n processing company, llcthe property described on this bill of lading is in apparent gmd mwy. but...

J & N PROCESSING COMPANY, LLC 41 1 Main Street

Mt. Hope, WV 25880

Fax 304-877-3 117 304-877-9775

April 12,2004

Mr. Andy Miller NRC 61 Forsyth Street Suite 23T85 Atlanta, GA, 30303

REF: Radioactive Material Removal from J & N Processing Company LLC, 600 Maple Meadow Mining, Fairdale, WV 25839

Dear Mr. Miller:

Attached is the documentation required confirming that the radioactive sources have been removed from the J& N Processing Plant site.

If you have any questions regarding the information attached let me know.

Sincgely

1 PLEASE M O T E T BILL OF LADING UNLESS MARKED COLLECT 1 PLEASE NOTE CHECK BOX BELOW

DATE

03-08- zmq-

I MARK HERE IF FREIGHT CHARGES ARE COLLECT I

SHIPPER NO. P.O. NO.

PLACE PRO LABEL HERE

SHIPPER 3 & N f7mce55NG C O M p ~ v , L L C

STREET

600 M A P L E m h w d m i N l W

FAIRDA LE, W V 25b39 C30+)8?7-47?b CITY, STATEPROVINCE. ZIP/POSTAL CODE (TELEPHONE)

BILL (TO)

STREET

CITY. STATEPROVINCE. ZIPPOSTAL CODE (TELEPHONE)

ACCOUNT CODE

SINGLE SHIPMENT PICKUP ORIGINAL - NOT NEGOTIABLE

STRAIGHT BILL OF LADING

CONSIGNEE (TO)

S481&, TNC *

STREET

2 300 Y&LWw/ fd* Hd'j. BA)' *3 CITY, STATEPROVINCE. ZlPiPOSTAL CODE (TELEPHONE)

ZPAHd' FALLS, Z p g3lf-01 (208 ) 528-2878 CUSTOMS BROKER

STREET

CITY. STATUPROVINCE. ZIP/POSTAL CODE (TELEPHONE)

a Check if COl7-ulw@' shipment.

COD 0 Prepaid Fee: JQCollect

NOTE: Consignee's company check made payable to the Shipper will be accepted by r- Con-Way and forwarded to shipper unless otherwise directed to do so by the shipper.

COD AMOUNT: $ 0 US. 0 Canadian

REMIT COD TO: #&lR G m R @ N d \ j LprJTACt ADDRESS: ct-( EMTUEC i-goo- 4z+ - 4300

STATE/PROVINCE ZIP/POSTAL CODE CITY:

Notice: Unless the Shipper completes the requirements as provided below, Carrier's liability shall be limited as stated herein and in Tariff CNWY-199. which may be obtained by request. Camer shall in no event be liable for loss of profit. income, interest, anorney tees, or any special, incidental or consequential damages. Where the rate or NMFC classification is dependent on value, shippers are -required to state specifically in writing the declared value of Ihe property. For this purpose the declared value of the property is hereby specifically stated by Ihe Shipper to be not wceeding $

Carrier liability with shlpment origlnating within the United States: Unless the Shipper declares excess value on tlie Bill 01 Lading, requesls excess liability coverage and pays an additional charge, Carrier's maximum liability is $25 per pound per individual lost or damaged piece within the shipment, subject to S150.000 maximum total liability per shipment, and provided further that Carrier's liability on household goods. articles other than new articles. such as used and/or refurbished articles. or personal effects shall not exceed ten cents per pound per individual lost or damaged piece wilhin the shipment. For this purpose the declared value of the property is hereby specifically stated by tlie Shipper to be $ , and Shipper agrees to pay an additional charge for excess liabillty coverage. Total declared value may not exceed $650,000 per shipment.

Carrler liability with shlpment orlglnatlng within Canada: Unless the Shipper agrees to a Special Agreement. declares the value in the box below and agrees lo pay the excess liability charge by initialing where indicated, Carrier's maximum liability is CAN$Z per pound (CANW.41 per kilogram) per individual lost or damaged piece within the shipment, subject to a maximum total liability per shipment of CAN$ZO.oOO. and provided further t h l Carrier's liability on household goods, used and/or refurbished articles, or personal effects shall not exceed ten cents (CAN) per pound per individual lost or damaged piece wilhin !he shipment.

. Also, paragraph number 2 on the reverse side of this Bill of Lading sets forth released value terms and conditions.

SPECIAL AGREEMENT: Declared Value: CAN $ Shipper agrees to pay excess liability charge:

per pound. (Declared value may not exceed CAN $100,000 per shipment.) (Shipper's Initials)

COMMODm DESCfUPTION(S): By signing this Bill of Lading, Shipper certifies the materials named on this Bill of Lading are properly c lass i f i . described. packaged, marked and labeled and are in proper condition for transportation according to the applicable United States or Canadian regulations.

Shipment Reutlved: The shipment is received subject lo TarFf CNWY-199. Carrier's pricing schedules. terms. conditions and rules maintained at Carrier's general off= in effect on the date of '- of t& Bill of Lading, as well as the Nationat Motor Freight Classifications. the Hazardous Materials Transportation Regulations (rtle 49 - CFR. Subtitle B, Chapterl. Sub Chapter AX), and the l-busehold Goods Mileage Guide (HHGB 105 S e r k ) for shipments originating in the United States; and the Canadian Motor Vehicle Transport Act, the Transportation of Dangerous Goods Act. and !he regulations in force in the provincial Plrisdictian at the lime and place of the shipment for shipments originating in Canada. The property described on this Bill of Lading is in apparent gmd MWY. but only to the extent that it is unconcealed and visible without further inspection and except as noted or marked. property is consigned and destined as i n d i t e d above. The word Carrier is defined ttroughout this contract as meaning anyprson or corporation in possession of the property under this contract. Carrier agrees to carry the property to its destination. if on its route, o t h e m i to deliver Lo another Carrier on the route to said destifftion. k is mutually agreed as to each Carrier of all or"any of said property. over all or any portion of said route to the destination and as to each party at any lime interested in all or any of SaU-propeay, that every service to be performed hereunder shall be subject lo all of this Bill of Lading's terms and conditions in effect on the date Of sbipmmt including. but not limited to. the 'Terms and Conditions' listed on the back side of this Bill of Lading. SHIPPER CAARIER

0 CON-WAY TRANSPORTATION SERVICES, INC. 0 CON-WAY CANADA EXPRESS, INC. W Z A ,XW -

AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE DATE

.. . lndusbial Radiology Specialists State of CA Nudear License 6663-37 I d --

H l A * - ._ 7944 convoy court San Dim, CA 921 11 Bus: 85%279-4000 Fax: 858-2744003 www.sabiainc.com

Sold to:

P.O. # Contract # Shipped VIA: Motor Freight

-PACKING LIST- Ship to: SABIA Inc.

2300 N. Yellowstone Hwy. Bay #3 Idaho Falls, ID 8340 I

Customer License # (if applicable):

Date Shipped: 03-08-2004 FOB:

Source Data: as of Ser. # Model # Content output Contamination/ IO0 sq. cm. 30447 7062BP CS-137 3.7 GBq (per source) 30448 7062BP CS-137 3.7 GBq alpha < 9 x 10 (exp-6) j.~ 30449 7062BP cs-137 3.7 GBq beta/gamma < 45 x I O

3045 1 7063P cs-137 7.4 GBq - - 2422 LB7440 CS-137 1.1 I GBq

30450 7062BP 0 -137 3.7 GBq (exp-6) ct

Shipping Container: US-DOT 7A Type A Model # Overpack Used Ser # Wt. 500 Ibs Seal #

Radiation levels: gamma neutron total Surface: 2.5 + N/A = 2.5 mRem

At one meter: 0.4 + NIA = 0.4 mRem (TI)=0.4 YELLOW 11

Instrument Model & Serial #: KEITHLEY Model 36 100 SM: 1 1664

Contamination level: alpha < 9 x 10 (exp-6) micro curies/100 sq. cm. bedgamma < 45 x 10 (exp-6) micro curies/100 sq. cm.

NOTICE: A radiation safety specialist should be present when this container is opened.

CERTIFICATIONS: SPECIAL FORM: At the time of shipment the sources in this shipment met the requirements for special form.

LEAK TEST: The sources in this shipment have passed the helium bubble pressure leak test.

The products covered by this document are certified to meet the requirements of the contract.

Field Engineer Date d3 - 0% - 2004-

http://www.sabiainc.com

Industrial Radiology Specialists State of CA Nudear License 6663-37

I l l r r \ c I l , A l W 7944 Convoy Court San Diego, CA 921 11 Bus: 858-279-4000 Fax: 858-279-4003 www.sabiainc.com

,

RADIOACTIVE SOURCE SHIPMENT SURVEY RECORD

A.

B.

C.

Source Data 1. Type of Source: Cs-137

2. Quantity of Sources: 6

3. Type of radiation emitted: Alpha, Beta, Gamma

4. Source Identification: 30447,30448,30449,30450,30

Shipping Package Data: I . Type: US DOT 7A Type A

2. Model No.: Overpack Used

3. Serial No.:

4. Approx. Weight: 500 Ibs

Radiological Control:

51.2 22

- 1. Container Survey - Contamination, microcuriedl 00 sq. cm.

Outer Surface: Alpha < 9 x 10 (exp-6)

2. Container Survey - radiation, mrem/hr Surface 1 meter t?om surface Gamma- 2.5 Gamma- 0.4 Neutron- N/A Neutron- N/A Total- 2.5 Total- 0.4 *TI = 0.4 YELLOW I1

(* =transport index when rounded to next higher tenth) 49CFR173.389(i)

Survey Instruments Used: Gamma: KEITHLEY

Neutron:

D. Name and Address of Shipper:

SABIA, Inc 7944 Convoy Court San Diego CA 92 I 1 I

Model# SN# 36100 I1664

E. Name and Title of Person Generating Form:

Razali Wahab Field Service Engineer


Bus: 858-2794000 Fax: 858-2794003 www.sabiainc.com

24 Hr Response (800) 424-9300

EMERGENCY RESPONSE INFORMATION RADIATION SOURCES

Source: CS- 137 Activity: 23.31 GBq

Form: Solid Date: 03-07-2004

Shipment No. UNNumber: 2915

Doserates: Contact 2.5 Mrem/Hr 3 feet 0.4 Mrem/Hr NOT A FIRE HAZARD cs-137 Cf-252

Radiation Hazard: Gamma - dose Neutron. Gamma - dose Beta - contamination Alpha - contamination

Description: Cesium Chloride Phalladium cermet wire powder double double encapsulated in encapsulated in a stainless steel capsule. capsule.

a stainless steel

Dimensions: % in. diameter % in. diameter 1 % in. length

INSTRUCTIONS: Source Intact

% in. length

DO NOT TOUCH SOURCE 0 Place source back into the shipping container or a secured storage area. When handling (3-137 and

CF-252, use remote handling tools (tongs or pliers). The detector assembly can be handled directly. When moving the source, keep as much distance as possible between person and the source.

Source Crushed

0

0

0

DO NOT TOUCH BROKEN CAPSULE OR POWDER Rope off area approximately 10 feet around the source. Keep personnel away h m area to prevent contamination. Personnel who may have walked through contaminated area or have accidentally touched the source should be segregated into a holding area to be checked for contamination. Notify the Radiological Emergency Response Organization in the area in which the accident occurred.


7944 convoy c o u r t San Diego, CA 921 11 Bus: 858-2794000 Fax: 858-2794003

Sealed Source Serial Number Cs 137 30447

Industrial Radiology Speciakts State of CA Nudear License 6663-37

Source Activity Smear Contamination Level milliCi Levels 100 rnCi c 0.005 uCi

www.sabiainc.com

Sealed Source Serial Number Cf252

Nuclear Source Leak Test Report

Source Activtty Smear Contamination Level pgrams Levels

Company Name: J&N Processing Company, LLC

Address: 600 Maple Meadow Mining

Site Contact : Jerry Bays Phone Number : 304-877-9775

Fairdale, WV 25839

Sealed Source Serial Number Am241

List all instruments used to perform the leak Instrument Model SE International inspector Radiation Alert

Source Activtty Smear Contamination Level rnilliCi Levels

Customer's Instrument Model and S/N : Kay Ray 7062BP SIN 30447 Date of Leak Test: 03-07-2004

SABlA Engineer Name: Razali Wahab - Sianature:

test: Serial Number

07589

~ ~~~

Shutter Check: Pass X Fail 0

Reason for Leak Test: Commission 0 Decommission X Refurbishment 0 Periodicwipe 0 Other

1 I I

N5.10 - 1968 Appendbc W o n 82.1. A nudear source such as the Cf252, Cs137 and Am241 isotopes tested herein are deemed acceptable by State and Federal authorities ifthe contamination found on a smear is less than 0.005 microcuries. Alpha, Beta. and Gamma contamination is measured in the Cf252 Smear and Beta and Gamma in the a137 smear.


'/, 3




Fairdale, WV 25839

BIA~ 7944 Convoy court San Dieao, CA 921 11

Customer's Instrument Model and SIN : Kay Ray 7062BP SIN 30448 Date of Leak Test: 03-07-2004

SABlA Engineer Name: Razali Wahab

Signature: * - -

Bus: 85~2794000 Fax: 858-279-4003




Source Activity Smear Contamination Level milliCi Levels 100 mCi < 0.005 uCi

Source Activity Smear Contamination Level vgrams Levels

www.sabiainc.com



Source Activity Smear Contamination Level milliCi Levels

Serial Number 07589


Reason for Leak Test: Commission Decommission X Refurbishment 0 Periodic Wipe 0 Other 0

Test Results :

I I The Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.10 - 1968 Appendix Section B2.1. A nudear source such as the Cf252, Cs137 and Am241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear is less than 0.005 microcuries. Alpha, Beta, and Gamma contamination is measured in the Cf252 smear and Beta and Gamma in the Cs137 smear.


*/ 3


7944 Convoy Court San Diego, CA 921 11 Bus: 858-279-4000 Fax: 858-2794003

Customer’s Instrument Model and S/N : Kay Ray 7062BP

industrial Radio/ogy Specialists State of CA Nudear License 6663-37



Fairdale, WV 25839

www.sabiainc.com

S/N 30449 Date of Leak Test: 03-07-2004

SABIA Engineer Name: Razali Wahab

Signature: - -




Source Activity Smear Contamination Level milliCi Levels 100 mCi 0.005 uCi

Source Activity Smear Contamination Level pgrams Levels


instrument SE International Radiation Alert


Model Inspector

Serial Number 07589


Reason for Leak Test: Commission Decommission X Refurbishment 0 Periodic Wipe Other 0

Test Results :






Fairdale, W 25839

7944 Convoy Court San Diego, CA 921 1 1

Customer’s Instrument Model and S/N : Kay Ray 7062BP S/N 30450 Date of Leak Test: 03-07-2004


Signature: - -

Bus: 85&2794000 Fax: 858-279-4003

Cs 137 30450

www.sabiainc.com

Level milliCi Levels 100 mCi < 0.005 uCi

Nuclear Source Leak Test Report d


Source Activtty Smear Contamination Level pgrams Levels


I I

Reason for Leak Test: Commission III Decommission X Refurbishment 0 Periodic Wipe 0


I

Other 0

Source Activtty Smear Contamination Level milliCi Levels

Test Results : I Sealed Source Serial Number \ Source Activity I Smear Contamination


. ,- id


7944 Convoy Court San Diego, CA 921 11 Bus: 858-279-4000 Fax: 85&279-4003

Customer's Instrument Model and SIN : Kay Ray 7063P


- . -


www.sabiainc.com

S/N 30451 Date of Leak Test: 03-07-2004


Fairdale, W 25839 Site Contact : Jerry Bays SABIA Engineer Name: Razali Wahab Phone Number : 304-877-9775 - -

Signature: *

Sealed Source Serial Number Cs 137 Level milliCi 30451 200 mCi

Sealed Source Serial Number Source Activity Cf252 Level pgrams

Source Activity

Instrument SE International Radiation Alert

Smear Contamination Levels < 0.005 uCi

Smear Contamination Levels

Model Inspector


Serial Number 07589



Reason for Leak Test: Commission 0 Decommission X Refurbishment 0 Periodic Wipe 0 Other 0

Test Results :

L 1 I I The Leak Test results documented by this report were obtained using a wipe (smear with a doth patch) test in accordance with ANSI N5.10 - 1968 Appendix Section 82.1. A nuclear source such as the Cf252, Cs137 and Am241 isotopes tested herein are deemed acceptable by State and Federal authorities ifthe contamination found on a Smear is less than 0.005 microcuries. Alpha, Beta, and Gamma contamination is measured in the Cf252 smear and Beta and Gamma in the Cs137 smear.


7944 Convoy Court San Diego, CA 921 11 Bus: 858-279-4000 Fax: 858-279-4003



www.sabiainc.com

Source Activity Smear Contamination Level milliCi Levels 30 mCi 0.005 uCi



J&N Processing Company, LLC

Fairdale. W 25839

Source Activity Smear Contamination Level pgrams Levels

Site Contact : Jeny Bays Phone Number : 304-877-9775

Customer's Instrument Model and S/N : Berthold LB7440 S/N 2422 Date of Leak Test: 03-07-2004


Sianature: List all instruments used to perform the leak test: Instrument Model SE International Inspector Radiation Alert

Serial Number 07589


Reason for Leak Test: Commission 0 Decommission X Refurbishment 0 Periodic Wipe El Other 0

..

Test Results :

I I Sealed Source Serial Number I Source Activity I Smear Contamination I Am241 Level milliCi I Levels

I I I I I

The Leak Test results documented by this report were obtained using a wipe (smear with a doth patch) test in accordance with ANSI N5.10 - 1968 Appendix Section 82.1. A nudear source such as the Cf252. Csl37 and Am241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a Smear is less than 0.005 microcuries. Alpha, Beta, and Gamma contamination is measured in the Cf252 Smear and Beta and Gamma in the Cs137 smear.


KSS PAGE 03/63

t _1

- ... ............ q\! .\aM 6t-L _I

...................... ad860 - - ......... .(, . . .

19111! ... ...-.. .......... . . . . . . . .

SHIPPIN~ O ~ D E R must be lilled in, in Ink, in Indelible Pencil. or in Carbon. and retained by the Agent.

ECEIVED. subject to the classilications and tarins in elfect on the date of the issue of this Bill of Lading, property described above in apparenl good order, except as noted (conlents and condition 01 contenls ackages unknown), marked. consigned. and destined as indicated above which said carrier (Ihe word ier being understoodthroughoul this contract as meaning any person Or corporation in possession Of Ihe ~erty under the contract) agrees to carry to 11s usual place of delively a1 said destination, il on its route, )wise to deliver lo another carrier on the route to said destination. It is mutually agreed as to each carrier

of all or any 01 said property Over all or any portion 01 said route to destination and as to each party at any time interesled in all or any said Property, that every sewice to be performed hereunder shall be subject to all the bill 01 lading terms and conditions in the governing classification on the date of shipment.

Shipper hereby certifies lhat he is familiar with all Ihe bill of lading terms and conditions in the governing classilication and thesaid termsandconditions are hereby agreed to bylheshipper andaccepted for himself and his assigns.

b \ - .

om C\Y\ L 3 f i

Shipper, Per

Agent, Per

?rmanent post-once address 01 shipper

irm 35-754H Printed and Sold by 700 Central Ave , New Providence. NJ 07974 (800) 631-3098

article CERTIFICATION

Thn ts to comb that the sbove-named m a t e d are proprty clessfmd. de scribed. packaged. marked and labeled and are in proper COndnm for transpcita. bon amrding lo the awlcable r e g u l a m of the Department of TranSportsbOn

SKiNATURE

0 Shipper's No.

Agent's No.

31 a irrier 'kh\A\ 5 cul\qrl!

(Mail or street address of consignee-For purposes 01 notilicabon only)

lrlsianed lo \

!liver1 shicle or Car lnili - HM Checl

Colum -

Subject to Section 7 of conditions of aoolicable bill of ladino. i f this shioment is NO.

ckager 'Weight

(Sub. to Cor.) ERG

Guide No.

I6

Class or Rate UNbr NA Identification No. to be delivered to the-consignw without

recourse on the consignor. the consignor shall sgn lhe lollowing statement.

The carrier shall nat make delivery 01 this shipment without payment of freight and e11 other lawful charges. 7

(Signature of Consignor)

If charges are to be prepaid. write or stamp here. '70 be Prepaid."

Received $ to apply in prepayment of the charges on the property described hereon.

Agent or Cashier

Per (The signature here acknowledges only the amount prepaid.)

Charges Advanced

Prepaid 0 Collect 0 t

I Collection Fee I Total Charges I

'I1 the shipment moves between two ports by a carrier b water the law requires that the bill orlading &hall state whether it is "Carrier's or Shipper's weight."

tshipper's im rint in lieu 01 slamp: not a grt 01 bill o f lading approved by the epartment of Transportabon.

NOTE-Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.

THIS SHIPMENT IS CORRECTLY DESCRIBED. CORRECT WEIGHT IS

I Sublect to verillcalion by the Respec- w e Weighing and Inspealon Bureau According to Agreement I ..

I I

ARDS~ENDERED . [ I EMERGENCY CONTACT II Per I

The Lbrt issificat

n processing company, llcthe property described on this bill of lading is in apparent gmd mwy. but...

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