ML20214D979

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Amend 11 to License 50-19913-01 for Ketchikan General Hosp, Amending License in Entirety
ML20214D979
Person / Time
Site: 03019521
Issue date: 01/28/1987
From: Riedlinger B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20214D981 List:
References
50-19913-01, 50-19913-1, NUDOCS 8705210582
Download: ML20214D979 (4)


See also: IR 05000199/2013001

Text

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 (3 83)                                              U.S. NUCLE AR QEGULATOQY COMMISSION
                                                             MATERIALS LICENSE                                Amendment No. 11                  I
  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 1, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations g
                                                                                                                                                f
  heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct. l
  source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to t
  deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This {I
  license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is I
  subject to all applicable rules, regulations and orders of the Nudear Regulatory Commission now or hereafter in effect and to any
                                                                                                                                                I
  conditions specified below.
                                Licenwe                                                                                                       !
                                                                                                                                                I
                                                                               In accordance with application                                 ,1
                                                                              dated December 17, 1986                                         i
                                                                                                                                                l
  l-      Ketchikan General Hospital                                        3. License number 50-19913-01 is amended in
                                                                                               its entirety to read as follows:lj
                                                                                                                                              {
                                                                                                                                                i
  2.      3100 Tongass Avenue                                .r                    . ,cs                                                        I
                                                                   '
          Ketchikan, Alaska 99901                      g                    4. Expirationdate January 31, 1992                                  I
                                                       >
                                                                            5. Docket or
                                                                                                                                             li '
                                                                                                                                                [
                                                                                Reference No.    3d-19521
  6. Ilyproduct, source, and/or              ,
                                                          7. Chemical and/or physleal                  8. Maximum amount that licensee        i
                                                                                                                                                l
      special nuclear material                               form                                        ;may possess at any one time         lL
                                         (         -
                                                                                                        F
                                                                                                           under this license
                                                                                                                                                f
 A.      Any byproduct material                    A.     'Any radiopharmaceutical                     A.     -As necessary for uses            I
          listed in Groups I and                           listed in Groups I and II                              authorized in                 L
          !! of Schedule A,            ,                   of Schedule A. Section                            ( Subitem 9.A.
                                                                                                                ~
                                                                                                                                                j
          Section 35.100 of              ,
                                                           35.100 of 10 CFR 35                                                                  L
          10 CFR 35                ',                                                               '
                                                                                                                                                I
                                    ,3           .
                                                                          s      .
                                                                                                                                                I
 B.      Any byproduct material                     B.. . Any forni listed ;in Group III               B.      '2 curies of each                (
          listed in Group 111 ,                          - of Schedule A', Section 35.100                    . byproduct material               t
          of Schedule A,               ';  '~
                                                           of 10 CFR 35.
                                                                  ~
                                                                                        ~' - J            ~
                                                                                                             J authorized in                    l
          Section 35.100 of                                                                             ' *
                                                                                                                  Subitem 6.0. 10               t
                                           '                    t                     '                                                         I
          CFR 35                               '
                                                                     >
                                                                        !                                                                       I
                                                                                                  '
 C.       Any byproduct material 10..                      Any                                        'C.         3 millicuries of each l
          listed in Section 31.11(a) ,                                                                            byproduct material            t
          of 10 CFR 31                                                              ,                             authorized in               ;L
                                                                                                                  Subitem 6.F.                  t
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         50-19913-01                                                                                                        1        .
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     C Form 374A             U.S. NUCLEAR cEGULATORY COMMISSION                               ,,oe    2   y      4 ,,oes l
                                                                          Licen,e number                                 I
                                                                                50-19913-01
                     MATERIAL.S LICENSE                                          **    "*"**"""                          l
                     SUPPLEMENTARY SHEET
                                                                               030-19521                                 l
                                                                                                                         ;
                                                                                                                         I
                                                                               Amendment No. 11                          l
                                                                                                                         l
                                                                                                                         l
  6. BYPRODUCT, SOURCE, AND/0R                                                                                           I
                                         7. CHEMICAL AND/0R PHYSICAL                8. MAXIMUM AMOUNT THAT LICENSEE
      SPECIAL NUCLEAR MATERIAL                 FORM                                      MAY POSSESS AT ANY ONE TIME     l
                                                                                         UNDER THIS LICENSE               i
                                                                                                                          l
  D.     Xenon-133                       D.       Gas or gas in solution                      D.    50 millicuries        I
                                                  that is the subject of                                                  I
                                                  an active (i.e., not
                                                                                                                          l
                                                  withdrawn or terminated)                                                i
                                                  "NewDrug$pp]jcation"                                                    l
                                                  (NDA) GpproVed by)FD or
                                                                   '                                                      I
                                                  a                                                                       I
                                         (~ Nq * active (i .e;. , not. /                                                  I
                                  s
                                    y2 on              " clinical hold")
                                                  " Ithdrawn,
                                                     Notice of Claimed terminated'or:')/gg
                                                                                          s                               I
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                                'y                 Investigational Exemption
                                     h for a New Drug" (IND) that 74) ,
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                              -                                                                                           I
                                                                                               A                          I
                            4[f          K?hasbeenacceptedby}#/DA 4,
                                           MVN                                '
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  E.     Phosphorus 32     /U            E.'[Abysolubl6ihosp teY                              E.O10 millicuries           l
                            4
                                              f that,has ,been[ manufactured,
                                                . labeled.jpackaged',jandle
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                           j-                                                                    23                       p
                           (j)      Q('c' ij distr         1b~uted'inaccordance/,
                                                  sitha!specificElicense,              issued j                           i
                                     r     v                                           o         c7                       N
                                      Wdl,<;10pursuantCFR            (tolSection
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                            O-         '     Missuedk'32 'o'rM ' pecific license               %     4                    I
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                                                             to alnia~nUfscturer by anh
                              M             [4 bAgreBinent(State' pursuant to               ,.                            l
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                                                  equivalent"st' ate regulations M
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  F.     Americium 241              SFs Sealed sources                                M, AF. Not to exceed
                                         ,/ (AmershamAMC.24)                        94              14 millicuries        l
                                                                                                    per source
                                                   [i s    4     ,      o M,
  9.     Authorized use                                                                                                   >
                                                                                                                          >
  A.     Any diagnostic procedure listed in Groups I and II of Schedule A, Section 35.100
         of Title 10, Code of Federal Regulations.                                                                        l
                                                                                                                          >
                                                                                                                          I
  B.     Preparation and use of radiopharmaceuticals for any diagnostic procedure listed                                  p
         in Group III of Schedule A, Section 35.100 of Title 10. Code of Federal                                          I
         Regulations.
  C.     In vitro studies.                                                                                                l
                                                                                                                            l
         Blood flow and pulmonary function studies.

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                                                                                                                           >
E. For treatment of polycythemia vera, leukemia and bone metastases. >
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  F.     Anatomical marker,
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 l     NRC Form 374A                U 1 NUCLEAR C8.GULATORY COMMISSION                             ,,og    3    o,     4   ,,oes  l
       I
 I                                                                               License number                                   l
 l                        MATERIALS LICENSE                                                                                       !
 I                        SUPPLEMENTARY SHEET                                                                                     I
                                                                                     0     1 21
 I                                                                                                                                l
 l                                                                                                                                l
 l                                                                                   Amendment No. 11                             p
 I                                                                                                                                I
 I                                                                                                                                l
                                                       CONDITIONS
 l                                                                                                                                l
 l 10. Licensed material shall be used only at Ketchikan General Hospital, 3100                                                   l      l
 l           Tongass Avenue, Ketchikan, Alaska.                                                                                    I
 I                                                                                                                                 I
 I
       11. Licensed material listed in Item 6 above is authorized for use by, or under the                                         l
 l           supervision of, the following individual (s) for the materials and uses
             indicated:                                                                                                            l
 l                                                                                                                                  i
 I                                                                                                                                  I
             Zeke L. Hendricks, M.D.                                                  l
                                                     h lg* Q $ s'1,j I, and III
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 I                                                              In vitro uitudies                                                   l
 l                                                              Xenon 133 ~ Q,                                                      I
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                                                                Phosphorus 32 as, soluble phosphate for                             l
  l
                                                                  treatment of poly?ythemia vera,                                   i
  I                                     %g -                      leukemia, and bon                   etastases                     i
             Arthur K. Harris,. 8.                  1                                   I,$$     IIIM-
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                                               D                GroupsI,)'u'diei;
                                                                In vitro st                                                         I
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                                                  j     '     CXenon{33ff$                            O                             l
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                                                 M:?          /gPhosphoruss32Jassoluble+phosphatefor                                 i
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                                  .* -       .
                                                 (3$              t'                                                                 i
                                 b                                T60k$mlahand bo,ne meta' stases                                    l
                                                    't i.% [% reatinent- of polycythemi
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  I          John C. Jowett, M:D.
                                  fn       'c[rdej N%g70 l Groupsg
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       12. The Radiation Protecti6n Officer \fo(the ~de'tivitjesjauthorfzgd by this license
                                                                                                  h')                                ,
                                                                                                                                     i
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   I
              is Dr. Zeke L. Hendrfcks;                      'C{Jg                   */
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   l   13.   For a period not to excee(sixty (60) days in any caliiSar                      1      year, a visiting                 l
   l
             physician is authorized to use wlicensed njater,ialjfor human use under the terms                                        ,
             of this license, provided the visitihg physician:P

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   I                                                                                                                                  l
   I                                                                                                                                  i
   I         A.      Has the prior written permission of the hospital's Administrator and its                                         l
                     Radiation Safety Committee, and
   l                                                                                                                                 l
   l                                                                                                                                 k
   i
             B.      Is specifically named as a user on a Nuclear Regulatory Commission license                                       i
   I                 authorizing human use, and                                                                                       i
   I                                                                                                                                  I
    I        C.      Performs only those procedures which the physician is specifically                                               i
    I
                     authorized to perform pursuant to a license issued by the Nuclear                                                I
    l                Regulatory Comission.                                                                                            l
    l                                                                                                                                  l
    l        The licensee shall maintain for inspection by tne Commission copies of the                                                p
    I        written permission specified in A. above and of the license (s) specified in B.                                           p
    I        and C. above for a period of 5 years from the date permission is granted under                                            i
    I        A. above.                                                                                                                 I
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                M4A                 U.S. NUCLEAR REGULAT;TtV COMMISSION l                            4         4
                                                                                             p,g         g,       PAGES I
                                                                          License number                                l
                                                                                 ~       ~
                           MATERIALS LICENSE                                       '       "                            !
                           SUPPLEMENTARY SHEET
                                                                              0 019b1                                   I
                                                                                                                        I
                                     '                                                                                  I
                            J  .                                              Amendment No.11                           1
                                                                                                                        l
                                                                                                                        l
                                                      CONDITIONS
                                                                                                                        l
       (continued)                                                                                                       !
                                                                                                                         I
       14   The licensee is authorized to hold radioactive material with a physical                                      I
            half-life of less than 65 days for decay-in-storage before disposal in ordinary                              I
             trash provided:                                                                                             l
            A.     Radioactive waste to be disposed of in this manner shall be held for decay                            !
                   aminimumoften(10)hal               1
                                                          9REGg                                                          !
            8.     Prior to disposal as(norrsif' waste, radioactive waste shall be surveyed to                           I
                   determinethatitq*radioactivitycannotbedisting'ufshedfrombackground.*                                  l
                   All radiation labels'shall be rerroved or obliteratedg                                                g
            C.
                                        T
                   Generator columns shall be segregated so that they-may be, monitored
                                                                                           A                             I
                                                                                                                         p
                                                                                                                         I
                   separatelytk'e'n'sure'decaytobackgroundlevelsip/r.idr                       to-disposal.
                                       /       TQ M                                                                      I
       15.
            The licensee may j, transport licensed in/a.c/$
                                      "                               matefiil,tionfof) Radioactive' Material".co        l
            of10CFRPart7(,k,Packaginj;and'fransporta
                                                 Oil ( j% d Ihsp
       16. Except as specif)cally pr,ovided(oth'efwisTTn tfiisilicense,, the illcensee shall
                                                                                                '#
                                                                                                                         l
                                                                                                                         y
            conduct its prograq in accordance                                                                            i
            procedures contained in.;theldocuine;withwthenstatements
                                                         nts                                       drepresentations, and i
            The Nuclear Regulatory Coimils'sfon'Mfelg{nclu'dijigfa6s
                                   *               ~
                                                               ulations. shall7 govern unless the      enclosbresPlisted N
            statements,represenkatio'ns)andq@edursQih
  ,
            correspondence are Taore restridive 'tha ?the $the_Jicensee's                    g#          ipplication and!j
                                       Q
                                                '
                                                      \\ .,(Jj j' egulations.
                                                                          hA             C" J
                                                                           9/            \')                             p
                                                                                                                         I
            A.  Application
            B. Model   ALARA dated
                                 Program  De&   emberin17,
                                            'c66tained
                   ofRegulatoryGuideIg!8(Rev.1)
                                                              1986;
                                                           Append   x i,0            M
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                                                    # 4 p ,d , <,r Rr'
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                                                                                                                          ,
                                                                                                                          ,  _
                                                          FOR THE UfS'. NUCLEAR REGULATORY COMMISSION                     i
                                                                                                                          l
                                                                original signed by B. A. Riedlinger                       i
                                                                                                                           I
       Date January 28, 1987                              By                                                               ,
                                                                Beth A. Riedlinger                                        g
                                                                Health Physicist (Licensing)                              i
                                                                Nuclear Materials Safety Section                           i
                                                                Region Y                                                   l
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