ML17272A162

Export License Issued to Alpha-Omega Services Inc., PXB6.23

ML17272A162
Person / Time
Site:	11006027
Issue date:	09/27/2017
From:	David Skeen NRC/OIP
To:	Hedger T Alpha Omega Services
Savoy J
References
Download: ML17272A162 (8)

Text

EXPORT LICE NSE NRC FORM 250 (10-07)

NRC LICENSE NO.: PXB6.23 UNITED STATES OF AMERICA Page 1 of 8 Nuclear Regulatory Commission NRC DOCKET NO.: 11006027 Washington, D.C. 20555 LICENSE EXPIRES: September 30, 2027 Pursuant to the Atomic Energy Act of 1954, as amended, and the regulations issued by the Nuclear Regulatory Commission (NRC) pursuant thereto, and in reliance on statements and representations heretofore made by the applicant/licensee, this license is hereby issued authorizing the licensee to export the byproduct materials listed below, subject to the terms and conditions herein. This license is only valid if the licensee or 'Other Party(ies) to Export' maintain the requisite NRC or Agreement State domestic license(s).

LICENSEE ULTIMATE CONSIGNEE(S)IN FOREIGN COUNTRY(IES)

Alpha-Omega Services, inc. See page 2 9156 Rose Street Bellflower, CA 90706 Attn; TroyHedger INTERMEDIATE CONSIGNEE(S)IN FOREIGN COUNTRY(IES) OTHER U.S. PARTY(IES)TO EXPORT None Listed on pages 2-7 APPLICANT'S REFERENCE NO.: AMD 23 ULTIMATE DESTINATION: Canada, Japan CONDITIONS, NOTES, AND DESCRIPTIONS OF 10 CFR PART 110, APPENDIX P.

BYPRODUCT AND SOURCE MATERIALS TO BE EXPORTED (NOTE: SEE PAGE 8 FOR DEFINITIONS OF CATEGORY 1 AND CATEGORY 2)

Export to Canada, of Category 1 quantities of Co-60 (not to exceed 244.2 TBq per shipment), contained in sealed sources for use in medical teletherapy devices, Is authorized. For Category 1 exports, see conditions on Page 2.

Export to Japan, of Category 2 quantities of lr-192, contained in sealed sources for use in medical brachytherapy devices, is authorized.

Licensee is responsible for compliance with all applicable export, and other domestic regulatory requirements, including all terms and conditions of domestic material possession licenses. Licensee, if not already submitted with your application, must submit information required by 10 CFR § 110.32(d) and pertinent documentation required by 10 CFR § 110.32(g) at least 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> prior to shipment. See Page 8 for Mandatory Advanced Notifications.

This license replaces PXB6.22 amending its authority by: 1) extending the expiration date from April 30, 2027 to September 30, 2027; and 2) revising the list of "Other U.S. Party(ies) to Export" by adding three additional addresses.

Neither this license nor any right under this license shall be assigned THIS LICENSE IS INV^^Dd UNLESS SIGNED BELOW BY AUTHORIZED NRC REPRESENTATIVE or otherwise transferred in violation of the provisions of the Atomic Energy Act of 1954, as amended.

SIGNATURE:

This license is subject to the right of recapture or control by Section 108 of the Atomic Energy Act of 1954, as amended, and to all of the NAME AND TITLE: David L. Skeen, Deputy Director other provisions of said Acts, now or hereafter in effect and to all valid Office of International Programs rules and regulations of the NRC.

nATFnF,ssMANr.F: September 27. 2017 EXPORT L CENSE

PXB6.23 Page 2 of 8 CONDITIONS, NOTES, AND DESCRIPTIONS OF 10 CFR PART 110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED Alpha-Omega Services, Inc. is prohibited from shipping 10 CFR Part 110 Appendix P Category 1 quantities of Co-60 to Nordion (Canada) Inc. until:

[1] Alpha-Omega Services, Inc. has requested in writing from the U.S. Nuclear Regulatory Commission (NRC)to obtain specific consent from Canada's regulatory authority, on a case-by-case basis;

[2] NRC has received and considered government-to-government consent pursuant to 10 CFR §110.42(e)(3); and,

[3] NRC has informed Alpha-Omega Services, Inc. in writing, that it is authorized to ship the materials to Nordion (Canada) Inc.

ULTIMATE CONSIGNEE(S)IN FOREIGN COUNTRYnES):

For export of 10 CFR Part 110 Appendix P, Category 1 quantities of Co-60 Nordion (Canada) Inc.

447 March Road Ottawa, Ontario K2K 1X8 Canada For export of 10 CFR Part 110 Appendix P, Category 2 quantities of lr-192 Japan Radioisotope Association (JRIA) 28-45 Flonkomagome 2-Chome Bunkyo-Ku Tokyo 113-8941 Japan OTHER U.S. PARTY(IES)TO EXPORT:

1. Adventist Health Systems/Sunbelt Inc. 5. Aurora Health Care Metro, Inc.

Florida Hospital Plaza d/b/a Aurora St. Luke's Medical Center 2501 N. Orange Avenue Room 115, Gamma Knife Department Orlando, FL 32803 2900 west Oklahoma Avenue Milwaukee, Wl 53215

2. Akron General Medical Center 762 South Cleveland-Massillon Road 6. Baptist Hospital of Miami, Inc.

Montrose, OH 44333 Department of Radiation Oncology 8900 North Kendall Drive

3. Alexian Brothers Medical Center Miami, FL 33176 800 West Blesterfield Road Elk Grove Village, IL 60007 7. Baylor All Saints Medical Center Forth Worth 1400 Eighth Avenue

4. Alpha-Omega Services, Inc. Fort Worth, TX 76104 1282 Big Woods-Starks Road Vinton, LA 70668

PXB6.23 Page 3 of 8 OTHER U.S. PARTY(IES)TO EXPORT: (Continued)

8. BRFHH Shreveport, LLC 18. Deaconess Medical Center Gamma Knife DBA University Health Shreveport Gamma Knife Suite, Basement Floor 1541 Kings Highway Room 117 Shreveport, LA 71130 910 West Fifth Avenue Spokane, WA 99204

9. Bryan Medical Center 2300 South 16'^ Street 19. Doctors Hospital, Inc.

Lincoln, NE 68502 d/b/a Doctors Hospital 5000 University Drive

10. Central Mississippi Medical Center Coral Gables, FL 33146 Radiation Oncology Department 1850 Chadwick Drive 20. Fort Sanders Regional Gamma Knife Center Jackson, MS 39204 1915 White Avenue Knoxville, TN 37916 11 Chippenham and Johnston-Willis Hospitals, Inc. 21 Gamma Knife Center of the Pacific d/b/a CJW Medical Center 2226 Liliha Street, Level B2 Johnston-Willis Campus Honolulu, HI 96817 Chippenham Campus 7101 Jahnke Road 22. Good Samaritan Hospital Richmond, VA 23225 1225 Wilshire Boulevard Los Angeles, CA 90017

12. Chippenham and Johnston-Willis Hospitals, Inc. 23. Hackensack University Medical Center d/b/a CJW Medical Center John Theurer Cancer Center Johnston-Wills Campus 92 2"=^ St.

1401 Johnston-Willis Drive Hackensack, NJ 07601 Richmond, VA 23235

24. Harborview Medical Center

13. Columbia-Presbyterian Medical Center 325 9"^ Avenue Gamma Knife Suite Gamma Knife Suite Basement Level, Room GK2 Seattle, WA 98133 Children's Hospital of New York Presbyterian Hospital 25. HCA Health Services of Oklahoma, Inc.

630 West 168th Street d/b/a OU Medical Center New York, NY 10032 Presbyterian Hospital 700 N.E. 13'^ Street

14. Cooper Health System Oklahoma City, OK 73104 Robert Wood Johnson Medical School at Camden 26. Hoang Memorial Hospital Presbyterian 3 Cooper Plaza One Hoag Drive Camden, NJ 08103 Newport Beach, CA 92658

15. Covenant Health System 27. Holy Spirit Cancer Center Covenant Gamma Southwest Gamma Knife Center 3603 21^ Street 880 Century Drive Lubbock, TX 79410 Mechanicsburg, PA 17055

16. Covenant Health System 28. Indiana University Medical Center DBA Joe Arrington Cancer Research 535 Barnhill Drive

& Treatment Center Indianapolis, IN 46202 4101 22"^ Place Lubbock, TX 79410 29. Intermountaln Medical Center Jon and Karen Huntsman Cancer Center

17. GE-Hitachi Nuclear Energy Americas, LLC Gamma Knife Room Vallecitos Nuclear Center 5121 South Cottonwood Street 6705 Vallecitos Road Murray, UT 84157 Pleasanton, CA 94586

PXB6.23 Page 4 of 8 OTHER U.S. PARTYflES^ TO EXPORT: (Continued)

30. Jewish Hospital, LLC. 41, Medical University of South Carolina 4777 East Galbraith Road Medical University Hospital Cincinnati, OH 45236 169 Ashley Avenue Department of Radiation Oncology

31. John F. Kennedy Medical Center Room 165C (Treatment Room 1) 65 James Street Charleston, SC 29425 Edison, NJ 08818

42. Mercy Health Center

32. Karmanos Cancer Center 4300 West Memorial Road Gershenson Radiation Oncology Center Oklahoma City, OK 73120 Room 379 4100 John R. Street 43. Memorial Hermann Healthcare System Detroit, Ml 48201 d/b/a Hermann Hospital 6411 Fannin Avenue

33. Kettering Medical Center Houston, TX 77030 3535 Southern Boulevard Kettering, OH 45429 44. Methodist Healthcare System of San Antonio LTD

34. Larkin Community Hospital, Inc. Methodist Hospital 6129 Southwest 70'^^ Street 7700 Floyd Curl Drive South Miami, FL 33143 San Antonio, TX 78229

35. Lehigh Valley Health Network 45. MidMichigan Gamma Knife Facility 1240 South Cedar Crest Boulevard 4000 Wellness Drive Allentown, PA 18103 Room 160 Midland, Mi 48670

36. Lewis Hall Singletary Oncology Center at John D. Archbold Memorial Center 46. Nebraska Methodist Hospital 919 S. Broad Street 8303 Dodge Street Thomasville, GA 31792 Omaha, NE 68114

37. Los Robles Reginal Medical Center 47. Neurologic & Orthopedic Institute of 2200 Lynn Road Chicago Thousand Oaks, CA 91360 4501 N. Winchester Chicago, IL 60640

38. Marshall Clinic St. Joseph's Hospital 48. New York University Hospitals Center 611 St. Joseph Avenue Arnold and Marie Schwartz Health Care Marshfield, Wl 54449 Center Gamma Knife Suite 560 First Avenue

39. Mayo Clinic Hospital-Rochester New York, NY 10016 St. Mary's Campus 1216 2"" St. NW 49. Wake Forest Baptist Health Rochester, MM 55905 Radiation Oncology Department Comprehensive Cancer Center

40. Medical College of Wisconsin Medical Center Boulevard Froedtert Memorial Lutheran Hospital Winston-Salem, NC 27157 9200 West Wisconsin Avenue Milwaukee, Wl 53226

PXB6.23 Page 5 of 8 OTHER U.S. PARTYMES^ TO EXPORT; (Continued)

50. Northern Westchester Hospital Center 61. Research Medical Center 400 East Main Street Midwest Gamma Knife Center Mount Kisco, NY 10549 2316 E. Meyer Blvd.

Kansas City, MO 64132

51. Northwest Hospital Gamma Knife Center Building 310 62. Rhode Island Hospital Ground Floor, Suite G-5 593 Eddy Street 1560 North 115"^ Street Providence, Rl 02903 Seattle, WA 98133

63. Rocky Mountain Gamma Knife Center, LLC

52. Northwestern Memorial Hospital 1635 Aurora Court Feinberg Pavilion Aurora, CO 80045 251 E. Huron Street Chicago, IL 60611 64. Roswell Park Cancer Institute Elm & Carlton Street

53. Palmetto Health Richland Buffalo, NY 14263 7 Medical Park Columbia, SC 29203 65. Sacred Heart Medical Center 1255 Hilyard Street

54. Penn State Milton S. Hershey Medical Eugene, OR 97401 Center 500 University Drive 66. Saint Francis Medical Center Hershey, PA 17033 530 NE Glen Oak Avenue Peoria, IL 61637

55. Piedmont Hospital Radiation Oncology Services 67. San Antonio Community Hospital 1968 Peachtree Road N.W. 999 San Bernardino Road Atlanta, GA 30309 Upland, CA 91786

56. Pitt County Memorial Hospital 68. South Nassau Communities Hospital d/b/a Vidant Medical Center One Healthy Way 2100 Stantonsburg Road Oceanside, NY 11572 Greenville, NC 27835

69. St. Joseph's Hospital

57. Providence Portland Medical Center 5665 Peachtree Dunwoody Road North Pavilion Atlanta, GA 30342 4805 NE Glisan Street Portland, OR 97213 70. St. Joseph's Hospital and Medical Center 350 West Thomas Road

58. Puerto Rico Medical Services Phoenix, AZ 85013 Administration Puerto Rico Medical Center 71. Sunrise Diagnostic Center Centre Medico de Rio Piedras 3006 South Maryland Parkway First Floor, Central Building Las Vegas, NV 89109 Carr 22 Barrio Monacillos San Juan, PR 00935 72. SUNY Upstate Medical University 750 East Adams Street

59. Puget Sound Radiosurgery Syracuse, NY 13210 Gamma Knife Suite, Room 103 St. Joseph's Medical Center 73. Sutter Gamma Knife Center 1802 South Yakima 2801 KSt., Suite 110 Tacoma, WA 98405 Sacramento, CA 95816

60. Robert Wood Johnson University Center 74. Sutter Medical Center Sacramento Gamma Knife Suite Sutter Gamma Knife Center 10 Plum Street 2801 K Street, Suite 110 New Brunswick City, NJ 08901 Sacramento, CA 95816

PXB6.23 Page 6 of 8 OTHER U.S. PARTYHES)TO EXPORT: (Continued)

75. Swedish Medical Center 799 East Hampden Ave. Suite 100 87. Thomas Jefferson University and Hospitals Englewood, CO 80113 900 Walnut Street Philadelphia, PA 19107

76. Temple University Hospital 3401 N. Broad Street 88. Tufts - New England Medical Center Philadelphia, PA 19140 800 Washington Street Boston, MA 02111

77. Tenet Good Samaritan, Inc.

1309 North Flagler Drive 89. UAB Highlands Hospital West Palm Beach, FL 33401 1201 11th Avenue South Birmingham, AL 35205

78. Tenet Hospitals Limited dba Sierra Medical Center 90. University Hospitals of Cleveland 1625 Medical Center Drive 11100 Euclid Avenue El Paso, TX 79902 Cleveland, OH 44106

79. Texas Health Presbyterian Hospital Dallas 91. University of Arkansas for Medical 8200 Walnut Hill Lane Science Dallas, TX 75231 4301 West Markham Street Little Rock, AR 72205

80. The Cleveland Clinic Foundation 9500 Euclid Avenue 92. University of Kentucky Cleveland, OH 44195 Markey Cancer Center Roach BIdg., Room CC049

81. The Ohio State University 800 Rose Street Radiation Medicine Department Lexington, KY 40536 Arthur G. James Cancer Hospital and Richard J. Solove Research Institute 93. University of Minnesota 300 West 10th Avenue. University Campus of Fairview University Columbus, OH 43210 Medical Center, Room 1-285 420 Delaware Street

82. The Regents of the University of California Minneapolis, MN 55455 San Francisco Medical Center 505 Parnassus Ave, Room L56 94. University of Mississippi Medical Center San Francisco, CA 94143 350 West Woodrow Wilson Avenue Jackson, MS 39216

83. The Regents of the U niversity of California UC Davis Medical Center 95. University of Pennsylvania 4501 X Street, G126 Pennsylvania Hospital Campus Sacramento, CA 95817 800 Spruce Street Philadelphia, PA 19107

84. The University of Texas MD Anderson Cancer Center 96. University of Pittsburgh 1515 Holcombe Boulevard Presbyterian University Hospital Houston, TX 77030 230 Lothrop Street, Room G-102 Pittsburgh, PA 15213

85. The Valley Hospital Luckow Pavilion 1 Valley Health Plaza 97. University of Pittsburgh Paramus, NJ 07652 Presbyterian University Hospital 230 Lothrop Street, Room F-179

86. The Swedish Radiosurgery Center Pittsburgh, PA 15213 Suite A10 James Tower 550 17'^ Avenue 98. University of Pittsburgh Seattle. WA 98122 Presbyterian University Hospital 230 Lothrop Street, Room F-185 Pittsburgh, PA 15213

PXB6.23 Page 7 of 8 OTHER U.S. PARTYHES)TO EXPORT: (Continued)

99. University of Texas Southwestern 104. Washington University in St. Louis Medical Center at Dallas 4921 Parkview Place 5151 Harry Mines Blvd. Suite G49 St. Louis. MO 63108 Dallas, TX 75390 105. West Virginia University Hospital, Inc.

100. University of Virginia Health Services Ruby Memorial Hospital, Mary Babb Foundation Randolph Cancer Center, and Health Lars Leksell Center for Gamma Surgery Sciences Center South Building Building 1143; Room G411 Medical Center Drive 1215 Lee Street Morgantown, WV 26506 Charlottesville, VA 22908 106. William Beaumont Hospital 101, use University Hospital Department of Radiation Oncology 1540 Alcazar Street 3601 W. Thirteen Mile Road Los Angeles, CA 90033 Royal Oak, Ml 48073 102. Washington Hospital Center 107. Yale-New Haven Hospital 110 Irving Street, NW 20 York Street Washington, DC 20010 New Haven, CT 06519 103. Washington Hospital Healthcare System 2500 Mowry Ave.

Fremont, CA 94538 tllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllEUDtlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllHIllllltlll

PXB6.23 Page 8 of 8 MANDATORY ADVANCED NOTIFICATIONS PER 10 CFR PART 11D.50(c)

The following Advanced Notifications must be made to both the NRG and. in case of exports, the government of the importing country in advance of each shipment:

Advanced Notifications to the NRG are to be emailed to hoo.hoc(S)nrc.qov (preferred method) or faxed to the NRG at 301-816-5151. In the subject line of the email or on the fax cover page include: "10 GFR 110.50(c) Notification."

For technical assistance, use the same e-mail address or call 301-816-5100.

Advanced Notifications to the government of the importing country must be emailed or faxed to the appropriate foreign government authorities. To locate the point-of-contact for international Prior Shipment Notifications see:

http://www-ns.iaea.ora/downloads/rw/imp-exDort/imoort-export-contact-points.pdf. In the subject line of the email or on the fax cover page include: "NOTIFIGATION TO THE IMPORTING STATE PRIOR TO SHIPMENT OF GATEGORY 1 OR 2 RADIOAGTIVE SOURGES." For technical assistance or for countries not listed, contact the Office of International Programs' export/import staff at 301-287-9056.

Table 1: Appendix P to Part 110 Category 1 and Category 2 Radioactive Material Threshold Limits Category 1 Category 2 Radioactive Material Terabequerels(TBq) Curies {Cl)i Terabequerels(TBq) Curies(Ci)i Americium-241 (Am-241) 60 1,600 0.6 16 Americium-241/Beryllium {Am- 60 1,600 0.6 16 241/Be)

Ca!ifornium-252(Cf-252) 20 540 0.2 5.4 CiJrium-244 (Cm-244) 50 1,400 0.5 14 Cobalt-60 (Co-60) 30 810 0.3 8.1 Cesium.137 (Cs-137) 100 2.700 1.0 27 Gadolinium-153(Gd-153) 1.000 27.000 10.0 270 lridium.192 (lr-192) 80 2,200 0.8 22 Plutonium-2382(Pu-238) 60 1,600 0.6 16 Plutomum-239/BerYl!ium^(Pu-239/Be) 60 1,600 0.6 16 Promethium-147 (Pm-147) 40.000 1,100,000 400 11.000 Radium-226^(Ra-226) 40 1,100 0.4 11 Selenium-75 (Se-75) 200 5,400 2.0 54 Strontium-90(Y-90) 1,000 27,000 10.0 270 Thulium-170 fTm-170) 20,000 540,000 200 5.400 Ytterbium-169 (Yb-169) 300 8,100 3.0 81 Calculation of Shipments Containing Multiple Sources or Radionuclides:

The "sum of fractions" methodology for evaluating combinations of radionuclides being transported is to be used when import or export shipments contain multiple sources or multiple radionuclides. The threshold limit values used in a sum of the fractions calculation must be the metric values (i.e., TBq).

I. If multiple sources and/or multiple radionuclides are present in an import or export shipment, the sum of the fractions of the activity of each radionuclide must be determined to verify the shipment is less than the Category 1 or 2 limits of Table 1. as appropriate. If the calculated sum of the fractions ratio, using the following equation, is greater than or equal to 1.0, then the import or export shipment exceeds the threshold limits of Table 1 and the applicable security provisions of this part apply.

II. Use the equation below to calculate the sum of the fractions ratio by inserting the actual activity of the applicable radionuclides or of the individual sources (of the same radionuclides) in the numerator of the equation and the corresponding threshold activity limit from the Table 1 in the denominator of the equation. Ensure the numerator and denominator values are in the same units and all calculations must be performed using the TBq (i.e., metric) values of Table 1.

R1 = activity for radionuclides or source number 1 AR1 = activity limit for radionuclides or source number 1 R2 = activity for radionuclides or source number 2 AR2 = activity limit for radionuclides or source number 2 RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n Ri R2 R, ARi ARz ARn

^ The values to be used to determine whether a license is required are given in TBq. Gurie (Gi) values are provided for practical usefulness only and are rounded after conversion.

2 The limits for exports of Pu-238 and Pu-239/Be can be found in § 110.21.

^ Discrete sources of Radium-226.