ML23146A217
| ML23146A217 | |
| Person / Time | |
|---|---|
| Site: | 03038077 |
| Issue date: | 05/26/2023 |
| From: | Latischa Hanson NRC/RGN-IV/DRSS/MLB |
| To: | Document Control Desk |
| References | |
| License-635390-192953 | |
| Download: ML23146A217 (1) | |
See also: IR 05000293/1957001
Text
U.S. NUCLEAR REGULATORY COMMISSION
MATERIALS LICENSE
PAGE
OF
1
4
Amendment No. 8
PAGES
Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I,
Parts 30, 31, 32, 33, 34, 35, 36, 37, 39, 40, 70 and 71, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued
authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose(s)
and at the place(s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This
license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and
orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below.
Licensee
Anchorage, AK 99508
2. 3340 Providence Drive
1. Providence Imaging Center
4. Expiration Date: March 31, 2035
Docket No.:
5.
030-38077
License No.: 50-29357-01 is
amended in its entirety to read as
follows:
Reference No.:
3.
In accordance with letter dated
April 13, 2023; and E-mail dated May
26, 2023.
6.
7.
8.
Byproduct, source,
and/or special nuclear
material
Chemical and/or physical form
Maximum amount that licensee
may possess at any one time
under this license
9.
Authorized use
A.
A.
A.
A.
For use in imaging and localization
studies permitted by 10 CFR 35.200.
Any
As Needed
Any byproduct material
permitted by 10 CFR 35.200
License No.:
Docket or Reference No.:
U.S. NUCLEAR REGULATORY COMMISSION
MATERIALS LICENSE
SUPPLEMENTARY SHEET
PAGES
OF
PAGE
4
2
50-29357-01
030-38077
Amendment No. 8
CONDITIONS
10. A.
Licensed material may be used or stored at the licensee's facilities located at 3340 Providence Drive, Anchorage, Alaska.
B.
Licensed material may be received and stored at the licensees facilities located at the loading dock of Providence Alaska Medical
Center, 3200 Providence Drive, Anchorage, Alaska.
11.
The Radiation Safety Officer (RSO) for this license is Thomas H. Essig, M.S., CHP.
12. Licensed material shall only be used by, or under the supervision of:
A.
Individuals permitted to work as authorized users as appropriate in accordance with 10 CFR 35.13 and 10 CFR 35.14.
B.
The following individuals are authorized users for the material and medical uses as indicated:
Authorized Users
Material and Use
Max W. Berry, M.D.
35.200
Jonathan P. Coyle, M.D.
35.200
Thomas H. Essig, M.S., CHP
Chakri S. Inampudi, M.D.
35.200
Christopher L. Kottra, M.D.
35.200
Erik John Maurer, M.D.
35.200
Scott R. Naspinsky, M.D.
35.200
Brittany L. O'Steen, M.D.
35.200
Christopher M. Reed, M.D.
35.200
Heather C. Tauschek, M.D.
35.200
Wandal B. Winn, M.D.
35.200
License No.:
Docket or Reference No.:
U.S. NUCLEAR REGULATORY COMMISSION
MATERIALS LICENSE
SUPPLEMENTARY SHEET
PAGES
OF
PAGE
4
3
50-29357-01
030-38077
Amendment No. 8
13. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material to quantities below the
minimum limit specified in 10 CFR 30.35(d) for establishing financial assurance for decommissioning.
License No.:
Docket or Reference No.:
U.S. NUCLEAR REGULATORY COMMISSION
MATERIALS LICENSE
SUPPLEMENTARY SHEET
PAGES
OF
PAGE
4
4
50-29357-01
030-38077
Amendment No. 8
14. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements,
representations, and procedures contained in the documents, including any enclosures, listed below. This license condition applies only to
those procedures that are required to be submitted in accordance with the regulations. Additionally, this license condition does not limit the
licensee's ability to make changes to the radiation protection program as provided for in 10 CFR 35.26. The U.S. Nuclear Regulatory
Commission's regulations shall govern unless the statements, representations, and procedures in the licensee's application and
correspondence are more restrictive than the regulations.
A. Application dated September 23, 2019 (ML19290D016) (excluding radiation safety program, policies, and procedures)
B. Letter dated March 19, 2020 (ML20090A630)
C. Letter dated September 30, 2020 (ML20293A451)
D. E-mail dated December 10, 2020 with attachments (ML21021A066)
E. Letter dated April 13, 2023 (ML23116A118)
FOR THE U.S. NUCLEAR REGULATORY COMMISSION
By:
Date:
Latischa M. Hanson
Region IV
May 26, 2023
Latischa M. Hanson
Digitally signed by Latischa M.
Hanson
Date: 2023.05.26 18:01:05 -05'00'