ML20138G160

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License SNM-1962 for H Delyzer,Authorizing Possession of Pu-238 in Medtronic,Inc Model 9000 nuclear-powered Pacemaker in Us
ML20138G160
Person / Time
Site: 07003029
Issue date: 10/24/1985
From: Kinneman J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20136D106 List:
References
25689, NUDOCS 8512160254
Download: ML20138G160 (2)


Text

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J 15 847 U.S. NUCLEAR REGULATORY COMMISSION

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MATERIALS LICENSE >

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93 -438), and Title 10,

Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations g 1 heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, d J source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below;to 1 deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This o l license shall be deemed to contain the conditions specified in Sect.r.
183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below. 88 F j Licensee g

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I- Henrietta Delyzer 3. Ucense number SNM-1962 l f

1 1060 Third Line East Ip i

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.. A MM Sault Ste Marie 7 bl

' l Ontario, Canada P6A 6J8 4. e i -; y ' ate Eipiration d , October 31, 1990 N g

, h 'G 5 Docket or w i070-03029 fg,

[1l G Reference No. '.SNM_-1530

1 6. Byproduct, source,and/or A' 7. Chemical and/or physical %8. Maximum amount that licensee f special nuclear material form

'[may possess at any one time E g ,j> '

t , g .under this license g i j

!j A. Plutonium (Principal A'.iSealed Source / A. One' source not to exceed 210l milligrams If' f.3

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i radionuclide Pu-238) r' ~ p@ 4 ( , f' p

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9. Authorized use y,,, 4gy < '

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k A. To possess in the United St'a'tes a luclea Fbatt ontbinedin5nimplanted '

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Medtronic, Inc. Model 9000 nuclear-powered pacemaker, Serial No. 4R0184N.

T o V, M4 44111 M J' < '

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S, r CONDIT10NS = .,s v

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ilj 10. The authorized place of use is anywhere within the'. United. States including Alaska, p Hawaii, and U.S. Territories and Possessions in the Pacifjc. 11

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h11. .While visiting the United States (the licensee,shall carry on her person at all times g; j the Medical Alert Card supplied with this , lice.ns~e in addition to wearing the 1 identification bracelet and carrying the identification cards required by the p)

A Canadian Government. y,i

'd l12. Except as specifically provided otherwise by this license, the licensee shall possess j y and use licensed material described in Items 6, 7, and 8 of this license in accordance y g with statements, representations, and procedures contained in letter received g j April 15, 1975 and letter dated August 21, 1985. The Nuclear Regulatory Commission's g a regulations shall govern the licensee's statements in applications or letters, unless W i the statements are more restrictive than the regulations.

4 1 8512160254 851024 REG 1 LIC70 N N SNM-1962 PDR li For the U.S. Nuclear Regulatory Commission k i Original SiEnod By: D g p i s 007 2 4 1985 Ahn D Unnoan By g' j'Date Nuclear Materials Safety and g I

'g Safeguards Branch, Region I King of Prussia, Pennsylvania 19406

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'# "G%,, , / UNITED STATit; xs J. ,81 NUCLE AR REGUL ATOfiY Cor/ MISSION f V' k~: 2 W ASHir.0 Tor , D. C 20555 3 k @Q f E

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BETWEEN: William 0. Miller, Chief License Fee Management Branch Office of Administration Regional License Section Material Licensing Branch

.FCMS, Office of Nuclear Material Safety & Safeguards LICENSE FEE TRANSMITTAL

'A. REGION

1. APPLICATION ATTACHED .

Applicant / Licensee: [ /4 M 4A/_M Application Dated:

  • M/ I'd Control No.: D [fI License No.:
2. FEE ATTACHED Amount:

Check No.: -

3. COM!iENTS Signed Date B. LICENSE FEE MANAGEMENT BRANCfl., , -
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1. Fee Category and Amount- f .fhe.~f

!MW$hf) T

2. Correct Fee Paid. Application may be processed for:

Amendment Renewal ,

License [

/JLe1 mm Siceed ,c, -

Date

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