•t=all 15)Line

1ESTING & INSPECTION, LLC

500 Penn Center Boulevard• Penn Center East, Suite 100 •Pittsburgh, PA 15235

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.falllmetestmg.com

JAN 11/+ 2016

Ms. Carol Hill DNMS U.S. Nuclear Regulatory Commission Region IV 1600 East Lamar Boulevard Arlington, TX 76011

January 13, 2016 Project Number: F169000

NOTIFICATION OF RSO CHANGE FOR LICENSE #05-32831-01

Dear Ms. Hill:

This letter serves to notify you that the Radiation Safety Officer (RSO) for License #05-32831-01 has changed. Brian Pals, the current listed RSO, is no longer with our company. Effective with the date of this letter, Robert Montalvo, will be assuming this position for all activities involving portable nuclear gauges as granted by this license.

Attached is information regarding training and qualifications: • Resume • RSO Certification • Hazardous Material DOT Training • Nuclear Gauge Certificate (Yearly Refresher)

Please amend our license to replace Brian Pals as RSO with Robert Montalvo filling that position.

Thank you for your prompt attention to this matter. Please let me know ifthere are any questions or comments.

Respectfully yours,

Fall Line Testing & Inspection LLC

~)~~~--" Dana R. Schwartz

Director of Operations

DRS/sjr

L015 F169000/16

Dana Schwartz, Director of Operations, Fall Line Testing & Inspection, LLC

US Branch Offices Pittsburgh, PA• Denver, CO

PUBLIC CJ Immediate Release

;tl:..Nonnal Release

NON.PUBLIC CJ A.3 Sensitive-Security Related CJ A.7 Sensitive lntemal CJ Other: -=-----

Reviewer:~ate: 1-z.z-/ b

Years Experience 14

Education B.S., Civil Engineering. Universidad Autonoma de Nuevo Leon, April 2004

Certifications • Supervisor Occupational

Health & Safety Leadership Program

• Introductory Expert Estimator 4.0 by PRONAMICS

• Senior First Aid Rescue - 1

• SureTrak Project Manager 3.0 by Project Management Solutions Australia Ply. ltd.

• Safety Management Course -Burnett Dam Alliance

• Radiation Safety Officer Portable Density I Moisture Gauge Training - American Training Institute

• Spanish-English Professional Translator by NAATI (5 year accreditation expired)

Affiliations • American Society of Civil

Engineers

• Engineers Australia

• American Concrete Institute

• American Society for Testing and Materials

• Australian National Committee on Large Dams

Publications A list of publications by Mr. Montalvo is available upon request.

Robert J. Montalvo Director of Technical SetYices

SKILL AREAS:

Quality Assurance Roller Compacted Concrete Instrumentation

EXPERIENCE:

Project Management Conventional Concrete Field Testing & Analysis

Fall Line Testing & Inspection LLC Headquarters I Director of Technical Services Denver, Colorado USA J ;HHJMY 2016 ·- Pres~nt

Mr. Montalvo is the Director of Technical Services for Fall Line Testing and Inspection LLC (Fall Line). In his current position, Mr. Montalvo is responsible for Technical aspects on all Fall Line projects, both domestic and international. He also shares responsibilities on marketing, business development, and estimating.

Mr. Montalvo has worked in the US, Mexico, Australia, and Panama on projects with multidisciplinary requirements and a wide range of materials, with budgets ranging from $30,000 to $3.8 Billion.

The Panama Canal Third Set of Locks Project I Quality Manager I Assistant Project Manager Panama & Colon, Panama ArrH 2011 ·- Of:r~embcr W15

Mr. Montalvo was the Quality Manager I Assistant Project Manager for the Quality Control Testing Laboratory. He was responsible for the overall quality supervision of the testing at both the Atlantic and Pacific project sites including implementation and improvement of the Quality System, while also providing Project Management support. The Third Set of Locks Project is a highly complex project consisting of the construction of two new sets of locks for the Panama Canal. The testing included basic and advanced testing of both soils and concrete.

Wyaralong Dam I Quality Manager Beaudesert, QLD, Australia May 2000 · - April W11

Mr. Montalvo was the Quality Manager and Project Engineer responsible for developing and implementing the project's Quality System. His responsibilities included the following:

• Monthly Quality Reports and Presentations to Expert Review Panel

• Reviewing Technical Specifications

• Managing the Quality Team

• Managing the Onsite Laboratory (2 shifts, 1 manager, 9 technicians)

• Developing scope and targets of Roller Compacted Concrete (RCC) Trial Section(s)

• Evaluating results from RCC Trial Section(s)

Robert J. Montalvo

J=a.I Line

• Monitoring quality of materials (cement, fly ash, admixtures, aggregate, roadbase, clay, concrete, RCC)

• Participating in the development and review of design and construction options for Wyaralong Dam

• Organizing and facilitating technical workshops for the Project Team, attendance at other Project technical workshops adding value with RCC expertise and dam building knowledge including: quality management, hydrology, construction programs, and resourcing

• Responsible for Target Cost Estimate (TCE) RCC and Conventional Vibrated Concrete (CVC) Trial Mix Programs

Traveston Crossing and Wyaralong Dams Tender I Quality Manager & Project Engineer Brisbane, QLD, Australia February :20013 - May 2009

Mr. Montalvo was the Quality Manager and Project Engineer for this project. He developed and reviewed the design and construction options for the Traveston Crossing and Wyaralong Dams. His responsibilities included the following:

• Organized and facilitated technical workshops for the Project Team. Attendance at other project technical workshops added value with RCC expertise and dam building knowledge, including: quality management, hydrology, construction programs, and resourcing

• Responsible for RCC Trial Mix Program (two rock sources, 26 mixes)

Ross River Dam Upgrade I Quality Assurance Manager & Project Engineer Townsville, QLD, Australia ,J.am1:or:-1 WOfi -· fcbm<try :woa

Mr. Montalvo was the Quality Assurance Manager and Project Engineer for this dam upgrade. His responsibilities included the following:

• Setting up and monitoring Quality Assurance systems for all of the construction work processes. These included: fabrication, installation and commissioning of steel radial gates, hydraulic cylinders, controls, instrumentation, placement & testing of clayfill, rockfill, rip rap, pavements, conventional concrete, anchors, etc.

• Creating reports, summaries, and Project Assessments

• Preparation of Client presentations, KPI assessment, internal and external audit preparation

• Management of Spillway construction activities, including coordination of mechanical and civil crews and subcontractors, cost reporting, and procurement

• Responsible for project completion activities, including: civil works and the final Quality Assurance hand-over document to the Client

Burnett River Dam I Project Engineer Bundaberg, QLD, Australia April WM - D:i)cembt=r WO..::

Mr. Montalvo was the Project Engineer for the Construction on the $200 Million Burnett River Dam near Bundaberg, OLD. The dam, which is Australia's largest RCC dam, was completed in November 2005. Mr. Montalvo's responsibilities included the following:

• RCC Quality Control, Procedures, Methodology, Reports and Documentation

• Troubleshooting, training of RCC personnel, and liaison with the Carpi membrane personnel

• Laboratory testing and management of the test result output documentation for Client purposes

• Preparation of due diligence documentation for RCC and presentation to the Client

Robert J. Montalvo Master 2

lh589966 "

Robert J. Montalvo

m=al Line

Montalta Ranching I Assistant Manager July 2003 - March 2004

Mr. Montalvo was the Assistant Manager for Montalta Ranching. and improvement and supervision of manpower.

His duties included rehabilitation of facilities

Corral de Palmas RCC Dam I Quality Control Inspector and Laboratory Supervisor Monterrey, Mexico S.-ptf1rn ~.1>: r 20 . i - .h ;!y 21)\/ 3

Mr. Montalvo was the Quality Control Inspector and Field Laboratory Supervisor for this RCC dam project located in Monterrey, Mexico. His responsibilities included the following:

• RCC and Conventional Concrete Quality Control

• Field Testing and Analysis

• Research Assistant and Laboratory Technician

• Translation and Interpreter

Robert J. Montalvo Master 3

<!Certtf irate of <!Comp let ton This is to certifj: that

Robert Montalvo has completed a course of st1.1dj· in

103 - Radiation Safety Officer Portable Density/Moisture Gauge Training dated

All Phone: {702) 515-7482 www.usaati.co m

01/12/2016 offered by

American Technlcat Institute, LLC

American Te<:hnical Institute 10161 Park Run Drive_ Suite 150

Las Vegas Nevada 89145

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3057261

<!Cert ff fmte of <!Completion This is to certify that

Robert Montalvo has completed a course of study in

104 - Yearly Refresher Course - Portable Nuclear Gauge dated

01/13/2016 offered by

American Technical Institute~ U..C

Certification up1ratiof\ ~ 1 )'e8f' from date lillted above .. J ,. .. ,. . ,·· · Robert Jean Montalvo, Director

j/,),, , ~ // '/. .~ 4/ ... ;;: .'' ofTechnical Services, Fall Line ? ( Testing & Inspection LLC

Company RSO Signature

American Technical Institute 10161 Park Run Drive. Suite 150

Las Vegas. Nevada 89145 www usaali.com

3057992

<!Certif tcate of <!Completion This is to certify diat

Robert Montalvo has completed a course of study in

102 - Hazardous Materials D.O.T. Training - Portable Nuclear Gauge dated

01/13/2016 offered by

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Amedcan Tec:hnlcet lnltllule, U.C

T raming sa5Sfies us DOT tnlfling ~uiiements 0 f .t9 CFR 172 and IA:r A inclUCfing: • Emergenq Procedures • M ethnds and iimceduses br avoldflg accfdents

• Haza«Jous materials iderttilcatlOn and remp:nition

• Setf.pn:ited:lon measurH

• R~ulatlons apphcabte to jolt lmction • Secwrty

Certflcation &XJ!~: DOT -3 yeam t:em date lsted abtwe ./. · • ·• • Robert Jean Montalvo, Director of

;/;-.!~· ,• ._ ~1//rl'/:;t~~\ '; . ..;. TechnicalServices,FalllineTesting · ~ & lnsoection LLC

CompanyRSO Signature

American Technical Institute 10161 Park Run Driv·e, Suite 150

las Vegas. Nevada 391.t5 www usaati com

Hill, Carol

From: Sent: To: Cc:

Dana Schwartz <dana.schwartz@FalllineTesting.com> Thursday, January 14, 2016 4:42 PM Hill, Carol Sandy Ragan; Robert Montalvo

Subject: Attachments:

[External_Sender] Fw: Change RSO for Fall Line Testing & Inspection LOlS NRC Change of RSO 2016.pdf

Mrs. Hill,

Please find attached a revised letter containing the attachments referenced in the letter.

Dana Schwartz Director of Operations Fall Line Testing and Inspection, LLC Cell: (573) 366-8901

From: Dana Schwartz

Sent: Thursday, January 14, 2016 3:37 PM To: Carol.Hill@nrc.gov Cc: Sandy Ragan; Robert Montalvo Subject: Change RSO for Fall Line Testing & Inspection

Mrs. Hill,

Please find attached a letter notifying you of a change to the Radiation Safety Officer for Fall Line Testing & Inspection, LLC

Dana Schwartz Director of Operations Fall Line Testing and Inspection, LLC Cell: (573) 366-8901

1 th58 99 6 6 .

NRC FORM532 (1-2012)

U.S. NUCLEAR REGULATORY COMMISSION

DATE

01/20/2016

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER

Mr. Brian J. Pals, CSP Radiation Safety Officer Fall Line Testing & Inspection, LLC 460 East 76th A venue, Building 4, Unit C Denver, CO 80229

This is to acknowledge the receipt of your:

[{]LETTER and/or [{]APPLICATION

05-32831-01

MAIL CONTROL NUMBER

589966

LICENSING AND/OR TECHNICAL REVIEWER

CH

DATED: 01/13/2016

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

[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

D D

There were no administrative omissions identified during our initial review.

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.

D 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.pdf

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

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, 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 - 8 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1140

NRC FORM532 (1-2012)

~~1\\''

BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

,..----·--. -· ~--·

[ FOR ARPB USE ] INFORMATION FROM WBL -·- · -- · --- . - -- · - ·- - ·-. ·----- · ...

Program Code: 03121 Status Code: Pending Amendment Fee Category:3P Exp. Date: 02/29/2024 Fee Comments: Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal A. REGION

1. APPLICATION ATIACHED Applicant/Licensee: Fall Line Testing & Inspection, LLC

Received Date: 01/14/2016 Docket Number: 3038696 Mail Control Number: 589966 License Number: 05-32831-01

Action Type: Amendment

2. FEE ATIACHED /

Amount:

CheckNo.o + 3. COMMENTS

Signed:

t/ao/tb ' '

Date:

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:

Signed:

Date:

1