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Page 1 of 2 - NRC FORM 7 f~"'><:"~v~ IIfO(l,· ••. O'!,. U. S. NUCLEAR REGULATORY COMMISSION APPROVED SY OMS: NO. 3150-0027 EXPIRES: (11/30/2015) (11-2012) Estimatedburdenperresponsetocomplywiththismandatorycollectionrequest:2.4 hours. This 10 CFR 110 ~ol submittal is reviewed 10 ensure that the applicable statutory, regulatory, and policy .."' •... considerationsare satisfied. Send comments regarding bundenestimate to the Information APPLICATION FOR NRC EXPORT OR IMPORT ServicesBranch(T-5 F53),U.S.NuclearRegulatoryCommission,Washington,DC20555-0001, LICENSE, AMENDMENT, RENEWAL, or by internet e-mail to [email protected], and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-l0202, (3150-0027),Office of Managementand OR CONSENT REQUEST(S) Budget,Washington,DC 20503.If a meansused to imposean infonmationcollectiondoes not display a currently valid OMB control number,the NRC may not conduct or sponsor, and a (See Instructions on Pages 4 and 5) personis notrequiredto respondto,theinfonmationcollection. I , 'k ITpU!3UC DATE: RECEIVIW PART A. f:OR N~C USE ONly OR o NON-PUBLIC a --/5-1L{ '" i·" a LICENSE NUMBER DOCKET NUMBER ADAMS ACCESSION NUMBER ''/roriiJ1-Sb,.,_ IIr!DfD 11 t. " .F;;; • PART B. TO BE COMPLETED f:OR ALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT REQUESTS (If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 1. NAME AND ADDRESS OF APPLICANT/LICENSEE 1a. NAME OF APPLICANT'S CONTACT 1b. APPLICANT'S REFERENCE NUMBER Steven Kann Technetics Group Columbia 1c. PHONE NUMBER 1d. FAX NUMBER 2791 The Boulivard (803) 695-3515 (803) 783-4279 Columbia, SC 29209 1e. E-MAIL ADDRESS [email protected] 2. TYPE OF ACTION REQUESTED (Check One) CONSENT REQUEST [{] EXPORT 0 IMPORT 0 AMENDMENT/RENEWAL D (Parts B, C) (Parts B, C, E) (Parts B, D, E) Current License Number: Current License Number: 3. CONTRACT NUMBER(S) 4. FIRST SHIPMENT DATE 5. LAST SHIPMENT DATE 6. PROPOSED EXPIRATION DATE TBD 4/1/2015 4/1/2020 4/1/2020 PART C. TO BE COMPLETED f:OR EXPORT LICENSES, AMENDMENTS, OR RENEWALS (If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATE AND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONSIGNEE(S) FOREIGN CONSIGNEE(S) China First Heavy Industries State Nuclear Power Demonstration Plant KREEN International Mansion Co. Ltd. Room 603, Building 1, Area A Nunghing Street (Former Wangjia Wucai City Dalian Development Zone Community), Rongchen County-level City 116600 Dalian, Peoples Republic of China Weihal City, Shandong Province, 264312, China Contact: Mr. Wu Wei Tel: 0086-411-87927901 Contact: Liu Yong Fax: 0086-411-87647171 Cel: 008618663187426 Email: [email protected] 7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED 8a. INTERMEDIATE USErS) 9a. ULTIMATE END USErS) RPV Fabrication! Install Team State Nuclear Power Demonstration Plant 10. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES, lOa. MAX TOTAL VOLUME / NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FOR 10b. MAX ENRICHMENT 1oc. MAX ISOTOPE NUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OF ELEMENT WGT (KG), OR ORWGT% WGT(KG) EQUIPMENT FOR EXPORT TOTAL ACTIVITY (TBq) Multiple RPV Seal Sets, Clips and Screws 11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME) NRC FORM 7 11-2012 ,~
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Page 1: a ''/roriiJ1-Sb,., IIr!DfD 11t. .F;;;

Page 1 of 2-NRC FORM 7 f~"'><:"~v~IIfO(l,· ••.O'!,. U. S. NUCLEAR REGULATORY COMMISSION APPROVED SY OMS: NO. 3150-0027 EXPIRES: (11/30/2015)(11-2012) Estimatedburdenper responseto complywith this mandatorycollectionrequest:2.4 hours. This10 CFR 110 • ~ol submittal is reviewed 10 ensure that the applicable statutory, regulatory, and policy.."' •... considerationsare satisfied. Send comments regarding bundenestimate to the Information

APPLICATION FOR NRC EXPORT OR IMPORT ServicesBranch(T-5 F53), U.S.NuclearRegulatoryCommission,Washington,DC20555-0001,

LICENSE, AMENDMENT, RENEWAL, or by internet e-mail to [email protected],and to the Desk Officer, Office ofInformationand RegulatoryAffairs, NEOB-l0202, (3150-0027),Office of Managementand

OR CONSENT REQUEST(S) Budget,Washington,DC 20503.If a meansused to imposean infonmationcollectiondoes notdisplay a currentlyvalid OMB control number,the NRC may not conductor sponsor, and a

(See Instructions on Pages 4 and 5) personis not requiredto respondto, the infonmationcollection. I,'k

ITpU!3UCDATE: RECEIVIW

PART A. f:OR N~C USE ONly OR o NON-PUBLIC a --/5-1L{'"

i·" a

LICENSE NUMBER DOCKET NUMBER ADAMS ACCESSION NUMBER

''/roriiJ1-Sb,.,_ IIr!DfD 11 t. ".F;;;

• PART B. TO BE COMPLETED f:OR ALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT REQUESTS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

1. NAME AND ADDRESS OF APPLICANT/LICENSEE 1a. NAME OF APPLICANT'S CONTACT 1b. APPLICANT'S REFERENCE NUMBER

Steven Kann

Technetics Group Columbia 1c. PHONE NUMBER 1d. FAX NUMBER

2791 The Boulivard (803) 695-3515 (803) 783-4279Columbia, SC 29209 1e. E-MAIL ADDRESS

[email protected]

2. TYPE OF ACTION REQUESTED (Check One) CONSENT REQUEST

[{] EXPORT 0 IMPORT 0 AMENDMENT/RENEWAL D (Parts B, C)

(Parts B, C, E) (Parts B, D, E) Current License Number: Current License Number:

3. CONTRACT NUMBER(S) 4. FIRST SHIPMENT DATE 5. LAST SHIPMENT DATE 6. PROPOSED EXPIRATION DATE

TBD 4/1/2015 4/1/2020 4/1/2020

PART C. TO BE COMPLETED f:OR EXPORT LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATEAND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONSIGNEE(S) FOREIGN CONSIGNEE(S)

China First Heavy Industries State Nuclear Power Demonstration Plant

KREEN International Mansion Co. Ltd.

Room 603, Building 1, Area A Nunghing Street (Former Wangjia

Wucai City Dalian Development Zone Community), Rongchen County-level City

116600 Dalian, Peoples Republic of China Weihal City, Shandong Province,

264312, China

Contact: Mr. Wu Wei

Tel: 0086-411-87927901 Contact: Liu Yong

Fax: 0086-411-87647171 Cel: 008618663187426Email: [email protected]

7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED 8a. INTERMEDIATE USErS) 9a. ULTIMATE END USErS)

RPV Fabrication! Install Team State Nuclear Power Demonstration Plant

10. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES, lOa. MAX TOTAL VOLUME /NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FOR 10b. MAX ENRICHMENT 1oc. MAX ISOTOPENUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OF

ELEMENT WGT (KG), ORORWGT% WGT(KG)

EQUIPMENT FOR EXPORTTOTAL ACTIVITY (TBq)

Multiple RPV Seal Sets, Clips and Screws

11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)

NRC FORM 7 11-2012 ,~

Page 2: a ''/roriiJ1-Sb,., IIr!DfD 11t. .F;;;

NRC FORM 7 U. S. NUCLEAR REGULATORY COMMISSION(11·2012)10 CFR 110

APPLICA TION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL, OR CONSENT REQUEST(S) (Continued)

LICENSE NUMBER DOCKET NUMBER ADAMS ACCESSION NUMBER

~BLlC'ilom (2, Bi I {OO(;fTL-OR D NON-PUBLIC

PART D. TO BE COMPLETED FOR IMPORT LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

12. NAME(S) / ADDRESS(ES) OF FOREIGN13. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 14. NAME(S) / ADDRESS(ES) OF ULTIMATE U. S.SUPPLIERS AND/OR OTHER PARTIES

TO IMPORT CONSIGNEE(S) CONSIGNEE(S)

12a. NRC EXPORT LICENSE NUMBER(S) 13a. LICENSE NUMBER(S) / EXPIRATION DATE(S) 14a. LICENSE NUMBER(S) / EXPIRATION DATE(S)(if applicable)

13b. INTERMEDIATE USE(S) 14b. ULTIMATE END USE(S)

15. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES,15a. MAX TOTAL VOLUME /

15b. MAX ENRICHMENT 15c. MAX ISOTOPEELEMENT WGT (KG), ORNUCLEAR FACILITIESTOTAL ACTIVITY (TBq)

ORWGT% WGT(KG)

16. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)

PART E. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR CONSENT REQUEST(S)

17. ADDITIONAL INFORMATIONDYES DNO 17a. COPIES OF RECIPIENTS' DYES DNOPROVIDED ON PAGES 3, 4,

AUTHORIZATIONS PROVIDED?AND/OR ON SEPARATE SHEETS?

18. CERTIFICATION:I, the applicant's authorized official, hereby certify that this application is prepared in conformitywith Title10, Code of Federal Regulations, and that all information provided is correct to the bestof my knowledge.

18a. PRINT NAME AND TITLE OF AUTHORIZED OFFICIAL 18b. SIGNATURE - AUTHORIZED OFFICIAL 18c. DATE

$~f~l/e.-n /(a t'l r>~~~ '1/ /1/11!1pp/iC.c..h'M"S End)"f)e-e..- f;:::::"""~ .r-~

Page 2 of

NRC FORM 7 (11-2012)