white sands missile range, new mexico …"[ply to a "(ntion o~ department of the army u.s....
TRANSCRIPT
"[PlY TO A "(NTION O~
DEPARTMENT O F THE ARMY U.S. ARMY WHITE SANDS MISSilE RANGE
100 Headqu arters Avenue WHITE SANDS MISSILE RANGE, NEW MEXICO 88002-5000
TEDT- WST-SO
RECEiVED
JAN 2 ~ 2012 • 'c.- 1 t :_: 1
MEMORAN DUM '1'1 IR U COlllmander,US Army Test and Eva ILIimmfComm::md ((,STEP P/ Gurvis Ih vis), 2202 Aberdeen l3oul cvard. Aberdeen Proving (j l"Oulld . MI) 2 1005-500 1
FOR Chief. Nuclear Materials I. icensing Branc h. Nuclear Regu latory Commiss ion. Reg ion IV. 6 11 Ryan Plaza Dri vc. Suite 400. Arlingtun. T X 760 11 ·4005
SUBJECT : A rncmlmcnt Requl.!st for Whi le Sands Missi le Range (WSM R) LJSNRC License SUH-734
I. T he enclosed ml1l:nJ mcnl documents tor Whi le Sands Missile Range US Nuclear Regulatory Commiss ioll I.icensc Number SIJ B-734 arc provided for review and appro val. Th\.! purpose o f thi s amendmcnt is In change the I; urrenl Rmi iation Sa lCty O nkcr and Alternate RadiaLioll Sale ty O rtice r j()r this lil;cllsc.
2. This 1ll~ I1l () randum notili es you that Me Mike I IitrL has been replaced by Ms. Patricia ll awort h as the Rad iat ion Sale ty O niccr and Ms. Mary r:: llcn Donahue as the alt ernatc Rad iat ion Sa lety Oni i.:cr fo r this license.
J. Ms. I laworth' s and Ms. Donahue's educatio n and experi ence is o utlined in the enclosure. Po int of con l'lC I fo r thi s action is Ms. Haworth. Radiation Sately O rticer. White Sands Missi le Range Test Center. (575) 678·4869.
End as
Z-. Colonel. Armor COlllmander
o 1
APPENDIX A
U.S. NUCLEAR REGULATORY COMMISSION
TRAINING AND EXPERIENCE BROAD SCOPE RADIATION SAFETY OFFICER
1. NAME OF RSO: 2. EDUCATION: Patricia A. Haworth BS General Science
3. CERTIFICATION
SPECIALITY BOARD CATEGORY MONTH AND YEAR CERTIFIED
4. TRAINING RECEIVED IN BASIC RADIOISOTOPE HANDLING TECHNIQUES
CLOCK HOURS CLOCK HOURS IN LECTUREI OF
FIELD OF TRAINING LOCATION AND DATE OF TRAINING LABORATORY SUPERVISED ON-THE-JOB EXPERIENCE
,. Univ. cA 1OwiI. Iowa Cory. IA 1 9!1~·1!l33 1. ~~~ .. ~ A. RAOIA l iON PHYSICS AND ,. ~7000 ~", , Duaoo Am ekI ~nc«Jy Cente< (OAFC). "'~Io.!A , zoo 11" , >2000 Ilr,;
INSTRUMENTATION 1984 , M~ , >;>000 hrs , Oak RIdge ASroo;, Ijri""",,'y, IN 1(163 , Naval W eap<III$ ~a""" (NWS). V_I"..". VA ,~
1,2.3,4 , 2~ "'$ , ~
B. RADIATION PROTECTION , ;>4 hrS , >7000 "'. , 'OO ~ , >2000 h,,; , 80 )". , >2000 h'"
1,2, 3 , 4 ,. ,,~ , "' C. MATHEMATICS PERTAINING TO , ,,~ ,. >=~
THE USE AND MEASUREMENT , """- ,. .""" ~ OF RADIOACTIVITY
, SOh,s , >""" ~ 1,2. 3 , 24 h'" .. "' D. RADIATION BIOLOGY , Ie "'$ , 500 I.., , 'OO~ ,. 'oo~ , ... , ...
E. RADIOPHARMACEUTICAL NA NA NA
CHEMISTRY
5. EXPERIENCE WITH RADIOISOTOPES
ISOTOPE Ci USED AT ONE LOCATION CLOCK HOURS TYPE OF USE TIME
" , 11<0 ' 51' 5 mCi . ver.;ily 01 klwa , ~'t.".national ,ech\Olog~ ~ XlOO In laboratory ....... "" CorP (IT)
10 ' Ci CO-.Cs .. ·.C .. '. K ... >-~
CurnmI!<"*,,, Nuclear _
H'. c.. ... U,.... u""'. OAEC. F.,..,.,, 2 "-" Pb"", Tc·.h""", (W'I(j K1I~a","" ,
""''''" ' 000 R~''', ",,",''' . Kl'. >2000 IVS E"w .. ",,,,,,,,,,, cle"""p. Sr"" II' Pm '" Na" Rock ""''''' NHtIai (1'11"'), N"""I W~_
00. inN, ""' .. :Cd .... ~'*'" (NWS) YunkN«> 1~V9 wast". recycle,
Ir·"". Co". CS· ... st(II'it!I". """""",I
1Ja .... TIl"', coo. I"'. Am'"'6e, Pu"". U"".
U"', e." •. l 'b"" ac1i~allOn pr<.><luct.
6. EXPERIENCE SUPERVISING USE OF RADIOISOTOPES
ISOTOPE MAXIMUM ACTIVITY LOCATION CLOCK HOURS TYPE OF USE
Ha "". Ra"·, ~. Am"" ,me IJniverSolyof _ . lnIemMion. ... r c<:I\no:IIo9r Coq:q ll )
~2000"'" t...bOtalOO)'
Co". Cs"'. er>·.~. ~oal NLJC"'~r ['ower Plan," II ', eo", un>. U"" 10 kG; OAI:;;C, Fe,m; 2 >lOOO hrS
I'b"', Tc" , IJ~ .. nn """ ;oct,vatiOllI>lO<iud.
Ra"" fIrn'" Kt'" SrOO "' 0 II'. Pm"'. Na". 'IJU . • ~2UOOhrs FnVlf(l(l!' .... " a l dcanop. RIO<JIO"diV<) waSl e.
Til"', Ni" , Cd'''", RocJo. 1,1""" A"enal . N~".,I Weapons S rall"" rccycle. 'lur~9'C. Ofsposal If ''''. c.,"', C.'''. naB'. Yor'lOwt,
r~-.C". I''' . _""tie. Pu,.., u"'",
ti"', !:Ii"., pt,'" ac1ivmi~M.JcI'
7. PRACTICAL EXPERIENCE
ACTIVITY LOCATION EXPLANATION
PERFORMED SAFETY EVALUATIONS OF FACILITIES DAEC Heal:Pt P~ici~I.lpr N~ear F:'ower Gencrali[lg ~nls.
Fermi 2 eva uat aOllles a ~1~Cflllor repaIr a !of AND EQUIPMENT OF PROPOSED USES. modi. .
IT
EVALUATED QUALIFICATIONS OF AUTHORIZED DAEC Evalualed contract individuals incoming to work refuel USERS AND INDIVIDUALS WORKING UNDER THE Fermi 2 outages.
SUPERVISION OF AUTHORIZED USERS FOR PROPOSED USES.
CONDUCTED A LABORATORY AUDIT PROGRAM. NWS Member of and Supervised Inspections of Radiation
• RESEARCH AND DEVELOPMENT LABS facilities. Radiography. and Research Facilities .
• MEDICAL LABS· NUCLEAR MEDICINE. ONCOLOGY. ETC.
MAINTAINED PERSONNEL MONITORING PROGRAM Heallh Physicisl and AlARA Coordinator for an operating FOR DETERMINING EXTERNAL EXPOSURE DAEC Nuclear Power Plant.
• SELECT APPROPRIATE DEVICES
• MONITORED EXPOSURE RECORDS
• ESTABLISHED EXPOSURE INVESTIGATIVE LEVELS
MAINTAINED A BIOASSAY PROGRAM FOR Health Physicist and ALARA Coordinator for an operating DETERMINING INTERNAL EXPOSURE DAEC Nuclear Power Plant.
• DETERMINED METHOD: IN·VlVO AND IN·VlTRO
• ESTABLISHED ACTION LEVELS
• EMERGENCY FOLLOW~UP ACTIONS
CALCULATED INTE RNAL AND EXTERNAL DAEC Heallh Physicisl and ALARA Coordinalor lor an operating RADIATION DOSES. Nuclear Power Plant.
MONITORED AND MAINTAINED ABSOLUTE AND DAEC Health Physicisllor an operating Nuclear Power Plant. OTHER SPECIAL FILTER SYSTEM ASSOCIATED WITH
THE USE. STORAGE. OR DISPOSAL OF RADIOACTIVE MATERiAl.
EVAlUATED, SELECTED. DESIGNED. AND DAEC Health Physicist and ALARA Coordinator for an operating SUPERVISED MAINTENANCE OF PROCESS IT Nuclear Power Plant. as well as. Analytical Group Leader
CONTROL AND CONFINEMENT SYSTEMS. SUCH AS for a Radiation Chemistry Laboratory. GLOVEBOXES AND HOODS.
PERFORMED SHIELDING EVALUATIONS. DAEC Health Physicist and ALARA Coordinalor for an operating INCLUDING DETERMINATION OF TYPE AND AMOUNT Nudear Power Plant.
NEEDED.
CALCULATED RADIOACTIVE DECAY. BUILDUP. AND DAEC Health Physicist and AlARA Coordinator for an operating
SECULAR AND TRANSIENT EQUILIBRIUM. RIA Nudear Power Plant.
ACTIVITY LOCATION EXPLANATION
EVALUATED. SELECTED, MAINTAINED. ANO DAEC Hearth Physicisl and ALARA Coordinator for an EFFECTIVELY USED RESPIRATORY PROTECTIVE Fermi 2 operating Nudear Power Plant
EOUIPMENT_
MAINTAINED A CONTAMINATION CONTROL PROGRAM Health Physicist and AlARA Coordinator for an
• AMBIENT RADIATION SURVEYS operating Nuclear Power Plant.
• CONTAMINAT1ON SURVEYS DAEC
• AIR SAMPLING PROGRAM Fermi 2 • SEALED SOURCE LEAK TESTING
• SAMPLE ANALYSIS
INVESTIGATIONS Health Physicist assigned to investigate all radiation
• OVEREXPOSURES related Technical Speci fication deviation incidents.
• ACCIDENTS, SPILLS. LOSSES, THEFTS Fermi 2
• UNAUTHORIZED RECEIPTS, USES. TRANSFERS. OISPOSALS
• MISADMINISTRATIONS
CONDUCTED RADIATION PROTECTION TRAINING Health Physics, Instrument and Controls. Chemistry. and FOR FACILITY PERSONNEl. W(lstc handling personnel at my Power Plant.
• AUTHORIZED USERS AND LAB WORKERS DAEC
• ANIMAL CARETAKERS
• NURSING STAFF
• INCINERATOR OPERATORS
• ANCILLARY STAFF
• SECURITY
• WASTE PROCESSORSIHANDLERS
DEVELOPED RADIATION SAFETY MANUALS DAEC SOPS and Health Physics Training Plans.
SELECTED INSTRUMENTATION ASSOCIATED WITH DAEC Made recommendations for pi"ocurernent 01 all THE MEASUREMENT OF RADIATION FCfmi 2 mentioned items.
• SURVEY INSTRUMENTS (GM, IT ION CHAMBER. SCINTILLATION
• COUNTING EQUIPMENT
• SPECIAL EQUIPMENT (DOSE CAliBRATOR. DIRECT READING
DOSIMETER, AIR SAMPLER)
PERFORMED INSTRUMENT CALIBRATIONS IT Counters. multichannel analy;-ors. and alpha specs.
COORDINATED MATERIALINVENTQRY AND IT Involved in these operatioos wh ile ongoing in the ACCOUNTABILITY PROGRAM RIA organizations.
• MONITORED RECEIPT. USE, DECAY. TRANSFER, AND DISPOSAL
COORDINATED RADIOACTIVE WASTE DISPOSAL DAfC SupClVised Emuent MOfIitOfiog Program, including PROGRAM Fermi 2 sample coIlec~on . packaging. and shipping. Determined
• EFFLUENT MONITORING RIA wasle sirCdms and appropriate treatment. as well as. • COLLECTION NWS brokered radioactive waste including packaging.
• TREATMENT shipping. and disposal.
• PACKAGING
• DISPOSAL
PREPARED RADIOACTIVE PACKAGES FOR Fermi 2 Determined waste streams and appropriate lreatment, TRANSPORTATION. RIA as well as. brokcred radioactive waste induding
packaging, shipping. and disposal.
ACTIVITY LOCATION EXPLANATION
DEVELOPED AND MAINTAINED A FACILITY DAEC Health Physicist lor an operating Nudear Power Plant EMERGENCY PLAN FOR RESPONDING TO
RELEASE OF RADIOACTIVE MATERIAL.
DETERMINED NEED FOR FINANCIAL ASSURANCE FOR DECOMMISSIONING,
DEVELOPED AND MAINTAINED DECOMMISSIONING FINANCiAl ASSURANCE FUNDING PlAK
8. PROFESSIONAL ORGANIZATIONS
Health Physics Society
9.AW "r'';PRESENi~, 'v~~ AND I "V'N
Iowa Electric 1986 Outstanding Performance Award
Who's Who of American Women 198811989
Who's Who in Finance and Induslry 1989/1990
Department of the Army COmmendations Aug. 21, 1995. Jan. 5, 1997. and Oec. 15. 1997
Department 01 the Army commanders Award lor Civilian Service Jan. 15, 1999
Department of tile Navy Special Act Awards Aug. 22. 2001 and Mar. 7,2003
10. SIGNATURE AND CERTIFICATION
I certify that, to the best of my knowledge and belief, all of my statement is true, correct, complete, and made in good faith.
o,~.,,, U"C DATE I ) (Moo",. d,y. yo,,)
Soptember 14. 2010
~
U.S. NUCLEAR REGUlATORY COMMISSION
TRAINING AND EXPERIENCE BROAD SCOPE RADIATION SAFETY OFFICER
1. NAME OF RSO: Mary E. Donahue 2. EDUCATION: B.S. Biology B.S. Nuclear Medicine Science
3. CERTIFICATION
SPECIALITY BOARD CATEGORY MONTH AND YEAR CERTIFIED
National Registry of Radiation December 1993 Protection T echnojogisl
(NRRPT)
4. TRAINING RECEIVED IN BASIC RADIOISOTOPE HANDLING TECHNIQUES
CLOCK HOURS CLOCK HOURS IN LECTURE! OF
FIELD OF TRAINING LOCATION AND DATE OF TRAINING LABORATORY SUPERVISED ON·THE-JOB EXPERIENCE
, 5 _~!ot<l tlN"'~ f,....,. •. ", eour oe >300 ro-."" > . ...... no.., A. RADIATION PHYSICS AND 0 ... k """, .... OOCoa:o<I Un=-'~1
INSTRUMENTATION (OAAU) 1989 , E~ ............... ..., Mo<>d<>r"Q Co .. .... OIVoU. ·,m , N/otf(Pt~p,op~ ~~
Eoo:>IOOY • • 1/93 , Ra<Io~ Sc:>o<>eo> & Pru" -"<~""'_ ___ ~ .. foo 1"'_ F'n\1OC5. SI<r_e_vn ... 1~ , G""""·/l ..... S~f"'N .......... M .......... Accoo..n:"Q Gout .... loo /oJ...,.." ~~;<)n" l "'''''~y (UlNL) . .I...., .1/99 , /od,...-w:.-l N<t\I.''''' " DA J """"''l'~ C ........ 1..,O.Nl. 19!t9 , 00l.~ flC l LATAR""'t<uemme. "" SI>~" .. """"""" """", ... R_ s-y Acoo'*"1 1010
• ~ft"""'1 r# s.-w N"Qpw MaIM .... --.. Il<Hl 2000
• NNS#I NucI!oIl w~ fl""". _ T'~ S .. """ .... ,.,..,." u!><>-"' ....... = ," eompr .. 'o"" .... tn'J ..... U ... "yg "'"" P,,,,,,ocaI ~..,. .. oI IlasIC PO",,"plO->, 1 I . ... wd Ser>ooI af Put>"e !-le"'h :ro:>a ~ Wooa C;oIt"9" _ 1-1..0. ..
" -... P,Q9r •• m fJ,I",,,",",, _ 6"""",_ 110m, _..,..1 C;"" ... n s..m-..on ... St.nooI cI_~ ""' _ _ • ...,.II. 11Ie1
" _",'_~0!Jn:> II.SO ft>oNm,- ''''''''' ........ n .......... I"" ....... FI 1~' .. "f\O GJ< 1')82 1965
" PI..C:OC ~.'" ""I",,<>tt t<;ar,sr; ~"""'01~"" 1~ - ' 9I\II
" Raa..t~' CO'WoIlnlop«ClOr. Nevn<>.1 liil<l<llogc&I tI .. , ~, S«-IK>1 19S<l - 1~
" IlI<I'o>aei,. a .,.,"',,, ~:a(lC'OO'" :>1"""01.01. N"""". l~" S"'.1990- 1':/'J1
" H .... "" f'Il)-OIOoI, llo:on<!1_ f lMT ~ • • CoIyPl"'" ' \l!i3 · :101O
" _ Pr"OOC>i: . ....,.."., Sa-ds N J"'"
IIangot 21;1'0· ~~
.=~ ,~ooc"",""
B. RADIATION PROTECTION 1.7.3,4,5.7.8.9,9,10. 11 ,12.13.1 4, 15,1 6.
1.2,3,3,4,6,7,8,9 ,'0,1' , 12, 13, 14, IS, _lOOln .. > ~:lOO"",,". C. MATHEMATICS PERTAINING TO 16,17.18 THE USE AND MEASUREMENT OF
RAD!OACT!VITY
1,2,3 ,3.4,6,7.8,9,10,1 1,1 2,13. M, IS, >3)0 """" >4(){)(l """'< 0 RAD!ATION BIOLOGY 16 , 17, 18
E RAD!OPHARMACEUTICAL
I 10.11 50 hour hours :> 1,000 hours
CHEMISTRY
5. EXPERIENCE WITH RADIOISOTOPES
ISOTOPE Ci USEO AT ONF. LOCATION CLOCK HOURS TYPE Of USE TIME
1 ~70I_ I~·_ 1,'3' 10mC ""- Ifu:;It.w mo<IIone _ """"' .. G.o~7. ~ •. ,~
Brook Am.y MedIcal Hospi:al. School of Aerospace Medicine
H~_lll. c, III H J co ·~r, Pu·139, Cu
85mCi Kansas City Plant, Nevada Test Site . XJOO ""'-t. Cr.&t!< """ ... ",,,. ,,,,,,, ,og, $r.~ "",,'1.., 7~, _ pun.·n!i "'~3 "'a.., ...... 1"0'0<:'''''' eq.>pn"""
B,·21U, Cc-6~ ou· • ...,'a_'e"'."~ 7Jt 1e-99, F'<> 2 ' 0.
val""" .... """ ... «1..:1.
144,000 Ci gamma White Sands MISsile Range ,=- f ........ 'ch a...,~
CI>6O_ U 735 U·718 ....... "" .. tOt..ct. ilfadialOl'S --I.....,..""~ •. C.· 13J, lIa-nf;, ....... N.
6. EXPERIENCE SUPERVISING USE OF RADIOISOTOPES
IS010PE MAXIMUM ACTlV1TY LOCAl ION CLOCK HOURS TYPE Of USE
T~7Dl lc·_ "3'. "m Marl in Army Hospital, SlalH 01 . SDOtJoo.t'< FlSO lor " .... , , """""'. hweGt ... , .. sl"'ed G~ -61 X.·ll3, Nevada NiWao-o ".~~"" M9«>f .. ...... " ...
8 ft · l ll ,,·131 " -3, Mar.a;e U$e of sealed SOl.lrGeS Co-51, ~,, ·n~, C4-loo 8!i me, K3Ilsas C~y Plant, Nevada Test . = St-\lQ. A#\.. 2." S~e ~""'. and m anufacturing with DU.
f>t,n.--rn .... -G.l If .. generation ot radIoactive waste 2111. Co-{oO. OU·231:l Tc-99. P021 CO _""'" '·u_...-....
7. PRACTICAL EXPERIENCE
ACTIVITY LOCAT!ON EXPLANATION
US Army fl BennIng
~~~!~~~~ir~~~~i~;~", PERfORMED SAFETY EVAlUATIONS or fACILITIES GA, State of
AND EQUIPMENT OF PROPOSED USES_ Nevada. Kansas , , City Planl , White , , Sands MiSSile Range
EVALUATED QUALIf iCATIONS Of AUTHORIZED US Army f l Benning Manage hospital radialion safety program, inspeCl USERS AND INDIVIDUALS WORKING UNDER THE GA, Slate of various radioactive malcrials licenses tor the Nevada
SUPERVISION OF AUTHORIZED USERS FOR Nevada, Kansas Radiological Health Oepar1men\. and manage the PROPOSED USES City PIMI radiation safely program for a Oe~rtment of Energy
manufaauflng site Health Physicist for WSMR test and research facilitllls_
CONQUCTED A LABORATORY AUDIT PROGRAM US Army Ft Benning Manllge hospiCaJ radialion safety program, inspect
• RESEARCH AND DEVELOPMENT LABS GA StateD! various radioadive materials licenses 101 the Nevada • MEDtCALLABS • NUCLEAR Nevada. Kansas Radiological HeaKh Department. manage the radIation MEDICINE. ONCOI.OGY. ETC C~y Plant safety program for a Department 01 Energy
manulacturmg site
MAINTAINED PERSONNEL MONITORING PROGRAM FOR DETERMINING EXTERNAL EXPOSURE US /,rmy Ft Benning Manage hospital rad iallon safety program. inspect • SELECT APPROPRIATE GA. S1ale of various radioadive mllterials liCenses for Ihe Nevada
DEVICES Nevada. Kansas Radiological Heil lth Di!partment. and manilgEI the • MONITORED EXPOSURE RECORDS Crt'1 Plant radia t,:>n salety program for II Department of Energy • ESTABLISHED EXPOSURE manufacturing site. Health PhYSICist for WSMR test and INVESTIGATIVE LEVELS researCh fadlit les.
MAINTAINED A BJOASSA Y PROGRAM FOR DETERMINING INTERNAL EXPOSURE
0 DETERMINED METHOD: IN-VIVO AND IN·VITRO
• ESTABU SHEDACTION l EVELS 0 EMERGENCY FOLLOW·UP
ACTIONS
CALCULATED INTERNAL AND EXTF..RNAL US Army Ft Benning Mllnage hospital radiation safety program. insped RADIATION DOSES GA, Slate of various radioad ive ma(enals licenses for (he Nevada
Nt1vada. Kansas Radiologica l HeaMh Di!partmenl. and manage Ihe City Plant radiatIon safety program lor a Depanment of Energy
maruJfacturing site. Health Physicist for WSMR lilSI and research facilities
MONITORED AND MAINTAINED .... BSOlUTE AND US Army FI BenninOJ Manage hospital radiatIOn safety program. iasped OTHER SPECIAL FILTER SYSTEM ASSOCIATED GA. Stale 01 variOlls radioactive materials liCenses for the Nevada
WITH THE USE . STORAGE . OR DISPOSAL OF NevClcla, Kansas Radiological He .. kh Department. and mamlOJc the RADIOACTIVE MATERIAL City PIal'll radiaiion safety program for a Department of Energy
manufaclllling site. Health Physiclsl for WSMR lest and research facilities.
EVAlUATED. SELECTED. DESIGNED. AND US Army FI Bennmg Manage hospital radia!lOrl safety program. inspect SUPERVISED MAINTENANCE OF PROCESS GA, Stale of various radioactive materials lio&l\ses forthe Nevada
CONTROL AND CONFINEMENT SYSTEMS. SUCH AS Nevada. Kansas Radiological Health Department. and manage the GLOVEBOXES AND HOODS. City Pktnt rad,ahon safely program lor a Department 01 Energy
manufacturing site.
PERFORMED SHIELDING EVALUATIONS . US Army FI Benning Manago hospital radiation safely proOJram, mspect INCLUDING DETERMINATION OF TYPE AND GA. Slate 01 various radioactive materials licenses lor I he Nevada
AMOUNT NEEDED. Nevada. Kansas Radiological Health Dep<lrtment. and manage Ihe City Plant. White uldiatiOfl $IIfely program lor a Department 01 Energy Sands Missile rnanufadullflg site. Heakh Physicist lor WSMR test and Range research facilities.
Nevada Test S~e Waste managemelll. cIlaracterization and sill:! CALCULATED RADIOACTIVE DECAY, SUILDUP. AND performance assessment
SECULAR AND TRANSIENT EQUILIBRIUM.
ACTIVITY LOCATION EXPLANATION
EVALUATED. SELECTED, MAINTAINED, AND EFFECTIVELY USED RESPIRATORY PROTECTIVE
EOUIPMENT,
MAINTAINED A CONTAMINATION CONTROL Manage hospital radiation safety program, illspecl PROGRAM US ArmyFt \'arious radIOactive malf:'nal~ licenses for lhe Nevada • AW.BlENT RADLATION SURVEYS Bennil'l9 GA. Slale RadIOlogICal Hea~h Dcpanment, and manage the
0 CONTAMINATION SURVEYS of Nevada, Kansas radiation safety !)fogram for a Departmeol of Energy 0 AIR SAMPLING PROGRAM City Plant. While manufacturing ~"e, Hea~h Physicist for WSMR test and
• SEAlED SOURCE LEAK TESTING SandS MISSile research facilities 0 SAMPl.E ANALYSIS Rartgc
INVESTIGATIONS Manage hospital radiation safely program, inSpect vafi.ous radioaclwe materiats licenses for the Nevada • OVEREXPOSURES US Army FI RadIOlogical Health Depaltment, and manage the • ACCIDENTS. SPILLS, LOSSES. THEFTS BeMIIl'Q GA, State radiation safety program for;\ Department 01 Enl!rgy • UNAUTHORIZED RECEIPTS. USES. of Nevada, Kansas manufacturing slle.
TRANSfERS, DISPOSALS City Plant 0 MISADMINISTRATIONS
CONDUCTEO RADIATION PROTECTION TRAINING Manage hospital radiaTion safety prollram. inspect variou.; radioactive mBtellBls liccrlses lor the Nevada
f OR FACILITY PERSONNEL Radiological Healtn Departmerl!. arld manage the 0 AUTHORIZED USERS AND LAB WORKERS US ArmyFt radiation safety program for a Departrnent 01 Erlergy
~ ANIMAL CARETAKERS Benoing GA, Slate manufacturing site. Hea~h Physicist fo r WSMR lest and 0 NURSING STAFF of Nevada, Karlslls research facilities. • INCINERATOR OPERATORS Crty Plant. White ~ ANCILLARY STAFF Sands Missile
0 SECURITY Range
• WASTE PROCESSORSIHANDLERS
DEVELOPED RADlA TION SAFETY MANUALS US AfTTI~ Ft Manage hosprtallad,atiofo S<lfety program, inspe<:l Benning GA, State vaflous radioactive matenats liCenses for the Nevad~ of Nevada, Kansas Radiological Heanll Departmen!. arld manage the Clly Plant radiation safely program for a Department of Energy
manulacturirlg sile.
SELECTED INSTRUMENTATION ASSOCIATeD W ITH Manage hosp~al radiation safety program, inspect THE MEASUREMENT OF RADIATION US ArmyFt various rad ioactive matenals licenses for the Nevada
• SURVEY INSTRUMENTS (GM, Berming GA, Stille Radiological Health Department. and marlage the ION CHM1BER, SCINTILLATION of Nevada. Kansas radiaTion saf~ty program for CI Department of Energy
• COUNTtNG eOUIPMENT City Plant. White mllflUIClduring sile. Hea~h Physicisl for WSMR lest and
• SPECIAL EOUIPMENT (DOSE SandS Missile research facilllies CAUBRATOR. DIRECT READING "''''' DOSIMETEK, AIR SAMPLER)
PERFORMED INSTRUMENT CAUBRATIONS US A fTTIy FI Manage hospnal rad iation safety program, mspecl BflIlrlIng GA, State various rad,oac\ive materials lir;;enses for the Nevada of Nevada, Kansas Radiological Health Department, alld mallagc Ihe City Plarlt. White radialiorl safety program for a Ocpartmerll of Ellergy Sarlds MiSSile marlufacturing sito. H"a~h PhYSICist lor WSMR lest and Range resealch fac~ities .
COORDINATED MATERIAL INVENTORY AND US AfTTIY Ft Manage hosp!!al faoJialion safety program, Insped various radioactive materialS lICenses lor the Nevada
ACCOUNTABILITY PROGRAM Benning GA, Slate RadIOlogICal Health Department. ilOO manage the • MONITORED RECEIPT, USE . 01 Nevada. Kansas rCldialion safely program for a Depafim€nt 01 Enef9)' DECAY. TRANSFER, AND DISPOSAL City Plarll, White manufacturing site Haalth PhYSICISt fOI WSMR lest and
Sallds Mis!>iie research faCIlities ......
COORDINATED RADIOACTIVE WASl'E DISPOSAL Manage hospital rndiaoon sa1ety p/Ogram. inspect PROGRAM various radioactive materials tioooses for the Nevada
• EFFLUENT MONITORING US Army fI Radiological Health Department. and manage the
• COlLECTION Benning GA. raclialion safety program for 3 Department 01 Energy ~ TREATMENT Nevada Test Site. manl,lfadl,lffng sile. HeaHh Physicisl fOf WSMR test and 0 PACKAGING Kansas City Plant. research faclhhes. 0 DISPOSAL White Sands
Missi!e Range
PREPARED RADIOACTIVE PACKAGES FOR US Army Ft Manage hospital radiation safety program. inspect vanous radioildive materia~ lieenses lor the Nevada
TRANSPORTATION. Scnning GA. RadIolOgical Heakh DepartmCllt. and man.age the Kanus City Plant, radiatiOn safely program for a Department of Energy WMeSands manufactunng slle Heanh Physicist for WSMR test lind Missile Range research faCIlitIes.
ACTIVITY LOCATION EXPLANATION
DEVELOPED AND WAtNTAINED A fACILITY Kan~as Health Physicis! for the enVironmental monitoring and EMERGENCY PLAN fOR RESPONDING TO Department of emergency planning section
RelEASE OF RADIOACTIVE MATERIAt Health
DE,ERMINED NEED FOR FINANCIAL ASSURANCE FOR DECOMMISSIONING
DEVELOPED AND MAINTAINED DECOMMISSIONING FINANCIAL ASSURANCE
FUNDING PLAN.
-8. PROFESSIONAL ORGANIZATIONS
Health Physics Society Counselor Radiatiorl Protection Program Directors
9. AWARDS, SCIENTIFIC PRESENTATIONS AND PUBLICATIONS Plesenter al the SaMy Ride SOenc.e Festival sponsored by 1he University of Missouri KansOls City. 2005 and 2007
-
10. SIGNATURE AND CERTIFICATION
I certify thaI. 10 the best of my knowledge and belier. all of my statement IS true, correct. complete, and made in
good faith.
/)i)t1IiJr.kJ ~ DATE SIGNED {Month. day. year)
i~ - 01.-0- ~DII U
TRAII\' J.\lG &. I<XrI<RIE:\(f' WITt I :-.IA1>.!E & ORGA:\JZA no;.: M,I x DATE RADIOACTIVE ~IAT[R1ALS Mary E, o"n.lh ui." IVSV.P, WSMR, :-.J)o.l sS(m DAe (Pk;lS~ Typ" or Print L~"'ll'ly) 55:-;, 1'1&\2 co:-m~ Dccrm~T 9, 201 1
nrc TRAIJ\Ji\'G WI limE T1<AII\ED DURATIOl\' OF On the Jf'b Check) Formal C"ur~ (Ch..-ck) TRt\lt"Jt\G YF5 '0 YES NO
I I'R!~C1rLES A:-':D PI~ACl'Jn5 5 w~',:h , , OF RAUl ATIO;\' I'r~OTECTIO:-J Od~ ~idf,e t\ ~S(lc:iMl'.t Univcr~i t)'
(ORi\U)
, RADIOACTIVITY MEASUREi\IENl !:>'1 A:\DARD1ZATIO:-< ,\;\,D ORAU Mo;..;nOR!:"!G lECH;";IQU['j ;; wa'k.~ , , ,\i\D 1;": 5Tr<L:~IE!\JTS
, )o.IATI lEMA TICS & CALCULA no;..!!'> B,\SlC lOTHE t.:SE AN D OI~A t; 5 w~,,~k~ , X MF.:\Sl]REME~T OF R,\D!(McnV!TY
, BlOLOGIC AL EfFeCTS OF ORAt.: X X R,\DIAT10~ ;; WlX'k~
EXJ>E R1 Ero.:CE WITH ION[7,1.''':C RADI,\TION (,\CTliAL USE OF RADIOISOTOPES OR EQL.'lVALENT EXPER!ENCE)
150101'1:. MAXI\IU~ A(T[VITY w:4ERE EXF(RI!::-:CE: WASCAINED UL'RA nON OF n'PEOF t;Sl:: FXPERIE1\CE
C,,-60 15,IIlKI (" p.'r SOUI'(., G .. nund RlIllge Fxllity 'ulY 2010 .. ~l'mbl'r 2010 H.l,mb un lrolinhll; al eRr, Clncrg<'nq pro.:cdul'C\, rr~parl'
RWf',HP SUJ!pl1Tl fM l)j>er~ti<ln~, up lL'l.lding ami testing S('lu rccs, annu~1ll1~in~nancl'
Flash x-rdY sy~h' L1l " REB . .>" PI 5:11l July 211W- LX'Ccm(x,r 2lnn HP support for opcr~llons, prepMe R\"/T', sUJ"I,'ey cXP<J~urc cdl. a~a rnoniLorin);
V~ri'lll~ l~ilt0I' L'~ 20111(; !-k111Cl"wll, F\I&T Jan 1993 - Jllll~ 2010 L.'sl'd senk~\ S()\ll'('l'~ iI)r ;nstnmwnt ~Illt ('(mnti"c l'quipmcnL Dt.:, Cs·J17 PI.I/St·, cJlibralion , ~urveye..-I Areas using Tiulioactive sources ilIld x·rdY Th·232. Co- 60, H, ~rstems. support ..... t chtomicilJ ,,(Ching of elL, provkle<:l ra,Uilllnn ). 5.lr"ty tr<lining, man"!:,,,d luw Il'vel ladillil(hvr \,'a.>te
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:"<c\\,d,1 T~t Sit.-
State of >.J(>l.'ad.l Bureau of Rad'ation Control
O<: tob,'t IWI)· [),'!\"(!Il\ber 1992 I liP support al lLRW dispoSolI Site, In~trUmeflt calibratlml, sur\'c~' "",\,;1,, ((n ll~ iners, \'ehl<~l~~ an.! monitor area
Octob"r 1988 - Octob.!r 1m Inspected vanou:J RAM lil'l'fll;t.'$, ~-Ta)' f(\(11 ,!ics ami the LLR\'\' s,t~ ,md srupm('nls
K;u\SOls [)(op<lrhT1<'lIluf Hl'"lth nn,\ cnV\rvnml .. ll! J.muary 1986 - O.:tulx,r 19811 I ETll" rl'.l'nf), rIJl'lT1ml'~ <.'1wirunmental IT\OrUtonng and LLRW
Health l>hysi(J~ I , ;"brtin I\rm)' I los)'i!J!, Ft. !:lentl'"l:' G A
S;il()()l .,1 A('fo,;\,J('" .\kdi~ 'I1 " - Nude", t\k-..ILLUW Cllll:'
O;:to~r 1982 - D~..:eml><"r 1985
lu ly J 977-("~~obcr 19H2
RSO on "RC lic~T1 St', ~ur\'c)' r,ldlOa,ti\'c mMC'riai use Mcas anll ~fa\, sptl'ms, proviJ",,1 d l,simctry and r~d'iltion Sol fel)' trJming
r~rfcrm nudt'<\f rl1 l, dk u1{' imagine,. pn'p:lTC r~dl()ph.lrnK'\:ut"I~. SUlV"Y hot I.lb,
Founded tn 1976
National Registry oj Radiation Protection Technologists
Hereby Certifies that
Mary E. Donahue
Has satisfactorily met the recognized standards established by the National Registry of Radiation Protection Technologists and is hereby registered as G:
Radiation Protection Technologist
~~/
"Secretary U<lte
• I !
i I i
,,-
II
"
IMWE-WSM-SO (J8S-ll h) 09 Decemhcr 201 0
MEMORANDUM FOR TEDT-WSV-NP
SUBJECT: Approval of Ms. Mary Ellen Donahue as a I Icalth Physici st
1. Rcfen:m:c memorand um, TEDT -\\'S-SV-NP, subject: Request for approval of Mr., Mary Elkn Donahue to serve as Ilcalth Physic ist, 03 December 10. enclosed.
2. A Quali fication and Certification Board was held for Ms. Donahue on 15 November 10. The bo,m.l recommended approval of Ms. Donahue as IIcalth Physics Monilor for the Gamma Runge. Eldomdo, PI-538. LINAC and REBA facilities. At the 07 December 201 0 White Sands Radiation Safety Committee meeting, the committee granted approval to Ms. Donahue.
3. Point of contact is the undersigned, WSM·SO. 678-1211.
CF: Chaimlan, RSC
MICHAEL S. HART Recorder Radiation Safety Committee, WSMR
Office of the Surgeon General
ConSUltant
M edical C ommand
Great Pla ins Reg iona l
Med ical Center
McAfee Health Cl in ic
U .S. Department Insta llation of Management
the Arm y Command
Army Test ------ ------------- ---- - - IMCOM ,
Arch ive copies of and Eva luat ion , West ,
Command , Licenses. ARAs , , I ,
Developmental u .s . Army Public Health Test
Command (Tenative j Command I
White Sands ----- -, W hite Sands
------------- ----- ----- -- Missile Range , Ga rri son , , Commander ,
Commander , Advises the , , , , Commander ,
Director of Safety , White Sands , , :- --- ------- -- -- -------- - Test Center
, --- -- ---- ----, , Director
, , , , , , I , , , , Surviv ability , , ,
Vulnerab ility and Test Center Garrison , -+- '-, , Assessment Safety Office Safety Office ,
Directo rate
I I Resource Radiat io n Safety
Protection Officer (RSO) and
Office (Reactor and Staff
, Gamma Range HP staff) I , , , ,
!_ -- -----------_. _--- ------------ ----- --- ---- --------- -- -----. ..
Radiation Safety . Garrison
Committee RSO -"
RSOs have direct access to the Commander
-----, , --- -~ , , , , ,
-- -- -: ----_.
DEPARTMENT OF THE ARMY U.S. ARMY WHITE SANDS MISSilE RANGE
100 Headquarters Avenue WHITE SANDS MISSILE RANGE. NEW MEXICO 88002·5000
HU'U TO A TTENTION OF
TEDT-WS-CG 28 December 20 11
MEMORANDUM FOR
WST WSM-ZA ED WST-SO WSV IG SJA WSR WSM WSVNP WSR-CF WSM -SO NAWC TGOR WSVA AMSRT-CS-WS-T MCHM-MIIC SMDC-HD AMSAM-TMD-GC-WS
SUBJ ECT: Appointment ofRadiatioll Safely Committee
1. Effective this date the persons whose names appear below arc appointed as the Radiation Safety CommiU ee, as indicated:
GRUNOW, RANDY J. , GS- 15, WI liTE SAN DS INSTALLATION SAFETY OFFICER, USA WSMR PARENT (W04WAA) WSMR, NM 88002-5048, (WS-SF) - CIIAIRMAN
DURAN, ROBERT M., GS-1 3, IJSA WSMR PARENT (W04WAA) WSMR, NM S8002-5048 (WSM-SO) - ALTERNATE CHAIRMAN
HART, MICHAEL S., GS- I3 , GARR ISON RADIATION SAFETY OFFICER, USA WSMR PARENT (W04WAA) WSMR, NM 88002-5048 (WSM-SO) - RECORDER
BARNES STEPHEN A., LTC, DIRECTOR, HEALTH SERVICES, USA WSMR MCAFEE IIEALTH CLINIC (WOQ30 1) WSMR, NM 88002-5520, (MCHM-MHC)
DONAHUE, MARY E., GS- II , USA WSMR PAR ENT (W04WAA) WSMR, NM 88002-51 58 (WSSVNP)
HAWORTH , PATRICIA, GS- 12, TEST CENTER RADIATION SAFETY OFFICER, USA WSMR PARENT (W04WAA) WSMR, NM 88002-5048 (WST-SO)
LOPEZ, ARTHUR A., GS-13 USA WSMR PARENT (W04WAA) WSMR, NM 88002-5048 (WS-NSO)
NAKAZATO, REGINALD, GS- I I, USA TEST MEASUREMENT SUPPORT CENTER (W46AWN) WSMR, NM 88002-5528 (AMSAM-TMD-C-WS)
RAINES, BR ET, K. GS- 12 NAVAL ORDNANCE TEST STATION (6 1762) WSMR, NM 88002-55 10 (NAWC-WD)
CHAVEZ, MARC IJS, GS-13, WSMR PARENT (W04WAA) WSMR, NM 88002-51 13 (WSR-CF)
CHAM BERLAIN, FELICIA A., DJ-03, ARMY RESEARCH LAB, WSMR, NM 88002-5513 (ARL) AMSRL-CS-WS-T
TEDT-WS-CO SUBJECT: Appoint1lltmt of Radiation Safely Committee
RERUM EN, MANUEL, GS-1 3, USA WSMR PAR ENT (W04WAA) WSMR, NM 88002-5178 (WSV-AT)
REYNOLDS, STEVE, OS-1 3, USA SMDC IIELSTF DIR ECTORATE HUNTSV ILLE, AL 35805-9036 (AOI I) - DUTY STATION WSMR, NM (SMDC-HD)
SANDERS, KENNETH, M., CTR, DEPUTY FOR AIR FORCE, 46'111 TEST GROUI', 88002 - DUTY STATION WSM R, NM (A F)
THORNTON, ROOER, RADIATION SAFETY OFFICER , UXB INTERNATIONA L INC. , DUTY STATION WSMR, NM
2. Eflccti vc Ihi s date the persons whose names appear below arc appointed as official observers for the Radiation Safety Committee, as indicated:
CRISP, DAVID W., OS-1 3, USA WSMR PARENT (W04WAA) WSMR, NM 88002, (WS-IO)
NICIIOLSON, INDIA, OS-1 3, USA WSMR PARENT (W04WAA) WSM R, NM 88002-5048, (WS-JA)
3. Authority: AR 385-10, paragraph 7-2.a, Army Safety Progrnm, 23 August 07.
4. Purpose: RSC acts as an advisory committee to the Commander for review orthc policies and conduct of the WSMR Radiation Safely Program, and will meet approximatel y quarterly nnd at the call of the Chairman.
5. Period: Until officially relieved or released from appointment.
6. Speciallnslfucl io lls: This memo supersedes memo, TEDT-WS-CG, 12 Dccemhcr 20 11 . SAB.
FOR TIlE COMMAND ER:
2
TEDT-WS-CG SUfU ECT: Appointment of Radiat ioll Safety Committee
CAROL J. MEI)EIROS Secretary of the General Stall
3
.
TEDT-WS-CG 28 Oecember 20 11
MEMORANDUM rOR SEE DISTRIB UTION
SUBJ ECT: Appointment of Radiation Safety O fficer (RSO), Laser Safety Officer (LSO), Radiof'rcqucncy Safety Officer (RFSO) and Alternates
I. Efl( .. 'Ct ivc th is date the persons whose names appear below arc appointed as the RSO, LSO, RrSO and Altcm ates as indi cated:
HAWORTH, PATRICIA A., GS-1 2, USA WSMR PARENT (W04WAA) WSMR, NM 88002-S04S (WST-SO) - Primary
DONA HUE, MARY E. , GS- II , USA WSM R PARENT (W04WAA) WSMR , NM
2. Authority: Anny Pamphlet 385-24, The Anny Radiation Sa fe ty Program, 24 August 07.
3. Purpose: To prov ide the Commander, WSMR, the Radiation Safety Committee and radiat ion users with ad vice and ass istance on the control of haza rds to health and safety from radioacti ve malerials, ionizing radiation pro tecting devices, lasers and m icrowave; and to supcrvist: the WSMR Radiat ion Safety Prob"Tam fo r the Commander, WSMR
4. Period: Until o llieially reli eved or rel eased fi"Om appointment.
5. Spccial Instructions: Al ternate Radiation Safety Officers are to act, when designated by the Commander, WSMR, f()r the Rad iation Safety O l1icer in hi s absence. This memo supersedes memo TEOT-WS-CG, I November 20 11 , SAD.
FOR THE COMMANDER:
MEDEIROS .. e~~GlC::r 123 CAROL J. MEDEIROS Secretary o f the General S tafT
DISTRITlUTION:
TEDT-WS-ED
TEDT-WSR TEDT-WSM TEDT-WS-JA IM SW-WSM-PW 46 TG Dell ([GOR AMSAM-TMD-GC-WS IIELST1'
TEDT-WS-CSTEDT-WS-TC IMSW-WSM-ZA TEDT-WSV TEDT-WS-IG TEDT-WST-SO IMSW-WSM-SO NSWC PHD WSMR AMSRT-CS-WS-T
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