) Mr. Jorge W. Lugo -
Successfully completed Troxler Electronic Laboratoriescourse for the use of nuclear testing equipment. Coursecompleted on 6/13/77. See attached certificate for sub-ject matter contained in the course.
E.) Mr. Otto C. Kirsten -
Successfully completed Trexler Electronic Laboratoriescourse for the use of nuclear testing equipment. Course |
i
completed on 6/13/77. See attached certificate for sub- !j ect matter contained in the c o u r s e .'
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CONTINUATION PAGE FOR SUPPLEMENTAL SilE ET FOR ITEM 16e *
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| j gOgER q" EcrRONIC LABORATO;BrEs, fi - |1 j~-
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n! i hJOSEPH E. GUTIERREZ. JR.|
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HAS SUCCESSFUI.LY COMPI.ETED THE TROXIIR EIICTRONIC IABORATORIES, INC. j| @ 5
TRAINING COURSE FOR THE USE OF NUCIIAR TESTING EQUIPMENT. <
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j .. SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLCWS:
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hRadiological Safety 't ,
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* .) 1. Principles and practices of mdiation S. Radioactivity measurement standardisation %i - o
and monitoring techniques and #;
p protection.*G
|instrwnents.0 ? 2. Leak testing procedures. ;
7 9 3. Mathematics and calculations basic to 6 Accident and incident procedures.3
l !? the use and measurement of 7. Procedures for nuclear gauge storage Q
| } radic.1ctivity. and transportation. ;~
t t' 4 Biokgical effects of radiation. 8. Genemi safety pncautions. :s. -.
Gauge Open1 tion'
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S. Gauge calibration j| f 2. ting proceduns
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k'T'-U '')*b:4 #- HAS SUCCEFSFULLY COMFLETED THE TROXLER ELECTRONIC LABORATORIES, INC.
@. ~% TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT. k.. ..
7.
[h. i. .I SUBJECTS INCLUDED IN TP.IS COURSE NERE AS FOLLOWS: - ,,. n ,. ,
f.} Eadiological Sa:'ery =%)1 |' .N 1. Principles ar.d practices of radiation 5. Radioactivity measurement standardization
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{ h. T-Q protection. and monitoring techniques and _ _ ,. r-.
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4. Bsological c|fects of radiction. 8. General safety precautions. fp }}} .h., Gauge Operation }ig.--' t,.
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,6-13-77 WILLIAM F. TROXLER , ,.3%, ;- ' *- ...I
NSTRDCTDR /* N DATE PRESIDENT ,'! ' 'fe+7' U. -i
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i '' u HAS SUCCESSFULLY COMPLETED THE TROXLER ELECTRONIC LABORATORIES, INC. 3 '~
I hb 4.h TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT. [-
| i SUBJECIS INCLUDED IN THIS COURSE WEPI AS FOLLOWS:-
*
d- ,
; -- s,-. Radiological SafetyGy y-;
U$ 1. Principles and practices of radiation 5. Radioactivity measurement standardization
\|~~M}{'}protection. and monitoring techniques and y
,' h'? b]2. Leak testing procedures. instruments..^^'
3. Mathematies and calculations basic to 6. Accident and incident procedures.| Q _
the use c'.d measumment of 7. Procedures for nuclear gauge storage f*''~
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V radioactivity. and transportation. p
4. Biological effects of radiation. 8. General safety precautions.'QGaugc Ope ntion ),, "f,| .;
{ '%_._ 1. Instrment theory 4. Field application $,
2. Operating procedures 5. Gauge calibration ilQ gg3. Ma; tenance $w ..fi,.
Ik? x 1 rw .1%~ . 6-13-77 WILLIAM F. TROXLER4g g,y_ _s_.s-c_
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CONTINUATI PAGE FOR SUPPLEMENTAL SHEET TO ITEM 16'- ,
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STATEMENT
The name OTTO C. KENTON on the Troxler Electronic Laboratories, Inc.
Certificate dated June 13, 1977 is a typographical error. The name should
reflect OTTO C. KIRSTEN.
) <re kCHARLES R. KABINIERCAPTAIN, ENChief, Safety / Security
COUNTY OF PERNALILLO )) ss
STATE OF NEW MEXIC0 )
Subscribed and sworn to before me on this 25th day of March, 1982.
] .
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N Y PUBLIC
My commission expires 7/20/84.,
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APPLICATION FOR BTPRODUCT MATERIAL LICENSEINDUSTRIAL
DEPARTMENT OF THE ARMYALBUQUERQUE DISTRICT, CORPS OF ENGINEERSP.O. BOX 1580ALBUQUERQUE, NEW MEXICO 87103
i Supplementa Sheet to Item 17|| 17. EXPERIENCE
a.) Charles R. Kabinier Cpt. ENSee Supplemental Sheet to Item 7
| b.) Mr. Dale H. Carver| See Supplemental Sheet to Item 7I
c.) Mr. Joseph E. Gutierrez -
| has had experience with nuclear gauges since 2/5/81. OJTprogram under a certified user for numerous years. Isotopeutilized was Cesium 137 - 8 mil 11 curies and Americium 241/Be -
40 millicuries.
d.) Mr. Jorge W. Lugo -
has had experience with nuclear gauges since 6/13/77. OJTprogram under certified user since that period. Isotopeutilized was Cesium 137 - 8 mil 11 curies and Americium 241/Be -
40 millieuries,
e.) Mr. Otto C. Kirsten -
has had experience with nuclear gauges since 6/13/77. OJT|
| program under certified user since that period. Isotopeutilized was Cesium 137 - 8 milifcuries and Americium 241/Be -
40 mil 11 curies.
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