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NRC FORM 7(11-2012)10 CFR 110

U. S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0027 EXPIRES: (11/30/2015)Estimcted burden per response to comply with this mandatorycollection request: 2.4 hours. Thissubmittal is reviewed to ensure that the applicable statutory, regulatory, and policyconsiderations are satisfied. Send comments regarding burden estimate to the InformationServices Branch (T-5 F53), U.S. Nuclear RegulatoryCommission,Washington, DC 20555-0001,or by intemet e-mail to Infocoliects.Resource@nrc.gov, and to the Desk Officer, Office ofInformation and Regulatory Affairs, NEOB-10202, (3150-0027), Office of Management andBudget, Washington, DC 20503. If a means used to impose an information collection does notdisplay a currently valid OMB control number, the NRC may not conduct or sponsor, and aperson is not required to respond to, the informationcollection.

APPLICATION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL,

OR CONSENT REQUEST(S)(See Instructions on Pages 4 and 5)

PART B. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS, OR CONSENT REQUESTS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

1. NAME AND ADDRESS OF APPLICANT/LICENSEE

Source Production & Equipment Co., Inc.113 Teal St.St. Rose, LA70087

2. TYPE OF ACTION REQUESTED (Check One)

EXPORT il IMPORT(Parts S, C, E) L_ (Parts S, D, E)

1a. NAME OF APPLICANT'S CONTACT

Kelley Richardt1b. APPLICANT'S REFERENCE NUMBER

PXB14b.04

464-94711c. PHONE NUMBER

1e. E-MAIL ADDRESS

kelley@specI50.com

L AMENDMENT/RENEWALCurrent License Number:

1d. FAX NUMBER

466-9151

DCONSENT REQUEST

(Parts S, C)Current License Number:

3. CONTRACT NUMBER(S)

NA4. FIRST SHIPMENT DATE

Ongoing

PXB14b.04

5. LAST SHIPMENT DATE

Ongoing6. PROPOSED EXPIRATION DATE

09/30/2016

PART C. TO BE COMPLETED FOR EXPORT LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)

7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATEAND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONSIGNEE(S) FOREIGN CONSIGNEE(S)

No change No change No change

7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED

No change

8a. INTERMEDIATE USE(S)

No change

9a. ULTIMATE END USE(S)

No change

10. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES,NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FORNUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OFEQUIPMENT FOR EXPORT

No change

10a. MAX TOTAL VOLUME /ELEMENT WGT (KG), ORTOTAL ACTIVITY (TBq)

No change

11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)

No change

10b. MAX ENRICHMENTOR WGT %

10c. MAX ISOTOPEWGT(KG)

NRC FORM 7 (11-2012)

No changeNo change

NRCFORM7 U.S. NUCLEARREGULATORYCOMMISSION(11-2012)10 CFR 110

APPLICATION FOR NRC EXPORT OR IMPORTLICENSE, AMENDMENT, RENEWAL, OR CONSENT REQUEST(S) (Continued)

UC£NSE,:~DOCKET NUMBER ADAMS ACCESSION NUMBER

0PUBLIC OR N·PUBLIC

R PX6.b~ .. 1/00 (.,0 ~<i •. ..

PART D. TO BE COMPLETED FOR IMPORT LICENSES, AMENDMENTS, OR RENEWALS(If morespaceis neededto completeanyof the items,usePages3-4 first, and thenattachadditionalsheets,if necessary.)

12. NAME(S) / ADDRESS(ES) OF FOREIGN13. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 14. NAME(S) / ADDRESS(ES) OF ULTIMATE U. S.SUPPLIERS AND/OR OTHER PARTIES

TO IMPORT CONSIGNEE(S) CONSIGNEE(S)

No change No change No change

12a. NRC EXPORT LICENSE NUMBER(S) 13a. LICENSE NUMBER(S) / EXPIRATION DATE(S) 14a. LICENSE NUMBER(S) / EXPIRATION DATE(S)(if applicable)

No change No changeNo change

13b. INTERMEDIATE USE(S) 14b. ULTIMATE END USE(S)

No change No change

15. DESCRIPTION OF RADIOACTIVE MATERIALS. SEALED SOURCES.15a. MAX TOTAL VOLUME / 15b. MAX ENRICHMENT 15c. MAX ISOTOPE

ELEMENT WGT (KG). ORNUCLEAR FACILITIESTOTAL ACTIVITY (TBq) OR WGT % WGT(KG)

No change No change No change No change

16. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)

NONE

PART E. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR CONSENT REQUEST(S)17. ADDITIONALINFORMATION

DYES [Z]NO 17a. COPiESOFRECIPIENTS' DYES [Z] NOPROVIDEDON PAGES3, 4, AUTHORIZATIONSPROVIDED?AND/ORONSEPARATESHEETS?

18. CERTIFICATION:I, the applicant's authorized official, hereby certify that this application is prepared in conformitywith Title10, Code of Federal Regulations, and that all information provided is correct to the bestof my knowledge.

18a. PRINT NAME AND TITLE OF AUTHORIZED OFFICIAL 18b. SIGNATURE -- AUTHORIZED OFFICIAL 18c. DATE

Kelley Richardt

~fdw/ ?kbRegulatory and Quality Manager

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NRC FORM 7 (11-2012)