PLEASE READ THIS INFORMATION AND THESE INSTRUCTIONS BEFORE COMPLETING PA DEP FORM 2900-FM-RP0241

2900-FM-RP0241 5/2009 COMMONWEALTH OF PENNSYLVANIA Instructions DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF RADIATION PROTECTION REPORT OF PROPOSED ACTIVITIES IN COMMONWEALTH OF PENNSYLVANIA EXCEPT FOR AREAS UNDER EXCLUSIVE FEDERAL JURISDICATION PLEASE READ THIS INFORMATION AND THESE INSTRUCTIONS BEFORE COMPLETING PA DEP FORM 2900-FM-RP0241 25 PA CODE SECTION 217.203 establishes a general license authorizing any person who holds a specific license from the United States Nuclear Regulatory Commission (NRC) or a specific license from an “Agreement State” (a State with which the NRC has entered into an effective agreement under subsection 274b of the Atomic Energy Act of 1954) where the licensee maintains an office for directing the licensed activity and at which radiation safety records are normally maintained if the specific license issued by the Agreement State does not limit the authorized activity to specified locations or installations. INSTRUCTIONS Under the general license, reciprocity activities are authorized only as long as the licensee holds a valid radioactive material specific license. If that license expires during the year, an extension letter or a renewed license issued by the regulating agency must be submitted to Pennsylvania Department of Environmental Protection (PA DEP) before performing any additional work under reciprocity. If you have questions please contact the PA DEP Division of Radiation Control at 717-787-3720. ...