David Walter, Director Office of Radiation Control Alabama ...Montgomery, AL 36130-3017 RE:...

S P E C::: F I E D E M E R G E N C::: Y

July 19, 2016

Roland G. Fletcher- Environmental Program Manager III Maryland Department of Environment Radiological Health Program Air & Radiation Management Admin. 1800 Washington Blvd., Suite 750 Baltimore, MD 21230-1718

RE: Transfers of Industrial Devices Report: 4/1/16- 6/30/16 License MD35-004-01Amended07

Dear Mr. Roland G. Fletcher,

LIGHTING

Please find enclosed the copies of Transfers of Industrial Devices Reports for the all shipments from our facility dated 411/16 - 6/30/16.

Feel free to contact myself with any questions that you may have. Thank you for your help with this matter.

Pamela Robey Customer Service Ma

220 VFW Avenue, Grasonville, MD 21638 Tel: 410-827-8300 Fax: 410-827-8866 [email protected] www.signtexinc.com

July 19, 2016

David K. Walter, Director Office of Radiation Control Alabama Department of Public Health 201 Monroe Street The RSA Tower, Suite 700 P.O. Box 303017 Montgomery, AL 36130-3017

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1116 - 6/30/16 License MD35-004-01Amended07

Dear Mr. David K. Walter:

In accordance with section 1 7 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment,

. please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.

\

Sincerely,

Pamela l Robey . Customer Service Manager

220 VFW Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827- 8866 [email protected] www.signtexinc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 ALABAMA INSTALLATION ADDRESS EASTER SEALS OF WEST ALABAMA 1110 DR EDWARD HILLARD DRIVE TUSCALOOSA, AL 35401

MODEL

AL20

QUARTER ENDING: 6/30/2016 page number: 1

QUANTITY CURIES INVOICE

3 10.5 6/30/16

CONTACT NAME: RONNY JOHNSTON-EXECUTIVE DIRECTOR NUMBER: 205-759-1211 x264 SERIAL NUMBER: 10482-10484 INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE

CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE




CONTACT NAME: NUMBER: SERIAL NUMBER:

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July 19, 2016

Aubrey V. Godwin, Director Arizona Radiation Rgulatory Agency 4814 South 40th Street Phoenix, AZ 85040


Dear Ms. Aubrey V. Godwin:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.

Sincerely,

Pamela J Robey Customer Service Manager


--------- - ----------------------..

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 ARIZONA INSTALLATION ADDRESS HUBBARD RADIO 110 N 52ND ST PHOENIX, AZ 85008

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AL10



1 7.5 1/27/2016

CONTACT NAME: CLAYTON CREEKMORE-CHIEF ENGINEER NUMBER: 602-321-6522 SERIAL NUMBER: 105162 INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE HIGLEY UNIFIED 2935 S RECKER ROAD GILBERT, AZ 85295 TP10 6 7.5 3/17/2016

CONTACT NAME: BEN BUCHOLZ-MAINTENANCE MANAGER NUMBER: 480-279-7000 SERIAL NUMBER: 105190-105195 INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE

-CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE

CONT ACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE



July 19, 2016

Bernard Bevill, Section Chief AR Department of Health Radioactive Control Section 5800 West 101h Street, Suite 100 Little Rock, AR 72204

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1/16 - 6/30/16 License MD35-004-01Amended07

Dear Mr. Bernard Bevill:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, · please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.

~' Pamela J Robey Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 ARKANSAS INSTALLATION ADDRESS

CONT ACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS

CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS


CONTACT NAME: NUMBER: SERIAL NUMBER:, INSTALLATION ADDRESS



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QUANTITY CURIES INVOICE .~



· July 19, 2016

Gonzalo Perez, Branch Chief Radiologic Health Branch Div. of Food, Drug, & Radation Safety CA Dept of Heath Services PO Box 997414, MS 7610 1500 Capitol Ave, MS 7610 Sacran1ento, CA 95899-7414


Dear Mr. Gonzalo Perez:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial DeviCes Reports for the quarter ending June 30, 2016.

Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 CALIFORNIA INSTALLATION ADDRESS SFOBB WAREHOUSE 200 BURMA RD OAKLAND, CA 94607

CONTACT NAME: PHILLIP STENSON NUMBER: 925-348-4116 SERIAL NUMBER: 105210-105236 INSTALLATION ADDRESS PALO AL TO HIGH SCHOOL 50 EMBARCADERO ROAD PALO AL TO, CA 94301

CONTACT NAME: BROOKE BOWAN NUMBER: 510-483-0500 SERIAL NUMBER: 104250-104253

INSTALLATION ADDRESS SHARP METRO LAB 5325 METRO STREET SAN DIEGO, CA 92110

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TP20

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AL10

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TP20

CONTACT NAME: BRETT-ELECTRICAL FOREMAN NUMBER: 619-520-2106 SERIAL NUMBER: 105237 INSTALLATION ADDRESS MODEL APPLE INC 19050 PRUNERIDGE AVE CUPERTINO, CA 95014 AL20

QUARTER ENDING: 6/30/2016 -----page number: 1


27 10.5 4/22/2016

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4 10.5 5/10/2016


1 10.5 5/4/2016


1 . 10.5 5/19/2016

CONTACT NAME: JOHN SHULL-ENVIRONMENT, HEALTH & SAFETY NUMBER: 408-974-5170 SERIAL NUMBER: 104254

INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE REGAL CINEMA 2790 E REGAL PARK AVE ANAHEIM, CA 92806 TP10 9 7.5 6/16/2016

CONTACT NAME: RYAN JORDAN-MANAGER NUMBER: 714-982-5151 SERIAL NUMBER: 104263-104273

INSTALLATION ADDRESS ·MODEL QUANTITY CURIES INVOICE CENTRAL VALLEY MEAT 10431 8 3/4 AVE TP10 3 7.5 6/16/2016 HANFORD, CA 93230 TP10 2 7.5 6/16/2016

CONTACT NAME: DANI VELA-PURCHASING NUMBER: 559-639-6662 SERIAL NUMBER: 104258-104262

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 CALIFORNIA INSTALLATION ADDRESS PERRIS UNIFIED HIGH SCHOOL DISTRICT 155 E 4TH STREET PERRIS, CA 92504

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AL20

QUARTER ENDING: page number:

QUANTITY CURIES

4 10.5

CONTACT NAME: HECTOR GONZALEZ-DIRECTOR OF FACILITIES NUMBER: 951-943-6369 SERIAL NUMBER: 104274-'104277

INSTALLATION ADDRESS MODEL QUANTITY CURIES APARTMENT INVESTORS LLC 301 SOUTH GLENDORA AVE WEST COVINA, CA 91790 TP10 5 7.5

CONT ACT NAME: GARY HILDABRAND-DIRECTOR OF CONSTRUCTION NUMBER: 979-349-8200 SERIAL NUMBER: 104285-104289

INSTALLATION ADDRESS MP DEL QUANTITY CURIES


INSTALLATION ADDRESS MODEL QUANTITY CURIES

CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES

CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES


6/30/2016 2

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6/20/2016

INVOICE

6/30/2016

INVOICE

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July 19, 2016

Jennifer Opila, Program Manager Hazardous Materials & Waste Management Division Department of Public Health and Environment HMWM-RAD-B2 4300 Cherry Creek Drive South Denver, CO 80246-1530

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1116 - 6/30/16 License MD35-004-01 Amended 07

Dear Ms. Jennifer Opila:


Pamela J Robey Customer Service

220 VFW Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827-8866 [email protected] www.signtexinc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 COLORADO INSTALLATION ADDRESS






CONT ACT NAME: NUMBER: SERIAL NUMBER:

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July 19, 2016

Cynthia Becker, M.P.H, Chief Bureau of Radiation Control Florida Department of Health 4052 Bald Cypress Way, SE, Bin C21 Tallahassee, FL 32399-1741


Dear Ms. Cynthia Becker:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial·Devices Reports for the quarter ending June 30, 2016.


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 FLORIDA INSTALLATION ADDRESS




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QUANTITY CURIES INVOICE . -



July 19, 2016

Travis Cartoski, Acting Manager Radioactive Materials Program Air Protection Branch Department of Natural Resources 4220 International Parkway, Suite 130 Atlanta, GA 30354


Dear Mr. Travis Cartoski:


~ly,

Pamela J Robey · Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 GEORGIA INSTALLATION ADDRESS





CONT ACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRl;:SS


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QUARTER ENDING: 6/30/2016 page number:







July 19, 2016

Joseph G. Klinger, Assistant Director Illinois Emergency Management Agency Division of Nuclear Safety 2200 S. Dirksen Parkway

- Springfield, IL 62703


Dear Mr. Joseph Klinger:



· 220 VFW Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827- 8866 [email protected] www.signtexinc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 ILLINOIS INSTALLATION ADDRESS CITY OF BELLEVILLE 450 ENVIRONMENT AL DRIVE BELLEVILLE, IL 62220

CONTACT NAME: ROYCE CARLISLE-DIRECTOR NUMBER: 618-233-7146 SERIAL NUMBER: 104255-104257 INSTALLATION ADDRESS






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3 10.5 6/10/2016




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July 19, 2016

Angela Leek, Bureau Chief Bureau of Radiological Health Iowa Department of Public Health Lucas Office Building, 5th Floor 321 East 121h Street Des Moines, IA 50319

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1/16 - 6/30/16 License MD35-004-01 Amended 07

Dear Ms. Angela Leek:

In accordance with section 1 7 ofour license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter . ending June 30, 2016.

Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 IOWA INSTALLATION ADDRESS





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July 19, 2016

Kimberly S. Steves, Chief KS Dept of Health & Environment 1000 SW Jackson, Suite 330 Topeka, KS 66612-1365


Dear Ms. Kimberly Steves:




RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 KANSAS INSTALLATION ADDRESS


..



CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS.



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July 19, 2016

Matthew W. McKinley, Administator Cabinet for Health & Family Services _ Radiation Health Branch 275 East Main Street Mail Stop HS 1 C-A Frankfort, KY 40621-0001

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1/16 - 6/30/16 License MD35-004 .. 0l Amended 07

Dear Mr. Matthew W. McKinley:

In accordance with section 17 of our license, including updated requirements specified in · a letter of February 18, 2016, received from Maryland Department of the Environment,

please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.

- Sincerely,

Pan1ela J Robey Customer Service Manager

220 VFW Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827- 8866 [email protected] www.signtednc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 KENTUCKY INSTALLATION ADDRESS




CONTACT NAME: Nl)MBER: SERIAL NUMBER: INSTALLATION ADDRESS



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July 19, 2016

Bryan Riche', Divison Administrator Assesment Division Radiation Section Office of Enviromnental Compliance P.O. Box 4312 Baton Rouge, LA 70821-4312


Dear Mr. Bryan Riche':

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers oflndustrial Devices Reports for the quarter ending June 30, 2016.

Sincerely,


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 LOUISIANA INSTALLATION ADDRESS







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QUANTITY CURIES

QUANTITY CURIES

QUANTITY CURIES

QUANTITY CURIES

QUANTITY CURIES

QUANTITY CURIES

6/30/2016 1

INVOICE

INVOICE

INVOICE

INVOICE

INVOICE

INVOICE

July 19, 2016

Jay Hyland, Manager Radiation Control Program Division of Environmental Health 286 Water Street Key Plaza, 4th Floor, 1 lSHS Augusta, ME 04333-0011


Dear Mr. Jay Hyland:


Pamela J Robey . Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MAINE INSTALLATION ADDRESS







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QUANTITY CURIES INVOIGE





July 19, 2016

Jack Priest, Director Department of Public Health Radiation Control Program Bureau of Environmental Health Schrafft Center, Suite 1M2A 529 Main Street Charlestown, MA 02129


Dear Mr. Jack Priest:

In accordance with section 1 7 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016. ·



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MASSACHUSETTS INSTALLATION ADDRESS




. INSTALLATION ADDRESS




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QUANTITY CURIES INVOICE·

July 19,'2016

Mary N avara, Manager Indoor Environments and Radiation Section Environmental Health Division Department of Health P.O. Box 64975 St. Paul, MN 55164-0975


Dear Ms~ Mary Navara:

In accordance with section 1 7 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending Jube 30, 2016.

Sincerely,

Pan1ela J Robey Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MINNESOTA INSTALLATION ADDRESS TRANSCANADA USA SERVICES COMPRESSOR STATION #1 4094 180TH AVE SAINT VINCENT, MN 56755

MODEL

TP10

CONTACT NAME: LEE HANSON-PLANT MAINTENANCE NUMBER: 248-205-7493 SERIAL NUMBER: 105208-105209

INSTALLATION ADDRESS MODEL

CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL







2 7.5 4/21/2016






July 19, 2016

B.J. Smith, Director Division of Raciiological Health Mississippi State Department of Health 3150 Lawson Street , P.O. Box 1700 Jackson, MS 39215-1700


Dear Mr. B.J Smith:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers ofindustrial Devices Reports for the quarter ending June 30, 2016.

Sincerely,

~ Customer Service Manager


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MISSISSIPPI INSTALLATION ADDRESS







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July 19, 2016

Julia A. Schmitt, Manager NE Dept. of Health & Human Services Office Of Radiological Health 301 Centennial Mall South P.O. Box 95026 Lincoln, NE 68509-5026


Dear Ms. Julia A. Schmitt:

In accordance with section 1 7 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEBRASKA INSTALLATION ADDRESS




CONT ACT NAME: NUMBER:-SERIAL NUMBER: INSTALLATION ADDRESS

CONTACT NAME: NUMBER: '

SERIAL NUMBER: INSTALLATION ADDRESS


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QUARTER ENDING: 6/30/2016 page ntJmber: 1







July 19, 2016

Karen Beckley, Manager Radiation Control Program Division of Public and Behavioral Health 675 Fairview Drive, Suite 218 Carson City, NV 89706


Dear Ms. Karen Beckley:



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEVADA INSTALLATION ADDRESS







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July 19, 2016

Twila Kenna, Director NH Radiological Health Section Dept of Health and Human Services 29 Hazen Drive Concord, NH 03301-6504


Dear Ms. Twila Kenna:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEW HAMPSHIRE INSTALLATION ADDRESS







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July 19, 2016

Paul Baldauf, Director Division of Environmental Safety & Health Dept. of Environmental Protection PO Box 420 Trenton, NJ 08625-0420


Dear Mr. Paul Baldauf:




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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEW JERSEY INSTALLATION ADDRESS







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July 19, 2016

Santiago Rodriguez, Bureau Chief Radiation Control Bureau New Mexico Dept of Environment Marquez Building-Suite 1 PO Box 5469 Santa Fe, NM 87502-5469


Dear Mr. Santiago Rodriguez:




RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEW MEXICO INSTALLATION ADDRESS







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. QUANTITY CURIES· INVOICE



July 19, 2016

Stephen Gavitt, CHP, Director Bureau of Environmental Radiation Protection Empire State Plaza-Corning Tower-121h Floor Albany, NY 12237


Dear Mr. Stephen Gavitt:

In accordance. with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.

Sincerely,


220 VFW Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827-8866 [email protected] www.signtexinc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NEW YORK INSTALLATION ADDRESS TOPS MARKETS LLC COOPERSTOWN 5 COMMONS DRIVE COOPERSTOWN, NY 13326

CONTACT NAME: DENNIS DIMARIN-MANAGER NUMBER: 607-547-5956 SERIAL NUMBER: 105238-105249 INSTALLATION ADDRESS TOWN OF COLONIE 347 OLD NISKAYUNA ROAD LATHAM, NY 12110

MODEL

TP10

MODEL

AL20

CONTACT NAME: ANGELO GAUDIO-SANITARY ENGINEER NUMBER: 518-783-2766 SERIAL NUMBER: 104278-104281

INSTALLATION ADDRESS MODEL




CONT ACT NAME: -

NUMBER: SERIAL NUMBER:



12 7.5 5/5/2016


4 10.5 6/21/2016





July 19, 2016

Lee Cox, Chief Radiation Protection Section Department of Health and Human Services 5505 Creedmoor Rd, 1st floor Raleigh, NC 27612


Dear Mr. Lee Cox:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NORTH CAROLINA INSTALLATION ADDRESS







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July 19, 2016

Terry L. O'Clair, Director North Dakota Dept of Health Division of Air Quality, 2nd Floor 918 East Divide A venue Bismarck, ND 58501-1947

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1116 '- 6/30/16 License MD35-004-01 Amended 07

Dear Terry L. O'Clair:

In accordance with section 17 of our license, including updated requirements specified in a letter ofFebrnary 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 NORTH DAKOTA INSTALLATION ADDRESS







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July 19, 2016

Michael Snee Bureau of Radiation Protection Ohio Department of Health 246 North High Street Columbus, OH 43215


Dear Mr. Michael Snee:




RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 OHIO INSTALLATION ADDRESS




CONTACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION A.DDRESS



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July 19, 2016

Mike Broderick, Environmental Program Mgr. II Radiation Management Section OK Dept of Environmental Quality P.O. Box 1677 Oklahoma City, OK 73101-1677


Dear Mr. Mike Broderick:


Sincerely,


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 OKLAHOMA INSTALLATION ADDRESS







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July 19, 2016

David M. Howe, M.A., Program Director Radiation Protection Services Oregon Health Services Department of Human Services 800 NE Oregon Street, Suite 640 Portland, OR 97232-2162


Dear Mr. David M. Howe:·




RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 OREGON INSTALLATION ADDRESS







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QUANTITY CURIES

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6/30/2016 1

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INVOICE

INVOICE

INVOICE \

INVOICE

INVOICE

·July 19, 2016

David Allard, CHP, Director PA Dept of Environmental Protection Bureau of Radiation Protection Rachel Carson State Office Building PO Box 8469 Harrisburg, PA 17105-8469

RE: TRANSFERS OF INDUSTRIAL DEVICES REPORT: 4/1116 - 6/30/16 -License MD35-004-01Amended07

Dear Mr. David Allard:


~ncerely,


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 PENNSYLVANIA INSTALLATION ADDRESS







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July 19, 2016

Seema Dixit, Cheif Center for Health Facilities and Regulations Rhode Island Department of Health 3 Capitol Hill, Room 305 Providence, RI 02908


Dear Seema Dixit:


Sincerely,


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 RHODE ISLAND INSTALLATION ADDRESS







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July 19, 2016

Aaron A. Gantt, Chief Department of Health & Environmental Control Bureau of Radiological Health 2600 Bull Street Columbia, SC 29201


Dear Mr. Aaron Gantt:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please June 30, 2016.

220 VFW-Avenue, Grasonville, MD 21638 P-(410) 827-8300 F-(410) 827- 8866 [email protected] www.signtexinc.com

RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 SOUTH CAROLINA INSTALLATION ADDRESS







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QUANTITY CURIES

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QUANTITY CURIES

6/30/2016 1

INVOICE

INVOICE

INVOICE

INVOICE

INVOICE

INVOICE

July 19, 2016

Debra Shults, Director Division of Radiological Health TN Dept of Environment & Conservation William R. Snodcrass Tennessee Tower-15th Floor 312 Rosa L. Parks A venue Nashville, TN 37243


Dear Ms. Debra Shults:




RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 TENNESSEE INSTALLATION ADDRESS -





CONTACT NAME: NUMBER:. SERIAL NUMBER: INSTALLATION ADDRESS


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QUARTER ENDING: 6/30/2016 page numbe~ 1







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July 19, 2016

Charlotte Sullivan, M.S.A., B.S.N., Manager Regulatory Licensing Unit Manager Division of Regulatory Services Texas Dept. of State Health Services PO Box 149347-Mail Code 2835 Austin, TX 78714-9347


Dear Ms. Charlotte Sullivan:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 TEXAS INSTALLATION ADDRESS







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July19,2016

Scott T. Anderson, Director Division of Radiation Control Dept of Environmental Quality 195 North 1950 West P.O. Box 144880 Salt Lake City, UT 84114-4880


Dear Mr. Scott Anderson:



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 UTAH INSTALLATION ADDRESS







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July19,2016

David Jansen, P.E., Director Washington State Department of Health Office of Radiation Protection P.O. Box 47827 Olympia, WA 98504-7827


Dear Mr. David Jansen:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 WASHINGTON INSTALLATION ADDRESS







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July 19, 2016

Paul Schmidt, Manager Radiation Protection Section Division of Public Health Dept of Health Services P.O. Box 2659. Madison, WI 53701-2659


Dear Mr. Paul Schmidt:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 WISCONSIN INSTALLATION ADDRESS







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July 19, 2016

Steve A. Harrison, Director Division of Radiological Health Department of Health-James Madison Bldg. 109 Governor Street, Room 73 6 Riclnnond, VA 23219


Dear Mr. Steve Harrison:

In accordance with section 17 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department ·of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 VIRGINIA INSTALLATION ADDRESS







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July 19, 2016

Roland G. Fletcher Environmental Program Manager III Radiological Health Program Air & Radiation Managerment Adm. Maryland Department of Environment 1800 Washington Blvd, S~ite 750 Baltimore, Maryland 2123 0-1 718 ·


Dear Mr. Roland G. Fletcher:

In accordance with section 1 7 of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers oflndustrial.Devices Reports for the quarter ending June 30, 2016. -



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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MARYLAND INSTALLATION ADDRESS



CONTACT NAME: NUMBER: '





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July 19, 2016

Delila Bruno, Director Montana Department of Military Affairs Diaster and Emergency Services Division PO Box 4789 Helena, MT 59624


Dear Ms. Delila Bruno:

In accordance with section 17.of our license, including updated requirements specified in a letter of February 18, 2016, received from Maryland Department of the Environment, please find enclosed copies of Transfers of Industrial Devices Reports for the quarter ending June 30, 2016.


RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MONTANA INSTALLATION ADDRESS SILVER STAR STEAK CO 833 GREAT NORTHERN BLVD HELENA, MT 59601

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CONTACT NAME: FRANCOIS ZANNI-MANAGER/OWNER NUMBER: 406-495-0677 SERIAL NUMBER: 105207 INSTALLATION ADDRESS MODEL



CONT ACT NAME: NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL





1 7.5 4/20/2016






July 19, 2016

US Nuclear Regulatory Commission Director of Nuclear Materials Safety & Safeguards Attn: GLTS Washington, DC 20555-0001


To Whom It May Concern:


Sincerely,



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 WASHINGTON D.C.; NON-AGREEMENT STATE INSTALLATION ADDRESS



CONTACT NAME: NUMBER: SERIAL NUM~ER: INSTALLATION ADDRESS




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RECORD OF TRITIUM SHIPMENTS QUARTER ENDING: 6/30/2016 LICENSE NUMBER: MD-35-004-01 condition 17 page number: 1 ALASKA; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE







RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 CONNECTICUT; NON-AGREEMENT STATE INSTALLATION ADDRESS





CONTACT NAME: ·NUMBER:



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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 DELAWARE; NON-AGREEMENT STATE INSTALLATION ADDRESS







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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 HAWAII; NON-AGREEMENT STATE INSTALLATION ADDRESS


CONTACT NAME: NUMBER: SERIAL NUMBER:· INSTALLATION ADDRESS

CONT ACT NAME: N.UMBER: SERIAL NUMBER: INSTALLATION ADDRESS




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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 IDAHO; NON-AGREEMENT STATE INSTALLATION ADDRESS







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RECORD OF TRITIUM SHIPMENTS QUARTER ENDING: 6/30/2016 LICENSE NUMBER: MD-35-004-01 condition 17 page number: 1 INDIANA; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE

CONTACT NAME: NUMBER: SERIAL Nl_JMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE


CONTACT NAME: NUMBER: SERIAL NUMBER: -INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE

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NUMBER: SERIAL NUMBER: INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE



RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 MICHIGAN; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL








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RECORD OF TRITIUM SHIPMENTS QUARTER ENDING: 6/30/2016 LICENSE NUMBER: MD-35-004-01 condition 17 page number: 1 MISSOURI; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE







RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01condition17 PUERTO RICO; NON-AGREEMENT STATE INSTALLATION ADDRESS







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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 SOUTH DAKOTA; NON-AGREEMENT STATE INSTALLATION ADDRESS







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RECORD OF TRITIUM SHIPMENTS QUARTER ENDING: 6/30/2016 LICENSE NUMBER: MD-35-004-01 condition 17 page number: 1 VERMONT; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE


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RECORD OF TRITIUM SHIPMENTS LICENSE NUMBER: MD-35-004-01 condition 17 WEST VIRGINIA; NON-AGREEMENT STATE INSTALLATION ADDRESS







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RECORD OF TRITIUM SHIPMENTS QUARTER ENDING: 6/30/2016 LICENSE NUMBER: MD-35-004-01 condition 17 page number: 1 WYOMING; NON-AGREEMENT STATE INSTALLATION ADDRESS MODEL QUANTITY CURIES INVOICE







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