ML20132A497

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Submits Findings of Insp on 790118 of License 05-00046-13. No Noncompliance Noted
ML20132A497
Person / Time
Issue date: 02/05/1979
From: Brown G
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To: Ghaed N
FITZSIMONS ARMY MEDICAL CENTER, AURORA, CO
Shared Package
ML17354B291 List:
References
FOIA-96-395 NUDOCS 7903080195
Download: ML20132A497 (14)


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UNITE O ST A TE$ NUCLE AR RECULATOR Y COMMIS$lCN 4[ A,C y 7,66 g

INSPECTlON & ENFORCEMENT -STATISTICAL DATA

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PRINCIPAL INSPECTOR LICEMEE VENDOR REVIEWER  :

IRAN $= OUCKiffeUVesh IAi REFORI NO DA T E 51NO.1NV E S r fsf.SP R EGION FROM CONDUCTING AC Taas 7 9 19 24 tvPg ACTIVITY I h h I Cl / bbl 31 fCllCl/l/l8l7l#/l lEl Ag 15 18 M M D D Y Y 31 OR LICENSE NO (8Y PRODUCTI l7lfhl/I TO

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ON 766 WHENEVER PREVIOU$LY '

A 4) CITED ITEM OF NONCOMPLIANCE

$ OFFICIALLY DELETED FROM N NUM9ER OF DEVIATION eTEMS IN LETTER TO LICENSEE:

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THE RECORD.

44 45 1 O NUMBER OF LICENSEE EVENTS Q 46 INSPECTION F EE 1 1 O NON ROUTINE / VENDOR (No Feel 2 O ROUTINE (No Feel 3 O ROUTINE (Fee) 4 O ROUTINE (Fee Reduced) l l

0 47 CONTENTS 2 7900 INFORMATION O 'S' YES REGION AL OFFICE LETTER OR REPORT TRANSMITTAL DATE FOR INSPECTION OR INVESTIGATION 591 OR LETTER ISSUED TO LICENSEE REPORT SENT TO HOS FOR ACTION IMMEDIATE ACTION LETTER g 54 59 60 DATE 65 48 53 101M 015171 '1 1IIIIII IIIIII I

' M M O O Y Y M M D D Y Y MM O D Y Y I

SUBJECT OF INVESTIGATION (CHECK ONE BOX ONLYi 6&67 i MISC.

10 CF A 20 403 TYPE 8 10 CFR 20 405

) _ TYPE A 010.N TE RN AL OVE REXPOSURE 06 0 110 lNT. OVE RE XPOSURE 15 0 CRITICALITY 210 EQUIP. FAILURE 02 O EX TERN AL OVE RE XPO$URE 07 0 12 O EXT, OVEREXPOSURE 16 O LOSS / THEFT 220 ALLEGATION /

08 0 13 0 EXCESS RAD. LEVELS 17 0 MUF COMPLAINT S 03 O RELEASE TO UNREST AREA 04 O LOSS OF F ACILITY 09 0 14 O EXCESS CONC. LE*/ELS 18 O TR ANSPORT ATION 23O PUBLICINTEREST 10 0 19 O CONT AM/ LEAKING 24O SABOTAGE 05 O PROPER TV DAMAGE SOURCE 250 ABNORMAL OCCUR.

20 0 E NVIRONMENTAL EVENT 260 OTHER HE ADOUARTERS ENTRIES t HOS ACTION ON INSP/ INVEST REFERRED SY REGION: ggg4 a.eR . t l.,C l l l

- 70 75 NOTE:

J U DATE HOS ENFORCEMENT LETTER. NOTICE. ORDER ISSUED: l l l l l ll E FIED B IE M M D D Y Y WHENEVER ENTRIES ARE 76 M AOE IN BLOCKS T U V CIVIL PE NALTY ISSUED.

77 80 1IIII '

W O ATE 766 ENTERED INTO COMPUTER FILE (MO/YR): M u y y EFERENCE:

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  • Page- 1 o' -

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  • Attach'd E I Appendix A W

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t 1 Appendix c it.C W n1sA d M nJlut2 4,tM -

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Licensee contact: A . /Ve % M MM Telephona no. Je// - f.2/ 7 -

M *Y W of-License no.Q.T-60096 ~ /.? Last amend:ent and date: }h bb $

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Catescry: S./ . and Prfority: , as of last amendment.

. Inspection date(s): /-/I'7 Type of inspection: Mn.

j, -//-7g / D o.:1 O 7 ~&M '-

g -/0 '76 mdf5 5Ltt'ARY OF FitDlt:GS ND bCilal

[ ] tb nonco.m.pliance, clear 591 issued [ ] Honcorp11ance, 591 issued l

[ ] tb.w pliance, Appendix A [4'1(egional action Hq action

[ tion on previous conc =pliance, Appendix B . [ ] Supplemental info, Appendix C-

. PIC&feG%TICNS I See basis in Appendix C .or attached c:end. -

[.] Change Category to: [ ] Change Priority to: -

[Wffaxt inspectfon date: ha. 4~.

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PERSONS Carra.ir.a W W tua '

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CAL a

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Plan approved: .Date: .

Litensee:.

I Am MUM O License no: O S - cwo </ 4:, - /3, I

Inspection Itra 5 M "O "I' "8* 736 U " I"I*

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.. l Esnager+nt raeting - Entrance ,

and Exit Intervios 307033 .

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Inittsi l Hana;er:ent Meeting 1

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Progro requiret:ents, l

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Licensee Event Fo11cwp 927003 I

Fo11cwp ch Inspector-identifled proble ts $2701B.

1 Followp on None:: pliance ~i and Davistions ,

/ M 927023

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i IE Eulletin/In edlete Action .

Letter fo11cwp . . 927033 .  ;

Eol.lesuo on . 2 _ _%. . . .

,927048 _

Headquarters P.equests Followp en .

P.egi:nal Requests 927053 Independent Inspection E ncr=

t,zo72n1 & 147c6s .

g' Inspector Dispatched to Site

  • 937C03 ,

Fo11cwp on Significant Event '

Cccurring During Inspection 93701B /

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  • Page 3 of'

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Licensee: N i

.. d Ned y License a::S -oe'c V6 J '$ kend.nent po: 3b Iti57ECTIO:1 lid 5 CRITEP.IA FI;;0IttG

1. Or:anizatien_ .

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Structure of or;snization as described in Lic Cond

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'No a ,' m 1 'c , L-a u "ta<rd.v m - wm -

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2. Licens e internal audits Lic Cond eyA' Scope and frequency of audits as required?

Conducted by appecpriate persons? Records . l c1aintained? P.eviewed by c anageraent? .< L I Deficiene!es identified & corrected?

tiorts s P.w us WY '

Op &n && &

. Way_M. W ..

3. Tra f nino e-d cualificatien of oersonael Lic Cond og

. ' Training a retraining conducted as required? . .

)!ritten & oral exa.ts conducted? Examination *

.results reviewed by canage-ent? .

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Instructions to workers per 19.12? 19.12 ~-- - ~ "~

vorrs s auxwes

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4. Radiation orotection oro:edures .Lic Cond O'IN Procedures available and implemented? Identify -p 'joa. cMMg radiopharneceutical end dose (s)? Cover.~~ ~ - "**'~~7~* '~ '

- handling of patients receiving therapeutlc

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doses? Cover handling of cadavers? ~L. .

Emergency procedures for spills, eh? .a=/.

  • 7 Personnel understand procedures?

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7anos - xeesc.a 1 K12A5 I:iSPEGE I;3 FitCIt.G3 -

I Licensee: N i c(IV OW V License rio:Er.oon 94 -/3 h en&ent no: Od ..

ItiSPICTIO:1 IT D .

CRITi.?.!A FItiDIt!G

5. Use of r'aterf als Lic cond Ok Procurerient and use as required? '. pw- ! u=-I M A Special tests (.:aly breakthreugh leak tests, ' ,,

etc) required? ,

jJcM # / h"4 .- W; Dose calibration checks performed? A M W, ,.

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- Posting t labeling as required? 20.203 trotrs a P2n'cs

% c o.A.lY ~~~d M AS Y Ad

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. 6. Storace of raterials C[

Haterial secured in both restricted and 20.207

. unrestricted areas? Adequately? .

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7. Facilities .

Lic Cond ok As described in lic cond or application? .

                                 'Any changes : ede? Adequacy?                   g              h          04._.                                                                   ,         ,

w:rs s pluuss ,

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8. Instr ents Lic Cond O/(

Survey ceters & instru=ents adequate* for e progran? p Me: - ' - e, Instruments & ceters operable? Calibrated? v Calibration adequate? y ,

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13EA3 !!;3PECTED I.Ja FItalim - L t c ensae: / I MO/ Licen'se no T- o no */S - Of :and:est co: t34

                                                                           /                                                                                                                                           ,..

Iti3PICTIOt 17EG CRITERIA FIrlottiG

9. Recelot and transfer of rete-tel dk k*ritten prt:efures for pickup, receivin;. 20.205 -

opening psckages? g - ' Survey of packages when' received? 20.205(c)(1) .  ;. Records of survey of packages? 20.401(b)

  • Tran'sfer o? :.aterials pr:;er? Transfer 30.41, 30.51 records caintair.ed? ae/, ,

Authorized centsiners t: sed? Shipping papers 71.5 .

                                    & package lehels pr:;er for packages on hand?

M # ' ^1 * . . ..

10. Personnel =~~teei":n - exterrs1 . OK Personnel :::niterte; centrols ade<;uate? 20.101, 20.202 i Exposures r.inir.fzed7 d& 20.102(b), 20.401(a)

Exposure re::rds ( 4?.0-? cr 5) caintained? Available for e p1syee review? ,,

                                                                                                     . 20.201 Surveys c,c .fucted? Adequate? g                              ~                               '

RecorUs of c hltoring, surveys? f 20.401 ,

                       .           Levels in unrestricted areas within 11alts?                           20.1, 20:105 Fxts s 7.reA?_ts,                                        w                 .

j fl

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                                                             -M ,                      %%=ga-p                                                  _
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11. Persennel oroteetten - internel CM Airborne c:ncentrations in restricted areas? 20.103 _

l Exposures to r. fears? 20.104 .I Posting of airberte radicactivity areas? 20.203(d) , 20.201  : Survey , cenitoring adequate fer airtsrce radio-activity, surface contaminstion? Records 20.401 r.atntained? .

  • KO;15 s P " M.tss .
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  • Pege- 6 of a . .
                                                                                                                                         .                                  787103 - hedic.LL
                                                                             ' . /?.EAS If 3PECTED AfD Fitalt;G3 Liccesee:                             dO%/

i <.f _ License n$: $ o'-do o yd /3/.oen nt no: 3b

                                                                                                                                                                                                                    \

I.'i3PICTIC.*1 ITE'l . CRITERIA TI;;0I:;G .

12. Ef fluent cent-ols, weste disecsal , . C(

F.eleaseo'feffluen$cc.. trolled? 20.105, 20.303 - k'asta dispossis controlled? 20.331. 20.303, 20.30t, 20.305 . Pro:edures, records ceintained? 20.401 Lic Cond

  • Surveys cade? Adequate? 20.401 -

1:a n s s rz. m xss

                                                            ~      '
                                                                                                                                                  /              WA -

cY,I .

13. 7:otifications a :d re orts .

gK . To individ::als'. 19*13 Overexposures, excessive levels t, concantrations, 20.403, 20.405

  • incidents. M Personnel ,ex;osures and conitoring, ter ifnation 20.407,* 20.408
  • reports.

Thef t or loss of licensed catarf al. 20.402 '

                          'scr:ts / axn?.nu            ^' W                  j                             ~
14. ' Posting of r:tices .

(*)/( Part 20. llcense & doct.::ents, procedures, ' 19.11(a)

              .              r.otice of violations posted?
                                                                                                                                            '~~
                                                                                                                                                            "N                 ^               ' ' ~ ~"
   .                       ti?.C-3 posted?                                                                        19.11(c)                                                                     .,

t; r::s s P".A?.ns

                                                                                                                                                                                                          .2
15. 0.her kieense cendf tf ons . Lic r

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                                                                          ' EXEAS 1:3?Eu:.a lJD Fi:Dl::G5 Li 8^5et: I                               N %/
                                                                        .          s                        License n5: $ 5'-doo yd -/Jp$n                                    nt r:o: 3$

I?i3PICTIC:4ITEt CRITERIA FI:i3I:iG

12. Etnuent cent els, weste disease.1 F.elease of effluen$ cer. trolled?

20.105, 23.303 O(. 1(aste dispossis controlled? Pro:edures, re:ords caintained? 20.301, 20.303, 20.30?, 20.305 20.401, Lic Cond ' Surveys cade? Adequate? 20.401 - tio:IS a r.rratus g ~

                                   ,                   ada/ J W M M                                                                                                         .
13. f:otf f tcatisns a*:d re: orts gQ.

To. individ::als'. CNerexposures, exc.essive levels & concentrations,

                                                                                      '.                    19 .13 20.403, 20.405 incidents. W                                                                                                                                          .
  • Personnel ,exposcres, and conitoring, temination 20.407,* 20.408 a r.eports. .

Theft or loss of licensed catarial. 20.402 '

                 ,         .co:rs i rz a.=.ur #& j                                              ~
14. Postino of reti es ON,-

Part 20, ifcense & doct.:.ents, precedures, - r.otice of violations posted? 19.11(a) liRC-3 posted?

                                                                                                        19,11(c) *~~         ~ ~ ~ ~
                                                                                                                                                  '" 9 ' *~                                ';-         ..

teorm's aLvAtus

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                                                                                                                                                                                                    .2
15. Other license c:rditions ' . Lie -
                                                                                                   ,                                  p.                -

c*)l4 If p c a W N ' Q W - 3.y

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4 Cu trterly Report of Procedures Perforned in the HSF-X  !!uclear : odicine Scrvice 26 Sept - 22 Docenber 1978 . Eadiation Protection Officer  !!uclcar Medicine Serv. 2 Jan 79 Ext. 86h6 , j,ROCFEURE .\,-yg RADIO?!UC'IDE # OF PROCEDURES all! A. Function Studies

                       'l . Thyroid Uptako                   1 %ati,          E-1E3                                          399
2. Thyroid Uptake suc+ I-131 21
3. Perchlorate Washout n u t.' I-123 7
h. Perchlorate Washout u t? I-131 1
5. Drain Vascular Flow t r , tl 99mTc DTPA 129
        ^ '
6. Brain Vascular Flow n (4 99mTc Gluccheptonate $1
7. Renal vascular Flow ic .c? 99mTc DTPA 19 8 Renal Vascular Flow  :. - .:2 99mTc Glucoheptonate 5
9. Renogren s t .c; Hippuran I-131 18
10. Lung Ventilation .-4 ~

Xc-133 gas 22

11. Ochilling Test e.r,c , Cc-57' 10
12. Red Blood Cell Survival  :: ,-l Cr-51 1 31 cod Volume RIFA I-125 2
13. ;f ,l lb. Tilecd Volunc .
                                                                       .,     Cr-51                                            2 If.       21 cod aca                      a ,:;          99nTc Portechnetate
                                                               .c ,,, 99nTc TRPA 2

1

          ,          16        ::e:rt Flow                                                                                 .

L. ,'.,.,Jr.c3t':c'ig

1. b.yroid Scans ' . ' , .
  • I-123 110 2 Thyrcid Scans i-4 I-131 (, wa ' L'd- +' ' .' 1h
3. Thyroid Scans it ti 99nTc Pertechnetate 6
h. 2 rain Scana M' - ! l 99nTc DTPA 131 5 Crain Secno u !? 99nTc Glucchcptonate 51
6. CisterrAgraphy  :.: :2 Inlll DTPA 6
7. P.cnel Scans :r , '. t 99-Cc DTPA 20 8 Renal Scans v -d
  • 99i.Cc G1tcoheptonate 5 i 9. Ltvc./ Spic.'n Scans  :' a ". ? 9 mTc Fu1 Nr Colloid 193
10. Peno ;'orre.-r :s ,cl 99nTc Sulfur Colloid 1
11. '* holo Tody Senns c . , t ,' Ga 67 65
12. Pcne Scans . ,. ..:l 99aTc l'edronate Sodium 219
13. Lung Scans 3 .:; 99nTc Microspheres 23 1b. Heart Scans . .; Thallium 201 15 C. Thercreutic Precedures
,                     ~1 7 desve's Discase               r i t , .'           I-131 (!!aI)                                     8 2        Thyroid Carcinona         It        Je '-G     I-131 (!!aI)                                     h 4

4

Cuarterly Report,1uc1 car Medicino Servico Page 2 D. In-Vitro Studies h710

1. T3 Uptake tes .4 / -;lv I-125 twJ I-125 967
2. T3 RIA 62hD
3. Th RIA  : A4 I-125 s&a I-125 86
h. ETR r, .
                                                                                    / ' :'!      ~
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                                                                         ,A    v/j

^4 Anno Dolbow flM(ASCP) fluelear liedicine Service

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      ,                                      ItGPECTLCH. REJCRT IU'3ER O                                  .
                                                                                                                                                                                                                             . page                of APPENDIX.B - LICEtGEE ACTION 01 PREVIOUS INSPECT!Qi Fitalt4S                                                                                     .
         .                                   Licensee: Twdde/ -fd                                           ,

License no: 05 - 000'/6 - / a P /)m, & &n

,                                                  Identif fcatt'on and surnury of action #taken                                                                                                                                             Status Report no:      75'-O[                   Type n/c: E                kescrib5: /0 (_.F A 2O202 M I
  • Action taken:
                                                     /W                    h&                                                                                                                                                                    05
   ..      !!i                                                                                                                  -

Report no: Type n/c: Describe: . Action taken:

  • OPEN 3 .
                                                                                                                              .                                                                                                             CL0 SED 1

Report no: Type n/c:, Describe: Action taken: ? OPEN - CLOSED O .._

                                                                        '      ~                                                           - - -
                                                                                                                          .                        . . . ~                                                                          .         ~ ~ . _ , ,

Report no: Type n/c: Describe: Action taken:

  • OPEN
         .1-                                                                                                                                                                                                                                            '

CLOSED 1 l

                                    .                                                                                                                                                                                                                                 1 Report no:                                Type n/c:                         Describe:

Actio'n taken:

                                                                                                                                                                                                                        .                     OPEN                    l Ct0sEn
                                                                                                                                                                                                                                                               /

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