ML20202B316
ML20202B316 | |
Person / Time | |
---|---|
Site: | 03019521 |
Issue date: | 01/14/1998 |
From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
To: | |
References | |
50-19913-01, 50-19913-1, 572599, NUDOCS 9802110175 | |
Download: ML20202B316 (12) | |
See also: IR 05000199/2013001
Text
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,iplXmLwJAywwwo g NRC FdAM 374 U.S. NUCLEAR HE!Ut.AToRY COMMCSION AmendmenYNo.19 $ $ MATERIALS LICENSE g IPursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of f Pi i 1 Federal Regulations, Chapter I, Parts 30, 31,32,33,34,3$,36,39,40, and 70, and in reliance on statements and representations heretofore made fl I H ll by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and 31 transfer bypr l material designated below; to use such material for the purpose (s) and at the place (t) designated below; to deliser or 'ransfer such material to 31 l 1 persons authorited to receive it in accordance with the regulations of the applicable Part(s). This license sha l ' specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and orders of the T , Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified 'oelow. E : E I I Licensee W , In accordance with letter received i December 15, 1997, ! $ l- Ketchikan General Hospital 3. License Number 50-19913-01 is amended 3 5 p in its entirety to read as follows: ", . # 2, 3100 Tongass Avenue 5 $ Ketchikan, Alaska 99901 4, Expiration Date April 30, 2002 " $ t 5. DocLet or $ Reference No. 030-19521 $ t 3 6. flyproduct, Source, and/or 7. Chemical and/or Physical 8. Maximum Amount that Licensee gl Special Nuclear Material Form May Possess at Any One Time ( g J Under This License :: $ 2 3 !g A. Any byproduct A. Any A. As needed 21 si !g material identified radiopharmaceutical ; ' g in 10 CFR 35.100 identified in 10 ; y CFR 35.100 j l s B. Any byproduct B. Any B. As needed $
t ' !s material identified radiopharmaceutical t
l4 in 10 CFR 35.200 identified in 10 E j% CFR 35.200 E . a s Any product material Is lg C. identified in 10 CFR C. Prepackaged Kits C. 5 millicurie.s total is
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3'. 11 ' ;, l9 E IB E 19 E In s lg i i s 9. Authorized use j s ! A. Medical use described in 10 CFR 35.100. ; ! I B. Medical use described in 10 CFR 32.200. ; l l C. In vitro studies. E i.3 s' lg CONDITIONS ; la i $ 10. Location of use: Ketchikan teneral Hospital, 3100 Tongass Avenue, Ketchikan, r I Alaska. i ; C y Radiation Safety Officer: Terry Lesko, M.D. - 11. / 2 , i\ ! -s .' > I.ll!I.l l.l!l.l .l.lil.lll.i 1.1 y .bsn l - 9802110175 980114 i ^ PDR ADOCK 03019521 I.! C PDR b 7bi,ip, isi mmaggg 9j - . _ _ _ _
mu un.munusuuuuuuuuuum = = = = = = muww 3 . NR FORM 374A U.S. NUCLEAR REOULATO;Y COMMISSION PAGE 2 OF 2 P'GES g i Latense Number I 50-19913-01 g g MATERIALS LICENSE ooctei o, Reference Number 3 SUPPLEMENTARY SHEET ( 030-19521 g j n I n n Amendment No. 19 g l # E N 4 8, j E i 12. Licensed material listed in item 6 above is authorized for use by, or under the g supervision of, the individual (s) listed below for the materials and uses indicated: lg l Terry Lesko, M.D. 10 CFR 35.100, 35.200 l g .[n vitro studies y l 13. The licensee shall maintain records of information related to decommissioning at the U y location spec'fied in condition 10 above per the provisions of 10 CFR 50.35(g) until . E , this license is terminated by the Commission. l l 14. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". E y 3 l 3 15. Except as specifically provided otherwise in this license, the licensee shall E _8 conduct its program in accor ince with the statements, representations, and E 3 procedures contained in the documents, including any enclosures, listed below, 8 3 except for minor changes in the medical use radiation safety procedures as provided 5 3 in 10 CFR 35.31. The Nuclear Regulatory Commission's regulations shall govern E 3 unless the statements, representations, and procedures in the licensee's application E 3 and correspondence are more restrictive than the regulations. E E 3 A. Application dated January 10, 1992. E 8 B. Letter received February 25, 1992. E 3 C. Letter dated November 21, 1994 5 1 D. Letter dated September 8, 1995 E 1 E. Letter dated November 8, 1995 E
, 1 F. Letter received December 15, 1997 E
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g 1 1 E E 1 FOR THE U.S. NUCLEAR REGULATORY COMMISSION g 1 E 1 g Date By broM/h y a :) faterials Trahth '(/" Region IV, WCF0 g g g j Walnut Creek, California 94596 gi ? E l E A E di E i E 'j E E*T9~* * * * * * *A*Am m_m m mgm m m m m_gregm m mam m, u m m-m m m m m m m mmym--$ Prmted rm fro cleJ paper . _ _ _ _
_ _ _ _ _ . . . _ _ _ _ _ _ . . _ _ _ _ _ _ _ _ . _ . _ , , ' ' '! : FOR FMS USE BE M EN, ' 4 thF MAT ON FROM)LTS : License f ee Manageme'.t Branch, ARM Program Code: 02120 and . $tatus Code: 0 Regional Licensing ',ections : 7C * Fee [xp. Category:020 Cate: 20 30 Fee Coments: C0 E 23 : Decom Fin Assur eqd: N }*' N" :' :.. :. . '* *:. ::::. *** . :: :: M i r'f 1 3 I b - LICENSE FEE TRANSMITTAL
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, 1. APP ICAil0N ATTACHED # 3 RNe Docket No ha f** hh 3 N ., 21 Control No.: 7 :, 1) License No.. Action Type: -1 13-01 g*q r - * ndnent U' I* hu /# Check No.: e 3. COMMEN1$ p - f ed A ':Ee v Ja i/ Jr B.LICENSEFEEMANAGEMCNTBRAN:H(Checkwhedmilesfrffd031(o[ter /V/) jjm l 1. Fee Category and Ancunt: - ' . _ 2. ge ce Pat lication may be processed for: Renewal - License 3. OTHER , 4 * . _ _ f' NEned 1gw ps, ,*}--- _ e i_> ,~
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.. -y [ *t UNITED STATES NUCLEAR REOULATORY COMMISSION ?O M@in u f a } e REGION IV %, ....,/ Walnut Creek Field Office 1450 Maria Lane, Suite 300 Walnut Creek. California 94506-5368 rJAN14 Igge . Ketchikan General Hospital ATTN: Terry Lesko, M.D. Radiation Safety Officer 3100 Tongass Avenue Ketchikan, Alaska 99901 SUBJECT: LICENSE AMENDMENT Please find enclosed amendment 10 to License No. 50 19913-01. You should review this license carefully and be sure that you understand all conditions. Your "old" nuclear medicine facility remains on your license ln addition to the new one described in amendment request. You will need to decommission the "old" facility prior to releasing it for unrestricted use. The enclosed decommissioning and survey information is based on NRC requirements and shou:d serve as a guide as you begin decommissioning work. Please note that as part of this amendment, in accordance with 1') CFR 30.36, effective February 15,1996, the expiration date of your license has been .< ended by a period of five years. Your new expiration date is stated in item 4 of the license if you have any questions, please contact me at 510-975 0249. NRC expects licensees to conduct their prc., grams with meticulous attention to detail and a high standard of compliance. Because of the serious consequences to employees and the public which car result from failure to comply with NRC requirements, you must conduct
i your program involving radioactive materials in accordance with the conditions of your NRC , j license, representations made in your license application, and NRC regulations, in ! particular, note that you must: l
1. Operate in acccrdance with NRC regulations 10'CFR Part 19, " Notices, Instructions - and Reports to Workers: Inspection and Investigations," 10 CFR Part 20, " Standards for Protection Against Radiation," and other applicable regulations. 2. Possess radioactive material only in the quantity and form indicated in your license. 3. Use radioactive material only for the purpose (s) indicated in your license. 4. Notify NRC in writing of any change in mailing address (no fee required if the location of radioactive material remains the same). 5. Request and obtain written NRC consent before transferring your license or any right thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of control of your liease to any person or entity. A transfer of control of your license includes not only a total change of ownership, but also a change in the controlling interest in your company whether it is a corporation, partnership, or other entity. In addition, appropriate license amendments must be requested and l a - , . . . .
-. . . . . - . - - - . - - - - - - -. -- - - . . . - . .._-.~ * +
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, ,. . . obtained for any other planned changes in your facility or program that are contrary to your license or contrary to representations made in your license application, as. . ,
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well as supplemental correspondence thereto, which are incorporated into your . license. A license fee may be charged for the amendments if you are not in a fee- _
, exempt category.- {
, 6. Maintain in a single document' decommissioning records that have been certified for completeness and accuracy listing all the following items applicable to tne license: .
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* Onsite areas designated or formerly designated as restricted areas as defined ; ' in 10 CFR 20.3(a)(14) or 20.1003. ~ * Or. site areas, other than restricted areas, where radioactive materials in quantities greater than amounts listed in Appendix C to 10 CFR 20.1001 20.2401 have been used, possessed, or stored.- * Onsite areas, other than restricted areas,' where spills or other unusuali occurrences involving the spread of contamination in and around the facility, , - equipment,'or a have occurred that required reporting pursuant to 10 CFR 30.50(b)(1_) <.: ms(4), including areas where subsequent cleanup procedures have removed the contamination. ~* Specific locations and radionuclide contents of previous and current burial areas within the site, excluding radioactive material with half-lives of _10 days or less, depleted uranium used only for shielding or as penetrators in unused - munitions, or sealed sources authorized for use at temporary job sites. *- Location and description of all contaminated equipment involved in licensed operations that is to remain onsite after license termination. -7' Submit a complete renewal application _with proper fee, or termination request at least 30 days'before the expiration date on your license. You will receive a * .. rem nder notice approximately 90 days before the expiration date. Possession of redir.'ctive material after your license expires is a violation of NRC regulations. I " 8. - ' Request termination of your_ license if you plan to permanently discontinue activities involving radioactive material. ' LYou will be periodically inspected by NRC - Failure to conduct your program in accordance with NRC regulations, license conditions, and representations made in.your license + application ~and supplemental correspondence with NRC will. result in enforcement action against you. This could include issuance of a notice of violation; imposition of a civil
- _ - - - . . . . . ' .. .; Ketchikan General Hospital 3- penalty; or an order suspending,. modifying, or revokin0 your license as specified in the " General Statement of Policy and Procedure for NRC Enforcement Actions". (Enforcement Policy), 60 FR 34381, June 30,1995. Thank you for your cooperation. Sincerely, -! / James L Montgomery Senior Heaith Physicist Materials Branch Docket: 030419521 Licerise: 53 19913-01 Control: 572599- Enclosures:' As stated
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- _ _ - _ * , J Xetchikan General Hospital 4 ' y,; bec: Docket File- WCFO Inspection File _ LFARB, T 9 E10 - - , State.of Alaska (License Only) )
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DOCUMENT NAME: G:\572599.JM To receive copy of docutnant, indicato in box: "C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy lRIV:MB / RIV:MB f RIV:dB t/_ - l l lK Prp 6ergast BPragg6 JMontgomcF1 ' l // /97 y /97 i //Y /97 ' 0FFICIAL RECORD COPY ;
_ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ - - , - [ ' *hd "4k- NUCLEAR REGULATORY COMMISSION UNITE) STATES [[# 4#d - --*[ .& - REGION IV \.o.,,,,* Walnut Creek Field Offce 1450 Maria Lane . Suite 3oo 1 Walnut Creek. Cahfornia 94596-5368 DEC 19 157- Ketchikan General Hospital ATTN: Terry D. Lesko - Radiation Safety Officer - 3100 Tongass Avenue Ketchikan,- Alaska 99901-5794 SUBJECT: ACKNOWLEDGMENT OF REQUEST FOR LICENSING ACTION ' REFERENCE: Letter received December 15,1997 We have completed the administrative review and initial processing of your amendment request. Please note that the technical review may identify additional on issions in the submitted information or technicalissues that require additionalinformation. Amendment actions are normally processed within 90 days, unless the technical review identifies: -
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* Major technical deficiencies * Policy issues that require input and coordination with other NRC Regional offices, Agreement State offices, or NRC's Office of Nuclear Materials and Safeguards A copy of your correspondence has been forwarded to our License Fee and Accounts- Receivaole Branch, Office of the Controller, who will contact you separately if the appropriate license fee has not been submitted for yo"r request, or for billing if your' request is subject to full cost recovery. Any correspondence about this application should reference the Control number listed below. ;
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_ Sincerely, l James L. Montgomery Sr. Health Physicist Materials Branch Docket No. 030-19521 License No. 50-19913-01 Control No. 572599 ,=
_____ _________- ____- _ . . ;*? , .1 Ketchikan Gerwral Hospital 2- bec: Docket File- ! .
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i - G:\572599.aki - To receive a copy of this document, indicate in the box "C" - Copy without attachment / enclosure "E" - Copy with attachment / enclosure "N" - No Copy OFFICE RIV:WCFO:MB h NAME J. Garcia h, J. Montkmery DATE- /2!!797[ lA /[f/97 __j
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Region IV, WCI'O g' 7 p'- , , l ,.,n,Od U' - i,c.nciicattii Walnut Cseek, California 94596 Ketchikaii General Hospital Dear Mr. Montgomery, , , We are requesting an amendment to our current Nuclear Medicine License number _5019913-01, llospital i construct on is forcing us to relocate our current hot lab and imaging room to a different location for approximately two years. We have included in this correspondence detailed site plans of the new location.
h We would also like to add Indium 111 to our license in order to better serve our community.
S'ncerely. / ).pa 1 ' ' # .& .
} Terry Les(o , Radiologist
Radiat on Safety Officer
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