gl report from michigan south central power agency ... · summary leak test report litchfield, ml...

MICHIGAN SOUTH CENTRAL POWER AGENCY 720 HERRING ROAD • LITCHFIELD, MICHIGAN 49252

PHONE (517) 542-2346 • FAX (517) 542-3049

Director of Nuclear Material and Safeguards U.S. Nuclear Regulatory Commission Attn: GLTS Washington, DC 20555-0001

Dear Director, -

www.mscpa.net

July 28, 2016

Michigan South Central Power Agency is writing this letter to inform your agency of the disposition of seven Generally Licensed measuring devices identified as being in our possession. Detailed information for each unit is described below. These devices were removed from service, inventoried, packaged, shipped and received by RAM Services, Inc. of Two Rivers, Wisconsin. Their State of Wisconsin radioactive materials license number is 071-1234-01.

Cs-137 100

Thermo/Kay-Ray 7062P 11517 Cs-137 100 11/1/1981

Thermo/Kay-Ray 7062P 11518 Cs-137 100 11/1/1981

Stock Equipment Co 014400 SE3888 Cs-137 25 6/23/1988

Stock Equipment Co 014400 , SE3889 Cs-137 25 6/23/1988



Attached is a signed copy of the U.S. Nuclear Regulatory Commission, Uniform Low-Level Radioactive Waste Manifest #2016-0044 as documentation of this shipm~nts receipt at RAM Services, Inc. on 27 July 2016. I have also attached copies of the most recent leak test certificates demonstrating none of these sources had removable contamination exceeding the 0.005 uCi regulatory limit.

Feel free to contact me directly at (517) 542-2346, Ext. 370 if you require any additional information or have any further questions.

~~ Matt Burk, Director of Environmental Compliance

Attachments

SERVING OUR MEMBERS • CLINTON • COLDWATER • HILLSDALE • MARSHALL • UNION CITY

FORM 540 r<AM --· " ·---• IN\; 5. SHIPPER - NAME AND FACILITY SMfPP!!R LO NVll!SER . NRC FOi\~ SAO ANO 5_.CA PAGE 1 OF 1 PAGEfSl I"· MANIFEST NUMBER

RAM Services. Inc. FOR NRC FORM5A1 ~$41.A 1 PAOE!Sl {Lise Un nlimbt-f on afl confoiual'on pagn.)

UNIFORM LOW-LEVEL RADIOACTIVE Mic.higiin South Central Powe-r Agency 49252 NRC:. FORM S.l i'-.NO 5'12A 1 P.\Gr:'.{S)

720 Herring Road AOOJTIONAl INFORM.:.lK>N 1 ?.:.GE.I Si 2016-0044 WASTE MANIFEST Lltehfield Ml 49252 COl.l.ECTCR --- PROCESSOR

SHIPPING PAPER USER PERMIT NU\1BER I SHIPMENT NUMBER A GENERA.TOR TYPE 9. CONSIGNEE - Name and Facility Add1f!SS !CONTACT

1. EMERGENCY TELEPHONE NUM5€R (lflC.lude ,I.re• Code) 2016-0044 IND I RAM Service.s, Inc.. JERR'r WIZA, RPT

800-424-9300 ONT.ACT TE:.lEPHONE NUIABER TELEPHONE NUMBER {lncl:xie Arna CodftJ

K:>RGANIZATION 517-542-2346 Ext:

510 COUNTY HIGHWAY V Matt Burk or Jerry Wiza 370 1-921)-636-3169

CHEMTREC (for RAM SERVICES CONTRACT 2109'4} ~ CA.R~IElt • Natl"le N\dildci'Ht' TW~S WI 54241

';i ISlHISA~ ·ocLUSM USE"'SHf?Mf.N'P S TOT.Al Nt)~BEP O~ RAM Services, I~. EPA I D. NU~18ER SIT'TURl;::.7~"'-w°""'<- 0

l7J11~~ Po/" @ YU PACAAGE$ !DEN"l li:.1£0 1 510 COUNTY HIGHWAYV NA

""' ON 11-!1$ lf.ANIFE$1 TWO RIVERS WI S4241 SHIPPING DATE 10.Cr;, i iFICAi t\.JN

:=:.:aa:::c;:> I .,-.S tot:tm1fytt<M tr'la tt1tfelf'-na!T'IW mt'Jf.t•• 91'f' pt~ly c~Oi OHt:tet!d !)lie•~ l!Wl~. *""' latlieh:d _.,d .. .

EPA tAAWE:Si NUMS(if ICO"'lTACT H£lEPHO!llE NlJMSt:P fl OM°""'' G~l)I\ fol lH:lt:5J)OflallQr\ at(.oodiri; ti:.~ .,:~•le lf't!lAallOM ~ m• C.p~t'tl oi ,,~.tlaf! l"ha ~

4 DOES f PA REGULATED D Yf.S JERRY WIZA, RPT flnctud& Ar•" Code) ~flflflofl\F,.. .. MMie"8111&1ucl~d ~-~ 1"161'it•d "'°*'ttf:t!anclwe111""~ eof'O!<ot1 fe!~9t!d

WASTE REOIJtR1NG A NOT APPLICABLE 920-1;86-3889 fdri.poHl\llll.clelooC•ib.air. ac<.o•dancf'>-¥.?!'111\t illP(>k~ 1 ~1).llltl'lllt1lfliOI IOCFR P~20Mdf.J QI CQIJIVWf'f\{S~

i...•:ANIFE:Si ACCOM;t.4.t\.!\' m NO SIGW.c:i~~1Q;;' ..,,.~,._, ~~ -

THIS SHl?MENT? 't::Jpt.~ JltJ&. ~~ - 17JiY ~., /J_ DA?,h.~/// .. ~ V"'" />

~-yf'ti Pl9'1'1dr Mlint'"1 ~M ===.tr:==> .. 11 U.6 . OEPARTME""'T OF TRANSPORiATION DE:SCRtPnON 12. ,.t:,,3. " · 15 , •r 16 TOTAL 17. 18 TOTAL WEl~T 19. tCENTlF ICA TION

(lr<IUd•l"IQ lJN ID ntimbe1 . PfOper shrppi.,g name, hl-..zaro clAS~ 001 LABEL T SPORT PHYSICAL .~ND INDIVIDUAL PACKAGf ACTIVITY LSA.'SCO ORVOlUMC NUMBER Of

arid e~ addit1or.al mk>tf'NltlOl'I) "RAOIOACTIVE" INOE)( CH£MtCAl FORM ~AOIONUCLIOES IN SI UNll'S Cl.ASS (Use 11pcropnale ut>lt$J PACKAGE

UN2915, Radioa,tive material, type A package , 7 Or,3 SOLID C•-137 mC i MBq 158.1 Kg

Yellow II I I NONE 350.0 Lbs RPK-1153

OXIDE I I 4.00E-.02. 1,48E•04 7.5 fT3 I I

.

l=CR CO~f>IGNE-f USE ONL. "!

Record W asta OeseripTlon Ir.adequate

Contamination or Leatcage ~ected

Unexpected Exposixe Rates Detected

Labels. Markings, etc Inadequate

Containe.r lnle<;nty Inadequate

Othe1

No ViolatJons Detected on thrs Shipment

RAM SERVICES, INC.t-rr.ntm!'5nr-T"---- -.--- --T""-' ·-M_AN_ JF_e_s_T_T_o_TAL_ s ________________ -t2 MANIFEST NUMBER

~~~~E~ NE"l WASTE !'II!: r WAS"fE SPECIAL NUCLEAR MATERIAL {grams:) 2016..()044

FORM541

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST

DISPOSAL VOLl.A~E WEIGHT CONl'AtNCRS

m3 0.16 )IQ 133.41 ········-·········-··-··· ·····-···-·········--···

V-233

NP

U·2l5 TOTAL 3 PAGE OF

NP 1------'--nl ___ s_.6_l _ _.., ___ 2_•s_~------'------~------+-------fk SHIPPER NAME

CONTAINER AND WASTE DESCRIPTION ACTIVITY (MSq:mC.1} SOURCE. RAM Services , Inc. ALL NUCLIDES TRmuM C-1• Tc-99

Add111onal Nuclear Regulatory Commissk>n INRC) Requirements tor Control. t---M-BQ--+--1-•_&_E•_o_•-+---N-P--+---N-P---+---NP---+------1------N_P_~SHIPPERIONUMSEA Transfec and Disposal of Radioacti~ Waste mCi

.. CON'i~NE~

DESC~IPT'°"'1

.. WASTE

AND SURFACE RAWTICt'l

CONTAINER LEVEL

10 SURF..\CE CONlJw'Jt.JATfON

VYEIC'.wi M&.cp'iOOcm

" WASl'E

OE.SCRIP-TOR

C0"'1'4tN~R

IOENTWIC..MK>N NIN0ERJ

GEN€R"T0R 10 NtJMAF.RiS1 --··>··- -·-------- --1~ -- - - ----·-· ---:.~~;--- ---=~~~r::;~--- 1~~Nofe2:

RPK-1 153

/49252

0. 2124

7 .S

NOTEi Confa:Mf~COOM F0tCOt'I' ...... ~~

te<:&M~~tn •C9fOB:::ISta.IC".woiio..·c1~r.~ :N.

numtilC .. code ni..at ~ ~" ~ ~~~

156.76

350

I:>. 0~ <3.6E.O <3.6E-5

--:;i-~-o <220 <2200 36

20. C~coai 11 lneriet""atPr Ash

22. SOof

~ 0.1l'Oli\Uf\RubbW

lO Cal!Of'I IOn·ETtM!'lge Mt'no

31 AraonlO~c.l'\a~MeCll1'

4.00E+02 NP

PHYSJCA.L OESC RIPTDN ~· t?.. 13 APPJ;OXIMAT'E

W.AST£ SORSE:N1 VOLUMf.,SJ IN ~LKJtFIC.ATION

CONTAINER S J ABILIZA llCN

'EDI-'

· ······· ·····~······· · ······ ,$ff N:>M'!t •

0 .16 100 ··--··················-····+------1

5.63 100

··-····-···---·····--··+----- -1

----------· · · ···---·-···-+------~

·-·-··-·········-·--··+------1

............................ ;-----..

····························+-- ---..

NP

CHE -..1K..t.l i.:~MI CHEL.,f.TINGA.GEN'1

SOLIOOXIOE

NONE

NP

NP

NP 49252

INOIVIOUAI. R~DfCNUCUt:ES AC11VITY CONCEN"f?,::TJON .Afl.'OCONTJ..INE~ TQTA,1 .t.C'Tr...11'

SUBTOTAL 1.43E.-..O.f 4.00E-+<t2

NOh:. S fOft~~rned• m.111 mH!t~sr.• r.rue!l.nfs.tl~f~e"'f:ntt ~~it•coelf- rrwstlltll~

~--s~ f.Ol'al~~meoia thf'1.>~,r1man~e1)anobranctl'IM!"!t~111f.Ct!'tt0t~ll'l•e-,,, 1J

.36 ~.,;apo1;m Borto"""'"S'~onc+l'ltf•!et.

~9 Corn;,acl!Dlf' 1 rill&~

Coat lO('l =NON RECUtREO

Sorphon $oll(J1fic8110li 1 Woodti'l&lo:01C;1tttr

2 MtrlliBC»

3 PlHnc 0.um 01 PM

4 "4ei.ai0NmMPa ..

p Ot'~f'f•)ltt

10Glll.C~

1i Bl.AU:"lpac~'f'.'ast.

lL Vnpack90C~n!r.

D .Goo 24 CN

25.~us~

26.Ftt...~

ri:~~~ ... ,

32 M.•tCI e.o 1on-&tN09t! "-<IID 33 C:c.MJrn;"&lf'<I E."1!ptnt"nl

•O f.IO.°ICOr';iect.."'ff i1astt ~, .-,1\t,,._c.,c .. •2 8Uo91a! Mt1enal iexc~ct arwm.iif cau.n11 O~att;C:~nft

60 SpuoC:1 61 FlOre<>X 75 P•tJO«r.f. 90 t;M'lll!f'll

6 1_ C•M!O'TI 158 ~d"Sore 76,'\::j~I l01 Cooc:re~

}.C Otgam UQUfd ! IP • Ctt;M Oii) 62F~Otyt 5f> Cntm$i30 77A~lt iE.1""•ptd.IClof11

! IMtflllet11torl.Jnt1 i~ ~ll'l~Contltnf-1 3,S. Gat#wet•NL~t!t ~~ ome.- ~r~ d1 lfen'l I~ Ot -~Oontl ~ s-- to CMl"l'!l.ll50 39 OtM< C>ff.mb!t in E?84\J"'tl'I 6 Concr1tt.1 l 9fllot liriet ~!i Olhef Oeficfltlt'ln:tf!l'l'tf 3f, $.t#M! Sn;.HC6o'()WICf' 63 .. o. il Ctw-ms~ '0:\0 rlem 1:3 etaddtlc!NI g:; ,_.,rr,1Cl'f0tf0e 7 PCJif•~rw i•,,._ 01 lr.•1 0t adddlonel ~ l2& EP.A ct Stal• tia=•;cicul 3i P .. nl or ~11ng SA; Saft.1 Sort> 11 Oic•,,.nMP200 , .... P-l V•~Efft1$f)ortor.•

8 Fit»iglatlll Tu11l °' U0t1 e.5,S3i'eNO!t n . 0.c.:tpelt HPSM

5& FIOtcO (4 ?eti-O&el

\NASTI CV:.SSftt.

CATlOf'J Af,-(J~A

:W·Clfts.'A. ;Jr~al!k

9-CIHS.8

C • ..Cl<J»C

B-Class B

FORM 542 I RAM SERVICES, INC. 1 WASTE COLLECTOR/PROCESSOR 2. MANIFEST NUMBER

Name SHIPPER USE ONLY

UNIFORM LOW-LEVEL RADIOACTIVE RAM Services, Inc. 2016-0044

WASTE MANIFEST IDENTIFICATION NUMBER

MANIFEST INDEX AND REGION COMPACT TABULATION 54241 3

List all original "PROCESSED WASTE" generators (if any) 7 Shipping Dale Page 1ol1 before "COLLECTED WASTE'" generators.

<> .. v,. i-c: .... 11 AS PROCESSED/COLLECTED TOTAL

4 5. 6. 7 PREPROCESSED NUMBER($) 9 10.

GENERATOR GENERATOR NAME GENERATOR 6A WASH UNDER WHICH ORIGINATING A SOURCE C ACTIVITY D VOLUME F l/lAXIMUM

WASTE DESCRIPTION 10Rli.V.TERIAl WASTE(OR WASTE CODE COMPACl MATERIAL B SNM E WEIGHT PACKAGE IDENTIFICATION AND TELEPHONE FACILITY

(NOMENCLATURE) VOLUME MATERIAL) P= PROCESSED REGION RADT,4TIOM NUMBER NUMBER ADDRESS 1m3\ 1113'1 RECEIVED AND C =COLLECTED OR STAIE (g) !PDlmcls.; l~VE:I

(kg) {lb) fMBQ) tmCil (ml) (lt3) DATE OF RECE1Pl lnlr .. n'l/hr)

Michigan South

49252 Central Power 720 Herring Road Sealed

0.212376 7.50 c Ml 0 0 0 1.48E+04 4.00E+02 0.212 7.50 Agency Litchfield,MI 49252 Source/Device

350.00

517-542-2346 Ext: 370

TOTALS OF ALL PAGES( FORMS 542 AND 542A}

0.00E+OO O.OOE+OO O.OOE+OO 1.48E+04 4.00E+o2 2.12E-01 7.SOE+OO 3.50E+02

Sto County Highway V Two Rivers, WI 54241 Voice +1-g:m-6:86-3889 Fax +1-g:ao-686-3899

STATE OF WISCONSIN RADIOACTIVE MATERIALS LICENSE 071-1234-01

MICHIGAN SOUTH CENTRAL POWER AGENCY MICHIGAN SOUTH CENTRAL POWER AGENCY 720 HERRING ROAD LITCHFIELD

SUMMARY LEAK TEST REPORT LITCHFIELD, Ml 49252 21 July 2016 United States ATTENTION: MATT BURK

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

FAIL mCI µCi µCi GBq Bq Bq

Source Fails Test if Activity Exceeds 185 Bq .005 µCi MICHIGAN SOUTH CENTRAL POWER 37 Bq 1.00E-3 µCi

AGENCY Action Level

140797 SE3891 Cs-137 25mCi 19 Jul 2016 1.13E-05 µCi OµCi SOURCE 0.925GBq 21Jul2016 0.42 Bq -0.01754 Bq PASSES TEST

140796 SE3888 Cs-137 25mCi 19 Jul 2016 1.13E-05 µCi OµCi SOURCE 0.925GBq 21Jul2016 0.42Bq -0.05263 Bq PASSES TEST

140795 SE3889 Cs-137 25mCi 19 Jul 2016 1.13E-05 µCi OµCi SOURCE 0.925GBq 21Jul2016 0.42Bq 0.14035 Bq PASSES TEST

140794 SE3890 Cs-137 25mCi 19 Jul 2016 1.13E-05 µCi OµCi SOURCE 0.925GBq 21Jul2016 0.42 Bq OBq PASSES TEST

140793 11518 Cs-137 100mCi 19 Jul 2016 1.13E-05 µCi OµCi SOURCE 3.7 GBq 21Jul2016 0.42 Bq OBq PASSES TEST

140792 11516 Cs-137 · 100mCi 19 Jul 2016 1.13E-05 µCi 0 µCi SOURCE 3.7GBq 21 Jul 2016 0.42 Bq 0.01754 Bq PASSES TEST

140791 11517 Cs-137 100mCi 19 Jul 2016 1.13E-05 µCi 0 µCi SOURCE 3.7GBq 21 Jul 2016 0.42 Bq 0.03509 Bq PASSES TEST

PRINTED IN THE UNITED STATES OF AMERICA

510 COUNTY HIGHWAY V TWO RIVERS, WISCONSIN 54241 VOICE: +1. 920.686.3889 FAX: +1. 920.686.3899

I

510 Count)' Highway V Two Rivers, \VI 54241 Voice +l-9Z0-6S6-3889 Fax +1-92t1-6S6-3S99


SEALED SOURCE LEAK TEST CERTIFICATE RAM ACCESSION NO. 140797

MICHIGAN SOUTH CENTRAL POWER AGENCY - LITCHFIELD

LOCATION 49252 - LITCHFIELD, MICHIGAN

CONTACT PERSON MATT BURK J PHONE 517-542-2346 Ext: 370

MICHIGAN SOUTH CENTRAL POWER AGENCY LITCHFIELD 720 HERRING ROAD

LITCHFIELD, Ml 49252 United States

LEAK TEST ANALYSIS I EQUIPMENT NO. DEVICEfTOOL NUMBER

MODEL# D14400 MANUFACTURER STOCK EQUIPMENT CO

SOURCE SERIAL NO. SE3891 MANUFACTURER S/N

ISOTOPE Cs-137 SOURCE ORIGINAL ACTIVITY 25mCi 0.925 GBq

DATE SOURCE WIPED 19 Jul 2016 REASON FOR TEST PERIODIC

ANALYSIS DATE 21 Jul 2016 ANALYTICAL METHOD Liquid Scintillation Counting

GROSS SAMPLE COUNT 19cpm INSTRUMENT Perkin Elmer Tri-Garb 3110TR 130414

BACKGROUND 20cpm COUNTING EFFICIENCY 95%

NET SAMPLE COUNT -0.905263 dpm MINIMUM DETECTABLE 1.13E-05 µCl ACTIVITY 0.42 Bq

SAMPLE ANALYSIS ACTIVITY 0 µCl PASS/FAIL CRITERION 0.005 µCl -0.01754 Bq 185 Bq

SOURCE PASSES TEST ACTION LEVEL 0.001 µCl

37Bq

ANALYST Rick Parlato

r:etf/aJt NOTES:

ADDITIONAL SOURCE DESCRIPTION:

I

5l0 County Highway V Two Rivers, W'! 54241 Vofod +1-9:ao-6B6-s88s Fax +1-92G-6S6-3899








LEAK TEST ANALYSIS I EQUIPMENT NO. DEVICErfOOL NUMBER






GROSS SAMPLE COUNT 17cpm INSTRUMENT Perkin ElmerTri-Carb 3110TR 130414


NET SAMPLE COUNT -2.68421 dpm MINIMUM DETECTABLE 1.13E-05 µCl ACTIVITY 0.42 Bq

SAMPLE ANALYSIS ACTIVITY 0 µCl PASS/FAIL CRITERION 0.005 µCl -0.05263 Bq 185 Bq


37 Bq


"Zi/?I~ NOTES:


I

510 County Highway V Two Rivers:, \\fl 54:141 Voice +Hl:!0-686-3889 Fax +l-9ZC..6$6-3S99





CONTACT PERSON MATT BURK / PHONE 517-542-2346 Ext: 370



LEAK TEST ANALYSIS I EQUIPMENT NO. DEVICEffOOL NUMBER








NET SAMPLE COUNT 7.57895 dpm MINIMUM DETECTABLE 1.13E-05 µCl ACTIVITY 0.42 Bq

SAMPLE ANALYSIS ACTIVITY 0 µCl PASS/FAIL CRITERION 0.005 µCl 0.14035 Bq 185 Bq


37Bq


r:etf/aJt NOTES:


I

510 County Highway V Two RM!rs, \VJ 54Z41 Voice +l-SlZ0-6S6-3889 Fax +1-920-686-3899




LOCATION 49252- LITCHFIELD, MICHIGAN

CONTACT PERSON MATIBURK I PHONE 517-542-2346 Ext: 370











NET SAMPLE COUNT Odpm MINIMUM DETECTABLE 1.13E-05 µCl ACTIVITY 0.42 Bq

SAMPLE ANALYSIS ACTIVITY 0 µCl PASS/FAIL CRITERION 0.005 µCl 0 Bq 185 Bq


37Bq


r;er'}Zht NOTES:


I

510 County Highway V Two Rittrs, \VI S4Z41 Voice +1-9zo-6iil6-:g889 Fax +1-92-0-686-3899





CONTACT PERSON MATT BURK I PHONE 517-542-2346 Ext: 370



LEAK TEST ANALYSIS I EQUIPMENT NO. DEVICE/TOOL NUMBER

MODEL# 7062P MANUFACTURER KAY-RAY

SOURCE SERIAL NO. 11518 MANUFACTURER S/N

ISOTOPE Cs-137 SOURCE ORIGINAL ACTIVITY 100 mCi 3.7 GBq





NET SAMPLE COUNT Odpm MINIMUM DETECTABLE 1.13E-05 µCl ACTIVITY 0.42 Bq

SAMPLE ANALYSIS ACTIVITY 0 µCl PASS/FAIL CRITERION 0.005 µCl 0 Bq 185 Bq


37Bq


~zif:/Jf NOTES:


I

510 County Highway V Two Rivers, WI 54241 Voice +1-920-686-3889 Fax +1-920-686-3899














GROSS SAMPLE COUNT 21 cpm INSTRUMENT Perkin Elmer Tri-Garb 3110TR 130414





37 Bq


~ti~ NOTES:

ADDITIONAL SOURCE DESCRIPTION: SLURRY FEED

I

510 C01Jnty Highway V Two Rivers, Wl 54241 Voice +1-920-686-3889 Fax +H>Z0-686-3899





CONTACT PERSON MATIBURK I PHONE 517-542-2346 Ext: 370



LEAK TEST ANALYSIS I

EQUIPMENT NO. DEVICEfTOOL NUMBER











37 Bq


1Zr'Pa:t-NOTES:


gl report from michigan south central power agency ... · summary leak test report litchfield, ml...

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