ML20147J380
| ML20147J380 | |
| Person / Time | |
|---|---|
| Site: | 03013426 |
| Issue date: | 07/13/1987 |
| From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | |
| Shared Package | |
| ML20147J382 | List: |
| References | |
| 50-17838-01, 50-17838-1, NUDOCS 8801220448 | |
| Download: ML20147J380 (3) | |
See also: IR 05000178/2038001
Text
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U.S. NUCLE AR R EGULATORY COMMISSION
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MATERIALS LICENSE
Amendment No. 19
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Pursupnt 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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Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations
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Jwretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct,
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source, and spccial nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to N
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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 183 of the Atomic Energy Act of 1954, as amended, and is
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subject to all applicable 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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3. Ucense number T-17838-01
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Providence Hospital
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Radiation Safety Office
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Reference No.
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6. Byproduct, source, and/or
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Strontium 90
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SUPPLEMENTARY SHEET
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Amendment No. 19
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Authorized use:
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Medical use described in 10 CFR 35.100.
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Medical use described in 10 CFR 35.200.
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Medical use described in 10 CFR 35.300.
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D.
Medical use described in 10 CFR 35.400,
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Medical use described in 10 CFR 35.500.
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Shielding in a linear accelerator.
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G. and H. Instrument calibration,
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Anchorage, Alaska
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n. License; Conditions 6.E., 7.E. 8.E., and 9.E.
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may also be used in Room 132'of the< Providence' Medical Office Building,
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3340 Providence Drive, Anchorage,fAlaska,
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4 11. Radiation Safety Officer: .DarwinlL.fZellmer,nPh.D.
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Maurice J. Coyld, M.D. for maferialsLid tifiedin10MFR35.100,35.200,
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35.400, 35.500;' Iodine 131 for treatmentiof. hyperthyroidism or cardiac
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John J. Kottra, M.D. 'for materials identified in*10 CFR 35.100, 35.200,
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35.500; Iodine 131 for trea,tment of,hyparthyroidism or cardiac dysfunction
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Charles Sternhagen, M.D. for materials identified in 10 CFR 35.300, and
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35.400
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Denise Farleigh, M.D. for materials identified in 10 CFR 35.100, 35.200,
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35.500; Iodine 131 for treatment of hyperthyroidism or cardiac dysfunction
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David Allen Moeller, M.D. for materials identified in 10 CFR 35.100,
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Kenneth A. Fox, M.D. for materials 4dentified in 10 CFR 35.300 and 35.400.
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Darwin L. Zellmer, Ph.D. for non-human uses of licensed material,
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13. The licensee may use the Lineator device for doing linearity tests of its dose
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calibrator provided it follows the procedures in the Atomic Products Corporation
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Lineator Instructions Manual dated June 20, 1983.
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4i 14. The licensee may transport licensed material in accordance with the provisions
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of 10 CFR Part 71, Packaging and Transportation of Radioactive Material".
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U.S. NUCLE AR REGULATORY COMMISSION
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License number
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50-17838-01
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MATERIALS LICENSE
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SUPPLEMENTARY SHEET
030-13426
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Amendment No. 19
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CONDITIONS
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(continued)
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15.
Except as specifically provided otherwise in this license, the licensee shall
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conduct its program in accordance with the statements, representations, and
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procedures contained in the documents including any enclosures, listed below.
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The Nuclear Regulatory Comission'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 the: regulations.
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A.
Application dated Novemb'eri$0,1982
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Application dated February 21, 1983
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Letter dated July 13,:1983
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Letter dated August 17, 1983
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Letter dated January.20, 1984
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Letter dated February'13. 1984
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Telegram dated February 22', 1984
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Letter dated March 6, 1984-
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Letter dated May 15, 1986
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Letter dated July 28, 1986
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Letter dated September 18,1986
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Letter dated June 3,1987
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION
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original signed by B. A. Riedlinger
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! Date July 13, 1987
By
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Beth A. Riedlinger
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Health Physicist (LicensingT
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Nuclear Materials Safety Section
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Region V
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