September 3,2009 Colleen Murnahan Licensing Assistant Nuclear Materials Licensing Branch United States Nuclear Regulatory Commission, Region IV 612 East Lamar Blvd, Suite 400 Arlington, Texas 76011-4125 Ph: (817)-860-8103 Subject: Amendments to previously submitted application concerning; Change in RSO, Change in Company Name, Change in Company Ownership - License Number: 11-29224-01. Mail control number 472388 Dear Ms. Murnahan, I previously submitted an application to amend the license number 11-29224-01. In that request was a change in the RSO for the above mentioned license. That change is still in effect. There was a request for a company name change from Project Engineering Consultants, Ltd. to Transportation Municipal Civil Engineering, Inc. At this time we request that you disregard the application to change the Company Name. There was a request for a change of ownership from Project Engineering Consultants, Ltd. to Transportation Municipal Civil Engineering, Inc. At this time we request that you disregard the application to change Company Ownership. Thank you Andrew Kimmel, EITIRSO Radiation Safety Officer Project Engineering Consultants, Ltd. Transportation • Traffic· Roadway • Structural • Geotechnical· Surveying • Water & Sewer • GIS 3818 E. Newby Street, Ste.l01 Nampa, Idaho 83687 (208) 466-7190 Fax (208) 466-7168 .172388
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Amendments to Previously Submitted Application Concerning ... · Nampa, Idaho 83687 . c. RENEWAL OF LICENSE NUMBER . 3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED .
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September 3,2009
Colleen Murnahan Licensing Assistant Nuclear Materials Licensing Branch United States Nuclear Regulatory Commission, Region IV 612 East Lamar Blvd, Suite 400 Arlington, Texas 76011-4125 Ph: (817)-860-8103
Subject: Amendments to previously submitted application concerning; Change in RSO, Change in Company Name, Change in Company Ownership - License Number: 11-29224-01. Mail control number 472388
Dear Ms. Murnahan,
I previously submitted an application to amend the license number 11-29224-01. In that request was a change in the RSO for the above mentioned license. That change is still in effect.
There was a request for a company name change from Project Engineering Consultants, Ltd. to Transportation Municipal Civil Engineering, Inc. At this time we request that you disregard the application to change the Company Name.
There was a request for a change ofownership from Project Engineering Consultants, Ltd. to Transportation Municipal Civil Engineering, Inc. At this time we request that you disregard the application to change Company Ownership.
Colleen Murnahan Licensing Assistant Nuclear Materials Licensing Branch United States Nuclear Regulatory Commission, Region N 612 East Lamar Blvd, Suite 400 Arlington, Texas 76011-4125 Ph: (817)-860-8103
Subject: Change in RSO, Change in Company Name, Change in Company Ownership - License Number: 11-29224-01
Dear Ms. Murnahan,
The previous RSO was Jeremy Robbins. The NEW RSO (Radiation Safety Officer) is Andrew Kimmel.
Currently the company name is Project Engineering Consultants, Ltd. The NEW Company name will be Transportation Municipal Civil Engineering, Inc. The name change will be in effect as of October 1, 2009.
The owners ofTransportation Municipal Civil Engineering, Inc.(TMCE) will be Roger Sorenson and Stephen Lewis. Roger and Stephen were owners in Project Engineering Consultants, Ltd. (PEC). PEC has elected to split off their Idaho operations into a separate corporation. The ownership ofthe Nuclear Gauge has always been with Roger and Stephen and was part of the normal operation of their Idaho office. Due to this, the ownership is not changing hands from those who originally purchased the Nuclear Gauge.
Colleen Murnahan Licensing Assistant Nuclear Materials Licensing Branch United States Nuclear Regulatory Commission, Region IV 612 East Lamar Blvd, Suite 400 Arlington, Texas 76011-4125
Re: Licensee Project Engineering Consultants, LTD
Dear Ms. Murnahan,
I am writing this letter to verify that Andrew Kimmel, EIT is our resident safety officer (RSO). He has full authority to make binding commitments and sign official documents on behalf of Project Engineering Consultants, Ltd.
Please contact me with any additional questions you may have.
NRC FORM 313 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0120 EXPIRES: 3/31/2012 (3-2009)
Estimated burden per response to comply with this mandatory collection request: 4.310 CFR 30, 32. 33, 34,35, 36, 39, and 40 hours. Submittal of the application is necessary to determine that the applicant is
qualified and that adequate procedures exist to protect the pUblic health and safety. Send comments reJarding burden estimate to the Records and FOIAIPrivacy Services Branch (T-5 F53), .5. Nuclear Regulatory Commission, Washin~on, DC 20555-0001,
APPLICATION FOR MATERIALS LICENSE or by internet e-mail to infocollects.resource\'Bnrc.gov, and to the esk Officer, Office of Information and Regulatory Affairs, NEOB·1 202, (3150-0120), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
INSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GUIDE FOR DETAILED INSTRlCTIONS FOR COMPLETING APPLICATION. SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIE[ BELOW.
APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH: IF YOU ARE LOCATED IN:
OFFICE OF FEDERAL & STATE MATERIALS AND ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEIO
ENVIRONMENTAL MANAGEMENT PROGRAMS APPLICATIONS TO:
DIVISION OF MATERIALS SAFETY AND STATE AGREEMENTS U.S. NUCLEAR REGULATORY COMMISSiON WASHINGTON, DC 20555·0001
MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION III
ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS: 2443 WARRENVILLE ROAD, SUITE 210 LISLE, IL 60532-4352
IF YOU ARE LOCATED IN:
ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA, UTAH, WASHINGTON, OR WYOMING, SEND APPLICATIONS TO: SEND APPLICATIONS TO:
LICENSING ASSISTANCE TEAM NUCLEAR MATERIALS LICENSING BRANCH DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGULATORY COMMISSION, REGION IV U.S. NUCLEAR REGULATORY COMMISSION, REGION I 612 E. LAMAR BOULEVARD, SUITE 400 475 ALLENDALE ROAD ARLINGTON, TX 76011-4125 KING OF PRUSSIA, PA 19406-1415
PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S.NUCLEAR REGULATORY COMMISSION JURISDICTIONS.
1. THIS IS AN APPLICATION FOR (Check eppropriete it8m) 2. NAME AND MAILING ADDRESS OF APPLICANT (Include ZIP code)
D A. NEW LICENSE Project Engineering Consultants, Ltd.
[lJ B. AMENDMENT TO LICENSE NUMBER 11-29224-01 3818 East Newby Street, Suite 101
D Nampa, Idaho 83687
c. RENEWAL OF LICENSE NUMBER
3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED 4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION
Project Engineering Consultants, Ltd. Andrew Kimmel
3818 East Newby Street, Suite 101 Nampa, Idaho 83687
TELEPHONE NUMBER
(208) 466-7190
SUBMIT ITEMS 5 THROUGH 11 ON 8-112 X 11' PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE.
5. RADIOACTIVE MATERIAL a. Element and mass number; b. chemical andlor physical form; and c. maiximum amount 6. PURPOSE(S) FOR WHICH LICENSED MATERIAL WILL BE USED.
which will be pOssessed at anyone time.
7. INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR 8. TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS. TRAINING EXPERIENCE.
9. FACILITIES AND EQUIPMENT. 10. RADIATION SAFETY PROGRAM.
N/A ) AMOUNT $ 0.00FEE CATEGORY ENCLOSED 13. CERTIFICATION. (Must be completed by applicant) THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLICATION ARE BINDING UPON THE APPLICANT.
THE APPLICANT AND ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT, NAMED IN ITEM 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY WITH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34, 35, 36, 39, AND 40, AND THAT ALL INFORMATION CONTANED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND BELIEF.
WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 194862 STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.
CERTIFYING OFFICER -- ~D/PRINTED NAME AND TITLE SlilU:1:' V___ ~ /I' IDATE
Af\A rp..l ..... ) ,;V'Y\VV\~:.J - R. ~ J. A A ~-ll- oct FOR NRC USE ONLY
TYPE OF FEE IFEELOG IFEE CATEGORY I;MOUNT RECEIVED CHECK NUMBER COMMENTS
MeAPPROVED BY DATE 11. 7 2 3 8 8
NRC FORM 313 (3·2009) PRINTED ON RECYCLED PAPER
Application for Material License
Items 5 through 11
5.
Element and Mass Chemical and/or Maximum amount that Number Physical form will be possessed at one
time Cesium-137 Seal Source - Troxler No single source to
Dwg.l02ll2 exceed 9 mCi Americium-241 Seal Source - Troxler No single source to
Dwg.l0245l exceed 44 mCi
6. Purpose(s) for which licensed material will be used:
To be used in Troxler model 3400 series gauges for measurements of physical properties ofmaterials.
7. RSO: Andrew Kimmel; Training: RSO Training - August 14th, 2009 in Idaho Falls,
Idaho.
8. The following individuals have completed Nuclear Gauge Safety Training Class & HAZMAT Certification
Andrew Kimmel- August 14th, 2009
Kevin Kuther - January 18th, 2008
9. No Response Required
10. Section 8.10.3 - Instruments
We will maintain a survey meter for use in the event of an incident involving the gauge. The survey meter will be calibrated annually by the manufacturer and checked for functionality before use (e.g., with the gauge sources or a check source).
Manufacturer: Troxler Electronic Laboratories, Inc. Model: TroxAlert Type: G-M Survey Meter Radiation Detected: alpha, beta. gamma. and x-ray Sensitivity Range: 0-100 mremlhr Window Thickness: 1.4 mglcm2
Troxler Radiation Monitoring Services 3008 Cornwallis Rd Research Triangle Park, NC 27709
Section 8.10.4 - Material Receipt and Accountability
Physical inventories will be conducted at intervals not to exceed 6 months, to account for all sealed sources and devices received and possessed under the license."
Section 8.10.5 - Occupational Dosimetry
All personnel will wear a personnel monitoring device, such as a TLD badge to measure radiation exposure when using or transporting gauges. The badges shall be exchange at intervals not to exceed 3 months. Dosimetry badges shall be provided by a vendor accredited by the National Voluntary Laboratory Accreditation Program (LVLAP), such as Troxler Electronic Laboratories, Inc.
Troxler Radiation Monitoring Services 3008 Cornwallis Rd Research Triangle Park, NC 27709
Section 8.10.7 - Operating and Emergency Procedures
We will implement and maintain the operating and emergency procedures in Appendix H ofNUREG-1556, Vol. 1, Rev. 1, 'Consolidated Guidance about Materials Licenses: Program-Specific Guidance about Portable Gauge Licenses,' dated November 200 I, and provide copies of these procedures to all gauge users and at each job site.
Section 8.10.8 - Leak Tests
Leak tests will be performed at intervals not to exceed 6 months or other interval specified in the license using an approved kit, such as Troxler Leak Test Kit 3880, in accordance with the kit supplier's instructions. Leak test samples will be analyzed by an organization authorized by the NRC or Agreement State to provide leak test services, such as Troxler Electronic Laboratories, Inc. (North Carolina license no. 031-0182-1).
Section 8.10.9 - Maintenance
Routine cleaning and lubrication: We will implement and maintain procedures for routine maintenance ofour gauges according to each manufacturer's recommendations and instructions.
Non-routine maintenance or repair operations that require detaching the source or source rod from the gauge: We will send the gauge to the manufacturer or other person authorized by NRC or an Agreement State to perform non-routine maintenance or repair operations that require detaching the source or source rod from the gauge.
- ,
Information Required for Change of Control and/or Change of Ownership (to include a name change)
Source: NUREG-1556, Volume 15
Please provide the following information concerning changes of control (transferor and/or transferee, as appropriate). If any items are not applicable, so state.
1. Provide a complete description of the transaction (Le., transfer of stocks or assets, or merger). Indicate whether the name has changed and include the new name. Include the name and telephone number of a licensee contact who NRC may contact if more information is needed.
A. -Description of the transaction: .,.('o"'S~( of S-TOcJcs l qs~·h, "..d PiO~~M'f'
B. [ ] No name change
'Vi New name of licensed organization:T<p\\\'c MU....Cipa! C'\h'\ E'"o~I'o-e-eo'a~1 lac.
C. [ ] No change in contact
[j4 New contact: -.8ndeew ~ ,'fNI. vw.. \'-- _
yt New telephone number: -=Qo~e:.-·..:.tfl.J;(prLl'L-=_7..&..ll-q.l.:Q"'__ _
2. Describe any changes in personnel or duties that relate to the licensed program. Include training and experience for new personnel.
A. l>4. No changes in personnel having control over licensed activities.
[ ] Changes is personnel having control over licensed activities (e.g. officers of a corporation):
B. [ ] No changes in personnel named in the license.
'J)(i Changes in personnel named in the license (e.g. RSO, AUs) - include training, ~xperience and responsibilities: I
RSO G\-'o~ - Ne..w RSO - A"(\drew 1J\,'V'I\tW; l"f(l\VI~~ C (l rh~\'cC&+~ I'~ a 1-+a ckt-d
3. Describe, in detail, any changes in the organization, location, facilities, equipment or procedures that relate to the licensed program.
4. Describe the status of the surveillance progam (i.e., surveys, wipe tests, quality control) at the present time and the expected status at the time that control is to be transferred.
A. Description of the status of all surveillance program: \>r()~('QlM wi\\ cot\\\~< CAS {~~(l.l·r-ed. M\ tc~+"V\~ls'.•"Ne'{~1 Cl.Y\d ~uo"~\'cc>ttOV'~ will be l<('~ cUfC'e\/'\-t-.
B. Surveillance Items & Records: calibrations, leak tests, surveys, inventories, and accountability requirements will be current at the time of transfer
t>4. Yes ( ] No (explain)
5. Confirm that all records concerning the safe and effective decommissioning of the facility . will be transferred to the transferee or to NRC, as appropriate. These records include
documentation of surveys of ambient radiation levels and fixed and/or removable contamination, including methods and sensitivity.
Records transferred to: [ ] New licensee [ ] NRC for license termination ylNot applicable
6. Confirm that the transferee will abide by all constraints, conditions, requirements and commitments of the transferor or that the transferee will submit a complete description of the proposed licensed program.
_____~--:----~-------will abide by all constraints, conditions, (transferee company)
requirements and commitments of ~_~_-~_------(transferor company)
SignaturefTItle Transferee Official
SignaturefTitie Transferor Official
date date
OR
[ ] Description of proposed licensed program from transferee attached (with signature)
Type of Action: Amend Date of Requested Action: 9-03-09
Reviewer ARM reviewer(s): Torres Assigned:
Response Deficiencies Noted During Acceptance Review
[ ] Open ended possession limits. Submit inventory. Limit possession. [ ] Submit copies of latest leak test results. [ ] Add IC L.C.lFingerprint LC, add SUNSI markings to license. [ ] Confirm with licensee if they have NARM material. [ ] Change of contact information (RSO), send request to update IC database.
Reviewer's Initials: Date:
DYes DNo Request for unrestricted release Group 2 or >. Consult with Bravo Branch.
DYes DNo Termination request < 90 days from date of expiration
DYes DNo Expedite (medical emergency, no RSO, location of use/storage not on license, RAM in possession not on license, other)
DYes DNo TAR needed to complete action.
Branch Chiefs and/or HP's Initials: Date:
./ SUNSI Screening according to RIS 2005-31
DYes ~ Sensitive and Non-Publicly Available if any item below is checked General guidance:
__RAM = or> than Category 3 (Table 1, RIS 2005-31), use Unity Rule __Exact location of RAM [suite #, bldg. #, location different from mailing address] (whether = or > than Category 3 or not) __Design of structure and/or equipment (site specific) __Information on nearby facilities __Detailed design drawings and/or performance information __Emergency planning and/or fire protection systems
Specific guidance for medical, industrial and academic (above Category 3): __RAM quantities and inventory __Manufacturer's name and model number of sealed sources & devices __Site drawings with exact location of RAM, description of facility __RAM security program information (locks, alarms, etc.) __Emergency Plan specifics (routes to/from RAM, response to security events) __Vulnerability/security assessment/accident-safety analysis/risk assess __Mailing lists related to security response
Branch Chiefs and/or HP's Initials: ATZ---noate:
SEP - 4
9 '-{)9 -(J9 This Is to acknowledge the receipt of your leiter/application dated DATE
9-CJ 3 .. Q1 , and to Infonn you that the initial processing, which includes an administrative review, has been perfonned.
There were no administrative omissions. Your application will be assigned to a technical reviewer. Please note that the technical review may identify other omissions or require additional infonnation.
D Please provide to this office within 30 days of your receipt of this card:
The action you requested i8 nonnally processed within fi) days.
D A copy of your action has been forwarded to our License Fee &Accounts Receivable Branch, who will contact you separately if there is a fee issue involved.
Your action has been assianed Mall Control Number zt 7,13 8"8' When calling to Inquire about this action, please refer to this mail control number. You may call me at 817-860-8103.
Sincerely,
~1 ~/ ~ u--LLu...-t-.l... /7 .~i£..'i-:t(~4t{.../
NRC FORM 532 (RIV) (10-2008)
Licensing Assistant
----
(FOR LFMS USE)INFORMATION FROM LTS
BETWEEN:
License Fee Management Branch, ARM Program Code: 03121 and Status Code: 0
Regional Licensing Sections Fee Category: 3P Exp. Date: 20160228 Fee Comments: Decom Fin Assur Reqd: N
Colleen Murnahan Licensing Assistant Nuclear Materials Licensing Branch US Nuclear Regulatory Commission Region IV 612 East Lamar Blvd, Suite 400 Arlington, TX 76011·4125
NJ /17238
I , 111; ; n lnn1;1 I U ~ It; 'itl '1 I I'---'
Colleen Murnahan Licensing Assistant
Nuclear Materials Licensing Branch US Nuclear Regulatory Commission Region IV
612 East Lamar Blvd, Suite 400 Arlington, TX 76011.4125