ML22059A012

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Northstar Medical Technologies, LLC - NRC Form 591 Part 1, Inspection Report 15000048/2022001(DNMS)
ML22059A012
Person / Time
Site: 15000048
Issue date: 01/31/2022
From: Ryan Craffey
NRC/RGN-III
To:
Northstar Medical Technologies
References
IR 2022001
Download: ML22059A012 (1)


See also: IR 015000048/2022001

Text

NRC FORM 591M PART 1 U.S. NUCLEAR REGULATORY COMMISSION

(07-2012)

10 CFR 2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

1. LICENSEE/LOCATION INSPECTED: 2. NRC/REGIONAL OFFICE

NorthStar Medical Technologies, LLC

1800 Gateway Boulevard Region III

Beloit, WI 53511 U. S. Nuclear Regulatory Commission

Location inspected: Job Site in West Lafayette, IN 2443 Warrenville Road, Suite 210

Lisle, IL 60532-4352

REPORT NUMBER(S) 2022-001

3. DOCKET NUMBER(S) 4. LICENSE NUMBER(S) 5. DATE(S) OF INSPECTION

January 24, 2022

150-00048 GL per 150.20(a) / WI-025-2038-02

Exit January 31, 2022

LICENSEE:

The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear

Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of

procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows:

1. Based on the inspection findings, no violations were identified.

2. Previous violation(s) closed.

3. The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-identified,

non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to exercise

discretion, were satisfied.

Non-cited violation(s) were discussed involving the following requirement(s):

4. During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being

cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance

with 10 CFR 19.11.

(Violations and Corrective Actions)

Statement of Corrective Actions

I hereby state that, within 30 days, the actions described by me to the Inspector will be taken to correct the violations identified. This statement of

corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken,

date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested.

TITLE PRINTED NAME SIGNATURE DATE

LICENSEE'S

REPRESENTATIVE

Digitally signed by Ryan J. Craffey

NRC INSPECTOR Ryan Craffey Date: 2022.01.31 16:21:45 -05'00'

BRANCH CHIEF Michael Kunowski Michael A. Kunowski Digitally signed by Michael A. Kunowski

Date: 2022.02.25 15:10:59 -06'00'

NRC FORM 591M PART 1 (07-2012)