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oFORM NRC-313 I U.S NUCLEAR REGULATORY COMMISSION 1. APP' ICATlON FOH:(380) (Check end/or comparte as approsuintet*

)|O' " ^)|( /*Yf10 C F R 30 ,

APPLICATION FOR BYPRODUCT MATERIAL LICENSEa. NEW LICE NSEINDUSTRIAL X

See attached unstructions 'or details. b. AMENDMENT TOLIC E NSCNUUI

Completed applicarrons are folat on clunhcare wth the Daision of Fuel Cycle anri Materrat Safety. Ot hOffree of Nuclear Atateria! Satery, anct Safegua ds. U S. Nuclear Regulatory Commossion, c' 97 Ng W,L 97_,

Washington. DC 20555 or appircations may be fant on person at the Comnnssion's offace at 3 gyyn1717 H Street NW, shshington. D. C. or 1915 Eastern Asmue. Sdser Sirring. Marylanet.

2. APPLICANT'S NAME (inst <tution, firm. person. etc.) 3. NAME AND TITLE OF PERSON TO BE CONTACTED*

REGARDING THIS APPLICATIONGeorge C. Schwaderer, Inc. George C. Schwaderer, President

TELEPHONE NUM8ER: ARE A CODE - NUM8E R E MTENSION TE LE PHONE NUMSE R ARE A CODE - NUMBf R E X T ENSloN

(907) 338-2062 (907) 338-206'a APPLIC AN f*S M AILING ADDRESS (Inc Aude l,p Code / 5. STREET ADDRESSWHERE LICENSED MATERIAL blLL UE USED

(Address to avhoch NRC correspondence, notices, butterms, etc., sinclude Zip Code)should be sent.) a, }{Ome of fice primary storage same as 4.

2900 Boniface Parksay, Suite 200 b. Use will be at temporary job sitesAnchorage, Alaska 99508 within the State of Alaska.

(IF MORE SPACE IS NEEDEO FOR ANY ITEM USE ADDITIONAL PROPERLY KEYED PAGES.)

| 6. INDIVIDUAL (S) WHO WILL USE OR DIRECTLY SUPERVISE THE USE OF LICENSED MATERIAL(See items 16 and 1/ for requoted trarnong and espertence of each ondernfuel nemed below)

FULL NAME Ti1LE

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Frederick J. Schwaderer Grade Inspector3.

b, James S. Robar Grade Inspector

c.

1. RADIATION PROTECTION OFFICER I A ttach a resume of person's trarnone and enpearern e as outioned on trems| 16 and 11 and describe has responschoIst as urufer item 15lFrederick J. Schwaderer i

8. LICENSED MATERIALL ELEMENT CH EMIC AL NAME OF MANUF ACTU5'E R ddTdMUffNUMBE N'DF

~

i AND AND/OR AND MILLICURIES AND/OR SE ALEDN MASS NUMBER PHYSICAL FORM MODE L NUMBER SOURCES AND MAXIMUM ACTI-E (// $cawf Soural VITY PER SOURCE WHICH WILL

DE POSSESSED AT ANY ONE TIME

NO. A B C D_

til, Cesium 137 Scaled Source Troxler 3411 B one Source 8 mC1.

In Americium 241 Sealed Source Troxler 3411 B One Source 40 mci

(3)

(4)

DESCRIBE USE OF LICENSED MATERI ALE

Hi The sealed sources will be contained in one Troxly1.11entunk_Laboratuties

Model 3411 B Moisture / Density guage to be used for measuring, moisture and(2)

(3) surface density of construction materials. &cny4 _

V1 ML? .7,61/Vfar_ Ru NRc sn 8507170167 850520 O rm Ph. I inp6idREG 5 LIC30 ~

50-23378-01 PDR

_ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ l.3nj;9. STOJAGE OF SE ALED SOURCES * ' i' I ? . ; l-.

I CONTAINER AND/OR DEVtdE IN WHICH E ACH SE ALED NAME OF MANUF ACTURER MODEL NUMBER,N SOURCE WILL BE STORED OR USED.

NO. A. 8. C.

(t) Portable Moisture / Density Guage Troxler Electronic Laborato ries 3411-11

(2)

(3)

(4)

10. RADIATION DETECTlON INSTRUMENTSTirPE M ANUF ACTUR E R S MODEL NUMBER RADIATION EE N51TIVIT Y

( OF NAME NUMBER AVAILABLE DETECTED RANGEN INSTRUMENT (*!phe. beta. Imatrroen teen s, hour

fn, gamma. neutron) or countsiminute)A B C D E F

I" N/A

(2)___

(3)

(4)

11. CALIBR ATION OF INSTRUMENTS LISTED IN ITEM 10C a. CAtlBH ATED DY SERVICE COMPANY Ob. CAllBR ATED BY APPLIC ANT

NAME, AJDRE$5. AND FptOutNCY Attach a separate sheet descorbing method, frequencv and itsmierdsused for canbratroe onstrumonts

N/A N/A

12. PERSONNEL MONITORING DEVICESf5E &WPIIE R EXCHANGE FREQUENCYe (Check and or compete as appropr'are 1 (Servite Company)

AD_

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Qill FILM BADGE United Staten Testing Company, Inc. O MONT"i Y2800 George Washington Way

0:2i THE RMotuMiNt sct NCE Richland Washington 99352 O QUARTIHLYDOSIMETlH (TLD)

O san OTHE R tsp,ca,1: Telephone (509) 946-5157 O OrHE H rso,otri

__

13. F ACILITIES AND EQUIPME NT (Ched were appropriate arut attach annotateel thetthies) arwt description (s).Oa L A BOR ATOH Y F ACILITIE S, PL .df F ACILI Tit S. F UME HOODS (Include Intration. d any), E TCQh Sf 0H AGE F ACILifif S. CON T AINE RS, SPI CI AL SHIE LDING Itand and/or temporarp t, E TC See At f MhNutO c. RE MO TE H ANDLING TOOLS OR E QUIPMENT, E TC.

O et HFSPlH A TORY PHO TFCTIVi! EOUiPMt NT. I TC

14. WASTE OlSPOSALe NAME OF COMVE RCIAL WASTE DlWOSAL St HVICE EMPLOYEDe

b 4F COMvEHCIAL WASTE DISPOSAL S(HVICE IS NOT E MPLOYED,5UHMit A Of TAILi D Of SCHIPflON OF Mt THODS WHICH WILLHE USED FOR OtSPOSING OF HADICACTIV) WASif S AND f SilMATl5 Or THE TYPr AND AMOUNT OF ACTIVITY INVOLVID IfTHE APPLICATION IS f OR St ALE D SOUNCl$ AND DEVICI $ AND THE Y WILL DL HITUHNF O TO THE MANUf ACTUHf H.GO STATI-

Scaled sources will be returned to the manufacturer for disposal.

FOHM NHC-313 6 f 3 801o

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,INFORMAT;ON REQUIRED FOR ITEMS 15,16 AND 17

Desce om in detail the information required for items 15, IG and 17. Begin each item on aseparate page and key to the application as follows:

15. RADIATION PROTECTION PROGRAM. Describe the radiation protection program as appropr6 ate forthe material to be used including the duties and responsibilities of the Radiation Protection Officer,

,

control measures, bioassay procedures (if need=fl, day today general safety instruction to be followed,etc. If the application is for sealat source's also submit leak testing procexiures, or if leak testing will beperformed using a leak test kit, specify manufacturer and model number of the leak test kit.

,

10. FORMAL TRAINING IN RADIATION SAFETY. Attach a resume for each individual named initems 6 and 7. Describe individual's formal training in the following areas where applicable. locludethe name of person or institution providing the training, duration of training, when traimng wasreceived, etc.

a. Principles and practices of radiation protection,

b. Rathoactivity measurement standardisation and monitoringtechn# ques and instruments.

c. Mathematics and calculations basic to the use and measurement ofradioactivity,

d. Biolgcal ef f etts of radiation.

17. EXPERIENCE. Attach a resume for each individual named in items 6 and 7. Describe individual'swork emperience with radiation, including where experience was obtainad. Work esperience or on-therb training should be commensurate with the proposed use, include list of tedioisotopes andma ximum activity of each used.

18. CERTIFICATE(This stem must be completed by apphtent)

The apphtant and any articial esecuting this corritocate on behott of the apphcent named in Item 2,certh that this opphcatoon is preparent in conformity with Tot!* 10. Code of federal Maev4tions,Part 30, and that all nnformation contooned hereon, inclusione any suppkments attached hereto, la trueand corrett to the best of our knookhe and behet.

WAftNING.-10 U.Sc., Serteen 1001; Act of June 25,19at. 62 Stat. 749; mance 6t e crimmel offense to malie a weHfuny foise statement orrepresentaten to any desertment or egency of the Unsted States se to any matter with6n its jurisdiction,

s. LILENGE FEE ftEOtJtHED b. r TirylNG OF l AL IS natur(See Section 11029,10 CFR 9101 A

- . ,L~_ utterLbtA~.NAMEfin sa prmel

$110.00 Georgo C. Schwnderer

(Il LICENSE FEE CATEGORY: ) ,

.. om(2) LICENSE FEt [NCLOSED: $ $110.00 l'ebruary 23, 1984

P R4t NRc 313 1 rJ 80)

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Form NRC-313 I- Attachment 1 of 4

Application for BYPRODUCT MATERIAL LICENSE - INDUSTRIAL

GEORGE C. SCHWADERER, INC.

Item 13 FACILITIES AND EQUIPMENT

b. STORAGE FACILITIES, CONTAINERS, SPECIAL SHIELDING

The guage will normally be stored in a lockedwooden cabinet in the equipment storage room ofthe headquarters office at 2900 Boniface Parkwayin Anchorage, Alaska. This office building is atwo story concrete block structure 55 feet by 100feet in dimension. Suite 200, the firm's office,occupies the south half of the second floor. Ithas a separate rear entrance and a front entranceto a central hall and stairway. Exterior doorsand the interior door to the central hallway areheavy duty steel or glass and steel with dead boltlocks. The building has an electronic securityand alarm system. Security for Suite 200 includesdoor switches at both entrances and an interiormotion detector,

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Form NRC-313 I Attachment 2 of 4

Application for BYPRODUCT MATERIAL LICENSE - INDUSTRIAL

GEORGE C. SCHWADERER, INC.

Item 15 RADIATION PROTECTION PROGRAM

A. SAFETY PROCEDURES

1. Do not operate or attempt to operate the guageunless you have been authorized to do so.

2. Do not attempt to repair, modify or open thescaled sources under any circumstance.

3. Wear a film badge at all times while operating ortransporting the guage.

4 Follow operating arocedures, when using the guage,in accordance with the Troxler instruction manual,the radiation control regulations and this safetyprogram.

5. Keep unauthorized persons away from the guage.

6. Do not leave the guage unattended when in use oroutside of the storage enclosure or locked vehicle.

7. Keep the guage in the " SAFE" or storage positionwhen not in use.

8. Be sure that the guage is locked within an authorizedenclosure when it is not in use. Security againstthe theft of a radioisotope is of utmost importanceand must not be neglected. The storage enclosuremust be labeled with a radiation warning signbearing the symbol as described in 10 CFR 20.203and the words " CAUTION RADIOACTIVE MATERIALS".

9. The guage may be only transported by authorizedgersonnel in approved vehicles. The guage may notse transported on the front or rear seats of anyvehicle. When carried in a suburban or station-wagon, the unit must be placed in the rear-mostarea of the vehicle. If a pickup truck is used,the guage must be locked in its shipping case andthe case secured within the locked canopy or toolbox bolted to the truck bed in order to preventloss or theft.

c _ _. _ _ - ___-__ - _-_.

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Radiation' Protection ProgramPage 2,

| (A. Continued)

: 10. If necessary to transport by common carrier, theguage will be locked in its shipping case forshipment ba Saipper'y cargo-only aircraft and will includes Certification for Radioactive Materials.

; In the event of emergency involving damage or loss; the USNRC Regional Office listed in B.l.d. will be

notified at the earliest opportunity.

B. EMERGENCY PROCEDURES|

| 1. Accidents!'

a. In the event of possible damage to the sourceor source control mechanism, the operator will

! keep unauthorized persons at least ten feet| from the gauge and prevent removal from the

site until authorized by the RadiationProtection Officer or appropriate authority,

b. If there is any possibility that the sourcecapsule might be ruptured, the location mustbe covered by a tar) or sheet of plasticmaterial held down ay weights to preventscattering of radioactive material by theelements.

c. The operator must then immediately notify the| Radiation Protection Officer of the incident

and give an appraisal of the probable con-dition of the source.

d. The Radiation Protection Officer will thenimmediately notify the Nuclear RegulatoryCommission at the following location.

Region V, U. S. Nuclear Regulatory CommissionOffice of Inspection and Enforcement1990 N. California Blvd., Suite 202Walnut Creek, California 94596

Daytime,. night or holiday phone: (415) 932-8300

NRC will provide instructions and assistancein accordance with the circumstances of the'incident.

.

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__----_______:..-_--_-..__.----____-----__.--.-_.-.----____------_--.._-------_..___-__._----- . . _ _ . - - _ _ _ _ _ _ _ _ - - - - _ _ _ - . . - - - _ _ . - _ . . _ _ . . _ _ _ . - . _ . . _ _ _ _ . - - _ . _ _ _

. - _ _ - _ - _ - _ _ _ _ _ _ _ _ - _ _ _ _ . _ _ _ _ _ _ - -_ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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Radiation Protection ProgramPage 3 ' -

(B. Continued)

2. Source Stolen or Lost

a. The operator must immediately notify localpolice or other law enforcement agency withinwhose jurisdiction the incident occurred.

b. The operator must also notify his RadiationProtection Officer who will notify theNuclear Regulatory Commission office.

?

C. DUTIES OF THE RADIATION PROTECTION OFFICER

1. Assure compliance with all pertinent parts of theNucicar Regulatory Commission regulations.

2. Assure compliance with the conditions in theRadioactive Materials license and amendments anditems in this safety program.

3. Perform the guage leak tests at the intervalsrequired by the Radioactive Materials License.The wipe sample will be collected using a TroxlerModel 3880 leak test kit. The leak test measure-ment on the wipe sample will be performed byTroxler Electronic Laboratories, Inc., P.O. Box 12057,Research Triangle Park, North Carolina 27709.

4. Maintain the following items in a radiation fileand keep available for inspection by the NuclearRegulatory Commission, if requested.

(a) Current Radioactive Materials License.

(b) Copies of the license application, attachmentsand all pertinent correspondence referred toin the conditions of the license and amendments.

(c) Guage Source Certificate issued with theguage by the manufacturer.

(d) Film badge reports.

(e) Leak test reports.

(f) Records concerning disposal, inventory anduscage of nources.

(g) Copies of this safety program.

(h) A current copy of the Nucicar RegulatoryCommission regulations.-

t _ _ _ _ . _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ _ _ _ . . _ _ _ _ _

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Form NRC-313 I Attachment 3 of 4

Application for BYPRODUCT MATERIAL LICENSE - INDUSTRIAL

GEORGE C. SCHWADERER, INC.

Item 16 FORMAL TRAINING IN RADIATION SAFETY

James Robar and Frederick Schwaderer listed underItem 6 have successfully completed a comprehensivetwo-day training course conducted by TroxlerElectronic Laboratories, Inc. Subjects coveredin the sessions included:

'

l. Principales and practices of radiationprotection.

2. Mathematics and calculations basic to theuse and measurement of radioactivity.

3. Biological effects of radiation.

| 4. Radioactivity measurement standardizationand monitoring techniques and instruments.

5. Accident and incident procedures.

6. Procedures for nuclear guage storage andtransportation.

7. Leak testing procedures.

8. General safety precautions.

In addition to the above topics, one day was allottedfor familiarization and operation of the Model 3411 Bguage. Training focused on:

1. Instrument theory

2. Operating procedures

3. Maintenance and safety

4. Field application of operation5. Guage calibration

copies of Troxler training certificates forFred Schwaderer and James Robar are attached.

.

_ . _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ . _ . _ _ . _ _ _ _ _ _ . . _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . . _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ . _ _ _

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ggg ELECTRORC LA 3ORg'rORIES, jl$+I HEREBY CERTIFIES THAT

j Fred Schwaderer _ _S

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George Schwaderer Engineering y**

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HAS SUCCESSTULLY COMPIITED THE TROXIIR ELECTRONIC LABORATORIES, INC. _.

TRAINING COURSE FOR THE USE OF NUCLEAR TESTING EQUIPMENT. . ,c 4

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SUBJECTS INCLUDED IN THIS COURSE WERE AS FOLLO*='S: [ *! f,k $Eziiciocical Safetu

*- 1. Frinciples and practices of radiation 5. E=dioactitritu r e sure-ent standardization

V'pr:tection. and r~anttortng tech *: ques and

' 2. Le:'< testing proce.hrNs. ins tr:C'en ts. V *'e * . Mathe-atics and calculations basic to 6. Accident and incident procedurcs. s

the use and r-casm~~wnt of 7. Procedures for nuclear gauge storage s' , ,radi02 ti;'ity. and transportation. A'

4. Eicicgical effects of radiaticn. 8. General safety precautior.s.*<

T' Ga:.cc Creration [*. y

1. Instr:r:ent theory 4. Field applicaticn v. ,; *

2. Operating procedures S. G uge calibration ,

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Form NRC-313 I Attachment 4 of 4

Application for BYPRODUCT MATERIAL LICENSE - INDUSTRIAL

GEORGE C. SCllWADERER, INC.

Item 17 EXPERIENCE

. Fred Schwaderer and James Robar have successfullyl completed the TROXLER ELECTRONICS LABORATORIES

program outlined under Item 16. Radioactive materialsare those listed under Item 8 with the corresponding;

| activity of each material as noted.

Neither Fred Schwaderer nor James Robar have hadexperience with radiation subsequent to com-pletion of the Troxler training course.

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