ML18206A272

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{{#Wiki_filter:NRCFORM374 U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE PAGE 1 OF 3 PAGES Amendment No. 22 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 regulatfons 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 In accordance with fax dated May 4. Expiration Date: August 31, 2023 1. Indiana University Health Jay, Inc. 07, i----------..;.......;lli,,,....--1

5. Docket No.: 030-18259 Reference No.: 3. License number: 13-20329:0f"iJ amended in its entirety to reacr*,a 2. 500 W. Votaw St. Portland, IN 47371 6. Byproduct, source, and/or special nuclear material A. Any byproduct material permitted by 1 O CFR 35.100 8. Any byproduct material permitted by 1 O CFR 35.200 r 7. Chemical ~r physical fofflt A. Any 8. Any follows: .8. MaxlmUMa!Ylount that Ii may~ at any one t i.er lfi~icense f ,r~OONbtT10~S

' \--,,.;, V " 9. Authorized use A. For use in uptake, dilution and excretion studies permitted by 10 CFR 35.100. 8. For use in imaging and localization studies permitted by 10 CFR 35.200. 10. Licensed material may be used or stored at the licensee's facilities located at 500 W. Votaw St., Portland, Indiana, 47371. 11. The Radiation Safety Officer (RSO) for this license is James Garrett, CNMT. NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE SUPPLEMENTARY SHEET License Number 13-20329-01 Amendment No. 22 12. Licensed material shall only be used by, or under the supervision of: A. Individuals permitted to work as authorized users ,i,i ~aJi 6t('i Docket or Reference Number 030-18259 . _ *>,.<;.J B. The following individuals are authorized ~JO for the material and medical use Authorized User(M.0.,0.0.,etcJ Daniel J. Daunhauer, M.D. Michael J. Mafnofski, M.D. Carr W. Meyer, M.D. LeAnn Stidham, M.D. Nathan Strabala, M.D. *" Maten1L1Dd Use *!JJ 10 CFFt 31,~00, 10 CFR 35.2QO l-,%zy 10 CFR ~1to*1o'o~R 35.200*, .. . *.' . 10 CFR s.:,ep, 1~~.20(f 10 OfR 35:t<<i <k',,-t ', '" ;--, 1O'~ft,~5.100, ,~, it .'...* PAGE 2 OF 3 PAGES NRC FORM 374A MATERIAL~ LICENSE SUPPLEMENTARY SHEET U.S. NUCLEAR REGULATORY COMMISSION License Number 13-20329-01 Amendment No. 22 Docket or Reference Number 030-18259 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, representat1ons, 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 accw:~c~ifft rpgulations. Additionally, this license condition does not limit the licensee's ability to make changes to the radiation ll{oltttol, program aspr'bfi(egJor in 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govern unless ~(Jtafements, representations, iln* ;,;pcedures in the licensee's application and correspondence are more restrictive than the'1111ulations. A. Application dated February 26, 2013,~ 13059A544) B. Letter dated February 6, 2018 (ML 18EN>18145) C. Facsimile received May 7, 2018 (MC~127A026) FOR THE U.S. l'W,l\,,,Lc:.J"\I COMMISSION Date: JUL 2 4 2018}}

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