L+L 9077s1.

O O oso- aao l3' ~

..

,- .

,

NRC Form 313 I U.S. NUCLEAR REGULATORY COMMIS$10N 1. APPLICATION FOR:(Check and/or complete se appropriate)|1341) '

'

10 CFM 38 O'bl aiAPPLICATION FOR BYPRODUCT MATERIAL LICENSE

e. NEW LICENSEINDUSTRIAL

See attached instructions for detsits. . b. AMENDMENT TO:LICENSE NUMBER

M .5550-02Completed applications are filed in duplicate with the Division of Fuel Cycle and Material Safety, Y "

Office of Nuclear Material Safety, and Safeguards. U.S. Nuclear Regulatory Commission,Washington, DC 20555 or applications vray be filed in person at the Commission's office at '' "$g'u",AL o, nu sgp1717 H Street, NW. Washington, D. C. or 791S Eastern Avenue, Silwr Spring, Maryland.

2. APPLICANT'S NAME (Institution, firm, person, etc.) 3. NAME AND TITLE OF PERSON TO SE CONTACTEDConsolidation Coal Company REGARDING THl8 APPLICATION

Mid-Continent Region Kevin SheahenTELEPHONE NUMBER: AREA CODE - NUMBER EXTENSION TELEPHONE NUM8ER: AREA CODE - NUMBER EXTENSION(314) 275-2300; Ext. 2337 (314) 275-2300; Ext. 2337

4. APPLICANT'S MAILING ADDRESS (include Zip Codel 5. STREET ADDRESS WHERE LICENSED MATERIAL WILL BE USED(Address to which NRC correspondence, notices, bulletins, etc., (include Zip Code) Cons 01idation Coa 1 Company'^""'# 6' **" d Mid-Continent Region

12755 Olive Boulevard 12755 Olive BoulevardSt. Louis, Missouri 63141 St. Louis, Missouri 63141(IF MORE SPACE IS NEEDED FOR ANY ITEM, USE ADDITIONAL PROPERLY KEYED PAGES.)

6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL(See items 16 and 17 for required training and experience of each Individualnamed below)

FULL NAME TITLE

Kevin Sheahen Project Engineer..

-

b.

c.

7. RADIATION PROTECTION OFFICER A ttach a resume of person's training and experience as outlined in items

|16 and 17 and describe his responsabilities under item 15.Kevin Sheahen Refer to Attachment #1A8. LICENSED MATERIAL

L ELEMENT CHEMICAL NAME OF MANUFACTURER MAXIMUM NUMBER OF

1 AND AND/OR AND MILLICURIES AND/OR SEALED

N MASS NUMBER PHYSICAL FORM MODE L NUMBER SOURCES AND MAXIMUM ACTI.(t/ Sealed Source / VITY PER SOURCE WHICH WILL

ESE POSSESSED AT ANY ONE TIME

NO. A S C D

Troxler Laboratories 7.7 mci + 10%III Cesium 137 Sealed Source CC-2010 DWG 102112 per source

Americium 241 Troxler Laboratories 40 mei + 10%(21 Beryllium Sealed Source CAA-1074 DWG 102451 per source

(3)

(4)

%@' DESCRISE USE OF LICENSED MATERIAL g< h ,_ .t.u L J A} fjP.

1E. ,

For use in a Troxler Model #3411 Surface Moisture-Density bauge. .(1)

12) e ,". mt.. a _.,-v- , , b.c, Q~;~~(.ff~ f'} fl/')[) ,

*w-. v

" ''

(3) h ., j ,g| ;pf |

,- w ....v. ....4.,..g.:f9.,

$. , 'f. t , a e. ,- .a

/ sf|f(4)

1

~~"bb5[iidE55850212 dGy... ' " * V'( L,___ _ l~

'

85 gy gREG 3 LIC30 - I

'24-20787-01 PDR

.-- -

9. STO .A E OF SEALED SOURCES

I CONTAINER AND/OR DEVICE IN WHICH EACH SEALED NAME OF MANUFACTURER MODEL NUMBERg SOURCE WILL BE STORED OR USED. j

*

NO. A. i B. C. a

TrOxler Electronic"I Surface-Density Gauge Laboratories, Inc. 3411'

,

(2)

(3)

(4)

10. RADIATION DETECTION INSTRUMENTSTYPE M ANU F ACTUR E R'S MODEL NUMBER RADIATION SENSITIVITY

{ OF NAME NUMBER AVAILABLE DETECTED RANGEN INSTRUMENT (alpha, beta, (milliroentgens/ hourc comma, neutrons or counts / minute)u o,

A B C D E F

"IN/A

(2) Note: Leak tests performe 1 every six |6) months

(3)

(4)

11. CALIBRATION OF INSTRUMENTS LISTED IN ITEM 10De. CALIBRATED BY SERVICE COMPANY Ob. CALIBRATED BY APPLICANT

NAME, ADDRESS, AND FREQUENCY Attach a separate sheet describing method, frequency and standardsused for calibrating instruments.

N/A N/A

12. PERSONNEL MONITORING DEVICESTYPE SUPPLIER EXCHANGE FREQUENCY(Check and/or complete as appropriate.) (Service Company)

A Bg

Q(1) FILM BADGE R. S. Landauer, Jr. Company 10 MONTHLY

Glenwood Science ParkO (2) THE RMoLUMINESCENCE Glenwood, Illinois 60425 0 QUARTERLY

DOSIMETER (TLD)

O (3) OTH E R (Specify): O OTHER (Specify):

13. FACILITIES AND EQUIPMENT (Check were appropriate and attach annotated sketch (es) and description (s).

O a. LABORATORY FACILITIES, PLANT FACILITIES, FUME HOODS (/nclude filtration,if anyl, ETC.O b. STOR AGE F ACILITIES, CONTAINE RS, SPECI AL SHIE LDING (fixed and/or temporary), ETC.O c. REMOTE HANDLING TOOLS OR EQUIPMENT, ETC.O d RESPIRATORY PROTECTIVE EQUIPMENT, ETC. Refer to attachment #1B

14. WASTE DISPOSALo. NAME OF COMMERCIAL WAS1E DISPOSAL SERVICE EMPLOYED

N/A-

b. lF COMMERCIAL WASTE DISPOSAL SERVICE IS NOT EMPLOYED, SUBMIT A DETAILED DESCRIPTION OF METHODS WHICH WILLBE USED FOR DISPOSING OF RADIOACTIVE WASTES AND ESTIMATES OF THE TYFE AND AMOUNT OF ACTIVITY INVOLVED. lFTHE APPLICATION IS FOR SEALED SOURCES AND DEVICES AND THEY WILL BE RETURNED TO THE MANUFACTURER, SO STATE.

The sealed source will be returned to the manufacturer, Troxler ElectronicLabor.atories, Inc. (Refer to attachment #2).

NRC PORM 313 I(1241) *e

e e-

.

- .- .

* -, .

O. O..

.*

. .,

INFORMATION REQUIRED FOR ITEMS 15,16 AND 17

Describe in detail the information required for items 15,16 and 17. Begin each item on a'

seperate page and key to the application as follows:

.

.

* 15. RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropriate fo,rthe material to be used including the duties and responsibilities of the Radiation Protection Officer,control measures, bioassay procedures (If needed/, day to11ay general safety instruction to be followed,.

etc. If the application is for sealed source's also submit leak testing procedures, or if leak testing will beperformed using a leek test kit, specify manufacturer and model number of the leak test kit.

1

16. FORMAL TRAINING IN RADIATION SAFETY. Attach a resume for eadi individual named initems 6 and 7. Describe individual's formal training in the following areas where af,i:Icable. Includethe name of person or institution providing the training, duration of training, when training wasreceived, etc.

a. Principles and practims of radiation protection.

b. Radioactivity measurement standardization and monitoring2

j techniques and instruments.

c. Mathematics and calculations basic to the use and measurement ofradioactivity,

d. Biological effects of radiation.

17. EXPERIENCE. Attach a resume for each individual named in items 6 and 7. Describe individual'swork experience with radiation, including where experience was obtained. Work experience or on-

,the-job training should be commensurate with the proposed use. Include list of radioisotopes andmaximum activity of each used.

,

i

18. CERTIFICATEIThis item must be completed by applicent)

The appilcent and any official airecuting this certificate on behalf of the applicent named in item 2,certify that this application is prepared in conformity with Title 10, Code of Federal Reeuentions.Port 30. and that all int.,umation contained herein, including any supplements attached hereto, is trueand correct to the best of our know6nke and belief.

WARNING.-10 U.S.C., Section 1001 Act of June 25,1948; S2 Stat. 749; makes it e criminal offenes to make a willfully falso statement orrepresentation to any department or sceney of the United States se to any rnetter whhin ite jurisdietion.

e. LICENSE FEE REQUIRED b. CERTIFYING OFFICl4L (Si ture)(See Section 110.31,10 CFR 110) ,g ,

,

$60.00 c. NAuE trype or printsKevin Sheahen

d' '' *'(1) LICENSE FEE CATEGORY: 3P Project Engineer>

!

'' ^'(2) LICENSE FEE ENCLOSED: $ 60.00

ERC PORM 3131(12 81) ero ese eae

--- __. - - . - . - . . - .

-- -

-

umn.

% (N* '

, ,.p 4' *[ #f,

'[#, _ . _ ,, _, ,Q ,, * &b, h#5 #. 44 4 j , ,%

,,w,, p, .,_ j; f..%' y

,4 #, je b -dl' .y a . . .:* ... w ~ A f . .. = Q *. .._ ' ;' . n .. p s..w ._~

n. . . gne.-~. 'b ns. w~,4, . _.. . + .,, ,,j%,,,,,,,x . .. ,,: f ,.. ._. ,+ . .<. yQ .

- -., a , . g ~ , . pa .

%%), <,' (p . . .< ~ ~y ; r v. . - ~ .nu m. ev . ' r.- ~ e.- .. .

m. w . . . - s ... . . ...

... a . , s .,. s . . . . . . . . . . . . . .. ...

7 ,..-- . .. = - ._. ,. ,.= . .,

Tf IITfd gOM gCWONIC LABORATO

-

//V IE'

Ggj- HEREBY CERTIFIES THAT [j uv = . > .E M ./-

'

KEVIN SHEAHEN' ;:: of '

.. -

*0 ||,

3.

d CONSOLIDATION COAL COMPANY }j ; ,./$ b II * h!*

'

'h HAS SUCCESSFULIX COMPLETED THE TROXLER ELECTRONIC Lhh0RATORIES, INC. E "'.

.

ij TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT. h{{,

.,3 o c

*- 4 e SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLOWS: I|di n

Radiological Safety !)4 = -

(! !! I1. Principles and practices of radiation S. Radioactivity measurement standardization li 3|q protection. and monitoring techniques and

I| *.1 |

* ii 2. Leak testing procedures. instruments. ,

[} 3. Mathematics and calculations basic to 8. Accident and incident procedures. |\ {j- *O the use and measurement of 7. Procedures for nuclear gauge storage Y

~

.Ei radioactivity. and transportation. || ,e 4. Biological effects of radiation. 8. General safety precautions. [ ,y(t , ,. 2-( * j, Gauge Operation Pyi ?,;~,

O, p s,,% v

'y 1. Instrzeent theory 4. Field application fcg.Jg

{ ? 2. erating p cedures S. Gauge calibration*

.j fh (?.

~

= 1 3. aintenanc ~,,

?(k i,

~ ),j[ / A 6/21/84 W.F. TROXLER 5.,e* l TRUCTOR- '

DATE PRESIDENT .., -j [i p- N2 7477 V' NQ . n? .

. . . . . . . ..,

. g..,

- N h_Ekh03Sb@bkMkh3k!ikhk3khkhk3kNM

," 4

. . f. ;,, j g , *

'*

,

_ . 5tt

. , i f-

DO l.,

- *LO E.

3L n -~

:. . .- FE o

,D*

S ,.. -CE e

[, *

V,

NT A- I EAE m- -

.+

4 NR y _'EC P

5 TN _.

_T.. y g' NO .**

AC[ I

e.,'*-.

.

N.I

m -

., .

4

,,E***E, E * -

-

aD* *

'R LB M . , * -, ES*f C *- t y- * ~c, EfB A.

- ' . eLO-

$ - RI tw. .' -7 i IF -LN *

*| i ' | i | | |j L; I i | g ,I| I ( I |i | | | |

.l ,E-s -t E *N

-

D. R _. . h ~.>

T ,

C-E y * -S .*

. ,0.ea -!* -

.

.{ . > ~

*

.- 8 -*4O.<< , *

- - * -.

c--

*

o. .

*,;

H,

*.

A). , i , * ' . t s , -.*

'

GC-

N.~ , E. *IA 'Ig ,I | | g,g! . S .TON 1|I -| On'

. '|l

.

- - SRO_. * .

a *fPR - PgL * -

xPP RrL '6 '|l

$ -.

=.

.

5 EAA -. AE

PwW'U .-

. }. 1 ,- 'll, -

=-

. ,p - -l

- ** .4!:

-.

.

| - . . .- - b -= *-

- -

. I'. . -

,T

*'- j

A- ..E ,- ' r -- . -.

b-. 4 *

_-*)* -

E .. 'e._ E'P

-.

_ 5M a* 0_ NL' m,s

- .. '#

.

m-t -

_ Rt ' w - .N-ETT._ ,-

PwS - tU. ,u - - C_ E t oms- o -

Eo -. ,

_ Ts(u u.c e.C _ wv -

-

g.~ P .

o T. '

-1 _ 1

' PL r

_ .-

c ._ -" #

. ,* .vP < -

- _ - 4' ,;

a , N . _~ .i- . 3 _ . '

-

f-

/" -

.g .

_..

d'

- <

1.,,

_

_.

pt _ -. - , . $,_ *

_,

|_ '4

C c.

r., .' ,,_E - e

EA HA .

aA w_ . -WF Tr . 't c

.

',*

' ,g ,.rR iR.

h r- _ . g,.wU wu _ 'wR E, ,[.

,%A

it . *

=S s u , a y 4 . ,

',.o _ Ds.* o

_ . -DE ['o- ,tt-.. EH c E ;

.a

E=a

.,

_ ?-.

hH _ -* CT.! 8

s gC -aR oT .. A

.

O r _- .' t L ,_

0 .,M _-

n 8- P n

FW.

a g _ .y * .

iw _ ,-

INw. g.d JENO Eo y . e. . A),- .

~ m*L _ 5 _ , ,-.oE nt _ T E ' -

Ru . .

-RS e s ne. f r,O E.*- >

, Es - . i _.

w , .E" r- _ JR r

.

_ * .

.

T2 t- ~ .

E aa - e -_ -.LY R. ei ' _

o .-

. E .- t cwRt ._ OT C. t , *,-n. RCu . S_ Nu ow .

f _'e46 - .

.l

Cv ci ., C4, v. .

8l Cuo -. .

_ .*,.

4 - :.

." .

r . ,FG G .

O K.-1 .t os .

. ,

_ F .. - u_ Cu*

. 4G ss .*

,

g[*- _ 4s - #

.* _s

b * -. - 9,

9,.* _

,

e Sko ,, _ / - Q_

. .,Ln

.

,

_ -

.i

- * .- - -M.

* .-Y _ .s.

. .mN ._ gC - [ee .- rH . ts*. yse - .

. a ;t- .

es ,.

f _ s'~ - M., ._

o .* s.* r

_o , f.a- * s.

E ,,t

_ R} -.

. .

.,

Ym___' .

T 3- -. r e

.

.m ,-.. w -

.- e- . o ,, s w'.=t rs e.

re _ cwt 1QEi 4 - M '

- ,

.. .

m " ss E.

.ampar. uws _mc '4 - , g :, * . ,

4 E ./R _ n _

.s O. . ,

oou *,~Yc.a,

[ ,ls a

tWAo G -

i, oy Teau_ sta

et p rNg "G " - .[S

X k. si. ,- , euxas n.

'a ca. .. ,.. ' ns. - - . - a,

Ig-_.

v

- _ saTi1

.

sj*. 7 -

g+,. . ,

,

, ' ,, ' * -"

.s' , - - * . :I.- . . '.

* s_| -

* .dEa6' . . - g.

. ._ f. . , ,

te7,, ;-. .

'k gf.. _ , , ,.

l 'L .

- . .,J 3 - _- <

, . .J.. , . 7. ..;.,;. . -,

_ .-'

.-

,.

. f*' . . *, -

A{ ,- ('.k*;,. ' , - - -t .. - ,

-. .

J 'I , . ,.. ,. 'i- 4* .

- a , , ''

,3 %- -Q 3

.

- '

, g ,':. i,

*'. - ' - .

. ,

. .*~

r|il| !

,; i ||,|i[i! ||.

|L;i,||;> ,i |l\! |'

.

'

.-. .

- ..

.~ ' -

, , ,

',

.

ATTACHMENT #2

..

.

TYPE A PACKAGE CERTIFICATION

.

Troxler Electronic Laboratories, Inc. certifies that their models 1255, 1257,1351, 1352, 2226, 2376, 2401, 2402, 2451, 2452, 3401, and 3411 contain Type A

inquantic 1es of special form radioactive materials and are packed for shipmentSpecification 7A Type A (general prekaging) containers (US Title 49 CFR 178.350).

These containers meet the requirements of CFR 173.24 and are designed andconstructed to meet the standards as specified in CFR 173.389(j) and 173.398(b).

They are marked USA DOT 7A TYPE A, RADI0 ACTIVE MATERIALS in conformance with.

CFR 173.24.

Thess regulations are in conformance with the requirements (Marginal C-6) of'

the International Atomic Energy Agency's " Regulations for the Safe Transport ofRadioactive Materials", Safety Series No. 6, 1973, revision edition. Theseregulations do not require competent authority for international shipment as '

,

icovered in Section VIII, paragraph 801.

For re-shipment, the shipper must maintain a copy of this Certification on filefor a period of one year in accordance with CFR 173.394 (a) (1). Note that;

!

173.393(b) requires that "Each package must incorporate a feature such as aseal, which is not readily breakable and which, while intact, will be evidencethat the package has not been illicitly opened.

.

TROXLER ELECTRONIC LABORATORIES, INC.

.

J sL.;

R. L. Berry, ice President,

Research and Development|

j Marah 11, 1977

RLB/tdi - - - . _

k

i

|

.

. . - - . - - - , , - --. . - - - - - - - - , , - - - . - , , , , - - .. - - - - , - ,-

- - - - - - - - - - - - - -

-

._

..

,

' -. ,

,

-.

ATTACHMENT #3)

DUTIES & RESPONSIBILITIES

*

.

General Responsibilities.

A. Coordinate the safe use of the surface moisture - density gauges.

B. Ensure compliance with the requirements of Title 10, Code of FederalRegulations, Parts 19, 20, 30, 71 and applicable 0.0.T. regulations.

Typical Duties

A. To assure that byproduct material possessed under the license conformto the materials listed on the license.

B. To assure that use of the device, particularly in the field, is onlyby authorized individuals.

C. To assure that all users wear personnel monitoring equipment, such as

|[ film badges or thermoluminescence dosimeters (TLD), when required.

D. To assure that gauges are properly secured against unauthorized removalat all times when they are not in use.

E. To serve as a point of contact and give assistance in case of energency(gauge damage in the field, fire, theft, etc.) to assure that properauthorities; for example NRC, local police, and state personnel, arenotified promptly in case of accident or damage to gauges.

F. To assure that the terms and conditions of the license, such as periodicleak test, are met and that the required records, such as personnelexposure records, leak test records, etc. are periodically reviewed forcompliance with Nuclear Regulatory Commission regulations, requirements,and license conditions.

G. To provide individual users reports on their exposure levels.

.

9

~_-__

'-

.. ,,,

*.

... ,,

~

' ATTACHMENT #4

CONSOL RADIATION SAFETY~

& EMERGENCY PROCEDURES.

.

.

1. Transportation,

A. The device shall be fully secured within the transportationvehicle and placed as far away from passengers as possible.

B. The source rod lock -should be in place and the containercarried in a vehicle which can be locked.

2. Storage

A. When not in transit, the instrument should be stored in asecured place.

B. The instrument should not be stored for more than 8 hours atless than 1 meter from undeveloped film.

C. During construction inspection jobs the gauge shall be storedin a locked, secured place at the site.

- 3. Incidents

A. The user shall imediately report any theft or loss of thelicensed gauge to the Radiation Protection Officer for sub-sequent reporting to the regulatory authority.

use, the user shall immediately stop any vehicle (gauge duringIn the event of accident involving damage to theB. s) involved,clear the area of personnel and assure that it remains clear.The Radiation Protection Office shall be notified.

4. Operation

A. Keep all unauthorized persons out of the operating area. Asuggested distance is 5 meters or 15 feet.

5. Maintenance

A. Any maintenance on the gauge involving dismantling or removalof source holders must not be perfomed by the user and mustonly be perfomed by the manufacturer of the gauge.

B. To insure that the source is not leaking radioactive materiala leak test will be taken every 6 months with Troxler's 3880 '

,

Leak Test Kit.'-

/9'36f.