ML20155F219
| ML20155F219 | |
| Person / Time | |
|---|---|
| Site: | 07002032 |
| Issue date: | 08/17/1998 |
| From: | Mullauer J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | NRC |
| References | |
| 304299, NUDOCS 9811050354 | |
| Download: ML20155F219 (8) | |
Text
_. ._. - _. . . . . _ . _ . _ _ . _ . _ _ . . _ . . _
VOID SHEET TO: License Fee Management Branch FROM: Rill- James R. Mullauer I
SUBJECT:
VOIDED APPLICATION ;
Control Number: 304299 l
Applicant: Welbom Baotist Hosoital i
License Number: SNM-1552 :
Docket Number: 070-02032 l I
Date Voided: 8/17/98 Reason for Vold: An amendment is not necessarv since nothing in the license at this ,
time needs to be changes. Any fee caid should be reimburaad to the licenmaa. '
b> [A , > u 7 77 Y Signature ( (Date i
Attachment Omcial Record Copy of Voided Action FOR LFMB USE ONLY j Refund Authorized and processed No Refund Due
/
/ Fee Exempt or Fee Not Required Il i l
t Comments: Log completed Processed bydA0 /C/30 I
//
fSA* IDE$ U$ho j a ;\/{3h l
J42/ I
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s (FOR LFMS USE)
- INFORMATION FROM LTS BETWEEN: : --------------------
O License Fee Management Branch, ARM Progran Code 22160 and : Status Code: 0 Regional Licensing Sections : Fee Category: EX 7C O Exp. Date: 20030430 Fee Comments: PACEMAKER /13-01674-01
- Decon Fin Assur . Re qd:::::::::::::::::
N O
LICENSE FEE TRAN5MITTAL A. REGION
)
O N
- 1. APPLICATION ATTACHED Applicant / Licensee WELBORN MEMORIAL BAPTIST HOSP..INC, Received Date: 980811 O Docket No 7002032 Control No.:
License No.
304299 SNM-1597 L
N y d Action Type ' (
Amendne O 2.
__M FEE ATTACHED -
Anount: ~~ ~~~~
L,3 Check No. '
- 3. COMMENTS f
o oate ::::::::r zs.gg::::::
e
'O B. LICENSE FEE MANAGEMENT BRANCH (Check when a les one 03 is entered /~)
O 1.
reeCategoryendAnountik_fC.'7 '; Q ______________
- 2. Correct Fee Paid. pplicationnYBe e o Amendment O Renewal :::::_:::::_~~~
License ______________
O ::::::::::::::::::::::::::::::::::
!!C'd e b::fz _1::::::::::::::::
Log,__,__OLLQ_.l M------
Remitter ____J __ _-------
O Check No. _ - _ _ _ _ - - - - - - -
Amount _ _ . _ - ------
Foe Category ._ -------
' O Type i Foe __- ---- ---
Date Chock Rec'd Dato Completed _ _ lE -- --
O sy6?___-----_-- --------
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WELBORN i Baptist Hospital l l
August 10,1998 )
United States Nuclear Regulatory Commission i' Region 111 Materials Licensing Section l 801 Warrenville Road Lisle, IL 60532-4351 RE: Material License Number 13-01674-01 l To Whom it May Concern:
I am writing with regards to the materials license (number SNM 1557) held by Welbom Memorial Baptist Hospital, Inc, located at 401 Southeast Sixth Street, Evansville, Indiana 47713.
Please be advised that the above-referenced licensee anticipates a possible change in ownership on or after September 15,1998. Therefore, I am writing pursuant to 10 CFR 30.34(b) to provide timely notification to the Nuclear Regulatory Commission before the proposed change of ownership, and to obtain prior written consent to such action from the Commission. This notification is made on the condition that if this change of ownership does not occur for any reason, the licensee will promptly notify the Commission who will reinstate this license without any further change in status.
The following information is provided to the Commission at this time in accordance with the information requirements set forth in NRC Information Notice 89-25, Rev.1:
- 1. The new name of the licensed organization. If there is no change, the licensee should so state.
RESPONSE: No changes to report at this time.
- 2. The licensee's new contact and telephone number (s) to facilitate communications.
RESPONSE: Richard C. Breon, President and Chief Executive Officer, St. Mary's Medical Center,3700 Washington Avenue, Evansville, IN 47750-0001, (812)484-4445.
- 3. Any changes in pert,onnel having control over licensed activities (e.g., officers of a corporation) and any changes in personnel named in the licenses such as radiation safety officer, authorized users, or any other persons identified in previous license applications as RECEIVED 401 Southeast Sixth Street Ev sville, indiana 47713 (812) 426-8000 AVG 111998
_ . . _ _ . . - _ . _ . . _ _ _ _ . ~ . -_ . . . . _ . . . . _ _ _ _ _ _ _ _ _ _ . _ . .
_7._.._.._
August 10,1998 Page 2 responsibis for radiation safety or use of licensed material. The licensee should include information concerning the qualifications, training, and responsibilities of new individuals.
i RESPONSE: No changes to report at this time.
- 4. An indication of whether the transferor will remain in non-licensed business without the ,
license.
J l
RESPONSE: The transferor will not remain in non-licensed business without the 1 respective license. !
I
- 5. A complete, clear description of the transaction, including any transfer of stocks or assets, ,
mergers, etc., so that legal counsel is able, when necessary, to differentiate between name i changes ard changes of ownership. {
RESPONSE: The proposed transaction requires the transferor, Welbom Memorial Baptist Hospital, to sell the Hospital's assets to the transferee, St. Mary's Medical Center, which will continue to operate all such assets following the close of the proposed transaction.
. 6. A complete description of any planned changes in organization, location, facility, equipment, or procedures (i.e., changes in operating or emergency procedures).
RESPONSE: No changes to report at this time.
- 7. A detailed description of any changes in the use, possession, location or storage of the ,
licensed materials.
RESPONSE: No changes to report at this time.
- 8. Any changes in organization, location, facilities equipment, procedures, or personnel that would require a license amendment even without the change of ownership.
RESPONSE: No changes to report at this time.
- 9. An indication of whether all surveillance items and records (e.g., calibrations, leak tests, surveys, inventories, and accountability requirements) will be current at the time of transfer.
A description of the status of all surveillance requirements and records should also be provided. ,
- RESPONSE
- Any. surveillance items and records in effect at the time of transfer will be current.
L
. O ,
O 1 1
August 10,1998 Page 3 l j 10. Confirmation that all records concerning the safe and effective decommissioning of the facility, pursuant to 10 CFR 30.35(g),40.36(f),70.25(g), and 72.30(d); public dose; and waste disposal by release to sewers, incineration, radioactive material spills, and on-site burials, have been transferred to the new licensee, if licensed activities will continue at the i same location, or to the N lC for license terminations.
3 ll RESPONSE: All records concerning the safe and effective decommissioning of the ,
facility, pursuant to 10 CFR 30.35(g),40.36(f),70.25(g), and 72.30(d); '
public dose; and waste disposal by release to sewers, incineration, ;
radioactive material spills, and on-site burials, will be transferred to St. I
- Mary's Medical Center as the new licensee because licensed activities )
will continue at the same location.
. 11. A description of the status of the facility. Specifically, the presence or absence of contamination should be documented. If contamination is present, will decontamination occur before transfer? If not, does the successor company agree to assume full liability for the decontamination of the facility or site?
RESPONSE: There is no contamination, or any related decontamination efforts to report at the present time. I
- 12. A description of any decontamination plans, including financial assurance arrangements of the transferee, as specified in 10 CFR 30.35,40.36, and 70.25. This should include information about how the transferee and transferor propose to divide the transferor's assets, and responsibility for any cleanup needed at the time of transfer. l l
RESPONSE: None to report at the present time. l
- 13. Confirmation that the transferee agrees to abide by all commitments and representatives previously nMde to NRC by the transferor. These include, but are not limited to: maintaining decommissioning records required by 10 CFR 30.35(g); implementing decontamination activities and decommissioning of the site; and completing corrective actions for open inspection items and enforcement actions.
With regard to contamination of facilities and equipment, the transferee should confirm, in
! writing, that it accepts full liability for the site, and should provide evidence of adequate resources to fund decommissioning; or the transferor should provide a commitment to decontaminate the facility before change of control or ownership.
I With regard to open (Mpection items, etc., the transferee should confirm, in writing, that it accepts full responsibility for open inspection items and/or any resulting enforcement actions; or the transferee proposes alternative measures for meeting the requirements; or the transferor provides a commitment to close out all such actions with NRC before license transfer.
' RESPONSE: Please refer to the attached letter from the transferee which documents i the transferee's agreement to abide by all such commitments and representatives previously made to NRC by the transferor,
o o
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l August 10,1998 Page 4 l
- 14. Documentation that the transferor and transferee agree to the change in ownership or control of the licensed material and activity, and the conditions of transfer; and the transferee is made aware of all open inspection items and its responsibility for possible resulting enforcement actions.
RESPONSE: The transferor hereby agrees to the change in ownership or control of the licensed material and activity that is subject to this license, and the conditions of transfer. Please refer to the attached letter from the transferee which documents the transferee's agreement to these terms !
and conditions.
- 15. A commitment by the transferee to abide by all constraints, conditions, requirements, representations, and commitments identified in the existing license, if not, the trans 3ree i must provide a description of its program, to ensure compliance with the license and ;
regulations. '
l RESPONSE: Please refer to the attached letter which documents the transferee's '
commitment to abide by all constraints, conditions, requirements, representations, and commitments identified in the existing license.
Please contact me if you have any questions, or if you require additional information to process this change of ownership application.
Thank you very much.
Sincerely, I
f)VWL Marjorie Z. Soyugenc President /CEO
[ ' '
D l s - '
3700 Washington Avenue Evansville, Indiana 47750 m Health Care a n-485-tooo :
- Services l
July 21,1998 U.S. Nuclear Regulatory Commission Region lli Re: Potential Chanae in Ownershio Material Licensing Section Affectina Welborn Memorial 801 Warrenville Road Baptist Hospital. Inc.'s Nuclear Lisle, Illinois 60532 Reaulatory Commission Licenses To Whom It May Concern:
The purpose of this letter is to inform you of a potential change in ownership which would result in a transfer of nuclear regulatory activities currently performed at Welborn Memorial Baptist Hospital, Inc. ("Welborn"). This potential change in ownership and transfer of activities would affect the following Nuclear Regulatory Commission ("NCR") licenses currently held by ,
Welborn: 13-01674-01,13-01674-02, and 13-01674-03.
As required by 10 CFR 30.34(b), St. Mary's Medical Center ("St. Mary's") would abide by all commitments and representations previously made to the NRC by Welborn. All the activities at this facility would continue without change at this time. If there are future changes in the i activities under the existing licenses, such changes would be made according to NRC 1 regulations with prior authorization when required. No decontamination is envisioned at this point. ,
1 St. Mary's and Welborn have agreed to a change in ownership of control of the licensed materials and activities. No known inspection items are pending pertaining to the activities I under the existing NRC licenses at Welborn. Additionally, St. Mary's is committed to abiding by all constraints, conditions, requirements, representations, and commitments identified in the existing licenses.
If you have any further questions, please contact Siayid M. Shah, Ph.D., Radiation Safety )
Officer at St. Mary's Medical Center. Dr. Shah can be reached at (812)-473-8787. i Thank you for your assistance and cooperation regarding this matter.
Sincerely, ST. MARY'S DICAL CENTER ichard C.' Breon President /CEO RCB/bim cc: Marjorie Z. Soyugenc, President /CEO Welborn Baptist Hospital
+ Member of DAUGIITERS OF CliARTTY NATIONAL f fEALTil SYSTEM
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NUCLEAR REGULATORi COMMISSION 8 k REGION lli g g 801 WARRENvlLLE ROAD 4
g a LISLE. ILLINOIS 60532-4351
. s*****/ AUGUST 13,1998 f
Marjorie Soyugenc Welbom Memorial Baptist Hosp., Inc.
. 401 Southeast Sixth Street i Evansville,IN 47713
SUBJECT:
ACKNOWLEDGEMENT OF CORRESPONDENCE (Letter Dated August 10,1998)
Dear Licensee:
In response to your request, we have completed the initial processing, which is an administrative I review of your application for a(n):
_ New License .X. Amendment __ Renewal
._ Termination _ Auth User (Amendment not required) i
_ Other No administrative deficiencieswere identified during this initial review. However,it should be noted that a technical review may identify omissions in the submitted information.
It appears that your request is routine (see 1-3 below, as applicable).
- 1. New and amendment actions are normally completed within 90 days, unless we find major deficiencies, or policy issues requiring central program office assistance. You are required to provide yourtaxpayeridentificationnumber to our Fees Department. Please fill out the enclosed NRC Form 531.
- 2. Renewal actions are normally completed within 180 days, however, under timely filing (before expiration), you may continue to operate under your existing license.
- 3. Termination actions are normally completed within 90 days, unless confirmatory surveys following decontamination / decommissioning activities are involved.
A copy of your correspondence has been forwarded to our Licensing Fee and Debt Collection Branch (301/415-6097) for approval of the fee category and amount, if required.
We will try to complete your request as soon as practicable. Any correspondence about this request should reference the control number. Please direct any questions conceming your request to the Materials Licensing Branch at (630) 829-9887.
Materials Support Branch Mail Control No. 304299 License No. SNM-1557
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