ML21103A357

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Providence Alaska Medical Center; Cover Letter; Amendment No 78 License 50-17838-01; Docket 030-13426; Control 624455
ML21103A357
Person / Time
Site: 03013426
Issue date: 04/12/2021
From: Michelle Simmons
Division of Nuclear Materials Safety IV
To: Harmon J
Providence Alaska Medical Ctr
References
624455
Download: ML21103A357 (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

April 12, 2021

Joseph F. Harmon, Jr., Ph.D., DABR

Radiation Safety Officer

Providence Alaska Medical Center

3200 Providence Dr

Anchorage, AK 99519-6604

SUBJECT: LICENSE AMENDMENT

Dear Dr. Harmon:

Please find enclosed Amendment No. 78 adding your new hot lab, as requested. An

environmental assessment for this action was not required, since this action is

categorically excluded under 10 CFR 51.22, as applicable. You should review this

license carefully and be sure that you understand all conditions. You can contact me at

817-200-1590 if you have any questions about this license.

The NRCs Safety Culture Policy Statement became effective in June 2011. While a

policy statement is 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 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.

NRC expects licensees to conduct their programs with meticulous attention to detail and

a high standard of compliance. Because of the serious consequences to employees and

the public that can result from failure to comply with NRC requirements, you must

conduct your radiation safety program according to the conditions of your NRC license,

representations made in your license application, and NRC regulations. In particular,

note that you must:

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

J. Harmon -2-

1. Operate by NRC regulations 10 CFR Part 19, Notices, Instructions and Reports

to Workers: Inspection and Investigations, 10 CFR Part 20, Standards for

Protection Against Radiation, and other applicable regulations.

2. Notify NRC in writing of any change in mailing address.

3. By 10 CFR 30.36(d) and/or license condition, notify NRC, promptly, in writing,

and request termination of the license:

a. When you decide to terminate all activities involving materials authorized

under the license whether at the entire site or any separate building or

outdoor area;

b. If you decide not to acquire or possess and use authorized material; or

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 (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 mailing address changes;

d. 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

e. 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 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, radionuclide or form

authorized on the license;

c. Add or change the areas or address(es) 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.

OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION

OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION

J. Harmon -3-

6. Submit a complete renewal application 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.

In addition, please note that NRC Form 313 requires the applicant, by signature, to verify

that the applicant understands that all statements contained in the application are true

and correct to the best of the applicants knowledge. The signatory for the application

should be the licensee or certifying official rather than a consultant. Since the NRC also

accepts a letter requesting amendment of an NRC license, the signatory for such a

request should also be the licensee or certifying official rather than a consultant.

NRC will periodically inspect your radiation safety program. Failure to conduct your

program according to NRC regulations, license conditions, and representations made in

your license application and supplemental correspondence with NRC may result in

enforcement action 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: www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html.

NRCs Regulatory Issue Summary (RIS) 2005-31, Revision 1, 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 the NRCs Agencywide Documents Access and Management System

(ADAMS). The RIS may be located on the NRC Web site at: www.nrc.gov/reading-

rm/doc-collections/gen-comm/reg-issues/2005/. Pursuant to NRCs RIS 2005-31,

Revision 1, the enclosed materials license will not be made publicly available.

Thank you for your cooperation.

Sincerely,

/RA/

Michelle R. Simmons, Senior Health Physicist

Materials Licensing and Decommissioning Branch

Docket: 03013426

License: 50-17838-01

Control: 624455

Enclosure: As stated

OFFICIAL USE ONLY - SECURITY-RELATED INFORMATION