Text

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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(3 83) . U.S. NUCLEAR REGULATORY COMMISSION

MATERIALS LICENSE Amendment No. 5

l

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 y

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

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

dehver 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 deerned to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is N

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

j conditions specified below.

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Licensee

In accordance with application i

dated December 29, 1986 I I

1. Kodiak Island Hospital 3. License number 50-21021-01 is amended in

P.O. Box 1187 itser.tiretytoreadasfollows:lg

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2. 1915 East Rezanof Drive '

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3s Epirl,odate

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Kodiak, Alaska 99615 r June 30, 1987 u

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5. Docket or N + d

Reference No. 03099671 j

6. Byproduct, source, and/or

special nuclear material

AN 7. Chemical and/or physical

form

(,J'. Maximum amount that licensee

4(incy possess at any one time

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p ,< > 'under this license I

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A. Any byproduct materi'al A .N m A. -)As necessary for uses I

listed in GroupsJI'and tlisthd in:Grobps/1 and!II k authorized'in i

II of Schedule A, s

6f! Schedule"Al Sectidn$ r' Subitem 9.A. gl I

Section 35.100 oi%y 6

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10 CFR 35 b-

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p hpQ 35$100 %p

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B. Any byproduct material B vAny: form jijstedLin;-Grou'p?III; B.q/"2 curies of each l

of ScheduleIA, Sectionl35 100 72byproductmaterial

listed in Group III3

of Schedule A, 9 7%Og'[R f 106CFR 35 B)g>

o- _

OSubitem

U $ 6.B.

authorized in

Section 35.100 of M f +*F' MM "% e i

10 CFR 35 v' O Of/0 A S $ D4 'D l

C. Anybyproductmaterial703 Any

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f[% 3 millicuries of each l

listed in Section 31.11(a) / O byproduct material h

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of 10 CFR 31 j 3 lf authorized in

N Subitem 6.C.

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9. Authorized use l i

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

of Title 10, Code of Federal Regulations. p

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! B. Preparation and use of radiopharmaceuticals for any diagnostic procedure listed R

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

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Regulations.

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C. ~

In vitro studies.

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870630082s e70226

REGS LIC30

50-21021-01 PDR

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C Form 374A '* * U.S. NUILEAR REGULATORY COMMISSION , 2 y .3 ,, y j

License number $ i

. MATERIALS LICENSE ' "" f

SUPPLEMENTARY SHEET

O 9671 I

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Amendment No. 5 g, ,

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CONDITIONS li

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

Alaska. p

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

Rodamar, M.D.

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12

For a period

physician not to exceed

is authorized sixty (60).hd matefis]

to usejiceris or humandays.Jnanycalendaryear,'a_

use~under the terms

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

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A. Has the-prior written * permission of the hospital' A'dministrator and its I-

Radiation Safety * @Coninittee, and 'Q' s

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B. Is specificall,y namedyas a user on a Nuclear Regulatory,C'ommission license p i

ind ~/ A- I

, authorizing 44hum,a'n us'e,Q h / f >

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C. Performson1).thoseprocedres)whrcfFthephs ian is spe ,cifically

authorized tofperform pdrsuant to a vlicense scubd by the< Nuclear l3

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l Regulatory Commission.

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l The licensee shall7maintai foNinspectionbyIt . ommils,sion copies of the i

written permissidriipecifiedsin"AhabovM' Arid jth'i licensb(s)Especified in B.

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and C. above for a periodlof ' [yeaEs' th ate peEmis' ~ s ion;isegranted under

A. above. U y f;

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13. ThelicenseeisauthorizedtoholdraIioacive.mit$tialwith01 physical e

half-life.of less thah;65, days for dechpjjn-;storassf

~" befo e7l disposal in ordinary

trash providt.d: Q/

A.

0

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( F'

B. Prior to disposal as normal waste, radioactive waste shall be surveyed to if8 i,

determine that its radioactivity cannot be distinguished from background. : 1

All radiation labels shall be removed or obliterated.

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C. Generator columns shall be segregated so that they may be monitored i

o separately to ensure decay to background levels prior to disposal. t

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14. The licensee may transport licensed material in accordance with the provisions 32

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

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U.S. NUGLEAR REGULATORY COMMISStoN p 3' g, 3 p ]

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License number - I ,d

50-21021-01 N

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- MATERIALS LICENSE '

SUPPLEMENTARY SHEET

I)ocket or Reference number I

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030-19671 j

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k Amendment No. 5 l f

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CONDITIONS

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(continued)- l

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

Jtconductits.programin.accordancewiththestatements, representations,and. I

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

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 l

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correspondence are mon restrictive 1than)the rsgulations. p

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, A.. Applicatiion dated February 15,1982 **~ % (J; $ -

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B. Model Al. ARA Program cohtained in

4; Appendix 0of.ReguljtoryGuide10.8

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

etica Pro ,

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Applications

October 1980 forgJ N( % grams" s-

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C.-Letter.datedSep'tember24,Q982 / f1f O

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D.Letterdatedqbgust13.17& X

.E.Letterdated9y28,.1986i%pNy CS /

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F. Letter dated December 22,T1986 .G.yApplication Ef f, Pdated Deceinberi29 lWA1

H. Letter dated FebruaryJ16i 19876,3

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FORTHE'U.SiNUCLEARREGULATORYCOMMISSION g

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original signed by B. A. Riedlinger i

Date February 26, 1987 By

Beth A. Riedlinger l

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HealthPhysicist(Licensing) ;

Nuclear Materials Safety Section p

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Region V I

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ML20216F224

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