Canada's Nuclear Regulator Canadian Certificate No.: CDN/E199/-96 (Rev.

14)
L'organisme de rdglernentation
nucleaire du Canada Issue Date: Jun-17-2016
Expiry Date: Jun-30-2021
CNSC File: 30-10-2-181

Certificate
CDN/E199/-96 (Rev. 14)

Endorsement of Transport Package Design

No. USA/9296/13(U)-96 (Rev. 10)

The transport package design identified below is certified by the Canadian Nuclear Safety Commission
pursuant to paragraph 21(1)(h) of the Nuclear Safety and Control Act and Subsection 10(1) of the
Packaging and Transport of Nuclear Substances Regulations, 2015 and to the IAEA's Regulationsfor the
Safe Transport of Radioactive Material, 2012 Edition.

REGISTRATION OF USE OF PACKAGES

All users of this authorization shall register their identity in writing with the Canadian Nuclear Safety
Commission prior to the first use of this authorization and shall certify that they possess the instructions
necessary for preparation of the package for shipment.

PACKAGE IDENTIFICATION

Designer: QSA Global Inc.

Make/Model: 880 Delta; 880 Sigma; 880 Elite; 880 SC
Mode of Transport: Air, Rail, Road, Sea

IDENTIFICATION MARK
The package shall bear the competent authority identification mark "USA/9296/B(U)-96".

PACKAGE DESCRIPTION

The Model 880 series transport package is composed of the four Model Nos. 880 Delta, 880 Elite, 880
Sigma and 880 SC.

Model Nos. 880 Delta, 880 Elite, 880 Sigma consist of a cylindrical stainless steel shell, 1.5 mm thick, two
end plates enclosing a depleted uranium shield and a titanium "S" tube. The gap between the depleted
uranium shield and the shell is filled with polyurethane foam. For transport, the source is secured in the
shielded position by means of a locking assembly attached to the rear end-plate assembly.
Model Nos. 880 Delta, 880 Elite, 880 Sigma can also be equipped with an optional polyethylene jacket for
ease of transport or a "Pipeliner" jacket to facilitate use as an industrial radiography exposure device. The
optional jacket covers the stainless steel shell, provides a handle and a stable base, and is attached to the
shell by screws located outside the shield cavity area. The transport jacket has a handle section that

Page 1 of 4

Canadian Nuclear
Safety Commission
Commission canadienne
de sOrete nucleaire Canada
 Canada's Nuclear Regulator Canadian Certificate No.: CDN/E199/-96 (Rev. 14)
L'organisme de reglementation
nucleaire du Canada Issue Date: Jun-17-2016
Expiry Date: Jun-30-2021
CNSC File: 30-10-2-181
contains a steel wire molded in for additional reinforcement while the "Pipeliner" jacket incorporates
wheels on the base to facilitate movement during use as a radiography exposure device.

The 880 SC is identical to the 880 Delta except that the end plates are replaced with a different lock
assembly plate. The 880 SC can only be equipped with the optional polyethylene jacket.

The dimensions of the Model Nos. 880 Delta, 880 Elite, 880 Sigma packages with the optional transport
jacket are 191 mm wide by 229 mm high by 338 mm long and the total mass of Models 880 Delta and 880
Sigma is 24 kg and the total mass of Model Elite is 19 kg including the optional transport jacket. The
dimensions of the packages with the optional "Pipeliner" jacket are 152 mm wide by 288 mm high by 343
mm long and the total mass of Models 880 Delta and 880 Sigma is approximately 25 kg and the total mass
of Model Elite is approximately 20 kg including the optional "Pipeliner" jacket. The dimensions of the
Model Nos. 880 SC package with the optional transport jacket is 191 mm wide by 229 mm high by 387 mm
long and the total mass is approximately 24 kg.

Illustrations of the package are shown on attached Drawing Nos. R88000 (Rev. V), Sheet 1, R88095 (Rev.
A), Sheets 1 and 2 and R880SC, Rev E. Sheet 1.

The configuration of the 880 Delta and 880 Sigma packages without the optional jacket is as follows:

Shape: Cylinder Shielding: Depleted Uranium

Mass: 21 kg Outer Casing: Stainless Steel
Length: 338 mm Height: n/a
Width: n/a Diameter: 127 mm

The configuration of the 880 Elite Package without the optional jacket is as follows:

Shape: Cylinder Shielding: Depleted Uranium

Mass: 17 kg Outer Casing: Stainless Steel
Length: 338 mm Height: n/a
Width: n/a Diameter: 127 mm

The configuration of the 880 SC Package without the optional jacket is as follows:

Shape: Cylinder Shielding: Depleted Uranium

Mass: 21 kg Outer Casing: Stainless Steel
Length: 387 mm Height: n/a
Width: n/a Diameter: 127 mm

AUTHORIZED RADIOACTIVE CONTENTS

The QSA Global Model 880 series transport packages are authorized to contain the radioactive contents as
follows and as further described in Revision 10 of foreign Certificate No. USA/9296/B(U)F-96.

Page 2 of 4

14pmM Canadian Nuclear

Safety Commission
Commission canadienne
de surete nucleaire k...
 Canada's Nuclear Regulator Canadian Certificate No.: CDN/E199/-96 (Rev. 14)
L'organisme de reglementation
nucleaire du Canada Issue Date: Jun-17-2016
Expiry Date: Jun-30-2021
CNSC File: 30-10-2-181

The Model 880 Delta is authorized to contain:

a) a maximum of 5.55 TBq output activity* of Iridium-192 in QSA Global source assembly Model
No. 424-9 or SPEC source assembly Model Nos. T-5 and T-5F or NTPE source assembly Model
No. C-337B; which meet the requirements for special form radioactive material; or

b) a maximum of 5.55 TBq of Selenium-75 in QSA Global source assembly Model No. 424-25W
or SPEC source assembly Model Nos. T-5 and T-5F; which meets the requirements for special
form radioactive material.

The Model 880 Sigma is authorized to contain:

a) a maximum of 4.81 TBq output activity* of Iridium-192 in QSA Global source Model No.
424-9 or SPEC source assembly Model Nos. T-5 and T-5F or NTPE source assembly Model No.
C-337B; which meet the requirements for special form radioactive material; or

b) a maximum of 5.55 TBq of Selenium-75 in QSA Global source assembly Model No. 424-25W
or SPEC source assembly Model Nos. T-5 and T-5F; which meets the requirements for special
form radioactive material.

The Model 880 Elite is authorized to contain:

a) a maximum of 1.85 TBq output activity* of Iridium-192 in QSA Global source Model No.
424-9 or SPEC source assembly Model Nos. T-5 and T-5F or NTPE source assembly Model No.
C-337B; which meet the requirements for special form radioactive material; or

b) a maximum of 5.55 TBq of Selenium-75 in QSA Global source assembly Model No. 424-25W
or SPEC source assembly Model Nos. T-5 and T-5F; which meets the requirements for special
form radioactive material.

The Model 880 SC is authorized to contain:

a) a maximum of 5.55 TBq output activity* of Iridium-192 in QSA Global source assembly Model
No. 424-9 or SPEC source assembly Model Nos. T-5 and T-5F or NTPE source assembly Model
No. C-337B; which meet the requirements for special form radioactive material; or

b) a maximum of 5.55 TBq of Selenium-75 in QSA Global source assembly Model No. 424-25W
or SPEC source assembly Model Nos. T-5 and T-5F; which meets the requirements for special
form radioactive material;

Page 3 of 4

14 01 Canadian Nuclear
Safety Commission
Commission canadienne
de sOrete nucleaire Canada.
 Canada's Nuclear Regulator Canadian Certificate No.: CDN/E199/-96 (Rev. 14)
L'organisme de reglernentation
nucleaire du Canada Issue Date: Jun-17-2016
Expiry Date: Jun-30-2021
CNSC File: 30-10-2-181
* Output activity in curies is determined by measuring the source output at 1 meter and expressing its
activity in curies derived from the following: 0.48 R/h-Ci Iridium-192 at 1 meter. (Ref: American National
Standard N432-1980, "Radiological Safety for the Design and Construction of Apparatus for Gamma
Radiography").

OUALITY ASSURANCE
Quality assurance for the design, manufacture, testing, documentation, use, maintenance and inspection of
the package shall be in accordance with:

• Foreign Certificate No. USA/9296/B(U)-96, (Rev. 10)

• Packaging and Transport of Nuclear Substances Regulations, 2015
• IAEA Regulations for the Safe Transport of Radioactive Material, 2012 Edition

SHIPMENT

The preparation for shipment of the package shall be in accordance with:

• Foreign Certificate No. USA/9296/B(U)-96, (Rev. 10)

• Packaging and Transport of Nuclear Substances Regulations, 2015

• IAEA Regulations for the Safe Transport of Radioactive Material, 2012 Edition

This certificate is valid only in Canada.

S. Faille
Designated Officer pursuant to paragraph 37(2)(a) of
the Nuclear Safety and Control Act

Page 4 of 4

1+1 Canadian Nuclear

Safety Commission
Commission canadienne
de sOretO nucleaire Canada
 Canada's Nuclear Regulator
L'organisme de reglementation
nucleaire du Canada

NOTES

Foreign Certificate No. USA/9296/B(U)-96 (Rev. 10) attached.

Revision 12: August 7, 2014. New source models added.

Revision 13: September 3, 2014. Certificate revised to incorporate Revision 9 of foreign
certificate. Model 880SC added.
Revision 14 : June 17, 2016. Certificate revised to incorporate Revision 10 of foreign
certificate.

I 4, IE Canadian Nuclear
Safety Commission
Commission canadienne
de sarete nucleaire Canada.
 RIVNUT ASSEMBLED INTO
MAXIMUM TOTAL MAXIMUM TOTAL MAXIMUM DEPLETED MAXIMUM 0 .32 ENDPLATE (SHEET 2).
MODEL No. PACKAGE WEIGHT PACKAGE WEIGHT URANIUM IR192 REAR (SHEET 3) OR HOLE
FRONT (SHEET 4) .31 MINIMUM THREAD
WITH JACKET WITHOUT JACKET SHIELD WEIGHT CAPACITY PLATE ASSEMBLY ENGAGEMENT.
880 ELITE 42 LBS. 37 LBS. 25.0 LBS. 50 CURIE
880 DELTA 52 LBS. 46 LBS. 34.4 LBS. 150 CURIE
880 SIGMA 52 LBS. 46 LBS. 34.4 LBS. 130 CURIE SECURITY SCREW
5/16-18 X 1-1/2 LG .09 MIN, TYP
WITH THREAD LUBRICANT
INDICATES CENTER OF GRAVITY (CO. TORQUED TO 110±5 IN-LBS. t
SHIELD ASSEMBLY
(SHEET 5) REAR & FRONT PLATE ASSEMBLY ATTACHMENT
TRANSPORT LABEL.
BODY ASSEMBLY LOCATION AND SIZE 8 PLACES
(SHEET 2) APPROXIMATELY
AS SHOWN SOURCE
/'ID TAG
REAR PLATE SOURCE WIRE FRONT PLATE
ASSEMBLY ASSEMBLY ASSEMBLY
(SHEET 3) (SHEET 4)

05

OPTIONALLY PAINTED RIVET 4 ALUMINUM/STAINLESS STEEL

JACKET
OPTIONAL JACKET 1 POLYURETHANE
RIVET SECURITY SCREW 8 18-8 SS - SEE SHEET 6 NOTE 8
2 PER END
SOURCE ID TAG STAINLESS STEEL OR STEEL
TRANSPORT LABEL STAINLESS STEEL OR STEEL - FIRE PROOF
SOURCE WIRE ASSEMBLY MODEL 424-9 OR EQUIVALENT
SHIELD ASSEMBLY 1 SEE SHEET 5
FRONT PLATE ASSEMBLY SEE SHEET 4
(9)
REF REAR PLATE ASSEMBLY 1 SEE SHEET 3
BODY ASSEMBLY SEE SHEET 2
ERF 3387 PART NAME QTY MATERIAL

(13-1/2) APPROVALS
REF
zzhc./S- QSA GLOBAL DESCRIPTIVE
DRAWING
(7-1/2) 40 NORTH AVE. BURUNGTON MA 01803
REF DIMENSIONS IN INCHES TITLE
TOLERANCES:
FRACTIONS ±1/16 MODEL 880 PROJECTOR
X ± 0.1
SIZE DWG. NO.
TRANSPORT PACKAGE WITHOUT & WITH OPTIONAL JACKET XX * 0.01 R88000 REV

1,1111111111111111111111.11111111,
XXX ± 0.005
A SCALE: NONE SHEET 1 6 V
 MAXIMUM TOTAL MAXIMUM TOTAL MAXIMUM DEPLETED MAXIMUM IR192
MODEL PACKAGE WEIGHT PACKAGE WEIGHT URANIUM SHIELD SOURCE LOCK
WITH JACKET WITHOUT JACKET WEIGHT CAPACITY ASSEMBLY
0.32 HOLE
FRONT & REAR
880SC 52 LBS. (SHEET 3) RTVNUT ASSEMBLED INTO
46 LBS. 34.4 LBS. 150 CURIE ENDPLATE {SHEET 2)
.31 MINIMUM THREAD
*SOURCE WIRE ASSEMBLY CAN BE LOADED INTO EITHER ENGAGEMENT
THE FRONT POSITION OR THE REAR POSITION. THE OPPOSING
POSITION RECEIVES THE SHIPPING PLUG.
SECURITY SCREW
SOURCE WIRE ASSEMBLY SOURCE WIRE ASSEMBLY 5/16-18X 1-1/2LG.
OR SHIPPING PLUG - - OR SHIPPING PLUG WITH THREAD LUBRICANT
TORQUED TO 110.15 IN-LBS
TRANSPORT LABEL
LOCATION AND SIZE
APPROXIMATELY DETAIL A
BODY ASSEMBLY AS SHOWN SOURCE
SOURCE LOCK ASSEMBLY ATTACHMENT
(SHEET 2) ID TAG 8 PLACES
SOURCE LOCK ASSEMBLY
REAR POSITION (SHEETS)

SOURCE LOCK ASSEMBLY

SEE DETAIL A SHIELD ASSEMBLY
-p FRONT POSITION (SHEET 3)

SHIELD ASSEMBLY SEE SHEET 4

TRANSPORT LABEL STAINLESS STEEL OR STEEL- FIRE PROOF

OPTIONALLY PAINTED
OPTIONAL JACKET SHIPPING PLUG SEE SHEET 5

SOURCE WIRE ASSEMBLY TYP: MODEL A424-9, A424-25, A424-25W, A424-23

OPTIONAL RIVET 2 SOURCE LOCK ASSEMBLY SEE SHEET 3

2 PER END
4 OPTIONAL RIVET ALUMINUM / STAINLESS STEEL
S SECURITY SCREW 18-8 SS - SEE SHEET 6 NOTE 6

SOURCE ID TAG STAINLESS STEEL OR STEEL

OPTIONAL JACKET POLYURETHANE

BODY ASSEMBLY SEE SHEET 2

OW PART NAME MATERIAL

UNLESS OTHERWISE SPECIRED TOLERANCES: FRACTIONS ±1/16
ALL DIMENSIONS ARE IN INCHES X ±0.1
:0C ±0.01
XXX ±0.005
ANGULAR: ±5'

(7-1EF/2)
R QSA GLOBAL DESCRIPTIVE
DRAWING
TRANSPORT PACKAGE WITHOUT AND WITH OPTIONAL JACKET 40 NORTH AVE, BURLINGTON, MA 01803

ERF # APPROVALS DATE TITLE

MODEL 880SC - SOURCE CHANGER
ZZPec. /5 SIZE DWG. NO. R880SC REV
3387
A SCALE: NONE SHEET 1 OF 6
 8 7 6 5 4 3 2 1

( 13.50

D
\\ \N \ \\\N\\\.

( 11 33 )

ITEM TITLE QTY. MATERIAL

PIPELINER JACKET ASSEMBLY 1 SEE SHEET 2
UNLESS OTHERWISE SI•ECIFIED:
2 TAMPERPROOF SCREW, #14 X 3/4 6 STAINLESS STEEL ALL DIMENSIONS ARE INCHES, TOLERANCE ±1/8
3 MODEL 880 PROJECTOR 1 SEE DRAWING R88000

QSA GLOBAL DESCRIPTIVE

DRAWING
NOTES: 40 NORTH AVE, BURLINGTON, MA 0 1 603
1. MAXIMUM WEIGHT( 6S SHOWN 55 LBS
TITLE PIPELINER TYPE B TRANSPORT DEVICE
2. ALL ITEMS EXCEPT ARE NOT IMPORTANT TO SAFETY ER F 4
3 APPROVALS DATE
SIZE DWG. NO. 888095 REV
,d1741_ (s' Nov/
2479
/1A)D./ 10 B SCALE: 1:2 SHEET 1 OF 2 A
8 7 6 5 4 I 3 2
 7 6 5 4 3 2
_L

ITEM TITLE QTY. MATERIAL

I JACKET I POLYURETHANE, 60 SHORE D

2 AXLE NUT 2 CI 2LI4 STEEL

3 WHEEL AXLE BOLT 4 303 STAINLESS STEEL OR ALLOY STEEL Rc 32-43

4 WHEEL 4 POLYURETHANE, 95 SHORE A

5 WHEEL HUB 4 6861-T6 ALUMIUNUM

6 WHEEL HUB BUSHING 8 SINTERED BRONZE

UNLESS OTNEEMSE SPECINED:
PIPELINER JACKET ASSEMBLY
ALL DIMENSIONS ARE INCHES, TOLERANCE ±1 /8

QSA GLOBAL DESCRIPTIVE

DRAWING
40 NORTH ME, BURLINGTON, MA 01803

TITLE PIPELINER JACKET ASSEMBLY

SIZE DWG. NO. R88095 REV

B SCALE: 1:2 SHEET 2 OF 2 A

8 7 6 S 4 3 2
0
U.S. Department
East Building, PHH-23
1200 New Jersey Avenue Southeast
of Transportation COMPETENT AUTHORITY CERTIFICATION Washington, D.C. 20590
Pipeline and FOR A TYPE B(U)
Hazardous Materials RADIOACTIVE MATERIALS PACKAGE DESIGN
Safety Administration CERTIFICATE USA/9296/B(U)-96, REVISION 10

This certifies that the radioactive material package design described has
been certified by the Competent Authority of the United States as meeting
the regulatory requirements for a Type B(U) packaging for radioactive
material as prescribed in the regulations of the International Atomic Energy
Agencyl and the United States of America 2.

1. Package Identification - QSA Global, Inc., Model No. 880 Series

Package.

2. Package Description and Authorized Radioactive Contents - as described

in U.S. Nuclear Regulatory Commission Certificate of Compliance No.
9296, Revision 10 (attached).

3. General Conditions -

a. Each user of this certificate must have in his possession a copy

of this certificate and all documents necessary to properly
prepare the package for transportation. The user shall prepare
the package for shipment in accordance with the documentation
and applicable regulations.

b. Each user of this certificate, other than the original

petitioner, shall register his identity in writing to the Office
of Hazardous Materials Technology, (PHH-23), Pipeline and
Hazardous Materials Safety Administration, U.S. Department of
Transportation, Washington D.C. 20590-0001.

c. This certificate does not relieve any consignor or carrier from

compliance with any requirement of the Government of any country
through or into which the package is to be transported.

1 "Regulations for the Safe Transport of Radioactive Material, 1996

Edition (Revised), No. TS-R-1 (ST-1, Revised)," published by the
International Atomic Energy Agency(IAEA), Vienna, Austria.

2 Title 49, Code of Federal Regulations, Parts 100-199, United States of

America.
 CERTIFICATE USA/9296/B(U)-96, REVISION 10

d. Records of Quality Assurance activities required by Paragraph

310 of the IAEA regulations' shall be maintained and made
available to the authorized officials for at least three years
after the last shipment authorized by this certificate.
Consignors in the United States exporting shipments under this
certificate shall satisfy the applicable requirements of Subpart
H of 10 CFR 71.

4. Marking and Labeling - The package shall bear the marking

USA/9296/B(U)-96 in addition to other required markings and labeling.

5. Expiration Date - This certificate expires on June 30, 2021. On

January 11, 2016, this certificate supersedes all previous revisions
of USA/9296/B(U)-96.

This certificate is issued in accordance with paragraph 808 of the IAEA

Regulations and Section 173.471 of Title 49 of the Code of Federal
Regulations, in response to the December 23, 2015 petition by QSA Global,
Inc., Burlington, MA, and in consideration of other information on file in
this Office.

Certified By:

Jan072016
Dr. Magdy El-Sibaie (DATE)

/
4
Associate Administrator for Hazardous Materials Safety

Revision 10 - Issued to endorse U. S. Nuclear Regulatory Commission

Certificate of Compliance No. 9296, Revision 10.
NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION
(8,2000)
10 CFR 71
CERTIFICATE OF COMPLIANCE
FOR RADIOACTIVE MATERIAL PACKAGES
a CERTIFICATE NUMBER b REVISION NUMBER e. DOCKET NUMBER d PACKAGE IDENTIFICATION NUMBER PAGE PAGES

9296 10 71-9296 USA/9296/B(U)-96 1 OF 4

2. PREAMBLE

a. This certificate is issued to certify that the package (packaging and contents) described in Item 5 below meets the applicable safety standards set
forth in Title 10, Code of Federal Regulations. Part 71, "Packaging and Transportation of Radioactive Material."

b. This certificate does not relieve the consignor from compliance with any requirement of the regulations of the U.S. Department of Transportation or
other applicable regulatory agencies, including the government of any country through or into which the package will be transported.

3. THIS CERTIFICATE IS ISSUED ON THE BASIS OF A SAFETY ANALYSIS REPORT OF THE PACKAGE DESIGN OR APPLICATION

a. ISSUED TO (Name and Address) b. TITLE AND IDENTIFICATION OF REPORT OR APPLICATION

QSA Global, Inc. QSA Global, Inc., consolidated application,
40 North Avenue Revision No. 10, dated December 21, 2015,
Burlington, MA 01803 as supplemented.

4. CONDITIONS
This certificate is conditional upon fulfilling the requirements of 10 CFR Part 71, as applicable, and the conditions specified below,

5.
Packaging

(1) Model No. 880 Series Packages

(2) Description

The Model No. 880 series packages are designed for use as radiography exposure
devices (or source changers) and as transport packages for Type B quantities of
radioactive material in special form. The Model No. 880 series packages have four
versions called the 880SC, 880 Delta, 880 Sigma, and the 880 Elite. The 880 Delta
and the 880SC have a maximum capacity of 150 Curies of Iridium-192 or 150 Curies
of Selenium-75, the 880 Sigma has a maximum capacity of 130 Curies of Iridium-192
or 150 Curies of Selenium-75, and the 880 Elite has a maximum capacity of 50
Curies of Iridium-192 or 150 Curies of Selenium-75. The Delta and Sigma versions
are identical and the Elite has a lighter weight depleted uranium shield. The 880SC
version is identical to the Delta version except for a different lock plate assembly for
the front and rear plates. An optional jacket can be placed on the package to
facilitate its use as an industrial radiography exposure device or a transport package.
There are two versions of the jacket.

The 880 Delta, 880 Sigma, and 880 Elite versions of the package, without the jacket,
are cylindrical in shape with a diameter of 5 inches (127 mm) and a length of 13 5/16
inches (338 mm). With the first version of the jacket, the shape of the package is an
extruded triangle 9 inches (229 mm) high, 7 1 / inches (191 mm) wide, and 13 5/16
2
(343 mm) inches long. With the second version of the jacket, the package measures
13 12/ inches (343 mm) long by 6 inches (152 mm) wide by 11.33 inches (288 mm)
tall.
NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION
(8.2000)
10CFR 71
CERTIFICATE OF COMPLIANCE
FOR RADIOACTIVE MATERIAL PACKAGES
a. CERTIFICATE NUMBER b REVISION NUMBER c. DOCKET NUMBER d PACKAGE IDENTIFICATION NUMBER PAGE PAGES

9296 10 71-9296 USA/9296/B(U)-96 2 OF 4

5.(a) (2) Description (continued)

The 880SC version of the package, without the jacket, is cylindrical in shape with a
diameter of 5 inches (127 mm) and a length of 15 14 inches (387 mm). Only one
version of the jacket, Version 1, can be used. With this version, the shape of the
package is an extruded triangle 9 inches (229 mm) high, 7 1/2 inches (191 mm) wide,
and 15 1/4 inches (387 mm) long.

The weight of the Delta and Sigma versions is 46 pounds (21 kg) without the jacket,
52 pounds (24 kg) with version 1 of the jacket and 55 pounds (25 kg) with version 2 of
the jacket. The weight of the Elite version is 37 pounds (17 kg) without the jacket, 42
pounds (19 kg) with version 1 of the jacket, and 45 pounds (20 kg) with version 2 of
the jacket. The weight of the 880SC version is 46 lbs (21 kg) without the jacket and
52 pounds (24 kg) with version 1 of the jacket.

The major components of the packages consist of a welded stainless steel cylindrical
body, a depleted uranium shield, a containment system, and optional jackets. The
Delta, Elite, and Sigma versions have a stainless steel rear plate with a locking
assembly and a stainless steel front plate with a shielded port. The 880SC version
has lock assembly plates and a shipping plug assembly.

The welded cylindrical body consists of a 5 inch (127 mm) diameter, 0.06 inch (1.5
mm) wall tube shell with 0.12 inch (3 mm) end-plates. A U-bracket is welded to each
end-plate and is located on the inside cavity of the shell tube. The depleted uranium
shield is centrally located within the welded body between the end-plate and is
fastened to each U-bracket by a 0.37 inch (9.5 mm) diameter titanium shield pin. A
U-shaped copper spacer fills the gap between the shield and the U-bracket. An S-
shaped titanium source tube is cast into the center of the shield to provide a cavity for
the source wire assembly and shipping plug assembly to travel through during use.

For the Delta, Sigma, and Elite versions, the front and rear plates are attached to the
welded body with four tamperproof screws through rivnuts assembled into end-plates.
The rear plate assembly consists of a source locking mechanism fastened to the rear
plate. The front plate assembly consists of a shielded port mechanism contained
within the front plate, For the 880SC, front and rear locking plate assemblies are
attached to the welded body with four tamperproof screws through rivnuts assembled
into end-plates. These locking assemblies, which are interchangeable, are used to
secure a source wire assembly on one end of the package and a shipping plug
assembly on the opposite end of the package. The locking plate assembly consists
of a locking mechanism, consisting of a keyed plunger lock, fastened to the plate.
The keyed plunger lock can only be engaged when the source wire and shipping plug
assemblies are located in the fully shielded position.

For the 880SC version, a shipping plug assembly is loaded into the other locking
plate assembly on the opposite side of the package. During transport and storage,
this shipping plug assembly provides additional shielding to the package and it is only
removed during radiography operations.
NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION
(6-2aco)
10 CFR 71
CERTIFICATE OF COMPLIANCE
FOR RADIOACTIVE MATERIAL PACKAGES
a CERTIFICATE NUMBER 13 REVISION NUMBER c DOCKET NUMBER d PACKAGE IDENTIFICATION NUMBER PAGE PAGES

9296 10 71-9296 USA/9296/B(U)-96 3 OF 4

5.(a) (2) Description (continued)

An optional polyurethane jacket covers the package cylinder, provides a handle and a
stable base, and is attached to the shell cylinder by screws located outside the shield
cavity area. Version 1 of the jacket has a handle section that contains a wire molded
in for additional reinforcement. Version 2 of the jacket incorporates wheels on the
base to facilitate movement during use as a radiography exposure device.

(3) Drawings

The packaging is constructed in accordance with the QSA Global, Inc., drawings
R88000, Rev, V, sheets 1-6, and R88095, Rev. A, sheets 1-2, R880SC, Rev. E,
sheets 1-6.

(b) Contents

(1) Type and form of material

Iridium-192 as a sealed source which meets the requirements of special form

radioactive material.

Selenium-75 as a sealed source which meets the requirements of special form

radioactive material.

(2) Maximum quantity of material per package

150 Curies (5.55 TBq) (output) Ir-192 for the Model No. 880 Delta and 880SC.
150 Curies (5.55 TBq) Se-75 for the Model No. 880 Delta and 880SC.

130 Curies (4.81 TN) (output) Ir-192 for the Model No. 880 Sigma.
150 Curies (5.55 TBq) Se-75 for the Model No. 880 Sigma,

50 Curies (1.85 TBq) (output) Ir-192 for the Model No. 880 Elite.
150 Curies (5.55 TBq) Se-75 for the Model No. 880 Elite.

Output curies for Ir-192 are determined by measuring the source output at 1 meter
and expressing its activity in curies derived from the following: 0.48 R/(hr-Ci) (Ref:
American National Standards Institute N432-1980, "Radiological Safety for the
Design and Construction of Apparatus for Gamma Radiography").

(3) Maximum weight: 18 grams.

(4) Maximum decay heat: 3 Watts.

8. In addition to the requirements of Subpart G of 10 CFR Part 71:

(a) The package must meet the Acceptance Tests and Maintenance Program of Chapter 8.0 of
the application; and,
NRC FORM 618 U.S. NUCLEAR REGULATORY COMMISSION
I8-2000)
10 CFR 71
CERTIFICATE OF COMPLIANCE
FOR RADIOACTIVE MATERIAL PACKAGES
a CERTIFICATE NUMBER b REVISION NUMBER c DOCKET NUMBER d PACKAGE IDENTIFICATION NUMBER PAGE PAGES

9296 10 71-9296 USA/9296/B(U)-96 4 OF 4

(b) The package shall be prepared for shipment and operated in accordance with the Operating
Procedures in Chapter 7.0 of the application.

9. The package authorized by this certificate is hereby approved for use under the general license
provisions of 10 CFR 71.17.

10. Revision No. 8 of this certificate may be used until December 31, 2016.

11. Expiration date: June 30, 2021.

REFERENCES

QSA Global, Inc., consolidated application, dated December 21, 2015.

Supplements dated: December 22 and 23, 2015.

FOR THE U.S. NUCLEAR REGULATORY COMMISSION

Steve Ruffin, Acting Chief

Spent Fuel Licensing Branch
Division of Spent Fuel Management
Office of Nuclear Material Safety
and Safeguards

Date:
 U.S. Department East Building, PHH-23
1200 New Jersey Avenue SE
of Transportation Washington, D.C. 20590
Pipeline and
Hazardous Materials
Safety Administration

CERTIFICATE NUMBER: USA/9296/B(U)-96, Revision 10

ORIGINAL REGISTRANT(S):

Ms. Lori Podolak

Manager, Regulatory Affairs/Quality Assurance
QSA Global, Inc.
40 North Avenue
Burlington, MA 01803

Mr. Michael Fuller

Regulatory Compliance Associate
QSA Global, Inc.
40 North Avenue
Burlington, MA 01803

REGISTERED USER(S):

Mr. R.D. Donny Dichany

President
Source Production and Equipment Company, Inc.
113 Teal Street
St. Rose, 70087-9691
USA

Mr. William M. Johnston

Radiation Safety Officer
Global X-Ray & Testing Corporation
P. O. Box 1536
Morgan City, 70381
USA
Mr. R. D. Thomas
Department of the Navy
Naval Sea Systems Command
1333 Isaac Hull Ave. SE
Washington Navy Yard, 20376-0001
USA

Kelly Richardt
Regulatory and Quality Manager
Source Production and Equipment Company, Inc.
113 Teal St.
St. Rose, 70087
USA

Robert J. Slack
Director of Regulatory Affairs
MISTRAS Holdings Group, CONAM Inspection & Engineering Services, Inc
899 Carol Court
Carol Stream, IL 60188

Mr. Thomas Mullen

Radiation Safety Officer
Integrated Quality Services
1236 Brooks Street
Ontario, CA 91762

T. L. Finkenbinder
Radiation Safety Officer
Western Industrial X-Ray
1707 Enterprise Drive
Unit J
P.O. Box 238
Fairfield, CA 94533

Thomas J. Keilman
Radiation Safety Officer
Calumet Testing Services, Inc.
P. O. Box 1510
Highland, IN 46322
Mr. Shawn Miller
Radiation Safety Officer
Three Rivers Gamma Services
1132 Route 18 North
Burgettstown, 15021
USA

Ms. Julie Jordan

Manager
NDE Solutions, LLC
1510 Crosswind Drive
Bryan, TX 77808

Mr. Samuel Justin Crocker

Radiation Safety Officer
NDE Solutions, LLC
1510 Crosswind Drive
Bryan, TX 77808

Mr. Ken Swanson

Radiation Safety Officer
Globe X-Ray Services, Inc.
8441 South Union
Tulsa, 74132
USA

Mr. Mike Rose

QAM and ARSO
Industrial Nuclear Company, Inc.
14320 Wicks Blvd.
San Leandro, CA 94577

Mr. Dan Rosian

Radiation Safety Officer
International Inspection
10521 N. Lombard Street
Portland, OR 97203
Mr. John R. Knapp
Radiation Safety Officer
International Inspection
3229 South 148th St.
SeaTac, WA 98168

Mr. Michael Delgado

Radiation Safety Officer
International Inspection
10600 Pioneer Blvd
Unit A
Santa Fe Springs, CA 90670

Mr. Zachary Bailey

Radiation Safety Officer
Brazos Valley Inspection
P.O. Box 7717
Abilene, 79608
USA

Mr. William D. Hollander

Radiation Safety Officer
Harrison Steel Castings
P.O. Box 60
900 Mound Street
Attica, 47918
USA

Mr. Zachary Bailey

Radiation Safety Officer
U.S. Non-Destructive Inspection
P.O. Box 7717
Abilene, 79608
USA

Mr. Daryl Istre

Corporate Radiation Safety Officer
MISTRAS Holdings Group, CONAM Inspection & Engineering Services, Inc
4000 Underwood Road
La Porte, 77571
USA
Mr. Josh Burt
RSO
Industrial Nuclear Company, Inc.
300 HWY 146N
LaPorte, 77571
USA