STRATEGIC MATERIALS FORT BELVOIR, VIRGINIA 22060-6223
DEFENSE LOGISTICS AGENCY
STRATEGIC MATERIALS
8725 JOHN J. KINGMAN ROAD
FORT BELVOIR, VIRGINIA 22060-6223
Mr. Dennis R. Lawyer
United States Nuclear Regulatory Commission
Region 1
Division ofNuclear Materials Safety
475 Allendale Road
King of Prussia, Pennsylvania 19406-1415
MAY 01 2012
Ref: Financial Assurance Documents.
NRC License STC-133
Control No. 577199
Dear Mr. Lawyer:
In response to the request for additional information in your letter of April 23, 2012, we
are submitting herewith documentation demonstrating that our Administrator, Mr. Ronnie
Favors, has the authority to request funds from the National Defense Stockpile Transaction Fund
for the use ofDLA Strategic Materials.
If you have any further questions concerning this matter please contact me at the above address.
l::!
~...
¡€~.c
Since:ely,
MICHAEL J. PECULLAN
Radiation Safety Officer
.I.l~.-",~--."
Attachments
DDForm577
DoD FMR, Vol. 5, Chapter 33, Paragraphs 3301-3304
~17(1q
NMSSIRGN1 MATERIALS-002
APPOINTMENTJTERMINATlON RECORD - AUTHORIZED SIGNATURE
(Read Pl7vacy Act Statement and InstructioiiS before completing funit;
PRIVACY ACT STATEMENT
AUTHORITY: E.O. 9397, 31 U.S.C. Sections 3325, 3528, DoDFMR, 7000.14-R, Vol. 5.
PRINCIPAL PURPOSE(S): To maintain a record of certifYing and accountable officers' appointments, and termination of those appointments. The
information will also be used for identification purposes associated with certification of documents andlor 'iability ofpublic records and funds.
ROUTINE USE(S): The information on this form -maybe disclosed as generally permitted under 5 U.S.C Section 552a(b) of the Privacy Act of 1974,
as amended. It may also be disclosed outside of the Department of Defense (ODD) to the the Federal Reserve banks to verify authority of the
accountable individual to issue Treasury checks. In addition, other Federal, State and local govemment agencies, which have identified a need to
know, may obtain this information fur the purpose(s) identified in the DoD Blanket Routine Uses published in the Federal Register.
DISCLOSURE: Voluntary; however; failure to provide the requested information may preclude appointment
SECTION 1- FROM: APPOINTING AUTHORITY
1. NAME (First, Middle InItIal, Last)
'S. DOD COMPONENTTORGANIZATION
DFAS-CO
2. TITLE
Disbursing Officer
Monica K. Long
4. DATE (YYYYMMDD)
5. SIGNATURE
....SECTION II - TO: APPOINTEEB. TITLE
6. NAME (First, Middle Initial, Lsst)
-~.J
Admini~or
Ronnie 1.. Favors
i
9. DOD COMPONENTIORGANIZATION
)RESS (Include ZIP Code)
~,
DLA Strategic Materials
__ ...Jm J. Kingman Road, Suite 3229
Fort Belvoir, VA 22606
¡ì
11. TELEPHONE NUMBER (Include Area Code)
12. EFFECTIVE DATE OF APPOINTMENT (YYYVMMDD)
(703) 767-6452
~ POSITION TO WHICH APPOINTEDIJ(
DISBURSING OFRCER
r--- PAYING AGENT
W
(one onJy))
. DEPUTY DISBURSING OFFICER
DISBURSING AGENT
. CASHIER
COLLECTION AGENT
r--- CHANGE FUND CUSTODIAN
.
IMPREST FUND CASHIER
.X .CERTIFYING OFFICER
r--- DEPARTMENTAL ACCOUNTABLE OFFICIAL
.
14. YOU ARE HEREBY APPOINTED TO SERVE IN THE CAPACITY IDENTIFIED IN ITEM 13. YOUR RESPONSIBIUTIES INCLUDE:
Review Operating Instruction (01) for Accountable Officials January 3,2008 (rev April 8, 2010)
Certifying Officer Legislation (COL) Training
15. YOU ARE ADVISED TO REVIEW AND ADHERE TO THE FOLLOWING REGULATION(S) NEEDED TO ADEQUATELY PERFORM THE
DUTIES TO WHICH YOU HAVE BEEN ASSIGNED:
DoDFMR, Vol. 5, chapter 33;
SECTION III - ACKNOWlEDGEMENT OF APPOINTMENT
I acknowledge and accept the pOsition and responsibilities defined above. I understand that I am strictly liable to the United States
for all public fun ................
................
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