SAIC. 1710 SAle Drive I McLean, VA 22102 I 703.676.0000 I sa iC.com

US Nuclear Regulatory Commission Region IV 1600 E. Lamar Blvd Arlington, Texas 76011-4511

13 September 2013

Subject: Amendment Request to Materials License 04-27788-01

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DNMS

Science Applications International Corporation (SAIC) is requesting that the licensee name of the subject license be changed to Leidos, Inc. from SAIC, effective September 28, 2013. All other aspects of the current amendment will remain the same.

The SAIC Board of Directors has approved a plan to change SAIC's corporate name to Leidos, Inc. , Coincident

with our name change, Leidos is executing a "spinout" divestiture of the technology services, engineering, and enterprise information technology services business at SAIC, with the resulting new company assuming Leidos' former corporate name of Science Applications International Corporation .

Should you have any questions or comments, please do not hesitate to contact me.

Daniel Madson Radiation Safety Officer

NON-PUBUC o A.3 ..... Iti....s.curtty ........ o A,7 Senlltlvelntemli o Other: ______ -;, / ,1/1 !/7 ..

Revlewer::..I.J1~::::..s __ DIIa:~

Ib 581'1 1

~Ieidos Portions of SAle 10 be renamed Leklos, Inc., subject to

stockholder approval and consummation of I sepalation transaction if 8jlpfoved by SAIC board of directors.

Murnahan. Colleen

From: Sent: To:

Madson, Daniel P. [DANIEL.P.MADSON@saic.com] Wednesday, September 18, 2013 11 :34 AM Murnahan, Colleen

Subject: RE: Appendix F - 04-27788-01

Colleen,

FAX sent. Should there be any issues let me know as I can send you a PDF of the form as well.

Regards, Dan

Daniel P. Madson I SAle Radiation Safety Officer I Security and Transportation Technology phone: 858.826.9801 mobile: 858.228.7191 daniel.p.madson@saic.com I saic.com

From: prvs=965e457ef=Colleen.Murnahan@nrc.gov [mailto:prvs=965e457ef=Colleen.Murnahan@nrc.gov] On Behalf Of Murnahan, Colleen Sent: Tuesday, September 17, 2013 9:32 AM To: Madson, Daniel P. Subject: Appendix F - 04-27788-01 Importance: High

Mr. Madson,

Regarding your request to change the name of your company from SAle to Leidos, Inc., please complete the information on the attached guidance. (NUREG 1556 Volume 15, Appendix F). Once it is completed and signed, please fax to (817) 200-1188 or (817) 200-1263, my attention. At that time our office will continue processing your request.

Thank you for your cooperation.

Colleen Murnahanj Licensing Assistant

Direct: 817-200-1103 To[ Free: 1-800-952-9677 Fa;<: 817-200-1.263 E-lJUli[: CoCCeen.Murnahan@nrc.gov

us Nucitar Rtgufatory Commission 1600 E. Lamar Biva. Arlington, TX 76011-4511

1

Sep 18 2013 9:05AM HP LASERJET FAX

FAX To: Colleen Murnahan Fromt Madson) Daniel P.

Fax: (817) 200-1188 Pages: 3

Phone: (817) 200· 1103 Date: 9.18.2013

Re: Service License 04·27788·01 CC:

o Urgent o ror Rc-view D Ple-.ase Comment o Pl .... Reply o PIe .. e Recycle

o

Comments:

Completed form per yOUl' .mail dated 9.17.2013.

Regards,

Daniel Madson

Radiation Safety Officer

2985 Scott Street

Vi.ta, CA 92081

Office: (858) 826.9801

Mobile: (858) 228· 7191

FAX: (85B) 826-9223

email : darue].p.madson@~c.com

p. 1

Sep 18 2013 9:0SAM HP LASERJET FAX

Information Required for Change of Control andlor Change of Ownersh ip (Includ ing a name change)

Source: NUREG-1556, Volume 15

Please provide the following Information concerning changes of control (transferor andlor transferee, as appropriate). If any Items are not applicable, so state.

1. Provide a complete description of the transaction (i.e., transfer of stocks or assets, or merger). Indicate whether the name has changed and Include the new name. Include the name and telephone number of a licensee contact who NRC may contact if more information Is needed.

A. DeSCription of the transaction:

8. (1 No name change

p.2

[l!J New name of licensed organization: --",L",e",i",d",o.2s ... , -",! .. n~c ..... ________ _

C. PI No change in contact

[ I New contact: ___ _ ___ ___ ___ _____ ___ _

[ 1 New telephone number: _________ ________ _

2. Describe any changes In personnel or duties that relate to the licensed program. Include Training and Experience for new personnel.

A. pq No changes in personnel having control over licensed actlvttles.

[ I Changes In personnel having control over licensed actlv~les (e.g. officers of a corporation):

8. [:Ill No changes In personnel named in the license.

( 1 Changes in personnel named In the license (e.g. RSO, Aus) - include training, experlence and responsibilities:

3. Describe, In deta il, any changes in the organization, location, facilities, equipment or procedures that relate to the licensed program.

[ 1 OrganIZation: [ 1 Equipment:

[ 1 Location: [ I Procedures:

[ 1 Facil ity: [Xl Not applicable

5ep 18 2013 9:05AM HP LA5ERJET FAX p.3

4. Describe the status of the surveil lance program (i.e. , surveys, wipe tests, quality controQ at the present time and the expected status at the time that control is to be transferred.

A. Description of the status of all surveillance program: No change in status. Same people and processes will continue after the name change . B. Surveillance Items # Records: calibrations, leak tests. surveys, inventories, and

accountability requirements will be current at the time of transfer

[~ Yes [ 1 No (explain)

5. Confirm that all records concerning the safety and effective decommissioning of Ihe facility will be transferred to the transferee or to NRC, as appropriate. These records Include documentation of surveys of ambient radiation levelS and fixed and/or removable contamination, including methods senSitivity.

Records transferred to: [ 1 New licensee [ J NRC for license termination [Xl Not applicable

6. Confirm that the transferee will abide by all constraints, conditions, requirements and comm~mems of the transferor or that the transferee will submit a complete description of the proposed licensed program.

__ ,...-,...-________________ will abide by all constraints, (transh:ree company)

conditions, requirements and commitments of ______________ _

Signature/Tltle Tranaferee omelet

Dote

OR

(transfelOr com party)

SJgnaturelTltJe Tranlferor otfIdal

Date

[ 1 Description of proposed licensed program from transferee attached (with signature)

OR [Xj Not applicable (name change only)

Name change is effective 28 September 2013.

Paniel Madson - Radiation Safety Officer Certifying Official - Typed name end title

17 September 2013 Date

BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

[ FOR ARPB USE I INFORMATION FROM WBL

Program Code: 03225 Status Code: Pending Amendment Fee Category: 3M 3N Exp. Date: 12/31/2014 Fee Comments: 1DI2C DEL03/07/06AMD 01 Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATTACHED

ApplicanVLicensee: SCIENCE APPLICATIONS INT'L CORP

Received Dale: 09/16/2013

Docket Number: 3036667 Mail Control Number: 581711 License Number: 04-27788~01

Action Type: Amendment

2. FEE ATTACHED

Amount:

Check No. :

3. COMMENTS

Signed:

Date: f -/7-/..g B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 Is entered I I

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

3. OTHER ___________ __ _

Signed:

Date:

® CJ) en ~ 0.. L . ~

From: (858) 816-9179 lisa Wmkenwerder SAiC

Origin 10: CLDA ~~ n::u.su. ""=

2965 Scott Street [g] Vista, CA 91081

JI320 1:xl62OO326

SHIP TO: (858) 826·9801 BILL SENDER

Regional Administrator, Region IV U,S Nuclear Regulatory Commission 1600 E LAMAR BLVD

ARLINGTON, TX 76011

1 A 2215

09.16

Ship Date: 13SEP13 ActWgt 0.5 LB

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CAD: 160427011NET34J

Delivery Address Bar Cc

III1I1I1

FROM: SAIC

CARR: Federal Express

TRK#: 796681642215

9/16/2013 0854 RCVO:

TO: MURNAHAN, Colleen

PH: BOG:

RM:

PCS: 1

Ref# C01161.A.06 Invoice # PO# DeptH

~ 796681642215 ~

MON - 16 SEP AA STANDARD OVERNIGHT

76011

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NRC FORM 532 U. S. NUCLEAR REGULATORY COMMISSION (1-2012)

DATE

09/24/2013

NAME AND ADDRESS OF APPLICANT ANDIOR LICENSEE LICENSE NUMBER

Science Applicatons Int'l Corp. ATTN: Daniel Madson, RSO 2985 Scott Street Vista, CA 92081

This is to acknowledge the receipt of your:

[{] LETTER and/or 0 APPLICATION

04-27788-01

MAIL CONTROL NUMBER

581711

LICENSING ANDIOR TECHNICAL REVIEWER

cm urnahan f!;;M.-

DATED: 09113/2013

The initial processing, which included an administrative review, has been performed.

[{] AMENDMENT 0 TERMINATION 0 NEW LICENSE 0 RENEWAL

[(] There were no administrative omissions identified during our initial review.

o This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

o Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:

http://www.nrc.gov/reading-rm/doc-collections/forms/nrc531.p.df

Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailedtoourLicenseFeeandAccountsReceivableBranch.in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.

Your application has been aSSigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below:

Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Blvd. Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140

\~------------------------------------~ .11 NRC FORM 532 ~ (1-2012)