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.

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Since:ely,

MICHAEL J. PECULLAN

Radiation Safety Officer

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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

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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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