IR 015000004/2020003

Foss Therapy Services, NRC Form 591M Part 1, Inspection Report No. 15000004/2020003

ML20192A255
Person / Time
Site:	15000004, 015000004
Issue date:	06/24/2020
From:	Jonathan Pfingsten, Michael Reichard Division of Nuclear Materials Safety I
To:	Foss Therapy Services
References
IR 2020003
Download: ML20192A255 (1)

Text

NRC FORM 591M PART 1 U.S. NUCLEAR REGULATORY COMMISSION (07-2012)*

10 CFR 2.201 SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION 1. LICENSEE/LOCATION INSPECTED: 2. NRC/REGIONAL OFFICE Foss Therapy Services, In Satsuma Avenue U.S. Nuclear Regulatory Commission North Hollywood, CA 91601 Region I, 2100 Renaissance Blvd, Suite 100 King of Prussia, Pennsylvania 19406-2713 REPORT NUMBER(S) 2020-003 3. DOCKET NUMBER(S) 4. LICENSE NUMBER(S) 5. DATE(S) OF INSPECTION 150-00004 CA-6875-19 June 23 and 24, 2020 LICENSEE:

The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows:

X 1. Based on the inspection findings, no violations were identifie . Previous violation(s) close . The violation(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-identified, non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to exercise discretion, were satisfie Non-cited violation(s) were discussed involving the following requirement(s) and corrective action(s):

4. During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being cited in accordance with the NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 10 CFR 19.11. (Violations and Corrective Actions)

Statement of Corrective Actions I hereby state that, within 30 days, the actions described by me to the Inspector will be taken to correct the violations identified. This statement of corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken, date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requeste Title Printed Name Signature Date LICENSEES REPRESENTATIVE Michael Reichard, Senior Health Physicist Michael C. Reichard Digitally signed by Michael C. Reichard NRC INSPECTOR Date: 2020.07.08 08:26:09 -04'00'

Jonathan Pfingsten, Health Physicist Jonathan B. Pfingsten Digitally signed by Jonathan B. Pfingsten Date: 2020.07.08 08:27:53 -04'00'

BRANCH CHIEF Christopher Cahill, Chief Christopher G. Cahill Digitally signed by Christopher G. Cahill Date: 2020.07.08 08:58:20 -04'00'

• NRC FORM 591M PART 1 (07-2012) (RI Rev. 09/12/2013) G:\WBL Documents\WBL Inspection Records\RCA-6875-19.2020001.591M-Part1.doc SUNSI Review Completed By: / RA / Jonathan Pfingsten X Public X Non-Sensitive This document becomes an NRC Official Agency Record once it is signed by the Branch Chief