Hill, Carol

From:

Sent: To: Cc: Subject: Attachments:

Michaei_Dalton@praxair.com Wednesday, February 19, 2014 2:06 PM Hill, Carol Eric_B_Hansen@Praxair.com; John_Fogarty@praxair.com Amendment for License 42-35061-01 Amendment to License.pdf

Request for additional unit (Thermo Fischer Scientific sealed source thermo measure tech model 57157c) to be added to license 42-35061-01 .

Thanks RECEIVED

FEB 1 ~ 201~

DNMS

Praxair, Inc.

Oilfield C02

Field Operations Superintendent

Cell: 307-389-6013

Office: 307-382-3040 ext. 13

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NON-PUBUC 0 A.3 Se,.ltive-Securtty Related 0 A.7 Sensitive Internal a Other:. _____ _

,.............__ Date: dntv

tn 5 8 3 19 2

NRC FORM 313 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMS: NO. 3150·0120 EXPIRES: 0513 112015 (03-2013) Estwnated burden per response 10 cor.1~1y ~>ith thiS mandatory cor.eclicn request 4.3 hour.;. SubmiHal of the 10 CFR 30, 32. 33. 34. 35. 36, 30. and 40 application is necessary to detenr,nc that the app'ican t •s qua~f~ed <~nd th<~t aooquatc procedures exist to

._c:-'•"•w"<..,.. pro:cct the publ<: health Olnd safe ty. Send comrnnts rt.>garding burden estimate to the lnlorrn<~tion Scrw:cs

• 0 Branch [T-5 F53), U.S. NUClear Regulatory Commr;s10n. Was'lington. DC 20555-0001. or by intcrnet e-rnaj to

f'~~~ APPLICATION FOR MATERIALS ln'ocollocts.Resource@nrc.gov. and 10 the Desk Officer. Olflce ol lnfo'!1kltion and Regulatory Arraors • ... 0 { ll

NEOB-10202. (31!;:>0120). Office of Management and Bud<jet. Washington. DC 20503. II a means used to

\~ ':f/ LICENSE irrrose an •n'O<ma:ion coll<>ction dOt's not d•sp/ay a currenUy ·•alid OMB control number, the NRC may not ..... conduct or sponsor. and a person IS not reQuited to respond to. the inlotmation collectoon .

INSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION. SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW. •AMENDMENTS/RENEWALS THAT INCREASE THE SCOPE OF THE EXISTING LICENSE TO A NEW OR HIGHER FEE CATEGORY WILL REQUIRE A FEE.

APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH: IF YOU ARE LOCATED IN:

OFFICE OF FEDERAL t. STATE MATERIALS AND ILLINOIS, INDIANA,IOWA, MICHIGAN, MIN NESOTA, MISSOURI, OHIO, OR WISCONSIN, ENVIRONMENTAL MANAGEMENT PROGRAMS SEND APPLICATIONS TO: DIVISION OF MATERIALS SAFETY ,\NO STATE AGqEEI.IEt·ITS

MATERIALS LICENSING BRANCH U.S NUCLEAR REGULATORY COMMISSION WASHINGTON. DC 20555.0001 U.S NUCLEAR REGULATORY COMMISSION, REGION Ill

2443 WARRENVILLE ROAD. SUITE 210 ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS: LISLE IL 60532·4352

IF YOU ARE LOCATED IN:

ALABAMA, CONNECTICUT, DELAWARE, DI STRICT OF COLUMBIA, FLORIDA, GEORGIA, ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, KENTUCKY, MAINE, MARYLAND, MASSACHUSETIS, NEW HAMPSHIRE, NEW JERSEY, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH NEW YORK, NORTH CAROLI NA, PENNSYLVANIA, PUERTO RICO. RHODE ISLAND, SOUTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA, UTAH, WASHINGTON, OR WYOMING,

SEND APPLICATIONS TO: SEND APPLICATIONS TO:

LICENSING ASSISTANCE TEAM NUCLEAR MATERIALS LICENSING BRANCH DIVISION OF NUCLEAR MATERIALS SAFETY US. NUCLEAR REGULATORY COMMISSION. REGION IV US. NUCLEAR REGULATORY COMMISSION, REGION I 1500 E LAMAR BOULEVARD 2100 RENAISSANCE BOULEVARD. SUITE 100 ARLINGTON. TX 76011-'511 KING OF PRUSSIA, PA 19406-2713

PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S.NUCLEAR REGULATORY COMMISSION JURISDICTIONS.

1 THIS IS AN APPLICATION FOR (Check appropriate item) 2. NAME AND MAILING ADDRESS OF APPLICANT (lnclud~ ZIP code)

, __ I A NEW LICENSE Praxai r Services, Inc.

.t i B. AIAENOMENT TO LICENSE NUMBER 42-35061-01 1585 Sawdust Rd. Suite 300

C. RENEWAL OF LICENSE NUMBER The Woodlands. TX 77380

3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED 4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

Michael Dalton

BUSINESS TELEPHONE NUMBER I BUSINESS CELLULAR TELEPHONE NUMBER 483 Turret Dr. Rock Springs, \VY 8290 I (307) 382-3040 (307) 389-6013

BUSINESS EMAIL ADDRESS

michael_ dalton@praxai r.com

SUBMIT ITEMS 5 THROUGH 11 ON 8·112 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE

5 RADIOACTIVE MATERIAL 6. PURPOSE(S) FOR WHIC>t LICENSED MATERIAL WILL BE USED.

a. Element and mass number. b. chemical and/or physiCal form: and c. maix1mum amount 7 INDIVIOUALtS) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR which w111 be possessed at any ono time

TRAINING EXPERIENCE.

8 . TRAINING FOR INDIVIDUALS 'AQRKING IN OR FREQUENTING RESTRICTED AREAS. 9. FACILITIES AND EQUIPMENT

10. RADIATION SAFETY PROGRAM. 11 . WASTE MANAGEMENT

12 LICENSE FEES (Fees rcqwcd only fa< new appUcabons, with lew except ons') FEE CATEGORY I I AMOUNT

s I I (See IOCFR 170andSecrion 170.31) ENCLOSED

13. CERTIFICATION. (Mus: be comp!ered Oy appl•canr) THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND fiEPRESENTA TrONS MADE IN THIS APPLICATION ARE BINDING UPON THE APPLICANT.

THE APPLICANT AND ANY OFFICIAL EX ECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT. NAMED IN ITEM 2. CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY WITH TITLE 10, CODE OF FEDERAL REGULATIONS. PARTS 30. 32, 33. 34. 35. 36. 39. AND 40. AND THAT ALL INFOR MATION CONTANED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOIM..EOGE AND BELIEF. WARNING: 18 U.S.C SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNIT EO STATES AS TO ANY MA TTER WITHIN ITS JURISDICTION.

CERTIFYING OFFICER .. TYPED/PRINTED NAME AND TITLE SIGNATURE DATE

Michae l Dalton Wyoming field Manager/RSO ;yU( 01 2. ·1'1- /'f

FOR NRC USE ONLY

TYPE OF FEE r EELOG I FEE CATEGORY 1: MOUNT RECEIVED CHECK NUMBER COMMENTS

APPROVED BY DATE

NRC FORM 313 (03-2013)

lh 5 8 3 1 9 2

5.a. Cesium 137/200 millicuries

b. Sealed source/special form (Thermo MeasurcTcch Model 57157c)

c. 4 sources in total possession, 3 sources of200 millicuries from Thermo Fischer Scientific, and 1 source of 30 millicuries from Eckert & Ziegler.

6. For fluid densi ty measurement during oi l tield fi·acturing operations.

7. Michael Dalton- 40 hr RSO class

Eric B. Hansen- 40 hr RSO and refresher 40 hr class. RSO for Baker Hughes for 3 years.

'2 -Jtt-1'1

Thermo Fisher S C I E N TI FIC

Sealed Radioactive Source Certificate

22-Jan-14

Th~ world le~d• r

in serving ~c icnce

This is to certify that the product identified below contains radioactive material in the form of a sealed source according to the isotope and activity amounts listed below as of the date measured or calculated.

Customer No.

Source Serial No.

Model

Serial

Isotope

Activity

Units

Assay Date

Capsule Type

Ship Date

Calc. Act.

Calc. Date

Gamaliel Torres Radiation Safety Officer

(nwonnl'nlal & Process Monrtorrng I •110 Gillingham! anc

1130700

CP-2620

5190

88524

Cs-137

200

mCi

08-Feb-1 3

571 57C

Sugar land. TX 774/8

111001 m 79~9 (7131272-?773 ra,

"''""' hcrmosr cn;rfrc com

NJ. 5 8319 2

NRC FORM 532 (1-2012)

U.S. NUCLEAR REGULATORY COMMISSION

DATE

02/26/2014

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE

Praxair Services, Inc

LICENSE NUMBER

42-35061-01

ATTN: Eric B. Hansen MAIL CONTROL NUMBER

Radiation Safety Officer 1585 Sawdust Road, Suite 300

583192

The Woodlands, TX 77380 LICENSING AND/OR TECHNICAL REVIEWER

D D

D

ch

This is to acknowledge the receipt of your:

0 LETTER and/or [{]APPLICATION DATED: 02/19/2014

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

0 AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

There were no administrative omissions identified during our initial review.

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.

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

http://www. nrc.gov /reading-rm/doc-collections/forms/nrc531 . pdf

Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately ifthere is a fee issue involved.

Your application has been assigned the above listed MAIL CONTROl- NUMBER. When 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 listed below:

Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Boulevard Arl ington, TX 76011 -4511 (817) 200-1103 or (817) 200-1140

NRC FORM 532 (1-2012)

BETWEEN:

Accounts Receivable/Payable

and

Regional Licensing Branches

[ FOR ARPB USE ]

INFORMATION FROM WBL . . .

Program Code: 03120 Status Code: Pending Amendment

Fee Category: 3P Exp. Date: 07/31/2023

Fee Comments:

Decem Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATTACHED ApplicanVLicensee: PRAXAIR SERVICES, INC.

Received Date: Docket Number: Mail Control Number: License Number:

Action Type:

2. FEE ATTACHED

Amount:

Check No.:

I 3. COMMENTS

I

02/19/2014 3038639 583192 42-35061-01

Amendment

I

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I I

1. Fee Category and Amount:

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

Amendment:

Renewal:

License:

3. OTHER---------------

Signed:

Date: