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U.S. NRC Region Ill
2443 Warrenville Road
Suite 210
Lisle, Illinois 60532-4352
Ms. Erin Kennedy
Health Physicist- Materials Licensing
Ms. Kennedy,
Below is the combined list of gauges (Make/Model/Serial Number) that will be on the Geocon
Professional Services NRC License Number 12-32746-01;
1. Troxler 3430 19989
2. Troxler 3430 25821
3. Troxler 3430 25822
4. Troxler 3430 30009
5. Troxler 3440 30233
6. Troxler 3430 36447
7. Troxler 3430 36449
8. Troxler 3450 63782
9. Troxler 3440 67997
10. Troxler 3440 67998
11. Troxler 3440 69129
12. Troxler 3430 71222
13. Troxler 3430 71223
14. Troxler 3430 71224
15. Troxler 3430 71240
16. Troxler 3430 71432
17. Troxler 3430 71433
Geocon Professional Services is requesting a total possession limit be 20 Troxler 3400 series gauges on
our license.
Below are the latest Leak Tests for the above listed gauges. This will cover all the gauges currently
possessed by Geocon Professional Services under License 12-32746-01.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKF'ORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
2/27/2019 Test Number: 6
Phone: (815)523-7924 Fax: (815) 464-8691
LEAK TEST CERTIFICATE
NC Materia1s License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown beJow accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 19989
Source (Model/Serial#)
47- 5473 75-1202
Test Date: 2/19/2019
Reading in 'microCuries
0.00000 0.00022
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source. 0 The source(s) tested above may remain in 1..1se.
Customer Signature: Date:
°CPN gauges are 50 mCi Am241:Be and 10 mCi Cs-137. Humboldt. gauqes ar:e 40 mCi
Am241:Be and 10 mCi Cs-137. InstroTek Gauge is 40 mCi Am241:Be and 10 mCi Cs····137.
Troxler gauges all, except 4640, are 40 rnC:i. Am241:Be and 8 mC.i. Cs-131. Troxler 4640 is f3 mCi Cs-.U'/.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
4/2/2019 Test Number: 7
Phone: (815)523-7924 Fax: (815) 464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 25821
Source (Model/Serial#)
Test Date: 3/26/2019
Reading in microCuries
0.00024
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source.
0 The source(s) tested above may remain in
use.
Reviewed by Date:
Customer Signature: Date:
"CPN gauqes are 50 rn.Ci l\:rn.241:Be and 10 rnCi Cs-J:17. Humboldt gauges are 40 mCi Arn241:Be and 10 mCi Cs-1:n. InstroTek Gauge s 40 rnCi Am24l:Be and 10 mCi Cs-137. Troxler gauges all, except 464 8 mCi Cs-'.l.37~
re 40 mC.L Am241:Be and 8 mCi Cs-137. Troxler 4640 is
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
2/27/2019 Test Number: 8
Phone: (815)523-7924 Fax: (815) 464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 25822
Source (Model/Serial#)
·-····------·-··------,-·--··"···· 47-22200 75-8805
Test Date: 2/19/2019
Reading in microCuries
. . 0. 00000 0.00028
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source.
0 The source(s) tested above may remain in
use.
Reviewed
Customer Signature: Date:
°CPN gauges are 50 mCi Arn24l:Be and 10 mCi Cs-137. Humboldt qauqes aro 40 mCi
A,"U241:Be and 10 mCi Cs-137. JnstroTek Gauqe is 40 mCi l\m241:Be and 10 mCi Cs·-137.
Troxler gaucres all., except 4640, are 40 mCi Am241 :Be and 8 mCi. Cs-137. Troxler 4640 is 8 mCl Cs-137.
Instro'I'ek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
Phone: Fax:
2/27/2019 Test Number: 4
(815)523-7924 (815)464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3440 Gauge S/N: 30233
Source (Model/Serial#)
47-27212 750-4484
Test Date: 2/19/2019
Reading in microCuries
0.00025
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source.
0
The source(s) tested above may remain in use.
Customer Signature: Date:
°CPN gauges are 50 mCi Am2<l1.: Be and 10 mCi Cs-137. Humboldt. gauges are 40 mCi
Am24l:Be and 10 mCi Cs-137. Inst.roTek Gauge is 40 mCi. Am241 :Be and 10 rnCi Cs····l37.
Troxler gauges a:ll, except. 4640, are 40 mCi Am241:Re and 8 mCi Cs-137. Troxler 4640 is 8 mCi. Cs-137.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 4/2/2019 (919)875-8371 Fax (919)875-8328 Test Number: 5
DOUG JURY Phone: (815)523-7924 GeoCon Professional Services, 11(FRANKFOR Fax: (217)403-1559 9370 W. LARAWAY RD FRANKFORT, IL 60423
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 36447
Test Date: 3/26/2019
Source (Model/Serial#} Reading in microCuries
78-1264 77-3632
,,,.....,.,,,,,,,,,,,-,.-··-··-·-"---- . 0 . 00001
0.00028
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source. 0 The source(s) tested above may remain in use.
Reviewed Date:
Customer Signature: Date:
°CPN qauqes are 50 mCi Al1l241:Be and 10 rnCi Cs-137. Hw:nboldt gauges are 40 rn.C..i.
A."ll241:Be and 10 mC.i Cs-137. JnstroTek Gauge is 40 rnCi Am241:Be and 10 rnCi Cs-137.
Troxler gauges all, except 4640, arE, 40 mCi Arn241: Be and i3 mCi Cs-137. Troxler: 4640 .is
8 mCi. Cs-137.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JORY Phone: GeoCon Professional Services, 11 (FRA.NKFOR Fax: 9370 W. LARAWAY RD FRANKFORT, IL 60423
LEAK TEST CERTIFICATE
4/2/2019 Test Number: 7
(815)523-7924 (217)403-1559
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 36449
Source (Model/Serial#)
77-3634
Test Date: 3/26/2019
Reading in m~croCuries
0.00026
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source. 0 The source(s) tested above may remain in use.
Date:
Customer Signature: Date:
° CPN g-auqc~s a.r:e 50 1ri.C J\m:24 l: Be a.nd 10 n1Ci Cs···· 137 ~ Hurnbcldt gauges a.re ·10 rnC,i
.l\rn2,11.:Be and :o rnCi Cs--'" 37~ InstroTek Ga.1.1ge is 40 mCi 1\rn.24.l.:Be and 10 :mC:i Cs-137~
gauqes all, except 1640, are 40 mCi l\m:241 :Bu a.;-:d 8 rnCi Cs··<L3 7. Troxler 464 s -::,,··137.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JORY GeoCon Service{FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
4/2/2019 Test Number: 5
Phone: (815) 523-7924 Fax: (815) 464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3450 Gauge S/N: 63782
Source (Model/Serial#)
77-9945
Test Date: 3/26/2019
Reading in microCuries
0.00027
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source. 0 The source(s) tested above may remain in use.
Reviewed
Customer Signature: Date:
•">cpt,J qa1.1ges tire SO ~1Ci 1\:m24J .. :Be and. :1.0 .:mCi Cs····l37. Hnmt)c,.ldt. qauges /;t.r.:e 4C .rnCi
Am241:Be and lU met Cs-137. Tnstr:oTek Gaugs is 40 mCi A:m.211:Be and 10 mCi Cs-137.
T.r.oxl~:~r qauqes aJl.r excz:;pt 4640, a.Le 40 rnCi A.m241 :Be and ~3 mC!i <:s-137. Troxler 4610 is
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
Phone: Fax:
4/2/2019 Test Number: 5
(815)523-7924 (815) 464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3440 Gauge S/N: 67997
Source (Model/Serial#)
77-12768
Test Date: 3/26/2019
Reading in microCuries
0.00022
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source. 0 The source(s) tested above may remain in use.
Reviewed
Customer Signature: Date:
"CPN gauges a:::e 50 mCi Arn241:Be and 10 rnCi Cs-137. Eumboldt gauges are 40 rnC:.i
Am24l:Be and 10 rn.Ci Cs-137. InstroTek Gauge Ls 40 mCi 1L'n241:Be and 10 mCi Cs-·137.
Troxler gauges all, except 4640, are 40 mCi Am241 :Be and 8 mCi Cs-137. TroxJ(~r 4640 is 8 rnCi Cs·-137.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
2/27/2019 Test Number: 7
Phone: (815) 523-7924 Fax: (815) 464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following informat.:Lon. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3440 Gauge S/N: 67998
Source (Model/Serial#)
78-875 77-12769
Test Date: 2/19/2019
Reading in microCuries
0:00000 0.00023
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source.
0 The source(s) tested above may remain in
use.
Reviewed
Customer Signature: Date:
°CPN gauges are 50 mCi Ain241 :Be and 10 mC.i Cs-137. Humboldt gauges are 40 rnCi
Am241 :De and 10 mCi Cs-137. Instro'l'ck Cauge is 40 mCi l1m241:.Be and 10 mCi Cs--137.
Troxler gauges all, except 4640, are 40 mci Am24l:Be and 8 mCi C:s-137. Troxler 4640 .l.s 8 mC.i Cs-137.
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax (919)875-8328
4/2/2019 Test Number: 3
DOUG JORY Phone: (815)523-7924 GeoCon Professional Services, 11 ( FRANKFOR Fax: ( 217) 4 03-1559 9370 W. LARAWAY RD FRANKFORT, IL 60423
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3440 Gauge S/N: 69129
Source (Model/Serial#)
T/-13554
Test Date: 3/26/2019
Reading in microCuries
0.00023
Note: 0.005 microCuries (185 Bq) or greater is considered a leaking source.
0 The source(s) tested above may remain in
use.
Customer Signature: Date:
°CPN ,gauges are SO rnCi Arn2,n:Be and 10 mC:i Cs-137. Htunbo1dt 9au9es are 40 mCi
Am241:Be and IO mCi Cs-13·). lnstroTek Gauqe is 40 mCi Am241:Be and 10 rnC:i Cs-JJ'i.
TroxJe:r qauqe~J all, except 11640, arE~ 40 mCi Arn241:Be und 8 rnCi Cs-1370 Trox.1.e.r 4640 is B rnC.i Cs-.137 o
, Inc. e Drive, PO Box 139J
Research riangle Park, NC 2770 (9 9)875-837
10/9/2018 Test Number: l
D<)tJC; i,JlJRY Service(FRANfF'ORT)
9370 VJ .. IJ\F(l\t'Vl':Y RD, s~J.i.tc n (Jl'tr :r1.1 60423
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This c0rtifies s h the
th.at. 1ea oliov,; nq 11 ormat~.i.\Jr1" T1·12 . . L8SlJ1.ts S CVJ
bi::,J ow accurat cc;.nt.:,1rn na .:i.z)n ..
represent the leve
ie u.se.
Ct1stom.er S
Model: 3430 S/N: 71222
Source (Model/
484 77-14094
#)
0.005 microCuries (185 S's)·u.rc:e,, 0 (T~bt?.
ture:
Te t
Reacl:i.nq i.n
0.00023
ma
Date : I c'' )c1~'J t
[>ate:
.":..U/ /2010
In t roTekr 111c.
Ic Dr ve, PO Box J 944 Research Triang e Park, NC 27709 (919) 875--'.B 1 F'ax (919) f37 -8328
c;e::)COrl ice ( FR}\f\KF()}~'T) 9370 VV,, Ll\RA,1/.Ji\Y f<_D, suite D Frankfort, :L 60423
0/9/20lf3 Te,st Number: 1
Pf1<)DC:: ( 81 FictX: (815
::3-! rj
6t.1~UC 1
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
t st 1.y nforrna.t ion. The
t the level c
the ;S]l{)Wn
Model: 430 Gauge S : 71223
'I'c,st Date,: 10 / 4 /20 8
Source (Model/Ser al in rni croCu
77-14095 0.00025
Note: O. 05 microCuries (185 or greater is cons dered a lea source~,) The? sc>ur(:f..0 ( s) es t.ed abo've .ITL3.\t :cernair1 .1..n
P.ev J. E~V';c;ci Date:
Custornf:: L Da
InstroTek, Inc. 1 Triangle Drive, PO Box 13944 Research Triangle Park, NC 27709 (919)875-8371 Fax {919)875-8328
DOUG JURY GeoCon Service(FRANKFORT) 9370 W. LARAWAY RD, suite D Frankfort, IL 60423
Phone: Fax:
9/19/2018 Test Number: 1
(815)523-7924 (815)464-8691
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted on the sample with the following information. The results shown below accurately represent the level of removable contamination.
Gauge Model: 3430 Gauge S/N: 71224
Source (Model/Serial#)
78-10486 77-14906
Test Date: 9/14/2018
Reading in microCuries
, > » SSW#,,,,,-.,w.,~-.,,~
. 0000 0.00024
Note: 0.005 microCuries (185 Bg) or greater is considered a leaking source. 0 The source(s) tested above may .remain in use.
Customer Signature: Date:
°CPN gauges are 50 mCi Am241:Be and 10 rnCi Cs-137. Humbo]dt gauges are 40 rnCj
Am241:Be and 10 mC.i Cs-137. InstroTek Gauge is 40 mCi.. l\c'Tl241:Be and 10 mCi Cs-137.
Troxler gauges all, except 4640, are 40 mCi Am241 :Be and 8 mC.i C:,-13'1. Troxler 4640 is
8 rnC.i Cs-137.
InstroTek, lnc. 1 Tr Drive, PO Box 1 944 Research Tri Park, NC 27709 (919)875-8371 Fax (919)8?5-8328
/9/201F ~ Number: 1
DOUG JURY .Phor1e: (H15 523~7924 GeoCon Service(FRANKFORT) Faz: 81 4-0691 9 3 7 0 \!1_ LARJ,v-:U-'\Y RD, cm it e D frankfort, IL 60423
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
This certifies that leak test analysis was conducted the with t: he following information. The res s shoivn
below accurately sent the level of removable ion.
Gauge Mode: 3430 Test Da Go 0/4/2018 E:) 71240
Source (Model/S
77-14911
1#) Tr1 rnicrcC1.1r·J..cs
0. 0.00028
Note: 0.005 microCuries ( 85 ) or er is 1 source.
0 The source(s) tested above may
use.
CtlS tOEl(~l:' S.i. i-:1rp · Da
a
G~oCpn Service (FMNKFORT) 9370 t•J, LARe1WAY RD
9/l9/2UT8 Te~t N1.unbe.r t 1
Phone : (915 ) 523-792~ Fax : ( fH s J 4 6 4 - 8 6 91
LEAK TEST CERTIFICATE
NC Materials License #092-1073.::-1
Tn te cert;tfi~~ :that, ea k $~ple:- with the fol.low:il}g bei,O\<J t'~p'!Yt:f~<e'pt c~trtamifi-at'ion,.
Gaugx Medel : 3430 G~uge S/N: 71432
Source
was conductea ' ori the The r:esu1ts shov,n, ·( emovable
1est Date1 9/14/2018
Note : 0 . 005 microCuries (18~ Bq) or greater leaking source .
0
The source.(.s) tested use .
In2;tr0Tek, Inc. ii Drive, PO Box 13944 Research Triangle Park, NC 7 09 (919)875-8371 Fax (919187 -332
DOUG JURY oCon Service(FRANKFORI)
9370 W, LARAWl\Y RD, suite D Frankfort, IL 60423
10/9/2018 Test Nurnc,e.r: l
523-79'24 464-06 1
LEAK TEST CERTIFICATE
NC Materials License #092-1073-1
fi s that leak test ana e with the follow informa
be:ow accurate conta1nlnat
Model: 3430 S/N: 71433
Sou.:cce
77-15030
Note: CJ. 005
represent the evel of removable
Test Date: 10/4/2018
I/Serial#) Read n mlcroCuries
ies (Hl5 I or qreater ls considered lea source.
0 The source(s) t stcd above ma remain in
use.
Revievlecl . .. 1a/0~~~1~a-,. i
Customer Signature:
Douglas R. Jury
Radiation Safety Officer
Geocon Professional Services
0-815-523-7924
C-815-509-3629
Song, Taehoon
From: Sent: To: Cc: Subject: Attachments:
Good Morning!
Kennedy, Erin Friday, April 19, 2019 9:03 AM Song, Taehoon; Sandrik, Lauren; Pavon, Sandy Tomczak, Tammy FW: RE: Additional Information Needed to Amend NRC Lie. No. 12-32746-01 Geocon Response Document - Form 699 response 190417.pdf
Will you please add the attached document to ADAMS?
Licensee: GEOCON Professional Services
LN: 12-32746-01 DN:030-38021 CN: 611240
Thank you!
Erin
From: Doug Jury [mailto:[email protected]] Sent: Wednesday, April 17, 2019 10:20 AM To: Kennedy, Erin <[email protected]> Subject: [External_Sender] RE: Additional Information Needed to Amend NRC Lie. No. 12-32746-01
Erin,
Attached is the response to your request as stated in the 699 form. Please contact me with any issues with the attached. Thank you.
Douglas R. Jury
0 815-523-7924 C 815-509-3629 [email protected]
From: Kennedy, Erin <[email protected]> Sent: Thursday, April 11, 2019 1:26 PM To: Doug Jury <[email protected]>; Nick Lococo <[email protected]> Subject: Additional Information Needed to Amend NRC Lie. No. 12-32746-01
Good Afternoon Mr. Jury,
1
Thank you for taking the time to discuss the amendment of your NRC license with me this morning. Please see the attached conversation record for further details. If you have any questions, I will be available at 630-829-9876.
Thank you,
&wi~~ U.S. Nuclear Regulatory Commission, Region Ill Health Physicist- Materials Licensing Email: [email protected] Office: 630-829-9876
I
This e-mail is intended for the use of the indivi al to w it is addressed. The message may contain . information that is privileged, confidential, and e m11 rom disclosure under applicable law. If the reader of this message is not the intended recipient, you are h eby notified that any dissemination, distribution or copying of this communication is strictly prohibit . ase notify the sender of this e-mail by reply if you have received this message in error. Further, GEOCO Profes · nal Services makes no representation as to the long term compatibility, usability, or readability of y attached digital or electronic file.
2