lORGF NSEN ;\SS()( I :\TLS,PC -' ~ " ~ ,. " , ' " "

Ol'lobt..:r 29. 2012

Ms. Casey Alldredge Nuclear Regu latory Commission 6 11 Ryan Plaza Drive. Su ite 400 Arlington. TX 7601 J ADOS

RE: NRC Licenl>(' 49<OO:D~()1 DUi.:kcI UJu·..; , I ) I

Dear Ms. Alldredge:

[5) IE ~ IE nn IE fl\i nl! OCT 31 2U12 IdJ

DN MS

Jorgensen Associates will be moving from our curr~nl location al 270 East Simpson in Jackson. Wyoming in December of2012. We plan to move the StOf3gC for licensed material from 270 Simpson to 3970 S. Antelope Lane. Jackson, Wyoming 81001.

! am writing to request instructions on am~nding .m]' llHltrriab liccn::;e \-:) reficct this prnp,)sed mo'/c. r tri:::d 10 rcac!l you at the phon·.: cunUKI yo u gave IlW. hul it ha:s Sillo.:l.: been dis\.:\1:1IlCC1Cti

Our mailing address will remair. the same al.

Jorgensen Associmes. P.c. P.O. i1uJo. 9550 Jackson. Wyoming. 83002

Please call o r wrile lo discuss.

Sincerely. JO (t;ENSFN ASSOCIATES. P.c.

. Jeffrey [). Bales, RSO

· ..... ·· ... 0 L • 1

D, ..

,·JBUC o Ir1)IHediata Relea .. o-1formal ReIeaM

NOIf.f'UIlJC

p .

Q AJ .. ..". See .. rl~ R('laled Q ",f IeMttlv ... COt· ......

57 93 30

Vi " - · 1 " ~

f-,"­.-"

~ " v o 'fJ if>

<: z.s lii <fJ " Z

, "

W , 0

" '-.I ,

CO " , ~

~' -.I

"'

" ~ " ~ z ~ , <t

''.1" ,- .1

'- -'

' .+1

Cook. Jackie

From: Sent: To: Subject:

Jeff Bates Ubates@jorgensenassociates.comJ Monday, October 29, 20121 :49 PM Cook, Jackie RE: Material License Amendment 49-27033-01

I just took a new set of leak tests for the current locat ion. I wi ll forward the results with the statements you discuss be low next week.

Thank You .

h.'rr 131UC'S i bates@iorgcnsenassociates.com

jOR(;ENS E N !\SSO CIAT l cS YC ~ J. " ." " . ~ " •• J '., , . • . . ~ , . . "' • •

P.O. Box 9550 270 E. Simpson Ave.

Jackson, WY 83002 Phone: 307-733-5150 FAX: 307-733-5187

www.jorgensenassociates.com

P.O. Box 524 105 E. Little Ave. Driggs, JD 83422 Phone: 208-354-8330 FAX: 208 -354 -8273

From: Cook, Jackie (mailto:Jackie.Cook@nrc.gQv] Sent: Monday, October 29, 2012 12:45 PM To: Jeff Bates Subject: RE: Material License Amendment 49-27033-01

Thanks Jeff. Email is sufficient. In addition, please submit the latest leak test results for the old location upon vacating it and a statement, as appropriate that ~ No leaking sources have ever been identified".

Please don't hesitate to contact me if you need additional clarification or information at the phone numbers and/or email address listed below.

Sincerely,

JacqtudilW ~Jacliie " 2>. CtIlJIi Senior Health Physicist Division of Nuclear Materials Safety Nuclear Materials Safety Branch B 1600 E. Lamar Blvd., Arlington, TX 76011 817·200· 1132 (office)1817·200·1263 (fax) e-mail address: Jackie.Cook@nrc.gov

From: Jeff Bates [mailto:jbates@ioraensenassociates.com] Sent: Monday, October 29, 2012 12:48 PM To: Cook, Jackie Subject: FW: Material License Amendment 49-27033-01

Forwarding letler as requested . Should t follow up with USPS letter or is email ok?

Th ank You.

1

Murnahan. Colleen

From: Sent: To: Subject: Attachments:

Ladies:

Cook, Jackie Monday, October 29, 2012 1:46 PM Hill, Carol: Murnahan, Colleen FW: Material License Amendment 49-27033-01 NRC Letter 102912.PDF

Please set up this amendment request, as appropriate. I will be bringing an email request I have forwa rded to Mr. Bates to be included with th is action.

Thanking you in advanced,

Jackie

From: Jeff Bates [mailto: jbates@jorgensenassociates.comJ Sent: Monday, October 29, 2012 12:48 PM To: Cook, Jackie d ~ Subject: fW: Material License Amendment 49-27033-01

Forwarding letter as requested. Should I follow up with USPS letter or is email ok?

Thank You.

Jeff Bales jbates@iorgensenassociates.com

P.O. Box 9550 270 E. Simpson Ave. Jackson, WY 83002 Phone: 307-733-5150 FAX: 307-733-5187

www.jorgensenassociates.com

P.O. Box 524 105 E. little Ave. Driggs, ID 83422 Phone; 208-354-8330 FAX: 208-354-8273

.., ~~~ ab( -mail aryl ~ny' att,l(+ com- 'n inform I;Al tl1at".,- '"'

min' <snd/" v;ieFi~'! 11<-' r;! ,Oil is f('( 'Ie use of n-,," ,ndividl 10r "r' 'll'lgiPilth'liltellde r1 I , 'OU (lfP n t the ir t,-'n{1ed rerin'l'm, (J oy die !osure, c ("I db1 :nn::- ! th: 'th.... )I<i~ til' It

rec ,j in error, please 1.- ,rnediately notify the .nder ano t. te thi: '~5sage

and its attac hmE'nts, if any_

P.O. Box 9550

270 E. Simpson Ave.

Jackson, WY 83002 Phone: 307-733-5150

P.O. Box 524

105 E. little Ave.

Driggs, 1083422 Phone: 208-354-8330

1

From: Jeff Bates [mailto:jbates@jorgensenassociates.

=J Sent: Monday, October 29, 2012 9:58 AM To: 'Casey.aJldredge@nrc.gov' Subject: Material Ucense Amendment 49-27033-01

See attached letter

Jeff Bates j bates@ jorscnsenassociatcs.com

5 7 93 3 0

NRC fORM 532 u. S. NUCLEAR REGULATORY COMMISSION (1-2012)

DATE

1112712012

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER

Jorgensen Associates, P.e. A1TN: Jeffrey D. Bates

Rad iat ion Sa rety Officer P.O. Box 9550

49-27033-0 I

MAIL CONTROL NUMBER

579330

Jackson, Wyoming 83002 LICENSING ANDIOR TECHNICAL REVIEWER

ch

This is to acknowledge the receipt of your:

IZl LETTER andlor 0 APPLICATION DATED: 1012912012

The initial processing, which included an administrative review, has been performed.

IZl AMENDMENT 0 TERMINATION 0 NEW LICENSE 0 RENEWAL

o There were no admin istrative omissions identified during our initial review.

o This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

o Your application for a new NRC license did not include your taxpayer identification number. Please fil l out NRC Form 531, located at the following link:

http://WVffl.nrc .gov/reading-rmldoc-collectionslformslorc531,pdf

Send the completed NRC Form 53 1, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailedtoourLicenseFeeandAccountsReceivableBranch. in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.

Your application has been assigned the above listed MAIL CONTROL NUMBER. lJVhen calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is li sted below:

NRC FORM 532 (1 -2012)

Region IV U. S. Nuclear Regulatory Commission DNMSINMSB - B 1600 E. Lamar Boulevard Arlington, TX 76011-451 1 (817) 200-11 03 or (81 7) 200-1140

,

8EnNEEN:

Accounts ReceivablelPayab!e

aod Regional Licensing Branches

-

[ FOR ARPB USE J INFORMATION FROM VVBL

Program Code: 03121 Status Code: Pending Amendment Fee Category: 3P Exp. Date: 0913012015 Fee Commenls: Decom Fin Assur Reqd: N

•

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATTACHED ApplicanULlcensee: JORGENSEN ASSOCIATES, P.C.

Received Dale: 10/31/2012

Docket Number: 3031731 Mail ContrOl Number: 579330 License Number: 49-27033-01

Action Type: Amendment

2. FEE ATTACHED

Amount:

Check No.:

3. COMMENTS

Signed: r

Dale:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 Is entorod I I

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment

Renewal:

license:

3. OTHER ______ _______ _

Signed:

Date:

1