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NRC FORM 315 U.S. NL'CLEC1 AETULATO4Y COMMIS$10N. (144 APP' OVED SY OMS

* 10 CF 4 34. 32,33. 31, 3154 012035 e d 40 APPLICATION FC7 MATERIAL LICENSE E . s.stST

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(NSTRUCTIONS: SEE THE APPROPRIATE LICENSE APPLICATION GulOE FOR DETAILED INSTRUCTIONS FOR COMPLETING APPLICATION, SEND TWO COPIES

OF THE ENilRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW.

FEIERAL AGENCIES FILE APPLICATIONS WITH: IF YOU ARE LOCATED aN:

U.S. NUCLEAR RECJLATORY COMulSSION BL U Nois, INDI ANA, IOW A, MICHIGAN, MINNESOTA, MISSOURI, OHIO, ORDIVISION OF FUEL CYCLE AND MATERI AL SAFETY,NMS$ WISCONSIN, SEND APPt ICATIONS TO:WASHINGTON,DC 20555

U S. NUCLE AR REGULATORY COMMISSION, REGION 111CLL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS,IF YOU ARE MATEMI ALS LICENSING SECTIONLOCAT E D IN: 799 ROOSEVELT ROAD

GLEN ELLYN,lL 60137CONNECTICUT. DE L AWAR E, DIST R ICT OF COLUM81 A, MAIN E, M AR YL AND,MASSACHUSETTS. NE W JERSEY, NEW YORK, PENNSYLVANI A, RHODE ISLAND, AR K ANSAS, COLOR ADO, lDAHO, K ANSAS, LOUISl AN A. MONT AN A, NE B R ASK A,CM VERMONT, SENO APPLICATIONS 'O: NEW ME XICO, NORTH DAKOTA, OKLAHOMA, SOUTH DAKOTA, TEXAS, UTAH,

OR WYOMING, SEND APPLICATIONS TO:U S. NUCLE AR REGULATOR Y COMMISSION, REGION INUCLE AR MATERI AL SECTION 8 U $ NUCLEAR REGULATORY COMMISSION. REGION IV631 PARK AVENUE MATERI AL RADIATION PROTECTION SECTIONKING OF PRUS$1A,PA 19406 611 RYAN PLAZA drive, SUITE 1000

AR LINGTON, T X 76011ALAB AMA. FLORIDA, GEORGIA, K ENTUCK Y, MISSISSIPPt. NORTH CAROUN A,iUE RTO RICO SOUTH CAROUNA. T ENNE$$E E, VIRGINI A, VIRGIN ITL ANDS, OR AL ASK A, ARI2ONA, CALIFORNI A, MAWAlt, NEVADA, OR EGON, WASHINGTON,WEST VIRGINIA, SEND APPL. CATIONS TO: AND U.S. TERRITORIES AND POSSESSIONS IN THE PACIFIC, SEND APPL' CATIONS

TO:U S NUCLEAR REGULATORY COMMIS$10N, REGION 11MATERI AL RADI ATION PROTECTION SECTION U.S NUCLEAR REGULATORY COMMIS$10N REGION V101 MARIETTA STRE ET,5UITE 2900 M ATERI AL R ADI ATION PROT ECTION $ECTIONATLANTA.GA 30323 1450 MARIA LANE SUITE 210

WALNUT CREEK,CA 94596

PERSONS LOCATED IN AGREEMENT STATES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMIS$10N ONLY IF THEY WISH TO POSSESS AND USE UCENSED MATERIAL81 STATES SUBJECT TO U.S. NUCLE AR REGULATOR Y COMMISSION JURISDICTION,

1. THIS IS AN APPUCATlON FOR (Check ecorophere stemJ 2. N AME AND MA.UNG ADDRESS OF APPUCANT (factodelgp Code /_

Seaman Corporationx A. NEW uCENSE-

Industrial Fabric Division8. AutNDMENT TO LICENSE NuM8ER- 34-09121-01

C. RENEWAL OF uCENSE NUMBER 4510 Crown Hill Drive - Co. Rd. 292-

Expired 4-30-85 Millersburg, Ohio 446543. ADDRES$lESI WHERE LICENSED MATERI AL WILL SE USED OR POSSESSED.

Seaman CorporationIndustrial Fabric Division4510 Crown Hill Drive - Co. Rd. 292M111ersburc. Ohio 446544. NAME OF PERSON TO SE CONTACTED ABOUT THIS APPLICATION TELEPHONE NUMBER

Rodney E. Mackey 216-674-2015SUSMIT ITEMS S THROUGH 11 ON 84 a 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLIC ATION GUIDE.

S. RADIOACTIVE MATERIAL

a. Eieree.n.t and eness n. umber, it chemicea sad /or physical form, and c. monimum emount 6. PURPOSEls) FOR WHICH UCENSED MATER! AL WILL BE USED.mn be ,0.,*.,e . so, ces I, e.

7. INDIVIOUAUS1 RESPONSIBLE FOR R ADI AflON SAFETY PROGR AM AND THEIRTR AINING AND E xPERIENCE. 8. TR AINING FOR INDivlDUALS WORKING IN OR FREQUENTING RESTRICTED ARE AS.

O MO7098. F ACIUT''' 50. RADi ATiON SAFETv PaOGaAu

REG 3 LIC30 PDR a uCENSEE FEES esse =Cu nos d$ set oa uo m

34-09121-02 . AMOUNTii. W A32FEE CATEGOaY 2J | ENCLOSED s230.00

13. CERYlFICATION I4tntbe comp /ered er appuceart THE APPUCANT UNDERSTANDS T < 4T ALL STATEMENTS AND REPRESENT ATIONS MADE IN THl3 APPUCATION AREi

BINDING UPUN THE APPUCANT.

THE APPLICANT AND ANY OFFICIAL E x ECUTING THl3 CERTIFICATION ON SEH ALF OF THE APPLICANT.N AMED IN ITEM 2 CERTIFY THAT THiS APPLICATION ISPREPARED IN CONFORMITY WITH TITLE 10. CODE OF F EDE R AL REGULATIONS. PARTS 30,32,33,34,35, AND 40 AND TH AT ALL INFORMATION CONTAINED HEREIN,15 TRUE AND CORRECT TO THE SEST OF THEIR KNOWLEDGE AND SELIEF.

W ARNING 18 U S C SECTION 1001 ACT OF JUNE 25.1944 62 ST AT 749 MAKES IT A CRlulN AL OFFENSE TO MAKE A WILLFULLY F ALSE STATEMENT OR REPRESENTATIONTO ANY DEPARTutNT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISOICTION

RE.CER TIF vikG OF FICEI TYPED.PHINTED NAME ITITLE IDATEFl9 A

f< ""Y - Rodney E. Mackey Plant Manager 6/20/859 4. v 0 Lu N f A A v I CONOWC O A Y A

e A 'W k L H i ai*fs o Nuvet M OF 6MPLu f E E S t rere, for a wouLD YOU 81 WituNG TO FURNISH COST INFORMATION Oonersaaeor staff hourst< $250K S t M +3 SM **'"' ''#''Y **#"'aeng ours,de contrecront ON THE ECONOMIC |MPACT OF CURRENT NRC REGULATIONS OR ANY FUTURE

PROPOSED NRC REGULATIONS THAT MAY AFFECT YO;Jr (NRC reputersons permerggsog ,$00g g3sy ,g of to protec t conhdent ci commerrner er tenencogl~gravenerary-ontormarme turnushed to

the aeener ra con * oence', ___ssooK-7soK s rM-iOM

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q[OF FE #I yx 3UN 2 41985TYPE j JEE LOG A~ FEtCATEW HY COMMENTS APPHOVED 8 Y

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LMOQNT RECE VEQ CHtCK NUMBER MnEGlon { 2419 $E 0 6Jp& O y/ p g'

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mlv&CY ACT ST ATEMENT ON THE REVERSE hMDJL3WL'.,m P'y n QV* 8 & N ** U

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PRIVACY ACT STATEMENT

Pursuant to 5 U.S.C. 552a(e)(3), e ucted into law by section 3 of the Privacy Act of 1974 (Public Law 93-579), the follow-ing statement is furnished to individuals who supply information to the Nuclear Regulatory Commission on NRC Form313. This information is maintained in a system of records designated as NRC-3 and described at 40 Federal Register 45334(October 1,1975).

.

1. AUTHORITY: Sections 81 and 161(b) of the Atomic Energy Act of 1954,as amended (42 U.S.C. 2111 and 2201(b)).

2. PRINCIPAL PURPOSE (S): The information is evaluated by the NRC staff pursuant to the criteria set forth in 10 CFRParts 30,32,33,34,35 and 40 to determine whether the application meets the requirements of the Atomic Energy Ac+. of1954, as amended, and the Commission's regulations, for the issuance of a radioactive material license or amendmentthereof.

3. ROUTINE USES: The information may be (a) provided to State health departments for their information and use;and (b) provided to Federal, State, and local health officials and other persons in the event of incident or exposure,for their information, investigation, and protection of the public health and safety. The information may also be dis-closed to appropriate Federal, State, and local agencies in the event that the information indicates a violation or potentialviolation of law and in the course of an administrative or judicial proceeding. In addition, this information may be trans-ferred to an appropriate Federal, State, or local agency to the extent relevant and necessary for an NRC decision or toan appropriate Federal agency to the extent relevant and necessary for that agency's decision about you.

4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVID-ING INFORMATION: Disclosure of the requested information is voluntary, if the requested information is not furn-ished, however, the app |! cation for radioactive material license, or amendment thereof, will not be processed. A requestthat information be held from public inspection must be in accordance with the provisions of 10 CFP 2.790. Withhold-ing from public inspection shall not affect the right,if any, of persons properly and directly concerned need to inspectthe document.

5. SYSTEM MANAGER (S) AND ADDRESS: U.S. Nuclear Regulatory CommissionDirector, Division of Fuel Cycle and Material SafetyOffice of Nuclear Material Safety and SafeguardsWashington, D.C. 20555

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jNRC FORM 313

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APPLICATION FOR MATERIAL LICENSEItem 5 of NRC form 313

RADI0 ACTIVE MATERIAL

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LINE NO. ELEMENT & MASS CHEMICAL AND/0R MAXIUM AMOUNT NAME OF MANU-NUMBER PHYSICAL FORM WHICH WILL BE FACTURER AND

POSSESSED AT MODEL NUMBER.

ANY ONE TIME

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1 Sr 90 Scaled Source 150 MC Ohmart Corp.Model #4830

2 Sr 90 Sealed Source 300 MC U.S. Radium,

! Model # Lab 370-1

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AUTHORIZED'USE

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5 A. To be used in Ohmart Corporation Model BG-2 source holder for thickness measurement.

B. To be used in Ohmart Corporation riodel LBC-2 source holder for thickness measurement.

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TCE C E I V E D~

UUN 2 41985

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APPLICATION FOR MATERIAL LICENSEItem 6 of NRC form 313

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| Purposes for which licensed material will be used.

Line No..

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!- 1. As a sealed source for measurement of material thickness.!. 2. As a sealed. source for measurement of material thickness.!,

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APPLICATION FOR MATERIAL LICENSEItem 7 of NRC from 313

Individuals responsible for Radiation Safety Program and their trainingand experience.

1. Rodney Mackey Charles Huffman1971-present 1973-present

2. Experience gained on the job instruction by Richard Andrews.Instruction in basic safety and leak testing procedures wereprovided by Ohmart Field Engineering Services at time ofinstallation and during maintenance visits to Shelter-Ritea Division of Seaman Corporation.

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cgiTROLNo. 7 9 2 2 3

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APPLICATION FOR MATERIAL LICENSEItem 8 of NRC form 313

Training provided to other users.

1. LPersonnel will be scheduled in next available seminar under Ohmartsinstruction.

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APPLICATION FOR MATERIAL LICENSEItem 9 of NRC form 313

Facilities and Equipment

The Ohmart gauge is equipped with.a self activating shutter mechanismthat closes when the measuring head is removed from rhe fabric web. Also duringany period that the guage is not used for measurement the shutters are closedblocking radiation from the source.

Seaman Corporation maintains 24 hour security for protection of personneland property.

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| APPLICATION FOR MATERIAL LICENSE| Item 10 of NRC form 313

10.1 Personnel Monitoring EquipmentThe type of equipment for monitoring will be either of your recommendation,

| film badges or TLDs.

10.2 Leak testing has been done in the past by our staff representatives of OhmartCorporation

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10.3 Any maintenance on the equipment will be done with the radioactive sourcein the closed position. Only qualified personnel with the Ohmart Corporation.

10.4 Transport of the device will be carried out under DOT regulations.

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10.5 OPERATIONS AND EMERGENCY PROCEDURES

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| 1. Devices will be used to monitor exposure

| 2. Use of the device will be administered3. When not in use the device shutter is closed plus we have constant

surveillance.4. N/A

| S. Leak testing done by outside source will be by Ohmart Corporation.| 6. Emergency procedures in case of accident involving our guages are as| follows:l A) Personnel will remove electrical power source from the

guage by turning off the circuit breaker.

B) The areawill be cordoned to prevent other personnel from any[ exposure.!

I C) The shift supervisor will inform Rodney E. Mackey at 216-! 377-4182 who will inforn proper authorities.

D) Any personnel who were in the area during the accidentwill be surveyed for contamination. Steps for decontamin-ation will be taken as necessary.

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Rodney E. Mackey,

Plant Manager'

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R:..OlnROL No. 7 9 2 2 3,

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