ML18205A639
| ML18205A639 | |
| Person / Time | |
|---|---|
| Site: | 03033981 |
| Issue date: | 07/16/2018 |
| From: | Torres R J NRC Region 4 |
| To: | Evanston Hosp Corp, Evanston Regional Hosp |
| References | |
| 609109 | |
| Download: ML18205A639 (3) | |
Text
U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE NRC FORM 374PAGE OF 1 3 Amendment No. 10PAGES 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 Evanston, WY 82930 2.190 Arrowhead Drive dba Evanston Regional Hospital 1.Evanston Hospital Corporation 4.Expiration Date:
July 31, 2021 Docket No.:
5.030-33981 License number: 49-27532-01 is amended in its entirety to read as follows: Reference No.:
3.In accordance with letter dated June 06, 2018.
6.7.8.Byproduct, source, and/or special nuclear material Chemical and/or physical form Maximum amount that licensee may possess at any one time under this license 9.Authorized use A.A.A.A.For use in uptake, dilution and excretion studies permitted by 10 CFR 35.100.Any As Needed Any byproduct material permitted by 10 CFR 35.100 B.B.B.B.For use in imaging and localization studies permitted by 10 CFR 35.200.
Any As Needed Any byproduct material permitted by 10 CFR 35.200 CONDITIONS 10.Licensed material may be used or stored at the licensee's facilities located at 190 Arrowhead Drive, Evanston, Wyoming , 82930.11.The Radiation Safety Officer (RSO) for this license is Adam Ardnt , M.S.
License Number Docket or Reference Number U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 374A MATERIALS LICENSE SUPPLEMENTARY SHEETPAGES OFPAGE 3 2 49-27532-01 030-33981 Amendment No. 10 12.Licensed material shall only be used by, or under the supervision of:
A.Individuals permitted to work as authorized users, authorized nuclear pharmacists, and/or authorized medical physicists in accordance with 10 CFR 35.13 and 10 CFR 35.14.
B.The following individuals are authorized users for the material and medical uses as indicated:
Authorized Users Material and Use Barry Michael Birkin, M.D.
35.100; 35.200 William Bradley Hale, M.D.
35.100; 35.200 John C. Olson, M.D.
35.100; 35.200 13.In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material to quantities below the minimum limit specified in 10 CFR 30.35(d) for establishing decommissioning financial assurance.
License Number Docket or Reference NumberU.S. NUCLEAR REGULATORY COMMISSION NRC FORM 374AMATERIALS LICENSESUPPLEMENTARY SHEETPAGES OFPAGE33 49-27532-01 030-33981 Amendment No. 10 14.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 accordance with the regulations. Additionally, this license condition does not limit the
licensee's ability to make changes to the radiation protection program as provided for in 10 CFR 35.26. The U.S. Nuclear Regulatory
Commission's regulations shall govern unless the statements, representations, and procedures in the licensee's application and correspondence are more restrictive than the regulations.A.Letter dated March 11, 2011 with enclosures (ML11102A079)B.Letter dated June 6, 2011 with enclosures (ML111801275)C.Application dated June 20, 2011 (ML111801275)
D.Letter dated April 14, 2016 (ML16116A415)
E.Letter dated June 6, 2018 with enclosure (ML18170A218)FOR THE U.S. NUCLEAR REGULATORY COMMISSION By: Date:Roberto J. TorresRegion July 16, 2018