Text

Amend 12 to License 50-17838-01 for Providence Hosp,Revising Condition 12 Re Authorized Users
	ML20155E417
Person / Time
Site:	03013426
Issue date:	08/12/1982
From:	; NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS)
To:	;
Shared Package
ML20155E328	List: ML20155E417;
References
	50-17838-01, 50-17838-1, NUDOCS 8604170601
	Download: ML20155E417 (5)
	v • d • e

i!!MGi%% E1*.ViTc ALE 7A'iTfEEtEc 37Mfi'.::n ic; cf37EGTEG7C1%" eel *5?l*5".C1%'JJ'El',"e/El*372'6%%*$,

e

W

n'

(tT NRC Form 374A

U. !,

CLE AR REGULATORY COEi. MISSION

3

J

.a

PAGF

OF

PACES

!

O 2-G I)

~'

Licenw '.

.ber

-

g%{ ,

-

r c yy'

w' 't

,

~

"

N

MATERIALS LICENSE

Docket or Refcrence numbc

I

SUPPLEMEN,TARY SHEET

'

l

,;

_ . . . . _ _

-

tren t nt : c.1?

l

rrt virhec rt pitel

il

"r/ int.ir.r Cafetv Cffice

t

Ncui?*rcc 1Tive

>

p

're'cr.re, .'3.nr%

9%N

.

aM

C

T - e ce. t'r mer '.ith teliv'r.;.

W.# br.

M. U , E C,

' i rer: c h ' c r Cr-17',' n. r,,1

k.

ir - ..,'<<

'

a re 31c,.~ :

.

s

~

9;

i..ro cr. ' M.'re cr. c'i t' c. T ic4 :ece er

c* nm ev' 'rrr: Tre vi ?ere.' ' ca S tal ,

k

3 c ch'crm ; rive, t reN rr: .. , 7 Ic.r'n

"i.O'.

t o "r:Woce :'rgital, Freinf iro

y

~nr-

g

< c r , e f f ic' , "' " Prc ui ' - -m Prive, ! r.d cr.ro, ' } l' r. r

' T 4.

'

.

-,

!

. "it : v J

! r erv n'ri 1 e 7::v1 s

.

i

.1

t.

-nr.

.n'

.~ ter.1: ? 3 i c:

i r. ' t r ' r :? rw ir wih cirr:"

t.r twc ?y, er tn n r

'

.

i~'iv'rre1'.d

'ry ;^< 'Trrr1.,'c

,3

t:rt'.

' !13 ir.

y

' c-

. er. irir; . ,

t'.

.-

gl

- '+~:n

f

rr t . c T , 17, III n;f '".

$

., ice ' . s tyle, 8

..

d

I, H

r,.1 HI

y

cc ' n

T.

ht t ra,

.'1

^r<t

-t

P.A

.P.

^rn'* ': J.e , " nrr! "Y

g

' ., : 1. . ' + c r-4 e4 .i

,

b

-

.

1 x<-r,

- rrA srce zc

'

...

a

m,.

.- v:, v -

,.

.. .

.

x

N

rete-r re' ctt M ft,

.i .

orcu: VI

e

,

n

t.

h

6&

si

e

ei.l

.

I

(

.i

i

2C

yt

For the U.S. Nuclear Regulatory Commission

Dric,. : L .'. n..-

'I

l.gjg 3 <, "

Me

cNM ; M';

Date

By

_

g

Division of Fuel Cycle and

gi

Materia! Safety

h

8604170601 860304

Washington. D.C. 20555

fa<

REG 1 LIC30

j

44-10187-02

PDR

wmeumx=mumxammaxwmmnamn,mm_

m,wpg.g.

E

.

,

.=

.

LICENSE

,

STATE 01 VEllMONT

()

O E, r d of i'i * i C o l.

.'r

C*iO-

The board grants this

Lic_nse ss a (or an)

> n y s i c i a ri

for the period from

,.// .'

01/<1/ 3

hy or S T4 rg

'-

to

'

$c@sk

under the provisions of Title

?..

,

.

,

Chapter

3

of the Vermont Statutes Annotated

z

'"

' of NIO I NNI

LO hCI AI.I.Y .'igT.II

,,7p7 ..iT: ' ?

.D

,

.; :. .

v' * C T 5 k ' " :n

-

ko,,itCEns1HG ^}

}

. i t. : y . .: s s

.r. :.

n' 11 ;

L

J

'

l.icense Number /. 2 - X 0 7.; c ::

Expires J.i1/ : 1/ ~

unless suspended or revoked sooner.

Q

ww

Q

,

si. un i 4xs ot si r u

.

-

_

8 >n s H ' N "' 8 " 8 N Na ^ 8 8 * ' M * '"N

_

.

$

6

9

e

9

e

o

e

eq

-

. - - -

- - - -

-

.

E

.

(v-

, ,

'

ws

- -

. .

STATE OF VERMONT

BOARD OF MEDICAL PRACTICE

.

THIS IS TO CERTIFY

'

.)nd onags,glaidta.

$

EiEF..h,..$1Hifis.[$.h,.

l

of

that

.

.h,

..

,,.t.hp#iaiC..h4 Ita[...(EniGF3.hijFaCUSE f..f...

3

a graduate of .

in the year

.1977..

having successfully qualified as a practitioner in medicine before this Board has

been registered as provided by the Laws of the State,

w-a.g

, . . .

I-

2'

$ ~

m..

.

.-

' ' ' " " ' '

""

'

.

0 .'

N l$^'

n

'

-

uontpeiier

..$ag.9,.1984.

g

,

.

~

Certificate No.

.7006.

.

Date

STATE OF VERMONT

Office of Secretary of State

~

Received

9 N ?.1984

,

5 tate

.

Signed. Secretary of

and duly recorded.

.

4

-

a

.

--

__-_ma_

e

.a..m

.

- - - - - -

a

_,.

$:

O

'

.

I

.

~ ~ ,

.

E .

. ~<

-

i

'

'

h . - :$ !..

,)

s

E

y

. j

il.1b

,

.

15.

N

M'

Qr

-t9

'%=

s

N

a

u.

2

a

., b

g,

%

-

4 4) '8. '3

.1~i

1

j

D

A.

3

5

'

-

N

4

^

b

C

4:=

m% x,

-

g' f' h \\. ]t

s

.

w

-

. ,,

=

%

3

A

$

k

..4 .

g

k

b

4A%

-

9. g % .;

pg

K

't

% =.t 4 = % ?

Sj

+%

e

m

4

en

e

a.3

-

4= B 1 .B 'f 24

O

E

,' b '3 4 9 f .i 4

7

1 .4 - t . .

c

=-

=

o

i

3-

e

'!'d

~

$ 4ll\\$k4 5

w y'hd$%% f

j l l '? L' i d

2

E

4

5

'

4

+'t - s

m'$s 3=5ig

e4

e

4

.s

,

-

iW

1 % gNt .h'

C

4

-

&A

kN'

M'

M-

b

E g )h

3 .3 A h,

%

.s

-

.

-

g*

'd't j

"

&

.

hs

4

sk. - N =

IE

R -S .t=j

=

3-

&

-

=

hk

k

b

t 9,

$ 'h ? % k

E

%g

1gS gg

n '3 34%c*2

'

<

-

=

.-

u

E

t-

te

.

re

14

4

S Aj

t w'*.

tt

_

'

c#, a

e

1m

=

l

tQ

4

,,s

I

'

e

j ss

Nq

.

) 4 q' 4d ,4

)

,

ic,,ss,.ym..

~

.

,,,,

_e..

=r-er

,-

$(f

" E $ 5 3 5.

l

.-

)

-

',f,* ', E E E'E ! '.

5-

j

.

,

I

% ,.

N ~~

%s .5NN

~

w~~ -

.

W

.

-

'

f

e #

!

-

,

-

.

,-

..-..a.,

, . --- -

- - - , , - - , , - - , - - - , -

. - , , _ . , -

-.

~

c-

, bel .JE Eh : William O. Mi

r. Chief

.

. License Fee Mar.zgement Branch

'

Office of Administration -

-

John E. Glenn. Chief

\\

-'

Nuclear Materials Section B

Division of Engineering and

Technical Programs

LICENSE FEE TRANSMITTAL

p

-

A.

REGION

1.

APPLICATION ATTACHED

Applicant / Licensee: Olc;chtak Ccnhf Wmdnk cP VermCrk

Application Dated:

~~lf7_fSP:5

Control No.:

04086

License No.:

4 4-lOl% ~l-C)'1

2

FEE ATTACHED

Amount:

2 \\@ C'C'>

.

Q9TFQ / of 9'f6D

Check No.:

3.

COMMENTS

Signed '

10m$n 93n-bN

e@o O

Date

q QC;

B.

LICENSE FEE MANAGEMENT BRANCH

1.

Fee Category and Amount:

~74-

.

2.

Correct Fee Paid.

Application ney be processed for:

Amendment

Renewal

/

License

Signed Oh

Date

$h

O

/

REGION I FORM 213

(MARCH 1983)

r

ML20155E417

Text

Navigation menu

Search