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IEMBASSY SUITES"
San Luis Obispo
April 1, 2014
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
To Whom It May Concern:
Included in this envelope are documents supporting recent Tritium shipmentfor recycling"
Thank you,
ASteven FuchsChief EngineerEmbassy Suites Hotel333 Madonna RoadSan Luis Obispo, Ca 93405
Embassy Suites o 333 Madonna Road, San Luis Obispo. CA 93405of the U.S. Olympic Team For Reservations Call: 1-800-EMBASSY * www.embassysuites.com
USA
Of fiwial Sponsor o Theffilt6fiFamily
NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken outof service and have been shipped to SRBT for recycling / disposal:
I ShpDa te:1 J/o-2. -z / Lf JI
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name: Embassy Suites Hotel
Street/ P.O. Box: 333 Madonna Road
City, State, Zip: San Luis Obispo, CA 93405
Phone: 1805-234-3114
Facility Receiving Tritium Exit Signs for Recycle / DisposalCompany Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 1336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)Isolite 2040 A042054 4/1/00 7.5Isolite 2040 A042067 4/1/00 7.5Isolite 2040 A042049 4/1/00 7.5Isolite 2040 A042058 4/1/00 7.5Isolite 2040 A042036 4/1/00 7.5Isolite 2040 A042066 4/1/00 7.5Isolite 2040 A042011 4/1/00 7.5Isolite 2040 A042013 4/1/00 7.5Isolite 2040 A042010 4/1/00 7.5Isolite 2040 A042090 4/1/00 7.5Isolite 2040 A042032 4/1/00 7.5Isolite 2040 A042009 4/1/00 7.5Isolite 2040 A042012 4/1/00 7.5Isolite 2040 A042033 4/1/00 7.5Isolite 2040 A042089 4/1/00 7.5Isolite 2040 A042031 4/1/00 7.5Isolite 2040 A042020 4/1/00 7.5Isolite 2040 A042063 4/1/00 7.5Isolite 2040 A042104 4/1/00 7.5Isolite 2040 -4 A042038 4/1/00 7.5
Date:
Signature
Printed Name
r-I e, /. / ýJ--?:: '
/7,C
A NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken out
of service and have been shipped to SRBT for recycling / disposal:
I Ship Date:I q
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name:JEmbassy Suites Hotel
Street/ P.O. Box: 333 Madonna Road
City, State, Zip: San Luis Obispo, CA 93405
Phone: 805-234-3114
Facility Receiving Tritium Exit Signs for Recycle / Disposal
Company Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)Isolite 2040 A042047 4/1/00 7.5Isolite 2040 A042095 4/1/00 7.5Isolite 2040 A042015 4/1/00 7.5Isolite 2040 A011032 4/1/00 7.5Isolite 2040 A042056 4/1/00 7.5Isolite 2040 A042057 4/1/00 7.5Isolite 2040 A042048 4/1/00 7.5Isolite 2040 A042040 4/1/00 7.5
Isolite 2040- *-- IIsolite 2040
A042027
A261247
4/1/00-I -.---- 4. --
7.54/1/00 7.5
-q -I - - 4.Isolite 2040 6/1/02 7.5Isolite 2040 A042086 4/1/00 7.5Isolite 2040 A042079 4/1/00 7.5Isolite 2040 A042078 4/1/00 7.5Isolite 2040 A042077 4/1/00 7.5Isolite 2040 - 49~2 ..o/ 4/1/00 7.5Isolite 2040 A042102 4/1/00 7.5Isolite 2040 A042100 4/1/00 7.5Isolite 2040 A042083 4/1/00 7.5Isolite 2040 4/1/00 7.5
Date: A /V-. I- -
Signature
Printed Name
II-1 A4ý!ý eL,
4 NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken outof service and have been shipped to SRBT for recycling / disposal:
I Ship Date:I IFacility Shipping Tritium Exit Signs for Recycle / Disposal
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name: Embassy Suites Hotel
Street / P.O. Box: 333 Madonna RoadCity, State, Zip: San Luis Obispo, CA 93405
Phone: 1805-234-3114
Facility Receiving Tritium Exit Signs for Recycle / Disposal
Company Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)Isolite 2040 A042019 4/1/00 7.5Isolite 2040 A042035 4/1/00 7.5Isolite 2040 A042101 4/1/00 7.5Isolite 2040 A042039 4/1/00 7.5Isolite 2040 A042065 4/1/00 7.5Isolite 2040 A042087 4/1/00 7.5Isolite 2040 A042064 4/1/00 7.5Isolite 2040 A042037 4/1/00 7.5Isolite 2040 A042050 4/1/00 7.5Isolite 2040 A042018 4/1/00 7.5Isolite 2040 A042103 4/1/00 7.5Isolite 2040 A042099 4/1/00 7.5Isolite 2040 A042098 4/1/00 7.5Isolite 2040 A042046 4/1/00 7.5Isolite 2040 A042084 4/1/00 7.5Isolite 2040 A042044 4/1/00 7.5Isolite 2040 A042043 4/1/00 7.5Isolite 2040 A042042 4/1/00 7.5Isolite 2040 A042029 4/1/00 7.5Isolite 2040 A042053 4/1/00 7.5
Date:
/If~Signature
Printed NamePrined Nme ~ ~c#
NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken outof service and have been shipped to SRBT for recycling / disposal:
IShip Date: 1 /- z-I I
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name, Embassy Suites Hotel
Street / P.O. Box: 333 Madonna RoadCity, State, Zip: San Luis Obispo, CA 93405
Phone:] 805-234-3114
Facility Receiving Tritium Exit Signs for Recycle/ DisposalCompany Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)
Isolite 2040 A031701 3/1/00 7.5Isolite 2040 A042096 4/1/00 7.5Isolite 2040 A042097 4/1/00 7.5Isolite 2040 A042028 4/1/00 7.5
Isolite 2040 A042088 4/1/00 7.5
Isolite 2040 A042059 4/1/00 7.5Isolite 2040 Otqo2ac 7__ 4/1/00 7.5Isolite 2040 A042041 4/1/00 7.5Isolite 2040 A042008 4/1/00 7.5
Isolite 2040 A042060 4/1/00 7.5Isolite 2040 A042016 4/1/00 7.5Isolite 2040 A042091 4/1/00 7.5Isolite 2040 A042062 4/1/00 7.5Isolite 2040 A042092 4/1/00 7.5Isolite 2040 A042030 4/1/00 7.5
Date: 4
Signature
Printed Name ,ý77_2V £ _T, 'rýCAc%1X
NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken outof service and have been shipped to SRBT for recycling / disposal:
I hi Dte] -1
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name: Embassy Suites Hotel
Street / P.O. Box: 333 Madonna RoadCity, State, Zip: San Luis Obispo, CA 93405
Phone: 1805-234-3114
Facility Receiving Tritium Exit Signs for Recycle / Disposal
Company Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)Isolite 2040 A042052 4/1/00 7.5Isolite 2040 A042074 4/1/00 7.5Isolite 2040 A042034 4/1/00 7.5Isolite 2040 A042061 4/1/00 7.5Isolite 2040 A042073 4/1/00 7.5
Isolite 2040 A042081 4/1/00 7.5Isolite 2040 A042051 4/1/00 7.5Isolite 2040 A042075 4/1/00 7.5Isolite 2040 A042082 4/1/00 7.5Isolite 2040 A042055 4/1/00 7.5
Isolite 2040 - DOUBLE SIGN D____ -,So
Isolite 2040 - DOUBLE SIGN A011080 4/1/00 15
Isolite 2040 - DOUBLE SIGN D60065 10/1/86 30
Isolite 2040 - DOUBLE SIGN D60066 10/1/86 30
Date: A n V"'-1/ -. / 1 '
Signature IIŽ~&e~ 4~4~LePrinted Name
NRC Federal Notification Letter(mail this copy to the National Regulatory Commission)
Director of NMSSAttn: GLTSU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001
Subject: Notification of a Shipment of Tritium Exit Signs
The following is to notify the Nuclear Regulatory Commission of a shipment of Tritium Exit Signs that have been taken out
of service and have been shipped to SRBT for recycling / disposal:
I Ship Date:. /- 2- I
Facility Shipping Tritium Exit Signs for Recycle / DisposalCompany Name: Embassy Suites Hotel
Street / P.O. Box: 333 Madonna RoadCity, State, Zip: San Luis Obispo, CA 93405
Phone:[1805-234-3114
Facility Receiving Tritium Exit Signs for Recycle / DisposalI
Company Name: SRB Technologies
Street/ P.O. Box: 2580 Landmark Drive
City, State, Zip: Winston-Salem, NC 27103
Phone: 336-659-2610
Manufacturer and Model Serial Number Date of Man. Life Rating (Years)Isolite 2040 - DOUBLE SIGN D60061 10/1/86 30
Isolite 2040 - DOUBLE SIGN A9N1905 11/1/99 23
Isolite 2040 - DOUBLE SIGN D60067 10/1/86 30
Isolite 2040 - DOUBLE SIGN D60062 10/1/86 30
Isolite 2040 - DOUBLE SIGN D60068 10/1/86 30
Date:
Signature
Printed Name
4 ~(kcAr
E EMB A S S Y SUITES®
San. L[is Obispo
.: USA
U oSm Ar
Steve FuchsChief Engineer
Embassy SuitesSan Luis Obispo333 Madonna Rd.San Lois Obispo, CA 93405
Tel: 805-549-0800, Exr. 542Cell: 805-4,+&Rf-sq.,I ii qFax: 805-549-9138
e-mail: [email protected]
embassysniles.com 800-Embassy30% p0t-consumer recycped material
C,
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