APPLICATION FOR NRC EXPORTIIMPORT LICENSE, … · Masdar Insitute Saf2 Block 3, OPP. Pres. Airport,...
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Page 1 of _3_ NRC FORM 7 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150·0027 EXPIRES: 06/30/2009 (8·2007) Estimated burden per response to comply with this mandatory collection request: 2.4 hours. This 10 CFR 110 submittal is reviewed to ensure that the applicable statutory, regulatory, and policy considerations are satisfied. Send comments regarding burden estimate to the Records and FOIA/Privacy APPLICATION FOR NRC EXPORTIIMPORT Services Branch (T-5 F52), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to [email protected], and to the Desk Officer, Office of Infonnation and LICENSE, AMENDMENT, OR RENEWAL Regulatory Affairs, NEOB-10202, (3150-0027), Office of Management and Budget, Washington, DC 20503. If a means used to impose an infonnation collection does not display a currently valid (See Instructions on Page 5) OMB control number, the NRC may not conduct or sponsor, and a person is not required to / respond to, the infonnation collection. N· [Zf PUBLIC " DATE RECEIVED Cj, [" ",' :C PAR'ThA. FORNRC USEONL Y OR D NON·PWBLIC 1r 1,---, 'L- "", ;~ -, . - - ,. ," LICENSE NUMBER DOCKET NUMBER ADAMS ACCESSION NUMB6R " MitT t11Jt' I (O[){Arl Ill,] PART B. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR NOTIFICATIONS (If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 1. NAME AND ADDRESS OF APPLICANT/LICENSEE 1a. NAME OF APPLICANT'S CONTACT lb. APPLICANT'S REFERENCE NUMBER Cambridge Isotope Laboratories, Gary Ionta Inc. 50 Frontage Road, Andover, lc. PHONE NUMBER ld. FAX NUMBER (978) 749-8000 (978) 749-2768 MA.01810 le. E-MAIL ADDRESS [email protected] 2. TYPE OF ACTION REQUESTED (Check One) IZl EXPORT 0 NOTIFICATION OF 0 IMPORT 0 COMBINED EXPORTIIMPORT o AMENDMENT/RENEWAL (Parts B, C, E) EXPORT OF (Parts B, D, E) (Parts B, C, D, E) Existing License Number: INCIDENTAL RADIOACTIVE MATERIAL (PART C, E) 3. CONTRACT NUMBER(S) 4. FIRST SHIPMENT DATE 5. LAST SHIPMENT DATE 6. PROPOSED EXPIRATION DATE 12/0112013 12/0112018 12/0112018 PART C. TO BE COMPLETED FOR EXPORT ONLY OR COMBINED LICENSES, AMENDMENTS, OR RENEWALS (If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.) 7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATE AND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONSIGNEE(S) FOREIGN CONSIGNEE(S) Cambridge Isotope AI Nawras Medi-Labs, Flat No Corpro Systems, LTD. C/O Laboratories, Inc. 50 Frontage 306, 3rd Floor, Al Qusais, GASOS Mussafah Warehouse, Road, Andover, MA. 01810 Dubai, United Arab Emirates Abu Dhabi, United Arab Emirates 7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED 8a. INTERMEDIATE USE(S) 9a. ULTIMATE END USE(S) Supplier/Distributor See Page 3 See Page 3 10. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES, lOa. MAX TOTAL VOLUME / lOb. MAX ENRICHMENT 10c. MAX ISOTOPE NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FOR ELEMENT WGT (KG), OR ORWGT% WGT(KG) NUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OF TOTAL ACTIVITY (TBq) EQUIPMENT FOR EXPORT Non-radioactive 10,000 kg - 90% as 99.99% NIA Deuterium gas deuterium oxide, non-radioactive Deuterium oxide remainder as gas material, not Deuterium compounds and compounds. radioactive waste G 11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME) NRC FORM 7 (8·2007) PRINTED ON RECYCLED PAPER
Transcript of APPLICATION FOR NRC EXPORTIIMPORT LICENSE, … · Masdar Insitute Saf2 Block 3, OPP. Pres. Airport,...
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NRC FORM 7 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150·0027 EXPIRES: 06/30/2009(8·2007) Estimated burden per response to comply with this mandatory collection request: 2.4 hours. This10 CFR 110 submittal is reviewed to ensure that the applicable statutory, regulatory, and policy considerations
are satisfied. Send comments regarding burden estimate to the Records and FOIA/Privacy
APPLICATION FOR NRC EXPORTIIMPORT Services Branch (T-5 F52), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001,or by internet e-mail to [email protected], and to the Desk Officer, Office of Infonnation and
LICENSE, AMENDMENT, OR RENEWAL Regulatory Affairs, NEOB-10202, (3150-0027), Office of Management and Budget, Washington,DC 20503. If a means used to impose an infonnation collection does not display a currently valid
(See Instructions on Page 5)OMB control number, the NRC may not conduct or sponsor, and a person is not required to
/respond to, the infonnation collection.
N· [Zf PUBLIC" DATE RECEIVED Cj, [" ",' :C
PAR'ThA. FORNRC USEONL Y OR D NON·PWBLIC 1r 1,---, 'L-"",
;~ -, .- - ,. ,"LICENSE NUMBER DOCKET NUMBER ADAMS ACCESSION NUMB6R
" MitT t11Jt' I (O[){Arl Ill,]
PART B. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, RENEWALS OR NOTIFICATIONS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)
1. NAME AND ADDRESS OF APPLICANT/LICENSEE 1a. NAME OF APPLICANT'S CONTACT lb. APPLICANT'S REFERENCE NUMBER
Cambridge Isotope Laboratories, Gary Ionta
Inc. 50 Frontage Road, Andover, lc. PHONE NUMBER ld. FAX NUMBER
(978) 749-8000 (978) 749-2768MA.01810
le. E-MAIL ADDRESS
[email protected]. TYPE OF ACTION REQUESTED (Check One)
IZlEXPORT 0 NOTIFICATION OF 0 IMPORT 0 COMBINED EXPORTIIMPORT o AMENDMENT/RENEWAL(Parts B, C, E) EXPORT OF (Parts B, D, E) (Parts B, C, D, E) Existing License Number:
INCIDENTALRADIOACTIVEMATERIAL (PART C, E)
3. CONTRACT NUMBER(S) 4. FIRST SHIPMENT DATE 5. LAST SHIPMENT DATE 6. PROPOSED EXPIRATION DATE
12/0112013 12/0112018 12/0112018
PART C. TO BE COMPLETED FOR EXPORT ONLY OR COMBINED LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)
7. NAME(S) / ADDRESS(ES) OF SUPPLIERS 8. NAME(S) / ADDRESS(ES) OF INTERMEDIATE 9. NAME(S) / ADDRESS(ES) OF ULTIMATEAND/OR OTHER PARTIES TO THE EXPORT FOREIGN CONSIGNEE(S) FOREIGN CONSIGNEE(S)
Cambridge Isotope AI Nawras Medi-Labs, Flat No Corpro Systems, LTD. C/OLaboratories, Inc. 50 Frontage 306, 3rd Floor, Al Qusais, GASOS Mussafah Warehouse,Road, Andover, MA. 01810 Dubai, United Arab Emirates Abu Dhabi, United Arab
Emirates
7a. FUNCTION(S) PERFORMED/SERVICE(S) PROVIDED 8a. INTERMEDIATE USE(S) 9a. ULTIMATE END USE(S)
Supplier/Distributor See Page 3 See Page 310. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES, lOa. MAX TOTAL VOLUME / lOb. MAX ENRICHMENT 10c. MAX ISOTOPE
NUCLEAR FACILITIES, EQUIPMENT, OR COMPONENTS; FOR ELEMENT WGT (KG), OR ORWGT% WGT(KG)NUCLEAR EQUIPMENT INCLUDE TOTAL DOLLAR VALUE OF TOTAL ACTIVITY (TBq)EQUIPMENT FOR EXPORT
Non-radioactive 10,000 kg - 90% as 99.99% NIADeuterium gas deuterium oxide, non-radioactiveDeuterium oxide remainder as gas material, notDeuterium compounds and compounds. radioactive
waste G11. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)
NRC FORM 7 (8·2007) PRINTED ON RECYCLED PAPER
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NRC FORM 7 U.S. NUCLEAR REGULATORY COMMISSION(8·2007)10 CFR 110
APPLICATION FOR NRC EXPORT/IMPORTLICENSE, AMENDMENT, OR RENEWAL (Continued)
/LICENSE NUMBER· DOCKET NUMBER ADAMS ACCESSION NUMBER' "c1PUBLICVIM rAA",-b'c, . /(()hf ,nd~ 'J .
OR G]NON-PUBLIC
PART D. TO BE COMPLETED FOR IMPORT ONLY, OR COMBINED LICENSES, AMENDMENTS, OR RENEWALS(If more space is needed to complete any of the items, use Pages 3-4 first, and then attach additional sheets, if necessary.)
12. NAME(S)I ADDRESS(ES) OF FOREIGN 13. NAME(S) I ADDRESS(ES) OF INTERMEDIATE 14. NAME(S) I ADDRESS(ES) OF ULTIMATESUPPLIERS AND/OR OTHER PARTIES CONSIGNEE(S) CONSIGNEE(S)TO IMPORT
12a. NRC EXPORT LICENSE NUMBER(S) 13a. LICENSE NUMBER(S) I EXPIRATION DATE(S) 14a. LICENSE NUMBER(S) I EXPIRATION DATE(S)(if applicable)
13b. INTERMEDIATE USE(S) 14b. ULTIMATE END USE(S)
15. DESCRIPTION OF RADIOACTIVE MATERIALS, SEALED SOURCES, 15a. MAX TOTAL VOLUME I 15b. MAX ENRICHMENT 15c. MAX ISOTOPENUCLEAR FACILITIES ELEMENT WGT (KG), OR ORWGT% WGT(KG)
TOTAL ACTIVITY (TBq)
16. FOREIGN OBLIGATIONS (BY COUNTRY AND BY PERCENTAGE OF MAXIMUM TOTAL VOLUME)
PART E. TO BE COMPLETED FOR ALL LICENSES, AMENDMENTS, OR RENEWALS
17. ADDITIONAL INFORMATION !lJ YES o NO17a. COPIES OF RECIPIENTS'
DYES lZl NOPROVIDED ON PAGES 3, 4,AUTHORIZATIONS PROVIDED?
ANDIOR ON SEPARATE SHEETS?
18 CERTIFICATION' I, the applicant's authorized official, hereby certify that this application is prepared in conformity with Title10,• • Code of Federal Regulations, and that all information provided is correct to th e best of my knowledge.
18a. PRINT NAME AND TITLE OF AUTHORIZED OFFICIAL ,:Jj'~Tg;;g 18c. DATE
Gary Ionta /C/3/ Iso (CJ-Export Compliance Officer
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NRC FORM 7(8-2007)10 CFR 110
U.S. NUCLEAR REGULATORY COMMISSION
APPLICATION FOR NRC EXPORT/IMPORTLICENSE, AMENDMENT, OR RENEWAL (Continued)
o PUBLIC OR 0 NON-PUBLICLICENSE NUMBER
i.MOJ:~~DOCKET NUMBER ADAMS ACCESSION ~UMBER
ADDITIONAL INFORMATION (Reference applicable block numbers from page 1 and/or page 2 for each entry)
Form NRC 7. Part C 8. - Name(s)/ Address(es) ofIntermediate foreign consignee(s)
Gulf Scientific Corporation, 624, Street No., Jebel Ali Free Zone, Dubai, United Arab EmiratesAI Khayat Scientific Supplies LLC, Near Caterpillar Signal, Ind. Area 3, AI Ghusais Dubai UnitedArab EmiratesRoyal Pearls General Trading, PO Box 74382, Dubai, United Arab EmiratesGlobal Scientific LLC. Salim Building, Suite 301, King Faisal Road, Nayemiah Area, Ajman UnitedArab Emirates.Integrated Gulf Biosystems, Office 408 & 409, Platinum Bus. Ctre. Baghdad St. AINahda 2, Dubai,United Arab Emirates.Lambda Tech, LLC Dtac Block 03, Office # 130, Dubai Intn'l Academic City, United Arab Emirates.
NRC 7. Part C. 9a. - Ultimate foreign consignee(s)Baker Hughs EHO Limited, Inteq, Oilfield Supply Centre, Techno Park Bldg.#l1, Dubai, UnitedArab EmiratesHalliburton Worldwide LTD. 3rd Floor, AI Moosa Tower 1, Shiek Zayed Road, United ArabEmiratesMasdar Insitute Saf2 Block 3, OPP. Pres. Airport, Masdar City, United Arab Emirates.New York University Abu Dhabi, CTR. Science & Eng., Sector M41, BL.C Bldg,ICAD 1, plot #1,Mussafah, Abu Dhabi, United Arab Emirates.
NRC 7. Part C. 9a. - Ultimate end use(s)Cambridge Isotope Laboratories, Inc. plan to sell the various deuterium compounds to intermediateand ultimate consignees (listed in Part C. 9., C.9a) for further distribution into the United ArabEmirates medical, pharmaceutical, chemical and industrial markets. Their customers in United ArabEmirates typically use these materials in relatively small quantities, (less that 1 Kg) for scientificresearch. This type of research may include identification of chemicals in reaction pathways,metabolic studies, or environmental analysis. No material will be used in any activity related toisotope separation, heavy water production, or in the fabrication of nuclear fuel.
Cambridge Isotope Laboratories, Inc ..........................................................................................................
50 Frontage Road, Andover, MA 018ro-5413 USA
PH: 800.322.II74 (N. AMERICA) PH: 978.749.8000
FAX: 978.749.2768 WEB: www.isorope.com
October, 31 2012
Deputy DirectorOffice ofIntemational ProgramsU.S. Nuclear Regulatory CommissionWashington, DC. 20555-0001
Dear Deputy Director:
Enclosed please find three (2) completed NRC Export Licerise applications (form 7) for the export ofdeuterium gas, deuterium oxide and deuterium compounds. Each of these licenses applications are countryspecific for the United Kingdom and United Arab Emirates. A fee 0($12,300.00 per application has beenassigned by Ms. Jennifer Tobin- Wollenweber which has been submitted electronically per the License fee andAccounts Receivable Branch instructions. \
If you have any questions please contact me at your convenience.
Gary J. IontaEH&S Officer/Export Compliance OfficerCambridge Isotope Laboratories Inc.50 Frontage RoadAndover, MA. 01810(978) [email protected]
