cook, flatt & strobel engineers, p.a., missouri nuclear
TRANSCRIPT
CFS ENGINEERS
cfsecom
2930 SW Woodside Dr Topeka Kansas 66614
(785) 272-4706 (785) 272-4736 Fax
wwwcfsecom
Other Offices Kansas City Missouri
Lawrence Kansas Kansas City Kansas Manhattan Kansas
Wichita Kansas
Kenneth M Blair PE Chairman athe Board
Robert S Chambers PE President-Treasurer
Sabin A Yanez PE Sr Vice President Secretary
Kevin K Holland PE Vice President
Daniel W Holloway PE Vice President
Charles C lePage PE Vice President
Lance W Scott PE Vice President
Melvin D Chapman PE Consultant
October 10 2012
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Region III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
Re Missouri Nuclear Licensing Control Number 579076
Dear Ms Bishop
In reference to your conversation with Bill Bender on September 272012 we are enclosing Appendix B with answers for questions 5 through 11
If additional infonnation is needed contact our Radiation Safety Officer Bill Bender at 785-554-8967
Enclosures
RECEiVEO OC116101l
Appendix B
Suggested Format for Providing Information Requested in Items 5
through 11
APPElTDIX B
ITEMS 5 AND 6 MATERIALS TO BE POSSESSED AND PROPOSED USES
Yes No Radioisotope
Cesium-137
Americiumshy241
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Troxler 3430
Device manufactJr~~9r distributor and model number
Troxler 3430 3440
Sealed source manufacturer or distributor and model number
Troxler 3430 3440
Device manufacturer or distributor and model number
Troxler 3430 3440
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Not to exceed either the maxImum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed on SSD
Certificate
Yes~
Specific descliption of the gauge use
Yes il
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
B-1 NUREG - 1556 Vol 1 Rev 1
APPENDIXB
No RadioisotopeYes
Californiumshy252
Other Isotope (Specify)
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certi ficate
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed onSSD
Certificate
Yes 0
Specific descliption of the gauge use
Yes 0
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
51 Not applicable
o Uses are
(Submit safety analysis supporting safe use)
~Not applicable
o Uses are
(Submit safety analysis supporting safe use)
Financial Assurance Required and Evidence ofFinancial Assurance Provided
NUREG - 1556 Vol 1 Rev 1 B-2
APPENDIXB
ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL
Item No And Title
7 INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE shyRADIATION SAFETY OFFICER
Name Bill Bender
8 TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
9 FACILITIES AND EQUIPMENT
10 RADIATION SAFETY PROGRAM - AUDIT PROGRAM
10 RADIATION SAFETY PROGRAMshyTERMINATION OF ACTIVITIES
Suggested Response
Before obtaining licensed materials the proposed RSO will have successfully completed one of the training courses described in Cl1teria in the section entitled Individual(s) Responsible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-1556 Vol 1 Rev 1 dated November 2001
Before using licensed materials authorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Restricted Areas in lTUREG-1556 Vol 1 Rev I dated November 2001
No information needs to be subInitted in response to this item key issues are addressed under Radiation Safety Program - Public Dose and Radiation Safety Program shyOperating and Emergency Procedures
The applicant is not required to and should not submit its audit program to NRC for review during the licensing phase
The applicant is not required to submit a response to the termination of activities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted
Yes Alternative Procedures Attached
Drishy
0~
Separate Item 9 Response
Need Not Be Submitted With Application
Need Not Be Submitted With Application
Need Not Be Submitted With Application
10 RADIATION SAFETY We will either possess and use or have access ~ 0 PROGRAM shy SURVEY to and use a radiation survey meter that meets INSTRUMENTS the Criteria in the section entitled Radiation
Safety Program -Instruments in NUREG-1556 Vol 1 Rev 1 dated November 2001
B-3 NUREG - 1556 Vol 1 Rev 1
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
Appendix B
Suggested Format for Providing Information Requested in Items 5
through 11
APPElTDIX B
ITEMS 5 AND 6 MATERIALS TO BE POSSESSED AND PROPOSED USES
Yes No Radioisotope
Cesium-137
Americiumshy241
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Troxler 3430
Device manufactJr~~9r distributor and model number
Troxler 3430 3440
Sealed source manufacturer or distributor and model number
Troxler 3430 3440
Device manufacturer or distributor and model number
Troxler 3430 3440
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Not to exceed either the maxImum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed on SSD
Certificate
Yes~
Specific descliption of the gauge use
Yes il
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
B-1 NUREG - 1556 Vol 1 Rev 1
APPENDIXB
No RadioisotopeYes
Californiumshy252
Other Isotope (Specify)
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certi ficate
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed onSSD
Certificate
Yes 0
Specific descliption of the gauge use
Yes 0
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
51 Not applicable
o Uses are
(Submit safety analysis supporting safe use)
~Not applicable
o Uses are
(Submit safety analysis supporting safe use)
Financial Assurance Required and Evidence ofFinancial Assurance Provided
NUREG - 1556 Vol 1 Rev 1 B-2
APPENDIXB
ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL
Item No And Title
7 INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE shyRADIATION SAFETY OFFICER
Name Bill Bender
8 TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
9 FACILITIES AND EQUIPMENT
10 RADIATION SAFETY PROGRAM - AUDIT PROGRAM
10 RADIATION SAFETY PROGRAMshyTERMINATION OF ACTIVITIES
Suggested Response
Before obtaining licensed materials the proposed RSO will have successfully completed one of the training courses described in Cl1teria in the section entitled Individual(s) Responsible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-1556 Vol 1 Rev 1 dated November 2001
Before using licensed materials authorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Restricted Areas in lTUREG-1556 Vol 1 Rev I dated November 2001
No information needs to be subInitted in response to this item key issues are addressed under Radiation Safety Program - Public Dose and Radiation Safety Program shyOperating and Emergency Procedures
The applicant is not required to and should not submit its audit program to NRC for review during the licensing phase
The applicant is not required to submit a response to the termination of activities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted
Yes Alternative Procedures Attached
Drishy
0~
Separate Item 9 Response
Need Not Be Submitted With Application
Need Not Be Submitted With Application
Need Not Be Submitted With Application
10 RADIATION SAFETY We will either possess and use or have access ~ 0 PROGRAM shy SURVEY to and use a radiation survey meter that meets INSTRUMENTS the Criteria in the section entitled Radiation
Safety Program -Instruments in NUREG-1556 Vol 1 Rev 1 dated November 2001
B-3 NUREG - 1556 Vol 1 Rev 1
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
APPElTDIX B
ITEMS 5 AND 6 MATERIALS TO BE POSSESSED AND PROPOSED USES
Yes No Radioisotope
Cesium-137
Americiumshy241
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Troxler 3430
Device manufactJr~~9r distributor and model number
Troxler 3430 3440
Sealed source manufacturer or distributor and model number
Troxler 3430 3440
Device manufacturer or distributor and model number
Troxler 3430 3440
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Not to exceed either the maxImum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed on SSD
Certificate
Yes~
Specific descliption of the gauge use
Yes il
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
ONot applicable
o Uses are
(Submit safety analysis supporting safe use)
B-1 NUREG - 1556 Vol 1 Rev 1
APPENDIXB
No RadioisotopeYes
Californiumshy252
Other Isotope (Specify)
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certi ficate
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed onSSD
Certificate
Yes 0
Specific descliption of the gauge use
Yes 0
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
51 Not applicable
o Uses are
(Submit safety analysis supporting safe use)
~Not applicable
o Uses are
(Submit safety analysis supporting safe use)
Financial Assurance Required and Evidence ofFinancial Assurance Provided
NUREG - 1556 Vol 1 Rev 1 B-2
APPENDIXB
ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL
Item No And Title
7 INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE shyRADIATION SAFETY OFFICER
Name Bill Bender
8 TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
9 FACILITIES AND EQUIPMENT
10 RADIATION SAFETY PROGRAM - AUDIT PROGRAM
10 RADIATION SAFETY PROGRAMshyTERMINATION OF ACTIVITIES
Suggested Response
Before obtaining licensed materials the proposed RSO will have successfully completed one of the training courses described in Cl1teria in the section entitled Individual(s) Responsible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-1556 Vol 1 Rev 1 dated November 2001
Before using licensed materials authorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Restricted Areas in lTUREG-1556 Vol 1 Rev I dated November 2001
No information needs to be subInitted in response to this item key issues are addressed under Radiation Safety Program - Public Dose and Radiation Safety Program shyOperating and Emergency Procedures
The applicant is not required to and should not submit its audit program to NRC for review during the licensing phase
The applicant is not required to submit a response to the termination of activities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted
Yes Alternative Procedures Attached
Drishy
0~
Separate Item 9 Response
Need Not Be Submitted With Application
Need Not Be Submitted With Application
Need Not Be Submitted With Application
10 RADIATION SAFETY We will either possess and use or have access ~ 0 PROGRAM shy SURVEY to and use a radiation survey meter that meets INSTRUMENTS the Criteria in the section entitled Radiation
Safety Program -Instruments in NUREG-1556 Vol 1 Rev 1 dated November 2001
B-3 NUREG - 1556 Vol 1 Rev 1
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
APPENDIXB
No RadioisotopeYes
Californiumshy252
Other Isotope (Specify)
Manufacturer or Distributor Model No
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Sealed source manufacturer or distributor and model number
Device manufacturer or distributor and model number
Quantity
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certi ficate
Not to exceed either the maximum activity per source or maximum activity per device as specified in Sealed Source and Device Registration Certificate
Use As Listed onSSD
Certificate
Yes 0
Specific descliption of the gauge use
Yes 0
Specific description of the gauge use
Specify Other Uses Not
Listed on SSD Certificate
51 Not applicable
o Uses are
(Submit safety analysis supporting safe use)
~Not applicable
o Uses are
(Submit safety analysis supporting safe use)
Financial Assurance Required and Evidence ofFinancial Assurance Provided
NUREG - 1556 Vol 1 Rev 1 B-2
APPENDIXB
ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL
Item No And Title
7 INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE shyRADIATION SAFETY OFFICER
Name Bill Bender
8 TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
9 FACILITIES AND EQUIPMENT
10 RADIATION SAFETY PROGRAM - AUDIT PROGRAM
10 RADIATION SAFETY PROGRAMshyTERMINATION OF ACTIVITIES
Suggested Response
Before obtaining licensed materials the proposed RSO will have successfully completed one of the training courses described in Cl1teria in the section entitled Individual(s) Responsible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-1556 Vol 1 Rev 1 dated November 2001
Before using licensed materials authorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Restricted Areas in lTUREG-1556 Vol 1 Rev I dated November 2001
No information needs to be subInitted in response to this item key issues are addressed under Radiation Safety Program - Public Dose and Radiation Safety Program shyOperating and Emergency Procedures
The applicant is not required to and should not submit its audit program to NRC for review during the licensing phase
The applicant is not required to submit a response to the termination of activities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted
Yes Alternative Procedures Attached
Drishy
0~
Separate Item 9 Response
Need Not Be Submitted With Application
Need Not Be Submitted With Application
Need Not Be Submitted With Application
10 RADIATION SAFETY We will either possess and use or have access ~ 0 PROGRAM shy SURVEY to and use a radiation survey meter that meets INSTRUMENTS the Criteria in the section entitled Radiation
Safety Program -Instruments in NUREG-1556 Vol 1 Rev 1 dated November 2001
B-3 NUREG - 1556 Vol 1 Rev 1
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
APPENDIXB
ITEMS 7 THROUGH 11 TRAINING AND EXPERIENCE FACILITIES AND EQUIPMENT RADIATION SAFETY PROGRAM AND WASTE DISPOSAL
Item No And Title
7 INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE shyRADIATION SAFETY OFFICER
Name Bill Bender
8 TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS
9 FACILITIES AND EQUIPMENT
10 RADIATION SAFETY PROGRAM - AUDIT PROGRAM
10 RADIATION SAFETY PROGRAMshyTERMINATION OF ACTIVITIES
Suggested Response
Before obtaining licensed materials the proposed RSO will have successfully completed one of the training courses described in Cl1teria in the section entitled Individual(s) Responsible for Radiation Safety Program and Their Training and Experience - Radiation Safety Officer in NUREG-1556 Vol 1 Rev 1 dated November 2001
Before using licensed materials authorized users will have successfully completed one of the training course described in Criteria in the section entitled Training for Individuals Working In or Frequenting Restricted Areas in lTUREG-1556 Vol 1 Rev I dated November 2001
No information needs to be subInitted in response to this item key issues are addressed under Radiation Safety Program - Public Dose and Radiation Safety Program shyOperating and Emergency Procedures
The applicant is not required to and should not submit its audit program to NRC for review during the licensing phase
The applicant is not required to submit a response to the termination of activities section during the initial application However when the license expires when the licensee ceases operation NRC Form 314 must be submitted
Yes Alternative Procedures Attached
Drishy
0~
Separate Item 9 Response
Need Not Be Submitted With Application
Need Not Be Submitted With Application
Need Not Be Submitted With Application
10 RADIATION SAFETY We will either possess and use or have access ~ 0 PROGRAM shy SURVEY to and use a radiation survey meter that meets INSTRUMENTS the Criteria in the section entitled Radiation
Safety Program -Instruments in NUREG-1556 Vol 1 Rev 1 dated November 2001
B-3 NUREG - 1556 Vol 1 Rev 1
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
APPENDlXB
Item No And Title Suggested Response Yes Alternative Procedures
Attached
Physical inventories will be conducted at ~ 0 PROGRAM - MATERIAL
10 RADIATION SAFETY intervals not to exceed 6 months to account
RECEIPT AND for all sealed sources and devices received ACCOUNTABILITY and possessed under the license
Either we will maintain for inspection by10 RADIATION SAFETY 0 PROGRAMshy
~ NRC documentation demonstrating that
OCCUPATIONAL unmonitored individuals are not likely to DOSIMETRY receive a radiation dose in excess of
10 percent of the allowable limits in 10 CFR Part 20 or we will provide dosimetry processed and evaluated by an NVLAP-approved processor that is exchanged at a frequency recommended by the processor
The applicant is not required to submit a 10 RADIATION SAFETY Need Not Be Submitted PROGRAM - PUBLIC response to the public dose section during the With Application DOSE licensing phase This matter will be examined
during an inspection
We will implement and maintain the operating ~ 0 PROGRAMshy
10 RADIATION SAFETY and emergency procedures in Appendix H of
OPERATING AND NUREG-1556 Vol I Rev I dated EMERGENCY November 2001 and provide copies of these PROCEDURES procedures to all gauge users and at each job
site
OR
Operating and emergency procedures will be 0 developed implemented and maintained and will meet the criteria in the section entitled Radiation Safety Program - Operating and Emergency Procedures in NUREG-1556 Vol 1 Rev I dated November 2001
Leak tests will be performed at intervals 0 PROGRAM- LEAK lEST
10 RADIATION SAFETY ~ approved by NRC or an Agreement Sate and
Thespecified in the Sealed Source and Device
information inRegistration Sheet Leak tests will be
Appendix Jperformed by an organization authorized by
supporting aNRC or an Agreement State to provide leak
request totesting services for other licensees or using a
perform leakleak test kit supplied by an organization
testing andauthorized by NRC or an Agreement State to
sampleprovide leak test kits to other licensees and
analysis isaccording to the kit suppliers instructions
attached
NUREG - 1556 Vol I Rev 1 B-4
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
APPENDIXB
Item No And Title Suggested Response Yes Alternative Procedures Attached
Routine Cleaning and Lubrication 10 RADIATION SAFETY PROGRAM-
We will implement and maintain procedures 0~ MAINTENANCE for routine maintenance of our gauges according to each manufacturers recommendations and instructions
Non-Routine Maintenance
We will send the gauge to the manufacturer or 0 other person authorized by NRC or an
il The
Agreement State to pelform non-routine information
maintenance or repair operations that require listed in
the removal of the source or source rod from Appendix G
the gauge supporting a request to perform non-routine maintenance in-house is attached
The applicant is not required to submit its 10RADIATION SAFETY Need Not Be Submitted PROGRAM- response to transportation during the licensing With Application
TRANSPORTATION process However this issue will be reviewed during inspection
The applicant is not required to submit a 11 WASTE MANAGEl1ENTshy Need Not Be Submitted GAUGE DISPOSAL AND response to waste management during the With Application TRANSFER licensing process However the licensee
should develop implement and maintain gauge transfer and disposal procedures in its radiation protection program
B-5 NUREG - 1556 Vol 1 Rev 1
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I
CFS ENGINEERS 2930 SW Woodside Drive
Topeka Kansas 66614
Jennifer Bishop Materials Licensing Branch US Nuclear Regulatory Commission Re gion III 2443 Warrenville Road Suite 210 Lisle Illinois 60532-4351
1111 1i IIII IImiddot I II I 111 Ill II 11 11111I