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Get the free Balzer & Associates, Inc., New License Application dated 02012005. - pbadupws nrc

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— F r '05 FEB 1 BP? B 0,2005 8 5L ;oh Nuclear Regulatory Commission 475 Allendale Road King of Prussia, PA 19406-1415 LL 31011 RE: Application For Material License. To Whom It May Concern: Submitted
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This application is for a new license; therefore, supporting information for Form 13 has been provided using Appendix C. Also, please note that as of this time, the Commission has not approved or determined compliance with the application of this material as required by the Federal Meat Inspection Act. Please send any other supporting evidence to: NRC, Office of the Commissioner, 475 Allendale Road, King of Prussia, PA 19 LL 31011. I do hereby apply for and hereby request a supplemental material-license, (f.o.f. or Form 3 13, and check for a 1,200 processing fee), for the following materials from The United States Nuclear Regulatory Commission: 1. The material (f.o.f. or Form 3 13) provided is: This material is provided for the general information of the Commission. It does not form an opinion as to the sufficiency of any other information in this application. I understand that the Commission's examination of this application is continuing without the completion of the required information. I agree to the requirements of §100.40. This application is made pursuant to 11CFR Part 90 and contains a declaration under penalty of perjury that I am the Applicant, and that, for the purposes of this application, (the Applicant's name), (the Applicant's address), (the Applicant's e-mail address), (the Applicant's telephone number), (the Applicant's fax number), (the Applicant's facsimile number), (the Applicant's Website address) and (the Applicant's other telephone number (phone number of each person listed, if other than Applicant) is (phone number) of each of them (the Applicant) and (the Applicant is) aware of the content of this application for the material (f.o.f. or Form 3 13). I understand this Application for material license is to be made with a copy of the applicable part of the Commission's Record of Decision and will be executed under the penalties of perjury as set forth in 18 U.S.C. 1001 and as may be required by any agency having authority under the Federal Food, Drug, and Cosmetic Act.

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