ML20195C606
| ML20195C606 | |
| Person / Time | |
|---|---|
| Site: | 07001442 |
| Issue date: | 04/01/1999 |
| From: | Courtemanche S NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML20137S638 | List: |
| References | |
| 126629, NUDOCS 9906080231 | |
| Download: ML20195C606 (7) | |
Text
p NRC FORM 374 '
PAGE 1 OF 1 PAGES u.s. NUCLEAR REcVLAToRY CoMMISSloN Amtndmint No. 09 MATERIALS LICENSE i
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- 1. Monmouth Medical Center AR F E gagnumber SNM-1392 G d G 4A !
- 2. 300 Second Avenue 4. Expirationdate NhA pplicable Long Branch, New Jersey 07740 5. Docket No. 070-01442
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For the U.S. Nuclear Regulatory Commission Original signed by Steven Courtemanche Date Anril 1.1999 By Steven Courtemanche Nuclear Materials Safety Branch 1 Division of Nuclear Materials Safety Region i King of Prussia, Pennsylvania 19406 9906000231 990401 PDR ADOCK 07001442
, C PDR OFFICIAL RECORD COPY ML10 j
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O O l April 1,1999 Docket No. 070-01442 License No. SNM-1392 ' I Control No. 126629 Frank Vozos !
President / Chief Executive Officer l Monmouth Medical Center 300 Second Avenue i Long Branch, NJ 07740
Dear Ms. Sparer:
Please find enclosed Amendment No. 9 terminating License No. SNM-1392 as requee+ed by your letter dated March 3,1999. All facilities previously used for licensed activities may be released for unrestricted use.
Your cooperation with us is appreciated.
Sincerely, Original signed by Steven Courtemanche Steven Courtemanche l Health Physicist I Nuclear Materials Safety Branch 1 Division of Nuclear Materials Safety l
Enclosure:
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Amendment No. 9 l
cc:
Thomas Piccoli, Radiation Sat lety Officer
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O O l C. Spe.rer - 2 Monmouth Medical Center 1
I DOCUMENT NAME: B:\DNMS Documents \Lic Cover Letter \LSNM-1392.wpd 84467551 To receive a cop r of this document, Indicate in the box:"C" = Copy w/o attach /enci *E's Copy w/ attach /enci 'W = Ne copy OFFICE DNMS/M lN- DNMS/RI l l l NAME SCourts(1&neHe DATE 04/1149 04/ /09 04/ /99 04/ /99 OFFICIAL RECORD COPY 1
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Materials License Termination / Retirement Form LICENSE #(s): SA/M - t 3 9 2- DOCKET #(s): O H - 0 / W Z-ADDRESS: 2m A a A H</;, /(%, EXPIRATION DATE: r/3 / /99 h h a Avo- DATE OF CONTACT: 3/3/99 L-. M~c4 r/T nrrvo CONTACJED BY:TFir m o A'so l TITLE: KS0 f
TRLEPHONE: ( n 2A 9 2.3-6 8 // l LICENSETERMINATED: I l LICENSETRANSFERRED:
LICENSE TRANSFERRED TO: Name:
Address: .
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TW: i BASIS FORTERMINATION AND/ORRETIREMENT: 1asffeeace d er - oo //d a v n :r <f :,, 199C J o a e e - a f e ,, .... . k u a w ;< 4 HJ sJftJ Ale /te 0 A' m a f e ,- t a l r~ e : , < f6, A r/s a- a s . l l'
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TERMINATION DOCUMENTATION
- 1. License termination meets Type I criteria: Y _tN _
__. L*me used scaled sources only and the most recent leak test demonstrates that they did not leek while in the licensee's possession
_ i h used radioactive material with Tm 560 days and it has decayed to less than the activity in 10 CFRPart20 A,W ix C
- 2. License termination meets Type II criteria: Y.1 N.__
.M. Licensee possessed and used only sealed sources but cannot demonstrate that the sources did not leek while in the licensee's possession Licensee W unsealed radioactive material with T n 560 i days but the maximum activity authorized under the license has not decayed to less than the quantity pnad in 10 CFRPart20, Appendix C
_ Licensee-W unsealed radioactive material with T n > 60 days but 5120 days.
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_ Licensee p-a-d "C or 'H ist the total activity (s) and use authorized under the license warrants decommimmioning under Type II (describe rationale above)
Rev. O, D-M 1996 - F-1 NUREG/BR-0241 Offl0lALRECORDCOPY ML10
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- 3. License tennination meets Type III criteria: Y _ N ._. . !
_ Decommissioning qualifies for a categorical exclusion under 10 CFR 51.22 (c) and I l
_ Licensee will decommission its facility in accordance with the NRC's criteria for unrestricted use. !
4.- License termination meets Type IV criteria: Y.__N _ ,
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_ Denmmissioning does not qualify for a categorical exclusion under 10 CFR 51.22 (c)
_ Licensee will decommission its facility such that residual radioactive material may remain in excess of NRC's criteria for unrestricted use.
- 5. Termination survey requimd: Y_NX
__ Termination survey submitted by licensee l
Termination survey satisfies NRC survey requirements
- 6. Form 314 or equivalent submitted: Y X. N _._
.i Staff verified disposition of sealed sources:
or unsealed radioactive ==%L by:
x letter from Form 314 recipient call to Form 314 recipient
- 7. Licercee transfer records dimas=A in 10 CFR Parts 30.35,3036, 30.51; 40.36, 40.42, 40.61; or 70.25, 70.38, 70.51 Y ._. N .8 To USNRC
_._ To individual assuming responsibility for the license, with a copy of the cover letter to NRC
- 8. NRC closeoutinspection required: Y _ N.M.
_ Closeoutinspectionperformed:
on:
Inver:
- 9. Closeout survey performed: Y _ N _2(
on:
by:
Licensing assistant completing form: Date:
or License reviewer completing form: b feve n [ h uhhI Date: 3/24!99 Branch Chief: Date: i NUREG/BR-0241 F-2 Rev. O, December 1996 t
O O TELEPHONE CONVERSATION RECORD Date: Time:
03/26/99 13:15 Mall Control No.: 126629 License No: Docket No:
SNM-1392 070-01442 Person Called: Thomas Piccoli, M.S., Licensee: Monmouth Telephone No.: i RSO Medical Center (732) 923-6811 l I
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Person Calling: Steven Courtemanche/(610) 337-5075 l
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Subject:
Clarification of intent of letter.
Summarv: Mr. Piccoli stated that it is the intent of the institution to have the license terminatec and apologized for the vagueness of the letter. Mr. William Amold has granted authority to make commitments on Mhalf of the institution. Mr. Piccoli requested that a copy of the termination request be oent to him because of the lag time between his management receivin i l the letters from the NRC and his receiving them.
Action Required /Taken: file with the licensing action.
Signature: dT, fiL[ Date: 03/26/99 OfflClALRE00BDCOPY ML10
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- l This is to acknowledge the receipt of your letter / application dated
, and to inform you that the initial processing which
! includes an administrative review has been performed.
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here were no administrative omissions. Your application was assigned to a technical reviewer, Please note that the technical review may identify additional
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omissions or require additional information.
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Please provide to this office within 30 days of your receipt of this card
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A copy of your action has been forwarded to our License Fee & Accounts l j Heceivable Branch, who will contact you separately if there is a fee issue involved. '
Your action has been assigned Mail Control Number 1288.20 When calling to inquire about this action, please refer to this control number.
You may call us on (610) 337 5398, or 337-5260.
mu raw sn am Sincerely, asse Licensing Assistance Team Leader l
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