ML20205Q854

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Amend 10 to License 50-19913-01 for Ketchikan General Hosp, Amending License in Entirety
ML20205Q854
Person / Time
Site: 03019521
Issue date: 03/10/1986
From: Thomas R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20205Q860 List:
References
50-19913-01, 50-19913-1, NUDOCS 8606050002
Download: ML20205Q854 (4)


See also: IR 05000199/2013001

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U.S. NUCLEAR REGULATORY CoMMISSloN

MATERIALS LICENSE

Amendment No. 10

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93 - 438), and Title 10

Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y

heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, ty

source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to E

deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This @

license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is

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subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any g

conditions specified below,

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Licensee

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In accordance with letters

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dated March 4, 1986

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Ketchikan General Hospital

3. License number 50-19913-01 is amended in

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3100 Tongass Avenue

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4. Expiration date January 31, 1987

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Ketchikan, A!aska 99901

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6. Byproduct, source, and/or

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special nuclear material

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Any byproduct materidl

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Any radiopharmaceutical

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Authorized use

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For treatment of polycythemia vera, leukemia and bone metastases.

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CONDITIONS

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Licensedmaterial.'shallbeusedoni.yatKetchikahGeneralHospital,3100

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Tongass Avenue, Ketchikan, Alaska;

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The licensee shall-comply' with the . provisions _of Title 10, . Chapter 1, Code of

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Federal Regulatio'us, Part "19, " Notices,; Instructions and Reports [to Workers;

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Inspections" and Part 20, " Standards for Protection Againsti Radiation".

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Licensed material listed in Item 6.!above iscauthbrized for use b'y, or under the

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supervision of, the4fo11owingiindividual(s) for'the ma'terials'and uses indicated:

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Zeke L. Ifendricks , M.D. -

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Amendment No. 10

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CONDITIONS

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For a period not to exceed sixty (60) days in any calendar year, a visiting

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physician is authorized to use licensed material for human use uader the terms

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of this license, provided the visiting physician:

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(a) Has the prior written permission of the hospital's Administrator and its

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Medical Isotopes Committee, and

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authorizing human use, and- '

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(c) Performs only those- procedures for which he is specifically authorized by a

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Nuclear Regulatory Commission license,

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The licensee shall maintain for inspection by the Commission,' copies of the

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written permissionfspecified in, subitem (a) above andL of the license (s)

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specified in subitems (b) and1(c) above. These records shall be. maintained for

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five (5) years from.the time:the-licensee grants its permission.under

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subitem (a) above. -

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The licensee is authorized to hold radioactive material with a physical

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half-life of less;than 65 days for decay-in-storage before, disposal in ordinary

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trash provided:

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Radioactive vaatie to' be disposed of in-tl$1stmanner shall be held for decay

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a minimum of ten'(10) half-lives.

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Prior to disposal.as normal waste,< radioactive-waste slall be monitored to

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determine that its' radioactivity cannot be distinguished from background

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with typical low-level laboratory survey instruments. All radiation labels

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will be removed or obliterated.

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separately to ensure decay to background levels prior to disposal.

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Effluent from the xenon 133 charcoal trap shall be tested for the presence of

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xenon 133 after every ten patient procedures, in order to assure that the device

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is functioning properly and that filter saturation has not occurred.

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The license shall include the reference standards described below when

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performing dose calibrator accuracy tests:

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Dose Calibrator Reference Standards

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Radionuclide

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Calibration Accuracy

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Amendment No. 10

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CONDITIONS

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170 Except as specifically provided otherwise in this license, the licensee shall

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conduct its program in accordance with the statements, representations, and

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procedures contained in the documents including any enclosures, listed below.

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The Nuclear Regulatory Commission's regulations shall govern unless the

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statements, representations and procedures in the licensee's application and

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correspondence are more restrictive than the regulations.

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A. Application dated October 27, 1981

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B. Model ALARA Program contained in' Appendix O '

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of Regulatory Guide 10.8.(Rev. 1)

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C. Letter dated July 28, 1983

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D. Letter dated September'29, 1983

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E. Letter dated March 13, 1984

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F. Telegram dated July 5, 1984

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G. Letter dated October 16, 1985

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H. Letter dated November 19,l1985-

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1. Letter date.d December 20, 1985

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J. Letter dated March 4,1986

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The Radiation Protection Officer for 'the activities authorized by this license

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is Dr. Zeke L. Hendricks.

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FOR THE U.S. NUCLEAR REGULATORY COMMISSION

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original signed by R. D. Thomas

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Date March 10, 1986

By

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R. D. Thomas, Chief

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Nuclear Materials Safety Section

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Region V

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