The Chemours Company Chemours'Chemours'-The EHS, Chemours Roomn3076-2 Company'..1007 Market St•reet• P0 Box 2047 Wilmington, DE 1.9899 On' December 7, 2015 I received corre~spondence

Chemours'"December 28, 2015

The Chemours CompanyEHS, Room 3076-21007 Market StreetP0 Box 2047Wilmington, DE 19899

Director, Office of Nuclear Material Safety and SafeguardsATTN :/Document Control Desk/GLTSU.S. Regulatory CommissionWashington, DC 20555-0001

ATTN: Document Control Desk/GLTS

RE: Annual Registration of Generally Licensed devices

The purpose of this letter is update the annual registration of generally licensed devices which are possessed by the Chemours

Co. at the Experimental Station, 1007 Market Street, Wilmington, Delaware, 19801.

The Chemours Company, LLC was spun-off from the ElI. DuPont de Nemours and Company, Inc. on July 1, 2015. On July 14,

DuPont RSO Kelly Petrillo (NRC license # 07-13441-02) informed the NRC Document Control desk/GLTS of the spin-off, and

transfer of five generally licensed devices to Chemours. Of these, one device (the Niton XLi421) is subject to annual registration.

Manufacture Mfg.. D•..... Model No, " K Serial No.;• oIsdotpe: , Activity, m:i•

1/15/2005 Cd- 109 40.000

Niton 2/26/2002 XLi421 5312 Am-241 14.000

2/1/2002 Am-241 0.001

6/15/2007 Cd-109 40.000Niton XLi401 5855

8/21/2002 Am-241 0.001

10/28/2001 Fe-55 35.000Niton XLp453 6856

10/24/2003 Am-241 5.000

Agilent Oct-07 G2397A U12649 Ni-63 15.000

Agilent Nov-10 G2397A U18173 Ni-63 15.000

In September, 2015 one generally licensed device (not subject to annual registration) was transferred from Agilent to Chemours:

Manufacturdr: Mfg Date , ModeIo.SrilNo. ISotope •.,Activity, mCi :,

Agilent Aug-15 7890B US15353020 Ni-63 15.000

In December, 2015 three generally licensed devices..(not subject to annual registration) were transferred from DuPont to

Ch emo urs:

Mnufatue :Mfg Dat Model No ... Seia No. Th: ~otope. Acti~vitymCi

Ecet& 1/10/2011 NER-8275A 77A-0452 Kr-85 10Ziegler

NRD Oct-li Nucleospot P2042 A2HW147 Po-210 5

NRD Oct-13 Nucleospot P2042 A2JK746 Po-210 5

Chemours'-The Chemours Company'EHS, Roomn3076-2 .. ,,1007 Market St•reet•

P0 Box 2047Wilmington, DE 1.9899

On' December 7, 2015 I received corre~spondence from your office (dated November 20, 2015) on instructions for the annual registration-of-ge n erally-licen sed ddevi ces-for--th e C hem o urs-Co m p a n lo cation at tth e W ilmin gtonhr D el aware Exp e ri me ntal-Stati o n.-Th e acc om p anyi ng-forms reference General License registration Ndi-nber GL-704429-'20.- which] ass~ume is a GL registration number newly assigned to the

Chemours Comjpan~y. However, if this is the case, there are 2 devices (which would require annual registration) listed in your paperwork.which have never been possessed by Chem'oUrs - which Ihave identified on section 4 forms. There are also 28 deviceslisted in section 6,which have never been possessed by Chemours - Which I have also identified on section 4 forms.

If it is not the case that General License registration number GL--104429-20'has been assigned to the.Chemnours Company, then please

assign a new GL registration number to us. Our complete inventory~at the Wilmington, Delaware experimental Station is:.

-.. . . .. - ..... ""-uifllbftarv!]ianUiacirer: Mf Date... -'" ... Moe'No...... S ria No -Isotope ciiy Ditiuo .registration

1/15/2005 Cd-109 40.000

Niton 2/26/2002 XLi421 5312 Am-241 14.000

2/1/2002 Am-241 . -0.001 -.53-0388 -Yes

6/15/2007 .Cd-109.. 40.000 .-Niton XLi4O1 5855-

8/21/2002 Am-241 0.001 53-0388 No

10/28/2001 Fe-55 35.000NitonXp4365

10/24/2003 X:4 686 Am-241 5.000 53-0388 No

Ecet& 1/10/2011 NER-8275A 77A-0452 Kr-85 10.000 -

Ziegler 1153-103-62 No

NRD Oct-il Nucleospot A2HW147 Po-210 5.000P2042 " 1153-103-62 No

NRD Oct-13 Nucleospot A2J K746. Po-210 5.000P2042 1153-103-62 No

Agilent Oct-07 G2397A U 12649 Ni-63 15.00007-28762-02G No

Agilent Aug-15 7890B US15353020 Ni-63 15.00007-28762-02G No

Agilent Nov-10 G2397A U18173 Ni-63 15.000- 07-28762-02G No

Richard L. Chalfant, CIH (.

Senior Safety & Health Consultant, Radiation Safety Officer

The Chemours Company

Wilmington, Delaware

302-773-2609

GL-704429-20 -:, :"SECTION 111/02/2015 PAGE 1 of 2NRC FORM 664 •U.s. NUCLEAR REGULATORY COIVMISSION07 _-2 0 15 • . .. .. i . .. , , < , • j. . . '.. . . . ". . . :

10 .CF " 31.5 GENERAL, LICENSEE.REGISTRATION .. .:::,.:,-.

APPROVED BY 0MB: NO. 31 50;0t 98 .' ' :'.. .... EXPIRES: 041301/2016Estinfiated burden per response to comply'with this mandatory collection requ~est: 20) minuites. NRC will use this information to-track general licensees and thni/ dievices toensure a higher level of device accountability. Send comments-regarding burden estimate to the FOIA•, Privacy, and Information Collections Branch (T-5 F53), U; S. NuclearRegulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects.Resource~nrc.gov, and to the Desk Officer, Office of Information and RegulatoryAffairs, NEOB-1 0202, (3150-01 98), Office of Management and Budget, Washi ngton, DC 20503. If a means used to impose an information collection does not display acurrently valid 0MB controlnumberthe NRC m'ay not conduct or sponsor, andi a person is niot required to respond to, the information collection. : -, - '"

, -, . • :, ,.: : i , ~ ~ ~ . ' • . - • '' . • '

Complete all six sections of this registration form...If any of the preprinted information is incorrect, provide thechanges in the applicable boxes. USE CAPITAL LETTERS.

General License SECTION 1 - GENERAL LICENSEE INFORMATIONRegistration Number .-GL-704429-20, .

Enter the company name and the street addresslphysical location of use for your device(s). Forportable devices, specify the primary storage location. Do not use a P.O. Box~address.Company Name: THE CHEMOURS COMPANY,. LLC.. .

Department: DUPONTY EXPERIMENTAL-STATION.•

Address Line I: BUILDING 322 ROOM 327C

• • / •> ,v9o2-. ,-zo o v " € • _•Address Line 2: P.O. BOX 80322

City: WILMINGTON .,

~LIP Ii i cI

State: DE i) • Zip Code: 19803 -0322 /1 •" • 0 ) -

Fo R s Only Categor::0/:: "L'IZ'D (O not ritr~e:h~ere) :•; :: " Packet :: Recip Dat (MMDDYYY

"':::,< i < '/ :,: =:: ::=;'::"• ,::,: :: Access on Number:' ''• ::

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PAGE 2 of 2SECTION 1 - GENERAL LICENSEE INFORMATION (Continued)

Enter the name, telelphone number and title of the person who is the responsible individual for the device(s).

Last Name: CHALFANT, CIH

First Name: RICHARD Middle Initial:L

Telephone: (302) 773-2609 Extension:

Title: RADIATION SAFETY OFFICER

Enter the mailing address where correspondence regarding your device(s) should be sent.This address should be specific to the use or storage location of your device(s).

Department: EXPERIMENTAL STATION

Address Line 1: BUILDING 322 ROOM 328G

Address Line 2: RTE 141 & HENRYCLAY BLVD

City: WILMINGTON

I. L , )V/ A/,/ Tc ,V

State: DE DL L.= Zip~ode: 19880 -0249 57 "? - 1 171

A A

GL-704429-20

11/02/2015 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2Our records indicate that you have these devices. Please update the information as necessary. PAGE 1 of 3

NRC Device Key 267392 (Internal Control Number)

Distributor/Distributed By: NDC INFRARED ENGINEERING, INC.

Distributor License Number: 1933-70 GL

Manufacturer Name: NDC INFRARED ENGINEERING, INC.

Device Model (Not Source Model): 102

Device Serial Number: 634

Transfer Date (Receipt Date): 02/15/11989I I I INot in possession of device (Also

[]complete Section 4.)

MM DD YYYY

Isotope (e~g. AM241) Activity (e.g. 100) Unit (e.g. mCi)

1 AM241 25.000000000 mCi

2

3

4

5

6

IlillllI IIIIlil

I I I I r i l l l] I i I I I I I II i I I l l l lI I I I I I I I

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GL-704429-2011/02/2015 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2

Our records indicate that you have these devices. Please update the information as necessary. PAGE 2 of 3


Distributor/Distributed By: Panametrics Inc.

Distributor License Number: 20-07181-04G

Manufacturer Name: PANAMETRICS INC.

Device Model (Not Source Model): 4000

Device Serial Number: 554

Transfer Date (Receipt Date): 04/21/2004

[ffl F I I f Not in possession of device (Also•t complete Section 4.)

MM DD YYYY

Isotope (e.g. AM241) Activity (e.g. 100) Unit (e.g. mCi)

1 AM241

2

3

4

5

6

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GL-704429-2011/02/2015 SECTION 2 - DEVICES SUBJECT TO REGISTRATION SECTION 2

Our records indicate that you have these devices. Please update the information as necessary. PAGE 3 of 3


Distributor/Distributed By: THERMO SCIENTIFIC PORTABLE ANALYTICAL I NSTR

T --I r LJ/'o s c / • A/T / F~ C.

Distributor License Number: 53-0388

Manufacturer Name: NITON CORPORATION

Device Model (Not Source Model): XLI421

xL £'/z_ /Device Serial Number: 5312

Transfer Date (ReceiptDate): 04/21/2004O•_. •_j • •• • •Not in possession of device (Also

2. 0 I' [ complete Section 4.)

M M D D YY YY

Isotope (e.g. AM241 )

1 AM241

2

3

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14.000000000

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SECTION 3 - ADDITIONAL DEVICES SUBJECT TO REGISTRATION PAGE 1 of 1Provide information about other devices you have that are subject to registration. Do not report specifically licensed devices.

Manufacturer Name

Initial Transferor Name

Initial Transferor License Number (if known)

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Device Serial Number

1

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Part 2 License Number of Recipient (if transferred to a specific licensee):

Company Name:

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Last Name:

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GL-704429-20 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 411/02/2015Provide information about devices listed in Section 2 or 6, but no longer in your possession. PAGE 1 of 1

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Company Name:

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Last Name:


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Part I Transfer Date:NRC Device Key: IX// $z /] C:l: E L• 717_L FT17

(from Section 2 or 6)MM DD YYYY

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GL-704429-20 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 411102/2015Provide information about devices listed in Section 2 or 6, but no longer in your possession. PAGE 1 of 1


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GL-704429-20


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Provide information about devices listed in Section 2 or 6, but no longer in your possession. PAGE 1of1I


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Provide information about devices listed in Section 2 or 6, but no longer in your possession. PAGE 1 of 1



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GL-704429-20

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11/70429201 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 4


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Provide information about devices listed in Section 2 or 6, but no longer in your possession. - PAGE 1 of 1

Part I Transfer Date:NRC Device Key: • /I•L L • • _••

(from Section 2 or 6)LII 1J iiiiL 7MM DD YYYY





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G170429-201 SECTION 4 - NOT IN POSSESSION OF DEVICE SECTION 4



NfRC Devceio 2ey 2or/ 67i)17 FTMM DD YYYY

Location of the Device:o Whereabouts Unknown (complete Part 1 only) O Transferred to another general licensee (complete Parts 2 and 3)




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Location of the Device:o• Whereabouts Unknown (complete Part 1 only) O Transferred to another general licensee (complete Parts 2 and 3)

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SECTION 5 - CERTIFICATION SECTION 5PAGE 1 of 1

I hereby certify that:

A.

B.All information contained in this registration is true and complete to the best of my knowledge and belief.A physical inventory of the devices subject to registration has been completed, and the device information on

this form has been checked against the device labeling.

C. I am aware of the requirements of the general license, provided in 10 CFR 31.5.(Copies of applicable regulations may be viewed at the NRC website at:

http://www, nrc. gov/lreading-rm/doc-collections/cfr)

SIGNATURE - RESPONSIBLE INDIVIDUAL (Listed in Section 1) DATE

WARNING: FALSE STATEMENTS MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRCREGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL

MATERIAL ASPECTS. 18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE AWILLFULLY

WRONG STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED

STATES AS TO ANY MATTER IN ITS JURISDICTION.

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NRC Device Key: 772323 Manufacturer License No: 07-28762-02GManufacturer Name: AGILENT TECHNOLOGIES, INC.

Model Number: G2397A Serial #: U 12649 •

Isotope: NI63 Activity: 15.000000000 Unit: mCi

Transfer Date: 11/08/2007

NRC Device Key: 306700 Manufacturer License No: 12-04933-04GManufacturer Name: PERKINELMER LIFE SCIENCES

Model Number: 7000680 Serial #: GLDB Tran~fer Date: 04/21/2004

Isotope: BA133 Activity: 0.020000000 Unit: mCi


Model Number: 7000680 Serial #: GLDB



Model Number: A2500P3 Serial #: GLDB





Model Number: A2100P3 Serial #.• 2040155 Transfer Date: 04/21/2004

Isotope: BA1 33 Activity: 0.020000000 Unit: mCi


Model Number: A2100P3 Serial #: 2040155 Transfer Date: 04/21/2004


NRC Device Key: 517875 Manufacturer License No: 12-04933-04GManufacturer Name: PERKI NELMER LI FE SCIENCES

Model Number: A270000 Serial #: 2090177

Isotope: BA133 Activity: 0.020000000 Unit: mCiTransfer Date: 04/21/2004

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PAGE 2 of 5


Model Number: A275000 Serial #: 2010161 Transfer Date: 04/21/2004

Isotope: BA1 33 Activity: 0.020000000 Unit: mCi

NRC Device Key: 414616 Manufacturer License No: 1313-30GLManufacturer Name: BECKMAN COULTER, INC. (BSI)

Model Number: LS 60001C Serial #: GLDB

Isotope: CS137 Activity: 0.040000000 Unit: mCi

Transfer Date: 08/1 5/1 992

NRC Device Key: 267745Manufacturer Name: PANAMETRICS INC.

Model Number: 4000

Manufacturer License No: 20-07181-04G

Serial #: GLOB Transfer Date: 04/21/2004

Isotope: FE55 Activity: 20.000000000 Unit: mCi

NRC Device Key: 267746Manufacturer Name: PANAMETRICS INC.

Model Number: 4000 Seril

Isotope: FF55 Activity: 20.000000000

NRC Device Key: 267747

Manufacturer Name: PANAMETRICS INC.

Model Number: 4000 Seri=

Isotope: FE55 Activity: 20.000000000


al #: GLOB Transfer Date: 04/21/2004

Unit: mCi ~-1o


al #: GLOB Transfer Date: 04/21/2004

Unit: mCi k1t•

NRC Device Key: 524834Manufacturer Name: TSI INCORPORATED

Model Number: 3012


Serial #: 2282 Transfer Date: 11/1 5/1 995

Isotope: KR85 Activity: 2.000000000 Unit: mCi


Model Number: 3077 Sea

Isotope: KR85 Activity: 2.000000000

Manufacturer License No: 22-1 2602-03G

rial #: 2375 Transfer Date: 11/1 5/1 996

Unit: mCi

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PAGE 3 of 5


Model Number: 3077 Ser



rial #: 77-0304 Transfer Date: 10/29/2004

Unit: mCi


Model Number: 3077 Ser



rial #: 77-0449 Transfer Date: 07/27/2006

Unit: mCi


Model Number: 3077


Serial #: 77A-0120 Transfer Date: 09/29/2007

Isotope: KR85 Activity: 2.000000000 Unit: mCi


Model Number: 3077 Sei



rial #: 77A-0121 Transfer Date: 09/29/2007

Unit: mCia.~10

NRC Device Key: 12990 ManufactuManufacturer Name: TAYLOR INSTRUMENTS

Model Number: Y-M-KR-20 Serial #: GLDB


NRC Device Key: 12991 Manufactu

Manufacturer Name: TAYLOR INSTRUMENTS


rer License No: 29-08398-02G


Unit: mCik~ o



Isotope: KR85 Activity: 190.000000000 Unit: mCi v~i0

NRC Device Key: 12992 ManufactuManufacturer Name: TAYLOR INSTRUMENTS





Unit: mCi Vt/10

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PAGE 4 of 5

NRC Device Key: 91535 Manufacturer License No: 37-07002-03GManufacturer Name: HEWLETT-PACKARD COMPANY

Model Number: Serial #: L0581 Transfer Date: 04/21/2004



Model Number: Serial #: $10268 Transfer Date: 04/21/2004



Model Number: Serial #: $10062

Isotope: N163 Activity: 15.000000000 Unit: mCiTransfer Date: 04/21/2004


Model Number: G1223A Serial #: F2621 Transfer Date: 04/21/2004



Model Number: G1223A Serial #: F4698 Transfer Date: 04/21/2004



Model Number: G1223A Serial #: F7017


NRC Device Key: 587073 Manufacturer License No: 37-07002-03G

Manufacturer Name: HEWLETT-PACKARD COMPANY

Model Number: G239765500 Serial #: U0618



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GL-704429-20

11/02/2015 SECTION 6 - DEVICES NOT SUBJECT TO REGISTRATION SECTION 6

PAGE 5 of 5

NRC Device Key: 293064 Manufacturer License No: 6-2788G

Manufacturer Name: ASOMA INSTRUMENTS, INC.

Mode! Number: 8620 Serial #: GLDB Transfer Date: 04/21/2004


Documents

The Chemours Company Chemours'Chemours'-The EHS, Chemours Roomn3076-2 Company'..1007 Market St•reet• P0 Box 2047 Wilmington, DE 1.9899 On' December 7, 2015 I received corre~spondence