ML20198F146
| ML20198F146 | |
| Person / Time | |
|---|---|
| Site: | 07001396 |
| Issue date: | 10/08/1985 |
| From: | Mccann G NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| References | |
| 79128, NUDOCS 8511140282 | |
| Download: ML20198F146 (2) | |
Text
5"3NINM"1MN@EMWMM_M%WUL%M*1XMMNTE%iN1*1mTT:p gl NRC Form 374A U.S. NUCLEAR REGULATORY COMMISSION I
1 p,gg g,
,,gC3 Iqj mso License number
~ [e k
T SNM-1393 E
I.ql MATERIALS LICENSE g,;,,,,, g,,,,,,c,,,,,,,
SUPPLEMENTARY SHEET
_ __ _-01396 i
070 Amendment No. 04 l
i Hurley Medical Center l
j D:partment of Radiology On2 Hurley Plaza i
i Flint, MI 48502 l In accordance with letter dated May 30, 1985, License Number SNM-1393 is amended as follows:
i t
Items 6.,
7., and 8. are amended to read:
- 6. Byproduct, source,
- 7. Chemical and/or.
- 8. Maximum amount that' l
and/or special nuclear l physical' form g ~
at any one time licensee may possess 4
material c~
1
.V under this license.
i
'p{
q!
A. Plutonium A. Sealed sources A. 4 sources not to
'p!
(Principal radionuclide" exceed 210 p
d l Condition 16.
Pu-233)
'{
milligrams each
/ /,
_s b
is amended.to read:,
.',? l 16.
Except as specif[cally provided otherwise by this; license, the licensee shall possess; and use licensed! material described'in Items 6,J 7, and 8 of this license in i
accordance with statements, representations,:and procedures contained in letters dated April 24, 1973, July _19, 1973, Mayll6,.1974, September.14, 1983 and May 30, 1985. The NucleargRegulatory,Com:aission',9 regulations shall, govern the licensee's statements in appl'ications or;~, letters,iUnless the mtatements are more restrictive E.
h than the regulations
.o
'/,
j t\\'
I ).
-J
/
Y g
- pl j,
p) 4 s
For the U.S. Nuclear Regulatory Commission I
OCT 8 1985 Original Signea D:te By George M. McCann i
Materials Licensing Section, Region III 8511140292 051008 lLg \\ M REC 3 LIC70 COPY ig 3 i SNM-1393 PDR l
)
bmEEEF?W+Y7hTE&TEEpiT>ha.:ditmTKKA.2&irsLTa<RamrmTgEwg
Os i TIME DATE CONVERSATION RECORD l
//pg,g s pc2;/g /pgr s
TYPE ROUTING O VISIT C CONFERENCE fpELEPHONE O INCOMING K
- 'svusol Location of % sit / Conference:
y OUTGOING NAME OF PERSON:$) CONTACTED pR IN CONTACT
< ORGANIZATIO (Of%e, de t. pureau.
TELEPHONE NO WITH YOU Mmu% &gQgg etc ) gg g*
EAd Pfikd
- 9MW SUBJECT Y_f
- k. -
.3_
~
SU M P.' ARY I
_ M t.7__.
- b. I bei M_
LU --
.# f.M t% _ _
-.2 M_H
.,/f 4
$4 4 - -_-_ -. _ _. _. _ _ _ _. -
ACTION REQUIRED N AME OF PERSON DOCuvFNilNG CONVERSATION
! SIGN ATURE DATE
.1 SIGN A TURE TlTLE pAfg
(
50"8-808 CONVERSATION RECORD go,N,AL R,7 (jg,F6)
.treimi, w1.u.vnn 9
g
r 3
HURLEY PAC:GL CEtIER Otl HURLEY FIAZA,FLNT,MCF"GAN 48502 PHONE (30) 257-9000
(~s 3
k J ~~~
a ntCtivf D BY L7Mtl [
May 30, 1985
~~
0 ate.
..,....h.....,
L ao
/.n W
['h'f Mr. Don Sreniawski, Chief pf c;.
g~
U.S. Nuclear Regulatory Commission O'
799 Roosevelt Road One T8,
79*
ac:.on Co c'!/
Glen Ellyn, Ill 60137 ATTN:
Material Licensing Section L
gg
Dear Sir:
US h d IIurley Medical Center is currently following three patif4 AEbMGMU, RArn with Nuclear Pacenckers.
They are as follows:
Shirel Nations Donald Steniacker llarry Williams 518 Elms Street 209 Riddle Street P.O. Box 98 "Mt.
Morris, MI 48458
!!owell, MI Grubbs, Ark 74213 Serial #5R0042 Serial #4R00030 Serial #3R00248 Implanted 11-2-76 Implanted 5-13-74 Implanted 4-30-74 Two patients we were previously followinq have expired and pacemakers have been removed since your last check in 1981.
They are:
William Foley Emil Deister Serial #6R00345 Serial #3R00241 Implanted 1-11-17 Implanted 12-11-73 Expired 1-16-85 Expired 11-84 We are presently attempting to get written verification that these two pacemakers have been properly returned to the NRC, so that we can complete our files on thene patients.
We are also requesting at this time that our followup contacts be extended to every 6 months.
Our NRC License is #SNM-1393 Thank you, (Lll wL l'
% h v_'_
RgC Maurene Beck.ma n, RN, Supervisor cardiovascular Study Unit EfpE O One llurly Plaza 4N OSj008 Plint, Michigan 48502
'/p
/lv NI!Clojyf;,
(313) 257-9085 N
MD:bb 8
sW j
cc file Carolyn Skaff, Director, Cardiac Rehab.
60NTROLNO. 7 9 1 2 8
. ? --M i m +n; f[, _
O'f
)'
6 085 L
- - - - - - - - - - - - - - - - - - - - - - - - - -