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Amend 20 to License 50-17838-01 for Providence Hosp, Authorizing Use of Any Radiopharm in 10CFR35.100,200 & 300 & Any Brachytherapy Source in 10CFR400 as needed,1.5 Ci Matl in 10CFR34.500 in Diagnostic Devices
	ML20155J436
Person / Time
Site:	03013426
Issue date:	10/28/1987
From:	Riedlinger B; NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:	;
Shared Package
ML20155J442	List: ML20155J436; ML20155J524;
References
	50-17838-01, 50-17838-1, NUDOCS 8806200506
	Download: ML20155J436 (3)
	v • d • e

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U.S. NUCLEAR REGULATORY COMMISSION

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Amendment No. 20

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MATERIALS LICENSE

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

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heretofoie made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and tran

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source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below;to

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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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Licensee

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Providence Hospital

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Radiation Safety Office

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3200 Providence Drive, Pouch 66049

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Anchorage, Alaska 99502

4. Expiration date August 31, 1988

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Reference No.

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6. Byproduct, source, and/or

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special nuclear material

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under this license

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Any byproduct material

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.Any radiopharmaceutical

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As needed

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identified in 10 CFR 35.100 '

identified in 10 CFR 35.100

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Any byproduct material

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identified in 101CFR 35.200

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identified in 10 CFR>35.400

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Amendment Nc. 20

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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 35.500.

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Shielding in a linear accelerator.

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Licensed material described (in, License Conditions' 6.E. , 7.E. 8.E. , and 9.E.

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may also be used in Room-132;of the:Providen'ce Medical Office Building,

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35.400, 35.500;'Iodjne 131 for treatment 3of,hyperthyroi.dism 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 treabnent of , hyperthyroidism or cardiac dysfunction

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Charles Sternhagen, M.D. for mat'erials identified in 10 CFR 35.300, and

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Denise Farleigh, M.D. for materials identified in 10 CFR 35.100, 35.200,

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David Allen Moeller, M.D. for materials identified in 10 CFR 35.100,

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35.200, 35.300, and 35.500.

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Kenneth A. Fox, M.D. for materials identified in 10 CFR 35.300 and 35.400.

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Anthony Chung-Bin, Ph.D. for non-human uses of licensed material.

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4 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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The licensee may transport licensed material in accordance with the provisions

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Amendment No. 20

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CONDITIONS

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(continued)

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15. This license is based on the licensee's statements and representations in the

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following documents:

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A.

Application dated November 30, 1982

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Application dated February 21, 1983

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Letter dated July 13, 1983 n

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Letter dated August 177l.19831 * * 6 U: It,

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LetterdatedJanuarh20;'1984

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Letter dated February 13, 1984

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Telegram dated' February 22, 1984

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Letter datedd4 arch E, 1984

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Letter dated May;15, 1986

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Letter dated 7 July'28,'1986

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Letter date'd September 18,1986

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Letter da'ted June 3,:-1987's

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Letter dated October 15,11987.

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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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lDate October _28, 1987

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By ~Teth' F.~kiedlinger

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