ML20151D888

Amend 1 to License SNM-1962 for H Delyzer,Amending License in Entirety

ML20151D888
Person / Time
Site:	07003029
Issue date:	09/28/1987
From:	Glenn J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20151D891	List: ML20151D888 ML20151D914 ML20151D936
References
NUDOCS 8804140491
Download: ML20151D888 (2)

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p NRC Form 374 y (5.s4)

U.S. NUCLEAR REIULATORY COMMISSION PAGE

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OF 2

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MATERIALS LICENSE Amendment No. 01 P*'

Pursuant 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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y Code of Federal' Regulations, Chapter 1, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations l J

heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, 4

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 !

license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is {

3 subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any l g

conditions specified below.

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In accordance with letter dated 1

3. [ujnse numhr 1987, ust I I'

1 Henrietta Delyzer SNM-1962 is amended in its entirety to read as follows:

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155 Willow Avenue 1

P t date u t Ste. Parie i

_ October 31, 1990 1

Ontario, Canada P6B 581. Cr '

5. Docket or 'i 4'70-03029

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Reference No.

]{ 6. ByproJuct, source, and/or

7. Chemical and/or physical V8. Maximum amount that licensee T>j h

special nuclear material form

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'dnder this license k

7 H{A. Plutonium (Principal ~A.' Sealed source A. One, source, not to

.. W jh Radionuclide Pu-238)

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exceed 210 milligrams f9.

Authorized use y.

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For possession in the United States 'as a nijclear battery. contained in an implanted lj Medtronic, Inc. Model 9000 nuclear-powered; pacemaker, Serial No. 4R0184N.

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The authorized place of use is anywhere within tfie'.' United St'ates, including:

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@Q Alaska, Hawaii and U.S.' Territories and Possessions in sthe' Pacific.

A j 11. While visiting the United St'ates, the licensee shall carry on her person at all

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times the Medical Alert Card supplied with tiis license in addition to wearing the

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identification bracelet and carrying 'the' identification cards required by the lbj Canadian Government.

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NRC Form 374 A U.S. NL.r.sc AR REGULATORY COMMISSION w

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PAGE OF PAGES 4

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S -1962 MATERIALS LICENSE l

4 SUPPLEMENTARY SHEET

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070-03029 4

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Amendment No. 01 4

I (Continued)

CONDITIONS i

12.

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.

4 The Nuclear Regulatory Commission's regulations shall govern unless the

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

l and correspondence are more restrictive than the regulations.

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Letter received April 15, 1975 i

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Letter dated August 21, 1985 h l-f.

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Letter dated August 15, 1987 1F; 4

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!N l@9 For the U.S. Nuclear Regulatory Commission Original Signed By El I

j 28 SEP 1987 "o=

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Nuclear Materials Safety and p

l Safeguards Branch, Region I

p King of Prussia, Pennsylvania 19406

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