ML19276F117
| ML19276F117 | |
| Person / Time | |
|---|---|
| Site: | 07001224 |
| Issue date: | 01/23/1979 |
| From: | Mcclintock R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | Britchard R EMVTELEF |
| References | |
| NUDOCS 7903270315 | |
| Download: ML19276F117 (3) | |
Text
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UNITED STATES y-
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0 REGION I E'N f
$31 PARK AVENUE KING OF PRUS$1 A. PENNSYLVANI A 19406 Docket No. 70-1224 2 3 1979 Teleflex Incorporated ATTN-Mr. Robert Britchard Product Sales Manager Church Road P. O. Box 218 North Wales, Pennsylvania 19454 Gentlemen:
Subject:
Survey Questionnaire This refers to your Survey Questionnaire, received by this office on December 4, 1978.
Thank you for informing us of the actions documented in your response to ti. 3 questionnaire. These actions will be examined during a subsequent int?ection of your licensed program.
Your cooperation with us is appreciated.
Sincerely,
/
ll& u Robert 0. McClintock, Chief Materials Radiological Protection Section 0S I
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~2-In accordance with GA0 regulations, 4 CFR Part 10 Section 10.3(b)(3),
YES NO itA and the Federal Reports Act, 44 U.S.C. 3512, this survey questionnaire is exempt from clearance by the General Accounting Office.
9.
Do you have a system of management controls to assure that users of licensed material ar.d uses and possession limits are as authorized by your Licensee Name:
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License No. $ N t M ll( t/
license?
Address:
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- 10. Are all individuals using licensed material or f
V frequenting areas where licensed material is used, I)A >
Al E, t GA Please enter instructed in radiation safety, applicable NRC
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information.
regulations, facility procedures and license
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conditions?
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Telephone No.
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- 11. Do you provide personnel monitoring devices for
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individuals involved in your licensed activities?
I7, Responsible individual or Radiation Safety Officer: d l.
s u s </:40
- 12. Have there been any radiation exposures to Mark an X for your answer in the appropriate box.
YES NO NA individuals in excess of the limits specified in 10 CFR Par' 20, Section 20.1017 1.
Have you possessed or used licensed material under a your NRC license? If answer is no, return the LvJ
- 13. Are rooms
.as where licensed material is fom with no further response, used or s o posted in accordance with applicabin (C regulations?
2.
Have any changes been made in your facilities or equipment from that described in your application V
- 14. Do you conduct routine radiation and contamination fnr license or most recent application for license surveys?
amendment?
- 15. Do you maintain records of surveys of radiation 3.
Have any changes been made in the use or quantitles and contamination?
of licensed material from that authorized by your license?
- 16. Are your present radiation survey, detection or counting instruments different from that described in your most recent license application?
4.
Do you maintain records of all receipts and e
transfers of licensed material?
6
- 17. Do you calibrate your radiation survey instruments 5.
Do you dispose of waste licensed material by at intervals of one year or less?
incineration?
- 18. Do you test your sealed sources for leakage at the 6.
Is licensed material secured to prevent unauthorized required intervals?
access or removal?
U
- 19. Do you maintain records of tests for leakage of 7.
Has there been any loss or theft of licensed sealed =Nrces?
material?
v
- 20. Have any of your tests for leakage of sealed
/
sources resulted in removable contamination above 8.
Have there been any incidents or unusual occurrences as a result of your licensed activities? Examples the limit specified in your license and/or NRC are personnel overexposures, contamination, releases regula ttuns?
of radioactivity.
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Are the do,cuments described in,,10 CFR Part 19, oe 21.
Section i.ii,,osted as,equ ed by that,a,t?
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3 YES NO NA
/
Answer the following questions if your license authorizes medical uses of licensed material.
If not applicable, mark NA.
- 22. Do you have procedures and methods of control for identifying the isotope, compound, quantity and resulting dose before a medical achinistratien?
- 23. Have there been any incidents of "misadministrations in the past two (2) years?
Please record the arrount of time spent completing this y
questionnaire.
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't c ce. L d Signature and title s,
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Please feel free to add any coments you may wish to make.
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s NUCLEAR REGU TORY OMMISSION j
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KING OF PRUS$1 A. PENNSYLVANI A 19406
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OFFICI AL BuslNE55 PEN ALTY FOR PRIV ATE USE.1300 UNITED STATES NUCLEAR REGULATORY COMMISSION REGION I 631 PARK AVENUE KING OF PRussI A. PENNsYLVANI A 19406 Y
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