ML20210B648

Ack Receipt of & Fee in Listed Amount to Revise NRC Form 241.Agreement State License Recognized as Valid for Proposed Use of Licensed Matl Centre Community Hosp,State College,Pa & Duboise Regional Medical Ctr

ML20210B648
Person / Time
Issue date:	07/02/1999
From:	Cammie Hernandez NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:	Sorensen A AFFILIATION NOT ASSIGNED
Shared Package
ML20210B651	List: ML20210B648 ML20210B659
References
NUDOCS 9907230192
Download: ML20210B648 (3)

Text

I UNITED STATES 9

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NUCLEAR REGULATORY COMMISSION REGION N

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611 RYAN PLAZA DRNE, SUITE 400 l

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ARLINGTON, TEXAS 76011-8064 July 2,1999 Varian Associates,Inc.

ATTN: Anthony F. Sorensen Radiation Safety Officer 911 Hansen Way Palo Alto, Califomia 94304 1

SUBJECT:

NRC FORM 241 REVISION 1

1 This acknowledges receipt of you. letter dated January 5,1999, and the $200 revision fee I

submitted by Varian Associates, Inc., to the NRC Region IV office to revise an NRC Form 241 dated. Your agreement state license is recognized as valid for the proposed use of licensed material Centre Community Hospital, State College, Pennsylvania; and Duboise Regional Medical Center, Duboise, Pennsylvania.

The RTS Reference number for Centre Community Hospitalis 000983 and the RTS Reference number for Duboise Regional Medical Center is 000984. Please refer to these RTS Reference

)

numbers in any future communications regarding these locations.

We appreciate your cooperation. If you have questions conceming this letter or other aspects l

of working in NRC jurisdiction under reciprocity, please contact me at (817) 860-8217.

Sincerely,

.l Christi Hemandez, Radiation Specialist Nuclear Materials Licensing Rranch cc w/ copy of letter:

Pennsylvania Radiation Control Program Director i

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D 9907230192 990702 PDR STPRO ESGCA PDR

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f UNITED STATES t

I NUCLEAR REGULATORY COMMISSION g

REGION N

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611 RYAN PLAZA DRNE, SUITE 400 ARLINGTON, TEXAS 76011-8 % 4 July 2,1999 MEMO TO:

Rita Messier License Fee & Accounts Receivable Branch (T9 E10)

Nuclear Materials Licensing Branch, Region IV gp[.

FROM:

Christi Hemandez, Radiation Specialist W

SUBJECT:

FEE TRANSMITTAL A.

Reaion IV

1. NRC FORM 241 ATTACHED Applicant / Licensee:

NRC Form 241 Dated:

Agreement State License:

Program Code (s):

2. REVISION ATTACHED Licensee:

Varian Associates,Inc.

Agreement State License: CA 1025 43

3. FEE ATTACHED Amount: $ 200 Check: # 20078

4. COMMENTS 1.og _ __O431 _E__d_91_,

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LICENSE FEE & DEBT COLLECTION BRANCH cl EIO f ;f

/\\mo u nt. _ _ _ _ m _ _ _ _7_

1. Fee Category and Amount: /

4)00 I'

ree ettecory _ OkmR__;_ __

Tme of ree.

2. Correct Fee Paid. Submittal may'be processed for:

fjc c

---

"j General License Revision

/[

if Signed Date

We t%Ct LYr.tional fitnk of Lchic:go - 0710 Cniccgo, liiinois 20078 e

AR AN P:vasi. inroo9n FCC N tion: a>w (2-28/311 Va Syggpty Witmington, Delawir3 P.O. Box 10022

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06/25/99 Palo' Alt 2, CA' 94303-0922 CORPORATE ACCOUNTS PAYABLE Pay Exactly: Two hundred and 00/100 Dollars GHECK AMOUNT N

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$200.00

.<' M' '. ' 7,5

~l For Varian Assoc'lates, Inc.

TO THE '

4' ORDER OF:

U.S. Nuclear Regulatory Comrnission 611 Ryan Plaza Drive, Suite 400:

AA905 1

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Arlington, TX 76011 g

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f y-I it'O 200 78 t*

D 3 L &00 28 3s: 09 G &t.9 3:=

VENDOR NUMBER: 000000 DATE: 06/25/99 CHECK NUMBER:

20078 INVOICE DATE INVOICE NUMBER P,0. NUMBER AMOUNT DISCOUNT NET AMOUNT 06/24/99 FEE 200.00 200.00

9 l

i TOTAL PAID

$200.00 m.ai..i.v....

Varian Medcal Systems,Inc. PO. Box 10800 Pab Alto, California 94303-0883 U.S.A. (650) 493-4000