ML18183A078

Export License Issued to Alpha-Omega Services, Inc., PXB6.24

ML18183A078
Person / Time
Site:	11006027
Issue date:	02/12/2018
From:	David Skeen NRC/OIP
To:	Hedger T Alpha Omega Services
Savoy J
References
Download: ML18183A078 (8)

Text

EXPORT LICE NJSE NRC FORM 250 (10-07)

UNITED STATES OF AMERICA Nuclear Regulatory Commission Washington, D.C. 20555 NRC LICENSE NO.: PXB6.24 Page 1 of 8 NRC DOCKET NO.: 11006027 LICENSE EXPIRES: February 29, 2028 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 Alpha-Omega Services, inc.

9156 Rose Street Beilflower, CA 90706 Attn; Troy Hedger ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

See page 2 INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

None OTHER U.S. PARTY(IES) TO EXPORT Listed on pages 2-7 APPLICANT'S REFERENCE NO.: AMD 24 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 PXB6.23 amending its authority by: 1) extending the expiration date from September 30, 2027 to February 29, 2028; and 2) revising the list of "Other U.S. Party(ies) to Export" by adding four additional addresses.

Neither this license nor any right under this license shall be assigned or otherwise transferred in violation of the provisions of the Atomic Energy Act of 1954, as amended.

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 other provisions of said Acts, now or hereafter in effect and to all valid rules and regulations of the NRC.

EXPORT L THIS LICENSE IS IN BY AUTHORIZE SIGNATURE:

NAME AND TITLE:

DATE OF ISSUANCE:

UNLESS SIGNED BELOW David L. Skeen, Deputy Director Office of International Programs Fehrnary 12, 2Q1S CENSE

PXB6.24 Page 2 of 7 CONDITIONS, NOTES, AND DESCRIPTIONS OF 10 CFR PART 110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED Licensee is prohibited from shipping 10 CFR Part 110 Appendix P Category 1 quantities of Co-60 Canada for which government-to-government consent has not yet been requested and received until:

1.

Licensee has requested the U.S. Nuclear Regulatory Commission (NRC) in writing to obtain specific consent from the importing regulatory authority,

2.

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

3.

NRC has informed the licensee in writing, that it is authorized to ship the materials to the ultimate consignee specified.

ULTIMATE CONSIGNEEfS) IN FOREIGN COUNTRYMES):

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 Honkomagome 2-Chome Bunkyo-Ku Tokyo 113-8941 Japan OTHER U.S. PARTYflES^ TO EXPORT:

1.

Adventist Health Systems/Sunbelt Inc.

Florida Hospital Plaza 2501 N. Orange Avenue Orlando, PL 32803

2.

Akron General Medical Cente 762 South Cleveland-Massillon Road Montrose, OH 44333

3.

Alexian Brothers Medical Cente 800 West Biesterfield Road Elk Grove Village, IL 60007

4.

Alpha-Omega Services, Inc.

1282 Big Woods-Starks Road Vinton, LA 70668

5.

Aurora Health Care Metro, Inc.

d/b/a Aurora St. Luke's Medical Center Room 115, Gamma Knife Department 2900 west Oklahoma Avenue Milwaukee, Wl 53215

6.

Baptist Hospital of Miami, Inc.

Department of Radiation Oncology 8900 North Kendall Drive Miami, FL 33176

7.

Baylor All Saints Medical Center Forth Worth 1400 Eight Avenue Fort Worth, TX 76104

8.

BRFHH Shreveport, LLC DBA University Health Shreveport 1541 Kings Highway Shreveport. LA 71130

OTHER U.S. PARTY(IES) TO EXPORT: (Continued)

9.

Bryan Medical Center 2300 South Street Lincoln, NE 68502

10.

Centerfor Advanced Medicine Long Island Jewish Medical Center 450 Lakeville Road Lake Success, NY 11042

11.

Central Mississippi Medical Center Radiation Oncology Department 1850 Ghadwick Drive Jackson, MS 39204

12.

Chlppenham and Johnston-Willis Hospitals, Inc.

d/b/a CJW Medical Center Johnston-Willis Campus Chlppenham Campus 7101 Jahnke Road Richmond, VA 23225

13.

Chlppenham and Johnston-Willis Hospitals, Inc.

d/b/a CJW Medical Center Johnston-Wills Campus 1401 Johnston-Willis Drive Richmond, VA 23235

14.

Columbia-Presbyterian Medical Center Gamma Knife Suite Basement Level, Room GK2 Children's Hospital of New York Presbyterian Hospital 630 West 168th Street New York, NY 10032

15.

Cooper Health System Robert Wood Johnson Medical School at Camden 3 Cooper Plaza Camden, NJ 08103

16.

Covenant Health System Covenant Gamma Southwest 3603 21 Street Lubbock, TX 79410

17.

Covenant Health System DBA Joe Arrington Cancer Research

& Treatment Center 4101 22"<^ Place Lubbock, TX 79410 PXB6.24 Page 3 of 7

18.

GE-Hitachi Nuclear Energy Americas, LLC Vallecitos Nuclear Center 6705 Vallecitos Road Pleasanton, CA 94586

19.

Deaconess Medical Center Gamma Knife Gamma Knife Suite, Basement Floor Room 117 910 West Fifth Avenue Spokane, WA 99204

20.

Doctors Hospital, Inc.

d/b/a Doctors Hospital 5000 University Drive Coral Gables, FL 33146

21.

Fort Sanders Regional Gamma Knife Center 1915 White Avenue Knoxville. TN 37916

22.

Gamma Knife Center of the Pacific 2226 Liliha Street, Level B2 Honolulu, HI 96817

23.

Good Samaritan Hospital 1225 Wilshire Boulevard Los Angeles, CA 90017

24.

Hackensack University Medical Center John Theurer Cancer Center 92 2" St.

Hackensack, NJ 07601

25.

Harborview Medical Center 325 9'^ Avenue Gamma Knife Suite Seattle, WA 98133

26.

HCA Health Services of Oklahoma, inc.

d/b/a OU Medical Center Presbyterian Hospital 700 N.E.

Street Oklahoma City, OK 73104

27.

Hoang Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658

28.

Holy Spirit Cancer Center Gamma Knife Center 880 Century Drive Mechanicsburg, PA 17055

OTHER U.S. PARTYdES^ TO EXPORT: (Continued)

29.

Indiana University Medical Center 535 Barnhil! Drive Indianapolis, IN 46202 3D.

Intermountain Medical Center Jon and Karen Huntsman Cancer Center Gamma Knife Room 5121 South Cottonwood Street Murray, UT 84157

31.

Jewish Hospital, LLC.

4777 East Galbraith Road Cincinnati, OH 45236

32.

John F. Kennedy Medical Center 65 James Street Edison, NJ 08818

33.

Karmanos Cancer Center Gershenson Radiation Oncology Center Room 379 4100 John R. Street Detroit, Ml 48201

34.

Kettering Medical Center 3535 Southern Boulevard Kettering, OH 45429

35.

Larkin Community Hospital, Inc.

6129 Southwest 70'^ Street South Miami, PL 33143

36.

Lehigh Valley Health Network 1240 South Cedar Crest Boulevard Allentown, PA 18103

37.

Lewis Hall Singletary Oncology Center at John D. Archbold Memorial Center 919 S. Broad Street Thomasville, GA 31792

38.

Los Robles Reginal Medical Center 2200 Lynn Road Thousand Oaks, OA 91360

39.

Lovelace Medical Center 601 Dr. Martin Luther King, Jr. NE Albuquerque, NM 87102

40.

Marshall Clinic St. Joseph's Hospital 611 St. Joseph Avenue Marshfield, Wl 54449 PXB6.24 Page 4 of 7

41.

Mayo Clinic Hospital-Rochester St. Mary's Campus 1216 2"^^ St. NW Rochester, MN 55905

42.

Medical College of Wisconsin Froedtert Memorial Lutheran Hospital 9200 West Wisconsin Avenue Milwaukee, Wl 53226

43.

Medical University of South Carolina Medical University Hospital 169 Ashley Avenue Department of Radiation Oncology Room 156C (Treatment Room 1)

Charleston, SC 29425

44.

Mercy Health Center 4300 West Memorial Road Oklahoma City, OK 73120

45.

Memorial Hermann Healthcare System d/b/a Hermann Hospital 6411 Fannin Avenue Houston. TX 77030

46.

Methodist Healthcare System of San Antonio LTD Methodist Hospital 7700 Floyd Curl Drive San Antonio, TX 78229

47.

MidMichigan Gamma Knife Facility 4000 Wellness Drive Room 160 Midland, Ml 48670

48.

Nebraska Methodist Hospital 8303 Dodge Street Omaha, NE 68114

49.

Neurologic & Orthopedic Institute of Chicago 4501 N. Winchester Chicago, IL 60640

50.

New York University Hospitals Center Arnold and Marie Schwartz Health Care Center Gamma Knife Suite 560 First Avenue New York, NY 10016

OTHER U.S. PARTY(IES) TO EXPORT: (Continued)

51.

Wake Forest Baptist Health Radiation Oncology Department Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157

52.

Northern Westchester Hospital Center 400 East Main Street Mount KIsco, NY 10549

53.

Northwest Hospital Gamma Knife Center Building 310 Ground Floor, Suite G-5 1560 North 115'^^ Street Seattle, WA 98133

54.

Northwestern Memorial Hospital Feinberg Pavilion 251 E. Huron Street Chicago, IL 60611

55.

Palmetto Health Richland 7 Medical Park Columbia, SC 29203

56.

Penn State Milton S. Hershey Medical Center 500 University Drive Hershey, PA 17033

57.

Piedmont Hospital Radiation Oncology Services 1968 Peachtree Road N.W.

Atlanta, GA 30309

58.

Pitt County Memorial Hospital d/b/a Vidant Medical Center 2100 Stantonsburg Road Greenville, NC 27835

59.

Providence Portland Medical Center North Pavilion 4805 NE Glisan Street Portland, OR 97213

60.

Puerto Rico Medical Services Administration Puerto Rico Medical Center Centre Medico de Rio Piedras First Floor, Central Building Carr22 Barrio Monacillos San Juan, PR 00935

61.

Puget Sound Radiosurgery Gamma Knife Suite, Room 103 St. Joseph's Medical Center 1802 South Yaklma Tacoma, WA 98405 PXB6.24 Page 5 of 7

62.

Robert Wood Johnson University Center Gamma Knife Suite 10 Plum Street New Brunswick City, NJ 08901

63.

Research Medical Center Midwest Gamma Knife Center 2316 E. Meyer Blvd.

Kansas City, MO 64132

64.

Rhode Island Hospital 593 Eddy Street Providence, Rl 02903

65.

Rocky Mountain Gamma Knife Center, LLC 1635 Aurora Court Aurora, CO 80045

66.

Roswell Park Cancer Institute Elm & Carlton Street Buffalo, NY 14263

67.

Sacred Heart Medical Center 1255 Hilyard Street Eugene, OR 97401

68.

Saint Francis Medical Center 530 NE Glen Oak Avenue Peorla, IL 61637

69.

San Antonio Community Hospital 999 San Bernardino Road Upland, CA 91786

70.

South Nassau Communities Hospital One Healthy Way Oceanslde, NY 11572

71.

St. Lukes The Woodlands Hospital 17200 St, Luke's Way The Woodlands, TX 77384

72.

St. Joseph's Hospital 5665 Peachtree Dunwoody Road Atlanta, GA 30342

73.

St. Joseph's Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013

74.

St. Vincent Medical Center 2ShircliffWay Jacksonville, FL 32204

75.

Sunrise Diagnostic Center 3006 South Maryland Parkway Las Vegas, NV 89109

OTHER U.S. PARTYflES) TO EXPORT: (Continued)

76.

SUNY Upstate Medical University 88.

750 East Adams Street Syracuse, NY 13210

77.

Sutter Gamma Knife Center 2801 KSt, Suite 110 89.

Sacramento, OA 95816

78.

Sutter Medical Center Sacramento Sutter Gamma Knife Center 90.

2801 K Street, Suite 110 Sacramento, CA 95816

79.

Swedish Medical Center 799 East Hampden Ave. Suite 100 91.

Englewood, CO 80113

80.

Temple University Hospital 3401 N. Broad Street 92.

Philadelphia, PA 19140

81.

Tenet Good Samaritan, Inc.

1309 North Flagler Drive 93.

West Palm Beach, FL 33401

82.

Tenet Hospitals Limited dba Sierra Medical Center 94.

1625 Medical Center Drive El Paso, TX 79902

83.

Texas Health Presbyterian Hospital Dallas 95.

8200 Walnut Hill Lane Dallas, TX 75231

84.

The Cleveland Clinic Foundation 9500 Euclid Avenue 96.

Cleveland, OH 44195

85.

The Ohio State University Radiation Medicine Department Arthur G. James Cancer Hospital and Richard J. Solove Research Institute 97.

300 West 10th Avenue.

Columbus. OH 43210

86.

The Regents of the University of California San Francisco Medical Center 505 Parnassus Ave, Room L56 98.

San Francisco, CA 94143

87.

The Regents of the University of California UC Davis Medical Center 99.

4501 X Street, G126 Sacramento, CA 95817 PXB6.24 Page 6 of 7 The University of Texas MD Anderson Cancer Center 1515 Holcombe Boulevard Houston, TX 77030 The Valley Hospital Luckow Pavilion 1 Valley Health Plaza Paramus, NJ 07652 The Swedish Radiosurgery Center Suite A10 James Tower 550 17'^ Avenue Seattle, WA 98122 Thomas Jefferson University and Hospitals 900 Walnut Street Philadelphia, PA 19107 Tufts - New England Medical Center 800 Washington Street Boston, MA 02111 UAB Highlands Hospital 1201 11th Avenue South Birmingham, AL 35205 University Hospitals of Cleveland 11100 Euclid Avenue Cleveland, OH 44106 University of Arkansas for Medical Science 4301 West Markham Street Little Rock, AR 72205 University of Kentucky Markey Cancer Center Roach BIdg., Room CC049 800 Rose Street Lexington, KY 40536 University of Minnesota University Campus of Fairview University Medical Center, Room 1-285 420 Delaware Street Minneapolis, MN 55455 University of Mississippi Medical Center 350 West Woodrow Wilson Avenue Jackson, MS 39216 University of Pennsylvania Pennsylvania Hospital Campus 800 Spruce Street Philadelphia, PA 19107

OTHER U.S. PARTYMES) TO EXPORT; (Continued) 100.

University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room G-102 Pittsburgh, PA 15213 101.

University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-179 Pittsburgh, PA 15213 102.

University of Texas Southwestern Medical Center at Dallas 5151 Harry Mines Blvd. Suite G49 Dallas, TX 75390 103.

University of Virginia Health Services Foundation Lars Leksell Center for Gamma Surgery Building 1143; Room G411 1215 Lee Street Charlottesville, VA 22908 104.

use University Hospital 1540 Alcazar Street Los Angeles, CA 90033 105.

Washington Hospital Center 110 Irving Street, NW Washington, DC 20010 106.

Washington Hospital Healthcare System 2500 Mowry Ave.

Fremont, CA 94538 PXB6.24 Page? of 7 107.

University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-185 Pittsburgh, PA 15213 108.

Washington University in St. Louis 4921 Parkview Place St. Louis, MO 63108 109.

West Virginia University Hospital, Inc.

Ruby Memorial Hospital, Mary Babb Randolph Cancer Center, and Health Sciences Center South Building Medical Center Drive Morgantown, WV 26506 110.

William Beaumont Hospital Department of Radiation Oncology 3601 W.

Thirteen Mite Road Royal Oak, Ml 48073 111.

Yale-New Haven Hospital 20 York Street New Haven. CT 06519

MANDATORY ADVANCED NOTIFICATIONS PER 10 CFR PART 110.50(c)

PXB6.24 Page 8 of 8 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@nrc.aov (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: httD://www-ns.iaea.orQ/downloads/rw/imD-export/imDort-exDort-contact-Doints.Ddf. 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 Cateocrv 1 and Category 2 Radioactive Material Threshold Limits Radioactive Material Category 1 Category 2 Terabequerels (TBq)

Curies (Ci)'

Terabequerels (TBq)

Curies(CI)^

Americium-241 (Am-241) 60 1,600 0,6 16 Americium-241/Beryllium (Am-241/Be) 60 1,600 0.6 16 Californium-252 (Cf-252) 20 540 0.2 5.4 Curium-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 Gado)inium-153 (Gd-153) 1,000 27,000 10.0 270 lridium-192 {Ir-ig2) 80 2,200 0.8 22 PlUtonium-2382 {Pu-238) 60 1,600 0.6 16 Plutonium-239/Bervliium2{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 Se!enium-75 (Se-75) 200 5,400 2.0 54 Strontium-90 (Y-90) 1.000 27,000 10.0 270 Triulium-170 (Tm-170) 20,000 540,000 200 5,400 Ytterbium-ie9 (Yb-169) 300 8,100 3.0 81 Calculation of Shipments Containing Multiple Sources or Radionuclldes:

The "sum of fractions" methodology for evaluating combinations of radionuclldes being transported is to be used when import or export shipments contain multiple sources or multiple radionuciides. 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 radionuciides 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 Gategory 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 radionuciides or of the individual sources (of the same radionuciides) 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 ofTable 1.

R1 = activity for radionuciides or source number 1 R2 = activity for radionuciides or source number 2 RN = activity for radionuciides or source number n AR1 = activity limit for radionuciides or source number 1 AR2 = activity limit for radionuciides or source number 2 ARN = activity limit for radionuciides or source number n Ri R2 Rn A-Ri AR2 A.R11

> 1

^ 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.

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

^ Discrete sources of Radium-226.