ML20010B695

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Discusses IE Insp of License 34-18868-01 on 810717 & Forwards Notice of Violation & Mgt Control
ML20010B695
Person / Time
Issue date: 08/06/1981
From: Sreniawski D
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Shafer P
OTTO C. EPP MEMORIAL HOSP., CINCINNATI, OH
Shared Package
ML20010B696 List:
References
NUDOCS 8108170415
Download: ML20010B695 (2)


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N tm Otto C. Epp Memorial Hospital License No. 34-18868-01 ATTN: Patricia Shafer Administrator 8000 Kenwood Road Cincinnati, OH 45236 Gentlemen:

This refers to the routine safety inspection conducted by Ms. E. Matson of this office on July 17, 1981, of activities authorized by NRC Byproduct Material License No. 34-18868-01 and to the discussion of our findings with you and members of your staff at the conclusion of the inspection.

The inspection was an examination of activities conducted under your license as they relate to radiation safety.:nd to compliance with the Commission's rules and regulations and with the conditions of your license. The inspection consisted of a selective exar.ination of pro-cedures and representative records, observations, ino3p% dent measure-ments, and interviews with personnel.

During this inspection, certain of your activities appeared to be in noncompliance with NRC requirements, as specified in enclosed Appendix A.

A written response, submitted under oath or affirmation, is required.

In addition to our concern for corrective action with respect to the specific items of noncompliance noted, we are concerned about your management control system that has permitted these items to occur.

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Consequently, in your reply to this letter, please describe those actions taken or planned ta improve the effectiveness of your' management control over your licensed activities so as to preclude the recurrence of these or similar items of noncompliance. Enclosed is Appendix B, " Management Control" to provide you with some guidance for your response.

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8108170415 810806 NMS LIC30 34-18868-01 PDR

i Otto C. Epp Memorial Hosptial AUG 6 1981 We will gladly discuss any questions you have concerning this inspection.

Sincerely, 1

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D. J.

eniaws i, Chief Materi s Radiation Protection Sectio 2

Enclosures:

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Appendix A,' Notice of Violation 2.

Appendix B i

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