ML20206T630
| ML20206T630 | |
| Person / Time | |
|---|---|
| Site: | 07002996 |
| Issue date: | 04/30/1999 |
| From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| Shared Package | |
| ML20137P557 | List: |
| References | |
| 467219, NUDOCS 9905240214 | |
| Download: ML20206T630 (7) | |
Text
l NRC FORM 374A U.S. NUCLEAR REOULATORYDOMMISSION PAGE 1 of 1 PAGES Ucense Number SNM-1936 MATERIALS LICENSE D cket r Reference Number SUPPLEMENTARY SHEET 074 029 %
Amendment No. 05 Department of Veterans Affairs V.A. Medical Center 1601 Perdido Street N:w Orleans, Louisiana 70146 In accordance with letter received April 1,1999, License No. SNM-1936 is hereby terminated.
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION D te APR 30 m By IM h_
hames L. Montg'omeW Senior Hedith Physicist Nuclear Materials Licensing Branch Region IV Arlington, Texas 76011 9905240214 990430 ot'1136 I
PDR ADOCK 07002996 C PDR OFFICIAL RECORD COPY AUD
g8 'C UNITED STATES
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[ t NUCLEAR REGULATORY COMMISSION g R EGION IV S E 611 RYAN PLAZA DRIVE, SUITE 400 AR LINGTON, TEXAS 760118064 kn***.*/
Apri! 30,1999 Department of Veterans Affairs V.A. Medical Center ATTN: John D. Church, Jr.
Medical Center Director 1601 Perdido Street New Orleans, Louisiana 70146
SUBJECT:
TERMINATION OF YOUR NRC RADIOACTIVE MATERIALS LICENSE By letter dated March 12,1999, you contacted the U.S. Nuclear Regulatory Commission and indicated that you wished to terminate your NRC radioactive materials license number SNM-1936. The NRC staff has reviewed your sealed source loak test results. Based on its review, the staff has concluded that no licensable radioactive material authorized by this license remains at your facility.
Based on these conclusions no further remediation or actions with respect to NRC regulated materialis required and NRC license number SNM-1936 is hereby terminated.
If you have questions or require clarification on any of the information stated above, please contact me at 925-673-0112.
Sincerely,
~
M i James L. Montgome Senior Health Physicist Nuclear Materials Licensing Branch Docket: 070-02996 License: SNM-1936 /
Control: 467219
Enclosure:
As state'd cc w/ enclosure:
Carl Gaspard Radiation Safety Officer VA New Orleans omamp wn w DCS .jp.-
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2-Department of Veterans Affairs bec w/ enclosure:
Docket File inspection File LFARB, T-9 E10 State of Louisiana (License Only)
Milton Gross, M.D.
Department of Veterans Affairs Director, Nuclear Medicine Program (115B) 24 Frank Loyd Wright Drive P.O. Box 505 Ann Arbor, MI 48106 Lynn McGuire NHPP, Southem Region 2200 Fort Roots Drive Bldg. 33 (115HP/NLR)
North Little Rock, AR 72114 DOCUMENT NAME: C:\ TERM 99\SNM-1936 To rece6ve copy of decisner t. Indicate in box: "C" = copy without enclosures "E" = Copy vnth enclosures *N" = No copy l RIV:NMLB _;
JLMontgomery 04/3 0/99 OFFICIAL RECORD COPY l
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03/04 '99 16:20 No.255 01/02 j .
Enclosure 4 MEDTRONIC, INC.
i l PRODUCT PERFORMANCE DEPT.
FAX NO: 612/574-3903 j
Facsimile' Cover Sheet f
To: CARL. MASFbRE
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03/01 '99 10:40 NO.275 02/02 Enclosure 3 MEDTRONIC, INC.
PRODUCT PERFORMANCE DEPT. >
FAX NO: 612/574-3903 Facsimile Cover Sheet To: CARL gas 98Rp, g, g, Company: ggp g,4 Phone: --
y3 0 4 So4-G f 9 - yoyc From: pg gg N:' M*M Fax: 612-514-3903 i
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cover page: 2 I l
Comments:
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03/01 '99 10:40 NO.275 01/02
.s-Enclosure 3 nsnrsprogr $sygry y3 ,orn APPSNDIX GG s
TRANSFSR OF RADICACTfv5 NATRAZAr, DATE OF TRANSFER: February 22, 1999
- 1. Radionuclide Transferred (e.g., 32): W-238 Pacema'Aer
- 2. Chemical Form (and/or Position of Label):
- 3. Amount (uCi or mC1): 2.5 Curies (0.08 Tera Bequerels)
L$e b $) f. Mi *da r. 6be [ok!b,5"e! Orleans,LA.701 Purchased and Transferrer's Name): Medtronic, Model 9000, SN 4R002SS, Radioactive Laurens-Alcatel. Carl L. Gaspard, M.A., Radiation Safety Officer t*w3..Asg- h l
- 5. Delivery to (Radioactive Material License Number and Name j of Recipient): Medteonics, Inc., 7000 Central Avenue, M.E.,
Minrespons, tu aaan
- 7. Received By: i (Signature)
- 8. Location to be Used:
Roon No.:
Please mail original signed form and FAX copy to:
FAX # (504) 619-4046 l v.A. Mediesi Center 1601 Perdido Street New Orleans, LA 70112 AITN: Radiation Safety Officer (NE18)
Carl L. Gaspar,d, M.A.
Piws - (soc 5BM n33 send original te Radiaties safety Officer, 2nd copy metained by Treaeferrer and are copy to Recipient.
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