ML20141B220

Matls Licensing Package for Amend 1 to License 50-29096-01MD for Alaska Radiological Pharmacy Ltd.Control:572434

ML20141B220
Person / Time
Site:	03034015
Issue date:	05/01/1997
From:	Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
References
50-29096-01MD, 50-29096-1MD, 572434, NUDOCS 9705150187
Download: ML20141B220 (32)

See also: IR 05000290/1996001

Text

Th. mC[ tim w IsrTanansnausunt w w m2ar w w w w w Incwi w m m w w w w w w w w w w w w w

FORM 374 U.S. NUCLEAR REGULATORY COMMISSION Amendment No. 1

MATERIALS LICENSE

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

g

p Federci Regulations, Chapter I, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and representations here [l

(

"

by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byprodu

mate 7ial designated below; to use such material for the purpose (s) and at the place (s) designated below; to delive

k persons authorized to receive it in accordance with the regulations of the applicable Part(s).This license shall be deemed to co

$ specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, Rl

and o

3 Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below.

E

9 E,

3

8

Licensee In accordance with letter dated

November 21, 1996

f

-

3. License Number 50-29096-01MD is amended in

1. Alaska Radiological Pharmacy Ltd. g

lg its entirety to read as follows: g

E

9

g

2~

2000 W. International Airport Road 4. Expiration Date April 30, 2001 E

g-

a Suite A-11

j Anchorage, Alaska 99502 5. Docket or

Reference No.-

030-34015 E

g

y 8. Maximum Amount that Licensee s

'

6. Byproduct, Source, and/or 7. Chemical and'or Physical

g May Possess at Any One Time g

g Special Nuclear Material Form

Under1his License j

-

W E

M "

n $

4

-

p

-

M

N A. Any byproduct material A. Unsealed A. Molybdenum-99 35.0 Ci k

5 listed in 8.A. which is Technetium-99m 35.0 Ci k

E

5 initially distributed Xenon-133 1.0 Ci

N

s in accordance with a Strontium-89 495.0 mci E

A specific license issued- Phosphorus-32 50.0 mci

N

N pursuant to 10 CFR Rhenium-186 500.0 mci

E

4 32.72 or equivalent Iodine-131 1.0 Ci

M Agreement State El

'

E

s regulations EI

i

8 35 curies

g B. Technetium-99m B. Unsealed B. E i

s

,

M

El

5 C. Strontium-89 C. Unsealed C. 50 millicuries

lM D. Phosphorus-32 D. Unsealed D. 50 millicuries

E'1

E l

y

E. Rhenium-186 E. Unsealed E. 100 millicuries l

3 F. Any byproduct material F. Prepackaged units F. 50 millicuries E ,

E

$ listed in 10 CFR for in vitro

y 31.11(a) diagnostic tests E

Ei

M sl

4

A

r

hlE'

il l

I g00N /

lllill!lllllllllllill lil!l,llll(lllllll

' ~ ~ ~ ~ ~

g0 [{

M 9705150187 970501 '

El

s

4 PDR ADOCK 03034015

kurwNerstwmmwryerint/msmmm'mmmmmmmmm,mmmmmm,mmmmmmy,mmmd Prmted efi terwird paper

. - ---- . - . . . . ,__

g a m m m m.m m m - w w w mm - w w w w w w = m m = = = m m m m m m m w =m m = = = = m = w mig +

2 og 6 paces

g NR FORM 374A y

U.S. NUCLEAR REGULATORY COMMISSION PAGE j

g Lbense Number g

g

50-29096-01MD r

'

i MATERIALS LICENSE

SUPPLEMENTARY SHEET

Docket or Reference Namber

030-34015

E

g

$

E

N

g Amendment N9. 1 E

E

$

I

N

t

E

G. Any byproduct material G. Any sealed source G. 50 millicuries I

l.

authorized under 10 CFR listed in 35.57(a)

I

8

35.57(a) that has been

manufactured, I

'

labeled, packaged, I

"

4 N and distributed in L ,

l

E

accordance with a

. specific license

i

E

'

I '

issued pursuant to i

'

I 10 CFR 32.74 or ' '

.

L

I equivalent > t

regulations of any *

.

^

I .

I Agreement State . E

I

H. Any byproduct material H. Any sealed source "H., 500 millicuries

l listed in Sections that has been g

y

.

y

35.400 and 35.500 of manufactured, g

g

10 CFR Part 35 labeled, packaged, g

y

and distributed in g

g accordance with.a g

g

specific license. g

issued pursuant to g

10 CFR 32.74 or E "i

equivalent -

E

k Agreement State

E

'

regulations

f I. Uranium (Depleted in -1. 180 kilograms

'

( I. Metal encased 11n) t

y the isotope stainless steel g

g Uranium-235) g

> t i

'

p' 9. Authorized use

,

<

, , , , ,

g

4

1 E

-

p A. through E. PreparationanddistIibutionofradioactivedrugsand g

g redistribution of Mo99/Tc99m generators to authorized g ,

g recipients. g i

'

I E

y F. Redistribution to specific licensees or general licensees pursuant to 10 CFR g ]

g 31.11 provided the packaging and labeling remain unchanged. g

I E

Instrument calibration. Redistribution of sources to specifically authorized

'

g .G. t

g recipients. Pursuant to 10 CFR 32.74, the licensee is authorized to g ,

gs redistribute sources to persons licensed pursuant to 10 CFR 35.57(a) or under g j

equivalent licenses of Agreement States. g H

h

N t

N E

u e

R E

R t

N .

t

k m m m m v = m m m m m m m g y m _m m m m m m m m m m m m m s m m-m m m m m m m m m m J ]

-mmmmmmmmmmmmmmmmmmEmWEmmWWWWENNWWWWNWXWWWWWW '

g _NR FORM 374A

U.S. NUCLEAR RETULATORY COMMISSloN PAGE 3 OF 6 PAGES g

g License Number g

g 50-29096-01MD g

MATERIALS LICENSE Docket or Reference Number g

W

g~ SUPPLEMENTARY SHEET 030-34015 E

p E

y Amendment No. 1 E

R E

I N

I E

I E

y 9. Authorized use (Continued): E

B E

g H. Redistribution of sealed sources as received from the manufacturer in the g

g manufacturer's original packaging and shielding and accompanied by the g

y manufacturer's approved instructions to authorized recipients for use and g

y storage, g

i I. As shielding for molybdenum-99/ technetium-99m generators.

E

g

y

g ?l n D C(if g

y

Pursuant to 10 CFR 32.71, 32.72,'32.74, the licens,e"is e authorized to distribute g

y

the byproduct material described in Items 6 and 7 a~nd Iirepared in accordance with g

y

this license to persons licensed pursuant to Section 10,CFR 31.11, or Sections g

y

35.57, 35.100, 35.200, 35.300, 35.400, and 35.500 of 10 CFR1Part 35, or under g

y

equivalent Agreement State licenses. .;, g

ky CONDITIONS ay -

l

10. Licensed material'shall be used only at the licensee's facilifblocated at 2000 W. l

l International Airport Road, Suite, A-11, ~ Anchorage,; Alaska. (s y

9

l

11. A. Licensedmaterials'hallbeusN5y,~or'underthesupervis n of: l

l

3

1) authorized nuclear pharmacists: Peter C.'Iverslie,lR.Ph.; E

E'

5 Steven C. Dragotakes, R.Ph.; Jeffery S. Cone, R.Ph.;

! Kathleen M. Taylor, R.Ph.; or Ronald J. Callahan, R.Ph.; Yunga E

? Vercelline, R.Ph. ,

-

-

E

I

s E l

5

2) a pharmacist working or designated as an authorized nuclear pharmacist E

l

4 in accordance with 10 CFR 32.72(b)(2) and (4).,

'

E

l

3 E ,

B B. The Radiation Safety Officer for this license is Peter Iverslie, R.Ph. E

B E

B 12. Sealed sources containing licensed material shall not be opened or sources removed E l

from source holders by the licensee.

'

9 E

W E

B 13. A. Sealed sources shall be tested for leakage and/or contamination at intervals E

'

3 not to exceed 6 months or at such other intervals as specified by the E

R certificate of registration referred to in 10 CFR 32.210. E

i' E

p B. Notwithstanding Paragraph A of this Condition, sealed sources designed to E

b. emit alpha particles shall be tested for leakage and/or contamination at E

B intervals not to exceed 3 months. W

N E.'

I E

M E

b W

B E

N E

E

E

- m mmensurm arm m m m m m = = m m = = =7= = = = = = = = = =-= = = = = = = = = = d

-

gnumusummmufwwwwwwwwwwwmwwwwwwwwwwwwwwwwwwwwwwmmmwwwg

U.S. NUCLEAR REOULAToRY COMM:SSION 4 OF 6 PMES g

FORM 374A PAGE

g

License Number g

g

50-29096-01MD g

yl g

p MATERIALS LICENSE Docket or Reference Number

g SUPPLEMENTARY SHEET 030-34015 E

4

N

g' Amendment No. I g

E

$

a

N

E

N

8

N y

g 13. (Continued)

E

C. In the absence of a certificate from a transferor indicating that a leak test g

has been made within 6 months prior to the transfer, a sealed source received g

from another person shall not be put into use until tested. g

E

D. Sealed sources need not be leak tested if: g

5

-

(i) they contain only hydrogen-3; or g

(ii) they contain only a radioactive gas; or l

(iii)the half-life of the isotope is 30 days or less; or l

E

(iv) they contain not more than 100 microcuries of beta and/or gamma emitting .

material or not more than 10 microcuries of alpha emitting material; or l )

E

(v) they are not designed to emit alpha particles, are in storage, and are -

! not being used. However, when they are removed from storage for use or

transferred to another person, and have not been tested within the E

2 E

5 required leak test interval, they shall be tested before use or

transfer. No sealed source shall be stored for a period of more than 10

E

5

W years without being tested for leakage and/or contamination. $

8

$ E'

W E. The leak test shall be capable of detecting the presence of 0.005 microcurie

W of radioactive material on the test sample. If the test reveals the presence E

9 of 0.005 microcurie or more of removable contamination, a report shall be E

B filed with the U.S. Nuclear Regulatory Commission in accordance with E

$ 10 CFR 30(b)(2), and the source shall be removed immediately from service and E,

$ decontaminated, repaired, or disposed of in accordance with Commission El

W regulations. The report shall be filed within 5 days of the date the leak E

$

test result is known with the U.S. Nuclear Regulatory Commission, Region IV, E  !

'

W 611 Ryan Plaza Drive, Suite 400, Arlington, Texas 76011, ATTN: Director, E

$ Division of Nuclear Materials Safety. The report shall specify the source E

N involved, the test results, and corrective action taken. E

E

M F. Tests for leakage and/or contamination shall be performed by the licensee or E

y by other persons specifically licensed by the Commission or an Agreement E

$ State to perform such services. E

E

N

g .

14. The licensee shall conduct a physical inventory every 6 months to account for all Ei

y sources and/or devices received and possessed under the license. E!

W EI

, a 15. The licensee is authorized to transport licensed material only in accordance with Ej

y the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive

( Material ."

M  %(

El,

i

Y

R ul

E'

W

bcnnsnen.rsnwnwrwwransrveurrm m . . . . .cr# m m . . m m m m m m.. m m m m m m m m m

. _ . . -. -- . -

_

.

_

_musr w w w w w w wmm m mw w w w w m m w ww w m m m w w w w ww w m m m m m mm muu

gl . pj FORM 374A -

U.S. NUCLEAR REGULATORY COMMISSION

License Number

PAGE 5 or 6 uses lg

g

50-29096-01MD y

y

g

( MATERIALS LICENSE Docket or Reference Number

030-34015

g SUPPLEMENTARY SHEET E

E

N '

Amendment No. 1

( E

N

N

E

i

E

i

N

N

y 16. Radioactive waste may be picked up from the licensee's customers and disposed of g

g

in accordance with the procedures, statements, and representations in application- g

y dated March 14, 1996. g ,

E

N

g 17. The licensee is authorized to hold radioactive material with a physical half-life g

g of less than 65 days for decay-in-storage before disposal in ordinary trash g

g provided: y

-

A. Radioactive waste to be disposed of in this manner shall be held for decay a l

g

minimum of 10 half-lives. g

$

$

B. Before disposal as ordinary trash, byproduct material shall be surveyed at

the container surface with the appropriate meter set on its most sensitive lg

scale and with no interposed shielding to determine that its radioactivity

l cannot be distinguished from background. All radiation labels shall be

y

g

removed or obliterated.

l g

E

5 C. Generator columns shall.be segregated so that they may be monitored

separately to ensure decay to background levels prior to disposal. l

E

N D. A record of each disposal permitted under this License Condition shall be

E

N retained for 3 years. The record must. include the date of disposal, the date ,

E

$ on which the byproduct material was placed in storage, the radionuclides i

E

4 disposed, the survey instrument used,.the background dose rate, the dose rate l

N measured at the surface of each waste container, and the name of the E i

E

N individual who performed the disposal.  !

F l

9

B 18. In addition to the p'ssession

o limits in Item 8, the licensee shall further E

,'

9 restrict the possession of licensed material to quantities below the minimum limit E j

A specified in 10 CFR 30.35(d) and 40.36(b) for establishing decommissioning E i

M financial assurance. E

B E

'

E

N l

.

N N 1

N N

E

5

t E

9" E

W W

N E

R) E

E

W

W E i

N- E \

N' E

W E

b E I

E l

N

!

E

M

W E

'?*l ~d~E=M32AMX4M= =2M223 = = = =Am =2 = =22 = = =22221= = = = = k

- . . . . --

1

p1xnunuw m wm ww w m m_wxm m m wwunas m w m m m m m w w w w ww w m m m w ww wm my

NR FORM 374A U.S. NUCLEAR REcVLATORY COMMISSION PAGE b OF 6 PAGES g

'

g Lwense Number g

50-29096-01MD g

g

i MATERIALS LICENSE Docket or Reference Number E

'

g SUPPLEMENTARY SHEET 030-34015 E

E

N

g Amendment No. 1 E

E

R

E

$

N

N

E

N

E *

N

g -19. Except as specifically provided otherwise in this license, the licensee shall y

<

g conduct its program in accordance with the statements, representations, and g  ;

g

procedures contained in the documents, including any enclosures, listed below. g

g The U.S. Nuclear Regulatory Commission's regulations shall govern unless the g

statements, representations, and procedures in the licensee's application and g

correspondence are more restrictive than the regulations. g

f A. Product labels submitted with application dated November 21, 1995

B. Application dated March 14, 1996 g

C. Letter dated March 25, 1996 E

'

' E D. Telefacsimile received March 29, 1996 E

E. Facility diagram received April 2, 1996

f F. Letter dated November 21, 1996 N

E

k G. Facsimile dated February 10, 1997

Facsimile dated April 11, 1997 l

l 11 .

E

n

N E

I E

W

E

W

N E

E

W

a E

N  : W

'

W . E

'

E

1.

B E

N

N

N E

( 'E

E

N

4 E

E

4

a E .

FOR THE U.S. NUCLEAR REGULATORY COMMISSION

l

E

4

W E

[#

~

N Date By M / I

E

'

t

/yaterial s' Branch C/ /

f 7egion IV, WCFO E

.

f Walnut Creek, California 94596 '

"A e

E

W i

N E

E

N.

E

M

D El

Erw,.n.n m , - ,wwrearwr., , , sws . . . . . - . . . . - - - - . m ,Ji !

_ _ - _ __ _ _ _ _ _ - _ _ _ _ _ - _ _ _ _ _ _-

s *

'"'

q' J,.

/ * INF M Tk F

---

LTS

BETVEEN: .

License Fee nagement Branch, ARM g am g : 02500

Regional Licensing Sections  :

Fee C g r g g _'

C -

he! Coments:

.

Decom Ftn Assur Regm n ,2

.

..' . **: .:

.

. ..

'

LICENSE FEE TRANSMITTAL

A. REG 10 6

'

k! ifehhe ALASKA RADIOLOGICAL PHARMACY LTD.

DocketNo:

Control No.

1b!bl5

572434

N

<--

License No.: 50-29096-01MD 9

Action Type: Amendnent 'r < '

'

u /

Check No.' O

aioj

3. COMMENTS b [/ 9

Si ned / '

C

Dake v /2 2 $ /

B. LICENSE FEE MANAGEMENT BRANCH (Check wh 1 mileSone 03E) /

fs5ntered / 6

1. Fee Category and Amount:Sb db MD

2, C set ee Pa plication may be processed for:

Rene

License

3. OTHER

gj ,

Signed ~ ,

/ k?Nb7_,

Date L 2 / rn n is

/' /jf

• -dlOO

pemitter=--n..l..J Q @ -~- .

ChnckNo}~ ~~-~~~~~.

r R ; f f] 7 E@ QM '

rni a, -

DCic CfWr h f(-h ~ ~ ~ ~ ~

g-

- -

- . . ..,

__

.-

.

9 .

-

,

DIVISION OF ACCOUNTING AND FINANCE l

REQUEST FOR REFUND TO EMPLOYEE / VENDOR ]

.

I

l

THE EMPLOYEE / VENDOR IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR REGULATORY

,.

COMMISSION FOR GOODS AND/OR SERVICES PROVIDED AND IS DUE A REFUND

!

'

EMPLOYEE / VENDOR / PAYEE 00E:

,

NAME: b /)3 b TV9 &}/d kTJW;A s

ADDRESS: OM _' > 1/ud, -

ADDRESS: 00D . Y)Y sonk '

i hl\

CITY: h 9Aaov__ STATE: .A k uP: s e. oa

TRANS C00E:1

TRANS TYPE:_EE FUND: X5280 JOB CODE: AMOUNT:$30 DO

TRANS TYPE: IR FUND: R1435 J05 CODE: INTR AMOUNT:

TRANS TYPE: IR J08 CODE: ADCH AMOUNT:

FUNO:_R1099

TRANS TYPE: it FUND: R1099 J08 CODE: _ FINE AMOUNT:

.

TOTAL REFUND AMOUNT: MD *OU

4 COMMENTS: J18 -#J2 .. C_. 60dQDQ -0//hb

'

' ~

ck at m' oaments to 40 characters, including spaces)

, (lin

PREPARED BY: Ti DATE: /2 /0 9

ALTTHORIZED EY: M ui DATE: / )/# $ d,

'

ORIGINAL INV. N0: DATE PAIO: AMOUNT:

l

REFUND ENTERED INT 0 COLLECT BY:

REFUND DETERMINED BY: DATE:

PLEASE ATTACH APPROPRIATE SUPPORTING DOCUMENTATION 5Ag

.

-r

/ 9

pac

g-

s

v

e

UNITED STATES

t NUCLEAR REGULATORY COMMISSION

[ S REGION IV

s

Walnut Creek Field Office

k+ ,, g . [ 1450 Maria Lane

Walnut Creek. California 94596-5368

NAY - 1 1997

i

t

Alaska Radiological Pharmacy Ltd.

ATTN: Peter Iverslie

Radiation Safety Officer

2000 W. International Airport Road

Anchorage, Alaska 99502

SUBJECT: LICENSE AMENDMENT

Please find enclosed License No. 50-29096-01MD. You should review this license i

carefully and be sure that you understand all conditions. Regarding your request to add i

Vivian Foot to your license, we are unable to add her to your license until she has

completed the training requirements in 10 CFR Part 35 for a nuclear pharmacist. After she '

has completed her training, please submit a copy of her training records and refer to

control number 572434 and we, without an additional fee, will amend your license to list

Ms. Foot as an authorized nuclear pharmacist. If you have any questions, you may contact

Kent M. Prendergast at (510) 975-0255.

NRC expects licensees to conduct their programs with meticulous attention 4.3 detail and a

high standard of compliance. Because of the serious consequences to employees and the

1

public which can result from f ailure to comply with NRC requirements, you must conduct

your program involving radioactive materials in accordance with the conditions of your NRC

license, representations made in your license application, and NRC regulations. In

particular, note that you must:

1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, instructions

and Reports to Workers: Inspection and Investigations," 10 CFR Part 20,

" Standards for Protection Against Radiation," and other applicable regulations.

2. Possess radioactive material only in the quantity and form indicated in your license.

3. Use radioactive material only for the purpose (s) indicated in your license.

4. Notify NRC in writing of any change in mailing address (no fee required if the

location of radioactive material remains the same).

.

5. Request and obtain written NRC consent before transferring your license or any

right thereunder, either voluntarily or involuntarily, directly or indirectly, through

transfer of control of your license to any person or entity. A transfer of control of

your license includes not only a total change of ownership, but also a change in the

controlling interest in your company whether it is a corporation, partnership, or

_ _ - _ . _ - . _ _ _ - _ _ - -

-- . - . .

k

e

Alaska Radiological Pharmacy -2-

(continued)

other entity. In addition, appropriate license amendments must be requested and

obtained for any other planned changes in your facility or program that are contrary

to your license or contrary to representations made in your license application, as

well as supplemental correspondence thereto, which are incorporated into your

license. A license fee may be charged for the amendments if you are not in a fee-

exempt category.

6. Maintain in a single document decommissioning records that have been certified for

completeness and accuracy listing all the following items applicable to the license:

• Onsite areas designated or formerly designated as restricted areas as defined

- in 10 CFR 20.3(a)(14) or 20.1003.

• Onsite areas, other than restricted areas, where radioactive materials in  !

quantities greater than amounts listed in Appendix C to 10 CFR

20.1001-20.2401 have been used, possessed, or stored.

• Onsite areas, other than restricted areas, where spills or other unusual

occurrences involving the spread of contamination in and around the f acility,

equipment, or site have occurred that required reporting pursuant to 10 CFR

30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures

have removed the contamination.

• Specific locations and radionuclide contents of previous and current burial

areas within the site, excluding radioactive material with half-lives of 10 days

or less, depleted uranium used only for shielding or as penetrators in unused

munitions, or sealed sources authorized for use at temporary job sites.

I

• Location and description of all contaminated equipment involved in licensed

operations that is to remain onsite after license termination.

.

7. Submit a complete renewal application with proper fee, or termination request at

least 30 days before the expiration date on your license. You will receive a

, reminder notice approximately 90 days before the expiration date. Possession of

radioactive material after your license expires is a violation of NRC regulations.

8. Request termination of your license if you plan to permanently discontinue activities

involving radioactive material.

.

. . ._ _

-. --- .- ._. .. -. . .- -- .-

.

o

Alaska Radiological Pharmacy 3

You will be periodically inspected by NRC. Failure to conduct your program in accordance

with NRC regulations, license conditions, and representations made in your license

application and supplemental correspondence with NRC will result in enforcement action

against you. This could include issuance of a notice of violation; imposition of a civil

penalty; or an order suspending, modifying, oi revoking your license as specified in the

" General Statement of Policy and Procedure for NRC Enforcement Actions" (Enforcement

Policy), 60 FR 34381, June 30,1995.

Thank you for your cooperation.

Sincerely,

fh -

P "' ' [.

,-

l

Beth A. Prange l

Sr. Health Phy cist (Licensing) l

Materials Branch

Docket: 030 34015

License: 50-29096-01 MD

Control: 572434

Enclosures: As stated

i

i

i

r i

.

A

4

l

!

Alaska Radiological Pharmacy 4 I

!

bec:

Docket File  ;

WCFO Inspection File

1FARB, T-9 E10

State of Alaska (License Only) l

l

!

I

,

!

,

i

,

J

'

l

e

i

!

!

,

DOCUMENT NAME: G:\AKRAD 572434 i

. To receive copy of document, indicate in box: "C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy .l

RIV:MB l RIV;>tB l l l l  !

K Prendergast/4# %  !

04/pf/97 J7 / /97 l

OFFICIAL RECORD COPY  :

!

-t

's

?

!

. -. .. , . - - . . - - , - ,,. , , , - , . , , .,

04/11/1997 13:33 9072434570 N:p PAGE 01

,

.

ALASKA RADIOLOGICAL PHARMACY, LTo.

. . . 2000 W. Int'l Airport Rd., Suite All, Anchorage, AK 99502

• (907) 243-6377 Fax (907) 243-4570

e.

__

DATE SENT: TIME SENT:

a

TO: /(gg FAA NUMBER:

X

COMPAN1' NAME: $/O-f75-037/

C Mb - -

FROM: .-

Q M6

COMPANY NAME:

e T E L N o.:

w% g, soy o~  % ,%,

co n s quan wp g mcce p%w

FAX No.: b"O

khk N $& dNM* $~ WfL Sd"O

h DESCRIPTION:

flh~hSC LXT k /wpw Tf' pv A.e. 4 AcpxwQ

h s ~ rs. .

g <ay 3,kCA-

,

e

NUMBER OF PAGE8 SENT (including Cover Sheet).

.

M

If more is a prow +m receiving

g mis venemission please contact

- - - - - - - - - - - - - - - - - - -- - . - - - - - - - - . . . - - - - _ - - - - - _ - - - _ - - - - - - - - - - - - - - - - _ - - - - -- ---- - --

p i .

. o.

i.< i

. (v ,) 1

(' b 130 cBn

Q

n l &xco

J( , a I

%'

5 l t su. W uzu wm-s wec

~+-

. -?, s

am sac ,

-- J

p

_

_ _.._ __J Y lf Y lf Y l

= 9pusererwenswensammenemes!=m

F .J*O=p!w_ - ._.

L _ _==== ===!= !!!=e_ _ _ _

I p ,

'j

/\./ uo c.o:ns '  %

\

I

W 100 c o O g t( 0 graw

l 150 een -

1

I

-

&cd*'~ g 3% ',' ;~ ;' . ' . ~ .

-

e

h .

'

\

I

-

h4 M ,1?'fyrrgrscon jv/ /~g/f  ? ( ,,,

~'

omes N

'

I

a  % - / ?c

.

pa

-:; . e.

j

W7/

%

-e..Atr

-

-- -- -

sr -=-. wn, -

.

} /

~ _ ,y .. '.. , yl .m

1

-

, ,1, en, ; ,e,4

'

.

q '

_

,

" ,' . . . ~I

~~ ( .

J. . 4 ruon we g/ p o \

~

'

. Jod. . cd ' ^x 7 Noam - .q _ ,,. w - l

_

2 Qvn Anos )9cBe % o

'50 c!W '

'

,

'

.

[

g

, &. . ;, .. ..

.

.

.-

.

%,, .,&  :. .w. .

. W. .. . . . . , .

. ;W....

.

.

..

$% ':

. . . a.

.

.

-

s *

f :. .s, . -. .

=,,...

-

n '.s;*~cwofte 4(a ma , ; *

-

.g,% . .,. e , . . e r '. .

. ,-s-, . , . <--- 5.; . - p e , -

.

o _ .

.

O -e >*., : s *, y c.. 4 f. . f * *

.

49 , . . . . u ,' , * 4 ,., j'y % , , ' , j f <- s.~=.. ,- - '

-..,'j,.-

.c s

,.

18

,,

m

Q

o .:

L.p8 L

BUI.LDIN. . G. .r,t . A.l..

. - m. fL!.,O,.C%.D,.

... . . ... 1: b' g Q*d.?,4.~ .. .. .. v.. j,N.7.S,.5.~

._m, 3.

.

.

,,- .s*..

"

M., s

5

- a'

~

~6 'T -

OWAS$Ull2BDNANdNMD:".~ " l

~

~

.

.

,

-

o'. .'f -

.--IRPORT/BliSINESShRkRIMy* i

' '

~

E .3 ' "

c .. . i . -' -. . ..

.

-

..

-

.- . . . .

.

r -

E

g

INTERNATIONAt .. . . m .

f& RA. ... ..INNESOEA:,

. . .. v. ' ANCHORAGE . =

. a ..-

~

- - - -

.

. w. a . u ,_ , . . ... ,

. -

u. .;;;.:  ;..

'9EP ARED:r$08%;IIGsPRORE6tEIESih,@. ..l g y; ,. ':iM,g, :'j $,u..k$i;?) :

. .

' .

-

m ,

02/10/1997 08:51 9072434570 ARP PAGE 01

'{e

, .

-

.

ALASKA RADIOLOGICAL PHARMACY, LTD.

'

. . . 2000 W. Int'l Airport Rd., Suite Al1, Anchorage. AK 99502

-

(907) 243-6377 Fax (907) 243-4570

,

'!,

DATE SENT: TIME SENT:

{

a -

YO: FAA NUMBER:

COMPANY NAME:

S/V T7T- W P/

C -

FRON: ,-

'

O fWIA

COMPANY NAME:

8 TEt uO.:

r FAX NO.:

O3 OW g , p,ggp ggp , _ g, gJ_

h C" "' ^ ~ .

Ws,

O /%rt

NUMBER Of PAGE5 SENT(includine Cover sheet);

[

if more is a proMem recol ing

g mle transmission pleaes contact

l

l

-

02/10/ 997 08:51 9072434570 b2

, . ..

,. J C 7 0 7 6 - .. ,

l'

5A30ilo >tdu 'in, eiwi, JE 068 eof'

'

M K. .

({ II

';; b s L 'lr s , . . ' . . '? T

.

k ' *

-

m; 4 y f'" _qf

.

il

31:

__

;&" ' --

'

Of -

Y

O-

)l>. . .

p' .

,

-

,

1

I

4

'i g ,

- 4

,

'?

<

'

I >1 g-W.

,

-

, j p .

h'd.,' . k,<5 , (, b

.I . .- F l

., ;f & %i]fG l

Cl; m:

i.C$l ,>:5 :

l &J . M

Q= \

'\

.

.

, .

' .

-

.,'

h j. ,

'"

). Jr,lt ., g,g,, " '

!

a. PrfE.d m; 'e 9d 4

th',ki 4

.

is '

-

.

"--~~ '

j: u'{/ g .'N .i g '* e

=% i i

l

y' * y.

3

l

.ty.% yy

,

' ,

1 '

.'Q l ;?' , f h ll l

,

lL f .,%n:

'

,

-

l

t. umt .

-:

-

. . ,

,

j@. - .f T -j- q.g . ' J, g-

?';g.c. "

-

a i >.

,q ,

"

.,

. i

,.

,,

.

.k j. 'l

. ,

'

'

"t um, i 1t.i1. 3 ,\

.

.

', w  % '

,

). -

\\. ] ) 4

- ,,-

-'

Aa , -

'

o

'

'

.

v

'

<

'

I f=

F,Wi,1, 11

-

i 3

%;4 im,,,Ns#

..

1. ,'

4

"

1 [ Q2. h".m., 'e

. .

x P2 - 's' 4 - /

g

-

a ty

.

,\ .4.r. ,'. s r. '..

. -

'

fk - ,' ll .. *: ,,>,...e.C ty'. *!.r:)'~'.,..

,

,

y

-

V..,*. ,~

g, -%y ,-

g ;r .' 'n.* x,\ ..

.

.c. ., M ,?

Q,U . .*

.

.

i' , , g,';n., @'; , ) .. 8', 4,. ,

~

a * N ' -

I

,[ I' [ ). h ' " \' < .'

'

M N h---------

Q.[, m ?m[' [:,y:7.

,

6 v: ,,

? .c;M,i g : i.  :,L '

<

,

.t.. .< '. . .

• 71 , l.'y, ,J q

s .

[g >; ,M;b '.,/.'f S,

,

, 5" '

'

,/ . 's '

4

' *\ .,0. :..av

, .

V :. k ,

sp"s. N< :;p .I [ "A j,E  :

"

(* '

C) h'  : ,',~ y

c....'. .'m*,R,. '. <

'f . ',. >

~

3

es. .- g , , .

.st.

< .

. ,.-- *

. ,

,

s .

, , l l

l

.

. '.Ik

l4o,# . d.

u

.g . (. , , .. .

/ ,

.% dkf:

T' ..;'

ig , ') f. (.*

,.

,

'

'

.t ,a ..

\h = - R

l -

..c.e ,

.*s,, ~r; lT

.'

%

i > 5-

s

'

l

) f.s. a'Ats; r'. .Y

-

.: . s

• * 1* 4 . < ,q e r , '  ? e '- , -

'

g w'w.-g,.. nrm s :.'

t '

,

br.t - .

km.' @ plM;hi '?

.

. .

- -

4 \

!

'; y , .s

M

.o.w..: k. '.,9 t

r ~

. . j,pv X<

. -; p, ,, : i,

,

.

.

.~ . -

,

,,, s. --

Y.,,, .. s >  % <

,

s

....

'

! > ' , '.' . E '. ,',,; ,. p, ;,3. ,6 ,<.i .$--8.,'f.-.'-

-

~

,..

• '

.. ', .'c

f ' ' ' #,

( { '. 4 ?4* *'l .'e 4 ,O' .

, . , *<

,y ,

_._

- ,l Q' ' _

'p' .*

s. t.

• ^

o

• ' " 'I.1 w s , . *:% , , , ,

'? } :a 1

.

.

.

>, . ;

'

. d. , . . i ' .h 7 .} ( phh' .....

'

n *

S ie ,i - - ,. ' b

3 B , ,,',.s m .'".b [v , r .w/*.*

--

- . \' . \ *l '

. .

' . .',['a Y, '*

..a u ,'

. , 5,' .r' ,', '

'{'q'

,g 4. ' -< a,fl r

.. ba ; *

-

't y

" :n ',,: . A' ,',1)7. t'. "-

.. s

- c -

, ,  ; . , .

i * il,M j' *

,a *

..' '

's. p' N

,.,

eg

.l ,

..

.r , ,, ,

'

lf ~ J g

.x ..u a  ? .

-

,

,l

-

y;.. *$. . $. . , j's . ,,x ", ,, .

, , . .

,

/* G2/10/1997 08:31 9072434570 APP PAGE 03

,

e

/

V61.-[tfWdR]S M/Jkt[of k(Afric/c[ Kc._._ -l ted- 15 <>te>d

facedrickd ions

awyfe& zad wiped' x (x< nquw( .

1?p.ack- ne a j dnos :

% p }a b sao cea.W?> cew

,Sunye %zdcynL. = 0 I wRlhr

= o. I at;/k<

fasad surno ,

- ,s ,

I d (-

'

h

Sk wid & <e u %$ ' t 1, im .

htWAIw- Oa b ffy44 a)ta.- MS. Trdc_ d25 g*{w.ucf

'

Anw Av41p .

l

l

l

.

U.S. NUCLEAR REGULATORY COMMISSION DATE:2/5/97 lIl

'

TIME: 1:00P l

TELEPHONE OR VERBAL CONVERSATION RECORD am or pm-

INCOMING CALL- OUTGOING CALL VISIT

PERSON CALLING ADDRESS PHONE # / EXTENSION

Kcut krendergast RIVi WCFO (510)975 - 0255

PERSON CALLED: ADDRESS: PHONE # / EXTENSION:

Peter Iverslie Alaska Radiopharmacy (907) 243-6377

I I I

i f

CONVERSATION

SUBJECT: License Amendment

SUMMARY: We discussed the recent request for amendment and I requested

that Mr. Iverslie provide me the following. ,

1)f Surveys and wipe tests of the area in the former resticted area to ensure  ;

there is no residual contamination. j

2) a certificate, license or other documentation on Vivian Foot to document- i

that she has-completed the training in. 35.980 and evidence of continueing

education'aince her last training was in 1986 which exceeds the seven years '

.

listed in 35.972.

t

REFERRED TO: MS-15 ADVISE ME OF

ACTION TAKEN ,

ACTION REQUESTED. (Y) OR (N)  !

Provide information ,

INITIALS: KP

,

DATE

ACTION TAKEN INITIALS:

1

DATE

NRC FORM 218 ,

REPO (2-89;KMP) .

!

!

,

i

,

w

b

n,ee- =w- -e- m.-e= i w-e-

-- - . -. -- -. -- - -. ,

s

%

j

p

/#*N*+ ,

i

UNITED STATES

NUCLEAR REGULATORY COMMISSION

y j -

REGION IV

w e

%,,,

4,,,,,

/ Walnut Creek Field Office

1450 Maria lane

Walnut Creek, California 94596-5368

DEC - 3 1516

Peter lverslie,' RPh.

President

Alaska Radiological Pharmacy, Ltd.

2000 W. International Airport Road

Suite A11

' Anchorage, Alaska 99502

SUBJECT: ACKNOWLEDGMENT OF REQUEST FOR LICENSING ACTION

REFERENCE: Letter datei November 21,1996

LWe have completed the administrative review and initial processing of your application.

Please note that the technical review may identify additional omissions in the submitted

information or technical issues that require additional information.

Amendment actions are normally processed within 90 days, unless the technical review

identifies:

• Major technical deficiencies

• Policy issues that require input and coordination with other NRC Regional offices,

Agreement State offices, or NRC's Office of Nuclear Materials and Safeguards

A copy of your correspondence has been forwarded to our License Fee and Accounts

Receivable Branch, Office of the Controller, who will contact you separately if the

appropriate license fee has not been submitted for your request, or for billing if your

request is subject to full cost recovery.

Any correspondence about this application should reference the Control number listed

below.

Sincerely,

c

0- 4

Beth Prange

Sr. Health Physicist (Licensing)

Materials Branch

E Docket No. 030 34015

License No. 50-29096-01

.

. Control _ No..572434

.. . . . . . . ..

N:

'

)

..  !

e

i

Alaska Radiological Pharmacy, Ltd. -2- l

Anchorage, Alaska i

','-

.

Docket File

s

?

9

'

1-

'

1

t

4

8

5

,

!

,

To receive a copy of this document, indicate in the box "C" - Copy without

' attachment / enclosure "E" - Copy with attachment / enclosure "N" - No Copy

OFFICE. RIV:AO:NMLB N N- i

NAME J.' Garcia h B. Prange See  ;

DATE h / h/96 k /2J3/ 96 -

t

.-

.

~

-

_

ALASKA RADIOLOGICAL PHARMACY, LTD.

W

'

w..  ! 2000 W. Int'l Airport Rd., Suite All, Anchorage, AK 99502

(:L : ( (907) 243-6377 + Fax (907) 243-4570 g g

<s6  %

November 21,1996

Radioactive Materials Safety Branch

U.S. Nuclear Regulatory Commission, Region V

1450 ~wana Lane

Walnut Creek. CA >4596-5368

'

ATTN: Beth Prange

Dear Beth Prange:

Please find enclosed two copies of the addendum to our materials license #50-29096-

OlMD The first is a floor plan of the pharmacy (ATT 1.1) which shows the reduction in

the restricted area. The back two rooms now contain the same equipment that use to be in

the old restricted area. A copy of the new lay out is being sent to the Fire Department.

The second is the addition of two nuclear pharmacists to the license. The first Pharmacist

is Yunga Vercelline (Chang was her madden name). She worked for Syncor in Maryland.

I have enclosed her documentation. IIer Alaska Pharmacy License number is 1126. The

second Pharmacist is Vivian Foote. She could not locate her documentation but was on

staff as a nuclear pharmacist at Syncor in Blue Ash, Ohio from 1986 to 1988. IIer Alaska

Pharmacy License number is 1120. If there are any questions please do not hesitate to call

me at (907) 243-6377.

~

Sincerely,

./ j j <

Peter iverslie,IU)h.

President

enclosure in

$

(; ,

Z

~

!-[h

. I.

La

'l

57299L

- ------ -

.p --

,

,

,,  ;

,

O;,? l

.

ye  :

- - .

.as ,

' *

i=B I t

'

- - - - -

_ _ . - - . _ _ _ . . . _

q misuses'eururuses emmseesumme susumeii p ty e====== ==== !

i

!

j _ _ _ _

h-

~

\ ,

l

l } (A ,UQ FE 3 & 3~ C T N $f ,

5**'

l

l

'

] g- q$ g

7

Mgbs k

j d

(za jgg g omo

(N 7

'

'

- 'i

,, j ~

= y= m = a=- = - = = - - g

l

- -. -

. _

!

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

.

i .

M.:BUILDING A FLOOR PLAN

.5

-'il 'WAS-BUILT' DRAWINGS

~

or

a AIRPORT BUSINESS PARK '

&,. j-

.

INTERNATIONAL & MINNESOTA, ANCHOkAGE

._ . _.

, .  ;

' .e

t

.

PREPARED FOR JK PROPERT.lES . . . . . .

, .. . - . .. . . - - -. ..

4~. . -

=[f fIh), ,

e e, * .

fiven ~

* **$

.

, , kf.f y d., '[. U,

Y

} f

.

.

'9

- ,

y*

gg,

=

s

i. . ,

!fg -s- i*

lig!j[.

h ! .I I ,

2 -

I 0-

x  ! 5 ji

1 sr

EI"

9 I l} ,

I

l I.g? g .- [

l

l

l

I IIf: a a , e e to

8

l

.

'

,

55l

- -

5 hl3a b.-

,

/ 9

>

$$

I

8g

--

$U

$,*8

"B n

j i

5 8 g

,

'

,

!

95

" 2 5l3-2 l.

1

'

3"

f - 5

' l

A3lo

E 0

2

<

,

.*

$ '

E

-  %

N *

'

5

• E#6 $ 2

M -

e" ~ - $

,'

! 3

a

l

-

i

I ~

3

f  : l I }7 "lf

,

g

o !g

[ I

-

a

k

.

'

n

f

,

f,

I

$

.

f; .f

I

a

8

=

r .

A

i

E  ;

I g

.

y

...

,R t 5 p

. .

,

T ,

.

5

i

.

i 'i \

• u

l ' Y

I pifa

l

l.E

! , l

'

j X

W -

l ' ,

t

i l

<

i

I

.-.

b

^ ^ ' ^ " ~ - - - - - - _ , _ _

-- ,- - - , , , - - - - - - - - ,__--.-.------u_4,m_,,_,_____,__,,,,,,_,,a_,,,_,a _ 4. ,,.,y. _,, u a _a m_,m,__ ___--- -,---- - - - , _,as-,,,a,

_

..

'

"

-H i A: : 9 ." ,

• . J ;

  :::::n ::::!;;;;  :. -

--- g g-- -5

.

i

.

/ ~ ,y m,gr  %:,'~~ Ngr ,ym,7,rmg,e mgr m,r r ,y N,- m

\

'

i

-% ~ - K - - ,R 4,

~

A_,/ , ,

.

4

[

N l

l

$

,

[ ,

.

$

r*

!

' '% I

) L

f

r / 's

J , > i

)

'

f f *

\,

4,p - i

,

h

$

i. (I

-

.

5, 2

.

j ')

'

l k.

,

l .' 4l 3  ;

'/ T

f

G p Q

i fn- p'~  %  !. ,

)

2

/

'

l

k E d,

k~ 7

' m.

l

'

,

!

'f I' I b

m

'

-

$, I

,

')

I < l

m t% -

e.

.

, ,

Q X. ..

"

> \

.

4 '

& k Y \ ]

I \.

,

r ,

k

s k.lsl%~

e, m m

% _

s

k

s

• n.

t x

I

i-

7

s

+

-

I

w

N

-

d 5&m

c,

n o N'N

sv

r:, Q.

t t

/

4'

?

i

D

$.

Q' '.34 E Q

i

i

\

u m e ,

5', e, ~h &o

. ,

'

l

l

%

.

\

i r

.

% 4 ,

y' B

_ '

l y}'h

( }f<.

. ,

l ,

j y < , s + q @~

,

) ,

-

y %

-

s'

E

=

,

g'

')

j {?

/ ' N' p f

4 .

l

a

r -(a Nx *

El  !

J / "'4 l

\ i& ' l 4

. xr a X- ^

i

E

i

i

/ I =

h \ d' l

q

4

h j f y!d '

'

i i

I'

1

s t

j

s

.

\ \

.

'

!

f

i is

,

k, i i

I l

\

-- --

-_ __ < s

i } -

p, _ _ , , , ,,

7

,

.

l

s A Aq_ AwAw v1% )'v ^%. A A v ^ V " J

l

i

yy-- -m , -w-m +*g-g+y q y -- - w &,+.e-- , y- ""

', TUE- 3-9f,,SAf 8'3 AM VALLEY HOSPliAl PHARMACY DJ E0, 907 7 6 273!  ?, 2

,

!

,

!

. \

FIGURE 9-2

FIGURE 2. DOCUMENTING RADIOISOTOPE HANDUNG EXPERIENCE  ;

1

Name: Yunca Chana APh

EXPERIENCE WITH RADIOACTIVE MATERIAL (Actual Use of Radioisotopes Under the Supervision of an

Authonzed User)

ISOTOPE MAXIMUM WHERE EXJf.'AlENCE DURATION OF TYPE OF l

AMOUNT WAS GAINED EXPERIENCE USE 1

USED AT (actua! clock 1.2,3,4,!5,6 )

ONE TIME hours) (see key l

below) l

Mo-99 3 Ci

2 Cl Syncor International Corporation 05/12/93 thru 07/09/93 1,6 ]

Tc 99m

l131 150 mCl Timonium. Maryiand 344 Hoars 3,4,5,6 )

Xe-133 1 Cl 1,4,5 i

1 mCl 08/02/93 thru 08/27/93 1,3,4,5 j

1123

120 Hours 1,3,4,5

I125 100 uCl

Ga 67 100 mCl 1,3,4,5 '

1,3,4,5

TI201 10 mCl 09/20/93 thru 09/25/93 ,

500 MCI 40 Hours 1,3,4,5  :

!n 111

5 MCI 1,3,4,5 .

Co-57 '

Cs-137 250'uCl 504 Total Hours 2

Ba 133 250 uCl 2

2

l l

l

Key for ' Type of Use" ,

The number or numbers entered under " Type of Use" correspond to exponence in the following activt:les:

1. Ordering, receiving, and unpacking radioactive materials safety, inc!uding perforrnance of related

radiation surveys,

2. Calibration of dose calibrator, scintilation detectors, and survey meters.

!

3. Calculation. dispensing. and calibration of patient doses, including proper use of radiation shields.

4. Appropriate intemal control procedures to orevent mislabeung errors.

5. Emergency procedures to handle and contain spdied materia!s safely, inc!uding related

decontamination procedures, surveys and wipe tests. i

6. Elution of Technetium-99m generator systems, assay and testing of the elute for Molybdenum 99

contamination, and processing the eiute with reagent kits to prepare Technetium-99m labeled

radiopnarmaceuticals.

I

!

!

!

6

.

.

1. e.as in e:33 a va m .es m a m a u r nos m sem t4

o

e

. i

,

, ,

e

n

o

=

t+

1, .

.. ......,.

.

'

- .

m m  !

.b7 '. .N.:.:; . :.I . D

'

, ,

- <

"" M

'

,

&

$@ #

, 35'l ,S 'y, da

)S.'s,.

i "idN4

t d

.

a

e R$.A:.

iV e 4G h3 # n

- p- p e.

w . .. ,; ,,.: gy ..

(

.

w a

N

5:..

g ':,,T.

.

%

s..,,~

<:::

,,

p ~

V g

f

"k k M

6. e w  %

.

e.r

Qo f

=

b

n

s '

,

'

i 6

I

.:

" ~

..

e

~

l . .I 'l ALASKA RADIOLOGICAL PHARMACY, LTD.  !

. . 1 i

'

[ 2000 W. Int'l Airport Rd., Suite All, Anchorage, AK 99502

. 9, x. .;),y ! - (907) 243-6377 * Fax (907) 243-4570  ;

39

, . . .,. a/*T ~

Qmi '

l

l

November 21,1996

Radioactive Materials Safety Branch

U.S. Nuclear Regulatory Commission, Region V

.1450 Maria Lane

Walnut Creek, CA 94596-5368

ATTN: Beth Prange

Dear Beth Prange:

4

Please find enclosed two copies of the addendum to our materials license #50-29096-

OlMD.- The first is a floor plan of the pharmacy (ATT 1.1) which shows the reduction in

the restricted area. The back two rooms now contain the same equipment that use to be in

the old restricted area A copy of the new lay out is being sent to the Fire Department.

The second is the addition of two nuclear pharmacists to the license. The first Pharmacist

is Yunga Vercelline (Chang was her madden name). She worked for Syncor in Maryland.

I have enciased her documentation. Her Alaska Pharmacy License number is 1126. The

second Phannacist is Vivian Foote. She could not locate her documentation but was on

staff as a nuclear pharmacist at Syncor in Blue Ash, Ohio from 1986 to 1988. Her Alaska

Phannacy License number is 1120. If there are any questions please do not hesitate to call

me at (907) 243-6377.

Sincerely

/s-

- _.

ter Iverslic,RPh.

President

enclosure

. .. .

-

ji

-

~, . e. .,  ;

>

.

l I

s$ V l

p,  ; -_

.s. ,

i

-

.as <

---

[ _____.______]Y

wi

._

m .------ -! -,

p ._ ,- wins =! ____

f>

.

)

-

i

,

l l j (A ju $ 6 57?MCT >6 @[ ,$macc

,

,

!

.

I

!

W

._

y

l 1 -

-

,0 a

'

M, gsk

p/M Agg y

'

4 ~' ' 3

a

! l

_______

h

n

[' ffd',N

_-

gg

.

=7=__=.==s y

- =

.=.

'

l

.. mesummussnm

i

__.

. . _ . . . . . - - . . - - - - . - - - - - - - - - ~ . . .

Q

n (t') AW b I (g

i

'

.-cidl BUILDING.A FLOOR PLAN

'@

~

'WAS-BUILT' DRAWINGS

a IRPORT BUSINESS PARK

>c:

,

I TERNAilONAL & MINNESOTA, ANCHO AGE

'

3,. N -

.-

.

'

'i3 PREPARED FOR JK . PROP'ERTIESJ . ,.

, - . _ - - . . - - _ - - _ . . _ _ _ - . . . , . . - _ _ . . - _ - - . . _ . - - - - , _ _ _ . - _ - _ _ _ - - -

. - . . _ - _ - . . _ _ _ - _ _ . . ---_. . _ - - _ _ . - _ _ . . _ , . _ _ _ . .

FIGURE e- t

j ,,, ' TRA'MNG RECEIVED IN BASC RADiotSOTOPE HAM) LING TECteMOUES

Na'ae . +'MLary ng

- - - - - - -- -

-

_ _ . . . . _ . _ __ _ . _ . . _

SREAADOWN OF COURSE CONTENT IN CLOCK HOUR $*

R% Math Rest.eton

Locanon of Datets] of Course Ties TotalCleo46 Radeten l R -. ' [^cn -

Hours of Physics a Protection Perimining Beceogy * **secae

Tsasung Accorderte  !

4

Course Instumen- to Radus- Chewelry

. ,%

$. __

tehnn ,

. _ _ , _ _ _ acQ , _ _ _ _ _. _ -.

to

{y CYNCOftlNT1 07/1243 SYNCOR AUTHORarn

,,

thru USERS TRAeNING

• 3 COMPOHA IION. 07/30/B3 PROGRAM M ALTH

t ra

PHYSICS

24 25 35

t CHATSWORTH. CA AND. SUBSECT!ON 227 97 SO

(. 3. 4

-;

9

x os/JOAP3

- *

S.c,  ! Waru

'

4

09J1843 l

I i i'

i g

E3 -

-< t

=

s=&

• <-

4:

b4.s

N-

e--*

6%

un

ce

rz:

--

- - - - - -

> _ _ _ _ __ __ _ _ - _ _ _ _ .

ssJ

.s

• Note- Show a bseakdown of hours by

--!.

• s

r- swelutum, dates, and

subpcts List each hour

g cedy once p e .amusar the TOTAL

24 25 36

. eveel arphcaban eselect HOURS 227 92 50

.e

c.y

_

~

eaten

"'- L. __, _ _ _ _ _ _ _ . . . _ .- - -a- --

_ . _ _ _ . _ _ _ _ . _ . _ __

t~.

M

con

44*

t%9

%

sa=

,

O 's

E ^[

, ..

. 4

.

a

.m-

..a _ i.am ma __,e.a, -a-a s.a.u.-., .a= _ . _ . * ama.w a.a-sm.,. -4, s.p wa &,a._ ,a aar A m aT A m < w-a.._ ma,. 4--- - - -

.

%' ** *j* *ee ,

ks

f =* ,) ,

. . . . . . .

,

O

t

,

t

~ .e*% y .

K. f".

• ~ q p-# "f-,

s

<

,

A & - 4

-N _ km_. N

-

J

'

f s

4

E

(' ,

'

I

l ',

! [s h,-

4 -

'

h I

f s

I [ E I )

to

'

1 i I

I y {y j ' (%

)

.

( , +ff ,

e . -

I

'

,

,2

t l.

<

gs g s

l

.'

f

JI ,

S "-

'

,

i

,

! & I

! 7 d )

t  ; e% e - %l' Q %$

~

,

)

,

'

W F. 5- I ,<

r, s

.

l 7 :s d&.%

'

^

,

~

mh

- - ,

tr T

,

,

~% ~

O >

F ~N

m.

= o i

'm

'

/ u%

l

I s

,  !

%

-

r

9z ,/

,

8

!

f

s {4 5 x% y%- E

g.

,

)

. ,s 3z ~

g x

3 8

(%'

,

ep',

'

i 2 )

\ j

f . -

4

51

,

l

3

,

7 '

Y 4

lf

' '

b \ W

l h d

i

'S ,

,

, s >

) I

i

!

\,

x

I

i .f. {

-

\

I

[

.

,

I .. T j

}

'

\

i

)

,

( w,vavvowvavo

!

,

i

-

' '

. JUN- B-96 SAT 8:31 tJl VMLEY EOSHin PHARMACY D1 N0. M7 745 Brn t. 2

-

u.,

-

r

.

P

FIGURE 9-2

FIGURE 2, DOCUMENTING RADIOISOTOPE HANDLING EXPERIENCE

Name: Yunca Chana PPh

EXFERIENCE WITH RADIOACTIVE MATERIAL (Actual Use of Radioisotopes Under the Supervision of an

Authorized User)

ISOTOPE MAXIMUM WHERE EXPERIENCE DURATION OF TYPE OF l

AMOUNT WAS GAINED EXPERIENCE USE

USED AT (actual clock 1.2.3,4,5,6

ONE TIME hours) (see key

below)

Mo-99 3 Ci

Syncor International Corporation 1,6

Tc.99m 2 Ci 05/12/93 thru 07/09/93

150 mci Timonium, Maryland 344 Ho irs 3,4,5,6

l131

1 Cl 1,4,5

Xe-133

08/02/93 thru 08/27/93 1,3,4,5

l123 1 mCl

120 Hours 1,3,4,5

l125 100 UCI

Ga67 100 MCI 1.3.4.5

1,3,4,5

TI201 10 mCl 09/20/93 thru 09/25/93

40 Hours 1,3,4,5

'n 111 500 mci

1,3,4,5

Co-57 - 5 MCI

250'uCl 504 Total Hours 2

Cs-137

2

Sa 133 250 uCI

2

t

i

Key for ivos of Use'

.

The number or numbers entered under " Type of Uso" correspond to expe ience in the following activities. .

s

i

1. Ordering receiving, and unpacking radioactive materials safety, including performance of related

radiation surveys. l

!

2. Calibration of cose calibrator, scintilation detectors, and survey meters.

t

3. Calculation. dispensing, and calibration of patient doses, including proper use of radiation shields.

I

4. Appropriate internal control procedures to prevent mislabeling errors

\

j

5. Emergency procecures to handle and contain spilled materia's safely, inc!uding related

decontamination procedures, surveys and wipe tests.

Elution of Technetium-99m generator systems, assay and testing of the elute for Molybdenum-99 l

6.

l

contam, nation, and processing the eiuto with reagent kits to prepare Techrtetium-99m fabeled

radiopnarmaceuticals.

)

l

4

!

J

!

1

. _ ,

-

. . . _ . . . ~ - . . - . . . . .. - .. .. _.. . .

4-- -- . - . . _ . _

~~

.

, J'dN- B-95 SAI 8:33 AM YA',!.E'l HOS?!TAL FHAEMACY F AX NO. 907 746 8731  ?. 4

.

,

,

.

,

4-

t

,

a

- e

'

D

n

M

q

s

G-

g o i+

= . #....... p N

g h . ~ s37. r

33:s.  %

$ gd i$I.,' -

- '

h:bli n

.

i

n

a

%,e

-

.

gg/gg

& . 2:.a

. : ;. - ,

S *

.*,6 I

.

~

a o e,

. +e.4%.w.

,., .

..

7 p.0

,'o,' >

g

g, i

c u

A

m

R, :q/.ge.x.

'

-

. ..?fe,, r -  %

m

i

.

!

,

&P 4

w W l

M  %

!

,

B W M.

Qo fr

D

=

.

3

,,

.

h

>

! L

l

I

i

Y