Virgin Islands Paving, Inc.; Deficiency Response …Thank you in advance for your cooperation....

lIRGIN 15LANOS PAVING INC PO Box 4720 Klngshilf VI 008514720 TEL (340) 778-5220 FAX (340) 773-6233

February 141 2013

licensing Assistance Team

Division of Nuclear Materials Safety

US Nuclear ReguJatory Commission Region 1

2100 Renaissance Boulevard Suite 100

King of Prussia PA 19406-2713

Re Renewal of Material license

Control Number 579815

Dear Sir or Madam

Virgin Islands Paving Inc currently has a material license (55-25624-01) We are in need

of renewing this license for future projects Thank you in advance for your cooperation

Sincerely

Robert J Schierloh

President

579 gISshyRECID IN LATJ lS 13 NMSSRGN1 MIrERIALS-002

NRC FOAII ~13 us NUOLEAR REGUIATORY CousslON Pgt-201~ 111 ~ SO 3233 W 36 8$ WlIIICIlIO

APPLICATION FOR MATERIALS LICENSE

APPflaquoMD BY 0IIIIIl NO S1-o1~O EJIPIRIS (01I311111HS) EIIImIIIed IunIen 1 ~~1IIs~~__43111n SUIImIIa of Ie lI(IlIIIcdrIlB~dIIIerIIhUIalIlle appIlc8nIls quallllallIld_8deQIJIIa pocaIIJnI eIlSI III ~ lilt puDIIC ItlImIIII1II __ Il8IIII tcJIImIInIII ~ IMIIUIn ellllmalt to 119 InbItIatoIl Sellbls BlBncII (l-GF63) usNIdaBr~~WfsMIglDn DC~OIb $otIIIJ 10 I~ IIIJfJ 10 Ole ~ 0Ib 0IIIce oIlnfomaIIlIIlQI ~ rmJe10102 (31~al) 0Ib If ~ end lIuifrIat ~ DC ~ 11 aUamped Ib IIqI(lle ~CIlIIaQIon IIOIS IIOtdI6pIiJ a~WIld OllIe alIItJI fItlIIIle1I1e NRC may noIconduel orlIampOI aII paul J1IOt~ blllJlll)lll b II1e lr1IOrmIIIklIl COIIaCIkIn

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~OF IftlERAI a srATE MATERIAI$ ~ SNIIRONMENTAI MHlAGEMliNT PROGAAMS OIVISIOH 01 MA~ lIAFEIY AND STATeAGREIM~HTS us NIJClSAA REGUlATORY COMMISSION WASHINGTON OC 2IJ555-(lOO

AU~PIIMIONI~~TIOHIIMfOUDIn

IF YOU MIG OCIlED IN

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~ IIBSISTANCE TEAM tlMBION OF NVCUAR MATERIAIS ~ I)e NIICLEAR RIGIAATQRY COMMl$$fON REGION I 2100 flEfoIAI$WICE BOUlEVARO ~ 100 KING OF PRUS$1A IA 194080271 I

IF YOU ME LlXA1ID l1li

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AIASffA AAIZONA MJl(AN8M CALIRlRMA COlOIWIO IlAWAII 1DAHO1WIUs lOUISIANA 31 I IIONTAfA NfBUIIIlICI IIlYAIM w1lllllCO MOImt MICVTA eMl 0AIIIiCIIII PAClAClAIM 1tIiWJ0AIIII $OVTH 1MM01A ~ UTNf WA8KlNG1ON OR WYOJMQ

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NUClEAR MATeRlAI$ LICENSING IRAI4Cl1 US ~R RltilULATOAV COIIIMISSION RlGIoNN 1800 1lt ~ iCULEVARD ARUNGTON1X 18011sU

PERSONS LOCATED IN AGREEMENT STATES SEND APPLlCAt1OIeS TO THE us NUCLEAR REGULATORY COa8lON ONLY IF tHEY WISH TO POSSESS AND USE UOENSED IlATEfUAL IN STATeS SUBJeCT TO UsNUOLEAR REGULATORY CDllMlSSION JURISDICTIONS t nilS IS AN AllUCATfON FOR (CM1ca~um)

0 A NEW UCeNSE

0 a AMEHIlMENT TO UcampNSE NUMBER

55-2562401c RENltWIL OF UCENSIi NUUIiIeR[J 3 ADDRESS WlEIU UcentENSEI1 MATeRIAl WILLIE useD OR ICIS$E$EiED

Virgin Islands Paving 1nc 13 OA Estate Bdhlehenl st Croix VI 00850

2 HAMil ANO MAlUNG ADDRess OFNIIICAHT (IrtrNde l1Flaquo1118

Virgin Islands Paving Inc PO Box 4720 Kingshlll VI 00851

4 WI OF EASON TO IE OONTACTeD ABOUT THlSAPPUCATION

Bryan Farley BUSIHE88 TELEFHONE HUMSER 19lJSlHEG$ OELLUIAA TElEPHOHe HUMIIIR

(340) 118-5220 (340) 277-5S61 IilVSINESS EMAILADDReI3$

bfarleyvipavingcom SUllMtT IaC $ THFIOUGH 11 ()HB-1Z)( 11 PAPeR ~TtPENiOSCClPeOl INRIRMATJOH TO as FIIOVIOEO IS oEOOAleO IN liE lICENSfAlllJCATJOHGlJIDE

5 RADIOACTIVE MATEAIAI I ElemIlllt_-IIII1IIMrb~_p~Iorm_c1II8IlOmum lImQunt

WIIkhwll ~ bull _tIIW T IIlaquoIM~)Rl8POltI81BLE FOR RADIAIIOII6AfETY IR()GAAM Nfl) THEIR

TRAINING exPERIGtlCe

II fACIUl1ES AHD aIJlfMENT

11 WASTEMAHAGEMEIfl

Ij IJIVOSE~ FOR WttICH UCENSEO MAT1ilRIAI WIll BE USED

8 1RAIfoIM FOR INDMDUAIS WIORtltIHGlN QR F1=IEQUIlIomHG ftESllUCTIi1) AREAS

10 RADlATIONSAF1I~

12 IJCSIISEFEIS (S8e10CFtH70ltIIIIISaeM11O31

AMOIIN FEI CATEGORYmiddot 3P s 000~Nel0GE0

13 CMTIIlCAIlON (MlIflle~IlYIIJIIfcIIIII) THEAPPUCNITrJNOEJI((JTANDSTHIITA(LSTATCNIElITUNOREPRESEIrATlONsMADEtNTUIS AFPUCATIONARE8INOING UPON1HE~IIT

THE APPLICANT IyenIDNIY omCIAI EXEOVTlNG THIS CERTIFICAIlO ON 8eHAlJ OF THE APPLlCANT NAMED IN rrEM2 ceRTIFY THAT TI1ISAlPllCITiON IS PREPARED IN COIIFQIIMITY~mu 10 CQDI5 QI~Rm3II1ATlONS PARTS 30 raquo _ 34 1538 III AND 4( AND NAT ALlINIORrMTlON CONTIIMED-stl 18 TRIIE Nfl) ~tO

NI BE$ OF THEIR IOIOWIJOGIG Nfl) BElJEJ WARNINO 111 USC S~ 1001 fICf OF JUNE 251148 62 STAT 11IWltE8 rr A C RIMI~QmNSE to MAKE II WlfUUIIY FALSe STATeMeNT OR REPRESENTATION TO AN( tlEPARTMEHTOR AGeNCY OF THE UNITEO$1ATESM TO ANY MAlTER WITHIN ITS JURIEIOICTION

CERTlJVIHG OFFICER - TfIIDIPIIIINTllD NAME ANO TlTUil DATE

Jj 1s-113iRobel1 J Sebier1obmiddot ~ut ~~ FOR NRC USE ONLY

lYPEOfFEE CllECI( NUMSEI COMMENtSIFeELOO IFeECATEGORV ~ReCeMD

APPROIEDiH DATE

I Me FORM lila (~12)

5a Element and 5b Chemical andor 5e Maximum amount that will mass number physical fonn be possessed at one time

A Cesium-137 Sealed source No single source to exceed Troxler Drawing 102112 9mCi

B Americium~241 Sealed source No single source to exceed Troxler Drawing 102451 44mCi

6 Purpose for Which Licensed Materials Will Be Used

To be used in Troxler 3400 series gauges and CPN AC2 series gauges for measurement ofphysical properties ofmaterials

11

Gauge Inventory

Man Troxler Model 9430

Gauge Senal 20404 SSampD Reg NCs46-C-13Q-S

License 55-2562401 Company Virgin Islands Paving Inc

Address 13 GA Estate 8ethlehem East Airport Road St CrolJ( VI 00850

Certification AssaV Leak Test Troxler Spec Form ANSI Radionudlde Activity Serial Data Date Dampte Orawlns Certificate Class AM-2418E 1480GBq 47-15882 21591 21591 122691 102451 USA0632S C66545

CS-137 O300GBq 75-1157 62091 62091 122691 102112 USA0614S C64444

2 Man Troxler Model 3440

Gauge Serial 24458 SSampD Reg NC-646-0-130-S

License 55-25624()1 COmpany Virgin Islands Paving Jnc

Addmss 13 GA Estate Bethlehem East Airport Road St Croix VI 00850

CertJfkatlon Assay leakTest Troxler Spec Form ANSI

Aadionuclide Activity Serial Date Date Date Drawing Certificate Class AM-2418E 1A8OGBq 47-20508 U1994 l2J394 514103 1024S1 USA0632S C66S45

CS-137 O300GSq 75-6508 11395 1113195 51403 102112 USA0614S C64444

3 Man (PN Model AC-2R

Serial A220801043

license 55-25624middot01 Company VIrgin Islands Paving Inc

Address 13 GA Estate Sethlenem East Airport Road St Croix VI 00850

Leak Test Spec Form RadlonucllCle Activity Date Certificate

Am-241Be lOOmCi 6212010 CZIOCJ9S-96

7 Bryan Farley will be the designated RSO for Virgin Islands Paving Inc He has completed Troxlers Nuclear Gauge Safety Training Class and has completed Troxlers Radiation Safety Officer Training Class

APPENDIXD RSO RESPONSl8lUnES

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8 Before using licensed materials all gauge users will have successfully completed the Troxler Nuclear Gauge Safety Training Class

9 Nuclear gauges will be stored under lock and key in the Quality Control Lab at one ofthe following locations for Virgin Islands Paving Inc

Virgin Islands Paving Inc 13 GA Estate Bethlehem

St Croix VI 00850

Virgin Islands Paving Inc 149B Subbase St Thomas VI 00802

10 Radiation Safety Program

Virgin Islands Paving Inc

Radiation safety Program

A Personnel Monitoring

All personnel will wear a personnel monitoring device such as a TDL badge to measure radiation exposure when using or transporting gauges The badges shall be exchanged at intervals not to exceed 3 months Dosimetry badges shall be provided by a vendor accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) such as Troxler Electronic Laboratories Inc

Troxler Radiation Monitoring Services 3008 Cornwallis Road Research Triangle Park NC 27709

B Radiation Detection Instruments

We will maintain a survey meter for the use in the event ofan incident involving the gauge The survey meter will be cahbrated annually by the manufacturer or other vendor and checked for functionality before use

Survey meter in use will be

Manufacturer SE International Inc Model Radiation Alert 4 Type G~M survey meter Radiation detected Alpha Beta Gamma and X-ray Window thickness l5mgcm2

Sunrey meter will be calibrated by

Troxler Blectronic Laboratories Inc 30008 Cornwallis Road Research Triangle Park NC 27709

C Sealed Source Leak Testing

Leak testing will be performed at intervals not to exceed 6 months or other intervals specified in the license 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)

D Material Receipt and Accountability

Records ofreceipt transfer and disposal ofgauges will be maintained for at least 3 years

Physical inventories ofsealed sources will be conducted at intervals no to exceed 6 months

APPSHDIXE GAUGE UTIlizATION LOG

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APPENDlXF SEALED SOURCE PHYSfCALJNVENTORY LOG

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E Public Dose

Gauges will be used transported and stored in such a way that no member ofthe public receives a dose ofmore than 100 mrem in one year

Dose in unrestricted areas will not exceed 2 mrem in anyone hour

Will control and maintain constant surveillance over gauges that are not in storage and secure gauges from unauthorized use or removal

APPENDIXG PUBLIC DOSE CALCUlATION WORKSHEET

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F Operating and Emergency Procedures

APPENDIXH OPERATING AND EMERGENCY PROCEDURES

OPeRATING PROCEDURES

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Incident Procedures

An accident may be defined as an event were the gauge is lost stolen or physically damaged to the extent tlmt the soutee shielding is or could be compromised

If the gauge is lost or stolen follow these steps

L Notify the Radiation Safety Officer Bryan Farley at 340-277-5567 or 340-778-5220 as soon as possible He will then immediately notify the appropriate regulatory agency (USNRC Operations Center 301-816--5100) and the gauge manufacturer(Troxler 919shy549-9539

2 The regulatory agency will direct the ampSO as to additional agencies that must be notified

In the event of damage at the job site

1 Locate the source ifpossible 2 Rope off the accident site and keep bystanders out oithe area A minimum distance of 15

feet from the gauge or source should be maintained 3 If a vehicle is involved keep it all at the site until it can be verified that it has not been

contaminated 4 Stay with the gauge but notify the RSO (Bryan Farley) as soon as possible The RSO will

notify the appropriate regulatory agency (USNRC) ifneeessary S The RSO (Bryan Farley) or regulatory agency will determine ifthe gauge can be safely

transported If it is cleared notify Troxler obtain a RGA number and ship by nonnal means Ifit is not cleared Troxler or the regulatory agency can offer further advice or assistance in making arrangements for safe shipment and disposal

Notify the USNRC if

1 $2500000 in damage to personal property 2 Harm to a person due to radiation 3 Ifsource can not be found

Make a report ud take pidures regardiessU

G Maintenance

We will implement and maintain procedures for routine maintenance (cleaning and lubrication) ofour gauges according to the manufacturers

recommendations and instructions

We will send the gauges to the manufacturer to perfonn non-routine maintenance or repair operations that require removal ofthe source or source rod from the gauge

H Transportation

Gauges will be transported in compliance with DOT regulations and Troxler Transportation Guide

1 Audit Program

An audit of the radiation safety program content and implementation will be performed and documented annually Records of audits will be

maintained for at least 3 years Corrective action will be taken promptly to

prevent recurrence of deficiencies

APPENDIX I PORTABLE GAUGE AUDIT CHECKUST

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L

1 IIUJlIm(C AlW 1NSTR1CJIONS TO WORDRS

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11 Waste Management







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11 Waste Management




D~ANJ)1tEPOJllS













a ~~~4uIiogat







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11 Waste Management






- ~

11 Waste Management


11 Waste Management


Virgin Islands Paving, Inc.; Deficiency Response …Thank you in advance for your cooperation....

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Transcript of Virgin Islands Paving, Inc.; Deficiency Response …Thank you in advance for your cooperation....