ML20216C862
| ML20216C862 | |
| Person / Time | |
|---|---|
| Site: | 03019521 |
| Issue date: | 04/27/1998 |
| From: | Prange B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | |
| References | |
| 50-19913-01, 50-19913-1, 572654, NUDOCS 9805190426 | |
| Download: ML20216C862 (16) | |
See also: IR 05000199/2013001
Text
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u.s. NUCLEAR RE7uLATORY Commission
Amendmsnt No. 20
,
MATERIALS LICENSE
M (/
Purwant 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 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and
repr:sentations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and
tr:nsfer byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s)
designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the
cpplicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954,
cs cmended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in
effect and to any conditions specified below.
Ucensee
in accordance with letter dated
April 24,1998,
1. Ketchikan Ceneral Horpital
3. Ucense number 50-19913-01 is amended
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fiits; entirety to read as foiiows:
4. Expirctio[n dat,e April 30,2002
2. 3100 Tongass Avenue
Ketchikan, Alaska 99901
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5. Docket No. 030-19521
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Reference No. O.
6. Byproduct, source, and/or specia$
7. Chemical and/or physical form
~8.
NI$ximum amount that licensee may
nuclear material
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p6ssess at any one time under this
radiol 5harma/'N[j U
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A.
Any byproduct matenal
Au
ceutical
A. gs needed
idantified in 10 CFR!35.100
bi
tified in 10 CFR 35;100
w %M / hw
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Any byproduct materih
~ 'An/radioha$a'ce'u'tical MB.Ms needed
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B.
identifie'd'iri10' FR 55.' 007
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identified in 10 CFR 35:200
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5 % hlllk '
/g'
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C.
Any product material M
identified in 10 CFR 31.'t
~ ekaged. Kit
CM 5 millicuries total
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9.
Authorized use
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Medical use described in 10 CFR 35.ib)h p h
A.
B.
Medical use described in 10 CFR 32.200.
C.
In vitro studies.
.
CONDITIONS
10. Location of use: Ketchikan General Hospital,3100 Tongass Avenue, Ketchikan, Alaska.
11. Radiation Safety Officer: Terry Lesko, M.D.
.
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9005190426 900427
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ADOCK 03019521
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u.s. NUCLEAR RE!uLAToRY Commission
PAGE 2
of 2
PAGEs
Lic;nse Number
50-19913-01
MATERIALS LICENSE
Docket or Reference Number
SUPPLEMENTARY SHEET
030-19521
Amendment No. 20
12. Licen9d material listed in item 6 above is authorized for use by, or under the supervision of, the
individual (s) listed below for the materials and uses indicated:
Terry Lesko, M.D.
10 CFR 35.100,35.200
In Yilra studies
13. The licensee shall maintain records of information related.to decommissioning at the location specified in
condition 10 above per the provisioQs $1i} CFR 30'.35(g)'b@l this license is terminated by the
Commission.
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14. The licensee is authorized to[h
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transport licensed material only in accordsnce with the provisions of 10 CFR Part 71," Packaging andgansportation of Radioactive Material". p
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15. Except as specifically provided'~oth~erwise in this license, the,Jicensee shall conduct its program in
'
accordance with the statements,igpre~sintation,s,an,d procedures containedJn the documents, including
any enclosures, listed below, except'foEmilior changes iri,th'e'nfedical use r'adiation safety procedures as
provided in 10 CFR 35.3',. The Nuclear k'gulafdy Commissio'n's regulatio'nd shall govern unless the
statements, represent'ations, an pr'ocedures iritiie'licende'e's application andcorrespondence are more
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restrictive than the regul'ations
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Application dated January 10 j992.j;g ll
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Letter received February 25,h992?ig
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Letter dated Novembeh2,j,19E%
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Letter dated September'8f)995
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Letter dated November 8,'1995
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Letter received December 15,1997L' y
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Letter dated April 24,1998
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Telefacsimile dated April 24,1998
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION
D:te
By WiHKO. 7$2tstefb
Materi2!s Branch
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Region IV, WCFO
Walnut Creek, Califomia 94596
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(FOR LFMS USE)
INFORMATION FROM LTS
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BETWEEN:
License Fee Management Branch. ARM
Program Code: 02120
and
Status Code: 0
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Regional Licensing Sections
Exp. Date: Fee Category:020430
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Fee Comnents: CODE 23
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Decom Fin Assur Reqd: N
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LICENSE FEE TRANSMITTAL
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REGION N O b
1.
APPLICATION ATTACHED
Applicant / Licensee: KETCHIKAN GENERAL HOSPITAL
Received Date:
980424
Docket No:
3019521
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Control No.
572654
License No..
50-19913-01
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Action Type:
Amendment
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FEE ATTACHED
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Amount:
Check No.
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3. COMMENTS
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Signed
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8.LICENSEFEEMANAGEMENTBRANCH(Checkwhenmifestone03isenteed/_/)
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Fee Category and Amount: 6
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2.
Correct Fee Paid. Mplication may be processed for:
Amendment
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Renewal
License
3.
OTHER
Signed
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Date
5/5/WW
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Type of fee
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Date Che . R e c'd.
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UNITED STATES
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NUCLEAR RE*2ULATORY COMMISSION
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REGION IV
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Walnut Creek Field Office
1450 Maria Lane, suite 3oo
Walnut Creek, California 94596-5368
April 27,1998
Ketchikan General Hospital
ATTN: Terry Lesko, M.D.
Radiation Safety Officer
3100 Tongass Avenue
Ketchikan, Alaska 99901
SUBJECT: LICENSE AMENDMENT
Please find enclosed License No. 50-19913-01. You should review this license carefully and be
sure that you understand all conditions. If you have any questions, you may contact the
reviewer who signed your license at (925) 975-0250.
The NRC staff has rr, viewed your sealed source leak test results and your final surveys of the
former hot laboratory and imaging room. Based on its review, the staff has concluded that all
licensable radioactive material has been removed from these port;ons of your facility and that
residual radioactive material in these areas attributable to licensed material does not exceed
current NRC criteria.
,
Based on these conclusions, no further remediation is required. The former hot laboratory and
imaging room are suitable for unrestricted release and have been deleted from the license as
authorized use locations.
NRC expects licensees to conduct their programs with meticulous attention to detail and a high
standard of compliance. Because of the serious consequences to employees and the public
which can result from failure to comply with NRC requirements, you must conduct your program
involving radioactive materials in accordance with the conditions of your NRC license,
representations made 'n your license application, and NRC regulations. In particular, note that
you must:
1.
Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and
Reports to Workers: Inspection and Investigations," 10 CFR Part 20," Standards for
Protection Against Radiation," and other applicable regulations.
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2.
Possess radioactive material only in the quantity and form indicated in your license.
3.
Use radioactive material only for the purpose (s) indicated in your license.
4.
Notify NRC in writing of any change in mailing address (no fee required if the location of
radioactive material remains the same).
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Ketchikan General Hospital
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5.
Request and obtain written NRC consent before transferring your license or any right
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thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of
control of your license te any person or entity. A transfer of control of your license
includes not only a total change of ownership, but also a change in the controlling
interest in your company whether it is a corporation, partnership, or other entity. In
addition, appropriate license amendments must be requested and obtained for any other
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7
planned changes in your facility or progrdm that are contrary to your license or contrary
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to repreuntations made in your licen'.,e application, as well as supplemental
correspondence thereto, which are in:orporated into your license. A license fee may be
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vy,ged for the amendments if you are not in a fee-exempt category.
6.
Maintain in a single document decommissioning records that have been certife' d for
!.
. completeness and accuracy listing all the following items applicable to the license:
'
'
Onsite areas designated or formerly designated as restricted areas'as defined in
-
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10 CFR 20.3(a)(14) or 20.1003.
'a-
Onsite areas, other than restricted areas, where radioactive materials in
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quantities greater than amounts listed in Appendix C to 10 CFR 20.1001-20.2401
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have been used, possessed, or stored.
.
!
Onsite areas, other than restricted areas, where spills or other unusual
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occurrences involving the spread of contamination in and around the facility,
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equipment, or site have occurred that required reporting pursuant to 10 CFR 30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures
!
have removed the contamination.
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Specific locations and radionuclide contents of previous and current burial areas
.
l.
within the site, excluding radioactive material with half-lives of 10 days or less,
depleted uranium used only for shielding or as penetrators in unused munitions,
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or sealed sources authorized for use at temporary job sites.
Location and description of all contaminated equipment involved in !Wnsed
operations that is to remain onsite after license termination.
f
.
7. ; . Submit a complete renewal application with proper fee, or termination request at least
30 days before the expiration date on your license. You will receive a reminder notice
approximately 90 days before the expiration date. Possession of radioactive material
after your license expires is a violation of NRC regulations.
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8.
Request termination of your license if you plan to permanently discontinue activities
.
involving radioactive material.
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Ketchikan General Hospital
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You will be periodically inspected by NRC. Failure to conduct your program in accordance with
NRC regulations, license conditions, and representations made in your license application and
.
supplemental correspondence with NRC will result in enforcement action against you. This
could include issuance of a notice of violation; imposition of a civil penalty; or an order
suspending, modifying, or revoking your license as specified in the " General Statement of
.
Policy and Procedure for NRC Enforcement Actions" (Enforcement Policy), NUREG 1600.
-
Thank you for your cooperation.
.
,
,
Sincerely,
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Beth A. Prange
[
.
Sr. Health Physicist (Licensing)
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Materials Branch
Dodet: 030-19521
License: 50-19913-01
Control: 572654
Enclosures: As stated
cci State of AK (License Only)
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- Ketchikan General Hospital
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LFARB, T-9, E-10
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WCFO Inspection File
Docket File
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DOCUMENT NAME: G:\\Beth\\572654
. To receive copy of document, Indicate in box: "C" = Copy without enclosures "E" = Copy with enclosures "N" = No copy
RIV:MB
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RIV:MB
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BPrange MP
JMontgomeryOp
4 /27/98
4[F7['lI
OFFICIAL RECORD COPY
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FR1 03307 PM
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FAX TRA!!SMITTAL SHEET
Ketchikan
General 1lospital
DATE:
4-24-98
..;.
NO. OF PAGES:
2
(IliCLUDING COVEil SNEET)
DELIVER TO:
MS. BETil PRANCE
,
COMPANY:
UNITED STATES RECULATORY COMMISSION WALNUT CREEK
CA.
FAX !!0. CALLED:
925-975-0381
REFERENCE:
LEAK TEST OF QC SOURCES
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FROM:
JON HAYES
KETCilIKAN CENERAL HOPITAT. KETCHTRAM . Ar.
KETCHIKAN GENERAL
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HOSPITAL FAX NO.
_ IF YOU DO NOT RECEIVEi ALL OF THE PAGES SENT. PLEASE CALL
(907) 228-8337
(RADIOLOGY DEPAftTHEHT)
AS SOON AS POSSIBLE AT (907)220-7644. THANK YOU.
COMMENTS:
2LyJEEAT OF THE PAllENT TN.1FPTinM AREA RESULTED IN A MJIE_ TEST.
OF 409 DPM AND .02mR/hr. USINC THE SAME EQUIPMENT AS THE PRIOR
SURVEYS. IF ANY FURTHER ACTION Is REQUIRED PLEARE CONTACT _ME JT
907-288-7644. THANK YOU FOR YOUR PROMPT ACTION.
_
_
3100 Tnngass Ave.
Ke erliikan. AK 990flI 579i
Tel. (907) 215 5171
A Gnmmunity Miniser 3 idth the Shece s of St. hiseph of Prov c
tax (907) 2*5 2173
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REFERRED TO:
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IIITIALS:
ACTIOT RIQUEETED:
DATI:
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ACTICI TAIIBI
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Peacelleahh
Ketchikan
General Hospital
April 24,1998
To:
Heth Prange and James Montgomery
Walntit Creek Field OfTice
United States Nuclear Regulatory Commission
Region 4
1450 Maria Lane Suite 300
Walnut Creek, CA 94596-5368
From: Ketchikan General Hospital
Radiology Department
3100 Tongass Ave.
Ketchikan. AK 99901
(907) 228-8300
Please fmd enclosed documents of the decommissioning of the old hot lab and imaging room. We have
relocated to our new area as per our previous lay out submittal. Please review these at your earliest
$
convenience. These rooms are scheduled for demolition on Thursday April 30 If there is any materials
or information that you need that we failed to submit please contact us as soon as possible so we may see to
the completeness of this process. Thank You
Sincerely,
David Smith, AAAS
Terry Lesko, M.D., R.S.O.
Jon Hayes, RT (R)(N)(CT)(CNMT)
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To the NRC for the decommissioning of a room oflicensed facility
The following infoxmation is needed from licensees who request authorization from the NRC for
the release of a room, building, or outdoor area for imrestricted use:
1. A list of radiologicalisotopes that were actually used at the site. To the extent possible
(and reasonable), the quantities and dates of use of these isotopen should be provided:
Tc 99m
3/24 l 19.71 mci
4/3
6.13 mci
4/8
5.2 mci
4/21
20 6 MCI
3/25
20 6 mCl
4/3
9.1I mci
4!9
18.57 mci
4!21
17.72 mci
3/31
4 93 mci
4/4
5.6 mci
4/11
4.64 mci
4/22
18.34 mci
3/31
20.3 mci
4/6
16.75 mci
4/13
18.71 mci
4/22
20 8 mC
4/1
20.2 mci
4/6
S.93 mci
4/13
6.96 mci
4/22
19.83 mci
4/1
19 59 mci
4/6
19.46 mci
4/14
.943 mci
4'23
18.47 mci
4/2
10.23 mci
en
I8.64 mci
4/15
18.30 mci
4/23
17.05 mci
4/2
9.43 mci
40
19.8 t mCt
4/16
20.3 mci
4/2
22.3 mci
4n
5.5 mC
4/17
19.41 mci
M2
19.08 mci
4H
.954 mci
4/21
20 6 mCs
I-123 - 3/17 299uci
IN-1114/2/981.285 mci CoS7 and CS 137 refer to dates of Tc99m
This is a 30 day summary.
2. The physical form of each isotope i.e.,was sealed source or was the isotope used in a
loose form.
TC 99m loose ,1-123 cap .e, IN-111 loose, CO 57 and CS 137 sealed source.
3. Information regarding major radiologicalspills of any licensed isotopes such as the
location of spill (s) and pertinent radiologicalloformation about the spill (s). ( Major
spills for the purpose of this document means a spill that resulted in off-site
centamination or any other spill nhere more than mlnlanal decontamination effort is
requiring assistance in clean up and monitoring from persons other than the user.)
N/A
4.
Information on any leaking sealed source used or stored at the site being released,
including isotope, amount ofleakage, contamination of other areas or personnel,
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description of clean up, and disposition of the source. If no sources were determined to
be leaking at the facility, the licensee should state this fact.
N/A
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.qPR-24-p0 FRI 09 00 AM
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5. The results oflicensee's final survey as required by 10 CFR Parts 30.35 0)(2),
40.420)(2),70.380)(2), and 72.54 (t)(2). This includes submitting data in the following
units: gamma radiation in units of mSv/br (mR/hr) at one meter from surfaces,
radioactivity units of MBq/100cm2 (dpm/100cm2)(removable and fixed) for surfaces
MBq/ml(mci /ml) for water and Bq/g (pCilg) for soils and concrete. See attachments 1
,
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and 2.
4/21/98
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Area wipes and surveys were performed piior to transfer of radioactive material from the hot lab.
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All the results were within normal limits. All lead shielding was transferred to a portable cart.
The current, generator, QC sources, and radioactive materials waste container were placed in the
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lead shielding on this cait.100% area survey was performed of the countertops, shelving, and
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waste storage area prior to the transfer to the new hot lab. See enclosed attachment A for results.
5
Then a 100% asca survey was performed of the floor, walls, ceiling, and door of the hot lab. All
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surveys were .02mR/hr or less. Using the bicron surveyor 2000 with pancake probe with serial
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number B340D. Last cal date of 1/21/98 with lowest detectable level of confidence of.02
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mR/hr.
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The wipe test were performed using the atomic products nucleus well counter serial number
t
8605-0602 with lowest detectable level of.000078964 uCi After all shielding and radioactive
materials were transferred into the new hot lab the cart was surveyed and wipe tested with the
'
same above equipment with results of.02 mR/hr and 491dpm.
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4/22/98
,
Surveys and wipes were performed with 100% survey of the imsging room. See attachment B
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for tesults.
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See attachments A and B
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6. The sun ey instrumentation used for the final survey along with the certification that
each instrument has been properly calibrated and tested and the minimum detectable
activity (MDA) for each instrument. This information is needed for instruments used
for measuring exposure rates and for those used for analysis of wipes, soil and water
samples,etc. (See attachment 3)
See text of #5
7. Maps and/or drawings which clearly indicate the locations where wipes and fixed
measurments were taken. If contaminated drain lines (or other buried and inaccessible
pipes) are an issue, blue prints or drawings should be included that show the locations
l
of the arsin lines , including where they originate and end.
There are no locations of drains or ceiling air vents in the old imaging room or hot lab.
l
8. If other than minimal contamination efforts are necessary, both the before and after
decontamination survey data should be provided as part of the final survey report,
including the locations of these areas.
N/A
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9. The release criteria used as a basis for demonstrating the site can be released for
unrestricted use. (See Attachment 4).
All surveys and wipes were within normal limits
10. If the licensee intends to leave certain portions of the site contaminated in excess if the
release of guidelines, a risk as.4essment of the potential dose consequences.
N/A
11. The disposition of radioactive waste resulting from an remediation efforts. Under
normal circumstances the NHC u til not conduct a closcout or confirmatory inspection
until all waste (and other licensed materials / sources) have been removed from the site.
If these materials hase not been removed prior to thelicensee's submittal of the final
survey data, then these areas will have to be surveyed following removal of the waste
and the data submitted and reviewed before an onsite Inspection and/or license
termination.
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Per NRC attachment 2
1
4 Training and qualifications of the Individual (s) performing the decontamination and
surveys:
Jon Hayes
Ferris State t Jniversity 1982-1986
Radiological Sciences and Nuclear Medicine
12 Nuclear medicine experience
Certified AART(R)(N)(CT) NMTCB - CNMT
5. A description of the type of equipment used by the IIcensee to evaluate the wipes and
perform the sun eys. This description should include allinformation required to
determine the approprinteness of the equipment for determining the radiological status
of the facility such as last calibration date, type of radiations detected, sensitivity
detection, efficiency, etc.
Bieron surveyor 2000 O/M with Pancake probe
Serial number D340D
Lowest detectable level of confidence = .02 mR/hr
Alpha beta and gamma Cal date 1/21/98
Atomic Products nucleus well counter
Serial number 8605 0602
Lowest detectable level = .000078964 uCi
Cal date of 11/11/97
Alpha beta nnd gamma
' F] P R - 2 4
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,ds ' maanoem 4/3/M EL. & '- Tilguer level k89 1. nSet/ll' 5.0 mHntr d[[h 1. Genosator 2. Dose drawing nien O[h 2. > #8///k 2.0 mRill: 3. Floor by eounter - 973 3. .oa,e/sfr i.0 mnili, 4. Doso callbsator $_4/f-- 5. d12sM[1.0 mRillt . 6.J)Ad/fi.0 mRifft 5. Door knob 3,27 f ' ' , 7774 2 : ~ k ~ - QC 2 f% Y , , & ' s ,1 i - \\ \\ , s \\ l \\c skr\\ si, ave s . s . s 4 \\ \\\\\\\\\\
,e APR-24598 FRI 09:02 AM P.07 b . WEEKLY SURVEJg9 SURVEYOR d -U RSO _. f Action levels = 2,000 DPMl100 CM SQ for 1123,1125,1131, IN-111. I = 20,000 DPM/100 CM SQ for CO-57, GA 67, TC 99M, TL201. Survoy motor used N6fv/</4 slal # / g +s n. s.- ' '.: uuu l , =+.~a. ' l Wellcounter used A([Bt<A So at # ~d[dO ' X NWIAGING ROOM Wige test let_DPM Area sulyeya a T per level (,' 1. Camera Head 3k 1. > 0.24 1 mRlHr J " D 2. ,0,2/tll&mRIHt b D 1 2. Imaging table. 3. Floor by table W 3. ,8248/qmRIHr " - bb 4. e.dM/g.1mRlHr hl 4. Desk area . , 5. Pt Inj area I 5. A2df[/8[.1mR/Hr ktf ,p f ' c' '4 - .__ ' _ED A _[ - ___ 1191.LAR ) Jf' g Ylleplest ki DPM Trigger level 1. Genorator 1. 5.0 mRlHr 2. Dose drawing area . 2. _ 2.0 mRIHr 3. Floor by counter . 3. 1.0 mR/Hr 4. Dose calihtator 5. 1.0 mRlHr 5. Door knob 6. 1.0 mR/Hr . _ - _ . . . ve - i fQC 2 lN w \\ ' & a 5 }}