ML21026A136
| ML21026A136 | |
| Person / Time | |
|---|---|
| Site: | 03013426 |
| Issue date: | 12/22/2020 |
| From: | Latischa Hanson Division of Nuclear Materials Safety IV |
| To: | Newcombe R Providence Alaska Medical Ctr |
| References | |
| 623388, 623423 | |
| Download: ML21026A136 (3) | |
See also: IR 05000178/2038001
Text
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION
UNITED STATES
NUCLEAR REGULATORY COMMISSION
REGION IV
1600 E. LAMAR BLVD
ARLINGTON, TX 76011-4511
December 22, 2020
Providence Alaska Medical Center
Attn: Ross Newcombe
3200 Providence Dr
Anchorage, AK 99519-6604
SUBJECT: LICENSE AMENDMENT
Dear Mr. Newcombe:
This refers to your license amendment request dated September 30, 2020. Please find
enclosed Amendment No. 77 changing your radiation safety officer to Joseph F.
Harmon, Jr., Ph.D., DABR, as requested. An environmental assessment for this action
was not required, since this action is categorically excluded under 10 CFR 51.22(c).
Please be advised that your license expires at the end of the day in the month and year
stated in the license. Until your license has been terminated, you must conduct your
program in accordance with the conditions of your 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 and Investigations, 10 CFR
Part 20, Standards for Protection Against Radiation, and other applicable
regulations.
2. Notify the NRC in writing 30 days in advance of any change in mailing address.
3. In accordance with 10 CFR 30.36(d), notify the NRC promptly, in writing, within
60 days and request termination of the license:
a. When you decide to terminate all activities involving materials authorized
under the license;
b. If you decide not to acquire or possess and use authorized material; or
The enclosure transmitted
herewith contains Official Use
Only - Security-Related
Information. When separated
from this enclosure, this
document is decontrolled.
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION
R. Newcombe -2-
c. When no principal activities under the license have been conducted for a
period of 24 months.
4. In accordance with 10 CFR 35.14, notify the NRC no later than 30 days after:
a. The date that the licensee permits an individual to work as an authorized
user, an authorized nuclear pharmacist, or an authorized medical
physicist under 10 CFR 35.13(b)(1) through 35.13(b)(4);
b. An authorized user, an authorized nuclear pharmacist, a Radiation Safety
Officer, or an authorized medical physicist permanently discontinues
duties under the license or has a name change;
c. The licensees name changes but the name change does not constitute a
transfer of control of the license as described in 10 CFR 30.34(b); or
d. The licensee has added to or changed the areas of use identified in the
application or on the license where byproduct material is used in
accordance with either 10 CFR 35.100 or 35.200.
5. Request and obtain a license amendment before you:
a. Change Radiation Safety Officers;
b. Order byproduct material in excess of the amount, or radionuclide, or
form different than authorized on the license;
c. Add or change the areas of use or address or addresses of use identified
in the license application or on the license (except for areas of use where
byproduct material is used only in accordance with either 10 CFR 35.100
or 35.200); or
d. Change the name or ownership of your organization.
6. Submit a complete renewal application or termination request at least 30 days
before the expiration date of your license. You will receive a reminder notice
approximately 60 days before the expiration date. Possession of byproduct
material after your license expires is a violation of NRC regulations.
You will be periodically inspected by the NRC. Failure to conduct your program safely
and in accordance with NRC regulations, license conditions, and the representations
made in your license application and supplemental correspondence with NRC will result
in enforcement action(s) against you. This could include issuance of a Notice of
Violation, Imposition of a Civil Penalty, or an Order Suspending, Modifying or Revoking
your license as specified in the NRC Enforcement Policy. The NRC Enforcement Policy
is available at: http://www.nrc.gov/reading-rm/doc-collections/enforcement/.
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION
R. Newcombe -3-
The NRCs Safety Culture Policy Statement became effective in June 2011. While a
policy statement and not a regulation, it sets forth the agencys expectations for
individuals and organizations to establish and maintain a positive safety culture. You
can access the policy statement and supporting material that may benefit your
organization on NRCs safety culture Web Site at: http://www.nrc.gov/about-
nrc/regulatory/enforcement/safety-culture.html. We strongly encourage you to review
this material and adapt it to your particular needs in order to develop and maintain a
positive safety culture as you engage in NRC-regulated activities.
An electronic version of the NRCs regulations is available on the NRC Web Site at:
www.nrc.gov. Additional information regarding medical uses of radioactive materials
may be obtained on the NRC Web Site at: http://www.nrc.gov/about-nrc/safety-
culture.html. This site also provides the updated Training and Experience NRC Form
313A series of forms and guidance, as well as information on the revised regulations for
naturally-occurring and accelerator-produced radioactive materials (NARM).
NRCs Regulatory Issue Summary (RIS) 2005-31 provides criteria to identify security-
related sensitive information and guidance for handling and marking of such documents.
This ensures that potentially sensitive information is not made publicly available through
ADAMS, the NRCs electronic document system. Pursuant to NRCs RIS 2005-31, and
in accordance with 10 CFR 2.390, this letter and the enclosed license document are
exempt from public disclosure because their disclosure to unauthorized individuals could
present a security vulnerability. The RIS may be located on the NRC Web Site at:
http://www.nrc.gov/reading-rm/doc-collections/gen-comm/reg-issues/2005/ri200531.pdf
and the link for frequently asked questions regarding protection of security-related
sensitive information may be located at: http://www.nrc.gov/reading-rm/sensitive-
info/faq.html.
Sincerely,
/RA/
Latischa M. Hanson, M.Sc., Health Physicist
Materials Licensing and Decommissioning Branch
Docket: 030-13426
License: 50-17838-01
Controls: 623423, 623388
Enclosure: As stated
OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION