ML20138G222
| ML20138G222 | |
| Person / Time | |
|---|---|
| Site: | 07001972 |
| Issue date: | 05/08/1975 |
| From: | NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| To: | |
| Shared Package | |
| ML20136D106 | List: |
| References | |
| NUDOCS 8512160268 | |
| Download: ML20138G222 (2) | |
Text
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UNITED' STATES ATOMIC ENERGY COMMISSION h
f SPECIAL NUCLEAR MATERIAL LKENSE 4
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Chapter 1, Part 70, "Special Nuclear Material", a license is here g'
y and poucw the special nuclear material designated below; to use such special nuclear material for t p
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purpose (s) and at the place (s) designated below; and to transfer such material to penons authorized t su k
'j receive it in accordance with the regulations in said Part. This license shall be deemed to contain the
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4 conditiore specified in Section 70.32(a) of said regulations, and is subject to all applicable rule
%ji regulitions, and orders of the Atomic Energy Commission now or hereafter in effect and to any specified below.
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f f-j pl Licensee N
- 3. l.icense No.
SNM-1530 h
1.Name Henrietta DeLyzer
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- 2. Address
- 4. Expiration Date 379 Lake Street April 30, 1980 4:
Apt. 209 I
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' Sault Ste Marie, Ontario, Canada S. Docket No.
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70-1972
- 6. Special Nuclear Materia!
- 7. Mesimum quantity of special nuclear material 4
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which licensee may possess at any one time I4; under this license 8"
y Plutonium (Principle radionuclide
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Single source containing 210 milligrams f
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- 8. Authorized use k
To possess in the United States a nuclear battery contained in an f
implanted Medtronic, Inc., Model 9000 Nuclear Powered Pacemaker, h
Serial No. 4R0184N.
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'f) 6 CONDITIONS
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- 9. Unless otherwise specified. the authorized place of use in the licensee's address stated in ite 10 II 'd above.
- 10. Place of use is anywhere within the United States including Alaska, h
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Itawcii, and U. S. Territories and Possessions in the Pacific.
ill. While visiting in the United States the licensee shall carry on her l
'f person at all times the Medical Alert Card supplied with thin license i
in addition to wearing the identification bracelet and carrying the l
4 M-identification cards required by the Canadian Covernment.
%q 8512160268 851024 REC 1 LIC70 SNM-1962 PDR
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U. 3, ATOMIC ENEttGY COMyassWE)
Page 2 og e pcges SPECIAL NUCLEAR ense Number M-U
...ATERIAL LICENSE Docket No. 70-1972 Supplementary Sheet CONDITIONS (Continued)
- 12. Except as specifically provided otherwise by this license, the licensee shall possess and use special nuclear material described in Items 6, 7, and 8 of this license in accordance with statements, representations, and procedures
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contained in the letter and application f rom Mrs. IIenrietta DeLyzer postmarked April 11,1975.
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l For The it. S. Nuclear Rep,ulatory Conmission Materials Bronch n$T2tyLi$bIvQQ{sandFeelCycle D;te _ _
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