john cannon ~ie« - nrc.gov · norm/tenorm radia.tion safety officer the course is recognized as...

9
-·--· ' . ' May4, 2017 Chevron John Cannon Environmental Specialist, HES Certified Mail Number - 7013 171 O 0001 9647 7341 Nuclear Materials Licensing Branch U.S. Nuclear Regulatory Commission Region IV Attn: Ms. Jackie Whitten IE Bl MAY 1 5 2017 l!lJ DNMS 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011 Amendment to License 17-292, 01 - Radiation Safety Officer Change Dear Ms. Whitten: {, Patricia Ohrin, the current Radiation Safety Officer (RSO) for License 17-292 .$7-01 named in Amendment 05 of the license, will no longer be fulfilling the role of RSO for Chevron Gulf of Mexico. Chevron requests that License 17-29257-01 be amended to show John Cannon as the RSO Effective June 1, 2017. Information on John's Background and training are attached for your review. Sincerely, John Cannon Enclosures: Resume for John Cannon PUBLIC C Immediate Release Release NON-PUBLIC C A.3 Senaltive-Securlty Related 0 A.7 SeMIUve Internal 0 other:.__ _____ _ Training Certificates and Training Curriculum Revl1Mr: f 1Z-- Date: _s-: 'i?·· I g... Gulf of Mexico Chevron North America Exploration and Production Company (a division of Chevron U.S.A. Inc.) 100 Nonhpark Blvd, Covington, LA 70447 Tel 985 773 6540 Mobile 985 276 7359 [email protected] 1'159475 3

Upload: others

Post on 11-Sep-2019

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

-·--· ' . '

May4, 2017

Chevron

~

John Cannon Environmental Specialist, HES

Certified Mail Number - 7013 171 O 0001 9647 7341

Nuclear Materials Licensing Branch U.S. Nuclear Regulatory Commission Region IV Attn: Ms. Jackie Whitten

~ IE«: IE Bl IE ~ ~ MAY 1 5 2017 l!lJ

DNMS

611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011

Amendment to License 17-292, 01 - Radiation Safety Officer Change

Dear Ms. Whitten: {,

Patricia Ohrin, the current Radiation Safety Officer (RSO) for License 17-292.$7-01 named in Amendment 05 of the license, will no longer be fulfilling the role of RSO for Chevron Gulf of Mexico. Chevron requests that License 17-29257-01 be amended to show John Cannon as the RSO Effective June 1, 2017. Information on John's Background and training are attached for your review.

Sincerely,

John Cannon

Enclosures: Resume for John Cannon

PUBLIC C Immediate Release ~Normal Release

NON-PUBLIC C A.3 Senaltive-Securlty Related 0 A.7 SeMIUve Internal 0 other:.__ _____ _

Training Certificates and Training Curriculum Revl1Mr: ·~ f 1Z-- Date: _s-: 'i?·· I g...

Gulf of Mexico Chevron North America Exploration and Production Company

(a division of Chevron U.S.A. Inc.) 100 Nonhpark Blvd, Covington, LA 70447 Tel 985 773 6540 Mobile 985 276 7359

[email protected] 1'159475 3

Page 2: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

Resume for John Cannon Chevron U.S.A. Inc

January 2012 - Present, GOMBU, Covington Louisiana, HES Specialist (Environmental)

During my current role as an Environmental Specialist have had t he following responsibilities.

• Currently acting as the subject matter expert for waste management, NORM, radioactive

materials, DOT, and property transfer.

• Attended NORM/TENORM RSO Training in October 2016 to become an RSO.

• Developed hazardous waste and DOT t raining for Chevron Gulf of Mexico Personnel

• Member of the Environmental Unit of the GOM Spill Response Team.

• Responsible for the completion and submittal of annual GOMBU SARA Tier II reporting to the

appropriate state agencies.

January 2010 - December 2012, GOMBU, Covington Louisiana, HES Specialist support ing FE

While working as an HES specialist for GOMBU, I had the fo llowing job responsibi lities.

• Provided HES support to Facility Engineering, primarily safety support for capital projects that

were taking place in GOMBU.

o Frequently delivered Safety training to employees and contractors prior to the start of any

offshore construction project.

• Visited project sites onshore and offshore to deliver training, observe work, perform JSA

reviews, and conduct hazard hunts.

e Worked with project managers to develop project safety management plans.

February 2008 -December 2009, Midland Texas, Waste and Water Management Specialist

• Provided extensive waste management support and guidance to fields throughout the

Midcontinent Business Unit.

• Developed and delivered waste management training to employees throughout the business

unit.

• Rewrote and distributed the waste management plan to field offices across the business unit.

• Managed the remediation of several small site abandonment and site cleanup projects in Texas.

• Made frequent site visits to field locations to conduct waste storage inspections for operations.

• Provided guidance and training on the management, storage and disposal of RCRA Hazardous

Waste, NORM contaminated material, Universal Waste, scrap metal and equipment, E&P

Exempt Waste and general non-hazardous waste streams.

&.59475 3

Page 3: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

SPECIALIZED TRAINING CERTIFICATE

John Cannon Has Successfully Completed A Forty (40) Hour Training Course As An Oil And Gas

NORM/TENORM RADIA.TION SAFETY OFFICER The course is recognized as acceptable specialized training by the Texas Department of State Health Services, 25 TAC §289, and the Railroad Commission, 16 TAC §4.6. The course includes, but is not limited to, the following:

Origins of NORM, Atomic Theory, Sources of Radiation Exposure, and Minimizing Exposure Petroleum, Natural Gas Condensate, Upstream, Midstream, and Downstream Processes Biological Effects of Radiation, Exposure to an Unborn Child, and Risks Associated with Radiation Exposure NORMffENORM State Regulations -AR, LA, MS, NM, ND, OH, TX, and WV Federal Regulations, CRCPD Part N, Legal Responsibilities, and General I Specific Licenses Radiation Protection Plans, Waste Management Programs, Personnel Monitoring, and Liability Minimization Survey Instrumentation, Performing Radiation and Contamination Surveys, and Documenting Surveys RSO Responsibilities, Problems and Solutions, Radiation Units, and Sampling Methods, and Disposal Options Decontamination Methods, Respiratory Protection, Shipping/Manifesting, and Transportation ofNORMffENORM

Training Dates: October 17, 2016 - 0ctober21, 2016

"We have solutions for your NORM problems" ------·-----··T---1 N1S1

www.normsolutions.com Geri Blanch~d.-MS, REIVI, CS President I CRSO

Page 4: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

SPECIALIZED TRAINING CERTIFICATE

John Cannon Has Successfully Completed An Eight (8) Hour Training Course As An Oil And Gas

NORM/TENORMSURVEYOR The course is recognized as acceptable specialized training by the Texas Department of State Health Services, 25 TAC §289, and the Railroad Commission, 16 TAC §4.6. The course includes, but is not limited to, the following:

Origins ofNORM, Atomic Theory, Sources of Radiation Exposure, and Minimizing Exposure Petroleum, Natural Gas Condensate, Upstream, Midstream, and Downstream Processes Biological Effects of Radiation, Exposure to an Unborn Child, and Risks Associated with Radiation Exposure NORMffENORM State Regulations -AR, LA, MS, NM, ND, OH, TX, and WV Federal Regulations, CRCPD Part N, Legal Responsibilities, and General I Specific Licenses Radiation Protection Plans, Waste Management Programs, Personnel Monitoring, and Liability Minimization Survey Instrumentation, Performing Radiation and Contamination Surveys, and Documenting Surveys Surveyor Responsibilities, Problems and Solutions, Radiation Units, and Sampling Methods Decontamination Methods, Respiratory Protection, Shipping I Manifesting, and Disposal Options

Training Date:

"We have solutions for your NORM problems"

NTs·l www.normsolutions.com

October 18, 2016

Geri BlanchM'd,-MS, RE~. CS President I CRSO

Page 5: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

SPECIALIZED TRAINING CERTIFICATE

John Cannon Has Successfully Completed A Sixteen (16) Hour Training Course As An Oil And Gas

NORM/TENORMSURVEYOR The course is recognized as acceptable specialized training by the Texas Department of State Health Services, 25 TAC §289, and the Railroad Commission, 16 TAC §4.6. The course includes, but is not limited to, the following:

Origins of NORM, Atomic Theory, Sources of Radiation Exposure, and Minimizing Exposure Petroleum, Natural Gas Condensate, Upstream, Midstream, and Downstream Processes Biological Effects of Radiation, Exposure to an Unborn Child, and Risks Associated with Radiation Exposure NORM!fENORfyl State Regulations - AR, LA, MS, NM, ND, OH, TX, and WV Federal Regulations, CRCPD Part N, Legal Responsibilities, and General I Specific Licenses Radiation Protection Plans, Waste Management Programs, Personnel Monitoring, and Liability Minimization Survey Instrumentation, Performing Radiation and Contamination Surveys, and Documenting Surveys Surveyor Responsibilities, Problems and Solutions, Radiation Units, and Sampling Methods Decontamination Methods, Respiratory Protection, Shipping I Manifesting, and Disposal Options

Training Dates: October 17, 2016 - October 18, 2016

"We have solutions for your NORM problems" _,·-····--rN]§] www.normsolutions.com Geri BlanchM"d,~MS, REM, CS

President I CRSO

CV)

LO ,..._ "'1"

CD

I.()

.:a

Page 6: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

('I) c~:~ ... ~~-.. -.;.. .~-" ... : ~;, .. ~;.·;· · - ........ :;;.;,..·;·~··:;;;:.a.:-.;.... .. :,,. • •. -.--:.-........ ,,,. ...... - .... . - .• -..... _,. _ .. ;:,. • ... ..-· '.'(";· ... -.. ~;:;;77""...... . ....;;. -: .':."'· . ::;:. ··.- ... , · .... :.-- ... . . ::"; ·:. , "":..;-...;..;-......, .... - -; ~.o,;'\•.T_~~~.~~.:"•· . ~:•::~'(~ r\,~~,,~·~ .:..:;·~~~\ ... " ·~.i~~~·, .... <... ;;".111'•""\·~·v, o-. .. .,.·~~ ::-..·•~"''\··~:,~·,·,.•,;..,:."", ~"''i .. ~ ,,,. ;.-: .... , d'l···, .. ,·,:v.,,1.~ • ._~.:. ... ·,_, ,.,.f\='"'~-:-: .·t,__;.. ... , :·:,;.,·yt"'~· :-_ ~, , ... ~, '.1.~~~~~~~·~1~~:~: .. ~, ... />,> :~.'.~t~~::!;\·~l\~l~~~.·~'>! ~ill.i!.~~~::•!'"·/:~::,:,~;,,· .. :r: ·~.~ .. ~ ... ~~~;;,, . .-R~ ,4,::~:; .. "_t,~; .~:,J.!.~~:lt ~~· f . .:_~::.~;.~\;, ~.~'..~~l~:)1},~,<·::::.::'.:}. ·,~, .. \~~~i:;:'. ~·;f.ii~·:~;.{~,· ·'•\~·~~~~,: ·~, :i;!~~/lli'~~~ • ,, .• ~''lt:r,, .... ,. . . r.,_ •.1. r,..fj "~ .. "!" .... ~,~ ",,·,.~.!' ... ~..... •:..i111'•j r·'~· •;;.11"~ .,,,.,.~, ,.4.1,•W:•~,, ...... , ·:,...,•.' r~ .. ,_, .. • """""'~-· ··"li'l,. .., 't ':;;' "~~~;i;•:•• '1'' ,-,:~~~! 1 ~~!~-; 1 , 1 !r.it1' 1

' ·~··~\·"~, ·~~~~~ • • ,\•, •,•,,..~,-~'\: ./t':r/;;tc,,~ . \''t:,i.;\\• ,';.1~,-:.•i-':~~ l C' '• ·~\~ • .'i~~;:.-'1 jf.'.I!'.' '"~\\\lit~~,' n1•1';1•,'1 '•"l• \ ",\!•.•~,~\~. '~;.",'ii••''•' I 0 '•!'~"\..;;i't•11~~ .. ~~~~

': ..... .,,;: ..... .;.~~·:?··· ·..... ~·~,·: .:· .. :,:.· \t.11 ,,."~,..... ...~~·~·,,. s·t:, . . ~ .. ~:" \. ·~:.;~,,,~ .... 1*'l''. ·~''"~~:. ·-~~~~,;!:"'· -~ -~.,~!~. ''I.~,,;; ;OJ. ,~,'"'':~ii;t. ~~~~~ .. ~~·, . , :.~,-~.;, .~ ... · .. :.. . . . .~ .. 1·::~ ... ; ... ~ ......... , ~~'"'•i!'l~•:..__:•'~~w~··· ........ ~!1,f" .,. ,~.-.... ~--... .. !.;'• 0 '""""~-ti•, •,•.,••.-•.f..,:..,f, ,,....,,,,,, ~ ••. ,;...:;+~~';\:'_,.._ -~ .... ~ :$;~ '.~ ........... ~••!• -.:!••.t""·.l~ ~ ,,... ~a ......... "~~ ·"'""~·m"'·.- ~-· . .;:..~-~.,,'ti"' .. )'iflill!:...tt:I~ ..... ~4~N .. ¥* ......... ~-~ ....... -~ ........ .,,~~.... • .an ... , •• iib!l·~~~, ....... ,... ..... .»--l:: ... i .... f ........ ~ ~ 1 ,~'.fwil' .. t;,"';F ~ - - - - - - ...... ~ ..... " ... '!f;•

~'-~l;'..; .. ·~r ~~ .... ~ .... ~":{l.;~~~~~~~Cl.~·t - - ~-~--- =.::c~~:i"-.. -;M!;-~t~"r.::£~~....,:i:!~...Z'...J..;'"-..'": ::~·~..t.\• \..'\• .. "..,,~"I

~- ~ -·':' .-··:>.' i] ~ .. :· ,. 20~~1 '.~ SPECIALIZED TRAINING CERTIFICATE f..~;~ ..

... ~........ l , .. ! r . "-,, f:::...j ;;_:~: .. J '·~~ -t.·S~', :~t~~-\ :;~~:. ~~:~i1 J r:~== :;~:·:

:~a~: ~i~fJt ;i John Cannon i1){!~:.: - -11• • 1>.·•>.l .i !1_·. "'-"' •. , .. a'\ "\••r' "'",#'·..:;I •-t ~, • ........ •·-. ~:, ~·~~~-:. ~~ ~~! .... "~~.._,_:

.. '.~~ ~ Has Successfully Completed An Eight-Hour (8-Hour) Class 7 Hazardous Materials Training Course In The I! f~!~~;'" ./·.:z;~:~\.--. .t ::·~ :_ ~-~ .. ,.·~·::-»)~

·~J~::~:~;f ;~ TRANSPORTATION OF NORM/TENORM tr:~·:=:~J~;! 'l .·..:. 7 ~ : t I '. ~ : l i -', ·. • ' •

:'.J~zJH.i ) The course meets the training requirements 49 CFR 172. 700 through 49 CFR 172. 704, and is recognized as specialized J f'.·~~~k~ii "T:: _-.~ ;) training by the Texas Department of State Health Services, 25 TAC §289, as the regulations pertain to the radiation hazards ~-·.:.·:~?'!'. >f:·:~'j f.~ associated with the transportation of NORM. The course includes, but is not limited to. the following: ;"-.... ;;::'.:: ..

·~f1tA. l.~ - General Awareness, Familiariz~tion Training, Function Sp~cific and Safet~ Trainin~, an~ En Route Security I ~/;.:;i~ ... f.fi'' \L. :·.Y ~ - Emergency Response lnfonnat1on and Assessment of Possible Transportation Security Risks h .. "~\ fi·91~:~~J: i:.j - Protective. Me~sures, Pe~sonnel Sec~ity, Radiati~n 1;Jnits, and Process Interpr~tation i_'¥N.:~;~; ·~~;:_,.,-i' ;:; - DOT Radioactive Material Calculations, Deterrnmations, and Data Interpretat10n i , ·.-~:~·,1 ~ot»t f] - Shipping Categories, Shipping Methods, Packaging, Labeling, and Shipping Papers I Manifesting ~:~:,

(~~:.;~·· . l '~ i •.' :.:;\, '.·~~1'.~;~J 1, Training Date: October 20, 2016 t°;.;:(f¥~: ,>:\· :~::w ·~ - ; L. ·> ''.:Wi!~i ~ II "We have solutions for YOIJr NORM .P!ob~~s"' ~~§~~~!

'"'. ' ·~· t~ I . ·-~~:I ~m'l ,n I t~··:,··

_,,~~~:._; · 0 , r'iJ:~J~::-·1· ....... : .... ·j ~ G . Bl h :..i MS REM CS 1 ;._·,~"",:\· 'i:!:::·~ ~::}:, ~1. www normsolutions com en. anc u, • • l"~h.·::;?\ 1\·.-:,~ ::~· t ~ • • President I CRSO in~; -:;; ,. 1"-.· ·I .,, I' ... • /

'A:';; :~;; , ~ t. l ,.. ·. _-. •.:""~~; ... .;.~~.. ~ . . , { .:~,.~·, {~ ... I

··:~,_;, ·:~~. !tr. ~:::~: :~~}; .\· ... :i: .• _.. ~~ 1 ·.' ........ ""', -.-~~({~.- . ti l.~ ~~p}/ ·~·j ~'

.i§:..~~'·.'. '~ !·. -~~;:::' ,"l'.;.. ....... " . ~ ~~ - - ; . ""·~·-.

/t:'"":.~ ... ~\: 1 ~~~~4ll:'i-?.~'\\~~,~·~~t%-1.il.~t~·~ - ~Ii: .. .,,":/•'\'

l~;~~;~.,.~ ... ~··-·;:;;-:~::",~'.~"·7~ .. ~·:·.:~~;~t: .... ;·7-f·"".""'~,~?'_;!:·:;~ ... ~, .. :-;:t;:;;:~~':J~~-::-:~~~:-~rr-·;;.:.~~r:::::.· ·""':l.1r,· .,:::~~:.::~"."":7r:.~ .. ·--?.~"~'?;~";7r.:~"~""'r· .. ~~~~:~l X·.··•"'!' ... ~"'~':=\~• L~ •:•i.,f',•'. ,· .. ~'Ill,~• lo'f ·"(~~# ·'' "'"''1\,,1~ ·l""· _,.,.,_,, ,~\·,•_-11o'w ~~' • •!,$••'" "'lolio,\:~t_l \ ~li.· •,.11,jtlO,' •,..:,-'J~.-• .. '~' 0 t6j'~l"'I" ••,;;.to•:"'' f~f .·,~~·/•, '•~\-~'t,:I, I~I . ··~/H't.'•¥_.~"7' \Y, . , ?~~: ::\~'!.~' ·~~: . . ~,.,,;.: "~·~·.-.· ·:··~~:. ~ ·.,. ..: . it:.:: >..:'1;'- .~ .. "!'./" '~- ... ~ •. ,.~·;. : ·' ~ ··"'<.: :~~·'.f}; '·-~~ ~ .. ~.~:--:-~. ~ ::;~;.~ =~~'.4 '~--~ ~ ;i;~~\~-: :rJ. ~ .. , .. ~~ ~ .. i~.",:t. ~~ ... ~~· ·~~~;~. ,: t ~. =>i.':·~l~~ -~~~"~ ~:~~'~:\·_ 7 ;" .. -~-,;-;,,:; ·~'.';.'." r;.·.~,s.~~t·: _; :· . ·'>· .-; .. ~~-~ /- ·.r..:-. " ~:::tr ... ~-lii::•:>:l· ;· <~;~;~~\~~~~ ~·l"'f$~'~11'~~ 1"{~llf~·,.~41,'~·~ , 1,.\., .. i-~i:~.:~;.· ~~- - · ··-:·~~ ~·~·~·~)/ . :'/~$.;~:\;~~ ', · \:~.;~:~-~~~\ · . _·.~~~,·.:::;.· ir~.,~l,~:~~:.~~~·j:~ .. . t' :i~·-!~i~,:~ .. :J.\· .. ·!·-J~~~~~t!c~;~.. :1 -~~~ti~t~~1. ~-i\~~-~;~i;:"~~)/·-'. .. . '.~-~,:l;~~-:" ·1·, ":-~1:a~~'--·1~,v /(;)~. ~~,:~~~-~~;.':~~ ~1~~;~~ :~ ~~~!.!.;_}.:.;', ".''.--:; .. :--~:~'. ~-~~-:~:~.:-.. :~,,:.;:~;;,-"· ··~~!·;~~· •"~_: ~-~."~~!!J,:_. .. •• ~ ~:2~-,~=·a::' '.-:~~:-::'.~~.~:. ~ .. ~~":~~,:~'.''~~-~.:;_,~·~~·.'; -~~~~.~~.:;-:• .. "'-~· .. )-">~/-'."4;-~-~ .~~ .. ::~:"·-~'.',)'~, ~ ~-~.;~~ • ~-~ ... :~~~!}.',~·_2.~~J

Page 7: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

'r.

._~,/ ~ -.. ~

~.J

·-..r-, ,. \

., <.,

'<:

\" ... ·~ r ·~ .,. ..... '

("' \j\ .. ·"' .. ,~· ("\

" ' ~ ...

!' ....... ~ -..;:..,: ~ .... ~

r-'I '.:"\ """ v

.:T '....,

~

rn ' ... .::;

f'- V'I V\

f'-,, >-...

.:T ....

•:.... '· ..

..D ·:( Ir

~ -..:= ""' 'J ~ ). ~

r-'I ~ Cl -~

(' .... · .... (-Cl

zr ~. .\

Cl ......

..,~, '-S.'\ (· . Cl

..... . -s r-'I ~ -~ ~ N f'-r-'I

\.. ....... '\. --~ ~ ~

fl1 ''(-. , .. I'' ("': .....

r-'I - ' r"· Cl

c::;:-" .s f'- " ·~ ~ .::.. \{' ~

'\ s ,_

~ ) ..... ·~ ..... ~ ~ .. <

. ~~ ~"' I\

' ~ V': ~ ~ ~. ::---.;; '\,

'-.j ~ '.:() ~·

,..., •..

"·"' .. , .. ··:,

~ <· .. ...... t:

'"" . .,, ·-.J -... " -

~ ..c: ~-

;) ,.. ,, ··; . ~ .) r

~ t;

th59475 3

i:: '\ ·i

C'.::; ;;"J .. .;:,::.

Page 8: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

. ' NRC FORM 532 U.S. NUCLEAR REGULATORY COMMISSION (05-2016) ~~ !~\ ACKNOWLEDGEMENT - RECEIPT OF CORRESPONDENCE .. .

\:.~ ~, I ...... Name and Address of Applicant and/or Licensee Date

I 05/18/2017 I Patricia Ohrin

License Number~s)

I Radiation Safety Officer I 11-292s1-01

Chevron U.S.A., Inc. Mail Control Number~s~ 100 Northpark Blvd. I Covington, LA 70433

I 594753

Licensing and/or Technical Reviewer or Branch

CHill

This is to acknowledge receipt of your: 0 Letter and/or D Application Dated: 05/04/2017

The initial processing, which included an administrative review, has been performed.

0 Amendment D Termination D New License D Renewal

D There were no administrative omissions identified during our initial review.

D 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.

D Your application for a new NRC license did not include your taxpayer identification number. Please complete and submit NRC Form 531, Request for Taxpayer Identification Number, located at the following link: htt12://www.nrc.gov/reading-rm/dQc-collections/forms/nrc531.gdf

Follow the instructions on the form for submission.

D The following administrative omissions have been Identified:

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) 200-1209 or (817) 200-1140

NRC FORM 532 (05-2016)

Page 9: John Cannon ~IE« - nrc.gov · norm/tenorm radia.tion safety officer The course is recognized as acceptable specialized training by the Texas Department of State Health Services,

BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

--·---·-----

[ FOR ARPB USE ] INFORMATION FROM WBL

Program Code: 03120 Status Code: Pending Amendment Fee Category:3P Exp. Date: 09/30/2017 Fee Comments: Decom Fin Assur Reqd: N

·------·---·-----------·-------License Fee Worksheet - License Fee Transmittal A.REGION

1. APPLICATION ATTACHED Applicant/Licensee: Chevron USA, Inc.

Received Date: 05/15/2017 Docket Number: 3037496 Mail Control Number: 594753 License Number: 17-29267-01

Action Type: Amendment

2. FEE ATTACHED

Amount:

Check No.:

3. COMMENTS

Signed:

Date:

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