from: tracy hodik sent
TRANSCRIPT
Hill, Carol
From: Sent: To: Subject: Attachments:
Hi Carol and Jackie,
Tracy Hodik <[email protected]> Thursday, April 21, 2016 3:41 PM Cook, Jackie; Hill, Carol [External_Sender] License amendment 1825_001.pdf
Attached a letter requesting an amendment to our license and copies of most recent leak tests. Please let me know if you need any other information.
Thank you,
Tracy Hodik
From: [email protected] [mailto:[email protected]] Sent: Thursday, April 21, 2016 2:37 PM To: Tracy Hodik Subject: Attached Image
1 5 9 0 7 1 0
4/21/16
Jacqueline D. Cook
Senior Health Physicist
Division of Nuclear Materials Safety
Nuclear Materials Safety Branch B
1600 E. Lamar Boulevard
Arlington, TX 76011
Dear Jackie,
CENTURY COMPANIES, INC.
As per our emails on 4/4/16 I am writing to amend our license (#25-27063-01) to remove a storage
facility and add a new storage facility for our 5 nuclear densometers. The storage facility address on our
current license is 5101st Avenue North, Lewistown, MT 59457. We will no longer be storing our gauges
here ... they will be stored at 188 Century Lane, Lewistown, MT 59457. Per your request I have Included
leak test results from April of 2016. We have never had any leaks from our gauges.
Please contact me if you need any further information. My direct line is 406-535-1230 and my email is
Sincerely, fa ~;
RSO
406-535-1200 39 lm;lustrlal Way • PO Box 579 • Lewistown, MT 59457 406-535-1205 MAIN www.CanturyCompanleslnc.com FAX
5807 10
Form: 193ARav 1, 19 Jun 2006
1107 Wonder Drive Ste: 104 Round Rock, TX 78681
Ph: 512 407-9252 Fax: 512 407-9831
www.qaltek.com Qal-Tek Associates
3998 Commerce Circle Idaho Falls, ID 83401
Ph: 208 52~5557 Fax: 208 524-8470
557 EB8t Juanita Ste 6 Mesa, AZ 85204 Ph: 480304-S199 Pax: 480 966-9495
SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Comp11ny:
Street:
Century Companies, Inc. 510 1st Avenue North
c11y1St1Z1p: Lewistown, MT 59457 Phone: 406-538-2334
Serial Number: 37346 Laake~~:'. 04-Apr-2016
Fax: 406-538-9261
Mfg: Troxler
Isotope ;AcUvlty (iliCI) il8t alpha CPt.f Arri241 .. 40mCi 0 0 Cs137 BmCI 0 3
Model: 3430
Cl
. :a1pliaµc1 ··
.· ... ·· 0
Comments
lnslrumentTechniciart: Chrfs Atchison
~------------------~--0 ate of Service: 12-Apr-2016
A.edit. 3763 Ref#: W16232-069453
Leak Test Dua~ 04-0ct-2016
bfYµCI Pass/Fall 0 .Pass Q;O(l0002 Pass
CSl-Tek Associates certifies that all leak test maasurem11nts are . O!'med In accordance with · llcerisee requlremenlS for
Isotopic datectlol'!. limlts. For this purpose the MDA Is below the NRC regulatory limita of <0.005 uCI
Fonn: 193A Rev 1, 19 Jun 2006
1107 Wonder Drive Ste 104 Round Rock, TX 78681
Ph: 512 407-9252 Fax: 512 407-9831
www.qaltelc.com
Qal-Tek Associates
3998 Commerce Circle Idaho Falls, ID 83401
Ph: 208 523-5557 Fax: 208 524-8470
551 East Juanita Ste 6 Mesa, AZ. 85204
Ph: 480 304-5199 Fax: 480 966-9495
SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company: Century Companies, Inc. Acct#: 3763 Ref#: W16232-069452
street 510 1st Avenue North c1ty/Sl/Zip: Lewistown, MT 59457
Phone: 406-538•2334 Fax: 406-538-9261
serial Number: 34400 Mfg: Troxler Modal: 3430
LeekJ: 04-Apr-2016 Leak Teat OP'Dale: 04-0ct-2016
VudiiHIIT ~: 21esss
T
TA&tV-nltw
Isotope All!IVllY oncn nefmph1ICPM netbNCPM alpha 11CI b/YIJCI Pass/FaB Am241 40mCI 0 0 0 ... 0 Pass Cs137 8mCI 0 ·- 0 0 0 Pass
Comments
instrument Technician: Chris Atchison ~~~~~~~~~~~--
Date of Service: 12-Apr-2016 ~~~....,....~~~~~~~---
Qal-Tek Assoclatea certlf188 lhat all leak test measuremanla are ·· In acoor'danca wllh
lsotoplc detection limits. For this. purp11119 fhe MDA .la below Iha .NRC regulatory llmlls of <0.005 uCI
Form: 193ARav 1, 19Jun 2006
1107 Wonder Drive Ste 104 Round Rock, TX 78681
Ph: 512 407•9252 Fax: 512 407-9831
www.qaltek.com Qal-Tek Associates
3998 Commerce Circle Idaho Falls, ID 83401
Ph: 208 523-5557 Fax: 208 524-8470
557 East Juanita Ste 6 Mesa, AZ 85204 Ph: 480 304-5199 Fax: 480 966-9495
SEALED RADIOACTIVE SOURCE LEAK TEST REPORT company: Century Companies, Inc. Acctlt. 3763 Ref#: W16232.069451
street 510 1st Avenue North c1tytsuz1p: Lewistown, MT 59457
Phone: 406-538-2334 Fax: 406-538-9261
Sarlel Number: 29942 Mfg: Troxler Model: 3440 LealcTeat ·
Date: 04-Apr-2016 Leak Test oue~a: 04-0ct-2016
I Test lnstrumElnt
T.~11_.nl ,. Isotope .... .Acflvlfy !mCI) net alpha CPM . · 111Jtb/YCPM "alphapCI b/YpCI Pli88/Fall Am241 40mCI 0 0 0
.. 0 Pass
Cs137 BmCI 0 0 0 0 Pass
Comments
Instrument Technician: Chris Atchison ,----------~~----~--~
Date of Service: 12-Apr-2016 ~~~------~----------
Qal-Tak Associates certifies !hat all leak test measurements are performed In· with NRC Ileen sea requirements for
Isotopic detection limits. For this purpose lhe MDA Is below Iha NRC regulaloiy Umlta of <0.005 .!-!Cl
Form: 193A Rev 1, 19 Jun 2006
1107 Wonder Drive: Ste: 104 Round Rock, TX 78681
Ph: S 12 407-9252 Fax: 512 407-9831
www.qaltck.com
Qal·Tek Associates
3998 Commerce Circle Idaho Falls, ID 83401
Ph: 208 523·5557 Fax: 208 52+8470
551 EastJuaoita Ste 6 Mesa, AZ 85204 Ph: 480 304-5199 Fax: 480 966-9495
SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company:
Street:
City/St/Zip:
Phone:
Century Companies, Inc. 51 O 1st Avenue North Lewistown, MT 59457 406-538·2334
Serlal Nwnber: 19725 Leak.Teat
Date: 04-Apr-2016
Fax: 406-538-9261
Mtg: Troxler
Tl!M RIP.tit tA
Modlil: 3430
JsOlope Activity cmc1) nal alpt:iil CPM iietb/YCPM ..
alphaµCI Am241 AOmCI 0 .
... · 0 0 Cs137 8.mCI ·o 0 0
Comments
Instrument Technician: Chris Atchison ---------------~------....... ~ Date of SeMce: 12•Apr-2016
---------------------------
Aa:t#: 3763 Ref#: W16232-069450
t.elkTtlGl DUaDale: 04-0ct-2016
bNUCI .Pasa/Fal 0 Pails 0 Pass
Qal-T8k Aeaociataa C8ltifiea that 811 lilak testm ·riflformad'ln · .. :•NRC llcen88e requirements for
liofoplo deteCtion llmlfs. Fl)r ~B ~the MDA Is below the NRC "9~ llmltS af <0.005 uCI
Form: 193A Rev 1, 19 Jun 2008
1107 Wonder Drive Ste 104 Round Rook, TX 78681
Ph: Sl2 407-9252 Fax: Sl2 407-9831
www.qaltek.com
Qal-Tek Associates
3998 Commerce Circle Idaho Falls, ID 83401
Ph: 208 523-5557 Fax: 208 524-8470
551 Bast Juanita Ste 6
Mcaa, AZ 85204 Ph: 480 304-5199 Fax: 480 9156-9495
SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company: Century Companies, Inc.
510 1st Avenue North Lewistown, MT 59457 406-538-2334
Acct#: 3763 Reff#: W16232-069454 Street:
City/St/Zip:
Phone:
Serial Number: 37347 Leak~: 04-Apr-2016
MCA • alpha efflcfencv ~~··.
.oet. TW>e Last Cal. Date
Isotope Ac:llllJ!V (mCI) Atn241 40mCI Cs137 8inCI
......
Instrument Technician: Chris Atchison
Fax: 406-538-9261
Mfg: Troxler
't~tJos ..
Model: 3430
.Info less than 0.005 1JCI 70.63 84.26 ZnSfAal 20-'Mav-2015
TM• rl.Nai rir net alpha CPM ... netbfYCPM alpha )JCI 0 0 0 0 0 D
Comments
--~~~----~----___, __ ...,...._ Date of Service: 12-Apr-2016
-------------------------~___,,,.---
Laaki'ut 01!8Qaia: 04-0ct-2016
I
. ..
b/Y11CI Pass/FaK 0 Pasa
. . .
0 Pass
Qel· Tak A&sOClatas cerUfles that all leak test measurements are : :requirements for
Isotopic de~ llmlts. For this purpose the MDA I• below the NRC regulatory llmlts of <0.005 uCI
5907 10
BETWEEN:
Accounts Receivable/Payable and
Regional Licensing Branches
[ FOR ARPB USE ] INFORMATION FROM WBL
Program Code: 03121 Status Code: Pending Amendment Fee Category:3P Exp. Date: 05/31/2011 Fee Comments: Decom Fin Assur Reqd: N
License Fee Worksheet - License Fee Transmittal A. REGION
1. APPLICATION ATTACHED Applicant/Licensee: Century Companies, Inc.
Received Date: 04/21/2016 Docket Number: 3032102 Mail Control Number: 59071 O License Number: 25-27063-01
Action Type: Amendment
2. Fti!-~CHED
Amount: ~ """-Check No.:
3. COMMENTS
B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I I
1. Fee Category and Amount: ~~~~~~~~~~~~~~~~~
2. Correct Fee Paid. Application may be processed for:
Amendment:
Renewal:
License:
Signed:
Date:
1
NRCFORM 532 U.S. NUCLEAR REGULATORY COMMISSION (1-2012)
DATE
04/20/2016
NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER
D D
D
Century Companies, Inc. ATIN: Tracy N. Hodik Radiation Safety Officer P. 0. Box 739 Lewistown, MT 59457
This is to acknowledge the receipt of your:
[{] LETTER and/or 0 APPLICATION
25-27063-01
MAIL CONTROL NUMBER
590710
LICENSING AND/OR TECHNICAL REVIEWER
JAB
DATED: 04/21/2016
The initial processing, which included an administrative review, has been performed.
[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL
There were no administrative omissions identified during our initial review.
This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.
Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:
http://www.nrc.gov/reading-rm/doc-collections/forms/nrc531. pelf
Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387
A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.
Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below:
Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1140
NRC FORM 532 (1-2012)
J ~-)_\-\~