ML21007A303

Memorial Hospital of Converse County 49-27683-01, 60-Day Expiry Notification

ML21007A303
Person / Time
Issue date:	01/04/2021
From:	NRC/NMSS/DMSST
To:	Yutani D Memorial Hosp of Converse County, Douglas, WY
Brockington T
Shared Package
ML21007A277	List: ML21007A289 ML21007A293 ML21007A294 ML21007A295 ML21007A297 ML21007A299 ML21007A300 ML21007A302 ML21007A303 ML21007A304 ML21007A305 ML21007A306 ML21007A307 ML21007A308 ML21007A309 ML21007A310 ML21007A311 ML21007A312 ML21007A313 ML21007A314 ML21007A315 ML21007A316 ML21007A317 ML21007A318
References
Download: ML21007A303 (1)

Text

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555-0001 January 4, 2021 Mr. Dennis S. Yutani, M.D.

Memorial Hospital of Converse County 111 South 5th Street Douglas, WY 82633 Re: License No. 49-27683-01

SUBJECT:

NOTICE OF LICENSE EXPIRATION Your U.S. Nuclear Regulatory Commission license will expire within the next 2 months. If you wish to continue your licensed program, you should prepare and submit a renewal application on NRC Form 313 (enclosed), following regulations in 10 CFR and licensing guidance NUREG 1556, Consolidated Guidance About Materials Licenses.

You must submit an application for the renewal of your license at least 30 days before the expiration date on the license.

If you do not wish to renew your license, you must dispose of or transfer all licensed radioactive material in your possession in accordance with 10 CFR 30, 40 and 70. Then complete the enclosed Form NRC-314, A Certificate of Disposition of Materials and return it before the expiration date of your license, with a request that your license be terminated. If you have already applied for timely renewal of your materials license, please disregard this letter.

Sincerely,

/RA/

Materials Safety and Tribal Liaison Branch Division of Material Safety, Security, State and Tribal Programs Office of Nuclear Material Safety and Safeguards

Enclosures:

1. Form NRC 313

2. Form NRC 314