ML20235E052

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Forwards Amend 3,renewing License SNM-1557
ML20235E052
Person / Time
Site: 07002032
Issue date: 02/17/1988
From: Vacherlon P
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Soyugenc M
WELBORN MEMORIAL BAPTIST HOSP., EVANSVILLE, IN
Shared Package
ML20235E046 List:
References
NUDOCS 8902210192
Download: ML20235E052 (2)


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A FEB 17 1989 Welborn Memorial Baptist Hospital l ATTN: Marjorie Z. Soyugenc Senior Vice President 401 S. E. Sixth Street Evansville, IN 47713 Gentlemen:

Enclosed is Amendment No. 03 renewing your NRC License No. SNM-1557 in accordance with your request.

Please review the enclosed document carefully and be sure that you understand all conditions. You must conduct your program involving radioactive materials in accordance with the conditions of your NRC license, representations made in 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; Inspections," 10 CFR Part 20,

" Standards for Protection Against Radiation," and other applicable regulations.

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.
5. Request and obtain appropriate amendment if you plan to change ownership of your organization, change locations of radioactive material, or make any other changes in your facility or program which are contrary to your license conditions or representations made in your license application and any supplemental correspondence with NRC. Any amendment request should be accompanied by the appropriate fee specified in 10 CFR Part 170.
6. 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.
7. Request termination of your license if you plan to permanently discontinue activities involving radioactive material prior to your expiration date.

^

8902210192 880217 REQ 3 LIC70 SNM-1557 PNU

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  • 4 Welborn Memorial Baptist Hospital 2 You will be periodically inspected by NRC. Failure to conduct your program in accordance with NRC regulations, license conditions and representations in your license application will result in enforcement action against you in accordance with the General Policy and Procedures for NRC Enforcement Actions,10 CFR Part 2, Appendix C.

If you have any questions or require clarification of any of the above stated information, contact us at (312) 790-5625.

Sincerely, Original Signed By Patricia M. Vacherlon Materials Licensing Section

Enclosure:

Amendment No. 03 I

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Nuclear Regulatory Commission i O Washington, D.C. 20555 T. u

Dear Ms. Vacca:

Ea In reference to our Nuclear Pacemaker License, Control No. 16947, I hope to clarify our License renewal request.

We want to continue having authorization for twenty (20) ARCO Model NU-5 pacemakers and increase the authorization of Cordis Model 184A pacemakers to twenty.

Thank you.

Sincerely, yk'k' Marjorie Soyugenc Associate Director Welborn Baptist Hospital MS/bh l

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