Billings Refinery ConocriPhillips

~ ConocriPhillips

Nuclear Materials Licensing Branch U.S. Nuclear Regulatory Commission, Region IV 612 E. Lamar Boulevard, Suite 400 Arlington, Texas 76011-4125

Subject: Amendment Request for License Number 25-16250-01

Billings Refinery P. O. Box 30198 Billings, Montana 59107

AUG - 8 2011

The ConocoPhillips Billings Refinery is currently licensed to possess and use specific licensed nuclear gauges. This request is to amend our current radioactive materials license to ensure continued compliance with regulatory requirements.

The amendment request involves Section 12, Radiation Safety Officer. Please replace Jerad J. Grove with Susan J. Taylor as Radiation Safety Officer. Please see the attached paperwork for credentials and Radiation Safety Officer training certification.

Thank you in advance for your time and review of this license amendment request. If there are any questions or items which you would like to discuss, please feel free to contact me at 406-255-2577.

Sincerely,

~\ Susan J. TaYl~r~ Safety Director

fb575756

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: 4.3 10 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 regarding burden estimate to the Records and FOINPrivacy Services Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001,

APPLICA TION FOR MATERIALS LICENSE or by intemet e-mail to [email protected], and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (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 SPECIFIEC 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, SErf)

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, MASSACHUSETIS, 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 appropriate item) 2. NAME AND MAILING ADDRESS OF APPLICANT (Include ZIP code)

D A. NEW LICENSE ConocoPhillips

lZJ B. AMENDMENT TO LICENSE NUMBER 25-16250-01 PO Box 30198

D Billings, MT 59107-0198

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

401 South 231'd Street Billings, MT 59101

Susan J. Taylor

TELEPHONE NUMBER

(406) 255-2577

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 8. Element and mass number; b. chemical and/or 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.

WASTE MANAGEMENT. 112 LICENSE FEES (See 10 CFR 170 and Section 170.31)

11. I AMOUNT FEE 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 WI~LY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MAnER WITHIN ITS JURISDICTION.

CERTIFYING OFFICER TYPEDIPRINTED NAME AND TITLE ISIGNAT\: ~ \~~ I DATE

Susan Taylor - Safety Director 08/0412011

FOR NRC USE ON(Y \ . / , I

TYPE OF FEE 1 FEE LOG 1 FEE CATEGORY 1 ;MOUNT RECEIVED CHECK NUMBER C\.)~S \J APPROVED BY DATE

NRC FORM 313 (3-2009) PRINTED ON RECYCLED PAPER

-CRTIFICA JI-J OF

CO'MPLETION PRESENTED BY

Q~L-TEI-C ~SSC>CI~ TES~ L ... L ... C_

TO

Susan Taylor FOR HAVING SUCCESSFULLY COMPLETED THE RADIATION SAFETY OFFICER AND NUCLEAR INDUSTRIAL GAUGE USER TRAINING IN ACCORDANCE WITH THE REQUIREMENTS OF NUREG

1556 VOL 4 APPENDIX G, AND 10 CFRPARTS 19 & 20.

PRESENTED THIS 28th Day of Sentem ber, 2007

Signature of Trainer ~ IDee Annstrong Location: Billings, MT

~RTIFICA. OF

COMPLETIO PRESENTED BY

Q~L-TEI<~ ~SS<::>CI~ 'rES.., L_L_C_ TO

SUSAN TAYLOR FOR HAVING SUCCESSFULLY COMPLETED THE RADIATION SAFETY AND

NUCLEAR INDUSTRIAL GAUGE USER TRAINING IN ACCORDANCE WITH THE REQUIREMENTS OF 10 CFR 20 and/or NUREG 1556 VOL 4

PRESENTED THIS

D,ECEMBER 11, 2007

Signature of Trainer (~, f.YILft _ / Jon O'Rnllian Location: Billings, MT

HAZARDOUS MATERIALS TECHNICIAN

~

01

-..J

01

-..J

(J1

MONTANA STATE UNIVERSITY

BILLINGS

College of Technology

Q), 3803 Central Avenue Billings, MT 59102

REFRESHER CERTIFICATION

Susan Taylor Has successfully completed Hazardous Materials Awareness Certification for 2009/2011, which meets or exceeds the following:

NFPA 472 OSHA 1910.120(q) EPA 40 CFR 311 PPELevelA

~ 4 ',CAJ"\<?A ~ /:-.-/~~

\..;,;;;F .-----------------,..-------v~--.... ... .Jason Lyon, Instructor

Certification:

R20091120019

1112012009

11/o{/O'1 l I

Date

INCIDENT SAFETY OFFICER

CERTifiCATION

Susan Taylor fIas successfully completed the 6 hour Incident Safety Officer Course which meets or exceeds the following:

NFPA 1521 OSHA 29 CPR 1910

~.//~7-'Gat;i"dwardS;clilstructor ...

t:f~)&o/'o Date·

Feb-.'5-99 07:59am From- TN TECHNOL' ~S KAY-RAY/SENSALL SERI/Ir'1= oj. T-985 P.Ol/04 F-869 ?

TN Technologies

II II1II II1II II1II

2555 North IH·35

p.O. Box 800

Round Rocl<. TX 78680

800·736·0801 S 12-388·91 00

(fax) 512·388-9200

,,,ww.tn-techno!ogiGS-com

~:'lIes@~Hschnologie.CDm

Post-it'" Fax Note 7671 Date 2'2S-9'i Ip~g~s~ ._~ To~, 'nO~· ... ~K....... From ~CV"'o<);. I~ Co.l'fiept. I\J RC.. Co. Cono::..c - '-' Phone # -.::r:.-c. Fax #

811~ e\..t>-O -8'2t..1>

February 24, 1999

Safety & Occupational Health Coordinator Susan J. Taylor Conoco Inc. 401 S. 23rd Street P. O. Box 30198 Billings, MT 59107-0198

Phone #40<., 295 . -'2Ji-n Fax #

~O~ - '2F.)S -')SOi

Dear Safety & Occupational Health Coordinator Susan J. Taylor:

We are pleased to conflrm your successful completion of the Radiation Safety Training Course conducted February 7-12, 1999 by TN Technologies Inc.

Enclosed in this packet are your Certificate of Training, Letter of Certification, and Course Outline.

The Industrial Radiation Safety Training Course has been approved for eM points through the American Board ofIndustrial Hygiene. When updating your file, provide them with the following information:

Sponsor: Name of Activity: appropriate dates)

TN Technologies, Inc. . Industrial Radiation Safety Training (include the

CM Points Awarded: 4.5 CM Approval No.: 8162

If additional information is req uired, comact Ms. Barbara A. Saalfeld, Administrative Assistant, American Board of Industrial Hygiene, 4600 W. Saginaw, Suite 100, Lansing, MI 48917-2737. She can also be reached by phone at (517) 321-2638.

Congratulations on completing the Radiation Safety Training Course. Ifwe can be of further assistance, do not hesitate to let us know.

Sincerely,

~d Bob Burkhart Environmental Specialist Teclmical Services

Enclosures

+ PRGE.01

r~c-,~-~= ur ;~=am rrom- I~ I~~M~ULU~I~~ ~AT-~AT/~tN~ALL ~~~VIL~ + T-985 P.02104 F-869 ,

TN Technologies

111111111111

2555 North IH-35

P.o, Box 800

Round Rock, TX

78580

800-736-060 ,

5'2-388-9100

(fax) 512·388-9200

WoNw.ln-!SChnologieB.C'.Om

;;)1r;s@In-ted,nolC>;l~ .. curn

LETTER OF CERTIFICATION

This is to certify that Susan J. Taylor, of Co no co Inc., has attended and successfully completed a 40 hour Industrial Radiation Safety Training course, conducted by TN Technologies Inc. on February 7-12, 1999 and described in the attached course outline. The participant received scores of 96.2% on the homework assignments and 89% on the exam, resulting in a final course grade of 91.9%. A course grade of70% is considered a passing score. The class average was 90.5%.

The course covers fundamentals of radiation, units of dose and quality of radiation fields, hazards of radiation exposure, detection devices, regulatory controls, industrial devices and specific training on installation and leak testing of TN Technologies density, level, and weigh gauges. It is designed to meet the requirements of me Nuclear Regulatory Commission and Agreement States for Radiation Safety Officers at companies using industrial gauging devices.

This course is structured to qualify persons who complete it to understand and safely perfonn various operations involving nuclear devices including the installation, relocation, and leak testing of such equipment. The operations are to be performed in accordance with the mles and regulations of the United State Nuclear Regulatory Commission and/or Agreement States, and are in all respects subject to such rules and regulations.

This lener cannot be Llsed in lieu of a specific license from, or other sanction by, an appropriate regulatory agency.

TN TECHNOLOGIES INC.

Ralph S. Heyer Radiation Safety Officer

and Manager Regulatory Affairs

Certified by: OJ/2 ff I 1. IC/H'~~

Mr. Bob Burkhart Environmental Specialist Technical Services

FEE 25 1999 0~:00 + PAGE. 02

~eb-Z5-99 08:00am From- TN TECHNOLO~IES KAY-RAY/SENSALL SERVICE + T-985 P,03/04 F-869

40-HOUR INDUSTRIAL RADIATION SAFETY TRAINING COURSE OUTLINE

Mathematics Review for Health Physics Calculations (4 hours) A. Basic Mathematical Concepts 8. Exponential and Scientific Notation c. Basic Problem Solving D. Logarithms E. Graphing

Radiation Dose Units (1 hour) A. Roentgen B. Rad C. Rem D. Quality factor

Atomic Structure (1 hour) A Bohr model B. Nuclides and notation C. Isotopes

Types of Radiation (2 hours) A. Alpha B. Beta C. Gamma and X D. Neutrons

Radioactive Decay (1 Y.! hours) A. Activity B. Decay schemes C. Decay law D. Half-life

Interaction of Radiation with Matter (4 hours) A. Ionizing vs. Non-ionizing B. Ionization and excitation C. Alpha particle interactions D. Beta particle interactions E. Photon interactions

1. Photoelectric, Compton, pair production 2. Photon exposure rate; shield calculation 3. Half-value layers

F. Neutron interactions

Shielding (4 hours) A. Time, distance, and shielding B. Inverse square law C, Linear and Mass Attenuati~n Coefficients D. Dose Calculations

Biological Effects (4 hours) A. Internal Exposure to Radionuclides B. Physical/Chemical Mechanics of Injury C. Acute Radiation Injury D. Long Term Effects E. Genetic Effects

F. Teratogenic Effects G. Carcinogenic Effects H. Background Radiation I. Risk Estimates

Regulatory Control (4 hours) A. Title 10 Code of Federal Regulations B. Agreement states C. licenSing procedures D. General vs specific license E. User responsibility

Shipping Radioactive Material (1 Y.! hours)

Radiation Protection Program-ALARA (4 hours) A. ALARA statement B. Radiation Protection Program C. Operating, safety, and emergency procedures D. Compliance with dose limits E. Employee notification F. Recordkeeping G. Posting H. Training I. Incident reporting

Radiation Detection (2 hours) A. Fundamentals of detection B. Instrument characteristics, use, and limitations C. Survey meters

Personnel Monitoring (1 hour) A. Requirements B. Film badges, TLDs, etc.

Industrial (2 hours) A. Industrial device installation

1. Requirements 2. Surveying & leak testing demonstration

B. Industrial applications

"Hands-On" At Factory - reViewed by qualified TN Technical Services personnel (3 hours) A. Use of portable radiation survey meters B. SUIVey of a fixed gauge C. Preparation of survey form D. Leak test sampling of devices

Closed-book, Written Exam on Lectures and Homework Assignments (1 v.. hours)

Note: A minimum 1 hour of homework ;s assigned each evening during the course.

TN-Technologies' fne.- 2555 North Int~rstate 35 : P.O. Box- 800 - Round R·oc'i<., Texas 78Eiso:.osoo ' 51 2/388-9100 ~ "Fa;;; 5121383-920-6----

FEE 25 1999 07:00 + PAGE. 03

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SUSAN TAYLOR's Self Profile

Position: DIR-SAFETY Supervisor: REED MARTON

TMT: HSE - GLOBL DOWNSTREAM Years of Experience: 12

Org2: RM&T AND COMMERCIAL Years of Service: 12

Org3: GLOBAL REFINING Work City, State: BILLINGS, MT

Org4: BILLINGS REFINERY Work Location: BILLINGS (REFINERY)

OrgS: HEALTH, SAFETY & ENVIRONMENTAL Work Country: USA

Supervisor Flag: Yes

Secure General Information

Salary Grade: 15 Employee Number: 00018030

Time in Grade: 1 yr 10 mths Time in Position: 1 yr 10 mths

Expatriate: Payroll Country: US

Recent Expatriate Date: Original Expatriate Date:

Education

Institution _ Degree Type Degree Date Branch of Study

MONTANA TECH OF THE UNIVERSITY OF MONT, BACHELOR DEGREE 5/1/1993 SHEA - OTHER

Career Aspiration

Short term aspirations involve further developing my knowledge regarding safety systems and processes to support continuous safety improvement for the Billings Refinery.

Long term aspirations involve developing my knowledge in the environmental arena in order to move into an HSE manager position.

Safety professional with 17 years of experience including; Safety, Industrial Hygiene, Emergency Response, Safety Turnaround Planning and Execution and Security.

Work Experience

101112009 - current

Page 1 of 6

Safety Director; Downstream Refining; ConocoPhillips; Billings Refinery

Accountable for Safety, Security, Emergency Response, Industrial Hygiene, and Contractor Safety for the Billings Refinery. Improved the knowledge and skill of the refinery Incident Command Organization through training and drills to insure the refinery is adequately prepared for emergency situations.

Further improved Contractor Safety Process by: 1 )implementing the new tools that have been developed through the contractor safety network 2) developing and implementing an internal process within the Billings Refinery to manage the contractor safety process 2) holding

...,.ConocoPhillips

08/04/2011 1: 16PM


312612009 - 913012009

Page 2 of 6

management meetings with contractors whose safety performance was not adequate 3) providing training to management in the refinery who are responsible for contractor oversight to insure they are managing contractors according to the processes and procedures.

Developed and integrated new tools and processes into the Billings Refinery in order to prepare the organization for the 2011 spring turnaround. These tools include: 1) A contractor bridging process which bridges the gap between COP and the contractor safety procedures. This process

normally been practiced in the Project Organization; however, I believe it is something entirely new to a refining turnaround process. 2) Developed a screening tool that is used to determine turnaround work that will require a detailed Job Safety Plan. 3) Developed a new Job Safety Plan document that will be completed by COP Safety, the COP Area Lead, and the contractor for work being executed during the turnaround. The purpose is to insure that safety items.

Emergency Response Coordinator; HSE; ConocoPhilips; Billings Refinery

-Responsible for the site emergency response functions, including: Emergency Response Plan,

equipment, training and exercises. -Facilitate training and management of the Emergency Response Team (ERT) and allied functions (Fire Brigade, Rescue, Hazmat, Spill Response and Emergency Medical Technicians) ·Responsible for ensuring proper maintenance and testing is conducted on the refinery fire water

system and emergency response equipment. ·Assist in S&OH programs and permitting. 'Serve as the Facility Security Officer. Turnaround - The 2009 Turnaround was the most successful TA in the history of the Billings Refinery. It was executed ahead of schedule, within budget, and zero recordable injuries.

Security - Developed and executed the Security Special Operations LogistiCS Plan, Training Plan, and rotation schedule. Worked with Corporate Security and site personnel to complete an extensive SVA report. The report was completed, documented and filed prior to the deadline.

Emergency Response - Was responsible for the emergency response portion of a successful H&S Audit conducted the first week of June, in which minimal findings were issued. Also assisted in the Industrial Hygiene and Health portion of the audit.

Discovered out of date and out of compliance issues regarding the emergency response service and maintenance, programs and processes, and have worked relentlessly to correct the issues and bring these back into compliance. Examples of these include: fire extinguishers, fire hydrants, hazmat response equipment, and ERT training. Purchased new bunker gear for the Emergency Response Team.

Managed multiple improvements to the Emergency Response Team including advanced planning, monthly training, responsibility assignments, communications, and team travel. I am currently

working on continuous improvement of the EMT and Rescue Teams.

Updated the SPCC Plan and the ERP Plan in time to prevent out of compliance issues with the Worst Case Discharge Scenario for the Billings Refinery. The plan was submitted to the EPA for

their files. Mutual Aid Fire School planning and participation. A mutual aid fire school was conducted with ExxonMobil, Billings Fire Department, Billings Airport Fire, Lockwood Fire Department and

ConocoPhillips. Currently completing a revision of the ERT Bylaws, exercise and drill schedule, as well as an ERT operations procedure. Will complete with the help of the ERT Captains a training, exercise and

drill schedule for 2010.

Completed the Incident Command Worst Case Tabletop Drill for the Billings Refinery.

v ConocoPhillips

08/04/2011 1:16PM

SUSAN TAYLOR's Self Profile erExnress

1212811998 - 312512009

111811996 - 1211511998

111811993 - 11511996

Developed ERT & IC Training Calendar for 2010. Work with affected groups to coordinate timing

and dates.

Safety & Occupational Coordinator 1 Coordinator IIH; Downstream - Refining;

ConocoPhilliips; Billings Refinery

Industrial Hygiene; Site Facility Medical Contact and Coordinator; Emergency Response (fire

fighting, HazMat, Incident Command; IMAT); Safety Processes and Procedures; Auditing;

Turnaround Planning and Execution; Safety/Health/Medical Networks

Developed, improved and/or implemented several Industrial Hygiene related processes in the

Billings Refinery to protect employee health. Served on corporate networks that worked to develop

program and processes for the company. Some of these include but are not limited to additional

confined space testing; new gas meter technology; medical testing process; audit process; IH

Metrics.

Developed the

Senior Industrial Hygienist; Bakersfield Refinery; Texaco RefininglEquilon Enterprises LLC;

Bakersfield, California

Industrial Hygiene; Safety; Emergency Response

Developed ergonomics process for the refinery; revised and restructured the respiratory program;

Completed the TSCA IUR reporting; developed a Safety KPI performance meaurement system by

which contractor and employee safety involvement could be measured and monitored; developed

and conducted safety training.

Industrial Hygienist; ; Dakota Gasification Company; Beulah, North Dakota

Responsible for air sampling program; safety and health training development and delivery; safety

auditing; safety permitting; MSDS development and Hazard Communication program.

Executed industrial hygiene sampling and reported results to management.

Career Development InforJ11ation

Mobility Preference: Not Currently Mobile

Mobility Comments:

Other Considerations:

Career Mentor:

Professional Certifications

Languages

Page 3 of 6 y'

ConocoPhillips

Travel Preference: Yes, 10% of the time

Travel Comments:

Cross Functional Assignment:

Cross Functional End Date:

08/04/2011 1 :16PM


Assessed Skills

Functional Area

Health, Safety & Environment






























Page 4 of 6

Skill

Behavioral safety

Psychology of organizations and motivation

Workers compensation

PSEEIPCSI and other improvement tools

Experience rates and calculations

Action planning and follow-up

Observation and evidence gathering

Documentation and records

Evidence preservation

Major process units

Corporate crisis management

Incident Command System

Emergency response

Drinking water quality

Life safety

Fire initiation and propagation

Fire service and EMT

Fire water, extinguishers, fixed systems

Product Stewardship

Test equipment

Toxicology and health risk

Dosimetry

Personal protective equipment

Exposure routes

Monitoring

Operating procedures

Process hazards analysis

Pre-startup safety review

Process safety information

Employee participation

......ConocoPhillips

Skill Proficiency

Awareness

Awareness

Proficient

Proficient

Proficient

Proficient

Proficient

Proficient

Proficient

Awareness

Awareness

Proficient

Proficient

Awareness

Awareness

Basic Application

Basic Application

Basic Application

Awareness

Proficient

Proficient

Proficient

Proficient

Proficient

Proficient

Awareness

Awareness

Basic Application

Basic Application

Basic Application

08/04/2011 1:16PM



























Contact Information

Management of change

Mechanical integrity

Trenching and shoring

Cranes, hoists, and lifting

Analytical Testing and Chemistry

Naturally occurring radioactive materials

Welding, cutting, and brazing

PCB's

Asbestos and other friable particulates

ConocoPhillips Qualified Auditor

Lead paint

Ergonomics

Non-governmental Organizations

Community Relations

Legislative and Regulatory Affairs

Government Agency Relations

Technical/effective writing

Program design, development, implementation

Public speaking, media training

Instructional design and training

Transportation and documents

Disposal

Packaging for transporUdisposal

Source reduction, segregation, recycling

Storage

Basic Application

Basic Application

Awareness

Awareness

Basic Application

Basic Application

Basic Application

Basic Application

Proficient

Proficient

Proficient

Proficient

Awareness

Awareness

Awareness

Proficient

Basic Application

Proficient

Proficient

Proficient

Awareness

Awareness

Awareness

Basic Application

Basic Application

Email: [email protected] Direct Phone: +1 4062552577

Profile Updated

Last Updated Date: 12/22/2010

Page 5 of6 y ConocoPhillips

Last Updated By: SUSAN TAYLOR

08/04/2011 1:16PM

1157575 6

SUSAN TA YLOR's Self Profile

profilep.rpt v35 last modified: 2011.03.15

Page 6 of6 V" ConocoPhillips

08/04/2011 1:16PM

0/8/// This is ,t~~~owledge the receipt of your letter/application dated DATE

&ht'(f , and to inform you that the initial processing, ) which includes an administrative review, has been performed.

~here were no administrative omissions. Your application will be assigned to a technical reviewer. Please note that the technical review may identify additional omissions or require additional information.

D Please provide to this office within 30 days of your receipt of this card:

The action you requested is normally processed within ? () days.

o 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 assiQned Mail Control Number S 7 5 ~7 5' C; When calling to inquire about this action, please refer to this mail control number. You may call me at 817-860-8103.

NRC FORM 532 (RIV) (10-2006)

Licensing Assistant

BElWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION A TI ACHED Applicant/Licensee: CONOCOPHILLIPS

Received Date: 08/08/2011 Docket Number: 3010669

Mail Control Number: 575756 License Number: 25-16250-01

Action Type: Amendment

2. FEEATIACHED

Amount:

Check No.:

3. COMMENTS

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I /

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

3. OTHER -------------------------------

Signed:

Date:

[ FOR ARPB USE 1 INFORMATION FROM L TS

Program Code: 03120 Status Code: Pending Amendment Fee Category: 3P Exp. Date: Fee Comments: 1C DEL PER 12/6/94 REO Decom Fin Assur Reqd: N

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