ML20205P048

Notifies That License 21-03646-04 Will Expire on 850930. Application for Renewal or Request for Termination Required

ML20205P048
Person / Time
Issue date:	06/05/1985
From:	NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:	ST. MARYS HOSP., SAGINAW, MI
Shared Package
ML20204E507	List: ML20205G643 ML20205G685 ML20205G699 ML20205P048
References
79578, NUDOCS 8811070286
Download: ML20205P048 (1)

Text

._______ _________ _ _________ ________ - ____ - __ _ _ _____ -___ _

p aat:y a b o

'g UNITED STATES 8' c NUCLE AR REGULATORY COMMISSION

{ [ WA$mNoTON D.C 20555

%, . . . . . s/

J O B R 05, 1985 ST. MARY'S ROSP1'fAL License No. 21-0J646-04 030 500TN JEFFERSCE A13303 tupiration Date: 09/30/85

$8GI545, MI 48601 Program Code: 02300 entlement D BJ E CT: NCTICE OF IIPIRATIOE 1'C0r tohetherapv license will ex ire on the date shown above. It ou wish to ecnt Lnue vont teletherapi uld tile a renewal ar 11 cation alth thas ottice pursuant t6 10 pro raw F3 $0.you . s anitratten e,signh by a ecpecsont a t ive_n ewgement. should be Endtmitted in duplicatet unless you lare v1see excmhp'repriitw b, tha a to CFR 170 recewa l-b e-s u re-t ham-urca sert 10 cla 170.J1) . >piacarioris Intorrationaccorpanied on how to filo o renewal application is e clos _e.d N. - - .

If 700t: application for license renewal is tiled at least 30 dava betore the an iration date of voor license and the application as accopoanied by the ,

ap espriate fee, vo6r License will rewatn In ettect unt

1 t aha t act16n is l

ta en Cn voor apnlicat ion. However, it voor application is taled less than '

30 do . ration date and it cannot be processed before that dato,yayou b4 could fore the be esp without a valid license when the license expires.

iYf do not wish to renew mathaealinvoorpossession!ourlicensenaccordancEIoupostdisboseatall I$ceE.

tth the req trements ot 0 sedFB 1

'Part 0 and tequest that voor license be terminated. See section 3 at Appendit Of the enclosed Telethef apy Guide f or specific intorPatton to be submitted.

H 700 cannot din one of all licensed paterial in your possession before your ucens7 eIDires, ou rust request that v in accordance lt.th

, the ihstruct ons niven above or th&oort license it be renewed be renewedto authorize storage pnlyt one of these actions is needed in order to avoid possessing itcensed Sterial without a valid license.

to i Thio sh0014 noticenotof he Eouri license terpretedespirakion is sentthat sir lar notices w1S1 be sentyour conventence and it in the tutore.

The rcapont !bilit y for timely subsission or an application f or license renewal te00 ins uit the licensee.

Materials Licensino section Division ot Radiation 54tety ano sateguards En31ocures:

la Toletherapy ,Reneual Filing Inf o.

2 FCrw 313 ,

13 form 114 '

l. 10 CFB Parts 20 30 35 170 Bo BrOft EBC Guide,jDiv,. 16,and Task TR 608-4) ,, [

s I

l 80110702B6 000613 REG 3 LIC30 PDR  ;

21-03646-04 CNim%No. 7 9 5 7 s

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