Advanced Service Providers NRC License ApplicationAppendix A – Responses to information requested in Form 313 Items 5 through 11 A-1Sealed SourcesRadioisotope Manufacturer/Model No.Quantity Yes NoSr-90 AccuRay TM 1180 and 1190 / C-5 & C-5SNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90 AccuRay TM 1180 and 1190 / C-7Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85, Sr-90,Am-241 AccuRay TM 1180 and 1190 / TG-4Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85, Sr-90, Am-241 AccuRay TM 1180 and 1190 / TG-1Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90, Am-241 AccuRay TM 1180 and 1190 / TG-2Not To exceed the maximum activity persource/device as specif ied in the Sealed Sourceand Device Registration SheetPm-147, Kr-85, Sr-90 AccuRay TM 1180 and 1190 / TG-3Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85Eurotherm / HUB- 77ANot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85Eurotherm / ASC-185Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90Eurotherm / ASC-190Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85, Sr-90,Am-241HMX / 1201-2201Series, 1202-2202Series, 1203 Series,2204 SeriesNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85HMX / 4201SeriesNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147HMX / 4202SeriesNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85, Sr-90,Am-241HMX / 4203SeriesNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147, Kr-85Impact / 4400,4401Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90 LFE / HUB-SS-1Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90 LFE / BGL-1CNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85LFE / BGL-7,BGL-7CNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Advanced Service Providers NRC License ApplicationAppendix A – Responses to information requested in Form 313 Items 5 through 11A-2Sealed SourcesRadioisotope Manufacturer/Model No.Quantity Yes NoAm-241 LFE / HUB-SS-3Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90 LFE / BGL-1Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90LFE / SO-1A,SO1B, SO-1CNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85LFE / SO-7A, SO-7B, SO-7C, SO-7D, SO-7ENot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85, Sr-90LFE / SULP-77Aand SULP-1CNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85, Sr-90LFE / SU-P77Aand SU-77ANot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Am-241 LFE / SU-S3Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85 LFE / SU-S7Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85LFE / SN-7A, SN-7B, SN-7C, SN-7D, SN-7ENot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Sr-90 NDC / 301Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85 NDC / 302Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Pm-147 NDC / 303Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Am-241NDC / 104P-104PDNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Am-241NDC / 105, 106,107Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Am-241NDC / 101, 102,103, 104, 108,200, 210, 220Not To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Am-241NDC / 101X,102X and 103XNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.Kr-85, Sr-90, Am-241 Ohmart / BALNot To exceed the maximum activity per source/device as specified in the Sealed Source and Device Registration Sheet.`