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In
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
U
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
E