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AMCmmCom mPerm AEC-313 ,,,,,,p,,,,,,

* APPLICATION FOR BYPRODUCT MATERIAL LICENSE * " ' " " ' ' ' ' ',

INSTRUCTIONS. Complete items I through 16 If this is on initial opplication. If application is for renewol of a license, con >plate only items 1 through 7 end indicate new information or changes in the progrom as requested in items 8 through 15. Usesupplemental sheets where necessary. ltem 16 must be completed on all oppliestions. Mail three copies to: U. 5. Atomic Energy

D. C. Attention: Isotopes Bronch, Division of Licensing and Regulation.<Upon approvel of thisCommission, Washington 25, ll receive on AEC Byproduct Material License. An AEC Byproduct Materiel License is issued inopplication, the opplicent wioccordones with the general requirements contained in Title 10, Code of Federal R*gulations, Port 30 and the Licensee is sub-iect to Title 10, Code of Federal Reguistions, Port 20.

1. (e) N AND STREET ADDRE55 Of APPLICANT. (fastssvreon Arm, hose, eof, (b) STR A RE55( ) AT Y U MA WILL (ff

m s--n- e Center Pamgivania, M ; niinois and Rw

1 2 0 f * acad Wrk tw &saatstration of +mehnir=1 Ops e

h M 10, Ohio hckar PT1h iti'=nt but not Cyclopswhich is fx labarstery use onlye

2. DEPARTMENT TO USE BYPRODUCT MATERIAL 3. PREvlOU5 LDCINSE NUMSER(Sk (If ens is em appl.cateen for rene.of of afacense, please mdecoes end gave number.J

'

n*= trial andia;raphic Depare:xmt 9-7225.a and =rmnfwnts through 6

4 INDFVIDU AL USER (51 (Neme and feffe of mdeesdvehs) who will use or derectir 5. RADIATION PROTECTION OFFICER (Nome of person owgneeed as radio +.am pro-supervise use of byproduct movenol G.,e noming and empenence sa f# ems 8 ond fecean eAcer 8f other 8haa endeveduol user. Arrach resume of his frommg and es.9) perence os m d' ems 8 e.d 9 )

Mark Re Rocu::qMn=1'1 T GrtmnJicco Le Snetf Joseph go I444my

i

|

6. (el BYPRODUCT MATERIAL- (Eiements (b) CHEMICAL AND/OR PHY5ICAL FORM AND MAJUMUM NUMBER OF MILL 6 CURIES OF EACH CHEMICAL AND/OR PHY1-ond mass number of each ) ICAL FORM THAT YOU WILL POSSESS AT ANY ONE TIME. (ff smoked source (s), che sto#e amne of meivfockrer, model

. r. ne of somes d -,-m m,,,,,y ,e, sou,.e i

A. lbulitn 170 Coaled Co.=t:ec, Toche Opce Nx31 cz .%7% cne 100 0C0 De acxB. Iriditn 192 s=d Tota 2..C. Iridium 192 rhnkt1 Scurces, Teche Opc #fl0, coo 100,000 te un% ),600 v1D. Cote.it 60 me Totclese Coobit 60 Scaled Oct=eca Picker 3S00c,j cce 30,wo =c tcx, 45,000 cc

- Totalrm1M Scz.ecoo 'lbch. Opc. de w #453, one 10,000 se um. -

15,000 me total.Em1M Courcoo Picker P%3DA, 000 3,000,000 me naze a::d 2:: ital

P901A,

or P9 02ATotal amounte are to take can of awhans;o sources whencarisinal has deca;mi one bal-life w morce

7. DESCRIBE PURPOSE FOR wHICH SYPRODUCT MATERI AL WILL LE USED. (#f byprodud mons <sel is for " human use," spplement A (Form AFC-3 f 3el mud be ccen.pissed m Jew of this esem ff byproduct mo# enol as an the form of a seeled sowrte, sacivde she make and esodel number of she storego container ond/or derece enwhich she sourse will be seared cred/or used.)

Uso is fw andicGrapher and L.-6. Lion of D2ui;oont.lA. Used in Tsche Opse Ibsel 489 x 49|r Projoet=0a. Used in Tech Ops. Ibsal 490 Projecte /Ce Uood in Pickar Pipa11'w Cate Ib. 6161 N1 -t1De used in Tech. opse nasal 402 Projector 'se Usos in cyclops axial 61hsmA ce 6145B Dauiscente min vill be uced'

in laborstory at 1020 imh, acad, onlye_ _ _4oc.0.

i

9306230088 930303PDR FOIA. .

{ ;. ?b'RUMPF92-ABO PDRg .

(Coat.aved on e.orse s. del t'

-~-,

- - - . -_. _ _ ___ _ _ ,_ __ _, , _

,,

Page TwoF orm AEC-313 (5 58)

| TRAINING AND EXPERIENCE Of EACH INDIVIDUAL NAMED IN ITEM 4 (Use supplmnentoi sheets a necessory)

8. TYPE Of TRAINING DURATION OF ON THE JOS FORMAL COURSE'WHERE TR NED TRAtNING (Carcio smswer) (Cnie answer)

e. Prmciples and procteces of rodiotionpr*'*ct*r* . dh c., am in Tnn , utM m

b. Radioactivity meosweement stonderdino-Yes No Yes No

hon ond monitoring technigwes and in.

@ in TXrtTiOug_ @ J 8 10n' * ' * * " ' '

c. Mothemobcs and calculations basic to theuse and moosurement of rod.ooctivity

Y'' "* **d. S.ological eMeets of rodeohon

| 9. EXPERIENCE WITH RADIATION. (Actwol wie of rodno sotopes or equwolent espermace )

| sOTOPe I max-UM AMOUNT wHERe ExPetENCf was GAIN D DURATION Of exP RieNCE TYee OF uSE

i.i 1

| Some as in Infomatico supplied in previous Application|

| |10 RADIATION DfTECTION ItJSTRUMENTS. (Use supodemental sheets if necusory }

TYPE OF INSTRUMENT 5 NUM81R RADIATION 5fN5ffMTf RANGE WINDOW THICKNE$5 U$f

, I (kiclude make and mudel asenber of each) AVAILABLE DETE CTED (mr/hr) (mg/ce:) (Mon tormg, surver.ng, measersng)

1

1

!

Fe na in Information supplied in prmricus App'.ication!

I11. M!THOD, FREQUENCY, AND ST ANDARD5 USED IN CAtl8 RATING INSTRUMENT 5 LISTED ABOYE.I

Every 3 nooths uni:s stae 2 :u. Iwiium -- see supplccent|

12. FILM EADGE5, DO5tMETER5 AND SIO.A5SAY PROCEDURE 5 USED. (for h tiodges, speed, method of calibrohng and pmcessing, or name of sepi.ee )

Barse as Inforcation supplied in previous Application

| INFORMATION TO BE SUBMITTED ON ADDITIONAL SHEET 5Desusbe laborotory localit.es and reniete hondkig eqvepment, storogo centoeners, shielding, ivme hoods, etc. Espionatory sketch '

I13. FACILm15 AND foUIPMENT.g g gof i,ca.ty is enoch.d. (Cnie mw-ort von we

14. RADlATION PROttCTION PROGR AM.Describe the rodeohen pro'echen preprom sncludias conhol meewes. If application covers soo6+d sources, submit look

iseshng procedures where apolacoble, nome, troenmg, and emperience of person to perform look tests, and errovigemenes for performmg inrteel rodiohon survey, serv-scmg, moentenonce and repair of the source. F- as previous and see Supplccient

If a commercial wesse dispesol service is employed, specily nome of company. Oeierwoe, swbed detailed descr. phon of methods which edi

I15. WASTE D6POSAL.be ned for dispeseng of redienctive wooes and eeimotes of the typa and omount of octreety eve 6ved.

|CERTIFICATE (This item must be completed by applicont)

le. THf APPLICANT AND ANY OFFACAAL IKf CUs1NG THIS CERTIFICATE ON St HALF OF THE APPLICANT NAMED IN ffEM 1, CERTIFY THAT THis APPUCATION 15PREPARf D IN CONFORMITY Wr H TITLE to, CODE OF Ff DERAL REGULAftONS PAnf 30, AND THAT ALL INFORMATION CONTAINED Hitf1N, INCLUDING ANYSUPPLEMENTS ATTACHED HERffo,15 TRUE AND CORRECT TO THE BEST OF OUR KNO EDGE AND BEutF.

GL Yw % Hf '/LI nt nomd d~ #

A o

N _//_' / By:Date '

/g g0T.t6e et cerJyme eme.oi

WARNING. 18 U. 5. C., Section 1001; Act of June 25,194 8; 62 Stat. 749; makes it a criminot off ense to make a willfully felse statement orI representation to ony deportment or egency of the United States on to any man r within ses tensdichen.e

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AEMINISTRATIVE, OPERATIONAL, AND EMERGENCY PROCEDURES

FOR TECHNICAL OPERATIONS EQUIPi m AND TEE PICKERPIPELINER

A. Following are the onky persons respcasible for the use of sealed radio-graphic sources, who vill personally supervise the use of such sources, /and who vill be in continuous and imnediate attendance at the site of use, w

Mark R. RosimnyDonald T. GreenJames L. Snarr

B. The following person is directly responsible fer the overall radiationprotection program and for health safety.

.

Joseph B. Stickney

C. The Picker course on " Radiation Safety Using Isotopes" which is given atthe factory in Cleveland is the minimum prerequisite for each individualbefore he may assume responsibility for handling radiographic isotopes.A copy of the manual for the course must be in his possession and under-stood before using sealed sources.

D. Operation of the equipment is very simple. In the case of the TechnicalOperations Equipment, it consists only of properly connecting the sourcetubes and signal vires and turning the control handle to move the sourcein or out of the " safe". After each use the tube for guiding the sourceshall be disconnected and the safety plug shall be securely ins,erted to

'

prevent motion of the source from the safe either through accident ortampering. (Always use survey meter when operating the unit.)

In the case of the Picker Pipeliner, operation consists merely ofconnecting the control cable to the Pipeliner, vinding the actuating spring,retreating to the control panel to actuate the source electrically. Theactuating spring shall not be wound till just prier to the desired useto prevent exposure by accident or tampering. (Always use survey meterwhen operating the unit)

E. At least one suitable survey instrument such as the Victcreen 592 shallbe available and used at each radiography site. The instrument must becalibrated and in good working order. This instrunent is capable of "

measuring from less than 1 mr per hour to 1 R per hour.

The radiographic isotopes when operated on the Picker premises shall beused only in the laboratory designed for the purpose and approved by theAEC. See Administrative, Operational and Energency Procedures for theCyclops Cobalt 60 Unit.

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E. Contd.

Since in field use the area about the imediate radiography site vill havea radiation level above recognized safety limits a larger area must be re-stricted to personnel and the limits of this area must be surveyed withthe Victoreen instrument for compliance to the predetermined calculatedlevel of 5 mr per hour. Such areas shall be posted with the standardradiation signs as designated in 20.203 of 10CFR Part 20. See F.

After each radiography exposure, a survey with the meter must i= mediatelybe made to detemine that the scurce is returned to the storage condition.

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F. The maximum rules of safety should be applied so that all are exposed togood habits in radiation safety. Every advantage shall be taken of exist-ing barriers for shielding. The source shall be collimated as much aspossible. The control shall be operated at the maximum possible distancefrcm the source and the operater shall remain at the control only to operatethe source and then retire speedily to a safe distance first determined bycalculation and then checked with the survey meter. Rope barriers andradiation varning signs shall be placed at a calculated radiation level of5 mr or less and checked with the survey meter. All personnel shallbe removed from within the barrier during exposure. It is good practice

to furnish personnel remaining near the barrier with dosimeters. Guardsshall be posted continually during exposure times to prevent violation ofthe barrier. . Complete records of the field radiography including thenames and exposures of the personnel shall be kept. In addition the areabetween the 5 mr and 2 mr radiation levels must be controlled to preventany individual receiving more than 2 mr in one hour or 100 mr in any sevenconsecutive days.

G. A film badge and a pocket dosimeter shall be vorn at all times and theresults recorded daily.

H. All the Technical Operations Equipment and the Picker Pipeliner are de-signed as shipping containers as'vell as radiographic equipment. However,in transporting such sources to field locations by truck or private cara few safety precautions should be strictly adhered to.

1. All the equipment has some radiation leakage. Therefore, the equip-ment should be placed as far as possible frcxn the driver or occupants.Comon sense should be used in packing the qquipment to prevent anmgein transit. Of course, the equipment should be secured by locking soths.t the source cannot be in exposed position. After packing in thevehicle, both the equipment and the vehicle should be surveyed. It isrequired that the vehicle be locked or furnished with other safe-guards to protect against necidental or unauthorized removal of thesource.

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H. 2. The vehicle shall be posted with radintive material signs.

3 The maximum permissible radiation level of the equipment (in closedposition) shall be not more than 200 mr per hour on the surface or ,10 mr one meter from the device. Since the equipment has more thansufficient protection, normally no more than half this amount shouldbe found. It is required to make certain that no more than 2 mrper hour is present at any surface of the vehicle.

4. The sources shall be securely locked within the vehicle duringtransportation and cocnon sense should be used regarding leaving thevehicle for short periods of time.

5 Both the sending and receiving teminals should be notified of theexpected arrival time. Ic=ediate steps should be taken to locate thevehicle if the expected arrival time has elapsed in case of acci-dent to the vehicle or source. I= mediate notification of one of thesupervisors (See D) is required in case of accident. Every possibleprecaution should be taken in case of accident including roping offthe possible hazardous area if the meter has been rendered inoperableand no immediate survey is possible.

I. When not in use the radiographic device shall be kept in locked conditionand stored in a locked roce that is reasonably well protected frce fire.

J. Ibergency Precedures

1. If the Picker Pipe 11ner refuses to return to off position, the devicemay be safely approached quickly frce the shielded side and manuallyturned off by tvisting the source wheel handle.

2. If the Technical Operations Equipment refuses to return the sourceto the safe, first look for kinks in the control cable.

3 If either the Fireliner or Technical Operations Equipment does notrespond to the above, immediately proceed to outside the postedarea, post additional guards about the area, if necessary, and notifyone of the following who vill take the proper procedure for recoveryof the source.

Name Business Phone Hcae Phone

Mark R. Resu=ny KE 1-3670 .

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Joseph B. Stickney KE l-3670Donald T. Green KE 1-3670 -

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James L. Snarr KE 1-3670.

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K. The Picker'Pipeliner is not designed for source exchange in the field.It is returned to the factory for exchange.

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Cyclops Cobalt 60 UnitPa6e - 2

2. Operation - Contd.

the green light should be on.

After the timer has teminated the exposure, the switch key removed and thepower supply disconnected, the radiation roca may be unlocked and enteredproviding the survey meter and the gamma clam indicates the source hasbeen retracted. No more than background count should be obtained until ,

the Cyclops head is closely approached. Maximum reading should be10 mr/hr at one meter from head. The port location should also be checkedwith the survey meter.

EMERGENCY PROCEDURES ||

OPERATIONAL DIFFICULTY ;

In any case of deviation from standard operation, one of the following fourauthorized personnel should be imediately called from the telephone approxi.cately 20 feet free control panel after the control has been turned off aspreviously described.

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HAME EUSINESS FHONEMark R. Resumny Cleveland, KEnmore 1-3670Joseph B. Stickney Cleveland, KEnmore 1-3670Donald T. Oreen Cleveland, KEncore 1-3670James L. Snarr Cleveland, KEnmore 1-3670

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In no case shall the radiation room be entered or any further trial of thecontrol be made until two of the above four are present.

If on examination of the control panel the situation cannot be corrected, atleast two of the above four personnel must be present before any attecpt is madeto enter the radiation room. She shutter vbcel assembly can be manually oper-ated . Radiation at the height of the shutter wheel assembly with the sourceon should be not over 1000 tr/hr outside of the direct beam. The source canbe turned to "off" position by the hand control or the shutter wheel assemblycan be worked on for a period up to 18 minutes (300 mr) depending on pre-vious exposure. If this procedure fails to return the source to "off"position, provision was made to lower the Cyclops head to the floor or directlyon top of the radiographic specimen whereupon, shielding can safely be drop-ped about the head to reduce the radiation intensity to very lov values toallow full time to repair the unit. Of course, every step of the processmust be carefully monitored and if the radiation obtained is at variance withcalculated, proper coc:pensation for actual working times must be made toprevent over-exposure to any individual.

In case of fire, immediate notification of one of the four authorized personnel'

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Cyclops Cobalt 60 UnitPage - 3

OPERATIONAL DIFFICULTY Contd.

is required. However, the Cyclops head is reasonably fire mesiste.nce and ishoused in a concrete enclosure within a concrete building. No dangerous radi-ation hazard is anticipated frcn this reason. The Fire Department as ve.11 as /interested city authorities have been notified that isotopes are stored andused at the Research Laboratory.

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Source uchange with the Technical Operations idnipment aball be made onlywith the technieni operations source changer and the procedure followed''

shall be exactly according to the procedure furnished by Technical ,.'

Operations with each source changer..

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ADMINISIRATIVE, OFERATIONAL AND EMERGENCY

FROCEDURES FOR THE USE AND OPERATION OFTHE CYCLOPS COBALT 60 UNIT

A. RESPONSIBILITY FOR CONTROL OF ISOTOPES

Following are the only persons responsible for the use of sealed radio-graphic sources, who vill personally supervise the use of such sources,and who vill be in continuous and immediate attendance at the site of use.

Hark R. Rosummy Donald T. Green Janes L. Snarr

B. RESPONSIBILITY FOR OVERALL RADIATION FROTECTION PROGRAM

The person directly responsible for the overall radiation protection ,

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program and for health safety is Joseph B. Stickney.

C. OPERATION PROCEDURES

1. GeneralIn no instance shall the radiation roem be entered without using a surveyinst t known to be in go6d working order and in addition yearing a filmbadge preferably a direct reading pocket dosimeter whether control isin safe position er not. All mechanical and electrical devices have beenknown to fail and therefore no assumption of safety should be made frcmthe indication of the control or frco previous history of application.

2. Operation

After the radiographic set up has been made the operator shall unlock theCyclops head, retire outside of the radiation rocn, closing the door andlocking it. The control power line shall be plugged into the 110 volt re-certacle and the key inserted into the control and turned to "on" position.The green light on the control should ecne on indicating that the power ison and the door interlock is closed. The timer should be set and the con-tact button closed to start the exposure. The red signal should inmediatelylight while the green signal should remain on for 7-1/2 seconds (openingtime for shutter wheel). After 7-1/2 seconds the green light should gooff and the red light should continue as also the indicating light abovethe radiography decrs. Any deviation of the lights frcn above should beground for immediate termination of the exposure by turning the key to the"off" position, removing it, and removing the power line from the receptacle,(seeemergencyprocedure).

When the source is in the "on" position the red indicating signal shouldcontinue to light on the control panel until 5 seconds after the exposurehas been teminated by the timer (closing time of the source wheel), and

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