ML20151Z242

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Forwards Form-314, Certificate of Disposition of Matls for Use in Termination of License SNM-1401,for Nuclear Pacemaker Per 860204 Discussion.Requests Completion of Form Indicating Transfer of Pacemaker to Medtronics.W/O Encl
ML20151Z242
Person / Time
Site: 07001411
Issue date: 02/10/1986
From: Burgin R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Whitton J
ST. JOSEPH'S HOSP., MILWAUKEE, WI
References
NUDOCS 8602140107
Download: ML20151Z242 (1)


Text

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DMB COPY FEB 101986 St. Jospeh's Hospital License No. SNM-1401 ATTN: Mr. John 8. Whitton V"M kfM01411 Radiation Safety Officer 5000 W. Chambers Street Milwaukee, WI 53210 Gentlemen:

As per our discussion on February 4, 1986, enclosed are copies of Form-314,

" Certificate of Disposition of Materials," which you must submit to terminate your nuclear pacemaker license (SNM-1401). Please complete the form indicating your transfer to Medtronics (include their NRC or Agreement State license number) and the transfer date. You may attach Medtronics' receipt of your pacemaker.

Return one copy to USNRC, Material Licensing Section, 799 Roosevelt Road, Glen Ellyn, Illinois 60137, and maintain one copy for your files. Our Licensing people-will amend your license for termination (there is no fee for termination amendments). If you should have further questions, please contact this office.

Sincerely,

/

L e/ Q Robert E. Burgin Senior Radiation Specialist

Enclosure:

NRC Form-314 B602140107 860210 REG 3 LIC70 SNM-1401 PDR RIII{9o-

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