ML20214D979
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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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dicr 370 PAGE 1 OF 4 PAGES ; (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 I t !E I 'l I 'L lll L i i I L L i kI 8705210502 870120 !L HE05 LIC30 PDR ll 50-19913-01 1 . lrl
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L----b-------------------------------------------------y 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 i 'y Investigational Exemption h for a New Drug" (IND) that 74) , i - I A I 4[f K?hasbeenacceptedby}#/DA 4, MVN ' , I E. Phosphorus 32 /U E.'[Abysolubl6ihosp teY E.O10 millicuries l 4 f that,has ,been[ manufactured, . labeled.jpackaged',jandle ~ O i b j- 23 p (j) Q('c' ij distr 1b~uted'inaccordance/, sitha!specificElicense, issued j i r v o c7 N Wdl,<;10pursuantCFR (tolSection s 32l72e f I O- ' Missuedk'32 'o'rM ' pecific license % 4 I m to alnia~nUfscturer by anh M [4 bAgreBinent(State' pursuant to ,. l y',/4 equivalent"st' ate regulations M 4(Jjpp */ i I 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. >
p F. Anatomical marker, f , > >
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inu n u m $m u m a n m a m m e - z u m - - - - m = = m m m m m m m m m m a - - - m a m m a = = - - - - a n u m ; 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 I I I In vitro uitudies l l Xenon 133 ~ Q, I i 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- I D GroupsI,)'u'diei; In vitro st I l /% ":M j ' CXenon{33ff$ O l l - M:? /gPhosphoruss32Jassoluble+phosphatefor i I .* - . (3$ t' i b T60k$mlahand bo,ne meta' stases l 't i.% [% reatinent- of polycythemi l I I John C. Jowett, M:D. fn 'c[rdej N%g70 l Groupsg gV y-{y!Y11 da/,jp/, 'nd'III > O I I I D k,$ }[ 7!I M Vitfo studies' ND I l h 2v Ei3iiTJ3%y o%C h E's)M(Q'*pl}~ l i I & QR ,r p 12. The Radiation Protecti6n Officer \fo(the ~de'tivitjesjauthorfzgd by this license h') , i I I is Dr. Zeke L. Hendrfcks; 'C{Jg */ , %) M i l *f/ 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 I > I I I I I I bisasmw-----i ri r-----T-,iirr- . ., ,. m ,,,,, 1 . , ,,,,,. . c;7 Tc m 7TT 7 7.,m m 2 -. _ - _ _
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m RC-FormL------------------A------------------------------y 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 gb i l # 4 p ,d , <,r Rr' M. 4 . , , _ 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 i l b 1 p ; ' ,, i f W , f h w..............--.... _ . ...--.....--...-. _ -- .,,.J
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