t E~~ ~ ~ T J1J 1I bull 1) ~0L bull _ ~ ~ p OG2

PENNIMAN CHEl1ISTS ENGI~EERS INSPECTORS INDUSTRIAL HYGIENE SERVICES ampBROWNE

FOUNDED 1896INC

Lt LL 31YJISeptember 14 2010

l1r Scott Wilson G303~3 amp3 N uclenr Materials Safety Branch USNRC Region 1 03(~1475 Allendale Road King of Prussia PA 19406

Dear Mr Wllson

Attached please find Penniman amp Brownes application for Materials License (NUREG 1556 Vol 1 Rev 1 Appendix B) for use of portable Troxler Gauges on federal sites I have also enclosed a copy of Penniman amp Brownes complete Radioactive Material License from the State of Maryland

Penniman amp Browne respectfully requests an el])cdited review of this application

I believe this missive contains all the infonnation required for review of our license application if however you notice any gap in documentation or if you require any additional information Penniman amp Brovme will happily and quickly provide it

Thank you for your attention to this matter I look forward to hearing from you

Rebecca H Penniman President

----_-__bull _shy

6252 Falls Rd PO Box 653091 Baltimore Maryland 21209-0509 Tel 410-825-4131 Fax 410-321-7384 wvvpandbinccom

SEP 14 ~OlOTUE 0305

NRC FORM 313 US NUCLEAR REGULATORY COMMISSION

1C 3233 34 3536 39 3nd 0

APPLICATION FOR MATERIALS LICENSE

L

F p 002

APPROVED BY OMS NO 31SO()120 EXPIRES 3(3112012

Ezlil71ted burden per respone to comply with lhl9 rMnltl3tory collection request 41) Mllrs Sulmirt11 or In application is l1eCBGSsry to determine thet the applicant is qualified and that adequate procedres exlg( 0 protect the public he311h and gafety Send comments regarding rurrJen esUrYlare to Ihe Records and FOIAlPrlVlcy Services BlaM (Tv5 153) US Nuclear Regulalory Commission Weshington DC 205550001 or by imarne e-msil to IrfocoliectseRou(Cenrcg(lV and to the Dee( Omcee Office of Iniorm3ljM lind Reglilatory At)lIS NEOB-I0202 (3150-0120) Office of Managementafd Budget Washington DC 20503 If a mesns used to Impooe an Information CQIJBc~on does no display 3 clJrrently v~lJd OMEI control numbl the NRC may not rCI1dllC cr lPO)1sO( and a person is not laquirltld to respond to the information collection

INSTRUCTIONS see THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRlCTIONS FOR COMPLETING APPLICATION SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIEr BELOW

APPUCATION I=DR DISTRIBUTION Of EXEMPT PROOUCTS FILE APPLICATIONS WITH

OFFice OF FEDERAL amp STATE MATERIALS Mm ENVIRONMENTAL MNAilEMeuroNY IROClRAMS DIVISION OF MATE~IALS SAFETY AND STATF- AGREEMENTS lJS N1JCLeA~ ilEIlULATORY COMMISSION WASHINGTON OC 205~6middot(iO(j1

ALL O)HER PERSONS FILE APPLICATIONS AS FOLLOWS

I (OIJ ARe LOCATED IN

ALAeAMA CONNECTICUT DELAWARE DISTRICT OF COLUMIA FLORIDA 3EOR3IA KENTUCKY MAINE MARYLAND MASSACHUSETIS NEW HAMPSHIRE NEW JERSeY IIltEW YORK NORTH CAROUNA PENNSYLVAlIlA PUERTO RICO RHOOE ISlANO SOUTH CAFIOLINA TENNESSlEE VERMONT VIRGINIA VIRGIN ISLANDS OR WEST IIIIIGINIA SEtlD APPLICATIONS TO

LICENSI~I(3 ASSISTANCE lefltM DIViSION OF NueLR MATERIALS SAFETY us NUCLEAR RECULATORY COM~ISSION REGION I 476 lltLLENDALE ROAD ~ 1 ~ II KiNG OF PRUSSIA PA 1940M41S 1 j f 012

IIF fOU ARE LOCAT[O IN

IILLINOISIIJOIANAIOWA MICHIOoN MINNESOTA MISSOURI OHIO OR WISCONSIN SE()

iAPPLlCArIOIJSTO LL 31 J-J- MATER~LS LICENSING BRANCH OJO 3r 3 ~J

us NLiCLEAR ReGULA10RY COMMISSION REGION III UIl3 WARRENVILLE ROAD SUITE 210 LILE II 0532-415lt () 3lj I

ALASKA ARIZON~ ARKANSAS CALIFORNIA COLORADO HAWAII IDAHO KANSAS LCU1SIANA MISSISSIPPI MONTANA NEBRASKA NEVADA NEW MEXICO NORTl1 DAKOTA OKLAHOMA OREGON PACI~IC TRUSTTERRITOFUES SOUTH OAKOYA lEXAS UTAH WASHINGTON OR WYOMING SENO APPUCATIONS TO

NUCLEAR 1TERlAlS LICENSING ElMrlCH vs NUCLEIgtR REGULATORY COMMISSION REGION IV S12 E LAMA ElCULvARD SUITE 400 ARloINGTON TX 7e01-412~

I PERSONS loOCATED IN AGREEMENT STATES SENO6 II IO~ a THE us N CLEAR ReGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE IICENSED MATERIAl IN SATES SJaJEgtCTTO USNUCICOAR REgtGULATORY COMMISSlON JURISDICTIONS

1 HIS IS AN APPlolCATION 1011 retltelt FP(Jril~ iUWIlI

A I-ew LIceNSE

EI AMENDMENT TO LICENSE NUMBCI

C RENEWAl OF LIC1NSE NUMBER

3 ADDRESS WHERE LICENSeD MATERIL WILL BE USED OR POSSESSED

temponry job sites anywhere in the United States where the d NRCl mluntams JUriS Ictlon

12 NAME ANO MAILING ADORESS or- APPlolCANT (JIJ(I~rJl ZIP II)

Penniman amp Browne Inc

6252 Falls Road Ibull Baltimore Maryland 2]209

I14 NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

J h S kl 0 n Ie e

TELEPHONE NUMBER

(410) 825-4131 ________________l______~____________

SUBMIT ITEMS 5 THROUGH ON 8middot112 X PAPER THTYP AND SCOPE OF INfORMATION TO BE PROViDED IS DESCRIBED IN THE LICEN$EAgtPLICATION GUIDE

5--RA-OI-O-ACTIVE MATERIAL bull EISIIM srmiddotd Ill numb=r b ch=mc1 Idier physicI form Md c molxlmum amount

whim 11 he possesGed al any ons Urns1-----------------------------

INOIVIOUALi$) RESPONSIBLE FOR RADIATION SAFETI PROGAAM ANO THEIR TRAINING EXPERIENCE

-------__--_

9 FfltCILirtES AND EOUIfMENT

11 WASTE MANAGEMENT

----II ~-~-e PURPOSE(S) FOR WHICH LICENSED MATERIAL WILL BE USEe

----------- shyI 8 TRAiNING FOR INDiv10UAlS WORKINC IN OR ~REaIJENrING RE9TRICTeo AReAS

1~ RADIATION SAFETY PROGRAM

__-__-__---_ ---__----shy2 LICE~SE FEES (See 10 CIrt 170 Md Sclo 170J~

FEE CATEGORY 22140 $ 140000 1 CERTIFICATION (Musl O~ rorplqtGrI by iIJllIc3n1) THE AIPUCANT UNDERSTANDS THAT ALL STIITEMENTS AooO REPRESENTATIONS MADE IN THIS APPlICATION ARE aIIJOIN UPON THE APPLICANT

THE APPLICANT ANO ANV OFFICIAL EXECUIJrIG IHIS CER1IFICATION ON ElEHAloF OF THE APFLlCANT NAMED It~ TEM 2 CERTIFY THAT THIS APPUCATIDN IS PREPARED IN CONfORMITY WITH TITLE 0 CODE OF EDERAL REGULATIONS PARTS 30 32 ~3 34 3S 36 39 AND -+0 AND THAT ALL IlFORlAATIDN CmHArJED rtEREIN I TRUE AND CORRECT TO lliE 6esr OF THEIR KNOWLEDGE AND BELIEF

WARNING t~ )$( SCCTIQN 1001 ACT OF JUNE 25 19d8 62 STAT 749 MAKiiS IT CRIMJjil OF ENSEO MAKE A WllLFU LV

CERF-yYO-I~-P~~cE-=-~~~~~~~~HNEAI~~~ AS IO_A~~TT_e~VIT~IN ITS J I ___+ Rebecca H Penniman) President

TYPEDI PEE FEE CATEGORY

ISIMPROVED BY ---_- ---~-----

NRC fORM 313 (3middot2009)

ALSE STATEMENT OR REPRE9ENTATION TO

O

PRINTED ON RECYCLEO PAPER

r ~n 1411J3~17384 P 1]04

ITEMS 5 AND 6 USES

Yes No Radioisotope

Cesiuro-137

J

Americiumshy241

J

Pt~1 nWYla VI

eeVeV1 ( II)

VlUVVl bw

APPENDIXB

MATERIALS TO BE POSSESSED AND PROPOSED

MnDufacturer or Distributor Model No

Sealed source manufacturer or distributor and model number

1tOY-lev i

Device manufacturer or distribu tor Bnd model number

(rj(ev Y1odtl YlvVi1bcvs

4-11 Jko 3~o)o

Sealed source m8Dufacturor or distributor and model number

lyo~ lev __-shyDevice manufacturer or distribufor and model number

Jrdxl~V mD(jd~

middotmiddotI-II JJlJ-fo 4i)

Id BIIWVl(

Quantity

Not to excecd either the maximum activity per source or maltimum activity pcr dell1Ce as specified in Sealed Source and Device Registration Certificate

Not to exceed either the maIimum activity per source or maxitnum activity per device as specified in Sealed Source and Device Registration Certificate

I~ LJPplywl1

Use As Listed onSSD

Certificate

Yes

Specific description of the gauge use

J2ed fiJv WleaSltI(tl11 eYlf

ol-fhj2~~ f-v ftlhe

01 VYlt11fVltlls

Yess

Specific description of the gauge use

uwJ ~( WlttiW(lI)Ui-l-

6[ ph~wgt p-fbrtlft~ 01 wa-k-jla~

~ poSCSS 10 III

Specify Other Uses Not

Listed OD SSD Certificate

btNot applicable

o Uses ampIe

(Submit safety analysis supporting safe use)

~Not aJ)jlliclble

o Uses are

(Submit safety lUlalysis supporting safe use)

0+ 5eff) (

0Clu~ es [lAd) S4ui SDVVU no I-i-S own

B-1 NUREG - 1556 Vol 1 Rev 1

] 118 plbull we bull PENNIMA~ AND BROWNE p 005

AlPENDlX i3

Yes No Radioisotope

Califomiumshy252

j

Other Isotope (Specify)

J

Manufacturer Or Distributor Model No

Sealed source manufacturer or digtributor and model number

Device manufacrurer or distributor and mode number

Scaled source manufacturer or distributor and model number

Device manufacturer or distribritoi and modeL numbor

Quantity

Not to exceed either the maximum activity per source or maximum activity pc-r device as specified in Sealed Source and Device RegiStration Certificate

Not to exceed either the maximum activity per source or maximtim activitY per aeviceas specified in Sealed Source tl11d Device Registration Certificae

Use As Listed Specify Other onSSD Uses Not

Certificate Li8ted on SSD Certificate

YesD DNot applicableSpecific

description of the gauge use

D Uses are

(Submjt safety analysis supporting safe use)

YesD DNot applicable

Specific description of the gauge USc

DUses are

(SullDJit safety analySis supporting safe use)

FinaHcial Assurance Required and Evidence ofFinancial A5surance Provided

NUREG w 1556 Vol 1 Rev 1 B-2

111(1 F J I r3t) I 73 0 ~14 ~ 10 ~ rd 1 I J ~ I Jt P I]

APPENDIXB

ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL

Item No And Title

7 INDIVIDUAL(S) RESPONsrnLE FOR RADIATION SAFETY PROGRAM AND THEm TRAINING AND IXPElUllNCE RADIATION SAFETY OFFICER

NarneJonn 8 TRAINING FOR

INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS

9 FACILITIES AND EQUIPlIENT

10 RADIATION SAFETY PROGRAf - AUDIT PROGRAM

10 RADlAtlON SAFETY PROGRAMshyTERYIINATION OF ACTIVITIES

10 RADIATION SAFETY PROGRAM - SURVEY INSTRUMENTS

Suggested Response

Before obtailUng licensed materials the proposed RSO wHl have successfully completed one of the training courses described in Criteria in the sec-tion entitled Individua1(s) RespOnSible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-l556Vol 1 Rev 1 dated Nov~ber 2001

Before using licensed materials amputhorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Resllicted Areas in NUREG-1556 Vol 1 Rev 1 dated November 2001

No iriformation needs to be submitted in response to this item key issues are addressed llnder Radiation ~afety Program Public Dose and Radiation Silfltty Progr8Ol Operating and Emergeiiby Procedures

The applicant is not requircd to and should not submit its audit program to NRC for review during tho licensing phase

The applicant is not required to submit a resporue to the termination of aetivities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted

We will either possess and us~ or have access to and use a radiation survey mcter that rlCcts

the Criteria in the section entitled Radiation Safety Program - Instruments in NlREG-1556 Vol 1 Rev 1 dlted November 2001

Yes Alternative Procedures

Attached

o

o

~ ~

Separate Item 9 Response

N e~d ot Be SulJXllitt~d With -pplicatio~

Need Not Be Submitted With Application

Need Not B~Submitted With Application

o

B-3 NUREG - 1556 Vol 1 Rev 1

111(1 F J I r3t) I 73 0 ~14 ~ 10 ~ rd 1 I J ~ I Jt P I]

APPENDIXB

ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL

Item No And Title

7 INDIVIDUAL(S) RESPONsrnLE FOR RADIATION SAFETY PROGRAM AND THEm TRAINING AND IXPElUllNCE RADIATION SAFETY OFFICER

NarneJonn 8 TRAINING FOR

INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS

9 FACILITIES AND EQUIPlIENT

10 RADIATION SAFETY PROGRAf - AUDIT PROGRAM

10 RADlAtlON SAFETY PROGRAMshyTERYIINATION OF ACTIVITIES

10 RADIATION SAFETY PROGRAM - SURVEY INSTRUMENTS

Suggested Response

Before obtailUng licensed materials the proposed RSO wHl have successfully completed one of the training courses described in Criteria in the sec-tion entitled Individua1(s) RespOnSible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-l556Vol 1 Rev 1 dated Nov~ber 2001

Before using licensed materials amputhorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Resllicted Areas in NUREG-1556 Vol 1 Rev 1 dated November 2001

No iriformation needs to be submitted in response to this item key issues are addressed llnder Radiation ~afety Program Public Dose and Radiation Silfltty Progr8Ol Operating and Emergeiiby Procedures

The applicant is not requircd to and should not submit its audit program to NRC for review during tho licensing phase

The applicant is not required to submit a resporue to the termination of aetivities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted

We will either possess and us~ or have access to and use a radiation survey mcter that rlCcts

the Criteria in the section entitled Radiation Safety Program - Instruments in NlREG-1556 Vol 1 Rev 1 dlted November 2001

Yes Alternative Procedures

Attached

o

o

~ ~

Separate Item 9 Response

N e~d ot Be SulJXllitt~d With -pplicatio~

Need Not Be Submitted With Application

Need Not B~Submitted With Application

o

B-3 NUREG - 1556 Vol 1 Rev 1

41n3i73~(1PHmiddotj~middotl I MA~middotl AND bull t p 007

APPENDIXB

Ittm No And Title

10 RADIATION SAFETY PROGRAM - MATERIAL RECEIPT A~D ACCOUNTABILITY

10 RADIATION SAFETY PROGRAlVI shyOCCUPATIONAL DOSIMETRY

10 RADIATION SAFETY PROGRAJVI - PllBLIC DOSE

10 RADIATION SAFETY PROGRAMshyOPERATING AND EMERGENCY PROCfiDURES

10 RADIATION SAFETY PROGRAM - LEAK TEST

Suggested Response

Phyical inventories will be conducted at intervals not to exceed 6 u)ontl1s to account for all sealed sources and devices received and possessed under the license

Either we will maintain for inspection by NRC documentation demonstrilting that unmonitored individuals arc llot likely to receive a radiation dose in excess of 10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed alld evaluated by all NVLAP-approved processor that is exchanged at a frequency reCOl1mended by the processor

The applicant is not required to submit a response to the public dose section during the liCCDSillg phase This matter viJI be exaniiped durillgan inspection

We will implement and maintain the operating and eroergency procedures in AppendLx H of NUREG-1556 Vol 1 Rev 1 dated November 2001 and provide copies of these procedures to all gauge userS and at each job site

OR

Operating and emergency procedures will be developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Opertlting and Emergency Procedures in NUREG-1556 Vol 1 Rev 1 dated November 200L

Leak tegts will be perfonncd at intervals approved by NRC or an Agreement Sate and specified in the Sealed Source aJJd Device Registration Sheet Leak tests will be petiormed by an organization authorized by NRC or an Agreemenr State to provide leak testing ervices for other licensees or using a Jeak telSt kit supplied by an organization authorized by NRC or ali Agreement State to provide leak test ldts to other licensees and according to the kit suppliers instructions

Yes Alternative Procedures Attached

)( 0

0~

Need Not Be Submitted With Application

0 0

)(

X 0

The information in AppendlxJ supporting a request to perform leak testing nnd sample analysis is attached

N1JREG - 1556 Vol 1 Rev 1 pound-4

Item No And Title

10 RADIATION SAFETY PROGRA1V1shyMAINTENANCE

lORADIATION SAFETY PROGRAMshy

TRANSPORTATroN

11 gtWASTEMAN~GEMENTmiddotmiddot GAlJGEDISlOSAJ ~J) TRANSFER

F Ih 1410 173 P rJrJ8

APPENDlXB

Suggested Response Yes Alternative Procedures

Attached

Routine Cleaning and Lubrication

We will implement and maintain procedures o for routine maintenance of our gauges according to each manufacturers recommendations and instructions

Non-Routine Maintenance

We will seod the gauge to the manufacturer or ~ 0 other person authorized by NRC or an Agreement State to perform non-routine mamtenance or repair ppetatioIlS thatrequire the remoilalcf th~ soUrce OT source rod from the gauge

The information listed in App~qclli G stlpportinga request to perform non-loutine maintenance ln~house is attached

The appljrant is not required to submit its Need Not Be Submitted response to transportation during the licensing With Appllcation process However this issue will be reviewed during iospection

Theapp~icanf ~ notrequiredtQ~bmita Need N6(BeStibmitt~d respome to wastemanagtfulentduriil~the licensing procefilHowltv6- the licensee

~tb1ppli~a66n

should 4evelop implettlent atld majntam gauge traasfer and disposamplproccdurcs in irs radiation protection program

B-5 NUREGmiddot1556 VoL 1Rev1

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~-gt el ~~ ~ I 11r rj iU IJoilf1l c [(10 el

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JH-[ I a~ eclHllcal ICtS lew Radiatinn Safety OITi9cr-rraining Course fiJI

wilh It tl r Rcgu ury Commission ane] current liS nOT rcl2UlilI inns

Traininp IIwleriuls ~lre l1ltJinlHi nl

North East Technical Services rilL

75 AiJ~mn Coull Snitc lillnstn MD 21 J 57

Ill )~lIllilf S IHl(

Et 4 ~0117UE ~~S PE~middot~middotJ IMN AND BROIiNE F POInJ

11ARYLAND DEPARTMENT OF THE E~IRON~ampENT 1800 Vvashington Boulevard e Baltlmore MD 21230 410-537-3000 1-800-633-6101

Keldl P P1ilbrlck SeCretaiY6 2006N1flP

Michael S Steele Jonas A Jacobson LL Governor Depury Secretary

Nelson Doran Radiation Safety Officer Penniman flud Brovvne 6~52 Falls Road PO Box 65309 Baltimore MD 21209

RE Radioactive Materi2J License MD-05-039-01

Dear lvir Doran

Yourrequested a11lel1dmen~ to radioactive msterials licelJ8e number MD-05-039~Ol is enclosed Please review it carfully to ensure that it reflects all modifications included in your letter received in this office on February 152006

Should you require further assistance please contact l11r Raym0l1d E Manley at 410-537-3301 You may alsc reach 01U office toll-free by dialing 1-800-633-6101 and requestIng extension 3301 Also you may contact this office via facsimile at 410-537-3198

L

~~yen~ Roland G Fletcher Manager III Radiological Health Program

Enclosures License anerldmnt (33) Code (03121)

TTY Users 1-800middot735-2258 vNrw mdestatemdus Vil M1rylMd Reb) Service

Item No And Title

10 RADIATION SAFETY PROGRA1V1shyMAINTENANCE

lORADIATION SAFETY PROGRAMshy

TRANSPORTATroN

11 gtWASTEMAN~GEMENTmiddotmiddot GAlJGEDISlOSAJ ~J) TRANSFER

F Ih 1410 173 P rJrJ8

APPENDlXB

Suggested Response Yes Alternative Procedures

Attached

Routine Cleaning and Lubrication

We will implement and maintain procedures o for routine maintenance of our gauges according to each manufacturers recommendations and instructions

Non-Routine Maintenance

We will seod the gauge to the manufacturer or ~ 0 other person authorized by NRC or an Agreement State to perform non-routine mamtenance or repair ppetatioIlS thatrequire the remoilalcf th~ soUrce OT source rod from the gauge

The information listed in App~qclli G stlpportinga request to perform non-loutine maintenance ln~house is attached

The appljrant is not required to submit its Need Not Be Submitted response to transportation during the licensing With Appllcation process However this issue will be reviewed during iospection

Theapp~icanf ~ notrequiredtQ~bmita Need N6(BeStibmitt~d respome to wastemanagtfulentduriil~the licensing procefilHowltv6- the licensee

~tb1ppli~a66n

should 4evelop implettlent atld majntam gauge traasfer and disposamplproccdurcs in irs radiation protection program

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~-gt el ~~ ~ I 11r rj iU IJoilf1l c [(10 el

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JH-[ I a~ eclHllcal ICtS lew Radiatinn Safety OITi9cr-rraining Course fiJI

wilh It tl r Rcgu ury Commission ane] current liS nOT rcl2UlilI inns

Traininp IIwleriuls ~lre l1ltJinlHi nl

North East Technical Services rilL

75 AiJ~mn Coull Snitc lillnstn MD 21 J 57

Ill )~lIllilf S IHl(

Et 4 ~0117UE ~~S PE~middot~middotJ IMN AND BROIiNE F POInJ

11ARYLAND DEPARTMENT OF THE E~IRON~ampENT 1800 Vvashington Boulevard e Baltlmore MD 21230 410-537-3000 1-800-633-6101

Keldl P P1ilbrlck SeCretaiY6 2006N1flP

Michael S Steele Jonas A Jacobson LL Governor Depury Secretary

Nelson Doran Radiation Safety Officer Penniman flud Brovvne 6~52 Falls Road PO Box 65309 Baltimore MD 21209

RE Radioactive Materi2J License MD-05-039-01

Dear lvir Doran

Yourrequested a11lel1dmen~ to radioactive msterials licelJ8e number MD-05-039~Ol is enclosed Please review it carfully to ensure that it reflects all modifications included in your letter received in this office on February 152006

Should you require further assistance please contact l11r Raym0l1d E Manley at 410-537-3301 You may alsc reach 01U office toll-free by dialing 1-800-633-6101 and requestIng extension 3301 Also you may contact this office via facsimile at 410-537-3198

L

~~yen~ Roland G Fletcher Manager III Radiological Health Program

Enclosures License anerldmnt (33) Code (03121)

TTY Users 1-800middot735-2258 vNrw mdestatemdus Vil M1rylMd Reb) Service

-~

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~-gt el ~~ ~ I 11r rj iU IJoilf1l c [(10 el

t

JH-[ I a~ eclHllcal ICtS lew Radiatinn Safety OITi9cr-rraining Course fiJI

wilh It tl r Rcgu ury Commission ane] current liS nOT rcl2UlilI inns

Traininp IIwleriuls ~lre l1ltJinlHi nl

North East Technical Services rilL

75 AiJ~mn Coull Snitc lillnstn MD 21 J 57

Ill )~lIllilf S IHl(

Et 4 ~0117UE ~~S PE~middot~middotJ IMN AND BROIiNE F POInJ

11ARYLAND DEPARTMENT OF THE E~IRON~ampENT 1800 Vvashington Boulevard e Baltlmore MD 21230 410-537-3000 1-800-633-6101

Keldl P P1ilbrlck SeCretaiY6 2006N1flP

Michael S Steele Jonas A Jacobson LL Governor Depury Secretary

Nelson Doran Radiation Safety Officer Penniman flud Brovvne 6~52 Falls Road PO Box 65309 Baltimore MD 21209

RE Radioactive Materi2J License MD-05-039-01

Dear lvir Doran

Yourrequested a11lel1dmen~ to radioactive msterials licelJ8e number MD-05-039~Ol is enclosed Please review it carfully to ensure that it reflects all modifications included in your letter received in this office on February 152006

Should you require further assistance please contact l11r Raym0l1d E Manley at 410-537-3301 You may alsc reach 01U office toll-free by dialing 1-800-633-6101 and requestIng extension 3301 Also you may contact this office via facsimile at 410-537-3198

L

~~yen~ Roland G Fletcher Manager III Radiological Health Program

Enclosures License anerldmnt (33) Code (03121)

TTY Users 1-800middot735-2258 vNrw mdestatemdus Vil M1rylMd Reb) Service

Et 4 ~0117UE ~~S PE~middot~middotJ IMN AND BROIiNE F POInJ

11ARYLAND DEPARTMENT OF THE E~IRON~ampENT 1800 Vvashington Boulevard e Baltlmore MD 21230 410-537-3000 1-800-633-6101

Keldl P P1ilbrlck SeCretaiY6 2006N1flP

Michael S Steele Jonas A Jacobson LL Governor Depury Secretary

Nelson Doran Radiation Safety Officer Penniman flud Brovvne 6~52 Falls Road PO Box 65309 Baltimore MD 21209

RE Radioactive Materi2J License MD-05-039-01

Dear lvir Doran

Yourrequested a11lel1dmen~ to radioactive msterials licelJ8e number MD-05-039~Ol is enclosed Please review it carfully to ensure that it reflects all modifications included in your letter received in this office on February 152006

Should you require further assistance please contact l11r Raym0l1d E Manley at 410-537-3301 You may alsc reach 01U office toll-free by dialing 1-800-633-6101 and requestIng extension 3301 Also you may contact this office via facsimile at 410-537-3198

L

~~yen~ Roland G Fletcher Manager III Radiological Health Program

Enclosures License anerldmnt (33) Code (03121)

TTY Users 1-800middot735-2258 vNrw mdestatemdus Vil M1rylMd Reb) Service

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DEARTlVlEiNT OF THE ENVIRONMENT

RAD~OlOG~tAL HEALTH PROGRAM RADlOACTV2 MATERIAL LlC2NSE

Plge 1 of 5 Pll1Smml to the Maryland Radiation Act and in lehUl)le On staemen~s and representHtions heretofore made by the licensee a lcense is hereby issued aLlrhol1zl11g rht licensee to recei ve hccLllre possess and transfer fadloacti ve mfltenaJ listed belovt and 10 use sllch radioactive matemtl for the purpose(~) and aL tl1e place(s) cleslgrltlted belDw

I The license is sUbJecr to all ~pplicable rules regulations and orders of the Maryland Stale Depm1ment of tne EnvllmiddotonmellL nnv oJ heremafter in effect ancllo angt condiClOlIS specified be]olv ___~__~____---- 1 Name Penniman and Browne I 3 License No tvfD-05-039~Ol 2 Address 6252 Fallgt Road I 4 AmendmcntNomiddot 33 Code (03121)

PO Box 65309 5 Expiration Date Decernber3L 2012i

BalciI ore Marvland 21209 6 RadIoactive material (elemenr and 7 Chemica andor physcnl form 8 Maxirnum amoLint of ~lc[ivity

mass number) whIch licensee may possess at anyone time number of gauges not to exceed 100

1 Cesi ummiddot13 7 Sealed source (Tro~der A I-lo source to exceed 9 Drawing No A-102112) mWicunes

B Al11ericium~241Be B Sealed So~rce (Troxler B No source to exceed 44 Drawing No A-102451) milhcuries

C Americjum-241Be C Sealed Source (Troxler C l~o source tD exceed 60 Drawing Ho A-102113) millicunes

D Amencium-241Be AmQrsbam Coq)oraJjon modeJmiddot D No source to exceed 44 AMNV997 capsule type X1 millicmies special fOl1P certificate GB7S-85

E CesLlm-13 7 E Amershum Corp08T1on rcorle) E No source to exceed 9 CDCW556 capsule type millicurie XIllS special form certificate GB353S-85 Isotopp PrQljJJrt~ ( 3boi()j 001amp model REG 13 7 capsule type 3024 speclaJ form certificate USV0356S

SEP 14 CI0 TUE 129 PM PENNIMAN AND BROWNE P rJ I

DPAATlVIENT OF THE ENVIRONIIIIENT

RAD~OLOGICAL HEALTH PRiOGRAfVI RADOACTiVE MATERAL LlCEhSE

Pflpounde 2 of 5b--~0illmber lvID-05-039-0 1 Amendment Nllmber Renew[1 33 (CODE 031211 I ~S-137 FmeJiham (o111orarjClD ny(ipipound F 10 )Ollrce [0 exceed 9

CDCV556 capsule type mililcuriesI XN30 specHt) form cerLificaLe no GBIl40S CDCW556 capsule type X1218 speclal farm certificate no GB353Sshy85

ljotope ProdUCTS Inborarorjes Model No BEG~0058) c2pSllle type 3024 special fom1 certIficate 10 USA356S

G Americlum-241Be G Amfrslu1m rorpornno1 model AJvlJ-lV997 capsule type Xl special fonn celtificate GBI7S-85

O No source to exceed 44 milllcunes

TsotQP~ Prodllcrs T aboratorjes Model nos 3021 or 3027 special form certificate No TJSAl0462S

9 Authonzed Use(s)

Number of gauges not to exceed 100

AB and C For use in Troxler rnode13411 moisture and density gauges for measurement of constructlOn materials

D and E For use in Troxler mod~] 3450 moisture and density gauges for measurement of COl1strLlction

matenals F and O For use in Troxler model 3440 moisture and dnsity gauges for measurement of comiddotnsmlction

mareriElls

The autborized place of use IS the bcensees address stated in Item 2 and temporary job siteS of (he licensee throughout Maryland The licensee must notify the Radiological Health Program 30 days prior to vacarmg a pemlanem uSe address eurolS IS req uired by Sect) on D 1301 of COvlAR 26110101

llA The radiatlon protection program shall be under the supervision of Ne130n Doran assisted by John Sickle

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SEP 14 CI0 TUE 129 PM PENNIMAN AND BROWNE P rJ I

DPAATlVIENT OF THE ENVIRONIIIIENT

RAD~OLOGICAL HEALTH PRiOGRAfVI RADOACTiVE MATERAL LlCEhSE

Pflpounde 2 of 5b--~0illmber lvID-05-039-0 1 Amendment Nllmber Renew[1 33 (CODE 031211 I ~S-137 FmeJiham (o111orarjClD ny(ipipound F 10 )Ollrce [0 exceed 9

CDCV556 capsule type mililcuriesI XN30 specHt) form cerLificaLe no GBIl40S CDCW556 capsule type X1218 speclal farm certificate no GB353Sshy85

ljotope ProdUCTS Inborarorjes Model No BEG~0058) c2pSllle type 3024 special fom1 certIficate 10 USA356S

G Americlum-241Be G Amfrslu1m rorpornno1 model AJvlJ-lV997 capsule type Xl special fonn celtificate GBI7S-85

O No source to exceed 44 milllcunes

TsotQP~ Prodllcrs T aboratorjes Model nos 3021 or 3027 special form certificate No TJSAl0462S

9 Authonzed Use(s)

Number of gauges not to exceed 100

AB and C For use in Troxler rnode13411 moisture and density gauges for measurement of constructlOn materials

D and E For use in Troxler mod~] 3450 moisture and density gauges for measurement of COl1strLlction

matenals F and O For use in Troxler model 3440 moisture and dnsity gauges for measurement of comiddotnsmlction

mareriElls

The autborized place of use IS the bcensees address stated in Item 2 and temporary job siteS of (he licensee throughout Maryland The licensee must notify the Radiological Health Program 30 days prior to vacarmg a pemlanem uSe address eurolS IS req uired by Sect) on D 1301 of COvlAR 26110101

llA The radiatlon protection program shall be under the supervision of Ne130n Doran assisted by John Sickle

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DEPARTMNT OF THE ENVIRONlVleNT

RADOLOGCAl HEALTn PiROGRAM RADIOACTIVe IVlATERiAL LICENSE

Pa2e 3 of)I Amendrlent Number Renewal 33 (CODE-middot031-11-)~--i

COnOltlOnS lIB Radiolctive material shdJ be Llsed by or under the sLlpervisloll ~J11d ]11 lhe physicaJ pTesence of ali

employee wilo

1 has l cenfielce [rom a licensed trainIng course on file with the licensee and

2 the licensee ha5 authorized LO Lise radioactive matenul and has so 1orified the Radiological Health Program in writing

12 The licensee shall complywHh alJ apl)fopriate proYlsions of COMAR 26120101 Regulntions for Comrol of Ionizing RadwtJOD and shall possess copy of these regulations

13A Each sealed SOLTce containing radioactive naterial other than Hydrogen-3 -vith a i1alf-life greater than thirry (30) days and in any fann other than gas shall be rested forleakclge andor contaminatior at intervals not to exceed SIX (6) months In the absence of a certificate from a transferor indlcatmg that a test has been made wlthm six (6) months prior to the transfer the sealed source shall not be put mto use until tested If there is reason to suspect that a sealed source nught have been damaged or might be leaking it shall be tesleCIfOl-Ieakagebefore further use

BB The rest shul be capable of detecting the presence of 0005 microc lrie of radioactive material on the - test r2Lmple The reSl sample shall be taken from the sealed source Oi fron the surfaces of a deVIce in wbic~ the sealed S0ure is permanently mounted or stored on whicb one might expect contan1mation to accuDJLJlate

l3e Recordgt of leak tests shall be kept in uni ts of lrucrocuries and maintained for mspecti on by the Dcpartmen t

13D If the test reveals the presence of 0005 microcune or more of removable contamination the licensee shall immediaely withdraw the sealed source from use and shall cause it to be decontaminated and repaired or (0 be disposed of in accordance vith Depanment regulatlOns A report shall be filed within five (5) clays of the test lith the Aclrnjnistralor Radiological Healtb Program 800 Washlngton Blvd Suite 750 Baltimore Maryland 21130 describing the equipment Jnvoved the test results and the Correcti ve at tj on raken

13E Test for leakage [lndJor contamination shall be performed by the licensee or by other persons specifically autbonzed by the Depa-tment the US Nuclear Regulatory CornrrusslOn or another Agreement State to periorm such serVices

14 Sealed sources contaming radloacti ve material shall not be opened or removed from their respectlve saure holders by the li censee

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DEPARTMENT OF THE ENVIRONMNT

RADIOLOGICAL HEALTH PlROGRAM RJU)IOACT1VE MATERiAL lICENSE

Pa9t 4 of 5 IrL--ic-e-n-~e--N-u-m-b-~--~-1D----O-5~~(-)3-9--0-1-------------------rL-A-m-e-n-c-~n-le-n-t-l~-L~ln~-be-r--R-e-n-e-w-fL-1-33--(C-~(-J-D-E-O-3~1~2~1= ~

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15 CondltlOl1S

Maintenunce and rep~lij and mitin ndiation survey of devices comllning racllOactve materialHnc1 inswllJtion replacement and disposal of sealed SOLuCes shdJ be p~lformed by Campbell Pacific )iJuclear or by other persons specific1111yauthonzed by Jle Depurtment the US Nude) Regulatory ConunissiQ or anoelle Agreement State to perionn such services

16 The licensee shall conduct a physical inventory eVely six (6) months to aCcollnt far all sealed soarces received and possessed under the lIcense The records of the inventOlie~ shall be mairtamed for rwo (2) years from the date of the inventory for inspection by the Department ~lTId shall include the quantities and kinds ofradioactive material location of sealed sources and the da~e of the ilventory

17 Transportation of rncJoactlve ma~enalln (he State of Maryland shall be in compliance vith Part T Section T5 Transportarion of Licensed Matenal of COMAR 26120101

18A The licensee shall lor malce any false staremem representatlOn or cel1ification in any application record report plan 01 other doculIJcnt regarding radiation levels tests petionned or radiation safety conditions or practices Additionally the licensee shall not falslfy tamper with or render inaccurate any monitoring device or method

18B Vwlation of any teLm condition or regulation could subject the licensee to administrathe or civil penalty or criminal prosecution a~ specIfied in Title 8 Radi aticll1 of tne ArtIcle Environment of the Annotated Code of Maryland

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DAR1lillIT OF Ti-I= SNV1OIJMrIT

P4ADIOLOGuCEL HEALTH PROGiRAM RADIOJicnVE flT2FlttJ liCENSE I

LceQiNumber J4D-05-CJ39-iJ] 0 1 d All r+l he P~n I I ((YlUc (I il Ii ------------------Jrl I r m~l l1J - ~ - 9 ~ I l

I 19 EXipt as speclfically provlil-d othni(~ by thu lint tIi-liens l1U[ pu~St and U~~ nldicJllClv

materiel) Hu[hurzed by thiS license in H(cordan~e wiLiI statement representanoDpound and prolttdures contained In

gt- Renewal application dated AJgust 13 2005 -Lerter with attachmeflts dated November 10 2005 - Letter WIth aiiachroentsdated November 28 2005 ) Letter dated Febuary 142006 with attahme~lt to change RSO

COMR 16120101 ReguiltlCll1S for Com-ol of lomzirg Radiatlon shall g()Iern the lic~IlSeez St1tetlems in appllcaciofl5 or lettemiddots unemiddotss the s~ntements are i1or~ iestnct]le rh~G1 th regulations

(~-f)---tT-I fJd6oifJ February 22 2006 0

Roland G Fletcher)vianager ill dkn1 Jjlm 11-Db Radiological Hedth PrognLm

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DAR1lillIT OF Ti-I= SNV1OIJMrIT

P4ADIOLOGuCEL HEALTH PROGiRAM RADIOJicnVE flT2FlttJ liCENSE I

LceQiNumber J4D-05-CJ39-iJ] 0 1 d All r+l he P~n I I ((YlUc (I il Ii ------------------Jrl I r m~l l1J - ~ - 9 ~ I l

I 19 EXipt as speclfically provlil-d othni(~ by thu lint tIi-liens l1U[ pu~St and U~~ nldicJllClv

materiel) Hu[hurzed by thiS license in H(cordan~e wiLiI statement representanoDpound and prolttdures contained In

gt- Renewal application dated AJgust 13 2005 -Lerter with attachmeflts dated November 10 2005 - Letter WIth aiiachroentsdated November 28 2005 ) Letter dated Febuary 142006 with attahme~lt to change RSO

COMR 16120101 ReguiltlCll1S for Com-ol of lomzirg Radiatlon shall g()Iern the lic~IlSeez St1tetlems in appllcaciofl5 or lettemiddots unemiddotss the s~ntements are i1or~ iestnct]le rh~G1 th regulations

(~-f)---tT-I fJd6oifJ February 22 2006 0

Roland G Fletcher)vianager ill dkn1 Jjlm 11-Db Radiological Hedth PrognLm

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o I() and to inform you that the initial processing which

includes an administ~i~ ri~~as ren p~rr00 L~3J 3gs-amp 3) 00 Therhtwo admlnlsYrative omissiofJ ~our application was assigned to a

technical reviewer Please note that the technical review may identify additional omissions or require additional information

D Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 1773 41i- When calling to inquire about this action please refer to this control number You may call us on (610) 337-5398 or 337-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader