gl report from general mills, inc., regarding transfer of …general mills 707 pillsbury lane new...

GENERAL MILLS

November 19, 2015

Director, Office of Nuclear Material Safety and Safeguards

ATTN: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-001

Re: Transfer of Ownership (Disposal Transfer)

GL-705013-19(NRC Materials License 13-1883-01)General Mills707 Pillsbury LaneNew Albany, IN 47150

Dear Sir!/Madam:

This letter serves as notification that, General Mills (license holder), has disposed of eleven (11)nuclear gauges listed below to RAM Services, Inc (Two Rivers WI) on November 19, 2015.

Kay-Ray 7062BP 28359A Cs-I137 10 3/6/1990

Kay-Ray 7062BP 28359B Cs-I137 10 3/6/1990

Kay-Ray 7062BP 28361A Cs-137 5 12/15/1988

Kay- Ray 7062BP 28361 B Cs-I137 5 12/15/1988

Kay-Ray 7062BP B40 Cs-137 10 1/1/1999

Kay-Ray 7062BP B41 Cs-137 10 .1/1/1999

Kay-Ray 7062BP B42 Cs-I137 10 2/1/2000Kay-Ray 7062BP 843 Cs-137 10 1/1/1999

Kay-Ray 7062BP 844 Cs-I137 10 2/1/2000

Kay-Ray 7062BP B45 Cs-137 10 2/1/2000Kay-Ray 7062BP B46 Cs-I137 10 1/1/1 999

The licensee contact person!/site RSO is Marie Puckett at the contact information below.

We are decommissioning this facility over the course of the next twelve (12) to fifteen (15)months. The plan is as follows:

GENERAL MILLS

* As equipment is taken out of service, any identified K-Ray associated with thisequipment will be removed and placed into storage. Our specific device license allowsus to do this. We will survey the device and equipment area before and after itsremoval from the equipment.

* The storage cabinet has always been surveyed on a regular basis and will continue to doso. Once the radiation levels for the stored devices reaches close but not over 5mR/hrat the closed cabinet door, we will call RAM Services, Inc to arrange for pick up.

* We conduct leak tests and surveys right before they are picked up by RAM to ensure

there are not leaks.* After all devices are removed I will alert your office and the Region Ill office of the

termination of the license.* I have attached all the relevant paperwork to this letter (RAM's receipt of materials

letter; shipping documents and leak test certificates.)

Please contact me if you have any questions regarding this information.

Sincerely,./ O. • :,

Marie Puckett, CSPSafety ManagerRadiation Safety Officer

General Mills707 Pillsbury LaneNew Albany, IN 47150

812-941-4293

4RAMSci~ i~c~ Inc

RAM Services, Inc.510 County Highway V

Two Rivers, WI 54241-9628

Voice: 920-686-3889Fax: 920-686-3899

Email: iwiza•.ramservicesinc.com

21 November 2015

Ms Marie Puckett, CSPRSO/Health & Safety ManagerGeneral Mills707 Pillsbury LaneNew Albany, IN 47150

Re: RPK 1088, Shipment 2015-0115

Dear Ms Puckett,

This letter is to advise you that the radioactive material as detailed below has been received by RAM Services, Inc.as of 21 November 2015 and we have taken possession of the eleven devices as identified below under our Stateof Wisconsin Radioactive Materials License 071-1234-01.

Model Activity AssayManufacturer # Serial # Isotope i.(mCi) Date

Kay-Ray 7062BP 28359A Cs-137 10 3/6/1990

Kay-Ray 7062BP 28359B Cs-137 10 3/6/1990

Ka -Ray 7062BP 28361A Cs-137 5 12/15/1988

Kay-Ray 7062BP 28361B Cs-137 5 12/15/1988

Kay-Ray 7062BP B40 Cs-I137 10 1/1/1 999

Kay-Ray 7062BP B41 Cs-137 10 1/1/1999

Kay-Ray 7062BP B42 Cs-137 10 2/1/2000

Kay-Ray 7062BP B43 Cs-137 10 1/1/1999

Kay-Ray 7062BP B44 Cs-137 10 2/1/2000

Kay-Ray 7062BP B45 Cs-137 10 2/1/2000

Kay-Ray 7062BP B46 Cs-137 10 1/1/1999

Once the devices have been dismantled and the sources extracted it shall be determined whether there is apotential for reuse of the capsules or if the sources will need to be disposed of as Low-Level Radioactive Waste atthe Waste Control Specialists site in Andrews, TX. If the sources are deemed waste we will utilize the previouslysigned brokerage agreement letter and manifest them using an U.S. Nuclear Regulatory Commission 540/541waste manifest, naming General Mills of New Albany, IN as the last beneficial user and waste generator of record.

Please retain this record in your permanent files and feel free to contact me with any questions or additionalconcerns you may have. I can also be reached via email at [email protected] or my cell phone at 708408-3889.

Sincerely,

Jerry P. Wiza, President

~Shipment:

<• Carrer No.:, Date.

~STRAIGHT BILL OF LADINGORIGINAL - NOT NEGOTIABLE

2015-0115

RAM Services, Inc.

19 November 2015

TO: Rick Parlato (920) 686-3889 FROM: Jerry Wiza/Marie Puckett (8:12) 941-4293Consignee: RAM Services, Inc. Shipper: RAM Services, Inc.

Street: 707 Pillsbury LaneOn collect or Delivery Shipments, the letters "COD" must appear beforeconsignor's name or as otherwise provided in Item 430. Sec. 1, Origin: New Albany, IN 47150Street:

510 County Highway VDestination:

TwoRivers,_WI_54241 ________________________

Route: VehicleNumber__ __

No. of Units & HM DESCRIPTION AND CLASSIFICATION TOTAL QUANTITY' WEIGHTContainer Type (Proper Shipping Name, Class and (Weight, Volume, (Subject to

Identification Number per 172.101,172,202. 172,203) Gallons. etc.) correction)

1 x 30 X UN2915, Radioactive Material, Type A Package, 7 4.1 cu ft 186 kgGallon, Type Cs-i137, solid, oxide (410 lbs)A steel drum Activity: 2.446 GBq (66.11 mCi)

Radioactive Label Applied: II Yellow, TI=0, .I

ERG 163, RAMPAK 1088, SeaI# 0144454 ____

PLACARDS TENDERED: NOShipper Certification: I hereby declare that the contents of this EXCLUSIVE USE: NOconsignment are fully and accurately described by shipping name and areclassified, pack~aged, marked and labeled, and are in all respects in propercondition for transport according to applicable international and national 24 Hour Emergency Contact Information:govemnmentrgutin(

r, gulatSignatur Telephone Number; 800 424-9300

[ ~Contact: Chemtrac (Contract 210964)

SHIPPER: Jerry Wiza CARRlER(.Jl•M Services, Inc.

PR AMServices, Inc. PER •,.• , J

DATE: 19 November 2015 DATE: •"19 November2015

'~'m..TEXAS LOW LEVEL~T gRADIOACTIVE WASTE DISPOSAL

LEIOMPACT COMMISSION

GENERATOR AUTHORIZATION

16 November 2015

General Mills authorizes RAM Services, Inc. of Two Rivers, Wisconsin (State ofWisconsin, radioactive materials license 071-1234-01 to be our Broker and/orProcessor for disposal of our radioactive material and/or sealed sources into theState of Texas Compact Disposal Facility in And rews, Texas, operated by WasteControl Specialists, LLC. By signing this Generator Authorization, the Generator is

also verifying that there is no waste of international origin contained in thisshipment.

NAME OF AUTHORIZEDORIGINAL GENERATORREPRESENTATIVE: Marie Puckett, CSP

TITLE: Safety Manager/Radiation Safety Officer

MAILING ADDRESS: General Mills707 Pillsbury LaneNew Albany, IN 47150

PHONE: 812 941-4293

EMALLWCGn

ADDRESS:91

Marie. [email protected]

TLLRWOCC Gen Auth 210912

510 County IHiglway V

Two Rivers, "/I 5i4241

Voice +9-920--686-3589Fax +t-gzo-6S6--3Sgg

STATE OF WISCONSIN RADIOACTIVE MATERIALS LICENSE 071 -1234-01

GENERAL MILLS GENERAL MILLS

707 PILLSURY LANE NEW ALBANY ISUMMARY LEAK TEST REPORT I

NEW ALBANY, INDIANA 47150 17 November 2015

United States of AmericaATTENTION: MARIE PUCKETT

ASSAY NO. SERIAL NO. DEVICE ISOTOPE SOURCE WIPE DATE MDA SAMPLE TESTSERIAL NO. ACTIVITY ANALYSIS DATE ACTIVITY PASS OR

FAILmCi pCi pCiG8q Bq Sq

Source Fails Test if Activity Exceeds 185 Bq .005 pCiGENERAL MILLS Action Level 37 Bq l.00E-3 pCi

134097 B46 Cs-137 10 mCi 15 Nov 2015 1.27E-05 pCi 0 pCi SOURCE0.37 G~q 17 Nov 2015 0.47 Sq 0.01754 Sq PASSES TEST

134098 845 Co-137 10 mCi 15 Nov 2015 1.275-05 pCi 0 pCi SOURCE0.37 OBq 17 Nov 2015 0.47 Bq -0.03509 Sq PASSES TEST

134095 844 Co-137 10 mCi 15 Nov 2015 1.278-05 IpCi -1E-OS pCi SOURCE0.37 GBq 17 Nov 2015 0.47 Sq -0.28316 Sq PASSES TEST

134094 843 Co-137 10 mCi 15 Nov 2015 1.27E-05 pCi 0 pCi SOURCE0.37 GBq 17 Nov 2015 0A47 Sq 0.01754 Sq PASSES TEST

134093 842 Cs-137 10 mCi 19 Nov 2015 1.270-05 pCi S pCi SOURCE0.37 GBq 17 Nov 2015 0.47 Sq -0.14035 Sq PASSES TEST

134092 841 Cs-137 10 mCi 15 Nov 2015 1.275-05 pCi 0 pCi SOURCE0.37 GBq 17 Nov 2015 0.47 Sq -0.09772 Sq PASSES TEST

134091 840 Cs-137 10 mCi 15 Nov 2015 1.270-05 pCi 0 pCi SOURCE0.37 GBq 17 Nov 2015 0.47 Sq -0.14035 Sq PASSES TEST

134090 293918 Cs-137 5SmCi 15 Nov 2015 1.27E-OS pCi 0 pCi SOURCE0.195 GSq 17 Nov 2015 0.47 Sq -0.17544 Sq PASSES TEST

134099 28301A Cs-137 S mCi 15 Nov 2015 1.27E-0S pCi 0 pCi SOURCE0.195 GSq 17 Nov 2015 0.47 Sq -0.03509 Sq PASSES TEST

134098 293598 NA Co-i137 10 mCi 15 Nov 2019 1.275-05 pCi 0 pCi SOURCE0.37 GBq 17 Nov 2015 0.47 Bq -0.07018 Sq PASSES TEST

134087 28359A NA Cs-137 10 mCi 15 Nov 2019 1.275-05 pCi 0 pCi SOURCE0.37 SBq 17 Nov 2015 0.47 Eq 0.01754 Bq PASSES TEST

PRINTED IN THE UNITED STATES OF AMERICA510 COUNTY HIGHWAY V TWO RIVERS, WISCONSIN 54241 VOICE: +1. 920.686.3889 FAX: ÷1. 920.686.3899

sio Count-y HWgtnvay VTwo Rivers, WI1 5424Voice +1-g2o-686•3889

Fax +1-92o--686-3Sg9

STATE OF WISCONSIN RADIOACTIVE MATERIALS LICENSE 071-1234-01

SEALED SOURCE LEAK TEST CERTIFICATE

RAM ACCESSION NO. 134097

GENERAL MILLS - NEW ALBANY

LOCATION 47150- -INDIANA

CONTACT PERSON MARIE PUCKETT PHONE 812-941-4293

GENERAL MILLSNEW ALBANY707 PILLSURY LANE

NEWALBANY, INDIANA 47150United States of America

LEAK TEST ANALYSIS

EQUIPMENT NO. DEVICE/TOOL NUMBER

MODEL # 7062BP MANUFACTURER Kay-Ray

SOURCE SERIAL NO. B46 MANUFACTURER S/N

ISOTOPE Cs-137 SOURCE ORIGINAL ACTIVITY 10 mCi

0.37 GBq

DATE SOURCE WIPED 15 Nov 2015 REASON FOR TEST PERIODIC

ANALYSIS DATE 17 Nov 2015 ANALYTICAL METHOD Liquid Scintillation

Counting

GROSS SAMPLE COUNT 27 cpm iNSTRUMENT Perkin Elmer Tri-Carb3110TR130414

BACKGROUND 26 cpm COUNTING EFFICIENCY 95%

NET SAMPLE COUNT 0.978947 dpm MINIMUM DETECTABLE 1.27E-05 .pClACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY 0 pCI PASS/FAIL CRITERION 0.005 pCI0.01754 Bq 185 Bq

SOURCE PASSES TESTACTION LEVEL 0.001 IpCI

37 Bq

ANALYST Virginia Parlato A/'/,• / d

NOTES:

ADDITIONAL SOURCE DESCRIPTION:

51o County Highway VTwo Rbvers, WI' 542.41Vo~ce ÷x-g•6858-3889Pax +1-92o-686-3599

STATE OF WISCONSIN RADIOACTIVE MATERIALS LICENSE 071 -1 234-01




LOCATION 47150 - INDIANA

CNATPERSON MARIE PUCKETT [PHONE 812-941-4293

GENERAL MILLSNEW ALBANY707 PILLSURY LANE.

NEW ALBANY, INDIANA 47150United States of America

LEAK TEST ANALYSIS




ISOTOPE Cs-137 SOURCE ORIGINAL ACTIVITY 10 mCi0.37 GBq


ANALYSIS DATE 17 N~ov 2015 ANALYTICAL METHOD Liquid Scintillation

Counting

GROSS SAMPLE COUNT 24 cpm INSTRUMENT Perkin Elmer Tri-Carb3110TR130414


NET SAMPLE COUNT -1 .81053 dpm MINIMUM DETECTABLE 1.27E-05 pCIACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY 0 pCI PASS/FAIL CRITERION 0.005 pCI-0.03509 Bq 185 Bq

SOURCE PASSES TESTACTION LEVEL 0.001 pCI

37 Bq

ANALYST Virginia Parlato / / .

NOTES:


5io County HWgbvay VTwo Rivers, Wiq 54241Voice +l-92o,-686-3889

Fax +1-920--686-38@9









LEAK TEST ANALYSIS






ANALYSIS DATE 17 Nov 2015 ANALYTICAL METHOD Liquid ScintillationCounting

GROSS SAMPLE COUNT 11 cpm INSTRUMENT Perkin Elmer Tri-Carb3110OTR130414


NET SAMPLE COUNT -12.7895 dpm MINIMUM DETECTABLE 1.27E-05 pCIACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY -lE-05 pCI PASS/FAIL CRITERION 0.005 pCI-0.26316 Bq 185 Bq


37 Bq

ANALYST Virginia Parlato i .?•',-

NOTES:


sio County Highwvay VTwo Rivers, WI 547.41Voee +1-920-686-3889Fax +1-920-686-3899








NEWALBANY, INDIANA 47150United States of America

LEAK TEST ANALYSIS



SOURCE SERIAL NO. B43 MANUFACTURER SIN

ISOTOPE Cs-i137 SOURCE ORIGINAL ACTIVITY 10 mCi

0.37 GBq





NET SAMPLE COUNT 0.978947 dpm MINIMUM DETECTABLE 1.27E-05 pCIACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY 0 pCI PASS/FAIL CRITERION 0.005 pCI0.01754 Bq 185 Bq


37 Bq

ANALYST Virginia Parlato [//• . /"•,/-#

NOTES:


510 County H~g1,vay VTwo Rivers, XV:1 54241Voks• +1-g2o-686-3559Fax +1-920-686--3S99






CNATPERSON MARIE PUCKETT PHONE 812-941-4293



LEAK TEST ANALYSIS










SAMPLE ANALYSIS ACTIVITY 0 CIJ~ PASS/FAIL CRITERION 0.005 pCI-0.14035 Bq 185 Bq

SOURCE PASSES TESTACTION LEVEL 0.001 pJCI

37 Bq

ANALYST Virginia Parlato Vx ?,•

NOTES:


510 County Hllglmray VTwo Rivera, Wi 54:241Voice +1-920-686-3889Fax +1-920,-6 $6-3599





LOCATION 47150- INDIANA

[CONTACT PERSON MARIE PUCKETT [PHONE 812-941-4293



LEAK TEST ANALYSIS









NET SAMPLE COUNT -4.631 58 dpm MINIMUM DETECTABLE 1.27E-05 pCIACTIVITY 0.47 Bq



37 Bq

ANALYST Virginia Parlato /•4 /b "

NOTES:


51o Coun~ty Higlnvay VTwo Rivears, 'WI 542•41Voice +-920-686-3S88g

Fax ~+4-92•o-6S6-3g99






CONTACT PERSON MARIE PUCKETT [PHONE 812-941-4293



LEAK TEST ANALYSIS




ISOTOPE Cs-I137 SOURCE ORIGINAL ACTIVITY 10 mCi0.37 GBq





NET SAMPLE COUNT -6.98947 dpm MINIMUM DETECTABLE 1.27E-05 PCIACTIVITY 0.47 Bq



37 Bq

ANALYST Virginia Parlato [/ ,•,/•t

NOTES:


530 County W~ghway VTwo g¢r•,e \WI 54241Voice +1-92o-656-3580Pax +I-920-686-53S99









LEAK TEST ANALYSIS

[EQUIPMENT NO. NA DEVICE/TOOL NUMBER


SOURCE SERIAL NO. 28361B MANUFACTURER S/N


0.185 GBq








37 Bq

ANALYST Virginia Parlato V,//4s,.• fL/

NOTES:


510 County Hig1~ay VTwo R•-verS, WI 54241Vok lc +i•-9•0686-3S88Fax +1-920-B6S6-3Sg9









LEAK TEST ANALYSIS



SOURCE SERIAL NO. 28361A MANUFACTURER S/N

ISOTOPE Cs-I137 SOURCE ORIGINAL ACTIVITY 5 mCi0.185 GBq



GROSS SAMPLE COUNT 24 cpm INSTRUMENT Perkin Elmer Tri-Carb

3110TR130414


NET SAMPLE COUNT -1.95789 dpm MINIMUM DETECTABLE I1.27E-05 pCIACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY 0 CIJ~ PASS/FAIL CRITERION 0.005 pCI-0.03509 Bq 185 Bq


37 Bq

ANALYST Virginia Parlato L/ "7••

NOTES:


510 County Highway V

Voice +1-920,-&86-.388gFax ÷+1-92;0-686-3•8399









LEAK TEST ANALYSIS

EQUIPMENT NO. NA DEVICE/TOOL NUMBER NA


SOURCE SERIAL NO. 28359B MANUFACTURER S/N

ISOTOPE Cs-137 SOURCE ORIGINAL ACTIVITY 10 mCi- 0.37 GBq



GROSS SAMPLE COUNT 22 cpm INSTRUMENT Perkin Elmer Tri-Carb31I0TR

, 130414


NET SAMPLE COUNT -3.74737 dpm MINIMUM DETECTABLE 1.27E-05 pCI

ACTIVITY 0.47 Bq



37 Bq

ANALYST Virginia Parlato V '

NOTES:


510 C.ounity highway VTwo Rivers. WI•, 542Z41Voice +1-92o-686-:3889Fax +20-6:of86-3899






COTC ESNMREPUCKETT [PHONE 812-941-4293



LEAK TEST ANALYSIS

EQUIPMENT NO. NA DEVICE/TOOL NUMBER NA


SOURCE SERIAL NO. 28359A MANUFACTURER S/N


0.37 GBq





NET SAMPLE COUNT 1.02105 dpm MINIMUM DETECTABLE 1.27E-05 IJClACTIVITY 0.47 Bq

SAMPLE ANALYSIS ACTIVITY 0 pCI PASS/FAIL CRITERION 0.005 tpCI0.01754 Bq 185 Bq

SOURCE PASSES TESTACTION LEVEL 0.001 CIJ~

37 Bq

ANALYST Virginia Parlato V•, 0,

NOTES:


gl report from general mills, inc., regarding transfer of …general mills 707 pillsbury lane new...

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