Feb 14 2012 116PM No 0966 D 116 I bull

NRt FORM 314 US NUCLEAR REGULATORY COMMISSION ~12Qt2) oCR 3O~~ M2~W)7038(1)(1) _ 64(k)(6 1(1)

CERTIFICATE OF DISPOSITION OF MATERIALS

LICENSEE NAME AND ADDRESS

Pinnacle Mining Co ~-PO Box 338 Pineville WV 24874

APPROVED flY OMS NO 311GoO021 EXPlRI9 103112013 E$Imaed Ilurden per le44lOlIlt 0 comPl1 lUi ibis mandalilly ~n reques~ 30 mllwtee This $lI1lPIIU Ii II$Ild by H~C as 11 01 IIe tI8$Is tor 1$ deleanilllon tl8I tile IIOIIt III telaasad 01 UMlSIlleIad IJM SMd 004MMnl RIOlIII1ing buJden asllmala to IhI InlOrmallOll $eMleI 9r8ildl (TmiddotS fS3) us NucIw Rogula~ ((lInmloalon Wsshlnjlon DC ~t or br Inlemel ItmiddotmaII Iti InCotollellls~rcenlGgoy and 10 IIWl Desk Officer 0ftQ of InrormallOll and RegIllamp1OIy AIIM NEOM020~ t315()C628) OMoe 01 tl8li1lemenl Id Budge~ Washln8lon DC 201503 II a mew used 10 Impose an Inlolrnallon aIIactM does nllIdie B Ilmn~ valid O~B ~ numllel IIWl NRC may 001 oorducl III _IQIIOI and 9

~ Is noIrequlred (j) respottd 10 1I1eIobmllOll~

LICENSE NUMBER DOCKET NUMBER

47r25412middot02 030-36508

LICENSE EXPIRATION OATE

September 302013

A LICENSE STATUS (Check the appropriate box)o This license has expired o This license has nol yelexpired please lerminale it

B DISPOSAL OF RADIOACTIVE MATERIAL (Check the gpproprlale boxes and complete as neceuery H ddltlona space Is needed provide attachments)

The licensee or any individual executing this certificale on behalf of the licensee certifies thaI

1 No radioactive malerials have ever been procured or poss6lsed b~ the licensee under this licenseD [] 2 All activities authorized b~ this license have ceased end aU radioactive materials procured andor possessed by the licensee

under this license number cited above have been disposed of In the following manner

[] 8 Transfer or radloecVve meterlals to the licensee listed below Kanawaha Scates and Systems Inc 26 Whitney Drive Milford Ohio 45150 (Ohio license 03214130000)

o b Disposal of radioactivemalerials o 1 Directly by the licensee

D 2 By licensed disposal site

o 3 By waste cOlltractor

o Co All radioactive materials have been removed such that an~ remainIng resIdual radioactivity Is within the limits or 10 CFR Pert 20 Subpart E and Is ALARA

C SURVEYS PERFORMED AND REPORTED

[] 1 A radiellon survey was conducted by lhe licensee The survey confirms

III Q 1he absence of licensed radioactive materials

o b Ihat Bny remaining residual radioaclivity is within the limile of 10 CFR 20 Subpart e and is ALARA

D 2 A copy of the radialian sUJVey results

o a is attached or 0 b is not aUached (Provide e)(pllJlla~on) or D c was forwarded to NRC on

[Z] 3 A radiation survey Is not requIred as only sealed sources were ever possessed under this license and Dele

D a The esults of the latest leak lest are allached andor [] b No Ieking sources have ever been idenlified

The person to be contacled regardIng the Informallon provided on this fonn NAME

RlSScll L Hodges lmEPI81lt Poreman I RSO

TELEPHONE (lftCludii Arampa Clc1eJ

(304) lS6-S814 I~AAIL AOOR5SS

nlssellhodgescliffsnrcom

IoWlaIINIIOiIIfCI~r~lh$bMel~

PO Box 338 Pineville WV 24874

C CERTIFYING OFFICIAL I CERTIFY UNDER PENALTV OF PERJURY THAT THE fOREGOING ISJRUE AND CORRECT

PRINTEO NAM E ANOttTlE

Russell L Hodges Plant ForemnlRSO Lpoundbull bull II~1JJ r~ rATE 2-10-12

WARNING fALSi STATiMENTS IN THIS CERTIFICATE MAY B~ SUBJECT TO CMl ANDIOR CRIMINAL PEifAlTIES NItC REGULATIONS REQUIRE THAT SUBMiSsIONS TO THE NRC BE COMPLETi AND ACCURATE IN ALL MATERIAL RESPECT 18 USC SICTlON 1001 MIIKES IT A CltlM1NAl OFFENSE TO MAKE 4 WIllFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DePARTMENT OR AGENCY Of THE UNITED STATES A8 TO ANV ttAlTER WITHIN ITS JURISDICTION NACIORIUI4 11-2012)

57

_

NMSSIRGNl ~RIALs002

eD14 2012 1 16PM__________~~_____No 0966_P 216_--- I bull

()

Kanawha Soaes amp Systems

January 23 2012

Cliffs North American Coal n50 Warehouse off Rt16 on Pinnacle Creek Road Welch WV 24874

RE Disposal of radiation sources

AnN Russell Hodges

This letter Is to advise you that the Radiation MaterIel detailed below was removed from Cliffs North American Coal Pinnacle Creek Road Welch WV by Benny Browning KSS Field ServIce

nechnlclan on December 28 2011 and that Kanawha Scales amp Systems has taken possession amp title of safa material Thl5 work was performed under our State of Ohio License for RadIoactive

Material 1103214130000

Manufacture Gamma Metrics Model 2000 SerlalH 126

Sources Cs-131 Cfmiddot252 C(middot252 Cf-252 Cf-252 Cf-252 Cf-252

Activity 739 mel 144 ug 149 ug

150 ug 151 ug 961 ug

928 ug

Serial 1-477 CF-ZI038 CF-21039 CF-21456 CF-Z1457 CF-Z2B18 CF-Z2819

This letter Is an eSlerlljal record and should be maintained for Inspectlol) Jri the appropriate regulalorv agency If you are pot the Radiation Safety Officer or resectPonsble tor malntalnlng regulatory records for radloacjllje material please forward this letter to the aPl~roprlate person

Sincereiv

Larry Welch Analyzer COordinator I RadIation Safety Officer Kanawha Scales amp Systems Ic Office 888middot280middot7254 Fa)( 513middot576middot1884 Cell 513middot615middot5535 E-Mail rwelchkanawhascalescom Web site wwwkanawhascalescom

(

~eD 14 201t 1 16PM ________________~--No 0966 p 316_-----

SERVICE REPORT

elrmlngham Al Oa)lOnOH PILI Ibursh PA Customer H eLINOR~~[Vjcng Loca~ionMonlgome1f Al lanlonOH SI Maryl PII

Plke~lIeI(V DtllOUlII1 F~monlWY Cincinnati Job 39714 CincinnallOH AIIMI Pkldg wv (513) S76~0700

httplIwwwkanawhascales(om DateColumbu~aH M~mphllN ChlenOA wv

~~

Name Cliffs North American Coal POll Scheduled 9302011 --~~---

Address 50 Wcuehouse Off Rr 16 on Pinnacle Creek Rd Caller Russell Hodges Phone 304-256-5814

City Welch State WV Zip 24874 (ontact Russell Hodges Phone 301middot256~S814

Service Support cu~tomer denl5ty gauge removal and relocation Kay-Ray 7062 Requested

MANUFAaUR(~ MODEL SEAIAl NUIAB~R cUSTOMER 10

L I CAPAcnvPMStOtlAlNm TESTMpoundTHOD OEVlcE lClCAllOH

MANUFACruREft MOOEl SEftlAL NUMBER KSSIO I QJSTOMERID

2r-~~--------~-----------+------------~----~1--------------~ ClPACI1YOMSrONIVHITS TE$T MEntOD DEVICElOCAnON

Service Performed I Recommendations

i I i ) I l i ~ ~ I ~ ~ i

I i l I

~ j t i~ ~ ~ yen i - i I i j ~~middot I i~ I

I (J

r ~ i l J i i

shy ) Ishy l ~I I

Description of Parts Used

IffniiTDAllYTIME SUMMARV RT or OT Mileage

TravllTo Job ) Men i Stan ExpensesI Imiddot ff Mlleago

Total j On SIte bull - r Truck - Job CompleteI MilNgamp t o_I -~

ZoneTravel From Job InspClot Mileage o Technlcliln Customer Printed Name Date Signature Signature

~ ~ I ----_____---L~~)

Feb 14 2012 1 16PM No 0966~P 416_----- - ~-~-----------------

6385151259 USHRC RE610N3 DHMS

UNlTlI) fTAttO NUCLEAR REGULATORY OOMMISSION

REGION III 2A4a WrranViVo IOQdSul(e 21ft

L1sla IIIlnola eftll3l0435a

TELEFAX TRANSMITTAL

NUMBER OFPAGESDATE Il lt~11 (Includlnglhl$ page)

SENOTO

LOCATION

FAXNUMB8R 53 II 87- IiS1 o VERIFY BY CALLING SENDER bull w

FROM (SfNDER)

TELEPHONe NUMBER li30middot ~2 712 FAX NUMBER 630 GIS 115

bull d

If you do not reoe(ve the oomplete fax transmUtal prease oontact the sender as soon as posslble at the telephone number provIded above

MESSAGE Af+c~J IS Y0k tIlPP(centUCJ ~~proti rlt~eamp+

eurotU)~IOAJ 40 te~ve ~2- so~rees

NOTICS

Tht mbullbullbullagamp ntended only for the US6 0 fhelndMdul1 Of entity to whloh t Is addressed an mly aonttlln information that Is prlllagacf conndan1illl or exompt (rom dIsclosure Under applicable law If the reader of thl meesage I not Ihe fnlendud recipient or the ampl9ya8 reaponalblfll tor deUverlng the mebullbullage (0 the Intended raQlplBntr you are h6re~y nollrlecilhat any dlssemlnatlon dIstrIbution or aopylng of thIs communloltlon Ie atrlnlly prohlblttd If you have raoelvad hl communroatlon In error plaaa nQtlfy the sender lmmedtately ~Y telephonamp ftnd return th orlgfhlJllo thi bov d~~r66S I by U$ Mall Thank you

__Nc0966___ P 56------- Feb 14 201L 116PMi_---------------~---

PAGE 0202-12911 20 20 6305151259 USNRC RE6IDH3 Iraquo1S Depound 19 2011 11 nVM Kuuha Snlos ampSyStems No 9692 P 214

RepORT OF PROPOSED ACTIVITIISS IN NONmiddotAGREEMENT STATES AReAS OF EXCIU81VE FEDERAL JURISDICTION OR OPtlONORI WATERS

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Feb 14 2012 1 16PM No 0966~P 416_----- - ~-~-----------------

6385151259 USHRC RE610N3 DHMS

UNlTlI) fTAttO NUCLEAR REGULATORY OOMMISSION

REGION III 2A4a WrranViVo IOQdSul(e 21ft

L1sla IIIlnola eftll3l0435a

TELEFAX TRANSMITTAL

NUMBER OFPAGESDATE Il lt~11 (Includlnglhl$ page)

SENOTO

LOCATION

FAXNUMB8R 53 II 87- IiS1 o VERIFY BY CALLING SENDER bull w

FROM (SfNDER)

TELEPHONe NUMBER li30middot ~2 712 FAX NUMBER 630 GIS 115

bull d

If you do not reoe(ve the oomplete fax transmUtal prease oontact the sender as soon as posslble at the telephone number provIded above

MESSAGE Af+c~J IS Y0k tIlPP(centUCJ ~~proti rlt~eamp+

eurotU)~IOAJ 40 te~ve ~2- so~rees

NOTICS

Tht mbullbullbullagamp ntended only for the US6 0 fhelndMdul1 Of entity to whloh t Is addressed an mly aonttlln information that Is prlllagacf conndan1illl or exompt (rom dIsclosure Under applicable law If the reader of thl meesage I not Ihe fnlendud recipient or the ampl9ya8 reaponalblfll tor deUverlng the mebullbullage (0 the Intended raQlplBntr you are h6re~y nollrlecilhat any dlssemlnatlon dIstrIbution or aopylng of thIs communloltlon Ie atrlnlly prohlblttd If you have raoelvad hl communroatlon In error plaaa nQtlfy the sender lmmedtately ~Y telephonamp ftnd return th orlgfhlJllo thi bov d~~r66S I by U$ Mall Thank you

__Nc0966___ P 56------- Feb 14 201L 116PMi_---------------~---

PAGE 0202-12911 20 20 6305151259 USNRC RE6IDH3 Iraquo1S Depound 19 2011 11 nVM Kuuha Snlos ampSyStems No 9692 P 214

RepORT OF PROPOSED ACTIVITIISS IN NONmiddotAGREEMENT STATES AReAS OF EXCIU81VE FEDERAL JURISDICTION OR OPtlONORI WATERS

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__Nc0966___ P 56------- Feb 14 201L 116PMi_---------------~---

PAGE 0202-12911 20 20 6305151259 USNRC RE6IDH3 Iraquo1S Depound 19 2011 11 nVM Kuuha Snlos ampSyStems No 9692 P 214

RepORT OF PROPOSED ACTIVITIISS IN NONmiddotAGREEMENT STATES AReAS OF EXCIU81VE FEDERAL JURISDICTION OR OPtlONORI WATERS

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feb 14 2C12 117PM_______-------~~~o 0966_P 616_~ l bull I tj~

Mel RADIOACTIVE SOURCE MOVEMENT ADVICE EgEzM

This form MUST be filled out whenever a radioactive source is moved ALL details must be correclly and legibly entered Radloacllve shipments to destinations oUlside MCI premises must have prior approval of the Radiation safety Officer (RSO) All shipments must be corractly packed labeled and dooumented

~)UL~rlLV 1 2 3 4

BiJ CC)ft fJJtf Nuollde CF J5J c~ )5) CF L5vZ CF 51FifYl1te~

Activity lq4 1Ll Imiddot I 1 4~ I 5C)i~ j~1 Uj Serial Number CF-ZJof1 CF~ l1)-9 CF 2 -Sh CFZII5] Product Code

Ordered For

Moved From Moved To

O~ Iortk Af4e I(A-~ mlfit 7amp~k71 CtrP ftJ1 i3uruH DtvP~I~ R~f(UA+o~ PI~Nt-X-eltIC 010il Ve~tLe uJI -t$3i5

Date of Movement I I 200 HAS THE RADIATION STORE BEEN h LOCKEtD YIN [l]

Signad

o 1 for Shipments from KSS ~ Attach shipping documents Lo this form

Transport Co ~ Con NoteNoI--_~__n--l ~~E=------

Lebel Type Transport IndexD I Receiver Notified YiN 1------ NRC Notlfled YIN ITJ ------I

ShIpped YIN Test Cert D Plale 0 RIYets Dmiddot Signs D Signed I J Checked by RSO I

L_______ L--___~___jordelegatel

2 For Goods Reclaved a KSS bull Attach 91l1 certificates and documents to this (orm

St~teman gt Order No I Ma~ ~urfaC6 dose Rate uSvhr D 3 AADLOG-XLS updated I[ J I Logbook updated I _ I by peirson moving source _lh_lt_middot___- by RSD only L-Jn_it_~~~---

____r_e_b__r4_~LU~I~L___I_l~_~M_____________________________~__________ 0096 7 6_----

Mel - RADlOAS(llYt ~OUBCE MOVeMENTADYICE FORM

This form MUST be filled oui whenever a radloacllve source ~ moved ALL details musl be oorrectly and legibly entered Radioactive shipments to desllnations oulslde Mel premlampes must have prlot approval of the Radiation Safety Offlctlr (RSO) All shIpments mustbe correctly packed labeled end dOCllmented

Nuollde

Aotivlty

Serlal Number

Product Code

Ordered Fot

2 3 4

CF ~2StZ CF~25(

1 (0 Ike) ~ -)8 ut

(IF 2L8IB CFLHfc

Moved ToMoved FtrC lttffi f A~encNL ealtL rZ)t~elL1Ccfvot~~ Corp I

~IMlcle p~ P[AI+ utf 8~tfe--l+ U- IgtL

PLai~lk I wv XeJl~tt ~(D 4-5385

Date ofMovernent ~ I HAS THE ~DIATION STORE BEEN ~ SIgned LOCKED YIN18i5 I G[] DOfl$ thl form relalll to liI$hlpm to orttom KsS YIN l------l If YES please flll out sections 1or 2 and 3below ~

1 For Shipments from KSB bull Attach shipping documents to this form

Transport Co ~~==tt------~ Con NotaNo IL--~~__~ Label Type 0 Traneport ndexD

L--~-r NRC N~tmed YIN IT] Shipped YIN Test Cart Dplate [~ Rivets D S19m ---_-

Signed l-~-----1 ChElClked b~ RSO I I ---______---1 bull or delegate

6 FOr Goode Reolend at IpoundS - Attaah test cElrtlficaes and documpnt9 to this form

S~reman gt Order No I ] Max Surtaoe dose Rate uSlihr -------1

a RADLOGXLS updatad I--In_~---___J Logbook updated I by pauon moving 90uroa by RBD onlylnlt

---------

-----~ _

____r_e_b__r4_~LU~I~L___I_l~_~M_____________________________~__________ 0096 7 6_----

Mel - RADlOAS(llYt ~OUBCE MOVeMENTADYICE FORM

This form MUST be filled oui whenever a radloacllve source ~ moved ALL details musl be oorrectly and legibly entered Radioactive shipments to desllnations oulslde Mel premlampes must have prlot approval of the Radiation Safety Offlctlr (RSO) All shIpments mustbe correctly packed labeled end dOCllmented

Nuollde

Aotivlty

Serlal Number

Product Code

Ordered Fot

2 3 4

CF ~2StZ CF~25(

1 (0 Ike) ~ -)8 ut

(IF 2L8IB CFLHfc

Moved ToMoved FtrC lttffi f A~encNL ealtL rZ)t~elL1Ccfvot~~ Corp I

~IMlcle p~ P[AI+ utf 8~tfe--l+ U- IgtL

PLai~lk I wv XeJl~tt ~(D 4-5385

Date ofMovernent ~ I HAS THE ~DIATION STORE BEEN ~ SIgned LOCKED YIN18i5 I G[] DOfl$ thl form relalll to liI$hlpm to orttom KsS YIN l------l If YES please flll out sections 1or 2 and 3below ~

1 For Shipments from KSB bull Attach shipping documents to this form

Transport Co ~~==tt------~ Con NotaNo IL--~~__~ Label Type 0 Traneport ndexD

L--~-r NRC N~tmed YIN IT] Shipped YIN Test Cart Dplate [~ Rivets D S19m ---_-

Signed l-~-----1 ChElClked b~ RSO I I ---______---1 bull or delegate

6 FOr Goode Reolend at IpoundS - Attaah test cElrtlficaes and documpnt9 to this form

S~reman gt Order No I ] Max Surtaoe dose Rate uSlihr -------1

a RADLOGXLS updatad I--In_~---___J Logbook updated I by pauon moving 90uroa by RBD onlylnlt

---------

-----~ _

Feb14 2012 117PM__~~____________No 0966_P 816~--

()CeSIVJI t=eDbK

1iJ K55

Ctile1

I I + ( (f

M= - RADIPACnyenE SOURCE MOVEMENT ADVICE EQRM

ThIs form MUST be filled oui whenever a radioactive source Is moved ALL details must

be oorrectly and legibly entered Radioactive shIpments to delltlllatJ ons outsIde MCI premIse must have prior approval otthe Radiation Safety Oftloer (RSO) All shipments must middotbe correotly paoked labeled and documented

1 2 3 it

Nuclide C$ J37 ActIvity 7 )q MCt Serial Number Rmiddot477 Product Code

Ordered For

Moved From Moved To

I(tlltutJIlA- amp~l~ +- ~Ste~(1Hi ItdiAtIltiI~ 81foCfll~ iJefNltt(lJtO ~lD W~+4 DrIve

rv~l tod DrlO1ftevi lfe (l1V~ YS150

Pate of Movement I I 200 HAS THE RAt)IATION STORl IJEEIII LOCKEDYN W

0S~ned lB ~Jl Jf IJ Does thIs form reiMe 10 ashlpml~(tQ or from KSS YIN yIf YES please fill out secUollSl1 or 2 and 3 below 1 1 For Shipments from Kss bull Attach shipping doouments to this term I

Transport Co Imiddotteb JiS ~ Con NoteNo

MaXSUrfaceusvhr c==J LabeIT~peO TraoliportlodexD

RecelverNotifiedYlN7 W N~CN~HnedYM [TI Shipped YIN Test Cart Dplate D ANeta D Signs --_-

Signed 1 Checked by RSO________--1 T - or dele9~le ~---------

For GoDds Reolevfd at KSS -Attach 1ell cert1llcates and deoumenls to 1hls form

St~reman ~gt Order No I I Mllx Surface dose Rate uSVhr D MDLOGXLS updated I I by person movlOQ SOUfctt Inlt

______- __~___ bullbull _ _______ l _-_ bull bullbull bullbull _w _~

~~

Feb14 2012 1 7PM_____---------~-~O 0966_P 916_---

~

BILL OF LADING SHIPPER J

Cltffi J()flA AtteAl~A~t~L -50 DArekusc _efFlr-ll(o AlllUJfie Cteetlt ~ -

bJeck kll~ff7f

NATURE AND QUANTITY OF CONTENTS PACKAGE

PROPER SHIPPING NAME FORM ACTIVITY CATEGORY TRANSPORT TYpr INDEX

I-WHITE il

HAZARDOUS MATERIAlS DESCRIPTIONS CHMICAl FORM AND NUMBER OF OR FOR YELLOW TYPEA AND PROPER SHIPPING NAME (FORM ~9 PHYSICAL 8TATI (GAS BECQUERElS I-YEllOW LABEL OR

CFR 1~21 01 HAZARDOUS MATEIAALS TABLE) IQUUJSOLlDj OR AND CLiRIES OR CATEGORIES TYPES SPECIIILFORrt III-YELLOWLABEL ONLY

I Sql Ghl YrJIDW UI CJ7 Iyfe A otlMCl

550 Ip~

ftc-KED LiP ey fgt ~-CoN()Jfy FR~ampHT t~ fJ8-1 f

This Is to certIfy that theabovename~middotm~terlalsare properly ci~SS(fI~fiifribedl packaged marked and labeled and are In proper condition for tr~n$portqtlon according to the applicable regulations of 1he Department of Transportation -

RMA Company Name REMARKS Address

Contact Emergertcy Contact Information

llttlNlwM s~4s 4-- $~~S ~~ JO~ob() Dri~ r(U- I WV 25 i 59 B

P tj()f ( Gerg etl~ (ti-t~ ~ f3el roWN4 AUTHORImo SIGNATURe I DATE J ~Dq~71012(j

v o Revised 0812001 I

jJ~gt

_~F_eb__14_-=-2~O12_1__ N 0966 P 1016 __17_PM_~____~__________ o

26 Whitney Drive Milford OH 45150 I Phone 513-576-0700 1Pax 513-576-1884 Email Address kharnesskanawhascalescom Website Address wwwkanawhascalescom

LEAK TEST CERTIFICAIE

This cettficRte shllll not be Ieprodnced except In 11111 wltllout the written aPlProval of l(auawha Scales amp Systems) Inc

DEVICE INIlOIlMAlION

Device Serial Numbe 126 Soulce Scripl Number ~-i 77 Device Manufacturer Gammametlics Source Manufactofol Go+opound~ PCC~uds Device Model 2000 SourcemiddotModeJ

Device 1)pe Elemental AnalytOlmiddot Location Cliffs NR I Pinnacle Prep Plant

Redioisotope(s) Cs-137~ Aotlvity 10 xnCi 1 2S mlcrogrBms

LEAK TEST INFORMA1Qf

Leak Test Performed By Benny Browning Leak Test Pelormed On 92211

Leak Test Specimen Number 10095 Leek Test Analysis Date 102711

Loak Test Analysis Performed By KHarness ~

Leak Test Results Indicate an Activity of lt0005 uCi

NOTIFICATION

The analysis of this leak test sample was provided by Kanawha Scnles amp Systems Inc Ohio Bureau of Radiation Protection License Number 03214130000 In the event thIs specimen indicates leakage andor contamination in excess of 0005 mlc)oculi6s Kanawha SClles amp Systoms Inc will notify you promptly by telephone andor email at such time you will need to take the appropljate aCfions equlred by the govetning regulatory ogency responsible In )OUI 8lea

CLIENT INFOIlMATION MII nampShiI)) T0

Cliffs North American Coal Contact RusseH Hodges Pinnacle Creek Rd PhoIlle 304 256- 5814

Weloh~ WV 24814 BmaH

This certificate is an essential record and should be maintained for inspection by the

appropriate leguL~t9D ageuCI

NEXT LEAK TEST DUE 03222012

~eb 4 2012 117 PM No 0966 P 1116 --~--------~------------------------------------~---------- ---~

26 Whitnoy Dllve Milford OH 45150 I Phon~ 513-S76middot0700 Fax 513-576-1884 Bmall Addless khamessktll1llwhascalescom I Website Addles wwwkanWh8SCaloscoJ~

LEAK TEST CERTIFICATE

TIlls certificate shall not be l~plodllced except In Ill wIthout tbe WlUten Ilpplov~l of KAnAwhll Senles amp SystemsInc

DEVICE INFORMATION

DevJce Serlai Numbol 126 Source Seri~1 Numbfil Cf -457 Dovice Manufacturer Gammametlies Source Manufacturer r-rol-- eflt povice Model 2000 Soume Modo)

Device Type Elemental Analyzer Localion Cliffs NR I Pinnacle Prep Pltmt

Radioilotope(s) Cs-~7 1 Cf-252 Activity 10 mel 25 mlclograms

LEAK TESr INFORMATION

Lellk Test Performed By Benny Browning Leak Test Performed On 922111

Leak Test Speelmtm Number 10095 Leak Test Analysts Dilte 102111

Leak Test Analysis Performed By KHarness

Leak Tost Results hldicate an Activity of lt0005 uCi

NOTIFlCATlON

bullThe analysis oftnis leak test sample was provided by Kanawha Scates amp Systems Inc Ohio Bureau ofRadIation Protection Llc(lnse Number 03214130000 In the event this specimen Indicates loakage andlor contllmination in excess ofOOOS mleroeurlcs Kanawha Scales amp Systems Inc will notify you promptly by telephone andor email at sucb time you will need to take the appropllate actions required by the governing regUlatory agency responsible in your area

CLIENr INFORMATION Manamp ShtIp l0

cum NOJ1h Amorlcan Coal Contact Russell Hodges Pinnacle Creek Rd Phone 304 256- 5814 Welch WV 24874 Bmail

This celtlficate is an essential record and should be rnairltained for insp~tion by the appropriate regulatory agency

NEXT LEAK TEST DUE 03222012

Feb 14 2012 117 o 0966_P 1216_-----

26 Whitney Dllve Milford OH 45150 I Phone 513-576-0700 I Fax 513-576-1884 Email Address kharnesskanawhascalescom I Website Address wwwkanawhascalescom

LEAK TEST CERTIFICATE

Thi9 cCltlflcnt6 shAll not be middoteproduccd except tn tun without the lVtlttell ~pproval of KanHwbA SCRles amp Systems lllc

DEVICE INFORMATION

bevice Serial Number J26 Source Selial Number Cr- -Zllti 16 bevice Manufacturer Gammametlics Source Manufactuler Frru+e~ Devine Model 2000 SOUf(e Model

Device Type Elemental Analyzer Location Cliffs NR I Pilmacle Prep Plant

Radloisotope(s) Cs-J3t Cf~2S2 Activity 10 mCI I 25 micrograms

LEAK TEST INFORMATION

Leak Test Perfolmed By Benny Browning Leak Test Performed On 922111

Leak Test Specimen Number 10095 Leak Test Analysis Date lO27ft J

Leak Test Analysis Performed By KHarnes$

Leak Test Results Indicate an Activity of lt0005 uCI

NOTlFICATlqN

The analysis ofthis leak test sample was provided by Kanawha Scales amp Systems Inc Ohio Bureau ofRadiation Protection License Numbel 03214130000 In the event this specimen indicates leakage andlor contamInation In excess of0005 mimocurios Kanawha Scales amp SYlitems Inc wlU notifY you promptly by telephone andor email at such time you will need to take the appropliate actions required by the governlnglegulatory agency responsible in youI area

CLIENT INFORMATION ManampShIIP T0

Cliffs NOlth American Coal Contact Russell Hodges Pinnacle Creek Rd Phone 304256middot 5814 Welch WV 24874 Email

This certificate is an essential record and should b$ maintained for inspection by the

appropriate ~gulatorv agene

NEXT LEAR TEST DUE 0322l2012

Feb 14 2012 117 o 0966_P 1216_-----

26 Whitney Dllve Milford OH 45150 I Phone 513-576-0700 I Fax 513-576-1884 Email Address kharnesskanawhascalescom I Website Address wwwkanawhascalescom

LEAK TEST CERTIFICATE

Thi9 cCltlflcnt6 shAll not be middoteproduccd except tn tun without the lVtlttell ~pproval of KanHwbA SCRles amp Systems lllc

DEVICE INFORMATION

bevice Serial Number J26 Source Selial Number Cr- -Zllti 16 bevice Manufacturer Gammametlics Source Manufactuler Frru+e~ Devine Model 2000 SOUf(e Model

Device Type Elemental Analyzer Location Cliffs NR I Pilmacle Prep Plant

Radloisotope(s) Cs-J3t Cf~2S2 Activity 10 mCI I 25 micrograms

LEAK TEST INFORMATION

Leak Test Perfolmed By Benny Browning Leak Test Performed On 922111

Leak Test Specimen Number 10095 Leak Test Analysis Date lO27ft J

Leak Test Analysis Performed By KHarnes$

Leak Test Results Indicate an Activity of lt0005 uCI

NOTlFICATlqN

The analysis ofthis leak test sample was provided by Kanawha Scales amp Systems Inc Ohio Bureau ofRadiation Protection License Numbel 03214130000 In the event this specimen indicates leakage andlor contamInation In excess of0005 mimocurios Kanawha Scales amp SYlitems Inc wlU notifY you promptly by telephone andor email at such time you will need to take the appropliate actions required by the governlnglegulatory agency responsible in youI area

CLIENT INFORMATION ManampShIIP T0

Cliffs NOlth American Coal Contact Russell Hodges Pinnacle Creek Rd Phone 304256middot 5814 Welch WV 24874 Email

This certificate is an essential record and should b$ maintained for inspection by the

appropriate ~gulatorv agene

NEXT LEAR TEST DUE 0322l2012

_--Fe_b_l_4_2_0_12_~__18_PM_________________Nc 0966 P 1316_--

26 Whitney Drive Milford OH 45150 I Phone 513-576-0700 I Fax 513-576-1884 Email Address khl1rnesska(l8whascaleseorn I Website Addtess wwwkllnawhascalescom

LEAK TEST CERTIFICATE

This certificate sball not be Ieproduced except hl full without the written IIpPIoval of KanAwlu SeRles amp Systems Inc

DEVICE INFOIlMATION

Device Serial Number 126 SOUlce Serial Numbetmiddot C~ - Z1~1 cr Device Manufacturer Gammametrics Source Manufacturer rr-otJeR-Device Model 2000 Souroe Modol

Device Type Elomental Analyzel Locadon Cliffs NR I Pinnacle Prep Plant

Radiolsotopes) ~I Cfmiddot2S2 Activity 10 mCi I 25 micrograms

LEAKIJpsT INFORMATION

Leak Test Performed By Benny Browning Leak Test Performed On 922111

Leak Test Specimen Number 10095 Leak Test Analysis Dato 1012711 I

Leak Test Analysis Performed By KHflrness

Leak Test Results Indicate an Activity of lt 0005 uC

Tho analysis oftbis leak test sample was provided by Kanawha Scales amp S~stems) Inc Ohio Bureau ofRadiation Proteotlon License Nlmbel 03214130000 In the event this specimen indicates leakage andor contamination In excess of 0005 microcurles Kanawha Scales amp Systemslne will nottfy you promptly by telophone andlot email at such time you will Med to take the appropriate actions required by the govElming l-egulatory agency responsible in your area

CLIENT INFORMATION M iIampShi T0ft Ip

Cliffs North American Coal Contact Russoll Hodges Pinnacle Creek Rd Phone 304256middot5814 Wolch WV 24874 Blnail

This certificate is an essential record and sllould be maintained fo) inspection by the

middotaIPlopriate leguJatory agepey

NEXT LEAK TEST DUE 03222012

~~Fe_b_1_4~20_1_2~1_8_P_M~~~~~~~~~~~~~~~~~o0966~P 1416~~

r26 Whitney Drive Milford OH 45150 I Phone 51 J 576-0700 I Fax 513-576-1884 Bmail Address kharllesskanawhllscalescoID I Website Addless w~Wllawhlscalescom

LEAK TEST CERTIFICATE

This cert1ficate sllall not be reproduced except til full without the WIUteD ~pplovftl of 1(IIDftwlta Scales amp Systems lnc

DEViCE INFORMATION

Device Serial Number 126 Soml~c SClill1 Numbel~ CF - L Ili5(o bevice Manufacturer Oamrnal11l1tlics Source Manufactulet Frc)lAI~ Device Model 2000 Source Model

Device Type Elemental Analyzer Locetion CHffs NR I Pinnacle Prop Plant

Rildioisotope(s) ~Cfmiddot2S2 Aetlvlty 10 mCI I 25 micrograms

iRAtTEST INlJORMATION

Leak Test Performed By Benny Browning Leak Test Performed on 922111

Leak Test Specimen Number 10095 Leak Test Analysis Date 1027111

Leak Test Analysis Performed By KHftrness

Leak Test Results Indicate an Activity of lt0005 uCi

NOTIFICATION

Tha analysis ofthis leak test sample was plOvided by Kanawha SCltlles amp Systems Ine Ohio Bureau of Radiation Protection License Numbel 03214] 30000 In the event thls specimen Indicates leakage andoi contamination in excess of 0005 microDurlesJ Kanawha Scales amp Systems Inc will llOtity you promptly by telephone lindor email at suoh time you will need to take the appropriate actions Iequired by the governing regulatory agenoy responsible In yow area

CLIENT INFORMATIO~ MRilampShllP T0

Cliffs North Amerioan Coal Contact Russell Hodges Pinnacle Creek Rd Phone 304 256~ 5814

Welch WV 24874 Email

This certificate is an essential record and should be maintained for inspection by tbe pproprlate regulatory agency

NEXT LEAK TEST DUE 03222012

Feb 14 2012 118PM o 0966 P 1516_--

26 Whitney Drive Milford OM 45150 I Phone 513-576middot0700 I Fqx 513-576-1884 Email AddresskhalUess~nawbasclllescomWebsiteAddles~ Ytl~kanawhMltale$QQm

LEAK TEST CERTIFICAE

This celmiddottlficate sbn not be reproduced except In tull witllout the written RPIWOQI of (anliwha Scales amp Systems Inc

DEVICE INFORMATION

Device SerIal Number 126 Source Serial Numbel cr=- -Zlb3Cf Device Manufacturer Gllmmametrlcs Source Manufacturer h-rJvtheJt Device Model 2000 SOUlce Model

Device Type Elemental Analyzer Location Cliffs NR I raquolnnacle Prep Plent

Radioillotope(s)(J1S2 ~Cf~2S2 Activity 10 mCi I 25 micrograms

LEAK TnSf INliORMATION

Leak Test Performed By Benny Browning bak tost Performed On 922111

Leak Test Specimen Number 10095 Leak Tcst Analysis Date 1027Ill

Leak Test Analysis Pelformed Bymiddot KHarn6Ss

Leak Test Results Indicate an Activity of lt 0005 lCI

NOTIFICA1rION

The analysis ofthis leak test sample was provided by Kanawha Scales amp Systemslnc Ohio BUleall ofRadiation Protection License Number 032J41)0000 In the event this specimen indieattlB Icakage andor contamination in excess of0005 mlcrocuries KlUliwha Scal6S amp Systems Inc wUl notify you promptly by telephone andor email at such time you wJll need to take the applopriate actions required by the governing regulatory agency Icsponsibte in your alea

CLIENT INFORMATION MRnampShlIP T0

Cllm North AmerIcan Coal Contact Russell Hodges PInnacle Creek Rd Phonl~ 304256middot 5814 Welch WV 1A874 Email

This certificate is an essential record and should be maintained for inspection by the

appropriate regulatqaft26ncY

NEXT LEAl TEST DUE 03222012

_---Fe_b_1_4_2_0~12_1_1_8_PM_________~_______No 0966 1616__

26 Whitney Drive MUfOld OH 45150 1Phone 513-516-0700 I Fax 513-516-1884 Email Addess kharnesSkao8whascalescom I Website Address wwwkanawhasclllescom

LEAK TEST CERTIFICATE-This certificnte shnll not be leplncluced except in full without fhe written approval of KanawbA SCAJe$ amp SystemsllllC

DltVICE INFOlUllAT10N

Device Sorial Number 126 Source Sel1al Number CF -2ID~ce Device Manufacturer Gammametlics SOUICO Manufacturer HDt+iett Device Model 2000 Source Model

Device Type Elemental Analyzer Location Cliffs NR I Pinnacle Prep Plant

RadlolsotoPe(s)CF)5l Gs--i41 I Cf-2S2 Activity 10 mCi I 25 micrograms

JEAK TEST INFORMATION

Leak Test Perfmmed By Benny Browning Leak Test Performed On 9122111

Leak Test Specimen Number 10095 Leak Test Analysis Date 102711

Leak Test Analysis PerforJ11ed By IltHllrness Leak Test Results Indicate an Activity of lt0OO5uCi

NOTIFICAfION

The analysis ofthls leak test sample was provided by Kanawha Scales amp Systems Inc Ohio Bureau ofRadialion Protection License Number032t4lJOOOO In the event this specimen Indicates leakage andor contamination in excess 010005 mlcrocuries KanawhQ Scales amp Systems Inc will notify you promptly by telephone andor email at 8uob time you will need to take the appropriate actions required by the governing regulatory agone responsible in your area

CLIENT INFODMAnON M 1amp81 T0a liP

ClitIs Nollh American COBl Contllct Russell Hodges Pinnacle Cleek Rd Phone 304256- 5614 W6lcb WV 14874 Bmall

This certificate is an essential record and should be maintained rO)middot inspection by the approprIate regulatory agency

NEXT LEAK TEST DUE 03222012

_---Fe_b_1_4_2_0~12_1_1_8_PM_________~_______No 0966 1616__

26 Whitney Drive MUfOld OH 45150 1Phone 513-516-0700 I Fax 513-516-1884 Email Addess kharnesSkao8whascalescom I Website Address wwwkanawhasclllescom

LEAK TEST CERTIFICATE-This certificnte shnll not be leplncluced except in full without fhe written approval of KanawbA SCAJe$ amp SystemsllllC

DltVICE INFOlUllAT10N

Device Sorial Number 126 Source Sel1al Number CF -2ID~ce Device Manufacturer Gammametlics SOUICO Manufacturer HDt+iett Device Model 2000 Source Model

Device Type Elemental Analyzer Location Cliffs NR I Pinnacle Prep Plant

RadlolsotoPe(s)CF)5l Gs--i41 I Cf-2S2 Activity 10 mCi I 25 micrograms

JEAK TEST INFORMATION

Leak Test Perfmmed By Benny Browning Leak Test Performed On 9122111

Leak Test Specimen Number 10095 Leak Test Analysis Date 102711

Leak Test Analysis PerforJ11ed By IltHllrness Leak Test Results Indicate an Activity of lt0OO5uCi

NOTIFICAfION

The analysis ofthls leak test sample was provided by Kanawha Scales amp Systems Inc Ohio Bureau ofRadialion Protection License Number032t4lJOOOO In the event this specimen Indicates leakage andor contamination in excess 010005 mlcrocuries KanawhQ Scales amp Systems Inc will notify you promptly by telephone andor email at 8uob time you will need to take the appropriate actions required by the governing regulatory agone responsible in your area

CLIENT INFODMAnON M 1amp81 T0a liP

ClitIs Nollh American COBl Contllct Russell Hodges Pinnacle Cleek Rd Phone 304256- 5614 W6lcb WV 14874 Bmall

This certificate is an essential record and should be maintained rO)middot inspection by the approprIate regulatory agency

NEXT LEAK TEST DUE 03222012

This is to acknowledge the receipt of your lette lapplication ated

11 7gt ()O Ic1 and to inform you that the initial processing which

inclu1~rai~~~Jr~v~w hZ ~7P~~5~() ~0))00 There were no administrative omissions Your application was assigned to a

technical reviewer Please note that the technical review may identify additional omissions or require additional information

D Please provide to this office within 30 days of your recEipt of this card

A copy of your action has been forwarded to our License Fee amp Accounts Receivable Branch who will contact you separately if there is a fee issue involved

Your action has been assigned Mail Control Number 571 i f() When calling to inquire about this action please refer to this control number You may call us on (610) 337-5398 or 33i-5260

NRC FORM 532 (RI) Sincerely (6-96) Licensing Assistance Team Leader