ML20032D828
| ML20032D828 | |
| Person / Time | |
|---|---|
| Site: | 07002426 |
| Issue date: | 10/23/1981 |
| From: | Loucks J CROZER-CHESTER MEDICAL CENTER, CHESTER, PA |
| To: | |
| Shared Package | |
| ML20032D826 | List: |
| References | |
| 19853, NUDOCS 8111180014 | |
| Download: ML20032D828 (1) | |
Text
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APPROVED B UA5
- " M1 NRO-314 U.S.HUCLEAR REGULATORY COMMISSION C.180225 (R0377 o
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Expir:s 5/31/32 CERTIFICATE OF DISPOSITION OF MATERIALS (All Blocks MUST BE Coreptered)
LICENSE NUMBER L CENSEE NAME AND ADDRESS CROZER-CHESTER MEDICAL CENTER SNM-1691 15th STREET & UPLAND AVENUE UPLAND, CHESTER, PENNSYLVANIA 19013 L CENSE EXPIRATION DATE 11/30/81
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e licensee or any individua! executing this certifica:e on behalf of the licensee certify : hat: (Check enc /cr complete appropriate itemisf below.)
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- 1. No mewri.11s have been procured by licensee.
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- 2. All materials procured and/or possessed by licensee under licensa number shown above, have been transferrec to:
L which has NRC license number:
2
- 3. All materials procured and/or possessed by licensee under license nurr:ber shown above have been transferred to:
which has license rumber:
issued by an Agreement Sta:e pursuant to Section 274 of the Atomic Energy Act of 1554,as amended,and the Energy Reorganization Ai:t of 1974.
2 a.?aterials have been disposed of in the fct:owing rnanner. (Describe specific disoosalprocedures - if additionalsauce is needed, use reverse side.)
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ME RTIFYIMG Of>1CI At,
- LEASE RETURN TO:
auQ, %
U.S. Nuclear Regulatory Commission OS H. kwh, Ma D*
CHice of Nuclear Matenal Safety and Saf eguards President
~, insss 8111180014 811020 '
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^IE PDR ADOCK 07002426 October 23, 1981 C
pg
- .:, FOR?.1314 (7 79) SUPERSEDES PREVIOUS EDITIONS WHICH ARE 03SOLETE.
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