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Amend 5 to License 50-21021-01 for Kodiak Island Hosp, Amending License in Entirety
	ML20216F224
Person / Time
Site:	03019671
Issue date:	02/26/1987
From:	Riedlinger B; NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:	;
Shared Package
ML20216F228	List: IR 05000210/2021001; ML20216F224; ML20216F260;
References
	50-21021-01, 50-21021-1, NUDOCS 8706300828
	Download: ML20216F224 (3)
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U.S. NUCLEAR REGULATORY COMMISSION

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Amendment No. 5

MATERIALS LICENSE

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 I, Parts 30,31,32,33,34,35. 40 and 70, and in reliance on statements and representations

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heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct,

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source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to

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dehver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This

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license shall be deerned to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is

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subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any f

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conditions specified below.

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Licensee

In accordance with application

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dated December 29, 1986

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itser.tiretytoreadasfollows:lg

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Kodiak Island Hospital

3. License number

50-21021-01 is amended in

P.O. Box 1187

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1915 East Rezanof Drive

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June 30, 1987

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Kodiak, Alaska 99615

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Reference No.

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6. Byproduct, source, and/or

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7. Chemical and/or physical

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special nuclear material

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Authorized use

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Any diagnostic procedure listed in Groups I and II of Schedule A, Section 35.100

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of Title 10, Code of Federal Regulations.

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Preparation and use of radiopharmaceuticals for any diagnostic procedure listed

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in Group III of Schedule A, Section 35.100 of Title 10, Code of Federal

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Regulations.

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In vitro studies.

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U.S. NUILEAR REGULATORY COMMISSION

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. MATERIALS LICENSE

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SUPPLEMENTARY SHEET

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Amendment No. 5

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CONDITIONS

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10. 1.icensed material'shall be used only at 1915 East Rezanof Drive, Kodiak,

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Alaska.

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11. Licensed material shall be used by, or under the supervision of, Benjamin

Rodamar, M.D.

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For a period not to exceed sixty (60).hd matefis] days.Jnanycalendaryear,'a_ vi

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physician is authorized to usejiceris

or human use~under the terms

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ofthis-license,providedthe'vis'itihiphy'sTcfan:

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Has the-prior written * permission of the hospital'

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Radiation Safety @Coninittee, and

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Is specificall,y namedyas a user on a Nuclear Regulatory,C'ommission license

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Performson1).thoseprocedres)whrcfFthephs ian is spe ,cifically

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authorized tofperform pdrsuant to a license scubd by the< Nuclear

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Regulatory Commission.

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The licensee shall maintai

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written permissidriipecifiedsin"AhabovM' Arid

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and C. above for a periodlof ' [yeaEs'

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, 13. ThelicenseeisauthorizedtoholdraIioacive.mit$tialwith01 physical

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half-life.of less thah;65, days for dechpjjn-;storassf befo e7 disposal in ordinary

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Radioactive waste to be disposed of in this. manner shall be held for decay

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a minimum of ten (10) half;1ivesp p j(

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Prior to disposal as normal waste, radioactive waste shall be surveyed to

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determine that its radioactivity cannot be distinguished from background.

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All radiation labels shall be removed or obliterated.

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Generator columns shall be segregated so that they may be monitored

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separately to ensure decay to background levels prior to disposal.

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14. The licensee may transport licensed material in accordance with the provisions

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of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".

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Amendment No. 5

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CONDITIONS

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115. Except as.specifically provided otherwise in this license, the licensee shall

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Jtconductits.programin.accordancewiththestatements, representations,and.

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procedures. containM in the documents including any enclosures, listed below.

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The Nuclear Regulatory Commission's' regulations sha'll govern unless the

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statements, representations:and procedures. ,in the licensee's application and

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correspondence are mon restrictive 1than)the rsgulations.

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, A.. Applicatiion dated February 15,1982

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B. Model Al. ARA Program cohtained in

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-(Rev. 1), " Guide fq* the Preparation of

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October 1980

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FORTHE'U.SiNUCLEARREGULATORYCOMMISSION

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original signed by B. A. Riedlinger

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Date February 26, 1987

By

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Beth A. Riedlinger

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HealthPhysicist(Licensing)

Nuclear Materials Safety Section

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Region V

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ML20216F224

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