PeabENEAGPEABODY MIDWEST MINING, LLC 7100 Eagle Crest Boulevard

Evansville, Indiana 47715812.434.8500

Certified Mail 7003 0500 0002 4291 4418

May 14, 2013

Office of the Chief Financial OfficerU.S. Nuclear Regulatory CommissionP.O. Box 979051St. Louis, MO 63197

RE: Invoice # LFB 13-3796, Docket # 645123Peabody Midwest Mining LLC - Air Quality Hart St. South PrepLicense # GL-645123-17

To whom it may concern:

All licensed devices from the above facility were decommissioned on 9/27/2012 and paymentby check will not be made. Please terminate the above license # for Air Quality Hart St. SouthPrep. Enclosed with the subject invoice is a copy of the bill of lading documentation fortransport of these devices. If you have any questions, please contact Robert Pendleton atrpendleton(fDeabodyenerpy.com or 812-467-1920.

Sincerely,

Robert Pendleton

Authorized Representative

Enclosure

Cc: Air Quality NRC file

10911 Technology PlaceSan Diego, CA 92127

Bus: + 1 (858) 217-2200Fax: +1 (358) 217-2203

NRC License # 111-27727-01CA License # 6653-37Field Service Activity Report

ýPeabody EnemyCompany:

Site:

Address:

Citr.

State/Province:

Zip/Postal code:

Contact Name:

Contact Phone:

Contact E-mail:

Air Quality tti Mine

3609 South Hart Street,

Vincennes

IN

47591

Brad Turner

812-743-5347

Brad Turner@peabo:ýyenergy.corn

Field Service Engineer-

P.O. Number:

W.O. Number:

Type of Work Performed:

Billable:

Date Work Completed:

Equipment Type:

Equipment Model #:

Equipment Serial #1:

Johr Hagiey

tother

1Yes

21Z/09/27

IFixed GaiucesI _ _ _ _

Detailed description of work performed: (Include, date, time start, time end, etc.)

9/27/12ravel to site

Received site specific hazard trainingRemoved the following density gauges from service.TK5201 SN: B3766 100 mCiTN5201 SN: B3765 100 mCiKay Ray 7062BP SN: S95M1201 100 mCi

jKay Ray 7053P SN: S95L0904 500 mCi

!Packed and shipped gauges to Thermo.

!Called Corway and sc-heduied pickup. Pickup ,,s supposed c: bei-kedu ,.;

lBrad Turner to fax or email tracking number to John Hagcey.

1

DateCustomer Name (Please Print) Customer Signature

2012!04/02 SABIA Documen t 3030020 Rev A

ST[SGH FLL OF LADING

PLEASE fOTE - FREIGHT CHARGES ARE PREPAID UNLESS MV1ARKED COLLECY[]COLLECT'11 55611 61311i2II i t IIIi If1 1 ll iii _ _I_ _ill

rr,' 556 5 "-B.I <2aC: t t,4 oJ /. 7

DRIVER PLEASE NOTE

IF SINGLE SHIPMENTCHECK BOX BELOW

)RIGINAL - NOT NEGOTIABLE-5> ~ll,

11:10~ SHIPPEb: NO

3;93APLACE PRO LABEL HERE

- I

1*----------SHIPPER (FRUbI) Pealcocly Enez~yv

ArQuality -11 M'ine Theroro Fisher Scient.ificT3609 South Hart 2Lr-eet 1410 Gi:l inghao Lane

CITY, STAT IpROVaNC-, ZIF,?CSTAL CODA rTFcti-tiNCi C TY. NT SF eOVINCE. ZIP;PlCtoTtA CODe tU-LEPHCýr4Vincenlnes, IN 47E91 812-743-5347 Sugar Land, TX 77472 1-713-272-0404

BILL TO SAIA, INC CUSTOMS BROKER

STR:.I STREET

10911 Technoloi~y PlaceCITY. STATEJPROVINCE .ZIPPOSTAL CODE (TE.EPHONE; CT71. fsATOPRQVIrNIZ--, ZIP'POSIAL CODi (1ELEPHONFi/

San Diego, CA 92127 SS8-2-7-.200

1,CCOUNT CODF Q COn -&.99 •,.,,. ii Q C'IU-WRY DEFERRED

NUMBER I CLASS OR WEIGHTSHIPPING WM KrHD OF PACI.AGIHG. DESCRIPTIOU OF ARTICLES, SPECIAL MARKS ANO EXCEPTIONS NMFC No. OMITY OF (Sualect to Canxiiel")

UNITS' I ARTICLES UIIb 0 kglRadioactive Material. Type A Package, blon Special Form 154900-2 i00 )• "SsNon Fissile, Class 7. UM12915,Cesium Chloride as a metallic

solid, 4 ULA DOT 7A%& peL Pac-kages Packed in Overrack.29.6 GBq TI: Yellow 11

{Eoter:ency Contact. Chlemtrec 800- 124- 00 ICOD AMOUNT: $ COD 0 Prepaid REMIT COD TO:

0 U.S. : Canadian ee: Collect ADDRESS:

NOTE. Consignee's comporry check made 04,rable to lre Shipper will dI, acceple5oy y-/PROVINCE ZIP/POSTAL CODECLe, Way and forwarded 10 shippet unless ottlervise directed to do so by the shipper. CITY: STATE

NotIce: Unless We SScioper citrl.4:tes the relg.i'rl3smn a& provdEb tlove, Cart,;es liabi• t bIT0 1h4;le3 as stated heien and in Tatff C tAN'Y-199..,r:sn may be noblari,•rusy equest. Carrerhahl rn no evt be tia)lO for loss of p01, i•"come, intereols, uaerr-eyy ces, or any spormI. •iol nsl e LonS~quential dematres. Wrte;e Ie rate sr It'!FC CI•Ordcalion is daplen•oe on valuc,

shippers are equirad to Stale up,-foial/v in wsnsg the debared hxcu of the propory,. For INS purpose trle de:lared V..ie or thn propeOry is Ieracy m'n3.i.bcaly slated by ltl Shipper ti ,: notexceeding $ ,, Also. praragraph nu.rnder 2 or. Ihe revarberside of "l;is BIt of Ladon} sets fartn reiasuev .-a;uu. tomeis Fr.4 Mnrd~ioris.Camer liabilily with shipment originating within the Uniled States Undeos lr.., Sharper deaures exce:s value on he Bill of Laorig, requests oeCSZT [iablly zoun eivras and pays ann dd/luiona;c'rge. CGreri's maximum liainly Is $2-5 Wr pound per inosdcv.J lo•at or diweied ptaso eO/hin the eh;nll/n, suLic'. IC $l150=,00 rnasTurru In/ii iab/bly Der t hipmenl, aSd pr.uiced furtiher thatCamaro I *01 on hounshod g0oses. ai:vses oelthan new sant/s, rush as vied anhdor rerrerho kos, or .b .; effects !*-all not exceed , cenr" per upound pl rnaivadual I 01 ordamaged piece wilin Inn shipment For tist purpoe to fccTIred value of Int propecy is hlerýuy spoolc•aly vla/d by ot I-rppcr to to S . ... . artS Stppr ase's to P3,1 3in additionalcharge to( exccns Hability :ove:•ge. Total SffctleJ value may rOt exceed se~t.mut ,,r s,-isrieot.

Carrier liability with shIpmem originating weitlhir Canada; Umess;s tl Shipper oaqecs so a Sprcia. A?•reemrent, d=larur file vati4 in Inc N boelo* and alrece / ,,1 pay tre excess liability chargety iniliabrig where indicated. Certers maximum liatbiy Is. CANlS per pound (CANSt,41 per kloegreo) tesr indedus tosr Sr da'ns•.,d ncts rthn hoii sprpmcni, suzpect lo a m,,alinum total liabliltyp-r sthippment of CANS20,,00, ano provided lunmer sha: Carnirs • a•abiltyn onrseheddguobo, toee anu d r adour sorte ansn /s o oprsrona! 5 5s erras/f til r xcites telln certs (CAN) per pournd p-rurd•ri'u• l0t or darnaged o01ee Aithin the srirmer-t

SPECIAL AGREEMENT: Doclared Value: CAN S per pound. (Declared value may not oxcaeed CAN S100.000 per shipment)Shipper agrees to pay excess liability charge: (Shippers Initials)

COISMODInY DMECRIP'TON(S): By &!q-t; rt.i Wen of ..uinrr4 I hic,vrwl dicar trial the oure/efse of ltx si C ~riIrffnr`A ee WliSsrld z--,o.-b . v c b-1e l'h e pfOPer - hioprog --. endsaer classified, pacragrd, marked On ar bjetwa~c/parrtos. and are inuOf respects III po~per c0/tio Tb/o~ tt/Srsezn otr ng050/34 It 3. I -1d rollo-rl nvs renru/rsgvtdorrShilprment Received: Ire, shipment is received sublect to Tariff CNl-M-I99. Carrier's ori•"rg scn-ieuds, terms. courltium- caT r- t ulc *' - CJr'r- .3cruba offiece In e•oa on tir•- date of.,.ua of yris Bill of Laan,3. as wetl as the Natonie/l %law -e2/si Css lth.mie Haziardous Mtaniajal Trantobrrroic-i Se/ 3. ~t . Olapterl. Suc, CQrplet A-C). andthe Kl-iooslod Osocs biAeafa Guider (,H:nDS 1,05 Serbs; or shprierors or~i;r~ater to0, th r5b Saes: sod the Canodo'r iztýct ' 7--- A:,. tn4 Ttrarls;rY/ation &l Dagerirn Goods Act,trnd the rea5ldtons in force i the provmiral jiisfi'ein at the ti/e- ard plaze of the s*rt;s's' for shrpm.nrt onrin n.rrb in C-r.dc. T> so y Th053 zn tin.s BO. of Lx.nd is in eaT•ren•t qo.J

bufr orty to tIe extem. tt I. is un-c'roealed asd vsib e vtas. Itcrie: irrpetsi•aric accept es noted er na•r.ei. TlN! pro, T/ 3 amG dfeom:ed as ineioatod ab•rve. The word Crrtirc defetAd t hroughms en rontracr as ns-o ne r any person Gr -or'o-a:on i possesatira of o"w property u-tee tht ,zco'rrmct, C0rritr eTr..- to .3"y I-e prpopry to Its cesmfnalio, i 0.t ilt roua.ollorwise to duhitor to arnozher Car, ioel Wrte roule to aca! du irob t is mctss/fy qg'ieed us -c ;otl CuIrrar of alI or a,,/ of sodt rrprt"y. -wc a. of r u/. s/ of saij 1OmAS to lie ceelr/ratioOrd as to each party 3a. e rty ter le tredn aI " w1ry c' said Ft:pcmty. tit ehey service to or rerftrmal ft're.cer s-hill be s5ubc; h ati eA f th; .1 .o Lad/s lern.s a,;d c;b;Jrd;ns in ettto.

or- r hile Ofe 01 riePMerrt. rrnclUIJ. brut no! teamid t0 1/8 iTcrs cr3 C~~or i's' isted on tot -Sad sxe orins B.11 Cof Lad-.,-

51,/POOR~~= eA 'ssbd-tEwrvSPOReTATION SEOVIOMS, Mb-_.-

0 O -I AY liAADA raninsts Inc0. i-l~ II,, , r •I ,ilT:-iflO'efl OJVtAriPF .. ~

sIH M r7R

C~mfa on I o!tiz Lrt, i.e .Us o 2,3• 7

if --- i

fln-MR. ATRA T ELL OF LADIN DRIVER PLEASE NOTEIF SINGLE SHIPMENTCHECK BOX BELOW

[IPER FREIGHT CHARGES ARE PREPAID UNLESS MARKED COLLECT N. :PL~EAENOTE M'

El COLLECTORIGINAL - NOT NEGOTIABLE

DAT P.. NO. SHIPPER NýDATE9/27/12 7 ° 1 iA )35CUSTOMER'S SPECIAL REFERENCE NUMBERPLACE PRO LABEL HERE

SHIPPER (FROM) Peabody Energy CONSIGNEE (TO)Air Quality #1 Mine Thermo Fisher Scientific

STREET STREET3609 South Hart Street 1410 Gillingham Lane

CITY, STATE/PROVINCE. ZIP/POSTAL CODE (TELEPHONE) CITY, STATE/PROVINCE, ZIPIPOSTAL CODE (TELEPHONE)Vincennes, IN 47591 812-743-5347 Sugar Land, TX 77478 1-713-272-0404

BILL TO SABIA, INC CUSTOMS BROKER

STREET STREET

10911 Technology Place

CITY, STATE/PROVINCE, ZIP/POSTAL CODE (TELEPHONE) CITY, STATE/PROVINCE, ZIP/POSTAL CODE (TELEPHONE)

San Diego, CA 92127 858-217-2200

ACCOUNT CODE U C 0 -HIRY [a Cgn'Ufli/ DEFERRED

NUMBER CLASS OR WEIGHTSHIPPING HM KIND OF PACKAGING, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS NMFC NO. .ENStTY OF (Sublect to Conrectoln)

UNITS ARTICLES Q lb E3 kg

1 X Radioactive Material, Type A Package, Non Special Form 164900-2 100 2 %• ONon Fissile, Class 7, UN2915,Cesium Chloride as a metallicsolid, 4 USA DOT 7A Trpe ATPackages Packed in Overpackx 29.6 GBq TI L4 Yello Ii

RMA35 20_1

Emergency Contact: Chemtrec 800-424-9300

COD AMOUNT: $ COD E Prepaid REMIT COD TO:Fee: [] Collect

0 U.S. [3 Canadian ADDRESS:

NOTE: Consignee's company check made payable to the Shipper will be accepted by STATEIPROVINCE ZIP/POSTAL CODECon-Way and forwarded to shipper unless otherwise directed to do so by the shipper. CITY:

Notice: Unless the Shipper completes the requirements as provided below, Carer's liability shall be limited as stated herein and in Tariff CNWY-199, which may be obtained by request. Cardershall In no event be liable for loss of profit, income, interest, attorney fees, or any special, incidental or consequential damages. Where the rate or NMFC classification is dependent on value,shippers are required to state specitically in writing the declared value of the property. For this purpose the declared value of the property is hereby specifically stated by the Shipper to be notexceeding $ _. Also, paragraph number 2 on the reverse side of this Bill of Lading sets forth released value terms and conditions.

Carrier liability with shipment originating within the United States: Unless the Shipper declares excess value on the Bill of Lading, requests excess liability coverage and pays an additionalcharge, Carder's maximum liability is $25 per pound per individual lost or damaged piece within the shipment, subject to $150,000 maximum total liability par shipment, and provided further thatCarriers liability on household goods, articles other than new articles, such as used and/or refurbished articles, or personal effects shall not exceed ten cents per pound per individual lost ordamaged piece within the shipment. For this purpose the declared value of the property Is hereby specifically stated by the Shipper to be $ - , and Shipper agrees to pay an additionalcharge for excess liability coverage. Total declared value may not exceed $650,000 per shipment.

Carrier liability with shipment originating within Canada: Unless the Shipper agrees to a Special Agreement, declares the value in the box below and agrees to pay the excess liability chargeby intialing where indicated, Carriers maximum liability is CANS2 per pound (CAN$4.41 per kilogram) per individual lost or damaged piece within the shipment, subject to a maximum total liabilityper shipment of CAN$20,000, and provided further that Carriers liability on household goods, used and/or refurbished articles, or personal effects shall not exceed ten cents (CAN) per pound perIndividual lost or damaged piece within the shipment.

SPECIAL AGREEMENT: Declared Value: CAN $ per pound. (Declared value may not exceed CAN $100,000 per shipment.)Shipper agrees to pay excess liability charge: - (Shipper's Initials)

COMMODITY DESCRIPTION(S): By signing this Bill of Lading, I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, andare classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations.

Shipment Received: The shipment is received subject to Tariff CIN'Y-199, Carrier's pricing schedules, terms, conditions and rules maintained at Carrier's general offices in effect on the date ofissue of this Bill of Lading, as well as the National Motor Freight Classifications, the Hazardous Materials Transportation Regulations (Title 49 - CFR, Subtitle B. Chapterl, Sub Chapter A-C), andthe Household Goods Mileage Guide (HHGB 105 Series) for shipments originating in the United States; and the Canadian Motor Vehicle Transport Act, the Transportation of Dangerous Goods Act,and the regulations in force in the provincial jurisdiction at the time and place of the shipment for shipments originating in Canada. The property described on this Bill of Lading is in apparent goodorder. but only to the extent that It is unconcealed and visible without further inspection and except as noted or marked. The property is consigned and destined as indicated above. The word Carrieris defined throughout this contract as meaning any person or corporation In possession of the property under this contract. Carrier agrees to carry the property to its destination, if on its route,otherwise to deliver to another Carrier on the route to said destination. It is mutually agreed as to each Carrier of all or any of said property, over all or any portion of said route to the destinationand as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all of this Bill of Lading's terms and conditions in effecton the date of shipment, including, but not limited to, the 'Terms and Conditions" listed on the back side of this Bill of Lading.

0 CON-WAY TRANSPORTATIOON SERVICES, 5MC.0 CON-WAY CANADA EXPRESS, INC.

...... 0 -•A10911 Technology Place

San Diego, CA 92127Bus: (858) 217-2200Fax: (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

Packing List and Product Certification

Ship From

Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

P.O. Number

RMA 32128

Source Manufacturer Contact Information

Ship To

Thermo Process Instruments1410 Gillingham LaneSugar Land, TX 77478

Recipients Nuclear License Number

Date Shipped

Sep 27, 2012

Shipped via

Conway

.Shipping Information

Shipping Container Type: Overpack Transportation Index 0. / mrem/hr

Container Model Number Container Serial Number Weight (kg/lbs) Seal Number

Overpack 200 lbs

Radiation Information

Radiation Level (mrem/hr)

Radiation Type On Contact At One Meter

Gamma 3. .•c D)Neutron

Total 0.

Contamination Level:alpha < 20 dpm / 100 cm2

beta < 200 / 100 cm2

gamma < 1000/ 100 cm2

2012/03/30 SABIA Document Number 3000008 Rev A Page of

Source Data as of: Jul 12, 2012

Isotope Cf-252 Serial Number Model Number Source Activity (ug) Source Activity (GBq) Contamination/100 cm2 (per source)

alpha < 20 dpmCf-252 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCf-252 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCf-252 beta < 100 dpm

gamma<1000dpm

alpha < 20 dpmCf-252 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCf-252 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCf-252 beta < 100 dpm

gamma < 1000 dpm

Other Isotopes Serial Number Model Number Source Activity (mCi) Source Activity (GBq) Contamination/100 cm2 (per source)

alpha < 20 dpmCs-137 B3765 TN 5201 100 3.7 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCs-137 83766 TN 5201 100 3.7 beta < 100 dpm

gamma < 1000 dpm

alpha < 2OdpmCs-137 $95M1201 Kay Ray 7062BP 100 3.7 beta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmCs-137 B2352 Kay Ray 7063P 500 18.5 beta < 100 dpm

I_ I _ I Igamma < 1000 dpm

CertificationsNotice: A radiation safety specialist must be present when this container is opened

Special Form: (If Applicable) At the time of shipment, the sources in this shipment met the requirements for special form.

Leak Test: The sources in this shipment have passed the applicable leak test

Certificate of Conformance: The products covered by this document are certified to meet the requirements of the contract.

Certificate of Origin

ApprovaO foir ShippingDate Sep VF20120 ,

FSE Signature

Printed Name J

Digital Signature I

ohn W. Hagley

Date

Reviewer Signature

Printed Name

Digital Signaturer ii

2012/03/30 SABIA Document Number 3000008 Rev A Page of

AddMcBW Source WarmaVcn

Source Data as of:

Isotope Serial Number Model Number Source Activity Measured in Activity (GBq) Contamination/100 cm2 (per source)

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpm

beta < 100 dpmgamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha <20 dpmbeta < 100 dpm

gamma < 1000 dpmalpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20 dpmbeta < 100 dpm

gamma < 1000 dpm

alpha < 20dpmbeta < 100 dpm

gamma < 1000 dpm

2012/03/30 SABIA Document Number 3000008 Rev A Page of

10911 Technology PlaceSan Diego, CA 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

Emergency Response Information for Cesium-1 37 (Cs-1 37) Sources

24 Hour Response (800) 424-9300

Date:

Source:

Activity:

Form:

September 27, 2012 Radiation Level (mrem/hr)

Cs-137

27.6 GBq

Radiation Type 30 centimeters 1 meter

Gamma 0

Neutron

Total 3 0

Solid

UN Number: 2915

RADIATION HAZARD DESCRIPTION DIMENSIONS

Gamma - dose Cesium chloride powder double encapsulated in a 1/4 in. diameterBeta - contamination stainless steel capsule 1/2 in. length

Source Intact

* DO NOT TOUCH SOURCE* Place source back into the shipping container or a secured storage area. When handling source, use remote handling

tools (tongs or pliers). The detector assembly can be handled directly.

0 When moving the source, keep as much distance as possible between your person and the source.

Source CrushedDO NOT TOUCH BROKEN CAPSULE OR POWDER

4 Rope off area approximately 10 feet around the source.* Keep personnel away from area to prevent contamination.* Personnel who may have walked through contaminated area or have accidentally touched the source should be

segregated into a holding area to be checked for contamination.0 Notify the Radiological Emergency Response Organization in the area in which the accident occurred.

2012104102 SABIA Document Number3000013 RevA Page 1of I

0. 10911 Technology Place/ 0San Diego, CA 92127

Bus: +1 (858) 217-2200- Fax: +1 (858) 217-2203

NRC License # 11-27727-01

Rv Se SCA License # 6663-37Radioactive Source Shipment Survey Form

Site Name and Address

Vcb4cý b 491-7Date of Sourc Shipment

Sep V,2012

SABIA Inc. Field Service Engineer Printed Name.

John Hagley

SABIA Inc. Field Service Engineer Signature

SABIA Reviewer Signature

Site Contact I- Joro~-

Phone Number 10 P 0 7q93 - 53L4)

E-mail Address LA ) - 1a P-Type of Source I Quantity Type of Radiation Emitted Source Identification

Cs-1 37 4 Gamma, Beta . B3765,B3766,S95M1201,S95L0904

Container Type Container Model Number Container Serial Number Weight (kg/lbs)

Overpack Overpack 200

It&Meter. e. Manufacturero..i: Model Number Serial Number C..:: Cal Dae...:..: ::.... .. ":. :Cal Due:Date:::.:

Neutron Ludlum 12-4 215352 Apr I0, 2012 Oct 10, 2012

Gamma Ludlum 2401-EC 204216 Apr 10, 2012 Oct 10, 2012Leak Test Radiation Alert Inspector 10395 Nov 7,2011 Nov 7, 2012

II ~JY~ m~ r~ ~'r~T~1 ~ 'g~'~ ~jM

Removable Contamination > 185 Bq or 0.005 uCi ?

C Yes - This container is contaminated

(- No - This container is NOT contaminated

Radiation Levels of Container (mRem/hr)

Radiation Type On Surface 1 Meter

Gamma

Neutron

Total..T'ansp~tatilon ndex mrrnen/hv

2012/04/02 SABIA Document Number 3000015 Rev A Page 1 of 1

Nudea Sau~fce Leak Thv Reor

10911 Technology PlaceSan Diego, CA 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

Site Name and Address Analyzer/Gauge Model

Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

.. ..... ................... . .....................

Serial Number

.I95M1 201

Date of Leak Test

Sep 27, 2012S c...eld. .......S..... .....P.r d .N ........aSABIA Inc. Field Service Engineer Printed Name

Site Contact Brad Turne'r ..

Phone Number 1812-743-5347...email .8 ... ..7.4. -. . 4 7_... ...... ... ........ ............I...................c.m...

E-mail Address I.B ra dTur ner@ pe ab od y ene rg yc o m

J o h H a. y......... . .......... .... ... .......... .. ... ......... ...... .............

SABIA Inc. Field-Service Engineer Signature

.. .............. ............. I - UTest Equipment Used to Perform Leak Test

Test Results

Reason for LeakTest

Decommission

Smear Contamination Level

Sealed Isotope Isotope Serial # Activity Level Activity Measured In (mear intmicrocures)(Measured in microcur1es)

Cs-137 S95M1201 100 microcuries Less th an 0.005

I ............................ ................. ... .......... ........................................................................................................................Reviewer Signature Reviewer Title Review Date

The Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.1 0 - 1968 Appendix Section B2.1. A nuclear source such asthe Cf-252, Cs-137 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries. Alpha, Beta

and Gamma contamination is measured in the Cf-252 smear and Beta and Gamma in the Cs-137.NRC License Number, 11-27727-01,2300 N. Yellowstone Hwy. Idaho Falls, ID 83401 State of California License Number, 6663-37, 10911 Technology Place, San Diego, CA 92127

2012/03/30 SABIA Document Number3000006 RevA Page I of 1

zAg_W ; .... ... .... .. ....

10911 Technology PlaceSan Diego, CA. 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

HdeaDw Sour~ce Leak Test Reor

Site Name and Address Analyzer/Gauge Model

IFa Ray.7063P .................................... .......

Serial Number

IS95LO904Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

Site Contact .Brad Turner...n .Nu m.......bI,.....e...r ... .................. ......Phone Number 812-743-5347

E-mail Address IB radTu rner@pea body

.. ... ... ..... ....... ...... .....

Date of LeakTest

Sep 27, 2012[ ....... ................ :~ ~ ....... .. ... .. . .e ..7 0 .! .. ............ ... .. .... ... ..... .. .... ..... ... ........ .

SABIA Inc. Field Service Engineer Printed Name

Jo h nn H a g le y ..... .................................. ............... ... ...-.... ....

SABIA Inc. Field Service Engineer Signature

energy.com I /_C_0T es .... m.. ... U sed..... .t. .. e... ....... t . ... .. ... TTest Equipment Used to Perform Leak Test

Test Resufts

Reason for Leak Test

Decommission

Smear Contamination Level

Sealed Isotope Isotope Serial # Activity Level Activity MeasuredIn (mear intmicrocures)(Measured in microcuries)

Cs-1 37 S95L0904 500 microcuries Less than 0.005

I ...............

Reviewer Signature Reviewer Title Review Date

The Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.10- 1968 Appendix Section B2.1 A nuclear source such asthe Cf-252, Cs-1 37 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries. Alpha, Beta

and Gamma contamination is measured in the Cf-2S2 smear and Beta and Gamma in the Cs-i137.NRC License Number, 11-27727-01,2300 N. Yellowstone Hwy. Idaho Falls, ID 83401 State of California License Number, 6663-37,10911 Technology Place, San Diego, CA 92127

2012/03/30 SABIA Document Number 3000006 RevA Page 1 of I

"_ -.za

10911 Technology PlaceSan Diego, CA 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

clleav or OfDce Leak~ Tes~t Repor

Site Name and Address Analyzer/Gauge Model Serial Number

IB3765Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

JTN_5201 _.......

Date of Leak Test

I. .... ...... ..... .. ... .... ... .. ....... ..... ... .Site Contact

Brad Turne.................r.......Sep 27, 2012SAB.A. Inc.. Fie. d e. .... E n P e N...............a

SABIA Inc. Field Service Engineer Printed Name

Phone Number 181 2-743-5347

lJohn Hagley

SABIA Inc. Field Service Engineer Signature

E-mail Address !Bra d !Turner.@peabodyen e rg_.ycom 9...... k •. >2_Test Equipment Used to Perform Leak Test

Test Resufts

Reason for Leak Test

Decommission

Smear Contamination Level

Sealed Isotope Isotope Serial # Activity Level Activity Measured In (mear intmicrocures)(Measured in microcuries)

Cs-1 37 B3765 100 microcuries Less than 0.005

Reviewer Signature Reviewer Title Review DateThe Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.10-1968 Appendix Section B2.1. A nuclear source such asthe Cf-252, Cs-137 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries. Alpha, Beta

and Gamma contamination is measured in the Cf-252 smear and Beta and Gamma in the Cs-137.NRC License Number, 11-27727-01,2300 N. Yellowstone Hwy. Idaho Falls, ID 83401 State of California License Number, 6663-37,10911 Technology Place, San Diego, CA 92127

2012/03/30 SABIA Document Number 3000006 Rev A Page I of 1

.... ....... ..

10911 Technology PlaceSan Diego, CA 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

THudeair Sou~rce ILeaik Test Report

Site Name and Address Analyzer/Gauge Model Serial Number

B. ...........3 ..................6.Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

JTN 5201

Date of Leak Test

......Sep 27, 2012

Site Contact

Phone Number

-..r . -I.-T ...u. r... ........ ........ ....... ................... ... .. .. . .... .............. .. _ . .. ......... .. .. .. .... ...Brad Turner

812-743-5347

SABIA Inc. Field Service Engineer Printed Name

IPohn Hagley

SABIA Inc. Field Service Engineer SignatureI • •

E-mail Address I-BradLTu rner@pea body e n e rg y co m

Test Equipment Used to Perform Leak Test

.. .. . .. ...... ......

Test Results

Reason for Leak Test

Decommission

Smear Contamination LevelSealed Isotope Isotope Serial # Activity Level Activity Measured In (mear intmicrocures)

(Measured in microcuries)

Cs-1 37 B3.766 100 microcuries Less than 0.005

J ....

Reviewer Signature Reviewer Title Review DateThe Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.10 - 1968 Appendix Section B2.1. A nuclear source such asthe Cf-252, Cs-137 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries. Alpha, Beta

and Gamma contamination Is measured in the Cf-252 smear and Beta and Gamma in the Cs-137.NRC License Number, 11-27727-01, 2300 N. Yellowstone Hwy. Idaho Falls, ID 83401 State of California License Number, 6663-37, 10911 Technology Place, San Diego, CA 92127

2012/03/30 SABIA Document Number3000006 RevA Page I ofl1

0. -

10911 Technology PlaceSan Diego, CA 92127

Bus: +1 (858) 217-2200Fax: +1 (858) 217-2203

NRC License # 11-27727-01CA License # 6663-37

Hnudear Souirce Leak Tes Reo

Site Name and Address

Peabody Air Quality #1 Mine3609, SOUTH HART STREETVINCENNES, IN 47591-8818

Analyzer/Gauge Model Serial Number

Date of Leak Test

- Sep 27, 2012c. .... .. S....e.i. ....... E... P e...... .. N....................SABIA Inc. Field Service Engineer Printed Name

Site Contac

Phone Nun

...... ... .. ...... ... ........ .. .... .... .. ... ..... .. ... ........ .. ... .. ... .. .... ... ... .. ... ... ..bt [Brad Turner

br1 812-743-5347!.J.o h n ..H a g .ie X .ey.... ................................ ...................... ....

SABIA Inc. Field Service Engineer Signature

E-mail Address.Brad u rner@peabody

energy.com -. e s e.m. s . ...... .............. e........... ............ ............................. ... . ............ ......................... .

Test Equipment Used to Perform Leak Test

Test Results

Reason for LeakTest

Decommission

Smear Contamination Level

Sealed Isotope Isotope Serial # Activity Level Activity Measured In (mear intmicrocures)(Measured in microcuries)

Cs-1 37 microcuries Less than 0.005

Reviewer Signature Reviewer Title Review Date

The Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.10-1968 Appendix Section B2.1. A nuclear source such asthe Cf-252, Cs-1 37 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries. Alpha, Beta

and Gamma contamination is measured in the Cf-252 smear and Beta and Gamma in the Cs-1 37.NRC License Number, 11-27727-01, 2300 N. Yellowstone Hwy. Idaho Falls, ID 83401 State of California License Number, 6663-37, 10911 Technology Place, San Diego, CA 92127

2012/03/30 SABIA Document Number 3000006 RevA Page 1 of 1

003 0500 0002"I If II '

7003 0500 0002 4291 4418-r

016H26524021

$07.17005/14/2013

Mailed From 47715US POSTAGE

...... P I

First Class Ma

k bat; rluIfn Wo 1W k'sW.% r9=0g

mwp muiom -1 'w Amoum

FW In FL (30mev

PeabodqPEABODY MIDWEST MINING, LLC7100 Eagle Crest BoulevardEvansville, IN 47715

/~)

j•cl

Office of the Chief Financial OfficerU.S. Nuclear Regulatory CommissionP.O. Box 979051

St. Louis, MO 63197

1011111, hipt 111 11111;