DRC-2018-005674 - 0901a068808406b4

CLIVE SITE
LETTER OF TRANSMITTAL
Div of Waste Management and Radiation Control
JUN - 8 2018
DRC-20l8-Oo574.
DATE: 06/05/2018
ATTN: Don Verbica — DWMRC
CC; Treesa Parker
Karen Kirkwood
RE: Transmittal 18021
Description of Documents Transmitted QtY
See attached for an update to Security;
CL-SE-PR-030 Rev 6, Clive RAMQC 1
Please replace your current procedure revisions with the documents with in this
Transmittal.
You are not required to sign any documents to verify receipt of this distribution.
However, you should make every effort to ensure that your copy of the License is
current.
FROM: EnergySolutions
Document Control
Clive Facility
Thomas A. Brown, Radiation Safety Officer Date
Dave Squires
Jun 4 2018 6:00 PM
ENERGYSOLUFIONS CL-SE-PR-030
Clive Facility Protection of Radioactive
Materials Quantities of Concern (RAMQC)
Revision 6

- Jan Hatfield
Jun 4 2018 4:04 PM

Authored By:

co§gn

Jan Hatfield, Manager, Plant Administration Date
Reviewed By: fait e 0 Vern C. Rogers
Jun 4 2018 4:05 PM cosi8n

Reviewed By:
Approved By:
Vern Rogers, Manager, Compliance and
Permitting Date
Thomas Brown
46g4.0".".,(\_" Jun 4 2018 5:06 PM
David Squires, General Manager, Clive Date
Operations
Approved By: Aadzik_ Dan Shrum
Jun 5 2018 11:55 AM

Daniel B. Shrum, Senior Vice President, Date
Regulatory Affairs
[E] Non-Proprietary p Proprietary
Restricted Information
Ej Safeguards Information
▪ Sensitive Security Information
EJ New El Title Change [2] Revision
• Rewrite I =I Cancellation
Electronic documents, once printed, are uncontrolled and may become outdated. Refer to the Intranet or the Document Control authority for the correct revision.
Clive RAMQC CL-SE-PR-030
Revision 6'
Table of Contents
1 PURPOSE AND SCOPE 3

1.1 Purpose 3

1.2 Scope 3
2 REFERENCES 3
3 GENERAL 3

3.1 Definitions 3

3.2 Responsibilities 5

3.3 Precautions and Limitations 6

3.4 Records 7
4 REQUIREMENTS AND GUIDANCE 7
5 ATTACHMENTS AND FORMS (EXAMPLES) 12
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Clive RAMQC CL-SE-PR-030
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1 PURPOSE AND SCOPE
1.1 Purpose
This procedure establishes the requirements for the physical protection of
Radioactive Materials Quantities of Concern (RAMQC) at the Clive Facility. The
purpose of the physical protection requirements is to enhance control of certain
radioactive material to reduce the risk of unauthorized use and malicious acts,
through access controls to aid in the prevention, prompt detection, assessment and
response to mitigate potentially high consequences that would be detrimental to
public health and safety.
1.2 Scope
This procedure applies to all EnergySolutions employees, subcontract personnel
and individuals who have access to RAMQC that has been accepted or is under
the control of EnergySolutions.
2 REFERENCES
2.1 US NRC 10CFR37, Physical Protection of Category 1 and Category 2 Quantities
of Radioactive Material
2.2 US NRC 10CFR20, Energy. Subpart I, Storage and Control of Licensed Material
2.3 ES-MA-PR-008, Trustworthy & Reliable (T&R) Procedure
2.4 LLEAP, Local Law Enforcement Agency Plan
2.5 CL-SE-PR-001, Clive Facility Security Operations Protocol
3 GENERAL
3.1 Definitions
3.1.1 Approved Individual - an individual whom the licensee has determined to
be trustworthy and reliable for unescorted access, having completed the
training required by 10 CFR 37.43(c).
3.1.2 Escorted Access - accompaniment while in a security zone by an approved
individual who maintains continuous direct visual surveillance at all times
over an individual who is not approved for unescorted access.
3.1.3 Local Law Enforcement Agency (LLEA) - a public or private organization
that has been approved by a federal, state, or local government to carry
firearms and make arrests, and is authorized and has the capability to
provide an armed response in the jurisdiction where the licensed category
1 or category 2 quantity of radioactive material is used, stored, or
transported.
3.1.4 Need to Know — A determination by the General Manager, Clive
Operations and Senior Vice President, Regulatory Affairs for the
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Clive RAMQC CL-SE-PR-030
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protection of sensitive and safeguard information such that an individual
may have access to perform their necessary job functions to meet their
duties of employment.
3.1.5 No-Later-Than Arrival Time - the date and time that the shipping licensee
and receiving licensee have established as the time at which an
investigation will be initiated if the shipment has not arrived at the
receiving facility. The no-later-than arrival time may not be more than six
(6) hours after the estimated arrival time for shipments of category 2
quantities of radioactive material.
3.1.6 RAMQC — Radioactive Material in quantities greater than or equal to the
values as provided in Attachment 5.1 to this procedure. Quantities of
Concern applies to the following:
• A single container with an activity content greater than or equal to the
values in Attachment 5.1.
• Stored material with an aggregate activity content greater than or equal
to the values in Attachment 5.1.
3.1.7 Reviewing Official - the individual who shall make the trustworthiness and
reliability determination of an individual to determine whether the
individual may have, or continue to have, unescorted access to the
category 1 or category 2 quantities of radioactive materials that are
possessed by the licensee.
3.1.8 Safe Haven - a readily recognizable and readily accessible site at which
security is present or from which, in the event of an emergency, the
transport crew can notify and wait for the local law enforcement
authorities.
3.1.9 Security Zone - any temporary or permanent area determined and
established by the licensee for the physical protection of category 1 or
category 2 quantities of radioactive material.
3.1.10 Sensitive and Safeguard Information (SGI) — Detailed information
generated by the licensee that describes the Radioactive Material and the
specific controls for the physical protection of the material.
3.1.11 Trustworthy and Reliable (TR) — characteristics of an individual
considered dependable in judgment, character, and performance, such that
unescorted access to category 1 or category 2 quantities of radioactive
material by that individual does not constitute an unreasonable risk to the
public health and safety or security. A determination of trustworthiness
and reliability for this purpose is based upon the results from a background
investigation.
3.1.12 Unescorted Access - solitary access to an aggregated category 1 or
category 2 quantity of radioactive material or the devices that contain the
material.
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Clive RAMQC CL-SE-PR-030 , Revision 6
3.2 Responsibilities
3.2.1 General Manager, Clive Facility (GM) is responsible for implementing
this procedure and ensuring the proper project specific documents are
generated as required which specify the RAMQC controls. The GM will
work in conjunction with the Radiation Safety Officer and Senior Vice
President, Regulatory Affairs to implement the RAMQC program and to
ensure the proper RAMQC controls and security measures are considered.
3.2.2 Manager, Plant Administration (PA Manager) is responsible for security
functions which include monitoring, immediately detecting, assessing and
responding to unauthorized access to RAMQC.
3.2.3 Radiation Safety Officer (RSO), or designee, is responsible for
implementing the Radiation Protection Program which includes the proper
storage and control of Radioactive Material and for tracking the
Radioactive Material inventory against the Radioactive Material license
and as a result, any RAMQC.
3.2.4 Manager, Shipping & Receiving (S&R Manager) is responsible for
notifying security when a RAMQC shipment is scheduled. Upon receipt of
notification of a shipment of a category 2 quantity of radioactive material
bound for Clive, the S&R Manager, or designee, is responsible to confirm
receipt of the shipment with the originator. If the shipment has not arrived
by the no-later-than arrival time, the S&R Manager shall notify the
originator.
3.2.5 Senior Vice President, Regulatory Affairs (SVPRA) is responsible for
approving the overall RAMQC program and working with the GM, PA
Manager, and the RSO to ensure the program is properly implemented as
required.
3.2.6 Reviewing Official is the only individual who may make trustworthiness
and reliability determinations that allows individuals to have unescorted
access to category 1 or category 2 quantities of radioactive materials
possessed by the licensee. Reviewing Official must be permitted to have
unescorted access to category 1 or category 2 quantities of radioactive
materials or access to safeguards information or safeguards information-
modified handling, if the licensee possesses safeguards information or
safeguards information-modified handling. The Reviewing Official cannot
approve other individuals to act as Reviewing Officials. The Reviewing
Official shall determine whether to permit, deny, unfavorably terminate,
maintain, or administratively withdraw an individual's unescorted access
authorization based on an evaluation of all of the information collected.
The Reviewing Official may not permit any individual to have unescorted
access until the Reviewing Official has evaluated all of the information
collected to meet the requirements and determined that the individual is
trustworthy and reliable. The Reviewing Official may deny unescorted
access to any individual based on information obtained at any time during
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Clive RAMQC CL-SE-PR-030,
Revision 6
the background investigation. The Reviewing Official may terminate or
administratively withdraw an individual's unescorted access authorization
based on information obtained after the background investigation has been
completed and the individual granted unescorted access authorization.
3.2.7 Responsible managers are responsible for identifying the appropriate
personnel who require access to SGI and unescorted access to RAMQC.
They are also responsible for notifying the GM and RSO in writing of new
T&R requests.
3.2.8 Trustworthy and Reliable Individual (T&R) — Each T&R individual shall
complete security training before being allowed unescorted access to
category 1 or category 2 quantities of radioactive material. Each T&R
individual is responsible for reporting any unauthorized access to
RAMQC. They are also responsible for reporting any condition or
activities that may compromise their ability to be considered "trustworthy
and reliable" to the GM such as an arrest or contact with a foreign national
or suspect personnel.
3.3 Precautions and Limitations
3.3.1 The control of sensitive and safeguard information is addressed within §
37.103 of Reference 2.1.
3.3.2 Any project specific document(s) generated as a result of this procedure
which contain any specifics regarding the Radioactive Material including
radioisotopes and quantities, storage locations, transportation dates,
carriers and routes, specific radioactive material controls and security
measures shall be controlled as sensitive or safeguard information (SGI) in
accordance with Reference 2.1. These records shall be maintained for the
terms of Radioactive Material Licenses UT2300249 and UT2300478,
unless otherwise stated.
3.3.3 This procedure applies only to the following;

3.3.3.1 Packaged material stored awaiting loading and transport with
an aggregate RAMQC.

3.3.3.2 Equipment and devices with RAMQC which weigh less than
2,000 kg (4,409 lbs).
3.3.4 This procedure does not apply to a facility where the activity is spread
across the site on building surfaces, installed equipment and systems and
contaminated soil where the material cannot be easily removed for
malicious purposes.
3.3.5 Trustworthy and reliable personnel shall be granted unescorted access
only to the RAMQC and/or SGI required to perform their job functions.
Unescorted access to controlled areas and SGI that is not required to
perform their job functions shall be limited and or prohibited.
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3.4 Records
3.4.1 FBI Fingerprint Card
3.4.2 Background and Criminal History Check Questionnaire
4 REQUIREMENTS AND GUIDANCE
Note: In the event of any actual attempted theft, sabotage or diversion of
Radioactive Material or the theft of devices, the licensee shall
promptly notify the NRC Operations Center at [phone]
following initial appropriate response and within four (4) hours after
contacting the LLEA.
4.1 Access to RAMQC
4.1.1 The appropriate manager shall identify and submit a list of personnel with
justification requiring unescorted access to RAMQC to the RSO and GM.
4.1.2 Prior to granting personnel unescorted access to RAMQC, that individual
shall be determined to be "trustworthy and reliable" by the Reviewing
Official.
4.1.3 Only those personnel who are deemed "trustworthy and reliable" and have
a "need to know" as approved in writing by the Reviewing Official, shall
have unescorted access to radioactive material and devices containing
RAMQC.
4.1.4 Those personnel who require access to perform a job function or duty that
have not been approved for unescorted access shall be escorted by an
approved T&R individual at all times.
4.1.5 A list of all personnel approved for unescorted access to RAMQC shall be
maintained by the Reviewing Official and forwarded in a secure manner to
Document Control personnel for entry into the electronic document
imaging system (OnBase).
4.1.6 Records of all personnel granted unescorted access including the dates
access was granted and/or removed shall be maintained in accordance with
record retention requirements.
4.2 Approval of "Trustworthy and Reliable" Personnel
4.2.1 A background investigation may not be initiated on any personnel seeking
"Trustworthy and Reliable" status without the informed and signed
consent of the subject individual. This consent must include authorization
to share personal information with other individuals or organizations as
necessary to complete the background investigation. Before a fmal adverse
determination, the Reviewing Official shall provide the individual with an
opportunity to correct any inaccurate or incomplete information that is
developed during the background investigation. A signed consent must be
obtained prior to any reinvestigation.
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4.2.2 If an individual withdraws his or her consent, the Reviewing Official may
not initiate any elements of the background investigation that were not in
progress at the time the individual withdrew his or her consent; and such
withdrawal of consent for the background investigation is sufficient cause
for denial or termination of unescorted access authorization.
4.2.3 Each individual designated for T&R status is to obtain a FBI fingerprint
card from the PA Manager and make arrangements with the local law
enforcement to complete the fmgerprinting process.
4.2.4 Submit the completed fingerprint card to the Reviewing Official.
4.2.5 A background and criminal history check shall be performed for each
individual prior to obtaining unescorted access to RAMQC. Each
individual designated for unescorted access shall obtain from, complete,
and submit the background check questionnaire to the Reviewing Official.
Refusal to provide, or the falsification of, any personal history information
is sufficient cause for denial or termination of unescorted access.
4.2.6 Trustworthiness and reliability shall be determined, at a minimum, by
reviewing the background check, criminal history check, verifying
employment history, including military history, with each previous
employer for the most recent seven (7) years before the date of
application, education, and personal references. To the extent possible,
obtain independent information to corroborate that provided by the
employee (i.e., seeking references not supplied by the individual).
4.2.7 Service providers shall be escorted unless determined to be trustworthy
and reliable by an NRC-required background investigation as an employee
of a manufacturing and distribution (M&D) licensee. Written verification
attesting to or certifying the person's trustworthiness and reliability shall
be obtained from the manufacturing and distribution licensee providing
the service.
4.2.8 The Reviewing Official shall document the basis for concluding there is
reasonable assurance an individual is "trustworthy and reliable" and is
being granted unescorted access to RAMQC. If an individual is
determined to not be "trustworthy and reliable", that individual and the PA
Manager will be notified by the Reviewing Official.
4.2.9 The GM shall notify the Reviewing Official when a current employee
loses T&R Status and is not terminated by the Clive Facility. The
Reviewing Official shall remove the employee from the T&R list and shall
notify the applicable personnel to update the employee's badge.
4.2.10 The Reviewing Official shall conduct a reinvestigation every 10 years for
any individual with unescorted access. The reinvestigation shall consist of
fingerprinting and an FBI identification and criminal history records check
in accordance with § 37.27. The reinvestigations must be completed
within 10 years of the date on which these elements were last completed.
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Clive RAMQC CL-SE-PR-030
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4.3 Storage of RAMQC
4.3.1 To ensure the safe handling, use, and control of licensed material in use
and in storage, there shall be a means to monitor and immediately detect,
assess, and respond to unauthorized access RAMQC and devices.
Enhanced monitoring shall be provided during periods of source delivery
or shipment, where the delivery or shipment exceeds 100 times the
Attachment 5.1 values.
4.3.2 There shall be an immediate response to any actual or attempted theft,
sabotage, or diversion of radioactive material or the devices containing
them. The response shall include requesting assistance from a Local Law
Enforcement Agency (LLEA).
4.3.3 There shall be a dependable means to transmit information between and
among the various components used to detect and identif)/ an unauthorized
intrusion, to inform the GM, RSO, SVPRA, and the PA Manager, and to
summon the appropriate responder.
4.3.4 After initiating appropriate response to any actual or attempted theft,
sabotage, or diversion of radioactive material or of the devices, notify the
NRC Operations Center at [phone] within four (4) hours of
contacting the LLEA.
4.3.5 Documentation shall be maintained describing each instance of
unauthorized access and any necessary corrective actions to prevent future
instances of unauthorized access.
4.3.6 For portable devices, have two independent physical controls that form
tangible barriers to secure the material from unauthorized removal when
the device is not under direct control and constant surveillance by the
licensee.
4.3.7 For mobile devices that are only moved outside of the facility (i.e., on a
trailer), have two independent physical controls that form tangible barriers
to secure the material from unauthorized removal when the device is not
under direct control and constant surveillance. For mobile devices that are
only moved inside a facility, only one such physical control is required.
4.3.8 For devices in or on a vehicle or trailer, utilize a method to disable the
vehicle or trailer when not under direct control and constant surveillance.
4.4 Local Law Enforcement Agency Coordination
4.4.1 The RSO shall coordinate, to the extent practicable, with an LLEA for
responding to threats to the facility, including any necessary armed
response. The information provided to the LLEA must include a
description of the facilities and the category 1 and category 2 quantities of
radioactive materials along with a description of the security measures that
have been implemented to comply with this subpart; and a notification that
the GM or RSO will request a timely armed response by the LLEA to any
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Clive RAMQC CL-SE-PR-030 ,
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actual or attempted theft, sabotage, or diversion of category 1 or category
2 quantities of material.
4.4.2 The GM or RSO shall notify the appropriate NRC regional office within
three (3) business days if the LLEA has not responded to the request for
coordination within 60 days of the coordination request; or the LLEA
notifies the GM or RSO that the LLEA does not plan to participate in
coordination activities.
4.4.3 The RSO shall document its efforts to coordinate with the LLEA. The
documentation must be kept for three (3) years.
4.4.4 The RSO shall coordinate with the LLEA at least every 12 months, or
when changes to the facility design or operation adversely affect the
potential vulnerability of the licensee's material to theft, sabotage, or
diversion.
4.4.5 A pre-arranged Plan with LLEA shall be maintained for assistance in
response to an actual or attempted theft, sabotage, or diversion of
radioactive material or of the devices which is consistent in scope and
timing with a realistic potential vulnerability of the sources containing
such radioactive material. The pre-arranged Plan shall be updated when
changes to the facility design or operation affect the potential vulnerability
of the sources.
4.4.6 For short term temporary project sites, the LLEA coordination is not
required; however, LLEA coordination may be required as directed by the
GM and the RSO depending upon the amount of activity being handled,
the project location and the potential risks as associated with the project.
4.5 Training
4.5.1 The RSO shall conduct training to ensure those individuals implementing
the security program possess and maintain the knowledge, skills, and
abilities to carry out their assigned duties and responsibilities effectively.
The training must include instruction in the security program and
procedures (as cited in Reference 2.5) to secure category 1 or category 2
quantities of radioactive material, and in the purposes and functions of the
security measures employed; the responsibility to report promptly to the
GM and RSO any condition that causes or may cause a violation of this
procedure's requirements; the responsibility to report promptly to the
Local Law Enforcement Agency and the GM and RSO any actual or
attempted theft, sabotage, or diversion of category 1 or category 2
quantities of radioactive material; and the appropriate response to security
alarms.
4.5.2 In determining those individuals who shall be trained on the security
program, the RSO shall consider each individual's assigned activities
during authorized use and response to potential situations involving actual
or attempted theft, diversion, or sabotage of category 1 or category 2
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Clive RAMQC CL-SE-PR-030
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quantities of radioactive material. The extent of the training must be
commensurate with the individual's potential involvement in the security
of category 1 or category 2 quantities of radioactive material.
4.5.3 Refresher training must be provided at a frequency not to exceed 12
months and when significant changes have been made to the security
program. This training must include review of the training requirements
this section and any changes made to the security program since the last
training; reports on any relevant security issues, problems, and lessons
learned; relevant results of NRC / DWMRC inspections; and relevant
results of the review and testing and maintenance.
4.5.4 The RSO shall maintain records of the initial and refresher training for
three (3) years from the date of the training. The training records must
include dates of the training, topics covered, a list of licensee personnel in
attendance, and related information. Training shall be provided as needed
to the appropriate "trustworthy and reliable" personnel on the site specific
controls and security measures as applicable to the performance of their
job functions.
4.6 Reporting of Events
4.6.1 The GM or RSO shall immediately notify the LLEA after determining that
an unauthorized entry resulted in an actual or attempted theft, sabotage, or
diversion of a category 1 or category 2 quantity of radioactive material. As
soon as possible after initiating a response, but not at the expense of
causing delay or interfering with the LLEA response to the event, the GM
or RSO shall notify the NRC's Operations Center (301-816-5100). In no
case shall the notification to the NRC be later than four (4) hours after the
discovery of any attempted or actual theft, sabotage, or diversion.
4.6.2 The GM or RSO shall assess any suspicious activity related to possible
theft, sabotage, or diversion of category 1 or category 2 quantities of
radioactive material and notify the LLEA as appropriate. As soon as
possible but not later than four (4) hours after notifying the LLEA, the GM
or RSO shall notify the NRC's Operations Center (301-816-5100).
4.6.3 The initial telephonic notification required by Section 4.6.1 must be
followed within a period of 30 days by a written report submitted to the
NRC by an appropriate method listed in § 37.7. The report must include
sufficient information for NRC analysis and evaluation, including
identification of any necessary corrective actions to prevent future
instances.
4.6.4 Upon receipt of notification of a shipment of a category 2 quantity of
radioactive material bound for Clive, the S&R Manager or designee shall
notify security when a RAMQC shipment is scheduled and confmn its
receipt with the originator. If the shipment has not arrived by the no-later-
than arrival time, the S&R Manager shall notify the originator.
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5 ATTACHMENTS AND FORMS (EXAMPLES)
5.1 Radionuclides of Concern Table
5.2 Trustworthy and Reliable Approval Application (CL-SE-PR-030-F1)
5.3 RAMQC Notification Log (CL-SE-PR-030-F2)
5.4 RAMQC Surveillance Log (CL-SE-PR-030-F3)
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Clive RAMQC CL-SE-PR-030
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Attachment 5.1 — Radionuclides of Concern Table

CL-SE-PR-030 Attachment 1
Revision 1 EN ERGVSOLUTIONS
Clive Facility Radionuclides of Concern Table
Radionuclides of Concern Radionuclide Quantity of Concern (TI3q) Quantity of Concern' (Ci)
Ant-241 0.6 16.2
Am-241/Be 0.6 16.2
Cf-252 0.2 5.4
Crn-244 0.5 13.5
Co-60 0.3 8.1
Cs-137 l 27
Gd-153 10 270
1r-192 0.8 21.6
Prn-147 400 10,800
Pu-238 0.6 16.2
Pu-239/Be 0.6 16 2
RA-226 0.4 10.8
Se-75 2 54
Sr-90 (Y-90) 10 270
Trn-170 200 5,400
Yb-169 3 81
Cornbinalions of radioactive materials listed above See Footnote Below'
The aggregate activity of multiple, collocated sources of the same radionuclide should be included when the total activity equals or exceeds the quantity of concern. The primary values used for compliance with this procedure are TBq. The curie (Ci) values are rounded to two significant figures for informational purposes only. Radioactive materials are to be considered aggregated or collocated if breaching a common physical security barrier (wg., a locked door at the entrance to a storage room) would allow access to the radioactive material or devices containing the radioactive material. If several radionuclides are aggregated, the sum of the ratios of the activity of each source. 1 of radionuclide, n, A(i,n). to the quantity of concern for radionuclide n, Q(n), listed for that radionuclide equals or exceeds one. [(aggregated aource activity for radiotatclide A) / (quantity of concern for radionuclide A)1 + [(aggregated source activity for radionuclide B) / (quantity of concern for radionuclide B) * etc > or = 1.
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Attachment 5.2 — Trustworthy and Reliable Approval Application
(CL-SE-PR-030-F1)
cm-sr..41.4n-n. ENERGYSOLEMONS Rev. 0
Clive Facility
Trustworthy and Reliable Approval AppRcation
Date: 05/30/14
Individuals egaphged by EnagySolutions for three years or less shall be detunined to be twinging mad reliable, at a mmummg, by reviewing the following:
• Background Check • Oininal History Check • Verifying Employment History
• Education
• Pesionalidesames • To the Went posolle, obtain independent information to combonde that provided by the employee 0.e., seeking rektor= not supphed by the individual)
For individuals employed longer than tlmge yens:
• Review of Employee's Employing:Ed Ilistory with EnagySohdions
The following mammal are deemed trustworthy and reliable. A review of their backgrowd, employment binary, pound references and other independent Mfounation, supporting the conclusion that thew is reasonable assurance these individuals, grouted unescorted access, are trustworthy and reliable and do not constitute an inneasonable risk for onsuthogized we of RAMQC. These individolls ne l lUi,,d to review "sensitive information"
REASON FOR UPDATE: Termination of John Doe
ERRE
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Attachment 5.3 — RAMQC Notification Log (CL-SE-PR-030-F2)
EN ERCISOLIIWAVS RAMQC Mogandole Log CIALLIPIL-030.12
16N2

NuHibbs Dub Scheib' Dub Mid* Slipatasslow arid Dub

aped Doh Ilmed aspaid Wiped PbEibia

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VHS Data Status
Clive RAMQC CL-SE-PR-030 ,
Revision 6
ATTACHMENT 5.4 — RAMQC Surveillance Log (CL-SE-PR-030-F3)
ENFRGvSourriais CL-SE-PR-030-F3
Rev. 1
Clive Facility
RAMQC Surveillance Log
Reviewed By: Date:
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Clive RAMQC CL-SE-PR-030
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DOCUMENT SUMMARY FORM
Please provide the Billowing information for newhevised documents. Forward the completed faun, approved document, and electronic file, to Docunient Cosa&
Damned No.: CL-SE-PR-030 Revision No.: 6
Clive Facility Protection of RAMOC Special Seas (lc, Restricted; SSiF, etc):

If special stem is applied*, please note any special distrixthonArandling. requiemene:
Summery of chmges (dills is a revision): Maar revisions to halide requirements from Corporate MR procedure and changes in responsibilities.
OyesEINo This document requires evaluation pa the requirements of a kerne gm y
attach evaluatice results.
DI yes ffiNo This damned requites regulatory agency approval before implementation_ If
yes, contact Document Control.
Disinlbution (or changes to districution) for controlled copies ails dormant.
Please inch& Van Rogers, Thomas Brown, David Squires, Danid Shrwan, and Justin Lee for review and conancent.
Source: ESAD-PR-001, Rev.7, Document Priparation [Madam* 5.4]
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