applied technical services, inc., revision dtd 11/13/2003

NOV-i2-03 WED 12: 00 PH ATS INC

i p p l i e d Technical S e r v i c e s , Inc. AnDRESS'OP LICENSEE (Malflng eddrass of orhor locsibn when, Ifconsno m y bo loeafsa)

FAX NO, 7705143293 Pa 02

INVIAL @ REVISION 0 CLARIFICATION 4. LICENSEE CONYACTAND TITLE

1. AGREEMENT STATE SPECIFIC LICWSE WHICHAUTHORIES THE UNDERSIGNED TO CONDUCT ACTIVITES WHICH ARE THE SAME, EXCEPT FOR LOCATION OF USE, AS BPECtFlEO IN tTEM 9. ARnVE

LICENSE NUMBER STATE

GA89 6- 1 fFnirrnnnl-. nltho n-riltln lhnn.. mirn)-nmn=nv(h InitlmJ NRC G r m 7 A f \

1190 A t l a n t a I n d u s t r i a l Drive uiarietta, Gcorgla 30066

EXPIRATION DATE

..---: I /0-3/4)

Gene Hock - RSO I

6. TELEPHONE NUMBER e. FACSIMILE NUMBER /Indud# &a Wsl ftndud8 ArOb cads1

FOR NRc USEONLY.

- - I 770-423-1400 I 7 7 0 5143299 7. ACTIVIT\ESTO BE CONDUCTED UNDERVHE GENERAL LICENSE GWEN IN 10 CFR 150,20

R€UEi'dNQ OFF DATE TOTAL USAGE - DAYS TO DATE - > x&

POKTABLEGRUGES 0 OTHER (Specify) * +

REGISRERED AS USER OF PACKAGING fCERTlFlCATEf OF COMPLlANCE NUMBERSl bl RADIOGRAPI-N I

CLIENT NAME. ADORES% CITYICOUNPI, STATE, ZIP CODE 8. ACTUAL PHYSICAL ADDRESS OF WORK LOCATION ISlrnat and Nlimtuturnrnih~rIrv?allnn C:kn n.i mmrlmta no addmu nrdirmtlnnd nx fin%dhb I

'uel Tank Maintenance, .L.L.C. 55 Humble Drive Iookevi l le , TW 38501 'utman CounLy

Robins AFB 235 Bryon S r rek t Robins hFB, GA 31098

10. CLIENI TELEPHONE NUMBER 1 I . WORKLOCA~IONTELEPliONE NUMBER (Include h a CodoJ (hcludu moa Code)

I 931-5284 137 I 478-327-7563 13. NUMBER OF 14. 15, 16. LOCATlOld I WOW OAYS ADD DELETE RDeRulcE NlJMnal 12 D A N SCHEDULED

LOM I NUMBER TO BE I hcainucn nv umr

LIST ADDITIONAL WORKSITES ON SEPARATE SHEET(S) TO INCLUDE ALL lNFO-MATlON CONYAINED 1N ITEMS 9-16 ABOVE. . L I S RADIOACTIVE MATirCWAL, WHlCll WILL OE POSSESSED, USED, INBIALLED, SERVICED, OR TE6TEO (Include d**crlpllon nltyp. ood qvonUIyof rmdloarttw m d d m l , =-.Id mowcae, ord.vles# fo ba wid.)

a. I undoribnd thrt conduct at any xt lv l t l sv not doscrlbod above, Includlng conduct o l actlvlllgs on d a m or lacatlonu differant from those deicrlbod itbow or wlthout NRC authorlzatlon, may aublect me to enforcnrnent acilcnAnciudlng clvll or c r l m l n a l penrlllea,

:CMIIYING OFFICER- RSO or MEmUbm6nl RuFrwonioUvr (krma nnd l7fto) 1 SIGN&$'hE / ) / I DATE

Ron Johnston - NDT 1A Manager I //+/J-Lq NARNING: False statements h i lhls cartlflcata may be subject to NRC reguiallons raqulre that subrnlsslons to

NOV-12-03 KED 12:01 PM ATS INC FAX NO. 7705i43293 v

P, 03

NDT Job # A- 4s 325 n

n

Contact: \iu7 N \ f i vv- Site Contact:

Date requested: ww Time i*equested: 1 U ? W Type of Inspection: - 6 9 0 L\ L&J+

Directions t o job site:

ATS 035A2, 8/98

NOV-12-03 WED 12:Ol PM ATS INC FAX NO, 7705143293 P, 04

I

Source Certificate Radionuclide: '/rig2 1s O/ANS I C lissifica t ion: IAEA Special Form Reference Number:

C63535 USA/O335/S

Mcasukd Equivalent Activity on NO V-27-2002 111,2 c1 4.1 TBq

r- 1

]SourCc Physical Size: Actual Nominal I (nrin) (in) (mm) . (in) 1 Diameter 3,WO O.//d 0.000 0.000 I

Lrngrh . 2.625 0.103 0.000 DiJgaiinl 3.986 0./57 O.ooC, 0.000

HolderlCapsule #: 0768913

Product Code: ICVCFIOO Sales Order: 125145 JACK ffECKM/IN TUBE

Source Model: 424-9 .'

Quality Control Tesrr Nov-27-2a)2 Wipe Test A: C0.00045 i:Ci Vacurrm Bttbblc TCSI: Pssscd

Wi e Test E: ~0.00045 iiCi 1 Tensile Test: ' ' Passed 1

7 0 . 2 69.5 63.3 6 6 . 2 6 7 . 6 6 7 , O 6 6 . G!i.,7 6 5 .1 63 , 5 6 3 9 63.3 6.7--6.2.. 6i.S 61.0 60.4 59.3 59.3 5 8 . 1 58

1.75 1.73 l s 7

36.P 36.0.- 3 5 . 7 3 5 . 4 3 a . 3 2 1.3Q 1.29 1.2,?---J-:?-?

11.Y 31.6 31.3 31.0 30.7 3 0 . 6 1.15 1.14 1.13 1.12 1.11 -----

3 4 . 1 3 3 . 7 X T - 3 3 7 - 3 2 . 8 32. 4 1.23 1.22 L,Zl 1 . 2 0 1 , ? 9

2 B . o TTTT -€?-.-i ~ ~ 2 ~ s - t - 2 5 . 9 23.6 2 9 . 3 - 2 9 . 0 2 8 . 8 ' 2 8

2 5 . 2 25.9 25.7 25.

22.2.1 .-l-?.L? .--.19-..B---X.?1 16.8 18.7 10.5 1 ~ . 1 7 . 6 1 7 . 5 1 7 . 3 11.

NOV-12-03 WED 12:Ol PM ATS INC FAX NO, 7705143293 P, 05 L/ d

APPLIED TECHNICAL SERVICES, INCORPORATED

Augusfn, Georgia I 190 Arlaiita Industrlel Drive Snvannah, CcorgiQ Mnricua, Crorgir 30066

(770) 423-1400 Crcciivllle, South Cnrolins WinrtonSalcm, N, Caroliiin

Chesnpenkc, Virgiaiii FAX # (770) 514.3294

w1vw.nrsln b.cn rn QUALIFICATIO?V AND CERTIPICATXON OF

'NONDESTRUCTIVE INSPECTION PERSONNEL

I hereby ccrtify that the following named ernployec of Applied Technical Sewices, Inc. possesses the necessary qualifications and is cmtificd to perform the level of inspection as indicatcd in accordance with ATS Proccdure No. 11 0. I .

Brett Herron Kame: -- Inspection Method: .-,..-, M a g t i c Particle Qual i fication Lcve1:- Ii

Certificntiou Date: --. --. Januag-28. .., 2002 d I

Composite Score: -. SNT-TC-1A: 84.0 h4..s_T_T)-410: 81.9

Ccrli fication Lxpiration Date: Novcmbcr 6,2_004

Education: High School Diploma from United Towship High School, East Moline, I L - I 979

Expecicncc: Conam Inspection - 9/5/00-2/27/01 Mr, Herron has in excess of400 hours experience in Magnch Particle Testing with additional experieiice in PT, ET, R'f, UT, and VT.

Applied Technical Scrviccs, lnc. - 3/5/00 - Present

Mr. Heron has in excess of 1100 hours cxpcricncc in NDT.

Training: Collcgc of Occancering - 40 hours lnsh-uctor - Einest E. Barton

SNT-TC-1 A Exsm Grade MIL-STD-410 Exam Grade General: 80.0 Genmal: so.0 Spccific; 86.5 Specific: 75,7 Practical: 85.5 Prac ti c a1 : 90.0 Average Grade: 84.0 Average Grade: 81.9

Russ Yessenden Level 111 Examiner

Fcbmag 4.2002 Date

Pro fcsrion ol Enxirr ecrs and Scientists Drsipi Cotrsulfinq * Tesliiig ariJ lirspection

hleinbci-s hi MI'S, ACS, .-ISMJ ASME, ASNT, ASQC, ASTMJ A WS, FSCT, U T , NACE, NCSL, NFPA, SAFS GEORGM SOCIETY OF PROFESSIONAL EAIGIiVEERS, NA TIONAL SOCIETY OF PROFESSIONAL EIVGIIYEERS

NOV-12-03 WED 12:02 PM ATS INC FAX NO, 7705i43299 \v W

"1"15 APPLIED TECHNICAL SERVICES, INCORPORATED

P, 06

huguhta, Ccorgh Savann nh, Gcorgh

Grtcnville, Soulh Carolitin Chcsapenkc, Virginia

1190 , i i~niiia lndustrial Drive $kwicttn, Ccorgin 30066

F:ix !I (770) 5 143294 (770) 423-1400

OUALIk'ICATION AND CERTIFXCATlON OF N~NDESTRTJCTWE TNSPECTION PERSONNEL M ? Y W . ~ Lda bxom

I hereby ceitify that the following named employee of Applicd Technical Services, Inc. possesses thc ncccssary qualifications and is certified to per1on-n thc lcvcl of inspectioil as indicated in accordance with ATS Procedure No. 110.1.

Name: I----__ ---- Brett Heron ..-----

Qualification Lcvcl: "",.._ ..._.-- I1 CLimitedL .-- ------- Cornpositc Scorc: SNT-TC-1A: 83.6 --

CertiIication Expiration Date: JJXSL2!_& _-----

Inspection Melhoci: kadioggp hv

Ccrli fication Dale : June 11,2002 I---

Education: High Scliool Diploma from United l'ownship High School, East Moliiie, TI,.-1979

Experimce: Applied Technical Services, Inc. -- 36/00 - Present Mr. Iierron has in C X C ~ S S of 2200 hours experience in Radiographic Testing with additional experience in PT, ET, Ml, UT, and VT.

Conam Inspcction -- 9/5/00-2/27/01 Mr. Hemon has in excess o f 200 liours cxpcricncc in Radiographic Testing with additional experience in PT, ET, MT, UT, and VT.

Mr, Heron has in excess of 3800 hours cxpcriencc in NDT.

Training: Applied Technical Sei-vices, Inc. - 40 hours Radiography & Kodak Film Interpretation. Instructor - Robcrt R. Leimenstoll Radiation Safety - 40 hours Instroctor - Eddy Wayne Mclcomb

SNl-TC-1A Exam Grade Gcncrel: 70.8

Practical: 85,O Average Grade: 83.6

Spccilic: 95.0

@& - Authorized Signature Robert d. Lei= Lcvcl I11 Examincr

NOV-12-03 WED 12:02 PM ATS INC FAX NO, 7705143299

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NOV-12-03 WED 12:02 PM ATS INC FAX NO, 7705 W

4,1293 P, 08

1 - 1 APPLIED TECHNICAL SERVICES, INCORPORATED 1190 Atlanta Industrial Drive, Marietta, @or& 30066 (770) 423-1400 ------ ”- I-----.-

X3.t 1) Farvision

Sncllcn 20/30

2) Neir Vision Jaeger #l , at 12” dacger #3, at 12”

Meets Without EGQmah RightEyc [jf LeftEye [J1

OneEye [./l OtherEye ( ]

Meets With e GI, t’o n

C I [ I

Meets 3) Color Perccption

Psuedo-Zso Chromatic Miniqum of 12 t4

3.1) Alternative to Psucdo-ko Chromatic [ 1 Evaluation, Dmonstration on Actual Part

4) Red/Green Difhrcntiation t4 5) B 1 udYelIow Differentiation [JI G) Brightness Discrimination [: Idd

t 1 [ I

Does Yot Meet

r 1 i 1

I

I czrtify tl1st I, di4ktk k2AJi$A!j+U , administered an eye exam

Does not &Jeet-

t l [ I

E 1 [ I

(Print OT type name of eye examiner)

to,-- &&7F /-d vision capabilities indicated above.

O L fl&d ’ < a d . 3 which demonstrated the

I hold one of the following job titles: (PIeasse check one) [ 3 Optometrist [ ] LevcI IT1 [ Jf Lex1 III Designee [ 3 MedicalDoctor

LI

State License Number

Professional Address:

Fcrm 110,509

NOV-12-03 WED 12:02 PM ATS INC FAX NO, 7705143293 P, 09

1190 At[:int:t Industrid Ilrivc Slwictta, Ctnrgil 300GG

FAX 4 (770) 514-3299 w v w . ~ h l n b.coin

(770) 423-1400

Augustn, Georgia Savannah, Gcorgiii

Grrcnvillc, South Carolina Chcsapcnkc, Virginia

QUALIFICATION AVD CERTIFICATION OF NONDESlKUCTXVE INSPECTION PERSONNEL

I hcrcby certify that the following named eiiiployee of Applicd Technical Services, Inc. possesses the necessiuy qualificalions and is certified to perform the level of inspection as iizdicatcd in accordance with A l S Procedure No. 110,l.

Namc: Gary Davis Inspection Method:- Ivfaqelic Pafiicle Tnspccton Qualification Level: LT Composite Score: . SNT-TC-1A: 92.3 NAS-410: 88.3 Certification Datc: Au.mst 1 1,2003 Certification Expiration Date:- August 11.2006

Education:

Expcrieiicc:

Diploma from Haralson County High School - Tallapoosa, GA.

ATS, DCC, 1997 to Jan. 1998. In excess of 120 hours in M a g A c Particlc Tiispeetion. Mr. Davis also has addilional experience in V.T., U.T., R.T., and P.T, inspcchn rncthods

Training : ATS, Tiic, 1 1,s lzours classroom trainins in Magnctic Particle inspection. hnstnictor: Stew IIicmstra A'TS, Inc. 8.5 hours classrooin training in Magnetic Particlc inspection. Instructor: Kuss Yessenden

S LVT-?' C- 1 A Xxam Grade General: 85.0

Practical: 92.0 Avcrage Grade: 92.3

Spccific: 100.0

NAS-410 Exam Grade G eiicral : 85.0 Specific: 90.0 Practical: - 90.0 Average Grade: 88.3

Authorized Signature

Level III Examiiier

September 26% 2003 I

Date

Pro f m i o i i n I Engh eers oti d Sc;ed.rt.T Desipi 4 Consuhing Testing nnd Iitspprdion

MctziDcrs in AAFS, ACS, ASM, ASME, ASP34 ASQC, ASThf, A WS, FSCT, JMl, NACE, ffCSL, NFPA, SAFS GEORGLI SOCIETY OF PROFESSIONAL ENGINEERS, N4TIONilL SOCIETY OF PROFESSIONAl ENGlNEERS

NOV-12-03 NED 12:03 PM ATS INC

Z Z E APPLIED TEC“

FAX NO, 7705143293

W

P, 10

CAL SERVICES, INCORPORATED ,

1190 Atlanta Industrial Drive, Mariett3, Georgia 300GG (770) 423-1400 -. -- - -c_

c-

m m m m A T ION

Meets Wi&out ’

wt I&LGQm&~u 1) Farvision RightEye [d

~nel lcn 20130 Left Eye c vf

2) Near Vision Jaeger #1;at 12” One Eye [ \/J Jaegcr #3, at 12” Other Eye [ J1

3) Color Perception Psuedo-Iso Cluomatic Miili-num of 12

3,l) Alternative ‘to Vsuedo-Iso Chromatc Evaluation, Demonstration on Actual Part

4) Red/Green Dilkentiation 5) BlueTYellow Differentiation 6) Brightness Discrimination

Meets With E l 3 b

c 1 [ l

C I [ I

Does not m [ I [ I

C I [ I

I certify that I, , administered an eye exam (Print or type name oE eye examiner)

I hold one of t h e following job titles: (Please check one) [ ] Optometrist [ 3 LcvelIII [J1 Lcvel llI Designcc [ ] MedicalDoctor

State License Number

Professional Address:

*

I

\

NOV-12-03 WED 12:03 PPI ATS INC FAX NOr 7705143299 P, 11

Georgia - Department of Natural Resources 4244 International Parkway, Suite 114, Atlanta, Georgia 30354

Lonlco C. Barratt, Commlssloner Davld M. Word, ksktant Direclor Environmentel Protecllon Division

4041362-2G75

MDIOACTIVE M A T E m S P R O G W GEORGIA RADXOACTI[VE MATERIALS LICENSE.

I__ -- Pursuxot to the GCOrgiQ lbdiatibo Control Act O.C.G.A. 31-13 (H.B. 947) 1990 and thc Georgia D d p m e n t of Nillural Resources RukS Md Kqulationy, desicnatcd Choprer 391-3-17, and irr reliancc on shtcmenk and r@prescntatiom hcrctoforc made by the licmee dcsignaltd below, a l i v a 5 c is hcrcby issued authorhiup, such licei\scc to Irunsfcr, rcceivc, pouscss, anci kx die radionctivr moterisl(s) designated below; iud Lo usc such radioxdvc materink for thr purpasc(s) ond at the plnx(s) designated below. This liccase is subject to all applic~ble iules nncl regulations of thc Gtorgk Department ofNahual Rcscsourccs and ordm issued by h e Department, now or hereafter in cffccf and lo any condition spccified below. --

Page 1 of 9 Pages License Number GA 896-1 Amendment Number -41

License (1, Nama and 2. Addrcss) 3. In accordance with renewal dated

Applied Technical Services, Inc. 1190 Atlanta Industrial Drive Marietta, Georgia 30066

August 18,2003, License Number GA 896-1 is amended in its entirety to read as follows:

Explration Date; October 31, 2008 4,

5. Tdlaphone Number: 770 423-1400 Facsimile Number: 770 514-3299

.- _e---

6. RADIOACTIVE 7. MATERIAL (ELEMENT AND MASS NUMBER)

A. Iridium 192 A.

B. , lridiurn 192 :E.

C. Iridium 192 C.

D. lrldiurn 192 D.

E. Cobalt 60 E.

F. Cobalt 60 F.

CHEMICAL AND/OR a. PHYSICAL FORM

Sealed Source (Anlersham- A. Gamma lndustries Model A-

Sealed Source (Amersham B. Techlops Model A58101-8)

2-A)

Sealed Source (Amersham C. Gamma Industries Model

Sealed Source (Amersham- D. Techlops Model A424-9)

Sealed Source (Amersham- E. Techlops Model A424-14)

Sealed Source (Amersham- F. Gamma Industries A-8-A)

GP)

MAXIMUM QUANTITY LICENSEE MAY POSSESS AT ANY ONE TIME

No single source to exceed 100 Curies


No single source to exceed I00 Curies

No single source to exceed I 0 0 Curies



_____

NOV-12-03 LED 12:03 PI ATS 1/42 FAX NO, 7705143293 P, 12

3 j I

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6.

G.

H.

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J.

K.

L. ,

I W i-

I Georgia Department o f Natural Resources I

~ D I O A C T ' I V E MATERIAL (ELEMENT AND MASS NUMBER) i \iridium 192

[Iridium 192

jkidium 192

I i Iridium 182

i I

, I I lridium 192

Iridium 192 i

M. Cesiurn 137 I

N. : lridiurl 192

0. Iridium 192

P. i Cadmium I 0 9

I

Q. Iron 55

R. Iridium j92

Radioactive Materials License

7.

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Supplementary Sheet

Page 2 of 9 Pages License Number GA 896-1 Amendment Number .41

CHEMICAL ANDIOR 8. MAXIMUM QUANTITY PHYSICAL FORM LICENSEE MAY POSSESS

AT ANY ONE TIME

Sealed Source (SPEC Model G, No single source to exceed 7 - 4 ) TOO Curies '

Sealed Source (SPEC H, No single source to exceed Models G-1 , G-1 F, or G-3F 200 Curies Sealed Source (SPEC I . No single source to exceed MODELS G-lF or G-3F) 100 Curies Sealed Source (INC Model 7) J. No single source to exceed

100 Curies

Sealed Source (INC Model K. No single source to exceed 32 or 33) 00 Curies

Sealed Source (Arnersham L. No single source to exceed Model 899-q ? } 100 Curies

Sealed Source (Amershain- M. No single source to exceed Techlops Model 77302) 165 millicuries

Sealed Source (ClS-US, Inc. N. No single source to exceed Model 702) 200 millicuries Sealed Source (AEA 0. No single source to exceed Technology Model A424-9) 150 Curies Sealed Source Models which P. No single source to exceed I O arz regiStered in accordance ' millicuries with Rule 391-3-17.02(1 ? ) ( I ) or equivalent regulations of the US NRC or another Agreement State Sealed Source Mcdels which Q. No single source to exceed 15 are registered in accordance millicuries with Rule 391-3-17.02(1 l)(I) or equivalent regulations of the US NRC or another Agreement State

R. Sealed Source (AEA R, No single source to exceed Technology Model A424-9) 130 Curies

I

P, 13 NOV-;2-03 WED 12:04 PM ATS INC FAX NO, 7705143293

9.

A.

B.

C.

D.

E.

F.

G.

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K.

Georgia Department o f Natural Resources Radioactive Materials License

Supplementary Sheet


AUTHORIZED USE

To be used in an Amersham-Gamma Industries Model Century S exposure device (with appropriately fitted controls and long protector cap on lock box) for industrial radiography and in Amersharn-Gamma Industries Model C-I 0 source changer for storage and replacement of sources ,

To he used in an Amersham-Tech/Ops Inc. Model 616 exposure device for industrial radiography.

To be used In an Amersham-Gamma lndustries Model Pipeliner 1 exposure device for industrlal radiography.

To be used in an Amcrsharn-TechlOps Model 660,66OA, or 6606 exposure device for industrial radiography and jn an Amersham-TechlOps Model 650 source changer for storage and replacement of sources.

To be used In an Amersham-TechlOps Model 680,68OA, or 6805 exposure device for industrial radiography and in Amersharn-Techlops Model 488 or 777 source changer for storage and replacement of sources,

I

To be used in an Amersham-Gamma Industries Model 100A exposure device for industrial radiography arid in an Amersham- Gamma Industries model C-8 source changer for storage and replacement of sources.

To be used in an Amersharn-TechlOps, he. Madel 660 exposure device for industrial radiography and in a Source Production and Equipment Company Model C-2 source exchanger for storage and replacement of sources.

To be used in a Source Production and Equipment Company Model 2T exposure device for industrial radiography and in a Source Production and Equipment Company Model (2-1 source changer for storage end replacement of sources,

To be used in an Amersham-Gamma lndustries Model Century S exposure device for industrial radiography and in a Source Production and Equipment Company Model C-1 storage and replacement of sources.

To be used in an Arnersham-Tech/Ops Model 660 exposure device for industrial radiography and in an Industrial Nuclear Model IR-50 source exchanger for storage and replacement of sources.

To be used in an Industrial Nuclear Model IR-I00 exposure device for industrial radiography and in an lndustrial Nuclear Model IR-50 source exchanger for storage and replacement of sources.

- FAX NO, 77051432% P, 14

NOV-12-03 KED 12:04 PM ATS INC . . . .

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Georgia Department ofNatura1 Resources Radioactive Materials License

Supplementary Sheet

Page 4 of 9 Pages license Number GA 896-1 Amendment Number .41

AUTHORIZED USE (continued)

L. To be used in an Amersham-Gamma Industries model Century S exposure device for industrial radiography and in Amersham Models C-10, U-110, or 500-SU source exchanger for storage and replacement of sources.

M. For use in an Amersham Tech/Ops Model 773 survey meter calibration unit for calibration of -sutvey instruments.

N. For use in an Arnersham Model 660A, 660B, exposure device for industrial radiography and in an IR-50 source changer for exchange and storage.

To be used in an AEA Technology Model 880 Delta exposure device for industrial radiography and in an Industrial Nuclear Model IR-50 source exchanger for storage and replacement of sources.

0.

P., Q. For use in a Niton XL-\I X-ray fluorescence device for material chemical analysis.

R.

i

To be used in an AEA Technology Model 880 Sigma exposure device for industrial radiography and iii an Industria\ Nuclear Model 650L source exchartgerfor storage and replacement of sources.

CONDITIONS

I O . Radioactive material shall be stored at I190 Atlanta Industrial Drive, Building 11, Marietta, Georgia, 635 Laney Walker Blvd. Ext., Augusta, Georgia 30901 or at 5578C Export Blvd, Garden City, Georgi,a 31408, .Radioactive material may. tie used only at temporary job sites of the licensee anywhere in the State of Georgia. This condition does not prohibit use in other Agreement States and States under the jurisdiction of the U.S. Nuclear Regulatory Commission under reciprocity procedures which may be established by an Agreement State or the US. Nuclear Regulatory Commission.

4 1, The licensee shall comply with the provisions of Georgia Department o f Natural Resources Rule 391-3-17-.03, "Standards for Protection Against Radiation, Amended." Rule 391-3-17-.04, "Special Radiation Safety Requirements for Industrial Radiographic Operations, Amended", Rule 391:-3-11-.06, "Transportation of Radioactive Material, Amended", and Rule 3913-17-.07, "Notices, Instructions and Reports to Workers: Inspections, Amended."

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NOV-12-03 KED 12:04 PM ATS INC FAX NO, 7705143293 P. 15 I . .

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Georgia Department o f Natnral Resources Radioactive Materials License

Supplementary Sheet li . I


Conditions (continued)

12.

.I 3.

14.

15.

76.

In accordance with DNR Board Policy adopted May 28, 2003 the fees associated with this license, fee category C.3. are:

Application fee $3000.00 Annual fee $4 160.00 Amendment fee $490.00 Non-routine Inspection fee . $2500.00

Checks for the fees should be made payable to the Department of Natural Resources, --. Radioactive ,- Materials Program, and mailed to the following address:

Radioactive Materials Fees P.O. BOX 101161

Atlanta, GA 30392

Mail license applications and amendin&% requests to the following address:

Radioactive Materials Program 4244 International Parkway, Suite 114

Atlanta, GA 30354

AI! license applications, amendments and fee payments should be mailed the same day.

Annual fees are billed by the Department at the beginning of each fiscal year

The Radiation Safety Officer in this program shall be Gene Mock.

All records or copies of records pertaining to Radioactive Material Llcense GA. 896-1 shall be maintained by the Radiation Safety Office at the address below:

Applied Technical Services, Inc. 1 I 90 Atlanta Industrial Drive,

Atlanta, Georgia 30066.

Except for maintaining labeling as required by 391-3-17-.03, the licensee shall obtain authorization from the Department before making any changes in the sealed source, device, or source-device combination that would alter the description or specifications as indicated in the Sealed Source Reglstry issued either by the Department, an Agreement State or, the Nuclear Regulatory Commission.

In addition to the possession limits in item 8, the licensee shall further restrict the possession of licensed material with a half-life greater than 120 days to quantjties tess than those specified in Rule 391-3-?7.02(8)(g)4. Exceeding quantities in .02(8)(g)4. requites the submittal of a financial assurance mechanlsm or a decommissioning funding plan.

Radioactive Materials License Supplementary Sheet

Page 6 of 9 Pages License Number GA 896-1 Amendment Number -41

P, 16

Conditlans (continued)

17. A. The licensee shall perform required tests for leakage or contamination at intervals not to exceed six (6) months in accordance with Rule 391-3-17-.04(9)(~).

B, Sealed sources authorized for use other than radiography shall be tested in accordance with Rule 391-3-17-.03(6).

C. The Radiation Safety Officer or other radiographic personnel designated by him are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits furnished by persons authorized by a license to perform that service.

Conditions I 8 - 25 apply.only.to items listed in 6.A. through 6.0,. and 6.R.

28. A. Gene Mock, Scott Powell, R Leimenstoll, Steve Hiernstra, Jason Marrs, Kenneth Vaughn, Kevin Harris, Mark Bottoms, Don Weeks, Jim Hills, Kevin Floyd, Harold Bailey, Pat Burns, Jlm GraViano Jr., Chris Carter, Tom Fitzgerald, Kelly Fortney, Gordon Livermore, Alan Poling, Ron Johnston, Chris Gonzalez, Robert Stafford, Chris Vorwald, Sean Bruns, Mike Dally, Robert Stafford, Anthony 0. Wilhelm or Mark Terry are the only persons authorized by this license to act as radiographers as defined in Rule 393-3-17-.04(3)(~).

8, ' Only those persons who have satisfactorily completed'Applied Technical Services, Inc.'s training prograrn as described in procedure manual received with letter dated January 8, 2003 and have inet the requirements outlined in Rule 391-3-17-.04(16)(~) shall be authorized by this license to act as radiographers and radiographer trainees as defined in 391-3-17-.04(3)(aa). The licensee shall maintain records of individuals who have co'mpleted the training program.

19. Pursuant to Rule 391-3-17-.02, "Licensing of Radioactive Illat&al," the licensee is authorized to possess, use, transfer, and import up to 999 kilograms of depleted uranium contained as shielding material in the radiography exposure devices and source changers authorized by this license.

20. Sealed sources containing radioactive material shall not be opened by the licensee.

2'1. The Radiation Safety Officer or other radiographic personnei designated by him are authorized to change sealed sources described in )terns 6, 7, and 8 of this license using instructions of the distributor of the source changer.

22. The licensee Is authorized to receive, possess, and use sealed sources of iridium-292 or cobalt- 60 where the radioactivity exceeds the maximum amount of radioactivity specified in Item 8 of this license provided:

A. S~rch possession does not exceed the quantity per source specified in Item 8 by more than 20% for iridium-I92 or 10% for cobalt-60;

NOV-12-03 EjED 12:05 PPI AT? INC FAX NO, 7705143299 'W

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Georgia Department o f Natural Resources Radioactive Materials License

Supplementary Sheet

Page 7 of 9 Pages License Number GA 896-j Amendment Number .41

Condition 22 (continued)

B. Records o f the licensee show that no more than the maximum amount of radioactivity per source specified in Item 6 of the license was ordered from the supplier or transferor of the radioactive material; and

C. The levels of radiation for radiographic exposure devices and storage containers do not exceed those specified in Rule 391-3-17--0416). '

23.

21.

25.

Radiographer certification identification (1. D,) Cards which have been Issued by the Department, an Agreement State, the Nuclear Regulatory Commission, ASNT, or any other certifying entity shall be available at each job site. A copy of the I , 0. Card shall be maintained on file for Department Inspection.

-The license0 shall ,inform the pep-advent within.three (3) ,days..of work to be.performed at temporary job sites within t h s State of Georgia. If the licensee was not given three (3) days notice for a particular job site the licensee shall provide notification to the Department prior to starting work at the site. The information required in the notification is: the location of the job site; the employing company; a point of contact for the employing company; the dates of the job; and the starting and ending times on the job site.

The shielding for the shooting cell located at 190 Atlanta Industrial Drive, Marietta, Georgia 30066 has been approved for a maximum of 95 Curies of Iridium 192 in accordance with Department approval dated 1211 1/85.

Conditions 26- 32 apply only to items listed in 6,P. and 6.4.

26.

27d

213.

29.

Licensed material shall be used by, or. used'under the supervision of, and in the physical presence of individuals who have successfully completed the manufacturer's training program, have received copies of the licensee's operating and emergency procedures, and have been designated by the Radiation Safety Officer. Records/Certificates of training shail be maintained for Department inspection.

Each portable gauge shall have a lock or outer locked container designed to prevent unauthorized or accidental removal of the sealed source from its shielded position. Tho gauge or its container must be locked when in transport, storage, or when not under the direct surveillance of an authorized user.

Maintenance or repair of portable devices involving removal of sealed sources from the devices or removal or dismantling of shielding may be performed only by the device manufacturer, or by persons specifically authorized by the Department, Agreement States, or the U.S. Nuclear Regulatory Commission to perform such services.

Sealed soiirces containing radioactive material shall not be opened or removed from their respective so{.irce holders by the licensee.

NOV-12-03 LED 12:05 PM ATS INC - FAX NO, 7705143293 P, 18

Georgia Department of Natural Resources Radioactive Materials License

Supplementary Sheet


Conditions (continued)

I

30.

31.

32.

33 -

The licensee shall conduct a physical inventory every 6 months to account for all licensed material received and possessed under this license, The records of inventories shall be maintained for inspection by the Department and shall include the quantities and kinds of radioactive material, the manufacturer, model and serial number: [ocation of sealed sources, and the date and name of the individual performing the inventory.

'

The licensee shall maintain a current utilization log which shall be kept available for inspection by the Departmeqt, for three years from the date of the recorded event, showing for each sealed source the following information:

A. A unique identification, such as a serial number, for each portable gauge in which a seqled sour.ce is located; . .

6, The identity of the individual to whom assigned;

C. Locations where used and dates of use; and

D. The date(s) each source is removed from storage and returned to storage.

The licensee sl?all notify the Radioactive Materials Program, Georgia Department of Natural Resources, of each operation conducted under the license at a location other than that specified in Item 2 above whsn such operation continues for more than 60 days. The licensee shall also notify this office upon cessation of such operation.

Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with statements, representations, and procedures contained in the documents, including any enclosures listed below:

A.

€3.

C,

D.

E.

F.

G.

Application dated October 12, 1998 and signed by Gene Mock, Radiation Safety Officer; and

Letter dated June 22, 2000, and signed by Jim J. Hills, Manager, NDT, and;

Letter dated January 23, 200.1 , and signed by Gene Mock, Radiation Safety Officer, and;

Letter dated February 12, 2001, and signed by Gene Mock, Radiation Safety Officer, and;

Letter dated May 16, 2001, and signed by Gene Mock, Radiation Safety Officer, and;

Letter dated October 3, 2001, and signed by Gene Mock, Radiation Safety Officer, and;

Letter dated May 6, 2002 and signed by Gene Mock, Radiation Safety Officer, and;

NOV-12-03 WED 12:06 PM ATS INC FAX NO, 7705143293

Georgia Department of Natural Resources Rsrllioactive Materials License

Supplementary Sheet


P, 19

Condition 33 (continued)

H. Letter dated May 20, 2002 and signed by Gene Mock, Radiation Safety Officer, and;

I . Lctter dated January 8 , 2003 and signed by Scott Powell, Assistant Radiation Safety Officer, and;

. J. Letter dated September 2, 2003 and signed by Jim J. Hills, President, and;

K. Application with attachments dated August 18, 2003 and signed by Gene Mock, Radiation Safety Officer.

Tho Georgia Department of Natural Resources' regulations shall govern unless the statements, representations and procedures in the licensee's application and correspondence are more restrictive than the Regulations.

1

FOR THE DEPARTMENT OF NATURAL RESOURCES

Date: September 2?,2003 BY 0 Q - L

Liz Seale

applied technical services, inc., revision dtd 11/13/2003

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