ML20203F906
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| ML20203F906 | |
| Person / Time | |
|---|---|
| Site: | 03034015 |
| Issue date: | 12/04/1998 |
| From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | NRC |
| References | |
| 466960, NUDOCS 9902190017 | |
| Download: ML20203F906 (10) | |
See also: IR 05000290/1996001
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10: License fee and Accounts Receivable Branch
FROM: Region IV - WCFO
SUBJECT: VOIDED APPLICATION
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,AP plicant: 4d'j,f/s.k.4.-7e -
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Docket No.: OJO - it/ p / f
Date Voided: /.2//[W
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Attachment:
Official Record Copy of
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FOR LFARB USE ONLY i
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Final R iew of VOID completed:
Refund Acthorized and processed - < -~~ 1 1= --
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9902190017 981204 '
PDR ADOCK 03034015
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: (FOR LFMS USE) *
: 'INFORMATION FROM LTS '
BE"IWEEN : : --------------------
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License Fee Management Branch, ARM : Program Code: 02500- X
and : Status Code: 0 y. 'y
Regional Licensing Sections" : - 3C 2B
: Fee Exp.Category
Date: 4 6010430
: Fee Comments:
: Decom Fin Assur Reqd: .N {' '2 b-
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LICENSE-FEE TRANSMITTAL b. N N, -
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1. APPLTCATION ATTACHED g/
Appl 4cant / Licensee: . ALASKA RADIOLOGICAL PHARMACY LTD.
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Received Date: 980930 --
Docket No: 3034015 ~
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Lic9nse No.: 50-29096-01MD s V
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DIVISION OF ACCOUNTING AND FINANCE
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REQUEST FOR REFUND TO EMPLOYEE / VENDOR
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' THE EMPLOYEE / VENDOR IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR REG
ComISSION FOR G0005 AND/OR SERVICES PROVIDED AND IS DUE A REFUND
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EMPLOYEE /YEND0R/ PAYEE E:
NAME: 9A M
ADDRESS: hk k , k. hK '
ADDRESS: /-M d/ ,
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CITY: b QA STATE: N ZIP: i_f5DY j
TPANS CODE:1
TRANS TYPE: FUND: JOB CODE: AMOUNT: 80 'E
TRANS TYPE:__1R FUND: R1435 I
JOB CODE:_1NTR AMOUNT:
TRANS TYPE: IR FUND: R1099 J0B CODE: ADCN AMOUNT:
TRANS TYPE: IR FUND: RIO99 JOB C3DE: FINE AM :
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TOTAL REFUND AMOUNT: 'OO
COMMENTS:_ _ _ Nc2,@i I/P[/) f3[
(11 f/cori dr s to 40 , characters, including spaces)
PREPARED BY: b DATE: MO Nf
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l NRC FORM 677 U.S. NUCLEAR REGULATORY COMMISSION
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ATTN: RITA MESSIER 301-415 6067
U.S. Nuclear Regulatory Cornmission i
LICENSE FEE REQUIREMENTS Ucense Fee and Accounts Receivable Branch l
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P. O. Box 954574 i
St. Louis, MO 83188 4614 '
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TYPE OF ACTION
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NEW LICENSE
C RENEWAL OF LICENSE
ALASKA RADIOLOGICAL PIIARMACY, LTD.
% AMENDMENT TO LICENSE
ATTN: PETER IVERSLIE,R.Pil.
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REQUESTED DATE e
4201 LAKE OTIS PARKWAY
ANCIIORAGE AK 99508 09/23/1998
LICENSE NUMBER
50-29096-01MD
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CONTROL NUMBER l
466960
L APPUCATION FEE DUE II. FEE NOT REQUIRED
Vour request for a heensing acten is subject to the fee (s) in the category (ies) Check Enclosed is your check which
noted below in accordance with Secten 170.31 of 10 CFR Part 170. Number accornpanied your request. The
Payment of the fee is required prior to the issuance of the hcense, renewal, or fee is not required because: l
amendment. '
RENEWAL AMENDMENT *
@) APPLICATION N r nt ce
3C s s s 630.00 I
$ 5 5 Date of The Licensing staff has informed j
, , , Request us that your request is to be '
$ Control considered as acorWnuation of the
S S
Number request hsted.
$ $ 5
$ $ $
$ $ $
Date of Your request was combined, prior
Request to review, with the request listed.
Cordrol *
5 S S Number
5 $ $
IIL CHECK RETURNED C
FEE (s) DUE s 630.00 Check Enclosed is your check which was i
PAYMENT RECEIVED 5 Number returned to us by the bank for: I
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AMOUNT DUE 5 630.00
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INSUFFICIENT FUNDS l
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Q Your request was received without the prescribed application ACCOUNT CLOSED
fee.
OTHER
We received your check hsted below. Payment of the additonal fee
noted above is required.
Mall THE REPLACEMENT CHECK TO THE ADDRESS LIS'ED AT THE
Check Number TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL l
5 Amount NUMBER. '
I Your request will increase the scope of your license program. IV. LICENSE ISSUED WITHOUT THE REQUIRED FEE
Therefore, your request is subject to the application fee (s) noted above. i
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Refer to Section 170.31 and Footnote 1(d)(2). U $en$
The listed heense was issued
without the required fee being
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Your heense expired prior to the receipt of your applicaton for renewat
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Therefore, your request is subject to the apphcaton fee (s) noted above.
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Refer to Section 170.31 and Footnote 1(s). Issued l
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MAKE PAYMENT OF THE FEE (S) TO THE U.S. NUCLEAR The scope of your heensed program was increased. Therefore, your
REGULATORY COMMISSION AND Mall THE PAYMENT TO THE request is subject to the applicaten fee (s) noted in Section 1 of this form.
ADDRESS LISTED AT THE TOP OF THIS FORM. IF WE DO NOT Refer to Secten 170.31 and Footnote 1(d)(2).
RECEIVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM
THE DATE LISTED BELOW.WE SHALL ASSUME THAT YOU DO NOT Because of the urgency of your request, the hcense was issued without
WISH TO PURSUE YOUR APPLICATION AND WILL VOID THIS { remittance of thw prescribed fee noted in Secten 1 of this form
ACTION.
SIGNATURE - UCENSE FEE ANALYST LFDCB DATE
/_I DCB Distributon: Pending Cy
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REMessier o OC/DAF/LFARB S/F (LF-3.2.7)
RITA MESSIER ion /9s s cc: Repon IV 10/07/1998
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'ORM 577 (5-1998) PRWTED oN RECYCLED PAPER This form was designed using informs
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i -] ALASKA RADIOLbGICAL PHARMACY, LTD.
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4201 Lake dtis Parkway, Anchorage, AK. 99508
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September 23,1998
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Dear Material Radiation Protection Section.
After I met with NRC inspector David Skov from the Walnut Creek office, he !
informed me that I needed to send in all the final survey information for Alaska
Radiological Pharmacies old site. I have put together my findings and hope this
will close out the old site. Please let me know if you need any additional
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information or have any questions.
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Sincerely,
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Peter Iverslie R.Ph.
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b 466980
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1) A list of the radiological isotopes that were actually used at the site. To
the extent possible (and reasonable), the quantities and dates of use of these '
isotopes should also be provided.
See Table A.
2) The physical form of each isotope, i/e/, was it a sealed source or was the
isotope used in a loose form.
See Table A.
3) Information regarding major radiological spills of any licensed isotopes ,
such as the location of the spill (s) and pertinent radiological information about !
the spill (s). (Major spills for the purpose of this document means a spill that
resulted in off-site contamination or any other spill where more that minimal
decontamination effort is required, e.g., spills requiring assistance in cleanup
and monitoring from persons other than the user.)
There were no radiological spills at this site.
4) Information on any leaking sealed source used or stored at the site being
released, including isotope, amount of leakage, contamination of other areas or
personnel, description of cleanup, and disposition of the source. If no sources
were determined to be leaking at facility, the licensee should state this fact.
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There were no leaking sealed sources at this site.
5) The results of the !icensee's final surveys as required by 10 CFR parts
30.35 0) (2),40.420) (2),70.380) (2), and 72.54 0) (2). This includes submitting
data in the following units: gamma radiation in units of mSv/hr (uR/hr) at one
meter from surfaces, radioactivity in units of MBq/100cm^2 (dpm/100cm^2)
(removable and fixed) for surfaces, MBq/ml (mci /ml) for water, andd Bq/g (pCi/g)
for soils and concrete. (See Attachments 1 and 2).
See letter 1.
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6) The survey instrumentation used for the final survey along with the
certification that each instrument has been properly calibrated and tested and
the minimum detectable activity (MDA) for each instrument. This information is
needed for instruments used for measuring exposure rates and for those used
for analysis of wipes, soil and water samples, etc. (See Attachment 3)
See letter 1. The MDA for Ludlum Model-HOO scalar was 0.000005 microCi.
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7) Maps and/or drawings which clearly indicate the locations where wipes !
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and fixed measurements were taken. If contaminated drain lines (or other buried
and inaccessible pipes) are an issue, blueprints or drawings should be included
that show the locations of the drain lines, including where they originate and l
end.
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See 9.3. No contamination in drain lines.
8) If other than minimal contamination efforts are necessary, both the before
and after decontamination survey data should be provided as part of the final
survey report, including the locations of these areas.
No contamination efforts were necessary. j
9) The release criteria used as a basis for demonstrating the site can be
release for unrestricted use. (See Attachment 4).
No contamination was found and the site was vacant for 4 months.
10) If the licensee intends to leave certain portions of the site contaminated in
excess of the release guidelines, a risk assessment of the potential dose '
consequences.
No contamination
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11) The disposition of radioactive waste resulting from any remediation l
efforts. Under normal circumstances the NRC will not conduct a closeout or l
confirmatory inspection until all waste (and other licensed materials / sources) l
have been removed from the site. IF these materials have not been removed
prior to the licensee's submittal of the final survey data, then these areas will
have to be surveyed following removal of the waste and the data submitted and
reviewed before an onsite inspection and /or license termination.
AII radioactive materials were removed from site on 9/D97.
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Radioisotope Dose per Unit Freauency
bM O M T1-201 20 mci 30/wk
is Ga-67* 10 mci 1/mo
er In*-111 500 yCi 1/mo
I-123 200 yCl 20 caps /wk
SEA'Cd I-131 (liqtiid) 12 mci 3/wk (unopened)
- - 'I I-131 (liquid) 100 mCJ 12/yr (unopened)
Loos ( M M Tc-99m
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15 mci 15/ day
c.i nt-64 ..Xe-133 20 mci ,
3/wk (began mid-July)
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ALASKA RADIOLOGICAL FilARMACY, LTD.
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" P[bc .a . L, 4201 Lake Otis Parkway, Aix:horage, AK. 99508
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' o %yed (907)S61-7375 * Fax (907) 561-7380
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February 12,1998 l
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To Whom It May Concern;
1. On December 7.1997 a Decoinmissioning survey was performed by Peter C. i
Iverslie RPh, RSO. at 2000 West Interamtional Airport Road Suite Al1. This was the !
sight of Alaska Radiological Phainucy Ltd. which is now located at 4201 Lake Otis Pkwy l
on this day both restricted rooms were empty. ;
2. A 100% scanning of all surfaces in the area at this facility where licensed i
naterial was used or stored using Ludlum model 14 C, serial # 129730 , calibration date !
4/5/97 survey meter. All surfaces were fourxl to be at background. l
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3. Because of the snmil site of the restricted area a complete wipe of the floor wes
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done. Random samples or wipes where done on the walls anxi where activity was most
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likely to be found (100 cm2 cach). The instrument that was used for wipes was the
Ludlum model 2200 scalar ratemeter, serial # 129858.
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( Results
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Background 100 . CPM .1000 .DPM
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Floors 120 CPM .1200 DPM .
100 CPM 1000 DPM !
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Walls
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Ifyou have any questions regarding the decommission please call me at,(907) 561-7375.
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Sincerely,
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ter C. lverslie RPh. l'
resident
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