Hill, Carol

From: Sent: To: Subject: Attachments:

Hi Carol and Jackie,

Tracy Hodik <Tracy.Hodik@CenturyO.com> Thursday, April 21, 2016 3:41 PM Cook, Jackie; Hill, Carol [External_Sender] License amendment 1825_001.pdf

Attached a letter requesting an amendment to our license and copies of most recent leak tests. Please let me know if you need any other information.

Thank you,

Tracy Hodik

From: noreply@centuryci.com [mailto:noreply@centuryci.com] Sent: Thursday, April 21, 2016 2:37 PM To: Tracy Hodik Subject: Attached Image

1 5 9 0 7 1 0

4/21/16

Jacqueline D. Cook

Senior Health Physicist

Division of Nuclear Materials Safety

Nuclear Materials Safety Branch B

1600 E. Lamar Boulevard

Arlington, TX 76011

Dear Jackie,

CENTURY COMPANIES, INC.

As per our emails on 4/4/16 I am writing to amend our license (#25-27063-01) to remove a storage

facility and add a new storage facility for our 5 nuclear densometers. The storage facility address on our

current license is 5101st Avenue North, Lewistown, MT 59457. We will no longer be storing our gauges

here ... they will be stored at 188 Century Lane, Lewistown, MT 59457. Per your request I have Included

leak test results from April of 2016. We have never had any leaks from our gauges.

Please contact me if you need any further information. My direct line is 406-535-1230 and my email is

tracy.hodlk@centurvcl.com.

Sincerely, fa ~;

RSO

406-535-1200 39 lm;lustrlal Way • PO Box 579 • Lewistown, MT 59457 406-535-1205 MAIN www.CanturyCompanleslnc.com FAX

5807 10

Form: 193ARav 1, 19 Jun 2006

1107 Wonder Drive Ste: 104 Round Rock, TX 78681

Ph: 512 407-9252 Fax: 512 407-9831

www.qaltek.com Qal-Tek Associates

3998 Commerce Circle Idaho Falls, ID 83401

Ph: 208 52~5557 Fax: 208 524-8470

557 EB8t Juanita Ste 6 Mesa, AZ 85204 Ph: 480304-S199 Pax: 480 966-9495

SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Comp11ny:

Street:

Century Companies, Inc. 510 1st Avenue North

c11y1St1Z1p: Lewistown, MT 59457 Phone: 406-538-2334

Serial Number: 37346 Laake~~:'. 04-Apr-2016

Fax: 406-538-9261

Mfg: Troxler

Isotope ;AcUvlty (iliCI) il8t alpha CPt.f Arri241 .. 40mCi 0 0 Cs137 BmCI 0 3

Model: 3430

Cl

. :a1pliaµc1 ··

.· ... ·· 0

Comments

lnslrumentTechniciart: Chrfs Atchison

~------------------~--0 ate of Service: 12-Apr-2016

A.edit. 3763 Ref#: W16232-069453

Leak Test Dua~ 04-0ct-2016

bfYµCI Pass/Fall 0 .Pass Q;O(l0002 Pass

CSl-Tek Associates certifies that all leak test maasurem11nts are . O!'med In accordance with · llcerisee requlremenlS for

Isotopic datectlol'!. limlts. For this purpose the MDA Is below the NRC regulatory limita of <0.005 uCI

Fonn: 193A Rev 1, 19 Jun 2006

1107 Wonder Drive Ste 104 Round Rock, TX 78681

Ph: 512 407-9252 Fax: 512 407-9831

www.qaltelc.com

Qal-Tek Associates

3998 Commerce Circle Idaho Falls, ID 83401

Ph: 208 523-5557 Fax: 208 524-8470

551 East Juanita Ste 6 Mesa, AZ. 85204

Ph: 480 304-5199 Fax: 480 966-9495

SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company: Century Companies, Inc. Acct#: 3763 Ref#: W16232-069452

street 510 1st Avenue North c1ty/Sl/Zip: Lewistown, MT 59457

Phone: 406-538•2334 Fax: 406-538-9261

serial Number: 34400 Mfg: Troxler Modal: 3430

LeekJ: 04-Apr-2016 Leak Teat OP'Dale: 04-0ct-2016

VudiiHIIT ~: 21esss

T

TA&tV-nltw

Isotope All!IVllY oncn nefmph1ICPM netbNCPM alpha 11CI b/YIJCI Pass/FaB Am241 40mCI 0 0 0 ... 0 Pass Cs137 8mCI 0 ·- 0 0 0 Pass

Comments

instrument Technician: Chris Atchison ~~~~~~~~~~~--

Date of Service: 12-Apr-2016 ~~~....,....~~~~~~~---

Qal-Tek Assoclatea certlf188 lhat all leak test measuremanla are ·· In acoor'danca wllh

lsotoplc detection limits. For this. purp11119 fhe MDA .la below Iha .NRC regulatory llmlls of <0.005 uCI

Form: 193ARav 1, 19Jun 2006

1107 Wonder Drive Ste 104 Round Rock, TX 78681

Ph: 512 407•9252 Fax: 512 407-9831

www.qaltek.com Qal-Tek Associates

3998 Commerce Circle Idaho Falls, ID 83401

Ph: 208 523-5557 Fax: 208 524-8470

557 East Juanita Ste 6 Mesa, AZ 85204 Ph: 480 304-5199 Fax: 480 966-9495

SEALED RADIOACTIVE SOURCE LEAK TEST REPORT company: Century Companies, Inc. Acctlt. 3763 Ref#: W16232.069451

street 510 1st Avenue North c1tytsuz1p: Lewistown, MT 59457

Phone: 406-538-2334 Fax: 406-538-9261

Sarlel Number: 29942 Mfg: Troxler Model: 3440 LealcTeat ·

Date: 04-Apr-2016 Leak Test oue~a: 04-0ct-2016

I Test lnstrumElnt

T.~11_.nl ,. Isotope .... .Acflvlfy !mCI) net alpha CPM . · 111Jtb/YCPM "alphapCI b/YpCI Pli88/Fall Am241 40mCI 0 0 0

.. 0 Pass

Cs137 BmCI 0 0 0 0 Pass

Comments

Instrument Technician: Chris Atchison ,----------~~----~--~

Date of Service: 12-Apr-2016 ~~~------~----------

Qal-Tak Associates certifies !hat all leak test measurements are performed In· with NRC Ileen sea requirements for

Isotopic detection limits. For this purpose lhe MDA Is below Iha NRC regulaloiy Umlta of <0.005 .!-!Cl

Form: 193A Rev 1, 19 Jun 2006

1107 Wonder Drive: Ste: 104 Round Rock, TX 78681

Ph: S 12 407-9252 Fax: 512 407-9831

www.qaltck.com

Qal·Tek Associates

3998 Commerce Circle Idaho Falls, ID 83401

Ph: 208 523·5557 Fax: 208 52+8470

551 EastJuaoita Ste 6 Mesa, AZ 85204 Ph: 480 304-5199 Fax: 480 966-9495

SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company:

Street:

City/St/Zip:

Phone:

Century Companies, Inc. 51 O 1st Avenue North Lewistown, MT 59457 406-538·2334

Serlal Nwnber: 19725 Leak.Teat

Date: 04-Apr-2016

Fax: 406-538-9261

Mtg: Troxler

Tl!M RIP.tit tA

Modlil: 3430

JsOlope Activity cmc1) nal alpt:iil CPM iietb/YCPM ..

alphaµCI Am241 AOmCI 0 .

... · 0 0 Cs137 8.mCI ·o 0 0

Comments

Instrument Technician: Chris Atchison ---------------~------....... ~ Date of SeMce: 12•Apr-2016

---------------------------

Aa:t#: 3763 Ref#: W16232-069450

t.elkTtlGl DUaDale: 04-0ct-2016

bNUCI .Pasa/Fal 0 Pails 0 Pass

Qal-T8k Aeaociataa C8ltifiea that 811 lilak testm ·riflformad'ln · .. :•NRC llcen88e requirements for

liofoplo deteCtion llmlfs. Fl)r ~B ~the MDA Is below the NRC "9~ llmltS af <0.005 uCI

Form: 193A Rev 1, 19 Jun 2008

1107 Wonder Drive Ste 104 Round Rook, TX 78681

Ph: Sl2 407-9252 Fax: Sl2 407-9831

www.qaltek.com

Qal-Tek Associates

3998 Commerce Circle Idaho Falls, ID 83401

Ph: 208 523-5557 Fax: 208 524-8470

551 Bast Juanita Ste 6

Mcaa, AZ 85204 Ph: 480 304-5199 Fax: 480 9156-9495

SEALED RADIOACTIVE SOURCE LEAK TEST REPORT Company: Century Companies, Inc.

510 1st Avenue North Lewistown, MT 59457 406-538-2334

Acct#: 3763 Reff#: W16232-069454 Street:

City/St/Zip:

Phone:

Serial Number: 37347 Leak~: 04-Apr-2016

MCA • alpha efflcfencv ~~··.

.oet. TW>e Last Cal. Date

Isotope Ac:llllJ!V (mCI) Atn241 40mCI Cs137 8inCI

......

Instrument Technician: Chris Atchison

Fax: 406-538-9261

Mfg: Troxler

't~tJos ..

Model: 3430

.Info less than 0.005 1JCI 70.63 84.26 ZnSfAal 20-'Mav-2015

TM• rl.Nai rir net alpha CPM ... netbfYCPM alpha )JCI 0 0 0 0 0 D

Comments

--~~~----~----___, __ ...,...._ Date of Service: 12-Apr-2016

-------------------------~___,,,.---

Laaki'ut 01!8Qaia: 04-0ct-2016

I

. ..

b/Y11CI Pass/FaK 0 Pasa

. . .

0 Pass

Qel· Tak A&sOClatas cerUfles that all leak test measurements are : :requirements for

Isotopic de~ llmlts. For this purpose the MDA I• below the NRC regulatory llmlts of <0.005 uCI

5907 10

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: 05/31/2011 Fee Comments: Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal A. REGION

1. APPLICATION ATTACHED Applicant/Licensee: Century Companies, Inc.

Received Date: 04/21/2016 Docket Number: 3032102 Mail Control Number: 59071 O License Number: 25-27063-01

Action Type: Amendment

2. Fti!-~CHED

Amount: ~ """-Check No.:

3. COMMENTS

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

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

DATE

04/20/2016

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER

D D

D

Century Companies, Inc. ATIN: Tracy N. Hodik Radiation Safety Officer P. 0. Box 739 Lewistown, MT 59457

This is to acknowledge the receipt of your:

[{] LETTER and/or 0 APPLICATION

25-27063-01

MAIL CONTROL NUMBER

590710

LICENSING AND/OR TECHNICAL REVIEWER

JAB

DATED: 04/21/2016

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

[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

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.

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. pelf

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 - B 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1140

NRC FORM 532 (1-2012)

J ~-)_\-\~