rocktenn company, submittal of information for license ... · 0197 and my e-mail address is ....

4RockTenn Missisquoi Mill IrJ

) ) )

June 8 2010 )

Jenny Johansen Nuclear Regulatory Commission 475 Aftendale Road King ofPrussia P A19406-1415 -

To Jenny Johansen RE Control~ gt711gt9

1W

Enclosed are the documents requested on sources 3044BX and 3045BX

Attached documents

Certificate of removal Letter of transfer Honeywell shipping document Material license NRC Form 314

Thank you for your help in deciphering this issue

If you have any questions my telephone is 802-933-7733 EXT 284 and my Email is dedwardsfalrocktenncom

Sincerely

~~ Douglas Edwards Utilities Superintendent

gt7Lrgt~ NMSSlRGN1 MATERIALampOO2

369 Mill Street PO Box 98 Sheldon Springs VT 05485 bull Tel 802-933-7733 bull Fax 802-933-5326

4RockTenn Missisquoi Mill

June 8 2010

Jenny Johansen Nuclear Regulatory Commission 475 Aftendale Road King of Prussia P A19406-1415

To Jenny Johansen RE Control~ gt711gt9

1W

IrJ

Enclosed are the documents requested on sources 3044BX and 3045BX

Attached documents

Certificate of removal Letter of transfer Honeywell shipping document Material license NRC Form 314

Thank you for your help in deciphering this issue

If you have any questions my telephone is 802-933-7733 EXT 284 and my Email is dedwardsfalrocktenncom

Sincerely

~~ Douglas Edwards Utilities Superintendent

) ) )

)

-

gt7Lrgt~ NMSSlRGN1 MATERIALampOO2

369 Mill Street PO Box 98 Sheldon Springs VT 05485 bull Tel 802-933-7733 bull Fax 802-933-5326

APPROVED BY OMB NO 3160-0028 EXPIRES 081312010 (4-2008) NRC FORM 314 US NUCLEAR REGULATORY COMMISSION

Estimated burden per response to comply with this mandalllry collection request 30 minutes10 CFR 3O36(j)(1) 4042j)(1) 7Q38(j)(1) and 7254(k)(5)(1)(1) This submittal is used by NRC as part of the basis for Its determination that the facility is

released for unrestricted use Send comments regarding burden estimate to the Records and FOIAJPrivacy Services Branch (T-S F52) US Nuclear Regulatory Commission Washingllln

CERTIFICATE OF DISPOSITION OF MATERIALS DC 20555-0001 or by internet e-mail to infocollectsnrcgov and to the Desk OfIicer OffICe of InfonmaUon and Regulatory Affairs NEOS-10202 (3150-0028) Office of Management and Budget Wasilington DC 20503 If a means used to impose an Infotmation collection does not display a curren~y valid OMS control number the NRC may not conduct or sponsor and a person is not required to respond 10 the infonmation collection

LICENSEE NAME AND ADDRESS LICENSE NUMBER DOCKET NUMBER

I44-30327-01 cgt]D 1 ~zcbRocktenn Company -------~---~-----1~SE EXPIRATION DATE 369 Mill street Sheldon Springs Vt 05485

9JI2 tJJ

A LICENSE STATUS (Check the appropriate box) ~ This license has expired [lJ This license has not yet expired please terminate it

8 DISPOSAL OF RADIOACTIVE MATERIAL (Check the appropriate boxes and complete as necessary Ifadditional space is needed provide attachments)

The licensee or any individual executing this certificate on behalf of the liamsee certifies that

1 No radioactive materials have ever been procured or possessed by the licensee lI1der this license

rlJ 2 All activities authorized by this license have ceased and all radioactive materials procured andor possessed by the licensee under this license number cited above have been disposed of in the following malner

jj1 a Transfer of radioactive materials to the licensee listed below

Honeywell International license GA-832-1-41

b Disposal of radioactive materials

1 Directly by the licensee

2 By licensed disposal site

3 By waste contractor

c All radioactive materials have been removed such that any remaining residua radioactivity is within the limits of 10 CFR Part 20 Subpart E and is ALARA

C SURVEYS PERFORMED AND REPORTED

1 A radiation survey was conducted by the licensee The survey confirms

a the absence of licensed radioactive materials

b that any remaining residual radioactivity is within the limits of 10 CFR 20 Subpart E and is ALARA

2 A copy of the radiation survey results

a is attached or b is not attached (Provide explanation) ofi c was forwarded to NRC on ~___~____~__ -~ Date

3 A radiation survey is not required as only sealed sources were ever possessd under this license and

a The results of the latest leak test are attached andor b No leaking sources have ever been identified

C CERTIFYING OFFICIAL I cERTIFYUNDERPENAL TV ()F PERJURY THAT THEF~EGOING IS TRUE AND CORRECT

PRINTED NAME AND TITLE -- ~- -- ---~---JSI~TURE ~ II DATE

Douglas Edwards Utilities Superintendent I j~1 ~~ 6 - 8-2() 10 WARNING FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJ~C~0 CIVIL ANDIOR CRIMINAL PENALTIES NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATE L RESPECT 18 USC SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY OEPARTME OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION

NRC FORM 314 (4-2008) PRINTED ON RECYCLED PAPER

gt7Z-Y5 8

NRC FORM 314 (4-2008)

US NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO 3160-0028 EXPIRES 081312010

10 CFR 3O36(j)(1) 4042j)(1) 7Q38(j)(1) and 7254(k)(5)(1)(1)

CERTIFICATE OF DISPOSITION OF MATERIALS

LICENSEE NAME AND ADDRESS

Rocktenn Company 369 Mill street Sheldon Springs Vt 05485

Estimated burden per response to comply with this mandalllry collection request 30 minutes This submittal is used by NRC as part of the basis for Its determination that the facility is released for unrestricted use Send comments regarding burden estimate to the Records and FOIAJPrivacy Services Branch (T-S F52) US Nuclear Regulatory Commission Washingllln DC 20555-0001 or by internet e-mail to infocollectsnrcgov and to the Desk OfIicer OffICe of InfonmaUon and Regulatory Affairs NEOS-10202 (3150-0028) Office of Management and Budget Wasilington DC 20503 If a means used to impose an Infotmation collection does not display a curren~y valid OMS control number the NRC may not conduct or sponsor and a person is not required to respond 10 the infonmation collection

LICENSE NUMBER I DOCKET NUMBER

cgt]D 1 ~zcb 44-30327-01

~SE EXPIRATION DATE -------~---~-----1

9JI2 tJJ

~ This license has expired A LICENSE STATUS (Check the appropriate box)

[lJ This license has not yet expired please terminate it

8 DISPOSAL OF RADIOACTIVE MATERIAL (Check the appropriate boxes and complete as necessary If additional space is needed provide attachments)
















a is attached or b is not attached (Provide explanation) ofi C was forwarded to NRC on ~ ___ ~ __ __ ~ __ -~ Date



PRINTED NAME AND TITLE

Douglas Edwards


-- ~- -- ---~---JSI~TURE ~ II DATE

Utilities Superintendent I j~1 ~~ 6 - 8-2() 10 WARNING FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJ~C~ 0 CIVIL ANDIOR CRIMINAL PENALTIES NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATE L RESPECT 18 USC SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY OEPARTME OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION


gt7Z-Y5 8


August 10 2009

Nuclear Regulatory Commission 475 Allendale Road King ofPrussia P A 19406-1415

This is to inform you that we have permanently transferred the following radioactive sources for our Impact process control system to Honeywell International

Description of the sources that shipped on 7282009

Isotope Kr-85 SIN 3044BX SIN 3045BX Activity (GBq) 111 Dev Model 4400

Attached Documents Certificate of removal Letter of transfer and acceptance

Sincerely

Doug Edwards Rock-Tenn Company 369 Mill Street Sheldon Springs VT

369 Mill Street bull PO Box 98 bull Sheldon Springs VT 05485 bull Tel 802-933-7733 bull Fax 802-933-5326


August 10 2009

Nuclear Regulatory Commission 475 Allendale Road King of Prussia P A 19406-1415



Isotope SIN SIN Activity (GBq) Dev Model

Kr-85 3044BX 3045BX 111 4400


Sincerely



Honeywell International August 3 2009

Mr Doug Edwards Rock-Tenn Co 369 Mill Street Sheldon Springs Vermont 05485

Dear Mr Edwards

On July 31 2009 Honeywell International permanently transferred and accepted two (2) Specifically Licensed devices located at your facility in Sheldon Springs Vermont The devices were dismounted packaged and transported to Honeywell lLler a permanent licensee-to-licensee transfer to Honeywell International license GA-832-1 G at their facility m Duluth GeorgIa A copy of Honeywells RadIOactIve Matenals License IS attached providing proof that the licensed devices were legally transferred to a Specific Licensee You should keep this letter in your files indefinitely

Item Manufacturer Device Isotope Activity Source Model (GBq) SIN

1 Impact 4400 Kr-85 111 3044BX 2 Impact 4400 Kr-85 111 3045BX

The nuclear devices and nuclear sources are now the property of Honeywell International at 3079 Premiere Parkway Duluth Georgia 30097 Under the requirements of regulations of the US Nuclear Regulatory Commission you need to maintain a record of source transfer that provides the licensed devices by manufacturers name model number and serial number and the name and address of the person receiving the device This record should be maintained by you indefinitely

If you have any questions please dont hesitate to contact me My telephone is 770-689shy0197 and my e-mail address is rodriguezharrellhoneywelLcom

Sincerely

Rodriquez E Harrell Health Physicist Radiological Operations

Enclosures License GA-832-1G

3079 Premiere Parkway Duluth GA 30097



Dear Mr Edwards


Item Manufacturer Device Isotope Model

1 2

Impact Impact

4400 4400

Kr-85 Kr-85

Activity (GBq) 111 111

Source SIN 3044BX 3045BX


If you have any questions please dont hesitate to contact me My telephone is 770-689-0197 and my e-mail address is rodriguezharrellhoneywelLcom

Sincerely




Certificate of Removal of Radioactive Sources Date 7282009

Customer Mr Doug Edwards Rock-Tenn Co 369 Mill Street Sheldon Springs Vermont 05485

The following sources were removed from the customers site and permanently transferred to Honeywell This was done under Honeywell license number GA-832-141

A permanent receipt for the removal and transfer will be issued by Gary Caines Honeywell radiological officer once the sources have been received in the Duluth office

Item Device Manufacturer Model SIN Isotope Activity

1 Impact Systems Inc 4400 3044BX Kr-85 111 GBg

2 Impact Systems Inc 4400 3045BX Kr-85 111 GBq

Zamp~~ Ed Beasley Health Physicist Honeywell





Item Device Manufacturer Model

1 Impact Systems Inc 4400



SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBq

STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE RECEIVED sufl18d to the classifICations and tanH In Hect on the oat 01 tOO issue Qf mis Bi of Lading 01 al or any Of said PIOIgtIy 0 110 or any portion at said rIMe to destnaon and as to each plly any

tho propertf ttescnbed atxMt mapparent good order except as 0019lt1 (contentS ana coruhtO of eornents Ilmg tnieres1ect In aU or any said property thillevefY 6eN1C5 10 be perfoll1lDd Oeloonder shall be subtBct to o pacQ~tS lfVOWn) markCHl COASl9ned ana deSttnea as indtcated above WhICh sard carri~H Hne word sit the bin of iadmg tarms and condnlons 1n the governlng da$siticanon on the date of stupment camet O9Ing undatS100d lhroughOut this contract as m~anfno any person or corporatIOn 10 Oljssesswn ot the Shipper runeby certihe-s that M IS fam mto all me bile of lading terms and CQndrtlons in ftle goverrting proper1y under thO contract) agrees to ca rry o ItS usual mace of datlvelY at saId destination it 0 its route dassifteation and the saKi terms and conchtoons are hereny agrmtci to by the shiPPer and accepted for hmself otherwlSB to deliver to another came Oti- tNii route to said oampstill8Uon It IS mUlU3liyen agrampeO aso eaCh came~ and his asstgnS

From __ __ __ P_ro_1_middote_ct_1_1_7_3_8_2__ _____~~~~~~_II_n_te_m_a_t_io_n_al_d_o R_o_ck_-_Te_n_n C_o_~__________________ T_as_k_8_5_1_-_1~73463_9_1_6________________

DESIGNATE WITH AN IX369 Mill Street Sheldon Springs VT 05485

At July 28 20 QL BY TRUCK FREIGHT 0 Shippers No

Carrier Agents No

Honeywellintemational 3079 Premiere Parkway Duluth GA 30097Con~gnedto ____~____________________________~___________________________________________________________ _

Honeywellintemational 3079 Premiere Pal1ltway Duluth GA 30097 State of ~---____________ County of _ GwinnettDestination

DirectRoute

DelwenngCame=r~============~========~========================~~v~e~h~iC~le~o~r~C~a~r~ln~it~ia~I~==========~~~==~N~O~==~======== --No--- DascnptJon and Classlflcalm ERG I igh Class i c_ Paekag HM Proper Snllll9 Name crecnlcal Names Class Guide I IS-O ~

I

or flate Coiumn UN or NA ldentdocaoon No No I I

Radioactive Material Type A Package Non-Special Fonn I

1 i163 100 Ibsl41 kg I I2 HM Non-Fissile or Fissile Excepted 7 UN2915 Kr-85 Gas

222 GBg Yellow II TI= 05

Packed in Two USADOT 7 A Type A Packages [----+--1

I I

I

i

I i i

I

t Thehbfecootamersusedfortht5 $hpfTentconformtotnespeciflcahonS$ef tortht11lne bOx rMMers certUica1PlhrueltJtl and ali omerreQUIremefl$of Au1e4 of me Um10rm fretQtnl ClassiftcaOOfl and Rule 501 the Nahcmal Motor FreigN ClaSSdlQhOfl t ShIppers Imprmt In beu of stamp no a pan 01 cUoflaCbng ~ by the tntersta1amp Commeroo CommlSStOn

_-H-o-n~e_vw__e711I=nte-matimiddot07naI~___-______-------------------------------------------- Shipper Per Edward N Beasley Health Physicist I Agent Per ____________________________--

p post-oH add of srncper 3079 Premiere Parkway Duluth GA 30097

SUOjed 10 SectJOI 7 01 condibons 01 applICable biB of lading If this shipment IS to btl dellValoo 10 tOO contIigntIe W1IhouI

recourae on the con5jgnof the conaignof ahaH SIQfl the following statement

The OIlmttf shall not make _ry 01 this shiPment of nlghl ano all otn lawful cilBrlies

Per --I~Slg-r-I-ur-e-otCOtIamp1O---no-r)--

II charges are to be PI1IIl8ia write or SUlmo her To De Prepaid

To be prepaid

R~~$---__~______ to apply in p_ymlttnt altha enarge on ho propeny _ henIotl

Agen or ea-r

rr-II==uehamplt=-==CIltnowIedges===-onI=Y the amount p_Id

COD SHIPMENT Pr J ~ 0 $__________

~~nF06 _____________

TOIaI Cnalllamp$

II me ~ moves __ lWo

pot1$ by 8 camer by water the law rllOUIfeS ItIaI ttll bill of lading shaU sta whetner ~ ill Carnsrs or ShipperS weight

~~l~~~~amp~J oepanment 01 TI8IlSOOIlIIIOn

NOTE_ the rate is dependent on valUe PP8laquoI III lllQUlIlId to state ope

-----+--If---------------------------------------I------------l---------I cHically in wrltlghe agreed or_reo value of Into 1lIQPIIIy

I THIS SHIPMENT IS CORRECTLY DESCRIBED CORRECT WEIGHT IS

__________ LBS

I Subted to -lIlon by tne Reopec We Weighing and Inspection BureauI I Aecordttlg 10 Agreement

I PLACARDS TENDERED III EMERGENCY CONTACT I K YES NO Per

800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~

cootainersls hereby speofcaUy staled 10 be not exceeding 50 cents pet J)OUtld per

rticlamp

CEfITlIlCATIOH

T ttl gtiv l _1IOltl ITl81AnalS a~ ~ ~ ~

5CObrec pectaqed maned a1d ~ and ne yeni prQpe-l condthon tor tra~-

~yen==


tho propertf ttescnbed atxMt m apparent good order except as 0019lt1 (contentS ana coruhtO of eornents Ilmg tnieres1ect In aU or any said property thillevefY 6eN1C5 10 be perfoll1lDd Oeloonder shall be subtBct to o pacQ~tS lfVOWn) markCHl COASl9ned ana deSttnea as indtcated above WhICh sard carri~H Hne word sit the bin of iadmg tarms and condnlons 1n the governlng da$siticanon on the date of stupment camet O9Ing undatS100d lhroughOut this contract as m~anfno any person or corporatIOn 10 Oljssesswn ot the Shipper runeby certihe-s that M IS fam mto all me bile of lading terms and CQndrtlons in ftle goverrting proper1y under thO contract) agrees to ca rry o ItS usual mace of datlvelY at saId destination it 0 its route dassifteation and the saKi terms and conchtoons are hereny agrmtci to by the shiPPer and accepted for hmself otherwlSB to deliver to another came Oti- tNii route to said oampstill8Uon It IS mUlU3liyen agrampeO aso eaCh came~ and his asstgnS

From __ ~~~~~~_II_n_te_m_a_t_io_n_al_d_o __ R_o_ck_-_Te_n_n __ C_o_~_ _________________ P_ro_1_middote_ct_1_1_7_3_8_2 __ T_as_k_8_5_1_-_1~ __ 7346 ___ 3_9_1_6 ______________ __

DESIGNATE WITH AN IX

At 369 Mill Street Sheldon Springs VT 05485 July 28 20 QL BY TRUCK FREIGHT 0 Shippers No

Carrier Agents No

Honeywellintemational 3079 Premiere Parkway Duluth GA 30097 Con~gnedto ____ ~ ____________________________ ~ ___________________________________________________________ _

Destination Honeywellintemational 3079 Premiere Pal1ltway Duluth GA 30097 State of ~---____________ County of _ Gwinnett

Route Direct

DelwenngCame=r~============~========~========================~~v~e~h~iC~le~o~r~C~a~r~ln~it~ia~I~==========~~~==~N~O~==~======== --No--- DascnptJon and Classlflcalm ERG I igh I Class i c_ SUOjed 10 SectJOI 7 01 condibons 01 Paekag HM Proper Snllll9 Name crecnlcal Names Class Guide I IS-O ~ or flate Coiumn applICable biB of lading If this shipment IS

UN or NA ldentdocaoon No No I to btl dellValoo 10 tOO contIigntIe W1IhouI

Radioactive Material Type A Package Non-Special Fonn 2 HM Non-Fissile or Fissile Excepted 7 UN2915 Kr-85 Gas


Packed in Two USADOT 7 A Type A Packages ----+--1 [

I I recourae on the con5jgnof the conaignof

1 i ahaH SIQfl the following statement 163 100 Ibsl41 kg I I The OIlmttf shall not make _ry 01

II this shiPment of nlghl

ano all otn lawful cilBrlies

I

i

I i i

I



To be prepaid

R~~$---__ ~ ____ __ to apply in p_ymlttnt altha enarge on ho propeny _ henIotl

Agen or ea-r


COD SHIPMENT Pr J ~ 0 $ _________ _

~~nF06 ____________ _

TOIaI Cnalllamp$



~~l ~~~ ~amp~ J oepanment 01 TI8IlSOOIlIIIOn



I I

I PLACARDS TENDERED I K YES NO

I


__________ LBS

Subted to -lIlon by tne Reopec We Weighing and Inspection Bureau Aecordttlg 10 Agreement

Per III EMERGENCY CONTACT

800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~ ~ t Thehbfecootamersusedfortht5 $hpfTentconformtotnespeciflcahonS$ef tortht11lne bOx rMMers certUica1PlhrueltJtl and ali omerreQUIremefl$of Au1e4 of me Um10rm fretQtnl cootainersls hereby speofcaUy staled 10 ClassiftcaOOfl and Rule 501 the Nahcmal Motor FreigN ClaSSdlQhOfl t ShIppers Imprmt In beu of stamp no a pan 01 cUoflaCbng ~ by the tntersta1amp Commeroo CommlSStOn be not exceeding 50 cents pet J)OUtld per

rticlamp

_-H-o-n~e_vw__e711I=nte-matimiddot 07naI~___-______-------------------------------------------- Shipper Per CEfITlIlCATIOH Edward N Beasley Health Physicist I Agent Per ____________________________ -- T ttl gtiv l _1IOltl

ITl81AnalS a~ ~ ~ ~

5CObrec pectaqed maned a1d ~ and ne yeni prQpe-l condthon tor tra~-p post-oH add of srncper 3079 Premiere Parkway Duluth GA 30097

~yen==


August 10 2009

Department ofHealth Office ofRadiological Health POBox 70 108 Cherry Street Burlington Vt 05402

To Whom It May Concern

This is to infonn you that we have pennanently transferred the following radioactive sources for our Impact process control system to Honeywell International







August 10 2009

Department of Health Office of Radiological Health POBox 70 108 Cherry Street Burlington Vt 05402





Kr-85 3044BX 3045BX 111 4400





Mr Doug Edwards Rock-TelID Co 369 Mill Street Sheldon Springs Vermont 05485

Dear Mr Edwards

On July 31 2009 Honeywell International permanently transferred and accepted two (2) Specifically Licensed devices located at your facility in Sheldon Springs Vermont The devices were dismounted packaged and transported to Honeywell i~Jer a permanent licensee-to-licensee transfer to Honeywell International license GA-832-1G at their facility IIITIuliiffi Ueorgui -J copy ofHoneyweIIs-R1ffiiliaciive MatefiaIs -[kense IS attacned-=--===---=-----------shy

providing proof that the licensed devices were legally transferred to a Specific Licensee You should keep this letter in your files indefinitely




If you have any questions please dont hesitate to contact me My telephone is 770-689shy0197 and my e-mail addressisrodriquezharrellhonevwellcom

Sincerely






Dear Mr Edwards

On July 31 2009 Honeywell International permanently transferred and accepted two (2) Specifically Licensed devices located at your facility in Sheldon Springs Vermont The devices were dismounted packaged and transported to Honeywell i~Jer a permanent licensee-to-licensee transfer to Honeywell International license GA-832-1G at their facility III TIuliiffi Ueorgui -J copy ofHoneyweIIs-R1ffiiliaciive MatefiaIs -[kense IS attacned-=--===---=------------



1 2

Impact Impact

4400 4400

Kr-85 Kr-85




If you have any questions please dont hesitate to contact me My telephone is 770-689-0197 and my e-mail addressisrodriquezharrellhonevwellcom

Sincerely











ZtQ~ Ed Beasley Health Physicist Honeywell









SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __

STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE RECEIVED sutJralt loth claijicalions andlanffs in eflect on the tlale of tho Issue at this Sill of lading 01 all 01 any o lIIIid OICgtIlfIY OIl all or anylOffiOn of said lOUIe to dflStonlluon and as CO aad1 pafIY 81 any

ho Poq1rti ctampSCtlbed above in appare1t good order except as noted (comentS tJrnJ COllthtro of Conlonts hme InterES1ed In all or any san1 property that evtPtY seIVJC9 to be perfonnampd hereunder shall be SUbfect to ot paCkages untcnowt1) marKed COllStgned and dampstlnea as -ndated above which Hri csrrier ftne W(l1C all (he bill of Iadlng terms and CMltiltOns in the gcwemmg dusiticatton 011 (he date of ShIpment camel OOlng understood throughout tnlt conlract as m-aarung any person or eorporatlOt In Q-gtsseSSfOn at the ShIpper hereby certilm mal n~ is famfhar WIth at the bl14 of lading terms and conditIOns in tnamp governing property under tho contractl agrees to carry to ItS usual Oi2ce ot dahvery at sak oeSlmlWor If 0 its route classiileauon and the satd terms and coldftions are hereay agiaed to by the Shipper anti acceptedior htmself otherwise to deHver to another carrier CYI toe routQ to satd destinanon If 1$ mUlU8ll1 agfampeO as 10 each carne and his aBSIgnS

HnnJWlIlntemational co Rock-Tenn Corp Project 117382 Task 851-1-673463916 From

DESIGNATE WITH AN (X) rl___

0 9_S__VT_O_54_8_5___=== 20 m BY TRUCKJ FREIGHT 03_69_M_iII_S_tf_ee_t__S_he_ld_o_n_S_p_ri_ Shippers No

Carrier Agents No

~Consigned to ____Honeywellintemational 3079 Premiere ~ ParKway____________________________ Duluth GA 30097

Honeywellintemational 3079 Premiere Parkway Duluth GA 30097 GA Destination ~________________________ State of --___ County of Gwinnett

Direct Route

Delivenng Carner Vehicle or Car Initial No No HM OeSCflptlOn and ClassrtrltallOo ERG I WlIlgh Class I Check Suoect 10 SecttOn 7 01 rondllions 01 Pa~ Prop~r SPPmg Namlt (Tectlnrcal Namesl Class Gtode I ISub to Cor) or 11818 t Colaquomn applICable bill I lading nlitis shpln8f1l1S ______+ __-i________________-UNO_NAldentrI==IiO=_Nco______________-+__No-II-____________t-____--___-I 10 be dsloveeltl1O 111amp C()n$jgnee _I

I recouraamp on the consignor he contUgttOlRadioactive Material Type A Package Non-Special Fonn i 0 SI9lIIle ollowtng Slatem t

2 HM Non-Fissile or Fissile Excepted 7 UN2915 Kr-85 Gas 163 100lbsl41 kg I i The ltarm sIlIIlI not make delivery 01 Ihl$ shipment wiIIlaut paymenl oIlraighl

i and all othl1 lawful cnarges222 GBg Yellow II T= 05 I i Pe __~______~_________ (Signature of C~r) Packed in Two USADOT 7A Type A Packages If clulrgabullbull 10 be prepaid Wfill or

-------i----I-------------------------------------------t----------r--------------i stamp lVlfe To be p_tdI To be prepaid

~s-----~~-----I I 10 lllOiy III pymertl 0 the charges on ---------I-------------------------------------------+-----~-----------+-------+---~ Ih$p~pafIY~~~

) Agent or ea-r

I Pr-===-====~-------I----ii-------------------------------------------t-----+---------------I------r----1I (Tillt IIIgnatue hele~ only I I IIte amount Pmiddot8p8Idmiddot1

I Charges Advanceltj

I COD SHIPMENT Prepad J ~~ J $____________

~~F~

i 1f the SllpnIent - i polIS or a catTier Igty Ie the lawI lIQulns that_ bill of IadrIlO _ staleI whether ~ IS Ca or ShippersI wetght I------+---ii----------------------------------------+---------------+-------+I----l fShippar impltint n lieu of stemp no bull

part 01 bill 01 lading _roved by the Depatmenlof TtaruIlOMbOn

1 NOTE-WhIlt9 the rata 1$ dspandenl on I I I

V(Uue StHpperS 8ra ntQUlfIHl to Slat3 apeshy---------I-----------------------------------------+-----j----------_---------~ ~Ilymw~nglheag~or~~

bull value of the _flY

THIS SHIPMENT IS CORRECTlY DESCRIBED CORRECT WEIGHT IS

be not exceec1tng 50 cants per pound oe~

i artdamp

_-H~o_ne~ywe77~1I_=lntemuialltio~nCaI---_=_---___-------------___________ Shipper Per i CERilRCAl10WEdward N Beasley Health Physicist I

Permanenl post-oftce adltlss of per 3079 Premiere Parkway Duluth GA 30097

Fmm 35middot7S4H Pnmed and Soia 01 Cll7iC0 100 Cenua AVIL New Povioence NJ 07974 bull j8DO 6313l9B

STRAIGHT BILL OF LADING-SHORT FORM-ORIGINAL-NOT NEGOTIABLE RECEIVED sutJralt loth cla ijicalions andlanffs in eflect on the tlale of tho Issue at this Sill of lading 01 all 01 any o lIIIid OICgtIlfIY OIl all or anylOffiOn of said lOUIe to dflStonlluon and as CO aad1 pafIY 81 any


From HnnJWlIlntemational co Rock-Tenn Corp Project 117382 Task 851-1-673463916

DESIGNATE WITH AN (X) rl ___ 3_69_M_iII_S_tf_ee_t_ _S_he_ld_o_n_S_p_ri_0 9_S_ _VT_O_54_8_5 ___ === 20 m BY TRUCKJ FREIGHT 0 Shippers No

Carrier Agents No

Honeywellintemational 3079 Premiere ParKway Duluth GA 30097 Consigned to ____ ~ ______________________________ ~ ____________________________ __________________________________ __

Destination Honeywellintemational 3079 Premiere Parkway Duluth GA 30097 GA ~ ________________________ State of --___ County of Gwinnett

Route Direct

Delivenng Carner Vehicle or Car Initial No No HM OeSCflptlOn and ClassrtrltallOo ERG I WlIlgh Class I Check Suoect 10 SecttOn 7 01 rondllions 01 Pa~ Prop~r SPPmg Namlt (Tectlnrcal Namesl Class Gtode I ISub to Cor) or 11818 t Colaquomn applICable bill I lading n litis shpln8f1l1S ______ + __ -i ________________ -UNO_NAldentrI==IiO=_Nco_ _____________ -+ __ No-II-____________ t-____ --___ -I 10 be dsloveeltl1O 111amp C()n$jgnee _I

I recouraamp on the consignor he contUgttOl

I i 0 SI9lIIle ollowtng Slatem t

163 100lbsl41 kg I i The ltarm sIlIIlI not make delivery 01 Ihl$ shipment wiIIlaut paymenl oIlraighl

i and all othl1 lawful cnarges


222 GBg Yellow II T= 05 i Pe __ ~ ______ ~ ______ ___

(Signature of C~r)

Packed in Two USA DOT 7A Type A Packages If clulrga bullbull 10 be prepaid Wfill or -------i----I-------------------------------------------t----------r--------------i stamp lVlfe To be p_td I To be prepaid

~s-----~~-----I I 10 lllOiy III p ymertl 0 the charges on ---------I-------------------------------------------+-----~-----------+-------+---~ Ih$p~pafIY~~~

) Agent or ea-r

I Pr-===-====~- ------I----ii-------------------------------------------t-----+---------------I------r----1I (Tillt IIIgnatue hele~ only

II I IIte amount Pmiddot8p8Idmiddot1


COD SHIPMENT Prepad J ~~ J $ ___________ _

~~F~ _________ __

I 1f the SllpnIent -

I lIQulns that_ bill of IadrIlO _ stale

whether ~ IS Ca or Shippers

i

I wetght I

i polIS or a catTier Igty Ie the law

------+---ii----------------------------------------+---------------+-------+I----l fShippar impltint n lieu of stemp no bull

1 I I


I NOTE-WhIlt9 the rata 1$ dspandenl on V(Uue StHpperS 8ra ntQUlfIHl to Slat3 ape-

---------I-----------------------------------------+-----j----------_---------~ ~Ilymw~nglheag~or~~ bull value of the _flY



i artdamp

_-H~o_ne~ywe77~1I_=lntemuialltio~nCaI---_=_---___------------- ___________ Shipper Per i Edward N Beasley Health Physicist I

CERilRCAl10W



Honeywell International August 32009

Mr Doug Edwards Rock-Tenn Co 369 Mill Street Sheldon Springs Vennont 05485

Dear Mr Edwards

On Jul y 31 2009 Honeywell International permanently transferred and accepted two (2) Specifically Licensed devices located at your facility in Sheldon Springs Vermont The devices were dismounted packaged and transported to Honeywell u ler a pennanent licensee-to-licensee transfer to Honeywell International license GA-832-1G at their facility in Duluth Georgia A copy of Honeywells Radioactive Materials License is attached providing proof that the licensed devices were legally transferred to a Specific Licensee You should keep this letter in your files indefinitely


1 Impact 4400 Kr-85 111 3 044B X 2 Impact 4400 Kr-85 111 3045BX


If you have any questions please dont hesitate to contact me My telephone is 770-689shy0197 and my e-mail addressisrodriquezharrellhoneywellcom

Sincerely






Dear Mr Edwards

On J ul y 31 2009 Honeywell International permanently transferred and accepted two (2) Specifically Licensed devices located at your facility in Sheldon Springs Vermont The devices were dismounted packaged and transported to Honeywell u ler a pennanent licensee-to-licensee transfer to Honeywell International license GA-832-1G at their facility in Duluth Georgia A copy of Honeywells Radioactive Materials License is attached providing proof that the licensed devices were legally transferred to a Specific Licensee You should keep this letter in your files indefinitely

Item Manufacturer

1 Impact 2 Impact

Device Model 4400 4400

Isotope

Kr-85 Kr-85


Source SIN 3 044B X 3045BX


If you have any questions please dont hesitate to contact me My telephone is 770-689-0197 and my e-mail addressisrodriquezharrellhoneywellcom

Sincerely











tQ~ Ed Beasley Health PhYSicist Honeywell









SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg

RECEIVED sub~t t)~a~gt11 tasect ~nct0~ftLNW$~eh~~9La~l F9~oM2~~llt~k~poundgto1Nl~~~~pound-~ 8S 10 each party at any the propertgt f1escribed abovE in apparent good order ex(-ept as noted (contents and cofdlton Of cOI1tents time Interestoo 10 aU or any said ptOpgrty that avery service to be periormampd heeunckn shal be subject to o packages unkno4vn) manced constgned and deStllIOO as ndieated above wrnch saID carrier (the word alt the bin of ladnlg terms ana coornhons in lhe governing classifkatlon on the data of shipment canier beIng understood throughout thlS contract as 9a1(09 any person or oorpo1aflott in pssess~OIl of the ShIpper hereby certif~ that ~ is familiar with all me biB of lading terms and conditions in the governing property under tho contract) agros to carry to Its uw3t Oiace at delivery at Slam oes1inatlOl It 0 its reute- dassmeauon and the said terms and conditions are hereby agreed to bytha shipper and acccpled for hmself otherwise to deliver 10 another camer Ol toe route to sad tlestlnation It ts mOlusly a9r~ as ro each carne~ and 111amp assigns

------------------------------------------------------------shyHoneywel1lntemational clo Rock-Tenn Corp Project 117382 Task 851-1-673463916 From

0548 DESIGNATE WITH AN [X 1___3_6_9_M_iII_S_tr_e_e_t_S_he_l_do_n_S_p_n_n_gs__VT___5____=L=- 20IDL BY TRUCKJ FREIGHT 0 Shippers No

Carrier Agents No (Mall or _ adaress of consignee-Fo PUf1)OS8S 01 notification only

HnnAJWl~lIlntemational 3079 Premiere prlrutm Duluth GA 30097~Consignedro___~________________________________ ____________________________________________----______________

Honeywellintemational 3079 Premiere Parkway Duluth GA 30097 State of =-shy_______________ County of GwinnetlDestination

Direct Route

Delivenng Carne~r~=======~================-V~e~h1ic~l~e~o~r~Ca~rr1~n~itja~========-N~o====== ----- Oescripbon and Classification ERG I Weight I Class Check Subect Ie Section 7 01 conditions 01Ia~ HN Propel S~ipP Name (Technical Names) CIa Guide (Sub 10 Cor) or Rate Coiumn applicablebillofladingillhisshipmentis

UN or NA 1_1Qn No No 10 be detivered to the consignee without

I I recourse 0 the consignor the consignorRadioactive Material Type A Package Non-Special Form I I shellllln theloHowing sfalemenl

2 HM Non-Fissile or Fissile Excepted 7 UN2915 Kr-85 Gas 163 I 100lbsl41 kg i The ltarrier sh81t not make deliveIy 01 ii this bull ipmenl without paymenl of lreignl

__--II__-t222GBgYeow-IIc-TI_=05-________________+ _______--+~__-+-_--j andall_lawful chells

[ Pe--__________________ _

I (Signature 01 Consignor)

Packed in Two USADOT 7 A Type A Packages II charges are 10 bamp lald write Or ------1----j stemp nerf 0 bamp Irepakf

To be prepaidi =

R~Mm$--------------__ to apply in p_vnl of lhe charges on the property described hereon

Agent or Casllier

I

s COD SHIPMENT

repaid JCoIiec 0 $--_____

Coiloclion F ___________

lolal Chargegt

~bnr~W8~ reqUire thaI tha bill rlading Shall GIIlte whether tt is Ca_f or Shipper

I waight

-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ I of Transportalion

NOTE--Whetamp tha tate Is depandenlon r valueshlppefll3111 reqUlredtosta_

---~----I-----------------------------~----4--------l------+---~ cificaUy in wtl~ng tha agreed or QaoIamd i I yalue 01 me proparty

THIS SHIPMENT IS CORRECTLY

t IDESCRIBED CORRECT WEIGHT

I I I

~b_middotImiddot II __

Weigh and Inspection Buteau

------~~~=_============r~~~==========l----- AGcofdlng to Ag 1

I PLACARDS TENDERED _ EMERGENCY CONTACT I PerL _---J LaO~-t~~9300 IXYES ~ NO If to C118rgfl utt the agreed Of

declared vel of he wlhtn descriDed t Theftbre contaltlersused fot thiS atnpment conOtm to tNt SpectlrcabOflssel forth tn the- box maker s eertiftCatethe-reon and ali olherrequtremenls 01 RIle41 of1h6 Uniform Freight conlainers IS ooreby specifically stated 10 Clauiheatronand Ruiamp 5 of the Naho-naiMotor Freight ClassJhcabOrt t $hrppers f~rlnt In heuoiSlamp nota part of bll of ladmg BPProvedby the nterstate COfIlITtUrceCo-rrnntSSfotl 00 not 6XCeedtng 5( cants per pound per

article

C~ft11F1CAnONEdward N Beasley Health PhYSicist I Agent Per __________________________________--j T is III 11 tNlt lhe _ltl

malarmigt bull pfUltl6lty ~ SOlbed POlllaquo maoo end _

Permanent PO$I-ltJff address of shrppet 3079 Premiere Parkway Duluth GA 30097 and 810 ~i pr~r conditIOn tor trallsportltmiddot

1M O1 to 1M appIicaIgtla regulablln rtlTIltIForm 35middot754H PonIed and Sola tf CJNfjCO 700 eMtr Ave New Povrdence NJ 07974 -18001 631middot3098 O~lm~rn y)lra1$()(1rtatton

7lf1~tf(f S--Af

RECEIVED sub~t t)~a~gt11 tasect ~nct0 ~ftLNW$~eh~~9La~l F9~oM2~~llt~k~ poundgt o1Nl~~~~pound-~ 8S 10 each party at any the propertgt f1escribed abovE in apparent good order ex(-ept as noted (contents and cofdlton Of cOI1tents time Interestoo 10 aU or any said ptOpgrty that avery service to be periormampd heeunckn shal be subject to o packages unkno4vn) manced constgned and deStllIOO as ndieated above wrnch saID carrier (the word alt the bin of ladnlg terms ana coornhons in lhe governing classifkatlon on the data of shipment canier beIng understood throughout thlS contract as 9a1(09 any person or oorpo1aflott in pssess~OIl of the ShIpper hereby certif~ that ~ is familiar with all me biB of lading terms and conditions in the governing property under tho contract) agros to carry to Its uw3t Oiace at delivery at Slam oes1inatlOl It 0 its reute- dassmeauon and the said terms and conditions are hereby agreed to bytha shipper and acccpled for hmself otherwise to deliver 10 another camer Ol toe route to sad tlestlnation It ts mOlusly a9r~ as ro each carne~ and 111amp assigns

-------------------------------------------------------------From Honeywel1lntemational clo Rock-Tenn Corp Project 117382 Task 851-1-673463916

0548 DESIGNATE WITH AN [X 1 ___ 3_6_9_M_iII_S_tr_e_e_t_S_he_l_do_n_S_p_n_n_gs__VT ___ 5 __ __ =L=- 20IDL BY TRUCKJ FREIGHT 0 Shippers No


HnnAJWl~lIlntemational 3079 Premiere prlrutm Duluth GA 30097 Consignedro ___ ~ ________________________________ ~ ____________________________ ________________ ----_____________ _

Destination Honeywellintemational 3079 Premiere Parkway Duluth GA 30097 S tate of =--_______________ County of Gwinnetl

Route Direct

Delivenng Carne~r~=======~================-V~e~h1ic~l~e~o~r~Ca~rr1~n~itja~========-N~o ====== ----- Oescripbon and Classification ERG I Weight I Class Check Subect Ie Section 7 01 conditions 01 Ia~ HN Propel S~ipP Name (Technical Names) CIa Guide (Sub 10 Cor) or Rate Coiumn applicablebillofladingillhisshipmentis


163 I I recourse 0 the consignor the consignor

Radioactive Material Type A Package Non-Special Form I I shellllln theloHowing sfalemenl

2 HM Non-Fissile or Fissile Excepted 7 UN2915 Kr-85 Gas I 100lbsl41 kg i The ltarrier sh81t not make deliveIy 01 ii this bull ipmenl without paymenl of lreignl

__ --II __ -t222GB g Yeow-IIc-TI_=05-________________ + _______ --+~ __ -+-_--j andall_lawful chells

Packed in Two USADOT 7 A Type A Packages ------1----j

i

[

I

I

Pe--__________________ _

(Signature 01 Consignor)

II charges are 10 bamp lald write Or stemp nerf 0 bamp Irepakf

To be prepaid =


s

Agent or Casllier

COD SHIPMENT repaid J CoIiec 0 $--____ _

Coiloclion F __________ _

lolal Chargegt

~ bnr~ W8~

I reqUire thaI tha bill r lading Shall GIIlte whether tt is Ca_f or Shipper waight

-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion




t I DESCRIBED CORRECT WEIGHT

I II Imiddot II __ ~b_middot



Per I PLACARDS TENDERED _ EM E R GENCY CONTACT I L XYES ~ NO _---J LaO~-t~~9300 I If to C118rgfl utt the agreed Of


Edward N Beasley Health PhYSicist I Agent Per __________________________________ --j

Permanent PO$I-ltJff address of shrppet 3079 Premiere Parkway Duluth GA 30097

Form 35middot754H PonIed and Sola tf CJNfjCO 700 eMtr Ave New Povrdence NJ 07974 -18001 631middot3098

article

C~ft11F1CAnON

T is III 11 tNlt lhe _ltl malarmigt bull pfUltl6lty ~ SOlbed POlllaquo maoo end _ and 810 ~i pr~r conditIOn tor trallsportltmiddot

1M O1 to 1M appIicaIgtla regulablln O~lm~ rtlTIltI rn y)lra1$()(1rtatton

7lf1~tf(f S--Af

Georgia Department of Natural Resources 4220 International Parkway Suite 100 Atlanta Georgja 30354

Noel Holcomb Commissionef EnVIronmental Protection Division

Carol A Couch PhD Director 404middot362middot2675

RADIOACTIVE MATERIALS PROGRAM GEORGIA RADIOACTIVE MATERIALS LICENSE

39I w 17 md in reliance on statements and representations henofQf made by the licensee designated helow a uel licensee to transfer reedve possess and 1I~1 lhe radioactive material(s) designated below and 0 u~c such

rnatrwb jr the fllllfl05dsl and at the plaltes) designated helow nls He~ns~ is subject to all applkahle ruies ami regulations ()C the tcrla ])cIXJITl1em of allira] R~ource and miers issued hy [hie Department now or hen41I1cr in dlcCL and tn an conditiu) pecifiltd below

of 9 Pages License Number GA 832-1 Amendment Number A 1 Corrected Copy

License (1 Name and 2 Address) 3 In accordance with letter dated March 1 2007 License Number GA 832-1 is

Honeywell International Jnc amended in its entirety to read as follows Premiere Parkway 100 Expiration Date March 31 2009

Duluth Georgia 30097 5 Telephone Number 770-689-0186

6 RADIOACTIVE 7 CHEMICAL ANDIOR 8 MAXIMUM QUANTiTY MATERIAL (ELEMENT PHYSICAL FORM LICENSEE MAY POSSESS AND MASS NUMBER) AT ANY ONE TIME

Iron-55 A Sealed sources (Models as A 25 Curies no single source specified in Condition 10Bf C) to exceed 270 milHcuries

B Krypton-85 8 Sealed sources (Models as 8 250 Curies no single ource specified in Condition 108C) to exceed 3000 millicuries

Strontium-gO C Sealed sources (Models as C 10 Curies no single source specified in Condition 108C) to exceed 200 millicuries

D Promethlum-147 D Sealed sources (Models as D 50 Curies no single source specified in Condition 10BC) to exceed 2500 miHicunes

Ruthenium-106 E Sealed sources (Models as E 1 Curie no single source to specified in Condition 10C) exceed 30 millicuries

F Americium-241 F Sealed sources (Models as F 10 Curies no single source specified in Condition 10C) to exceed 1000 millicuries

Curium-244 G Sealed sources (Models as G 2 Curie no single source to specified in Condition 10C) exceed 1000 millicuries

H Hydrogen-3 H Sealed andor Foil Sources H 10000 CUries no single (Models which are registered source to exceed 50 Curies in the Sealed Source Device Catalog or with the Bureau of Radiological Health)







Page 1 of 9 Pages License Number GA 832-1 Amendment Number A 1 Corrected Copy

License (1 Name and 2 Address) 3 In accordance with letter dated March 1 2007 License Number GA 832-1 is amended in its entirety to read as follows Honeywell International Jnc

Premiere Parkway 100

Duluth Georgia 30097

6 RADIOACTIVE MATERIAL (ELEMENT AND MASS NUMBER)

Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H

Expiration Date March 31 2009

5 Telephone Number 770-689-0186

CHEMICAL ANDIOR 8 MAXIMUM QUANTiTY PHYSICAL FORM LICENSEE MAY POSSESS

AT ANY ONE TIME

Sealed sources (Models as A 25 Curies no single source specified in Condition 10Bf C) to exceed 270 milHcuries

Sealed sources (Models as 8 250 Curies no single ource specified in Condition 108C) to exceed 3000 millicuries

Sealed sources (Models as C 10 Curies no single source specified in Condition 108C) to exceed 200 millicuries

Sealed sources (Models as D 50 Curies no single source specified in Condition 10BC) to exceed 2500 miHicunes

Sealed sources (Models as E 1 Curie no single source to specified in Condition 10C) exceed 30 millicuries

Sealed sources (Models as F 10 Curies no single source specified in Condition 10C) to exceed 1000 millicuries

Sealed sources (Models as G 2 Curie no single source to specified in Condition 10C) exceed 1000 millicuries

Sealed andor Foil Sources H 10000 CUries no single (Models which are registered source to exceed 50 Curies in the Sealed Source Device Catalog or with the Bureau of Radiological Health)

Georgia Department of Natural Resources Radioactive Materials License

Supplementary Sheet

Page 2 of 9 Pages License Number GA 832-1 Amendment Number 41 Corrected Copy

6 RADIOACTIVE 7 CHEMICAL ANDOR 8 MAXIMUM QUANTITY MA TERIAL (ELEMENT PHYSICAL FORM LICENSEE MAY POSSESS AND MASS NUMBER) AT ANYONE TIME

Any radioactive material I Sealed Sources (Models I No single source to exceed which are registered in the 10 Curies Sealed Source Device Catalog or with the Bureau of Radiological Health)

J Uranium depleted in the J Depleted metal encased in J 75 kilograms lsotOpe Uranium-235 steel

K Any radioactive material K See item 9K below K See item 9K below

6

J

K


Supplementary Sheet


RADIOACTIVE 7 CHEMICAL ANDOR 8 MAXIMUM QUANTITY MA TERIAL (ELEMENT PHYSICAL FORM LICENSEE MAY POSSESS AND MASS NUMBER) AT ANYONE TIME


Uranium depleted in the J Depleted metal encased in J 75 kilograms lsotOpe Uranium-235 steel

Any radioactive material K See item 9K below K See item 9K below


Supplementary Sheet


9 AUTHORIZED USE

A through G Pursuant to (11 )(d) of the Department of Natural Resources Rule 391-3-17-02 the licensee is authorized to distribute the devices listed in Condition 10B of this license to persons generally licensed pursuant to (6)(c) of Georgia Department of Natura Resources Rule 391-3-17-02 or equivalent provisions of the regulations of any Agreement State or the U S Nuclear Regulatory Commission and to install dismantle relocate maintain service and test such devices

E through G Pursuant to (8) of Georgia Department of Natural Resources Rule 391-3-17-02 the licensee is authorized to use andor possess the devices listed in Conditions i0C of this license in accordance with the provisions of the Sealed Source and Device (SSampD) registration certificate issued for each device pursuant to (11 )(1) of Georgia Department of Natural Resources Rule 391-3-11-02 The authorized use andor possession of the sources and devices includes activities incident to

(1) Source installation into and removal from devices

(2) Installation relocation repair and servicing of devices including leak testing of sealed sources and radiation surveys of devices

(3) Distribution of authorized devices to persons licensed to receive the material pursuant to terms and conditions of specific licenses issued by the Georgia Department of Natural Resources the US Nuclear Regulatory Commission or an Agreement State

(4) Receipt storage t and transfer of devices received from customers for disposal

(5) Instruction and training of individuals in use of the devices

H and I The licensee is authorized to dismantle relocate re~distribute transfer maintain service and test devices containing these materials The licensee is also authorized to store incident to disposal sources removed from the devices The devices must be listed in the Registry of Radioactive Sealed Sources and Devices or registered with the Bureau of Radiological Health

J For use as a shielding material and for the temporary storage of devices containing depleted uranium as a shielding material

K For possesSion and use incidental to the performance of tests for leakage andor contamination on any Generally or Specifically licensed device containing sealed sources listed in the Registry of Radioactive Sealed Sources and Devices or registered with the Bureau of Radiological Health The licensee is also authorized to perform tests of the shutter Of radiation ONOFF mechanism on the devices


Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K






The licensee is authorized to dismantle relocate re~distribute transfer maintain service and test devices containing these materials The licensee is also authorized to store incident to disposal sources removed from the devices The devices must be listed in the Registry of Radioactive Sealed Sources and Devices or registered with the Bureau of Radiological Health

For use as a shielding material and for the temporary storage of devices containing depleted uranium as a shielding material

For possesSion and use incidental to the performance of tests for leakage andor contamination on any Generally or Specifically licensed device containing sealed sources listed in the Registry of Radioactive Sealed Sources and Devices or registered with the Bureau of Radiological Health The licensee is also authorized to perform tests of the shutter Of radiation ONOFF mechanism on the devices


Supplementary Sheet

Page 4 of 9 Pages License Number GA 832-1 Amendment Number Ai Corrected Copy

CONDITIONS

10 Radioactive material may be used at the licensees address as stated in Item 2 above and at temporary job sites of the licensee anywhere in the State of Georgia This condition does not prohibit use in other Agreement States and States under the jurisdiction of the US Nuclear Regulatory Commission under reciprocity procedures that may be established by an Agreement State or the US Nuclear Regulatory Commission

The following table lists the devices that Honeywell International Inc may distribute pursuant to the terms and conditions of this license The table lists the devices by model number the sealed source model that may be used in the gauges and the isotope and maximum quantity that may be contained in the particular device Part B lists devices authorized for distribution as Generally Licensed devices part C lists devices authorized for distribution as either Specific or Generally Licensed devices

Device Model Sealed Source Model Maximum Activity Per (SSampD certificate) (SSampD certificate) Device

ISOtOpe Krypton-8S 400 mliflcunes (GA-57 Q1C1middotG)

20 mllhcunes

Promethlum-147

zoo millicufle5 no smgle exceed 100 mifcunes

Krypton-iiigt 1000 mHHcunes

ZOO millcupes no sII191e SOLrce to exceed 100 mtlltcunes

mlillcuiEls Honeywell International Model 120112201 Series 1202l22G2 Series 1203 1000 millicuries Series 2204 Serles (AZmiddot0501010SmiddotB)

Promethium-141 540 millicurles

Ruthenium-10S 30 milUcurie$

10


Supplementary Sheet

CONDITIONS


Radioactive material may be used at the licensees address as stated in Item 2 above and at temporary job sites of the licensee anywhere in the State of Georgia This condition does not prohibit use in other Agreement States and States under the jurisdiction of the US Nuclear Regulatory Commission under reciprocity procedures that may be established by an Agreement State or the US Nuclear Regulatory Commission


Device Model (SSampD certificate)

ISOtOpe (GA-57 Q1C1middotG)

Honeywell International Model 120112201 Series 1202l22G2 Series 1203 Series 2204 Serles (AZmiddot0501010SmiddotB)

Sealed Source Model (SSampD certificate)

Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S

Maximum Activity Per Device

400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$

Georgia Department of Natural Resources

Conditions (continued)

Device Model (SSampO certificate)

Honeywell International Mode 12012201 Series

C1 120212202 8eriamp$ 1203

(cont) Series 2204 Series (Almiddot0501middotQmiddot10S-S)

Homwwell International C2 Model 4201 Series tAlmiddot

0501middot0middot106middot6)

Honywel International Model 42Q2 Series (AZ 0501middot0middot107middotB)

Honeywell International C4 Model 4m3 (AZo501middotDmiddot

108middotB)

Ohman Mode SAL INRmiddot C5 0522middot0middot1O1middotBI

Radioactive Matetials License Supplementary Sheet

Isotope

StrontiummiddotgO

lronmiddot55

Arnrtn Atomics Kr85C Kr85E Kr85J 01 Kr85M AEA KAC02 (MAmiddot1059middotSmiddot Krynton-8S

or IPL NERmiddotsSS NERS8EM f

KryptonmiddotIlS

p

Promethiummiddot141

AMC17 (MA1059-Smiddot158-S) or NER-418C

StrontiummiddotSO

Ohmart middot5199 INRmiddot522middotSmiddot873middotS) 3M 4K7C (NR-46GmiddotSfI38middotU) AEA AMC19

Amerlcium-241MA1059-Smiddot158SI or Monsanto MRCmiddot GmiddotSSmiddotWmiddotAM 2404

CLCD1 (NRmiddot13SmiddotS167-S)

XFBmiddot5CA-40Smiddot$middot112S1 Ironmiddot55

Ohman middot36058 (NRmiddot522middotS4l10middotS) Amiddot 3316S Amiddot289M- (NRmiddot522middotS4l09middotS) 3M 3E4G (NR-460S4l84middotS) 3E4L (NR-460middot 5middot909middot5) 3E40 (NRmiddot460middotSmiddot90Qmiddot5) EA Krypton4lSKAC03 (MAmiddot1059middotS-27SmiddotSI American Atomics 40022 40019 40019A US Radium LAB 414-3 or IPL NERmiddot585 illER 584 iCA-408-$middot20Ss)

3M 3F1E US Nuclear 3288 Strontiummiddot9O(MAmiddot1059-Smiddot194middotS)



5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries

AEA is QSA Global formerly known as Amersham or AEA Technologies IPL is Isotopes Products Laboratories who acquired DuPontNew England Nuclear

Georgia Department of Natural Resources Radioactive Matetials License

Supplementary Sheet



C1 (cont)

C2


Honeywell International Mode 12012201 Series 120212202 8eriamp$ 1203 Series 2204 Series (Almiddot0501middotQmiddot10S-S)

Homwwell International Model 4201 Series tAlmiddot 0501middot0middot106middot6)

Honywel International Model 42Q2 Series (AZ 0501middot0middot107 middotB)


108middotB)

C5 Ohman Mode SAL INRmiddot 0522middot0middot1O1middotBI

Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO


Amerlcium-241 MA1059-Smiddot158SI or Monsanto MRCmiddot GmiddotSSmiddotWmiddotAM 2404

CLCD1 (NRmiddot13SmiddotS167 -S)


Ohman middot36058 (NRmiddot522middotS4l10middotS) Amiddot 3316S Amiddot289M- (NRmiddot522middotS4l09middotS) 3M 3E4G (NR-460S4l84middotS) 3E4L (NR-460middot 5middot909middot5) 3E40 (NRmiddot460middotSmiddot90Qmiddot5) EA Krypton4lS KAC03 (MAmiddot1059middot$-27SmiddotSI American Atomics 40022 40019 40019A US Radium LAB 414-3 or IPL NERmiddot585 illER 584 iCA-408-$middot20Ss)

3M 3F1E US Nuclear 3288 Strontiummiddot9O (MAmiddot1059-Smiddot194middotS)


5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries


Georgia Department of Natural Resources Radioactive Iv1aterials License

Supplementary Sheet

Page 6 of 9 Pages license Number GA 832~1 Amendment Number 41 Corrected Copy


11 The Ilcensee shall comply with the provisions of Georgia Department of Natural Resources Rule 391 7~03 Standards for Protection Against RadIation Amended Rule 391-3-17-06 Transportation of Radioactive Material Amended and Rule 391-3-17-07 Notices Instructions and Reports to Workers Inspections Amended

12 In accordance with ONR Board Policy adopted May 28 2003 the fees associated with this icense category C1 are

Application fee $1300 Annual fee $2293 Amendment fee $ 550 Non-routine Inspection fee $2000

Additionally the fees associated With each device evaluation fee category J1 are

Application fee $3300 Annual fee $2100 Amendment fee $1200 Non-routine Inspection fee $ 0

Checks the fees should be made payable to the Department of Natural Resources Radioactive Materials Program and mailed to the following address

Radioactive Materials Fees PO Box 101161

Atlanta GA 30392

Mai license applications and amendment requests to the following address

Radioactive Materials Program 4244 International Parkway Suite 114

Atlanta GA 30354

An applications amendments and fee payments should be mailed the same day

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

13 The Radiation Safety Officer in this program shall be Rodriquez Harrell

14 A The handling of radioactive material under this license in the manufacture installation dismantling relocation and testing of devices shall be performed by or under the supervision and in the physical presence of (1) employees of Honeywell International inc who have met the requirements described in the licensees application dated March 162004 or (2) persons specifically authorized for such activities by the Department the NRC or another Agreement State

B Preventative maintenance and system checks on devices containing radioactive material shaH be performed by persons who have (1) met the requirements described in the


Supplementary Sheet

Page 6 of 9 Pages license Number GA 832~ 1 Amendment Number 41 Corrected Copy




Application fee Amendment fee

$1300 $ 550

Annual fee Non-routine Inspection fee

$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet



licensees application dated March 16 2004 (2) received copies of the licensees operating and emergency procedures and (3) been designated by the Radiation Safety Officer

C RecordsCertificates of training shall be maintained for Department inspection

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

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

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

18 The Ilcensee shall perform required tests for leakage or contamination at intervals not to exceed six (6) months in accordance with Rule 391-3-17-03(6) Analysis of the tests shall be performed by persons specifically authorized by the Department the US Nuclear Regulatory Commission or an Agreement State to perform such services

19 This license does not authorize commercial distnbution of licensed materia to persons exempt from licensing pursuant to Rule 02(3)(b) of Chapter 391-3-17

The licensee shall furnish to each general licensee to whom it transfers a generally liceneed the information listed In (11)(d)4 of Rule 391-3-17-02

21 A Each device distributed under this license shall bear a durable legible and clearly visible label or labels approved by the Department containing information reqUired by Rule 391-3-17-02(11 )(d)1(iii)

Each device distributed under this license shall bear a durable clearly visible and legible labe or labels contaimng the device model and serial number the radiation symbJ in colors magenta purple or black on a yellow background the words CAUTION RADIOACTIVE MATERIAL or DANGER RADIOACTIVE MATERIAL the quantity identity and date of measurement of the radioactive material and the name of the distributor of the device

C label required by this condition shall bear the statement Removal of this label is prohibited f


Supplementary Sheet










21

The licensee shall furnish to each general licensee to whom it transfers a generally liceneed

A

the information listed In (11)(d)4 of Rule 391-3-17-02

Each device distributed under this license shall bear a durable legible and clearly visible label or labels approved by the Department containing information reqUired by Rule 391-3-17-02(11 )(d)1(iii)

Each device distributed under this license shall bear a durable clearly visible and legible labe or labels containing the device model and serial number the radiation symbJ in colors magenta purple or black on a yellow background the words CAUTION RADIOACTIVE MATERIAL or DANGER RADIOACTIVE MATERIAL the quantity identity and date of measurement of the radioactive material and the name of the distributor of the device


24


Supplementary Sheet



No generally licensed device shall be installed by the licensee in such a manner or in any such location that any person could receive more than 05 rem in a calendar year under ordinary circumstances of use

The licensee shall test each device distributed under this license for leakage or contamination of radioactive materia and proper operation of the on-off mechanism and indicator if any at the time of instailation of the device The licensee shall furnish the customer with a written report of each leak test in units of microcuries (lCi) or becquerels (8q) (Devices containing only krypton-8S do not require testing for leakage andor contamination)

After installation by the licensee of each device distributed to persons generally licensed pursuant to (6)(c) of Rule 391-3-17-02 the licensee shall conduct a radiation survey and shall assure that the levels of radiation do not exceed those specified in the Sealed Source and Device (SSampD) Registry certificate for the installed gauge The licensee shall furnish the general Hcensee a copy of the radiation survey report

The licensee shall submit periodic transfer reports as specified in (11 )(d)(7) and (11 )(d)(8) of Rule 391-3-17-02 Copies of all reports required by this condition shall be maintained subject to Inspection by representatives of the Department

25 All records or copies of records pertaining to Radioactive Material License GA 832-1G shat be maintained by the Radiation Safety Office at the address listed in Item 2 of this license These records shall include all supporting documentation for the device evaluations for Honeywell Inc

26 The licensee shall provide the Department with updated copies of the Radiation Safety Manual Field Service Radiation Safety Procedures and the QAQC Manufacturing Procedures as the documents are revised The copies shall include a revision history indicating which parts of the document were affected by the revision

27 The licensee shall report to the Department in accordance with (1S)(b)2 of Rule 391-3-17shy03 upon receipt of information pertaining to a product distributed by the licensee regarding any defect deviation or operation affecting the integrity of the product such that a substantial safety hazard exists or could exist The report shall contain the information listed in (15)(b)3 of Rule 391-3-11-03

28 AU devices fisted in Condition 10C will be resubmitted for review to the Department no later than December 1 2008 Any information not received on a devicegauge by that date will result in the registration sheet being inactivated for that particular devicegauge

in addition to the possession limits in Item 8 the licensee shall further restrict the possession of licensed material with a hatf-life greater than 120 days to quantities less than those specified in Rule 391-3-17-02(8)(g)4 Exceeding quantities in 02(8)(g)4 requires the submittal of a financial assurance mechanism or a decommissioning funding plan


Supplementary Sheet





24 After installation by the licensee of each device distributed to persons generally licensed pursuant to (6)(c) of Rule 391-3-17-02 the licensee shall conduct a radiation survey and shall assure that the levels of radiation do not exceed those specified in the Sealed Source and Device (SSampD) Registry certificate for the installed gauge The licensee shall furnish the general Hcensee a copy of the radiation survey report




27 The licensee shall report to the Department in accordance with (1S)(b)2 of Rule 391-3-17-03 upon receipt of information pertaining to a product distributed by the licensee regarding any defect deviation or operation affecting the integrity of the product such that a substantial safety hazard exists or could exist The report shall contain the information listed in (15)(b)3 of Rule 391-3-11-03




Supplementary Sheet



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

A Application dated March 16 2004 signed by Gary L Caines Radiological Operations Program ManageL

8 Honeywell Inc s Radiation Safety Training Manua and QAQC Manufacturing Procedures all as amended

C Letter dated March 31 2004 signed by Gary L Caines Radiological Operations Program Manager

D SSampD registry certificates GA-S71-D-101-G GA-S71-D-103~Gf AZ-S01-0-10S-B AZshy501-D-106~B AZ-501-D-107-B AZ-S01-0-108-B and NR-S22-D-101-B each af amended

Letter with enclosures dated March 1 2007 Signed by Rodriquez E Harrell Health PhYSiciSt

The Georgia Department of Natural Resources regulations shall govern unless the statements representations and procedures in the licensees application and correspondence are more restrictive than the Regulations

FOR THE DEPARTMENT OF NATURAL RESOURCES

BY


Supplementary Sheet







D SSampD registry certificates GA-S71-D-101-G GA-S71-D-103~Gf AZ-S01-0-10S-B AZ-501-D-106~B AZ-501-D-107-B AZ-S01-0-108-B and NR-S22-D-101-B each af amended




BY

PAGe 1 OF _3 rm~NRC FORM 374 US NUCLEAR REGULATORY COMMISSION(7941

MATERIALS LICENSE Amendment No 01 ~ iI

PurSUlIlIIlO the Atomic Energy Act of 1954 as amended the Energy Reorganization Act of 1974 (Public Law 93middot438) and Title 10 Code of iFederul Rc)ulollions Chuptr I Pnrls 30 31 32 13 34 35 36 39 40 and 70 lind in reliance on stlIcOlcnts and representations heretofore made iby the licensee a license i~ hereby issued authorizing the licensee to receive acquire pouess and transfer byproduct source and special nuclear malerinl designated below to u~e such material for the purpose(s) and Illhe place(s) designated below to deliver or transfer luch material 10

pers~ns authorized 10 receive it in accordance with the reguilltions of the ~ppicable P~(8)~Thllllcense shall be de~med 10 conl~in IC conditions specIfied in Section 183 of the Atomic Energy Act of 1954 as amendetl~nd Is subl~tllppllclble rule8~tegulallons Widorders of the Nuclear Reulatory Commission now or h~rcaftcr in effecl and 10 any conditions specified below ~i

I ~ ---r---------------------- i~ Licensee IIn accordance with the letter dated

i_

October 30 t 1996 ~ IRock-Tenn Company 3 License Number 44-30327-01 is amended in ~

Missisquo1 Mill ~-1-t-s-e-n-t-i-re-t-y--t-o-r-e-a-d-a-s--f-O-l1-0-W-S----------i PO Box 98

Mill Street 4ExpinllionDale July 312001 ~I Sheldon Springs Vermont 05485 ~-----------------------------------~

5 Docket or 030-34208 ~rReference No _______________________---------______________________-L~~~~~~

6 Byprodlllt SOllnc andor 7 Chemical andor Physical 8 Maximum Amount that Licensee ]Special NlIdear r1aterinl Form May Possess at Any One Time

Under This License

A Krypton 85 A Sealed sources (Amersham A 600 millicuries Corp Model No KACD3)

Authorized use

A For possession and use in Impact Systems Inc Model 4400 O-Frame Scanners

CONDITIONS

- 10 Licensed material may be used only at the licensees facilities located at the Missisquoi Mill Mill Street Sheldon Springs Vermont

11 A Licensed material shall only be used by or under the supervision and in the physical presence of individuals who have received the training described in application dated July 29 1996 and have been designated in writing by the Radiation Safety Officer ~

B The Radiation Safety Officer for this license is Douglas Edwards_

12 Sealed sources or detector cells containing licensed material shall not be opened or sources removed from source holders by the licensee

13 The licensee shall conduct a physical inventory every six months to account for all sealed sources and devices containing licensed material received and possessed under the license

14 The licensee shall not acquire licensed material in a sealed source or device unless the source or device has been registered with the US Nuclear Regulatory Commission pursuant to 10 CFR 32210 or equivalent regulations of an Agreement State

15 Each gauge shall be tested for the proper operation of the on-off mechanism and indicator if any at no longer than six-month intervals or at such longer intervals as specified by the manufacturer and approved by the Commission or an Agreement State in a registration certificate referred to in 10 CFR 32210

NRC FORM 374 (7941 US NUCLEAR REGULATORY COMMISSION

PAGe 1 OF _3 rm~ MATERIALS LICENSE Amendment No 01 ~

PurSUlIlIIlO the Atomic Energy Act of 1954 as amended the Energy Reorganization Act of 1974 (Public Law 93middot438) and Title 10 Code of Federul Rc)ulollions Chuptr I Pnrls 30 31 32 13 34 35 36 39 40 and 70 lind in reliance on stlIcOlcnts and representations heretofore made by the licensee a license i~ hereby issued authorizing the licensee to receive acquire pouess and transfer byproduct source and special nuclear malerinl designated below to u~e such material for the purpose(s) and Illhe place(s) designated below to deliver or transfer luch material 10

pers~ns authorized 10 receive it in accordance with the reguilltions of the ~ppicable P~(8)~Thllllcense shall be de~med 10 conl~in IC conditions specIfied in Section 183 of the Atomic Energy Act of 1954 as amendetl~nd Is subl~tllppllclble rule8~tegulallons Widorders of the Nuclear Reulatory Commission now or h~rcaftcr in effecl and 10 any conditions specified below

iI i i

~i

I ~ ---r---------------------- i~ i_

I In accordance with the letter dated Licensee

IRock-Tenn Company Missisquo1 Mill

October 30 t 1996 ~ 3 License Number 44-30327-01 is amended in ~

PO Box 98 ~-1-t-s-e-n-t-i-re-t-y--t-o-r-e-a-d-a-s--f-O-l1-0-W-S----------i


5 Docket or 030-34208 ~r Reference No ---------______________________ -L~~~~~~ _______________________

6 Byprodlllt SOllnc andor Special NlIdear r 1aterinl

A Krypton 85

Authorized use

7 Chemical andor Physical 8 Maximum Amount that Licensee Form May Possess at Any One Time

Under This License

A Sealed sources (Amersham A 600 millicuries Corp Model No KACD3)


CONDITIONS








]

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NRC FORM 37404

lllJ 1ILIl1JJlItnllitl itl itl itlti W IJll 1ll1W laLliill w

US NUCLEAR REGULATORY COMMISSION

w ww ItlltlWtillII II Ii ll lIl w lZJ litll t

PAGE 2 OF J PAGES t I

~ (7middot004)

License Number

~ 44-30327-01

t MATERIALS LICENSE SUPPLEMENTARY SHEET

~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______

16 A Sealed sources and detector cell s containing 1icensed mater1i tishallbe tested for leakage andor contamination at intervals not to exceed six months or at such other intervals as are specified by the certificate of registrationreferred to in 10 CFR 32210 not to exceed three years

B Notwithstanding Paragraph A of this Condition sealed sources designed to emit alpha particles shall be tested for leakage andor contamination at intervals not to exceed three months

c In the absence of a certificate from a transferor indicating that a leak test has been made within six months prior to the transfer a sealed source or detector cell received from another person shall not be put into use until tested ) ~ ) III

fmiddotmiddot_ r ( -

o Each sealed source fabri cated by the 1i censee sha1l be inspected and tested for construction defects leakage and contamination priorl~to any use or transfer as i a sealed source - I

shy1E Sealed sources and detector cells need not be leaktested if

(i) they contain only hydrogen-3 or lt

(i i) Ithey contain on~y a rad~oactiYtga~ _~I~~ i I

( iii ) the halflife orthe isotope is 30 days~orle$s or

~

c ~

(iv) they contain notmiddot more than 100 microcuries of beta andor gamma emitting materiallyDr not ~~re_tha~ l~ Pli~r~oI~4S ~J)alPha emitting material or

) ~ J~- ct ~ J 1

r bull ~ ~ bull ftI I

(v) th~y are np~desfgned 1t~ e)llit middotal Ph~pa~tfqlest ar~~middot n storage and are not be1ng usedtIqwever wnen~jh~y l~r~-lellloVed from terage for use or transfer to anq1her person -antjbave not bee~emiddots d within the required ~ leak test inte~~ they shall be tested be se or transfer No sealed ~ source or detectdr ClI shall be store~or eriod of more than 10 years without being tested ~kW- ~o ontamination _

F The test shall be capable of detecting the presence of 0005 microcurie of radioactive material on the test sample If the test reveals the presence of 0005 microcurie or more of removable contamination a report shall be filed with the US Nuclear Regulatory Commission and the source or detector cell shall be removed immediately from service and decontaminated repaired or disposed of in accordance with Commission regulations The report shall be filed within five days of the date the leak test result is known with the US Nuclear Regulatory Commission Region I ATTN Chief Nuclear Materials ~~ Safety Branch 475 Allendale Road King of Prussia Pennsylvania 19406 The report shall specify the source or detector cell involved the test results and corrective action taken

G The licensee is authorized to collect leak test samples for analysis by the Measurex Corporation Alternatively tests for leakage andor contamination maybe performed by persons specifically licensed by the Commission or an AgreementState to perform such services

t

L

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NRC FORM 37404 US NUCLEAR REGULATORY COMMISSION PAGE 2 OF J PAGES t I (7middot004) ~ License Number

44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G

Sealed sources and detector cell s containing 1icensed mater1i tishallbe tested for leakage andor contamination at intervals not to exceed six months or at such other intervals as are specified by the certificate of registration referred to in 10 CFR 32210 not to exceed three years

Notwithstanding Paragraph A of this Condition sealed sources designed to emit alpha particles shall be tested for leakage andor contamination at intervals not to exceed three months

In the absence of a certificate from a transferor indicating that a leak test has been made within six months prior to the transfer a sealed source or detector cell received from another person shall not be put into use until tested ) ~ ) III


Each sealed source fabri cated by the 1 i censee sha1l be inspected and tested for construction defects leakage and contamination priorl~to any use or transfer as i a sealed source - I

-Sealed sources and detector cells need not be leaktested if

(i)

(i i)

( iii )

they contain only hydrogen-3 or

they contain on~y a rad~oactiYtga~ _~I~~ the halflife orthe isotope is 30 days~orle$s or

lt

~ c ~


1

I I

i

) ~ J~ - ct ~ J 1 r bull ~ ~ bull ftI I

(v) th~y are np~desfgned 1t~ e)llit middotal Ph ~pa~tfqlest ar~~middot n storage and are not be1ng usedtIqwever wnen~jh~y l~r~-lellloVed from terage for use or transfer to anq1her person -antjbave not bee~emiddots d within the required ~ leak test inte~~ they shall be tested be se or transfer No sealed ~ source or detectdr ClI shall be store~or eriod of more than 10 years without being tested ~kW- ~o ontamination _

The test shall be capable of detecting the presence of 0005 microcurie of radioactive material on the test sample If the test reveals the presence of 0005 microcurie or more of removable contamination a report shall be filed with the US Nuclear Regulatory Commission and the source or detector cell shall be removed immediately from service and decontaminated repaired or disposed of in accordance with Commission regulations The report shall be filed within five days of the date the leak test result is known with the US Nuclear Regulatory Commission Region I ATTN Chief Nuclear Materials ~~ Safety Branch 475 Allendale Road King of Prussia Pennsylvania 19406 The report shall specify the source or detector cell involved the test results and corrective action taken

The licensee is authorized to collect leak test samples for analysis by the Measurex Corporation Alternatively tests for leakage andor contamination may be performed by persons specifically licensed by the Commission or an Agreement State to perform such services

---------------------

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION 3 3PAGe OF PAGES(7middotQ4) License Number

44-30327-01 MATERIALS LICENSE SUPPLEMENTARY SHEET

Docket Qf Rcrmncc NuWt6-34208

AmendmentNo 01

17 Installation initial radiation survey relocation removal from service maintenance and repair of devices containing sealed sources shall be performed byImpact Systems Inc or by persons specifically licensed by the Commission or an Agreement State to perform such services Installation replacement and disposalsealed sources shall be performed only by persons specifically licensed by the Commission or an Agreement State to perform such services

18 Prior to initial use and after installation relocation dismantling alignment or any other activity involving the source or removal of the shielding the licensee shall assure that a radiological survey is performed to determine radiation levels in accessible areas around above and below the device with the shutter open This survey shall be performed only by persons authorized to perform such services by the Commission or an Agreement State (

The licensee shall operate each device containing lice~~ed material within the ~ manufacturers specified temperature and environmental Ti~its such that the shielding ~ and shutter mechanism of the source holder are not compromised ~

~ The licensee shall isure ihlt the shutter mechanism ofeac~middotd~vice is locked in the ~ closed position during periods when a portion of an)ndividuals body may be subject ~ to the direct radiation beam The licensee shall review and modify as appropriate ~ its lock-out procedures whenever a new device is-obtained to incorporate the device ~

manufacturer s r~~ommendations_~gt _ r ~ ~ 21 The licensee is authorized to transport licensed material in accordance with the ~

provisions of 10 CFR Part 71 Packaging and Transport~tion of ~adioactive Material~ IIExcept as specifically provided otherwise 1n this license thelicensee shall conduct

its program i n accordancelt-w1thtthestatemElilts~representat ions and procedurescontained in the documents including any enclosures listedtoelow The Nuclear Regulatory Commi ssi DO regul at ions (sha11 goverrt~ un1ess t~1tatements representat ions and J5r6cedures in the 1i censee S app1i cathm and correspondence are more restrictive than th~9Ul~tions ~~

A Letter dated July 29 19Q6Wi~ahi(tSf~

For the US Nuclear Regulatory Commission Original Signed 6)

NOV 19 1996 By Kathleen DolceDate Division of Nuclear Materials Safety Region I King of Prussia Pennsylvania 19406

NRC FORM 374A US NUCLEAR REGULATORY COMMISSION PAGe 3 OF 3 PAGES (7middotQ4)

17

18

21

Date

License Number 44-30327-01

MATERIALS LICENSE Docket Qf Rcrmncc NuWt6-34208 SUPPLEMENTARY SHEET

AmendmentNo 01

Installation initial radiation survey relocation removal from service maintenance and repair of devices containing sealed sources shall be performed by Impact Systems Inc or by persons specifically licensed by the Commission or an Agreement State to perform such services Installation replacement and disposal sealed sources shall be performed only by persons specifically licensed by the Commission or an Agreement State to perform such services

Prior to initial use and after installation relocation dismantling alignment or any other activity involving the source or removal of the shielding the licensee shall assure that a radiological survey is performed to determine radiation levels in accessible areas around above and below the device with the shutter open This survey shall be performed only by persons authorized to perform such services by the

(

Commission or an Agreement State



manufacturer s r~~ommendations_~gt _ r ~ ~ The licensee is authorized to transport licensed material in accordance with the ~ provisions of 10 CFR Part 71 Packaging and Transport~tion of ~adioactive Material~

Except as specifically provided otherwise 1n this license thelicensee shall conduct its program i n accordancelt-w1thtthestatemElilts~representat ions and procedures contained in the documents including any enclosures listedtoelow The Nuclear Regulatory Commi ssi DO regul at ions (sha 11 goverrt~ un 1 ess t~ 1tatements representat ions and J5r6cedures in the 1 i censee S app 1 i cathm and correspondence are more restrictive than th~9Ul~tions ~~


NOV 19 1996 ---------------------


By Kathleen Dolce Division of Nuclear Materials Safety Region I King of Prussia Pennsylvania 19406

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MAilED FROM ZIP CODE 05485

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369 Mill Street PO Box 98 Sheldon Springs VT 05485

Jenny Johansen Nuclear Regulatory Commission

475 Allendale Road King of Prussia PA 19406-1415

AUHltI11 t IIIUt IA IUI shy J VELOPE You dont have to weigh the envelope just pack all your corresDondencA


~~~ sect~~ lIi Z er~-=-bull l ~ PITNlV BOWEs

02 1M $ 02870 bull 0004237981 JUN09 2010


1Imiddot(e~ -~ bull 02 1M $ 02030 bull 0004237981 JUN092010 4- Rock 1 enn MAILED FROM ZIP CODE 05485




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VELOPE You dont have to weigh the envelope just pack all your corresDondencA

J

APPROVED BY OMB NO 3160-0028 EXPIRES 081312010 (4-2008) NRC FORM 314 US NUCLEAR REGULATORY COMMISSION

Estimated burden per response to comply with this mandalllry collection request 30 minutes10 CFR 3O36(j)(1) 4042j)(1) 7Q38(j)(1) and 7254(k)(5)(1)(1) This submittal is used by NRC as part of the basis for Its determination that the facility is

released for unrestricted use Send comments regarding burden estimate to the Records and FOIAJPrivacy Services Branch (T-S F52) US Nuclear Regulatory Commission Washingllln

CERTIFICATE OF DISPOSITION OF MATERIALS DC 20555-0001 or by internet e-mail to infocollectsnrcgov and to the Desk OfIicer OffICe of InfonmaUon and Regulatory Affairs NEOS-10202 (3150-0028) Office of Management and Budget Wasilington DC 20503 If a means used to impose an Infotmation collection does not display a curren~y valid OMS control number the NRC may not conduct or sponsor and a person is not required to respond 10 the infonmation collection

LICENSEE NAME AND ADDRESS LICENSE NUMBER DOCKET NUMBER

I44-30327-01 cgt]D 1 ~zcbRocktenn Company -------~---~-----1~SE EXPIRATION DATE 369 Mill street Sheldon Springs Vt 05485

9JI2 tJJ

A LICENSE STATUS (Check the appropriate box) ~ This license has expired [lJ This license has not yet expired please terminate it

8 DISPOSAL OF RADIOACTIVE MATERIAL (Check the appropriate boxes and complete as necessary Ifadditional space is needed provide attachments)
















a is attached or b is not attached (Provide explanation) ofi c was forwarded to NRC on ~___~____~__ -~ Date




PRINTED NAME AND TITLE -- ~- -- ---~---JSI~TURE ~ II DATE

Douglas Edwards Utilities Superintendent I j~1 ~~ 6 - 8-2() 10 WARNING FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJ~C~0 CIVIL ANDIOR CRIMINAL PENALTIES NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATE L RESPECT 18 USC SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY OEPARTME OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION


gt7Z-Y5 8

NRC FORM 314 (4-2008)

US NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO 3160-0028 EXPIRES 081312010

10 CFR 3O36(j)(1) 4042j)(1) 7Q38(j)(1) and 7254(k)(5)(1)(1)

CERTIFICATE OF DISPOSITION OF MATERIALS

LICENSEE NAME AND ADDRESS

Rocktenn Company 369 Mill street Sheldon Springs Vt 05485

Estimated burden per response to comply with this mandalllry collection request 30 minutes This submittal is used by NRC as part of the basis for Its determination that the facility is released for unrestricted use Send comments regarding burden estimate to the Records and FOIAJPrivacy Services Branch (T-S F52) US Nuclear Regulatory Commission Washingllln DC 20555-0001 or by internet e-mail to infocollectsnrcgov and to the Desk OfIicer OffICe of InfonmaUon and Regulatory Affairs NEOS-10202 (3150-0028) Office of Management and Budget Wasilington DC 20503 If a means used to impose an Infotmation collection does not display a curren~y valid OMS control number the NRC may not conduct or sponsor and a person is not required to respond 10 the infonmation collection

LICENSE NUMBER I DOCKET NUMBER

cgt]D 1 ~zcb 44-30327-01

~SE EXPIRATION DATE -------~---~-----1

9JI2 tJJ

~ This license has expired A LICENSE STATUS (Check the appropriate box)

[lJ This license has not yet expired please terminate it

8 DISPOSAL OF RADIOACTIVE MATERIAL (Check the appropriate boxes and complete as necessary If additional space is needed provide attachments)
















a is attached or b is not attached (Provide explanation) ofi C was forwarded to NRC on ~ ___ ~ __ __ ~ __ -~ Date



PRINTED NAME AND TITLE

Douglas Edwards


-- ~- -- ---~---JSI~TURE ~ II DATE

Utilities Superintendent I j~1 ~~ 6 - 8-2() 10 WARNING FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJ~C~ 0 CIVIL ANDIOR CRIMINAL PENALTIES NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATE L RESPECT 18 USC SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY OEPARTME OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION


gt7Z-Y5 8


August 10 2009






Sincerely




August 10 2009





Kr-85 3044BX 3045BX 111 4400


Sincerely





Dear Mr Edwards






Sincerely






Dear Mr Edwards



1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBq






Carrier Agents No



DirectRoute


I






I I

I

i

I i i

I









To be prepaid


Agen or ea-r



~~nF06 _____________

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__________ LBS



800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~


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Carrier Agents No



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~~nF06 ____________ _

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August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

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1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





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-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

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article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet

of 9 Pages License Number GA 832-1 Amendment Number 41 Corrected Copy





6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

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NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










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44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

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( iii )



lt

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1

I I

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---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


August 10 2009






Sincerely




August 10 2009





Kr-85 3044BX 3045BX 111 4400


Sincerely





Dear Mr Edwards






Sincerely






Dear Mr Edwards



1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBq






Carrier Agents No



DirectRoute


I






I I

I

i

I i i

I









To be prepaid


Agen or ea-r



~~nF06 _____________

TOIaI Cnalllamp$







__________ LBS



800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~


rticlamp

CEfITlIlCATIOH



~yen==






Carrier Agents No



Route Direct










I

i

I i i

I



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~~nF06 ____________ _

TOIaI Cnalllamp$






I I


I


__________ LBS




rticlamp


ITl81AnalS a~ ~ ~ ~


~yen==


August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

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s

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lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

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44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J



Dear Mr Edwards






Sincerely






Dear Mr Edwards



1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBq






Carrier Agents No



DirectRoute


I






I I

I

i

I i i

I









To be prepaid


Agen or ea-r



~~nF06 _____________

TOIaI Cnalllamp$







__________ LBS



800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~


rticlamp

CEfITlIlCATIOH



~yen==






Carrier Agents No



Route Direct










I

i

I i i

I



To be prepaid


Agen or ea-r



~~nF06 ____________ _

TOIaI Cnalllamp$






I I


I


__________ LBS




rticlamp


ITl81AnalS a~ ~ ~ ~


~yen==


August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet

of 9 Pages License Number GA 832-1 Amendment Number Ai Corrected Copy

CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

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44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J

















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBq






Carrier Agents No



DirectRoute


I






I I

I

i

I i i

I









To be prepaid


Agen or ea-r



~~nF06 _____________

TOIaI Cnalllamp$







__________ LBS



800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~


rticlamp

CEfITlIlCATIOH



~yen==






Carrier Agents No



Route Direct










I

i

I i i

I



To be prepaid


Agen or ea-r



~~nF06 ____________ _

TOIaI Cnalllamp$






I I


I


__________ LBS




rticlamp


ITl81AnalS a~ ~ ~ ~


~yen==


August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J






Carrier Agents No



DirectRoute


I






I I

I

i

I i i

I









To be prepaid


Agen or ea-r



~~nF06 _____________

TOIaI Cnalllamp$







__________ LBS



800-424-9300 I ~~~-UII===~======~====~========~==~=========I~L~=_====~======================~======~J_~~ ~~~middot~I~~~


rticlamp

CEfITlIlCATIOH



~yen==






Carrier Agents No



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I

i

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rticlamp


ITl81AnalS a~ ~ ~ ~


~yen==


August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



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~~F~ _________ __




i

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1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

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article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet

of 9 Pages license Number GA 832~1 Amendment Number 41 Corrected Copy









Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










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44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


August 10 2009










August 10 2009






Kr-85 3044BX 3045BX 111 4400






Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J



Dear Mr Edwards







Sincerely






Dear Mr Edwards




1 2

Impact Impact

4400 4400

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J

















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBq

111 GBg

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J

______________________________ __________________________________ __

_________ __






Carrier Agents No



Direct Route







) Agent or ea-r




~~F~








i artdamp








Carrier Agents No



Route Direct








(Signature of C~r)



) Agent or ea-r





~~F~ _________ __




i

I wetght I



1 I I






i artdamp


CERilRCAl10W





Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J



Dear Mr Edwards






Sincerely






Dear Mr Edwards


Item Manufacturer

1 Impact 2 Impact


Isotope

Kr-85 Kr-85





Sincerely




















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J

















SIN Isotope

3044BX Kr-85

3045BX Kr-85

Activity

111 GBg

111 GBg







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J







Direct Route






[ Pe--__________________ _



To be prepaidi =


Agent or Casllier

I

s COD SHIPMENT



lolal Chargegt


I waight






I I I






article





7lf1~tf(f S--Af







Route Direct








i

[

I

I

Pe--__________________ _



To be prepaid =


s

Agent or Casllier



lolal Chargegt

~ bnr~ W8~


-----~----t-------------------------------------------------------~----4---------------+--------~i----~ ~i~~~~~mp~noJ

I of Transportalion













article

C~ft11F1CAnON



7lf1~tf(f S--Af































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J































Iron-55

B Krypton-85

Strontium-gO

D Promethlum-147

Ruthenium-106

F Americium-241

Curium-244

H Hydrogen-3

7

A

8

C

D

E

F

G

H




AT ANY ONE TIME










Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


Supplementary Sheet






6

J

K


Supplementary Sheet







Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


Supplementary Sheet


9 AUTHORIZED USE












Supplementary Sheet


9 AUTHORIZED USE



H and I

J

K










Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


Supplementary Sheet


CONDITIONS





20 mllhcunes

Promethlum-147







10


Supplementary Sheet

CONDITIONS








Krypton-8S

Promethlum-147

Krypton-iiigt

Promethium-141

Ruthenium-10S


400 mliflcunes

20 mllhcunes


1000 mHHcunes


mlillcuiEls

1000 millicuries

540 millicurles

30 milUcurie$





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________ ~ ________ Am_e_n_dm_e_n_t_N_O__O_l _______

16 A

B

c

o

E

F

G







(i)

(i i)

( iii )



lt

~ c ~


1

I I

i





---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J





C1 120212202 8eriamp$ 1203






108middotB)



Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO









5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet



C1 (cont)

C2






108middotB)


Isotope

StrontiummiddotgO

lronmiddot55



KryptonmiddotIlS

p

Promethiummiddot141


StrontiummiddotSO








5( milUcurtes

2500 millicuries

500 millicuries

540 mUiieuries

50 mUUeuries

1000 mUUcuries

1000 milliculies

miUicuries

1500 millie uries

200 millicuries



Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet















Supplementary Sheet










21


A





24


Supplementary Sheet













Supplementary Sheet













Supplementary Sheet











BY


Supplementary Sheet











BY






i_






Under This License


Authorized use


CONDITIONS












iI i i

~i

I ~ ---r---------------------- i~ i_








A Krypton 85

Authorized use


Under This License



CONDITIONS








]

t

L


NRC FORM 37404





~ (7middot004)

License Number

~ 44-30327-01


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

030-34208

~ ______________________________________~________Am_e_n_dm_e_n_t_N_O__O_l_______










~

c ~


) ~ J~- ct ~ J 1





t

L



44-30327-01 ~


~Doc~ke-t~~R~e~~~-n-ce~N~um~~--------------------

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AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J


Supplementary Sheet










Atlanta GA 30392



Atlanta GA 30354







Supplementary Sheet






$1300 $ 550


$2293 $2000



$3300 $1200


$2100 $ 0



Atlanta GA 30392



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Supplementary Sheet










21


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17

18

21

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(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








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21

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NOV 19 1996 ---------------------



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02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








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02 1M $ 02870 bull 0004237981 JUN09 2010








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02 1M $ 02870 bull 0004237981 JUN09 2010








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02 1M $ 02870 bull 0004237981 JUN09 2010








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17

18

21

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(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J

---------------------




AmendmentNo 01












17

18

21

Date



AmendmentNo 01



(







NOV 19 1996 ---------------------



II



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








J



02 1M $ 02870 bull 0004237981 JUN09 2010









02 1M $ 02870 bull 0004237981 JUN09 2010








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