GL Report from PerkinElmer for Report Period January 1st ... · Mary Navara RN, COHN-S, MPH,...

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I '*PerkinErneI

For the Better

HUMAN HEAtH

PerkinElmer, Inc.710 Bridgeport Ave, M/S 221Shelton, CT 06484USA

Phone 203.402.1999Fax 203.925.4666www.perkinelmer.com

7/8/15

Mary Navara RN, COHN-S, MPH, ManagerIndoor Environments and Radiation SectionEnvironmental Health DivisionDepartment of HealthP.O. Box 64975St. Paul, MN 55164-0975

SUBJECT: UNITED STATES NRC QUARTERLY REPORTGENERAL LICENSE #: 06-02135-12GREPORT PERIOD: January 1= - March 31st 2015

AMENDMENT TO PREVIOUSLY SUBMITTED INFORMATION

In keeping with the requirements set forth under the US Nuclear Regulatory Commission, 10 C.F.R., the attached reportis submitted for the above subject period for material transferred under our general license.

The general license noted above pertains to an Electron Capture Detector (ECD) which is utilized in a PerkinElmer GasChromatograph. The radioactive material Ni63, has a maximum activity of (15) millicuries.

We are resubmitting the report for Minnesota as we inadvertently did not include a transfer (totaling one ECD

device) on our previous 1It QTR 2015 submission. It was thought to be transferred to a user in a different state.

If you should have any questions or concerns, please do not hesitate to contact me.

Regards,

Elizabeth Cantas I Environmental, Health and Safety Manager I Radiation Safety OfficerPerkinElmer I For the Betterelizabeth.cantasDperkinelmer.comOffice: +1 203.402.1999 I Fax: +1 203.925.4666 I Mobile: +1 203.526.9165710 Bridgeport Ave, Shelton, CT 06484 USA

CC) LL.S NRC - 2 copies (Rockville, MD), U.S. NRC REGION 1 (King of Prussia, PA)Enclosure k"AM Ss) Co

PERKINELMER HEALTH SCIENCES, INC.N.R.C. ECD CELL SHIPMENT HISTORY

1ST QUARTER 20154/15/15 - ORIGINAL SUBMISSION

718115 - AMENDMENT

COMPANY/ADDRESS CITY !ZIP CODE STATEI NRC CONTACT ORDER SHIP DATE QTY S/N ECD MODEL

X~ Energ~y No__ MORN3-- -ý5161 /621XcelEnery Northern States Power Co. Minneapolis 55403 Lor Gleason 2/2612015 1 7416 N6100063

612-630-4411 x 222

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PERKINELMER HEALTH SCIENCES, INC.N.R.C. ECD CELL SHIPMENT HISTORY

1ST QUARTER 20154/15/15 - ORIGINAL SUBMISSION

7/8/15- AMENDMENT

COMPANY/ADDRESS; CITY ZIP CODE STATE NRC CONTACT ORDER SHIP DATE CITY S/N I ECD MODEL

MNINXcel Energy Northern States Power Co. Minneapolis 55403 Lori Gleason 65810631 2/26/2015 1 7416 N6100063

612-630-4411x 222

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