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: steve.lnchs@hilton.com

embassysniles.com 800-Embassy30% p0t-consumer recycped material

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