ML18197A274
| ML18197A274 | |
| Person / Time | |
|---|---|
| Site: | 03011477 |
| Issue date: | 07/13/2018 |
| From: | Casey C C NRC/RGN-III |
| To: | Franciscan Healthcare - Munster |
| References | |
| 608470 | |
| Download: ML18197A274 (3) | |
Text
NRC FORM 374 U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE PAGE 1 OF 3 PAGES Amendment No. 36 Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I, Parts 30, 31, 32, 33, 34, 35, 36, 37, 39, 40, 70 and 71, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose(s) and at the place(s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below. Licensee 1. Franciscan Healthcare
-Munster 2. 7905 Calumet Ave. Munster, IN 46321 In accordance with letter dated 4. Expiration Date: December 31, 2024 Febru\!\27~fi*1a
.. *~ . ~.Žii ,. r, jAf' I * ,:1 1----------.-..;;_.,..---i
- 5. Docket No.: 030-11477
- 3. License number: 13-16680..:'.'0t!)
amended in its entirety to reacn follows: Reference No.: 6. Byproduct, source, 7. Chemical alldror physical forl'it~ c .* s. \ Maxitti~ount that licebaee 9. Authorized use and/or special nuclear material A Any byproduct material A Any A For use in uptake, dilution and permitted by 10 CFR excretion studies permitted by 10 CFR 35.100 35.100. B. Any byproduct material B. Any B. For use in imaging and localization permitted by 10 CFR studies permitted by 10 CFR 35.200. 35.200 C. Any byproduct material C. Any C. 1 curie total C. For any use permitted by 10 CFR permitted by 10 CFR J 35.300 . .. 35.300 CONDITIONS
- 10. Licensed material may be used or stored at the licensee's facilities located at 7905 Calumet Ave., Munster, Indiana, 46321. 11. The Radiiation Safety Officer (RSO) for this license is Michael C. Brewer, M.S ..
NRC FORM 374A MATERIALS LICENSE SUPPLEMENTARY SHEET U.S. NUCLEAR REGULATORY COMMISSION License Number 13-16680-01 Amendment No. 36 Docket or Reference Number 030-11477 PAGE 2 OF 3 PAGES 12. Licensed material shall only be used by, or under the supervi~ionl?'.QQI:
r.~Ji~ H (r A. Individuals permitted to work as authortzed Upej!,,,irl'
- cco,dance with 10 c4},;3 and 10 CFR 35.14. rl B. The following individuals are authorize Authorized User(M.D.,D.O.,etc.)
Richard Dobben, M.D. Peter John Georgis, M.D. Perry M. Gilbert, M.D. Gregory Henkle, M.D. Joseph E. Judge, M.D. Stev1en R. Klepac, M.D. Jay Lawrence Korach, M.D. Garry Malnar, D.O. Matthew J. Rose, M.D. rs for the material and medical uses ;s~icated:
Mate~~"1~.
Use H. R 35.3~1imited to oral administration of sodium iodide r, FR 35.300****
- ~ CFR 35.30~~w 10 C~35.1 .. ,A<Jr,, ,, JI,-: 0 CFR !$40100: '(f~!.CFR 35.100, fQ .C~Fi 35/2<10 . **,.* {~"tF~ 35.100, 10 *tp~§;.200, 10 C~.SQ.300; 10 CFR 35.300 (limited to oral administration of sod~ iodide 1-131 in quantities of'.3~ millicuries or less) 10 CFR 35>1bO,tO.
CF.R 3§t2P0{1o CFR 35.300 (limited to oral administration of sodium iodide 1-131) .. 1 ** " * .
NRC FORM 374A MATERIALS LICENSE SUPPLEMENTARY SHEET U.S. NUCLEAR REGULATORY COMMISSION License Number 13-16680-01 Amendment No. 36 Docket or Reference Number 030-11477 PAGE 3 OF 3 PAGES 13. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements, representations, and procedures contained in the documents, including any enclosures, listed below. This license condition applies only to those procedures that are required to be submitted in "acw~cerfififf rpQulations.
Additionally, this license condition does not limit the licensee's ability to make changes to the radiation
~o~tlorfprogram as pMi/ed,tor in 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govern unless ~~al:ements, representations¥*
r,;ccedures in the licensee's application and correspondence are more restrictive than the 't~ulations.
' ' A. Application dated April 16, 2014 (ML 14tq8A302)
B. Letter dated February 27, 2018 (ML 1&1')6A091j"~,r;~
Date: July 13, 2018 I / FOR THE U.S. NUCLEAR REGULATORY COMMISSION By:~~~ Colleen Carol Casey Region 3