ML20009D009
| ML20009D009 | |
| Person / Time | |
|---|---|
| Site: | 07002232 |
| Issue date: | 05/28/1981 |
| From: | Centrone J WEST JERSEY HOSP., CAMDEN, NJ |
| To: | |
| References | |
| 19205, NUDOCS 8107220372 | |
| Download: ML20009D009 (1) | |
Text
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90'~223z APPROVED BY GAO
. U S. NUCLE A R RE GU',ATO R Y L '.' '%51Cf6 B 1CO225 MO37 0
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Expires 5/31/32 CERTIFICATE OF DISPOSITION OF MATERIALS fg (All B:ocks MUST BE Corr'p:eted)
.LMLW REF # 70-2 qq..y L CUGE NAM: AND ADDRcOS
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PM \\ 22 UCENS5 NUMBER West Jersey Hospital Systems SIN-16h6 Mt. Ephraim & Atlantic Avenues LICENL. E:<PIR ATION DATE Camden,Ilev Jersey 0810h Jciica 6/30/81 c Lcensae or 3ay in datua' execut.ng this certif cate nq LAhalf of :Pe licenM= certify that: (Cn cA and/or corno'ere appropria e itern/Il t;efosar. )
- 1. No ma:vrrais nwe tan procured by !icen;ee.
mate im proc.uted and/or poss.esseo by iicmsc-e uncer licer).wrncer shoe.n scove, hue ben tra.,Jer.ed to;
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- 2. ~
been performed by Francisco Enriquez, M.D., at the above address.
veh:ch has NRC license number:
SIN-16h6 2
- 3. All materials orocured and/or poswssed by license under !icense number shown accve 5we been transfe red to:
which has ficense numbar:
isaued by -
39 Agreement State pursuant to Section 274 of the AtoTic Enargy Act cf 1954,as ame ded, and the Energy Reortpwation Act of 1974.
- 4. Ma:ena\\s haue been disposed of in tre f ollowmq rnarr;er. (Descnbe specific discoulprocertures -if addihonalspace is needed.
- ise revv e side.)
We do not wish to renew this license at this time.
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JOSEPH F. CiNTPfNE, M.D.
CWI FY ING O F FICI At.
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- LEASE METURN TO:
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SIGNATURE U.S. Nuctear Regulatory Cornmission l
Cf fice of Nuct+4r Meterni Saf ety and Saf eguards Wash:ngton. D.C. 20555
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