ML20056A616
| ML20056A616 | |
| Person / Time | |
|---|---|
| Site: | 03020372 |
| Issue date: | 06/04/1990 |
| From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | Cable H ANCHORAGE DIAGNOSTIC IMAGING CENTER, ANCHORAGE, AK |
| References | |
| 571168, NUDOCS 9008080333 | |
| Download: ML20056A616 (7) | |
See also: IR 05000232/2014001
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DUN - 4 1990
RECEIVED
'90 JUN -7 P2:53
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Docket No. :
030-c0372
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. License No.:
50-23214-01
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Contiol No.:
71168
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Anchorage Diagnostic Imaging' Center
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4003 Lake Otis Parkway, #101
Anchorage, Alaska 99508-
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Attention:
Harold ~F. Cable, M.D.
,
Radiation Safety Officer
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Gentlemen:
Enclosed is the NRC license amendment which you requested.
Please review the enclosed document carefully and be sure that you understand
all. conditions.
If there are any errors or questions, please notify us so-
that we can provide appropriate corrections and answers.
Any future correspondence relating to.your license should specifically
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reference your license and docket numbers.to expedite your' inquiry.
Sincerely,
,
,
Ja'mes L. Montgomery
Senior Mate'ials Specialist
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Nuclear Materials Safety Section
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Enclosure:
Attachment A
Amendment No. 4 to License No. 50 23214-01
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9008080333 900604
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JUN - 4 1990
bec w/origine,1 concurrence,(copy of license, and original correspondence:
License docket folder Peggy)-
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bec w/ copy of-11:ense and correspondence:
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Inspectionfolder(Peggy)
bec w/ copy of license:
Readingfile(Frances)
bec w/ correspondence and 2 co)ies of license:
Maurice Messier, LFMB, MiBB 4503
lic(nse nly:
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REQUEST / COPY ,
REQUEST COPY ,
REQUEST COPY ,
REQUESI CDfY ,
REQUEST COPY ,
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YES / NO
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License Fee Management Branch, ARM
- Program Code: 02200
GION V
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and
- Status Code: 0
Regional Licensing Sections
Fee Category:94@ 30
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Exp. Date: 19
- Fee Comments:
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LICENSEFEEpNSNITTAL
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RIGleli
1.
APPLIC ION ATTACHED
Appitcant/ Licensee: ANCHORAGE DIAGNOSTIC IMAGING CTR,
Received Date:
900424
Docket No:
3020372
Control No.:
571168
License No.:
50-23214-01
Action Type:
Amendment
2.
FEE ATTACHED
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Amount:
dl /gp
Check No.:
,3
3. COMMENTS
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Signed
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Date
MI L\\ IM ()
B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered /
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Fee Category and Amount: h6 h24l
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Correct Fee Paid. Application may be processed for:
Amendment
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Renewal
License
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DT".E 0
Signed
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Date
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ANCHDRAGE DIAGNOSTIC
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c0 AFR 24 A 9 : N
April 19, 1990.
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Beth A. Riedlinger, Health Physicist
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U. S. Nuclear Regulatory Cm mission
Region V.
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Nuclear Materials Safety rection
1450 Maria Lane, suite 210
Walnut Creek, California 94596-536b
Ret License #50-23214-01
Dear Ms. Riedlinger:
We are requesting our possession limit- for- iodine-131 be increased
from 30 to 70 millicuries.
This ' increase is necessary because a
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situation might occur when two therapy patients (30 mci each) may
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be scheduled on the same day.
While no dose will be administered
to a patient in excess of .30 nci, the dose might also arrive from
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the manufacturer with a precalibration assay in excess of 30 mci..
If you should have any questions or conments regarding this request,
please do not hesitate to contact me.-
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Sincerely,
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F.
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Ta'dation Safety Officer
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- 4003 Lake Otis Parkway * * 101 * Anchorage. Alaska 99508 * (907) 563 3493
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U.8 NUCLLMIEllOLS10 Av COMMitsaON
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APPLICATION FOR M ATERIAL LICENSE
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INST.IUCTIONS; SEE THE APPROPRI AT E LICENSE APPLICA110N CUIDE FOR DE T AlLED INSTRUCilONS FOR COMPLETING APPLICATION. $END TWO COPIES
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OF THE ENilRE COMPLETED APPLICA1 TON TO THE NRC OFFICE SPf CIFIED BELOW.
PE tI AL A0tNCitS FILt APPLICATIONS WITH:
IF YOU ARE LOCAf tOIN:
U.S NUCLt AR REGULATORY COMMISSION -
IL LlNOIS, INDI AN A, LOW A. MICHIG AN, MINNE SOT A, MIS 00Uml, OHlO,94
OlvillON OF FUGL CYCLE ANO MAf tRfAL SAFETY,NMSS
WtSCONSIN SGNO APPLICATIONS TO:
. W 4SHINGTON, OC 70558
U.S. NUCLE AR RtCULATOftf COMMIS$1ON, RE ClON lli
RLL @fMER PERSON $ FILt APPLICAflONS AS FOLLOWS,if YOU ARE
M Af t RI ALS LICENSING SECTION
LOCATSOINI
799 ROOSEVELT ROAD
OLEN ELLYN,lt 60137 -
CONNGCTICUf, OGLAWARE, Ol8TRICT OF COLUwel4 MAINS, MARYLAND,
MISSACHUSt if t, NEW JE RSE Y, Ntw YORK, PE NNSYlV ANI A, RHOOf ISL AND,
ARK ANSAS. COLOR ADO, lDAHO, K ANSAS. LOUltl AN A, MONT ANA, Nt9R ASK A,
CA VS AMONT,$tNO APPLICATIOlet TOs
Ntw MG MICO, NOPIM DAKOf A, OKLAHOMA, SOUTH DAKOT A T t KAS, UT AH,
OR WYOMINO, SSNO APPLICAflONS TO
U.S. NUCLE AR RtOULATORY COMMIS$10N. RE0lON I
NUCLE AR MATERIAL 8tCTION S
U S. NUCLE AR Rt0ULATORY COMulS$10N. RE GION IV
631 PARK AVINut
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MAf TRIAL RAOIATION PROT ECTION SECTION
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U.S. NUCLE AR REGULATORY COMMISSION, RiolON il
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MAIERIAL RAOIAflON PROTECTION SECTION
U.S. NUCL4 AR REQULATORY COMeAISSION, RtCION V
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101 MAmit TTA SYheti,8Ulf t 2000
MAfsRIAL R ADIAtlON PROTECTION SECTION
ATL ANTA,0A 30323
' 1490 MARI A LANG, $UlTE 210
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Pt!SOset LOCAT80 lN AOR4tMENT ST AitS SEND APPLICATIONS TO THE U.S. NUCLE AR RGOUL ATORY COMM68810N ONLY 17 THEY WISH TO POSSE 88 AldO USS LICSNSSO MATERIAL
IN STATES SUSJECT TO U.S. NUCLE AM RSOULATORY COMMIS$40N JURISOICTION.
1. THIS IS AN APPLICAflON FOR /CAset apewgpriear semes/
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2. NAME AND MAILING AOORESS OF APPLICANT (tmebatehp Codef
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Anchorage Diagnostic Imaging Contor
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e. AMENOMENr TO LiCENa NUMetR 50-23214-01
4003 Lake Otis Parkway, #101
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C RENSWAL OP LICENS$ NUMetR
g,diorage, Alaska 99508
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3. AOmtssitSIWHERE uCENSIO MAf tRI AL WILL SE USEO OR POS$$$$tO.
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4003 Lako Otis Parkway, #101
Anchorage, Alaska 99508
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4. N AME 05 f!!ISON TO GE CONT ACTIO A50VT THis APPLICATION
TELEPHONG NUMSGR
liarold Cable, M.D.,
(907) 563-3493
SueMIT ITtMS S THROUGH 11 ON S'4 a i1" PAPER. THE TYPt AND SCOPE OF INFORMATION TO Of PROVlotO IS DESCR1960 IN THE LICENSE APPLfCAflON CUiOt,
S. MOICACilVE MATERIAL
s. E sement end mest number, tt chemkol eart/ar physsesi form, and c. me=6 mum amount
6. PURPOttl$I POR WHICH LICENSED MAf tRI AL WILL DE USE0,
vib6 cit will be passessed et any one t6me.
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RAIN NO
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9. TRAINING FOR INOlvlOUALS WORKINO IN OR FREOUENTING RESTRICitO ARG AS
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9. F ACILITit S ANO f QUIPWiF(T,
10. RADIATION SAFETY PROGR AM,
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II.'ffAff t MANAGEMENT,
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13. CE ATIFICATION. (Afust ee cemptemd pr epp4cearf THE APPLICANT UNOGRST ANOS THAT # LL ST ATEMENTS AND REPR85tF.T/ .
.dADE IN TH18 APPLICATION ARE
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BINDING UPON THE APPLICANT.
THE APPLtCAN't AND ANY OFFICI AL EXECUTING THIS CtR flFICATION ON BEH ALP OF T HE APPCICANT,N AMEO IN ITEM 7
'eflFY THAT THIS APPLICATION IS
PXIJARSO IN CONFORMif Y WITH flTLE 10 CODE OF FG'JtRAL REOULATIONS. PARTS 30,32,33,34,3%, AND 40 AND THA' +L INFORM A TION CONT AINE D HERilie,
15 TRUE AN9 CORRICf TO THE 9857 OF THtlR KNOWLtOCE AND BELitF.
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TO ANY OtPARTMtNT OR AGENCY OF THE UNITEO f T Af tS AS TO ANY MATTER Wif HIN ITS JunOSDICTION.
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SiON A TURE.CE R TIF YING OF FictR
TYPEOu RtNTED NAME
TITLE
DATE
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liarold Cable ' M.D.
Radiation Safety Officer
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ON THE ECONOeIC IMPACT OF CURAENT NRC REGULATIONS 1R ANY FUTURE
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PROPOSED NRC REGULA TIONS THAT MAY AF F 4_
YOUr (NRCservianoas pe<mst
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U.S. NUCLEAR CtEGULAiCRY COMMIS$10N
PAGE
OF
P AC.C S l
MATERIALS LICENSE
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Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,
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Ce<te of Federal Regulations, Chapter 1, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations
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heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, ,i
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source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to
deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This
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license shall be deemed to contain the conditions specified in Section 163 of the Atomic Energy Act of 1954, as amended, and is
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subject to all applicstle rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any
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conditions specified below.
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In accordance with letter
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dated April 19, 1990
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Anchorage Diagnostic Imaging Center
3. ucense number 50-23214-01 is amended in
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itsentiretytoreadasfollowsj
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2.
4003 Lake Otis Parkway, #101
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Anchorage, Alaska 99508
4. Expiration date
September 30, 1994
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5. Docket or
030-20372
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Reference No.
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6. Byproduct, source,and/or
7. Chemical and/or physleal
8. Maimum amount that licensee
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special nuclear meterial
form
may possess at any one time
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under this license
A.
Any byproduct material
A..
Any radiopharmaceutical
A.
As needed
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identified in 10 CFR 35.100-
identified in 10 CFR 35.100
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B.
Any byproduct material
B.
'Any radiopharmaceutical
' B.
As needed
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identified in 10 CFR 35.200
identified in 10 CFR 35.200:
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9
C.
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C.
Iodide
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30 millicuries
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per dose; not
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to exceed 70
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total
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9.
Authorized use:
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Medical use describ H in 10 CFR 35.100,
B.
Medical use describc) in 10 CFR 35.200.
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Diagnosis and treatment of hyperthyroidism and cardiac dysfunction.
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C.
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CONDITIONS
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10.
Location of use:
4003 Lake Otis Parkway, #101, Anchorage, Alaska
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11.
Radiation Safety Officer:
Harold F.' Cable, M.D.
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12.
Licensed material listed in Item 6 above is authorized for use by, or under the
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supervision of, the following individual (s) for the materials and uses
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indicated:
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Gerald H. Phillipas, M.D.
10 CFR 35.100, 35.200 and Iodine 131
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Harold F. Cable, M.D.
10 CFR 35.100, 35.200 and Iodine 131
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13.
The licensee shall maintain records of information related to decommissioning at
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the location listed in Condition 10 above, per the provisions of 10 CFR
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30.35(g) until this license is terminated by the Commission.
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SUPPLEMENTARY SHEET
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030-20372
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Amendment No. 4
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CONDITIONS
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(continued) _
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Except as specifically provided otherwise in this license, the licensee shall
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conduct its program.in accordance with the statements, representations,below.
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and.
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procedures contained in the documents including any enclosures, listed
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The Nuclear Regulatory Commission's regulations shall govern unless the
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statements, representations and procedures in the licensee's application and
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correspondence are more restrictive than th,e regulations,
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A.-Application dated July 12, 1989-
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B. Letter dated April 19,.1990
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FOR THE V'.S. NUCLEAR REGULATORY COMMISSION
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(/ James L. Montgomfry
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Senior Materials Specialist
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Region V
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