ML20247B201

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Ack Receipt of NRC Form 241,reporting Proposed Activities in non-Agreement State Under Authority of General License. Violation Noted Re Lack of Submitting State of Tx License to NRC When Notifying of Activities in Vincennes,Tx on 890403
ML20247B201
Person / Time
Issue date: 04/19/1989
From: Fisher W
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To: Peabody D
X-RAY EQUIPMENT CO.
Shared Package
ML20247B186 List:
References
NUDOCS 8905240048
Download: ML20247B201 (3)


Text

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APR I 91989 4

X-Ray Equipment Company ATTN:

Danny M.' Peabody i

l Vice President 2601 Ludelle Street Fort Worth, Texas 76105 Gentlemen:

This acknowledges receipt of NRC Form-241 dated March 28, 1989, which you submitted to report proposed activities in a nonagreement state under the

-authority of the general license pursuant to 10 CFR 150.20.

Based upon our review of your submittal it appears that you have violated the notification requirements of 10 CFR 150.20.

In accordance with the " General Statement of Policy and Procedure for NRC Enforcement Actions," 10 CFR Part 2, Appendix C (1988), the violation is listed below:

10 CFR 150.20 requires, in part, that any person holding a specific license from an agreement state is hereby granted a general license to conduct the same l

activity in a nonagreement state, and any person engaging in activities in a nonagreement state shall at least 3 days before engaging in such activity file four copies of Form NRC-241 (revised) " Report of Proposed Activities in Nonagreement States," and four copies of its agreement state specific license with the Regional Administrator of the U.S. Nuclear Regulatory Commission regional office for the region in which the agreement state that issued the license is located.

In cases where 3 days prior notice is impossible, the Regional Administrator may authorize sucn activities by telephone proviced tne above referenced documents are submittea within 3 days of the telepnorie notification.

Contrary to the above:

On March 28, 1989, X-Ray Eouipment Company suomitted four copies of Form NRC-241, notifying NRC of proposed activities to be conoucted April 3, 1989, in Vincennes, Indiana, under reciprocity of the state of Texas License TX5-1485 without submitting the required copies of the Texas license.

This is a repeat violation.

This is a Severity Level IV violation.

(Supplement VI)

Pursuant to the provisions of 10 CFR 2.201, X-Ray Equipment Company is hereby reouired to submit to this office, within 30 days of the date of the letter transmitting this Notice, a written statement or explanation in reply, including for each violation:

(1) the reason for the violation if admitted, (2) the corrective steps which have been taken and the results achieved.

(3) the corrective steps which will be taken to avoic further violations, and (4) the date when full compliance will be achieved. Where good cause is shown, consideration will be given to extending the response time.

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  • Previously concurred 8905240048 890517 REG 4 SUBJ PDC

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X-Ray Ecuipment Company The response airected by this letter and accompanying Notice is not subject to the clearance crocedures of the Office of Management and Budget as required by the Paperwork Reauction Act of 1980, PL 96-511.

Should you have any questions concerning this letter, we will be pleased to discuss them with you.

Sincerely, Original Signed By:

William L. Fisher William L. Fisher, Chief Nuclear Materiais Safety Branch cc:

Texas Radiation Control Program Director Indiana Radiation Control Proaram Director V' p w/ copy of NRC Form-241:

bc 1 File Region III bec:

R. Martin B. Beach W. Fisner D. Powers B. Spitzberg NMSB

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" J NRC FORM 241 FORM At'PROtfED BY OMS

. / Gell 3150-0013

  • - i 10 CFn 150 EXPlRES; 10 31 83 U.S. NUCLEAR REGULATORY COMMISSION REPORT OF PROPOSED ACTIVITIES IN NON-AGREEMENT STATES (Please reed the instructions on the cover sheet before completing this formJ
1. N AME OF LICENSEE (Person or form proposmg to conduct the
2. ADDRESS OF LICENSEE (Madme address or other toretoon where actiertues descrobed betoev)

Incensee may be located) 2601 LUDELLE ST.

X-RAY ECUIPPENT COMPANY, INC, P.O. BOX 2431 3.

F PERSON AUTHORIZED BY LICENSEE TO PERFORM FT. WORTH, TEXAS 76113-2431-Danny F!. Petbody

4. DESCRIPTION OF ACTIVITIES TO BE CONDUCTED IN NON. AGREEMENT STATES UNDER THE GENERAL LICENSE GIVEN IN 10 CFR 150.20 Remove Picker C-9 Cobalt 60 Teletherapy unit and Radioactive source from service at Cood Samaritan Hospital
5. LOCATIONS AT WHICH THESE A0TIVITIES WILL BE CONDUCTED AND D.\\TES SCHEDULED.

STREET AND NUMBER OR OTHER LOCATION DATES SCHEDULED N O.

CITY AND $ TATE (Give as compJefe en address as possibel 520 South 7th St.

Vincennes I'l 4-3-39 4-3-89 1-e

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6. LIST SEALED SOURCES.OR DEVICES CONTAINING SEALED SOURCES.WHICH WILL BE POSSESSED USED INSTALLED, SERVICED OR TESTED iN NON AGREEMENT STATES. (Include descroprion of type and cuantity of radioactive maternal contained m each sensed source or dowce.)

NPI-20-6000W Ser. # T-869 Curies 5950 as of 2-1-87

7. NUMBER OF SPECIFIC LICENSE AND NAME OF STATE ISSUING SUCH SPECIFIC LICENSE WHICH AUTHORIZES THE UNDERSIGNED TO CONDUCT ACTIVITIESWHICH ARE THE SAME. EXCEPT FOR LOCATION OF USE. AS THOSE SPECIFIED IN ITEM 4 ABOVE. (Four copies of the specofoclocense must accompany thus report.)

TX5-1485 CERTIFICATE QATE 8.1, THE UNDERSIGNED, HEREBY CERTIFY THAT:

a. All information en this report is true and complete.

3-28-89 LICENSEE *5 NAME (TYPE OR PRtNT) b.1 have read and understand the provisions of the general license 10 CFR 150.20 reprmted on the cover sheet of this form set; and i d,"

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WY r understand that I am required to comply witti these provisions as to all byproduct, source, or special nuclear material which I possess CERTIFYING OFFICf AL and use m non Agreement States under the general license for SIGN ATU R E l

which this report is filed with the U.S. Nucieer Regulatory Com.

. meseson.

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c. I understand that activities, metudme storage. conducted m non.

Agreements under genere4 licartse 10 CFR 150.20 are timeted to a total of 180 days m any calender year.

WARNING: to U.S.C., Section 1001: Act of June 25.1948; 62 Stat. 749; makes H e criminat of fense to make a willfully f alse statement or reipre-sentation to any department or egency of the United States as to any matter withm its jurisdiction.

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