ML20009D005
| ML20009D005 | |
| Person / Time | |
|---|---|
| Site: | 07002249 |
| Issue date: | 05/12/1981 |
| From: | HUTZEL HOSP., DETROIT, MI |
| To: | |
| References | |
| 19190, NUDOCS 8107220369 | |
| Download: ML20009D005 (1) | |
Text
i 70- 2249 APPROVED BY GAO F 0 4*.1 NRC 314
').S. NUCLEAR. REGULATORY COMMISSION B 100225 (RO374) i7 79r Expires 5/31/32 CERTIFICATE OF DISPOSITION OF MATERIALS p4 (Alf Br5c$s f5 JST BE Comptered)
LICENSE NUNIB R Ag LICENSEE NAME AND ADDRESS H M/
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LICENSE EXPlR ATION DATE
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.., W 7 e i cessee or any individual executing this cert. fica? - on tehalf of the iscensee certify that: (Chect and/or corrap!ere appropr/Jte l'em(s) below.)
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- 1. No ma*.eri3!s have baen procured by licensee.
- 2. A!! material' procured and/or posses' 3 by licensee under licerue number shown above, have Nen transferred to:
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which Ms NRC license number:
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- 3. All materiais Vocured and/or possessed by licensee under license numtwr sh:rWn abcrse have been transferred to; e.nich his license rumber:
issued by an Agreement State pursuant to Section 274 of the Atornie Energy Act of 1954.as amee.ded,and the Energy Reorpnization Act of 1974.
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- 4. *.1aterials have been d;sposed of in the f oliosmg manner. l Describe specific discosalprocecures - if additionalspace is needed, us reverse side.)
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.lsshirgton.D.C 20552 8107220369 810512 l DATE May 12* 1981 PDR ADOCK G7002249i C,,,,,,,,,,,,,,,,
,,,, f D6.,hS PREVIOUS EDITIONS WHICH ARE 03SOLETE.
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