ML20032C799
| ML20032C799 | |
| Person / Time | |
|---|---|
| Issue date: | 11/05/1981 |
| From: | Sreniawski D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20032C797 | List: |
| References | |
| NUDOCS 8111110738 | |
| Download: ML20032C799 (2) | |
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t Appendix A NOTICE OF VIOLATION Mumising Memor2'1 Hospital License No. 21-18698-01 As a telt of the inspection conducted on October 22, 1981, and in accordance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980), the following viclations were identified:
1.
License Condition No. 16 requires that licensed material be possessed and used in accordance with the statements, representations, and procedures contained in certain referenced applications and letters.
The referenced application dated April 11, 1979, states that the Radiation Safety Committee will meet a least four times annually.
Contrary to the above, the Radiation Safety Committee met three times in 1979 and only once in 1980.
This is a Severity Level V violation (Supplement VII).
1 2.
License Condition No. 9 states that the licensee may perform, diagnostic procedures listed in Groups II and III, Section 35.100, Title 10 Code of Federal Regulations, in vitro studies, and treatment of hyperthyroidism
& cardiac dysfunction.
Contrary to the above, the licensee performed thyroid uptake ca"'ies using iodine-131 as sodium iodide on ten occasions in 1980 and 1961.
These studies are listed in Group I of 10 CFR 35.100 and are not authorized by this license.
This is a Severity Level V violation (Supplement VII).
3.
10 CFR 35.14(e) requires that sealed calibration or reference sources possessed pursuant to 10 CFR 35.14(d) be tested for leakage and/or contamination at intervals not to exceed six months.
Contrary to the above, a 201 microcurie cesium-137 sealed calibration source was not leak tested from May 13, 1980, to April 4, 1981, a period in excess of six months.
This is a Severity Level V violation (Supplement VII).
fh1[jO38e11106 21-18698-ol PDR I
Appendix A 4.
License Condition No. 16 requires that licensed material be possessed and used in accordance with the statements, representations, and procedures contained in certain referenced applications and letters.
The referenced aoplication dated April 11, 1979, states in Item 10(B) that the linearity of the dose calibrator will be checked at least semi-annually.
1 Contrary to the above, a linearity test has not been performed on the dose calibrator from September 12, 1980, to the date of the inspection.
This is a Severity Level V violation (Supplement VII).
Pursuant to the provisions of 10 CFR 2.201, you are required to submit to this office within thirty days of the date of this Notice a written statement or explanation in reply, including for each item of noncompliance:
(1) cor-rective action taken and the results achieved; (2) corrective action to be taken to avoid further noncompliance; and (3) the date when full compliance will be achieved. Under the authority of Section 182 of the Atomic Energy Act of !?$4, as amended, this response shall be submitted under oath or affirmation.
Consideration may be given to extending your response time for good cause shown.
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ti/5/81 i
j mb Dated /
/
D. J.ISreniawski, Chief t iterials Radiaiton Protection ec/ica2
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