ML20216F260
| ML20216F260 | |
| Person / Time | |
|---|---|
| Site: | 03019671 |
| Issue date: | 02/26/1987 |
| From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | Gingerich J KODIAK ISLAND HOSP., KODIAK, AK |
| Shared Package | |
| ML20216F228 | List: |
| References | |
| 70510, NUDOCS 8706300835 | |
| Download: ML20216F260 (1) | |
See also: IR 05000210/2021001
Text
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0 ;t u , ; ,3 -: + y ' Docket No. : 030-19671 '* ' tidense No.:' .50-21021.01 ' ' ,1 Control No.: 70510 i , ,
\\ . .. Kodiak Island Hospital 4 ? ' y ' ; P,0. Box 1187 .. O9 19?5 East Rezanof Drive , ' ' Ls Koliak, # aska 99615 , . 4 . j Attentioni",i ,Mr. J. Gingerich
i Adrninf strator_ l' 1 4 Gentlemen: s < 3 > closed is the NRC license amendmeni ahich you Qequested. ' Please ieview the enclose'd document carefuliy and be.sure that you understand , all conditions. If thecejare any errors or questions, please notify us so that we can provide approprdate corrs tions and answers. .v.,
' 4 ' Minen enanges have been made to your 1,1 cense to make it consistent with' % current NRC. policies. These are fmiet changes only and' do not alter the
. cobnt of your license. , h should be noted that solid radioactive wastes must be held for decay for a h '0 iminimum of ten' half. lives as stated in License Condition 13.A. 3 .Section 18,.C. of your. application did not reference this requirement. -l ., The dcor to the new nuclee[rnedicine area should be locked when authorized .hi! >
f" s t urpN are not;,in the area to' prevent unauthorized removal of licensed i ' ' material. Refer to 10.CFR 20.207. , 4 / x. . [i- (N)Mly,ithasimpliedbutnotclearlystatedthatthemolybdenum-technetium ' 1 s ' ' h generator will be sdrrounded with lead shielding to keep dose rates in the
ne9 nuclear medicine area at a minimum. You should assure that such j @tydding is provided. i n , . . An'y future cohespondence relating to your license should spec 1fically f'
reference your license and docket numbers to expedite your inquiry. - 5 e i ' (sy: i Sincerely, 1 3 - , 8706300835 870226 3 K REGS LIC30 Beth A. Riedlinger ' ( 50-21021-01 PDR Health Physicist (Licensing) ~ ' ~ " " aterials sate".y secuon
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y -. flygg s, , [ Kodiak Island Hospital _ /37fp y J ' Ml /37 gp 1915 East Reranof Drive - E: Kodiak, Alaska 99615 REGtcyy,g February'16, 1987 L ' I i ! i Beth A.Riedlinger .J ' Health Physicist 1 e
Nuclear. Regulatory Conmission . Region V ' ' q 1450 Maria lane, Suite 210- , 1 Walnut Creek, California 94596
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RE:- Additional information concerning amendment of our by product material l license ntrnber 50-21021-01, docket number 030-1971. . f Dear Ms. Riedlinger: 1'Ihis is in response.to your letter dated' January 27,1987 requesting additional infonnation: ' j 1. In reference to Item 10,' " Calibration of Instnnents", we will be l_ sending our instruments to Darwin Zellmer, PhD at Providence Hospital in Anchorage for calibration. Please find enclosed a copy'of Providence Hospital's materials license #50-17838.-01. j '2. Please. find enclosed the sketch of our new Nuclear Medicine area. . 3. Also enclosed are final close out surveys that were taken in the I d former Nuclear Medicine Room. I hope this additional information is:as you required. Sine ly, kh d
1 . - Dr 1 ,,jamen Rodamar ' L Radiologist. ' Kodiak Island Hospital 'ofID Leased by Lutheran Hospitals & Homes Society b As Nk d / o j q> to oww9e' O* .Qt-f 1 , m s
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l NRc Form 374 1 5 i ' PAGE OF PAGES y p an U.S.NUCl. EAR REGULATORY COMMISSloN l MATERIALS LICENSE Amendment No. 18 j . ' Pursuant to the Atemic 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 j4 , l heretofore made by the licensee, a licer.se is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, q ! source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to ll j ! deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This ,! j I license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is jj l 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. '; I o '"S** In accordance with letter ! dated July 28, 1986 j! , l 1, Providence llospital 3. License number 50-17838-01 is amended in j j Radiation Safety Office its entirety to read as fo11ows: 3 l ii
t l 2. 3200 Providence Drive; Pouch 66p4 4 j , , Anchorage, Alaska 99502 p' 4. Expirationiipfe August 31, 1988 j ,[.,) Reference No. ]30L13426 !, 5. Docket or ! ! a < . ! 6. Byproduct, source, and/or 7. Chemical and/or physical (f. Maximum amount that licensee { . , I special nuclear material form ' ay possess at any one time ' I / D 4 A. Any byproduct material A.; N..!Any radiopharmaceutical. d
ANu der thislicenseAs necessary for u l
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! listed in Groups I and % '1'isted in Groups I andflI'
l II of Schedule A,0 y Ef1 Schedule A, Sectfon ' ( authorized in J Subitem 9.A. ) Section 35.100 of... 5 3j5.200 of 10 CFR 35., j , Q q3 (*d 'j _ , , , , , , d 10 CFR 35 j = 'd'i - q.~ /, <f j k,q i ' , ., ! B. Any byproduct material D'. Anfform listed in* Group /III. B. )3 3 curies of each listed in Group III i .u of Schedule A, Section 051100 F byproduct material 4" authorized in I of Schedule A, U' f 10 CFR"35 ' i ' + l Section35.100of10'CFR35'.; , ~."'ID[ SL, - '? Subitem 6.B. !j 3 . , I'
, ' . j %.-a . g ,h./ ! C. Any byproduct material C.* Anfradiophrmaceuti[a1 C .' As necessary for uses j )
! ,N authorized in j l f listed in Group IV 'f listed in Group IV of p Section35.100of10CFR35)ScheduleA,Section35.100d ! of Schedule A, '[' Subitem 9.C. L ! of 10 CFR 35 Y i w. a i l D. Any byproduct material D. Any radiopharmaceutical D. As necessary for uses j ! listed in Group V listed in Group V of authorized in (q f of Schedule A, Schedule A, Section 35.100 Subitem 9.D. ! Section 35.100 of 10 CFR 35 of 10 CFR 35 W ! [i e i E. Any byproduct material E. Any sealed source listed E. 2 curies total t ! ! listed in Group VI of in Group VI of Schedule A, for all sources j ! Schedule A, Section Section 35.100 of 10 CFR 35 authorized in h ! 35.100 of 10 CFR 35 Subitem 6.E. ! D f ! F. Strontium 90 F. Sealed source (Nuclear F. 10 mil 11 curies i Enterprises reference [ i source No. 2503/3) f f' 'i . Cesium 137 C. Scaled source (J.L. Shepherd G. 100 mil 11 curies
i , and Associates Instrument E [ Calibrator Model 28-5) l i T E H. Depleted uranium H. Cadmium plated metal II . 110 kilograms ' M ,1 O Nkh*(pp-
TaiAliU5rivauitaer.imniian3E'3TNSElT/ME7T22E~ETELTET2h iswmc ce71 71lihm sne wr,.<-n- - - - - . --- - m , N Clorm 374A U.S. NUCLEAR RErULAToRY CoMMISSfoN - 2 5
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,,oe o, ,,oes License number , 50-17838-01 MATER'IALS LICENSE
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.( 030-13426 j SUPPLEMENTARY SHE ET , (
Amendment No. 18 e , , l 6. BYPRODUCT, SOURCE, AND/0R 7. CHEMICAL AND/0R PHYSICAL 8. MAXIMUM AMOUNT THAT LICENSEE SPECIAL NUCLEAR MATERIAL FORM MAY POSSESS AT ANY ONE TIME [ } UNDER THIS LICENSE s [ I. Gadolinium 153 I. Sealed sources I. Not to exceed l (Lunar GD Series) 1.5 curies per source i !
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Authorized use - A. Any diagnostic procedure listed,in Groups I and p f Schedule A, Section 35.100 ( g'lations. l of Title 10, Code of Federa u B. Preparation and use of radio' pharmaceuticals for any diagnostic procedure listed f inGroupIIIofScheduleA,Section'35.100ofTitle10,Co@ofFederal > Regulations. .l f, -
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., "*7 j fi i. t C. Anytherapeuticprocedurelisfed.inGroupIVofSchd'ulefA,Section35.100of 6 3 !
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Title 10, Code of Federal Reg a,tions. i D. Any therapeutic procedure lis'ted in Group V of e'd'ule A, Section 35.100 of g, Title 10, Code of Federal Regulations. ) 9 Ei , . , , ( u :til , i ,, !, r j Any procedure listed in Group VI{ of Schedule , A,"See,tiop/' " ',100 #DTitle 1 gi $ 35'. f E. " i d' l, y of Federal Regulations. '.: b )q .g,. - ,T9 ! ,i p, ,, _/ , .l ' [, * j F. and G. Instrument calibration $' ', .gh. ,h i ! H. As shielding in a linear accelerator. , . ., s .
I. For use in a Lunar Radiation. Corporation Model DP3 bone mineral analyzers for l diagnostic studies. Y' ' >< {1
i CONDITIONS & g
! 10. Licensed material shall be used only at Providence Hospital, 3200 Providence l Drive, Anchorage, Alaska, except that licensed material described in License ! Conditions 6.I, 7.I., 8.I., and 9.I. may also be used in Room 2 of the i Providence Professional Building, 3300 Providence Drive, Anchorage, Alaska. i . i 11. Licensed material listed in Item 6 above is authorized for use by, or under the j supervision of, the following individual (s) for the materials and uses [ indicated: I i l 4 Maurice J. Coyle, M.D. Groups I, II, III and VI ] i Icdine 131 contained in capsules for i treatment of hyperthyroidism and p cardiac dysfunction Gadolinium 153 t j ! . i ! i . j i- ---n_u____---- -- - - - - -
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jrFMEW4/WE2/372nETEMMEniE A%7alifEENT2TIEnETJn5[A3535725il3EEEZEanararm---w-----r-n.n.- q - 7 l t Form 3MA U.S. NUCLEAR RE"ULAToRY COMMISSION - 3 5 p,gE og Panes 1 $ License number ! ' , l MATER'IALS LICENSE 50-17838-01 ) '
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F SUPPLEMENTARY SHEET .( 030-13426 p ' Amendment No. 18 i , . l CONDITIONS , , i (continued) ) ! , l John J. Kottra, M.D. Groups I, II and III 1
Iodine 131 contained in capsules for j treatment of hyperthyroidism and , ! cardiac dysfunction i Gadolinium 153 Charles Sternhagen, M.D.- G oups ,Vad I a l ,~ y l Peter DeMott Swift, M.D.' Group VI h
I e O i i Darwin L. Zellmer, Ph.D. Non-human use p, I "~ // E r . l DeniseO. Cook,M.p,. j Groups I, II an E ,, Iodine 131 con a e. in cap ul P l ..f, . treatment $ffkykrthyroidsm,esfor ! 1 s ' and cardiacdysfudctjon Q ! 7 i g (Gadolinium 13 hf ' b 3 y ( { p, r r .- , - l DavidAllenHoeller,M.D.kl fGroupsI,II',.,[IIIff [ . Ii . * Iodine 131 containe.'dfin# caps.,,,, i ules for b j iflih treatment.of hypgrthyroidish, cardiac l, 1 M'Q dysfunction,Lordthyroid carcinoma i ipl'L Colloidal phosphM Es 32 f,OoW t ' ! 'e 'intracavitaryp#reatment ' Gadolinium 153 . . ,. i Kenneth Allen Fox, M.D. Group VI V ,, t T! .M 4 1 12 For a period not to exceed sixty'(60) days in any calendar year, a visiting l physician is authorized to use licensed material for human use under the terms 1 j of this license, provided the visiting physician: i y A. Has the prior written permission of the hospital's Administrator and its ! Radiation Safety Committee, and ! ! B. Is specifically named as a user on a Nuclear Regulatory Commission license 5 l authorizing human use, and f a p 4 k{ C. Performs only those procedures which the physician is specifically J authorized to perform pursuant to a license issued by the Nuclear h ! Regulatory Commission. W . ! h ~g The licensee shall maintain for inspection by the Commission copies of the written permission specified in A. above and of the license (s) specified in B. , j and C. above for a period of 5 years from the date permission is granted under l A. above. E !u- . u.c- _ .,.-,_ .... ,an,a,v ....-- .,,----
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$ SUPPLEMENTARY SHEET . 030-13426 oq g q Amendment No. 18 CONDITIONS ' w ' j.] (continued)
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13. Patients containing Jodine 131 for the treatment of thyroid' carcinoma d (or patients containing therapeutic quantities of gold 198) shall remain !j hospitalized unti1 the residual' activity is 30 mil 11 curies or less.
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~ . . . . . 'i 14. Sealed sources containing. licensed material.shall not be opened.
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l .) s t '.. i ! The~ source (s)' spec (fiedlinItem(s)7.E.. ., .,,and 7.G. shall be- 'l 15. A. (1) tested for leakage, add /or contamination at inte als'not to' exceed 6 ) months, except'that Series 6500 or 6520 (former odel 6D6C) Minnesota. ., Mining and Manufacturing Cesium :137 sources shal tested at intervals shall.be tested"for . The source (s) specif Item.7;I.
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not to exceed three years. tervals notito- ! exceed one year.W, leakage and/or contaminati65Pa accompanied by a certificate indicating #romfanothertht/atestp
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' son which is~not i y; source received f r within 6 months before'the transfer shallcjn'ot be put into use until
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te's ted .. M', : PD: f') s ') $ t ! lfi? .L.,
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, ~ ' (2) Notwith' standing the periodic leak test @eggiired'by thi[ien' the source condition, any licensed' sealed source 'is exempt from"such' leakytestad
contains100microcuriesorlessofbeta'and/orgamsay.@itting d
material.or 10 microcuries or less of.9 pha' emitting material.. -J 1 1.W_$. p.' ' p*h . 1 Any source in storage and 'not being used need'not be te,sted. . When'the l{ B. source is removed from. storage for use or transfer to another person,'it
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shall be tested before use or transfer. 6*
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ThetestshallbecapabIeof.detectingthepresence'of0.005microcurieof l- .C. radioactive material on the . test sample. If the test reveals the presence !; of 0.005 microcurie or more of removable contamination, the' source shall be ! removed from service and. decontaminated, repaired, or disposed of in
accordance with Commission regulations. A report shall.be filed within 5 ! days.of the date the leak test result is known with the U. S. Nuclear
Regulatory Commission, Region V;' Nuclear Materials Safety and Safeguards
Branch; 1450 Maria Lane, Suite 210; Walnut Creek, California 94596. 'The ! report shall specify the source involved, the test results, and corrective l' action taken. Records of leak test results shall be kept in units of . ' microcuries and shall be maintained for inspection by the Commission. ~ , ! Records may be disposed of following Commission inspection. , >I . D. . Tests for leakage and/or contamination shall be performed by the licensee
or by other persons specifically licensed by the Commission or an Agreement ,, State to perform such services. 4 lt - l l ' l ' < , I -. _ _ _ _ _ _ _ _ _ _ ,_ _ _ _ _ _ , _ _ _ _ _ _ . , . m ,m ,m ,,,, , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..
mmwdE5MEEirmMmwinnamanEnzmarmAA winnmions stancwaza7 l . Form 374A U.S. NUCLE AR REIULAToRY CoMMISStoN p,g'c 5 5 o, p,ogs , ! '
License number ! 50-17838-01 MATERIALS LICENSE E
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SUPPLEMENTARY SHEET
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030-13426 Amendment No.'18 1 CONDITIONS - '
! (continued)
16; The licensee is authorized to hold radioactive material with a physical - half-life of less than 65 days for decay-in-storage before disposal.in ordinary j trash provided: ej
m A. , Radioactive waste to be disposed of in this manner shall be held for decay 1 i a minimum of ten (10) half-lives. ! ', B.< Prior to disposal as normal paste, radioactitefwaste shall be surveyed to determinethatitsradioac't'ivitycannotbed)ist[nuishedfrombackground.
All radiation labels shall"be removed-or oblitera %, s ' f. Generatorcolumnsshallbesegregatedsothattheymay)pisp e monitored C. separately to ensure decay to background levels prior to
. The licensee may use'the Lin\\ r device for doinge' .. / 17. ea eafrity ts of its dose ! calibratorprovideditfollowhheproceduresin efAt'omicPrgduptsCorporation ~
- Lineator Instructions Manual: dated June 20, 1983. % D if 1 .? O l 18. Except as specifically provided ,therwise in this[ cpuse, the licensee shall ' ( conductitsprograminaccordan,ce.withthestateme;py,los,resentaions,and rep procedures contained in the documents including'anyrenc ures,. ,isted below. TheNuclearRegulatoryCommission'sregulationsshal1[N6vernunlessthestatements, l
l representations and procedurealin the licensee's appl,fcation aitd correspondence g are more restrictive than t geulations. A. Application dated November 30','1982 / C ' .g B. Application dated February 21, 1983 s%}* ( - C. Letter dated July 13, 1983 D. Letter dated August 17,,1983 Y l E. Letter dated January 20, 1984 y ' ' l F. Letter dated February 13, 1984
G. Telegram dated February 22, 1984 F H. Letter dated March 6, 1984 I.- Letter dated May 15, 1986 ' J. Letter dated July 28, 1986 K. Letter dated September 18, 1986, with attachments 19. - The licensee shall conduct a physical inventory every six (6) months to account f l for all sources specified in Item 7.I. which are received and possessed under , the license. Records of the inventories shall be maintained for two (2) years i ' from the date of each inventory.
20. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". FOR Tile U.S. NUCLEAR REGULATORY COMMISSION l SEP 2 41986 )i . ! . i Data By frTA^0. Whs1MA l E Deth ' A. Riedling . ' I Health Physicist icensing) - !ummmunustmmmmmmmm m m = = = rm = ==== = =JECA #mM@# = hSf ^1 E f ^ ^ " ^' --- - - -- --
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k G ly F" loc ke el IJ of g -l ~ - c.a b o's e 7~ < uor X a$ a ^ c' hot /a b ' ' dose c.c //f e<7A Uaclear inedscma. aren VodtaJr 3 sland thspihL/ $6e'chua- W I,I927 }}