ML20235X889
| ML20235X889 | |
| Person / Time | |
|---|---|
| Site: | 03020377 |
| Issue date: | 06/16/1987 |
| From: | Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | |
| Shared Package | |
| ML20235X892 | List: |
| References | |
| 50-23219-01, 50-23219-1, NUDOCS 8707240375 | |
| Download: ML20235X889 (2) | |
See also: IR 05000232/2019001
Text
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NRC.Rorm 3e o 1 2
t3-03) # #" OF
, U.S. NUCLEAR REGULATORY COMMtSSION PAM l
Amendment No. 2 l
MATERIALS LICENSE
l
Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93 - 438), and Title 10, ;
e Code of Federal Regulations, Chapter 1, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations I
heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct. I
source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below;to !
l deliver or troasfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This i
license shall be deemed to contain the conditions speci0ad in Section 183 of the Atomic Energy Act of 1954, as amended, and is !
subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any l
e conditions specified below. t
IL_ i
Licensee i
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1. Department nf Healch & Human Services 3. License number 50-23219-01
h Alaska Native Medical Center i
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2. 3rd & Gambell Streets !
Anchorage, Alaska 99501 4. Expiration date February 28, 1990 l
5. Docket or
Reference N.o. 030-20377 ,
6. Byproduct, source, and/or 7. Chemical and/or physical 8. Maximum amount that licensee f
t special nuclear material form may possess at any one time l
j under this license l
A. Any byproduct material A. Sealed sources'for. A. 500 millicuries
identified in 10 CFR 35.500 diagnostic devices per source l
9. Authorized use:
A. Medical use described in 10 CFR 35.500. !
~
I CONDITIONS
10. Locations of use: A. Department of Health & Human Services
Alaska Native Medical Center !
l $l 3rd and Gambell Street l
'
j Anchorage, Alaska 99501 '
B. Barrow Service Unit
Public Health Service !
Alaska Native Hospital !
1
Barrow, Alaska 99723
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C. Kotzebue Service Unit
Public Health Service
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Alaska Native Hospital l
Kotzebue, Alaska 99752 '
f D. Yukon-Kuskokwim Delta Service Unit !>l
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i Public Health Service !sl
rl Alaska Native Hospital i'
f Bethel, Alaska 99559 !
E. Kanakanak Hospital I
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j Dillingham, Alaska 99576 l ll
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y F. Southeast Alaska Regional Health Corporation I
W Mt. Edgecumbe Hospital
g 2{ggg e70616 222 Tongass Drive \ /]
! S0-23219-01 PDR Sitka, Alaska 99835 1\g /g(
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, __ ___ _________ _-_--____ _ _
L NEMNfNEENET3fr
Form 374A
U.S. NUCLEA3 REcVLATORY COMMISSION
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License nurnber y
50-23219-01 g
' MATERIALS LICENSE I
iroiket or Reference number
SUPPLEMENTARY SHEET 030-20377 I
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Amendment No. 2 l
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11. Radiation Safety OfF rer: J. M. Holloway, M.D. N
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12. Authorized users: l
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William Paton, M.D. for material in Item 6.A. ll
Jordan M. Holloway, M.D. for material in Item 6.A. Il
William Pratt, M.D. for material in Item 6.A. I
Sallv W. Thompson, M.D. for material in Item 6.A.
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Thomas A. Mc Ennerney, M.D. for patEiialTin~~1 tem 6.A.
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Jack Wylie, M.D. for material dnfitem~ 6.'A'. ' E (j f pi
Stephen S. Tower, M.D. for matbrial in Item 6.A.- %g, l
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13. Upon the issuance by .the~ Nuclear Regulatory Commission o'f f s . specific license to d
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any institution speci,fied in Condition 10. ,the licensee sh&l] # cease use of l
l- byproduct material m on'the-premises
s x of the institution.e/<- // -
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, 14. Sealed sources cohtaining 8heined material shall($Ne open2 or removed from
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their respective; source hold,e'rgby thqdicensee'. 67 C
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15. The licensee may' transport Ticensed material in accoidance with<the provisions
of 10 CFR Part 71, " Packaging {and Jransf6rtht,iontoffRadica,ctiveyaterial".
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16. This license is based otthe licensee's :s'tatement's an': d representations in the
,
following documents: yg, -
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i .* -d . . . > l :. '
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A. Application dated Novembey 14, 1984 ;
B. Letter dated January 16, 1985
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C. Letter dated February 12, 1985 ..
D. Letter dated Mc 7' 1986 S
E. Letter dated July 2,1986 "
F. Letter dated August 28(1986' y -
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G. Letter dated October 17, 1986 * *
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l H. Letter dated May 11, 1987 g
I. Letter dated dur.e 11, 1987 ll
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FOR THE U.S. NUCLEAR REGULATORY COMMISSION I
1 ,
original-signed by B. A. Riedlinger
Date June, 16, 1987 By ly
_
8eth A. Riedlinger y
Health Physicist (Licensing) i
Nuclear Materials Safety Section i
Region V N
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