IR 05000176/1986001
| ML20154Q225 | |
| Person / Time | |
|---|---|
| Site: | 05000176, 03013158 |
| Issue date: | 01/28/1986 |
| From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | Burns J BARTLETT MEMORIAL HOSP., JUNEAU, AK |
| Shared Package | |
| ML20154Q205 | List: |
| References | |
| 70317, NUDOCS 8603210074 | |
| Download: ML20154Q225 (1) | |
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JAN 2 81986
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Docket No. : 030-13158 License No.: 50-17686-01 Control No.: 70317 BartlettMemorialHospita$.
3260 Hospital Drive
,
Juneau, Alaska 99801
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Attention:
Mr,. James R. Burns Administrator Gentlemen:
Enclosed is the NRC license amendment which you requested.
Please review the enclosed document carefully and be sure that you understand all conditions. If there are any errors or questions, please notify us so that we can provide appropriate corrections and answers.
Any future correspondence relating to your license should specifically reference your license and docket numbers to expedite your inquiry.
Sincerely, Beth A. Riedlinger Health Physicist (Licensing)
Nuclear Materials Safety Section Enclosure: Attachment A Amendment No. 8 to License No. 50-17686-01 0603210074 060129 rec 5 LIC30 PDR 50-17606-01 emcq.RV 0hh*'
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BARTLETT MEMORIAL HOSPITAL
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3260 HOSPITAL DRIVE e JUNEAU ALASKA 99801 e TELEPHONE (9071586-2611 RECllVED W JAN 21 p3:43 A
Janua ry 07, 1986 i 'U FE i l-
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Nuclear Regulatory Commission
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Region V 1450 Maria Lane, Suite 210 V.'alnut Creek, Ca. 94596 DOCK ET NO.-
030-13158
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LICENSE NO.-
50 ~17686-01 h,'
CONTROL NO. C2GG r_.N r
Attn; Beth A. Riedlinger
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Dear Ms. Riedlinger;
.o wm This is in reference to the letter of November 21, 1985 by James L. Montgomery, and your letter of December 10, 1985.
1.
Dr. Greening does not at this time have the necessary credentials for Visiting Physicians and therefore will not have any responsibility for or connection with the Nuclear Medicine Program. He is working on updating his accreditations and will submit them to you at a future date.
2.
Enclosed are sample sheets of Wipe Test / Background Survey, Molybdenum / -
Tc 99m Elution, and Radioactive Shipment Receipt Roport. These forms have now been implimented in our program and should satisfy the require-ments and concerns of Mr. James L. Montgomery in his letter of Nov. 21, 1985. These records will be kept in accordance with provisions as stated in our October 21, 1985 letter to Mr. R.D. Thomas.
This letter is submitted in accordance with the provisions of 10CFR 2.201 as stated in Appendix A, Notice of Violation.
Sincerely,
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m p-Rod Eriksen Chief of Radiology
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Bartiett Mem. Hospital 3260 Hospital Drive Juneau, Ak.
99801 License No.
50-17686-01 03 7 Enclosure: Attachment A, B, C AN AGENCY OF THE CITY AND DOROUGH OF JUNEAU
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MOLYllDENU51Trc99m ELUTION DATA Date Received Lot No.
mCs of ( A)
Elution uCi of (B)
uCi Mo 99 (0/A)
Date & Time Tc99m mCe/mi Volume Mo 09 mci. Tc99m'
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RADIOACTIVE SHIPMENT RECEIPT REPORT
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1. P.O. #
SURVEY DATE TIMF
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SURVEYOR 2. CONDITION OF PACKAGE:
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O.K.
PUNCTURED STATUS WET
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CRUSHED OTHER
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3. RADIATION OF UNITS OF LABEL OR
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TR ANSPORT INDEX:
UNITS (mR/hr)
4. RADIATION LEVEL READINGS:
a. Package surface mR/hr b. 3' from surface mR/hr
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c. Background mR/hr 5. DO PACKING SLIP AND VIAL CONTENTS AGREE?
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a. Radionuclide Yes No
b. Amount Yes No
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c. Chem Form Yes No
G. WIPE RESULTS FROM:
a. Outer CPM =
DPM eff=(
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b. Final source container CPM =
DPM eff = (
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c. Background CPM =
DPM 7. SURVEY RESULTS OF PACKING MATERIAL AND CARTONS-_
mR/hr, CPM l
8. DISPOSITION OF PACKAGE AFTER INSPECTION-
9. IF NRC/ CARRIER NOTIFICATION REQUIRED,GIVE TIME, DATE AND PERSONS NOTIFIED.
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10. COMMENTS:
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